Penurunan Tingkat Kecemasan dan Gula Darah pada Penderita DM Tipe 2 melalui Spiritual Mindfulness Based On Benson Relaxation

Riska Rohmawati(1*), Arif Helmi(2)


(1) Fakultas Keperawatan dan Kebidanan, Universitas Nahdlatul Ulama Surabaya
(2) Fakultas Keperawatan dan Kebidanan, Universitas Nahdlatul Ulama Surabaya
(*) Corresponding Author

Abstract


Perubahan mendadak dalam hidup membuat penderita DM menunjukkan beberapa reaksi psikologis negatif yang menghasilkan glukosa darah. Tujuan dari penelitian ini adalah untuk menjelaskan pengaruh mindfulness spiritual berdasarkan relaksasi benson pada kecemasan, gula darah pada pasien DM tipe 2. Penelitian ini menggunakan desain penelitian eksperimental quasy dengan pre-test dan post-test dengan desain kelompok kontrol dengan sampel 30 responden dan teknik pengambilan sampel menggunakan consecutive sampling. Intervensi dilakukan selama 4 minggu (15 menit untuk setiap intervensi). Penelitian ini menggunakan instrumen kuesioner SRAS Zung untuk kecemasan dan glukometer untuk mengukur GDP dan GDPP. Tes statistik menggunakan Mann Whitney Test dan Wilcoxon Signed. Hasil tes statistik menunjukkan bahwa perhatian spiritual berdasarkan relaksasi benson mempengaruhi penurunan kecemasan pada setiap kelompok (p = 0,000 untuk kelompok perlakuan dan p = 1,00 untuk kelompok kontrol), secara signifikan mengurangi kadar glukosa darah rata-rata (p = 0,000 untuk perawatan kelompok dan p = 0,48 untuk kelompok kontrol). Perhatian spiritual berdasarkan benson relaksasi membantu pasien meningkatkan fokus mereka pada kondisi saat ini tanpa upaya untuk menyalahkan diri sendiri, orang lain, dan lingkungan sehingga pasien lebih nyaman dan merasa tenang. Intervensi ini mempengaruhi pengurangan kecemasan, rata-rata gula darah pasien DM tipe 2.

 

Kata kunci: DM tipe 2, gula darah, kecemasan, perhatian spiritual, reaksasi benson

 

REDUCING ANXIETY AND BLOOD SUGAR LEVELS ON

DM TYPE 2 PATIENTS THROUGH SPIRITUAL MINDFULNESS BASED ON BENSON RELAXATION

 

ABSTRACT

Sudden changes in life make DM sufferers show some negative psychological reactions that result in a blood glucose. The purpose of this study was to explain the influence of spiritual mindfulness based on benson relaxation on anxiety, blood sugar in DM type 2 patients. This study used a quasy experimental study design with pre-test and post-test with control group design with a sample of 30 respondents and a sampling technique using consecutive sampling . The intervention was carried out for 4 weeks (15 minutes for each intervention). This study uses the Zung SRAS questionnaire instrument for anxiety and a glucometer to measure GDP and GDPP. Statistical tests using the Mann Whitney Test and Wilcoxon Signed. Statistical test results show that spiritual mindfulness based on benson relaxation affects the decrease in anxiety in each group (p = 0.000 for the treatment group and p = 1.00 for the control group), significantly reducing average blood glucose levels (p = 0.000 for the treatment group and p = 0,48 for the control group). Spiritual mindfulness based on benson relaxation helps patients improve their focus on current conditions without any effort to blame themselves, others, and the environment so that patients are more comfortable and feel calm. This intervention affected the reduction of anxiety, average blood sugar of type 2 DM patients.

 

Keywords: anxiety, benson relaxation, blood sugar, spiritual mindfulness, type 2 DM


Keywords


DM tipe 2; gula darah; kecemasan; perhatian spiritual; reaksasi benson

Full Text:

PDF

References


Alawiyah, Tuty. (2018). Pengaruh Spiritual mindfulness Based on breathing Exercise Terhadap Kecemasan, Kadar Gula Darah dan Tekanan Darah Pasien Diabetes Melitus Tipe2. Tesis. Universitas Airlangga Surabaya. Surabaya.

Anselm, Doll., Hölzel, B.K., Bratec, SM., Boucard, CCXie, X. (2016). Mindful attention to breath regulates emotions via increased amygdala–prefrontal cortex connectivity. J. NeuroImage: Elsevier 134 (2016) 305–313. http://dx.doi.org/10.1016/j.neuroimage.2016.03.041

Benson, H & Proctor, W. (2000). Dasar-dasar respons relaksasi. Bandung: Kaifa.

