The Influence of Autogenic Relaxation in Lowering Stress and Blood Sugar Levels in Clients with Type II Diabetes Mellitus

Main Article Content

Ida Farida
Meirina
Mia Fatma Ekasari
Corresponding Author:
Ida Farida | ida@staff.poltekkesbandung.ac.id



Abstract

Introduction: Stress is identified as one of the modifiable risk factors for diabetes mellitus. High stress levels can trigger an increase in blood sugar levels. There are four approaches to controlling blood sugar levels: pharmacological therapy, nutritional therapy, physical activity, and education on self-management of diabetes, such as implementing autogenic relaxation therapy. Autogenic relaxation is a form of mind-body intervention that originates from within an individual, involving short phrases or sentences that promote a sense of tranquility. The aim of this research is to examine the influence of autogenic relaxation in reducing stress levels in clients with Type II diabetes mellitus. Methods: The research design employed is a quasi-experiment with a group control and pre-post-test. The intervention group received autogenic relaxation sessions lasting 15-20 minutes, six times with a one-day interval between sessions. The control group was observed without any intervention. Results: The results revealed a significant difference between the intervention and control groups for the variables of stress (p-value 0.000) and blood sugar (p-value 0.008). Conclusion: The analysis indicates that autogenic relaxation therapy can effectively reduce stress and blood sugar levels in Type II diabetes mellitus clients. We recommend that healthcare services implement autogenic relaxation therapy programs to assist clients with Type II diabetes mellitus in addressing stress-related issues and managing their blood sugar levels

Article Details

How to Cite
[1]
I. Farida, Meirina, and M. F. Ekasari, “The Influence of Autogenic Relaxation in Lowering Stress and Blood Sugar Levels in Clients with Type II Diabetes Mellitus”, Babali Nurs. Res., vol. 5, no. 1, pp. 76-89, Jan. 2024.
Section
Original Research
Author Biographies

Meirina, Politeknik Kemenkes Bandung, Bandung, Indonesia

082122440475)

