The effect of progressive muscle relaxation (PMR) therapy on the anxiety levels of type 2 diabetes mellitus patients at Universitas Sebelas Maret Hospital

Mulia Sari, Maria Rini Indriati, Debree Septiawan

Abstract


Introduction: Diabetes mellitus (DM) is one of the most common chronic metabolic diseases. Diabetic patients suffer from anxiety almost twice as much as the general population. Progressive Muscle Relaxation (PMR) is a systematic technique that can be used to achieve a state of deep relaxation.

Objective: To determine the effect of PMR therapy on the anxiety levels of type 2 diabetes mellitus patients at Universitas Sebelas Maret Hospital.

Methods: A quasi-experimental group design study was conducted at the Internal Medicine Outpatient Clinic at Universitas Sebelas Maret Hospital in April 2022–May 2022. This study used a purposive sampling technique with a total sample of 19 subjects in the intervention group and 19 subjects in the control group. The instrument used to assess anxiety is the Hamilton Anxiety Rating Scale (HARS). The intervention uses PMR videos, which were carried out at least twice per week for a month.

Results: The parametric test showed a significant effect of PMR therapy on the anxiety levels of type 2 diabetes mellitus patients (Z = -3.675; p value (Asymp. sig. 2-tailed) = 0.001).

Conclusion: There was an effect of PMR on anxiety, and the intervention group experienced more reduction in anxiety levels than the control group in type 2 diabetes mellitus patients at Universitas Sebelas Maret Hospital.


Keywords


Progressive Muscle Relaxation (PMR); Anxiety; Type 2 Diabetes Mellitus

References


Adam, E. K., Vrshek-Schallhorn, S., Kendall, A. D., Mineka, S., Zinbarg, R. E., & Craske, M. G. (2014). Prospective associations between the cortisol awakening response and first onsets of anxiety disorders over a six-year follow-up–2013 Curt Richter Award Winner. Psychoneuroendocrinology, 44, 47-59.

Conrad, A., & Roth, W. T. (2007). Muscle relaxation therapy for anxiety disorders: it works but how?. Journal of anxiety disorders, 21(3), 243-264.

Delahanty, L., Grant, R. W., Wittenberg, E., Bosch, J. L., Wexler, D. J., Cagliero, E., & Meigs, J. B. (2007). Association of diabetes‐related emotional distress with diabetes treatment in primary care patients with type 2 diabetes. Diabetic medicine, 24(1), 48-54.

Devi, K. S., Devi, N. R., & Singh, E. P. A. (2016). Comparative Analysis between Anxiety Patients Receiving Medication Alone & Medication with Progressive Muscular Relaxation Therapy.

Dolbier, C. L., & Rush, T. E. (2012). Efficacy of abbreviated progressive muscle relaxation in a high-stress college sample. International Journal of Stress Management, 19(1), 48.

Essa, R. M., Ismail, N. I. A. A., & Hassan, N. I. (2017). Effect of progressive muscle relaxation technique on stress, anxiety, and depression after hysterectomy. Journal of Nursing Education and Practice, 7(7), 77.

Gibney. M. J., Margetts, B. M., Kearney, J. M., Arab, L. 2019. Gizi Kesehatan Masyarakat. Jakarta: EGC.

Heaney, J. (2020). Hypothalamic-Pituitary-Adrenal Axis. Encyclopedia of Behavioral Medicine, 1127-1128.

Herman, J. P., McKlveen, J. M., Ghosal, S., Kopp, B., Wulsin, A., Makinson, R., ... & Myers, B. (2016). Regulation of the hypothalamic-pituitary-adrenocortical stress response. Comprehensive physiology, 6(2), 603.

Izgu, N., Gok Metin, Z., Karadas, C., Ozdemir, L., Metinarikan, N., & Corapcıoglu, D. (2020). Progressive muscle relaxation and mindfulness meditation on neuropathic pain, fatigue, and quality of life in patients with type 2 diabetes: a randomized clinical trial. Journal of Nursing Scholarship, 52(5), 476-487.

Khaledi, M., Haghighatdoost, F., Feizi, A., & Aminorroaya, A. (2019). The prevalence of comorbid depression in patients with type 2 diabetes: an updated systematic review and meta-analysis on huge number of observational studies. Acta diabetologica, 56(6), 631-650.

Mc. Wright, Bogdan. 2018. Panduan Bagi Penderita Diabetes. Jakarta: Prestasi Pustaka Publisher.

Mildawati, Diani, N., & Wahid, A. (2019). Hubungan Usia, Jenis Kelamin dan Lama Menderita Diabetes dengan Kejadian Neuropati Perifer Diabetik. Caring Nursing Journal, 3(2), 31–37.

Molavi, P., Mohammadi, M. R., Khaleghi, A., & Nadr Mohammadi Moghadam, M. (2018). Prevalence of psychiatric disorders in children and adolescents in Ardabil province: A population-based study. Journal of Ardabil University of Medical Sciences, 18(2), 240-251.

Pauley, D., Cuijpers, P., Papola, D., Miguel, C., & Karyotaki, E. (2021). Two decades of digital interventions for anxiety disorders: a systematic review and meta-analysis of treatment effectiveness. Psychological Medicine, 1-13.

Perkeni, P. E. (2015). Pengelolaan dan pencegahan diabetes mellitus tipe 2 di Indonesia. Pb. Perkeni.

Prabowo, N. A, et al. (2021). Peningkatan Pengetahuan Diet Diabetes, Self Management Diabetes dan Penurunan Tingkat Stres Menjalani Diet pada Pasien Diabetes Mellitus Tipe 2 di Rumah Sakit Universitas Sebelas Maret. Jurnal Warta LPM, 24. 285-296.

Punthakee, Z., Goldenberg, R., & Katz, P. (2018). Definition, classification and diagnosis of diabetes, prediabetes and metabolic syndrome. Canadian journal of diabetes, 42, S10-S15.

Rita, Nova. (2018). Hubungan Jenis Kelamin, Olahraga Dan Obesitas Dengan Kejadian Diabetes Mellitus Pada Lansia. Jik-Jurnal Ilmu Kesehatan, 2(1), 93–100.

Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F. (2021). Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evidence-based complementary and alternative medicine : eCAM, 2021, 5924040.


Full Text: PDF

DOI: 10.24815/jks.v23i2.33041

Refbacks

  • There are currently no refbacks.