Brantley Jeffrey., Wendy Millstine. (2011). True Belonging: Mndful Practices to Help You Overcome Loneliness, Connect with Other, and Cultivate Happiness. New York: New Harbinger Publications https://www.goodreads.com/book/show/11325933-true-belonging

Dalen, J., Smith, BW., Shelley, BM., Sloan, AL, Leahigh, L., Begay, D. (2010). Pilot study: Mindful Eating and Living (MEAL): Weight, eating behavior, and psychological outcomes associated with a mindfulness-based intervention for people with obesity. Complementary Therapies in Medicine 1 - 5, http://doi:10.1016/j.ctim.2010.09.008

Gautam, Y., Sharma, A.K., Bhatnagar, M.K., & Trehan, R.R. (2009). A Cross Sectional Study of QoL of Diabetic Patient at Tertiary Care Hospital in Delhi. Indian Journal of Community Medecine, 34 (4), 346-350 diakses 25 Januarri 2020 dari https://dx.doi.org/10.4103%2F0970-0218.58397

Greenstein, B., Wood, D.F. (2010). At e Glance: Sistem Endokrin Edisi kedua. Jakarta: Erlangga

Hawari D., (2001). Manajemen stres, cemas, dan depresi. Jakarta : Fakultas Kedokteran Universitas Indonesia.

Hayes, S., Walts, T. (2010). Acceptance and Commitment Therapy: In Cognitive Behavioral Therapy in Clinical Practice. New York: The Guilford Press https://doi.org/10.1111/j.1468-2850.2008.00137.x

International Diabetes Federation. (2010). Diabetes Atlas, Fifth Edition diakses 21 Januarri 2020 dari http://www.idf.org/diabetesatlas/5e/the-global-burden

Nursalam. (2013). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis. Edisi 3.Jakarta:Salemba Medika

PERKENI. (2015). Konsensus Pengelolaan dan Pencegahan DM Tipe 2 di Indonesia.Jakarta: PB Perkeni

Perry, A.G., & Potter, P.A. (2005). Buku ajar fundamental keperawatan: Konsep, prosesdan praktik. (Ed 4). (Y. Asih, Terj.). Jakarta: EGC

Reynolds, R.M., Strachan, M.W.J., Labad, J., Lee, A.J., Frier, B.M., Fowkes, F.G., Mitchell,R., Secki, J.R., Deary, I.A., Walker, B.R., Price, J.F. (2010). Monitoring Cortisol Levels andCognitive Ability in People with Type 2 Diabetes. Diabetes Care, Volume 33, No 4, April2010 diakses Januari 2020 dari https://doi.org/10.2337/dc09-1796

Rosenzweig S. (2007). Mindfulness Based stres reduction is associated with improved glycemic control in type 2 diabetes mellitus: a pilot study. Diakses pada 25 Januari 2020 http://www.alternative-therapies.com/at/web_pdfs/rosenzweig.pdf

Sofiana Loly Irma, Elita Veny, dan Utomo Wasisto. (2012). Hubungan Antara Stress Dengan Konsep Diri Pada Penderita Diabetes Mellitus Tipe 2. Jurnal Ners Indonesia, Vol.2, No. 2, Maret 2012 350 diakses Januarri 2020 dari http://dx.doi.org/10.31258/jni.2.2.167-176

Tovote K Annika., Flessr j., Snippe E., Peeters C.T.M., Emmelkamp P.M.G., Sanderman R.M Scahoevers J., (2014). Individual mindulness-based cognitive therapy and cognitive behavior therapy for treating depressive symptomps in patient with diabetes: result of randomized controlled trial. Diabetes Care, 37: 2427-2434 https://doi.org/10.2337/dc13-2918

Tyas, M.D.C. (2008). Hubungan Perawatan Diri akan Persepsi Sakit dengan Kualitas Hidup Pasien DM Tipe 2 dalam Konteks Keperawatan di Kota Blitar. Tesis. UniversitasAirlangga Surabaya. Surabaya.

West, A. M. (2008). Mindfulness and well-being in adolescence: An exploration of four mindfulness measures with an adolescent sample. Dissertation Abstracts International: Section B. Sciences and Engineering, 69(05), 3283. https://psycnet.apa.org/record/2008-99220-242

White L., (2014). Mindfulness ini nursing: an evolutionary concept analysis. Journal of Advanced Nursing 70 (2), 282-294 https://doi.org/10.1111/jan.12182


Article Metrics

Abstract view : 701 times
PDF - 120 times

DOI: https://doi.org/10.26714/jkj.8.2.2020.161-168

Refbacks

  • There are currently no refbacks.




View My Stats

PPNI Univ. Muhammadiyah Semarang

Jl. Kedungmundu Raya No. 18 Semarang Gedung NRC University of Muhammadiyah Semarang

Phone: 02476740287
Fax: 02476740287
Email: jurkep.jiwa@gmail.com

 

This work is licensed under a Creative Commons Attribution 4.0 International License.