Mia Fatma Ekasari, Politeknik Kemenkes Jakarta I, Jakarta, Indonesia

082177400590

References

[1] WHO, “The top 10 causes of death,” 2020, [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.
[2] I. D. F. D. Atlas, International Diabetes Federation, vol. 266, no. 6881. 2021.
[3] Dinkes Kota Bogor, “Profil Kesehatan Kota Bogor 2020,” Dinas Kesehat. Kota Bogor, pp. 10–27, 2020.
[4] M. I. Derek, J. V Rottie, and V. Kallo, “Hubungan Tingkat Stres Dengan Kadar Glukosa Darah Pada Pasien Diabetes Melitus Kasih Gmim Manado,” e-JournalKeperawatan, vol. 5, no. 1, pp. 1–6, 2017, https://doi.org/10.35790/jkp.v5i1.14730.
[5] C. Husna and D. Darliana, “Tingkat Stres Pada Pasien Diabetes Melitus Tipe 2 Selama Pandemi COVID-19 di RSUD Meuraxa Banda Aceh Stress Levels In Type 2 Diabetes Mellitus Patients During The COVID-19 Pandemic In Meuraxa Hospital , Banda Aceh,” vol. VI, no. 2, 2022.
[6] M. D. Saputra and S. K. Muflihatin, “Hubungan Stres dengan Terkendalinya Kadar Gula Darah pada Pasien DM Tipe II di Irna RSUD Abdul Wahab Sjahranie Samarinda Muhammad,” Borneo Student Res., vol. 1, no. 3, pp. 1672–1678, 2020.
[7] W. Rizky, A. Insani, and A. Widiastuti, “Pengaruh terapi relaksasi Autogenik terhadap penderita diabetes melitus tipe 2,” Indones. J. Heal. Dev., vol. 2, no. 2, pp. 137–144, 2020.
[8] M. L. Limbong, R. D. Jaya, and Y. Ariani, “Pengaruh Relaksasi Autogenik Terhadap Kadar Glukosa Darah Padapasien Diabetes Melitus Tipe 2,” J. Sk. Keperawatan, vol. 1, no. 01, pp. 21–28, 2015, doi: 10.35974/jsk.v1i01.25.
[9] S. Silvia and K. Batubara, “Teknik Relaksasi Autogenik Pada Pasien Diabetes Millitus Tipe Ii Dengan Masalah Ketidakstabilan Kadar Glukosa Darah Di Rumah Sakit Tk Ii Putri Hijau Medan,” MAHESA Malahayati Heal. Student J., vol. 1, no. 3, pp. 264–269, 2021, doi:10.33024/mahesa.v1i3.4971.
[10] E. Nurul Syafitri, “Pengaruh Teknik Relaksasi Autogenik Terhadap Penurunan Tingkat Stres Kerja Pada Karyawan Pt. Astra Honda Motor Di Yogyakarta,” J. Keperawatan Respati Yogyakarta, vol. 5, no. 2, pp. 395–398, 2018, http://dx.doi.org/10.35842/jkry.v5i2.213.
[11] K. Litwic-Kaminska, M. Kotyśko, T. Pracki, M. Wiłkość-Dębczyńska, and B. Stankiewicz, “The Effect of Autogenic Training in a Form of Audio Recording on Sleep Quality and Physiological Stress Reactions of University Athletes—Pilot Study,” Int. J. Environ. Res. Public Health, vol. 19, no. 23, 2022, doi: 10.3390/ijerph192316043.
[12] D. Pach et al., “App-Based Relaxation Exercises for Patients with Chronic Neck Pain: Pragmatic Randomized Trial,” JMIR mHealth uHealth, vol. 10, no. 1, 2022, doi: 10.2196/31482.
[13] J. Han, H. L. Cheng, L. N. Bi, and A. Molasiotis, “Mind-body therapies for sleep disturbance among patients with cancer: A systematic review and meta-analysis,” Complement. Ther. Med., vol. 75, no. December 2022, p. 102954, 2023, doi: 10.1016/j.ctim.2023.102954.
[14] H. S. Gonderen Cakmak, K. Gonderen, S. Aykut, and S. Soner Aykut, “Anxiety and Stress Experiences of Individuals with Chronic Diseases in the COVID-19 Pandemic: Qualitative Research,” J. Educ. Res. Nurs., vol. 20, no. 1, pp. 1–6, 2023, doi: 10.5152/jern.2023.80557.
[15] M. Roth, D. A. Gubler, T. Janelt, B. Kolioutsis, and S. J. Troche, “On the feeling of being different-an interview study with people who define themselves as highly sensitive,” PLoS One, vol. 18, no. 3 March, pp. 1–15, 2023, doi: 10.1371/journal.pone.0283311.
[16] A. K. Sendekie, E. M. Dagnew, B. B. Tefera, and E. A. Belachew, “Health-related quality of life and its determinants among patients with diabetes mellitus: A multicentre cross-sectional study in Northwest Ethiopia,” BMJ Open, vol. 13, no. 1, 2023, doi: 10.1136/bmjopen-2022-068518.
[17] W. Izzati and . N., “Hubungan Tingkat Stres Dengan Peningkatan Kadar Gula Darah Pada Pasien Diabetes Mellitus Di Wilayah Kerja Puskesmas Perkotaan Rasimah Ahmad Bukittinggi Tahun 2015,” ’Afiyah, vol. 2, no. 2, 2015.
[18] M. Mubeen et al., “Neurological Features and Their Association With Gender in Diabetes Mellitus Patients,” Cureus, vol. 15, no. 5, pp. 1–11, 2023, doi: 10.7759/cureus.39687.
[19] S. Jóźwik, A. Wrzeciono, B. Cieślik, P. Kiper, J. Szczepańska-Gieracha, and R. Gajda, “The Use of Virtual Therapy in Cardiac Rehabilitation of Male Patients with Coronary Heart Disease: A Randomized Pilot Study,” Healthc., vol. 10, no. 4, 2022, doi: 10.3390/healthcare10040745.
[20] M. Hasanah, “Stres dan solusinya dalam perspektif psikologi dan islam,” J. Ummul Qura, vol. XIII, no. 1, pp. 104–116, 2019, https://doi.org/10.55352/uq.v13i1.412
[21] M. P. Ramirez-Garcia, J. Leclerc-Loiselle, C. Genest, R. Lussier, and G. Dehghan, “Effectiveness of autogenic training on psychological well-being and quality of life in adults living with chronic physical health problems: A protocol for a systematic review of RCT,” Syst. Rev., vol. 9, no. 1, pp. 1–9, 2020, doi: 10.1186/s13643-020-01336-3
[22] D. Reddy Peddi, H. Pallekonda, and V. Reddy, “Evaluation of the Prevalence and Risk Factors of Drug-Related Problems in Hypertension and Type 2 Diabetes Mellitus Patients at a Tertiary Care Hospital: A Cross-Sectional Study,” Cureus, vol. 15, no. 7, pp. 1–8, 2023, doi: 10.7759/cureus.42775.
[23] S. Asghar, S. Asghar, S. Shahid, M. Fatima, S. M. H. Bukhari, and S. Nadeem Siddiqui, “Metabolic Syndrome in Type 2 Diabetes Mellitus Patients: Prevalence, Risk Factors, and Associated Microvascular Complications,” Cureus, vol. 15, no. 5, 2023, doi: 10.7759/cureus.39076.