The Effects of Progressive Muscle Relaxation in Reducing Neuropathic Pain in Type 2 Diabetes Patients

https://doi.org/10.55299/ijphe.v3i1.622

Authors

  • Fakhrudin Nasrul Sani Nursing Study Program Diploma Three, Faculty of Health Sciences, Universitas Duta Bangsa Surakarta, Indonesia
  • Musta’in Nursing Study Program Diploma Three, Faculty of Health Sciences, Universitas Duta Bangsa Surakarta, Indonesia
  • Sutiyo Dani Saputro Nursing study program Diploma Three Program, Faculty of Health Sciences, Universitas Kusuma Husada Surakarta, Indonesia

Keywords:

Diabetes Mellitus, Neuropathic Pain, Relaxation Muscle Progressive

Abstract

Neuropathic pain in DM sufferers can be reduced by providing non-pharmacological therapy by providing relaxation or by providing education such as providing music therapy, relaxation and guided imagery. Physical exercise with relaxation that can be applied to DM patients includes Progressive Muscle Relaxation. The movements in PMR exercises aim to tighten and relax the muscles in one part of the body at a time to provide a feeling of physical relaxation. Relaxation can calm the nervous system so that the sufferer's body relaxes. This study aims to determine the effect of PMR in reducing neuropathic pain in patients with type 2 diabetes mellitus. The research design used the Quasy Experiment One Group Pretest – Posttest Control Group Design. The population in this study were all type 2 DM patients who experienced neuropathic pain. The sampling technique used was purposive sampling. Progressive Muscle Relaxation was given once a day for 7 days, and the pain scale was measured using the Visual Analog Scale (VAS) before and after administering PMR. The results of the study showed that the average pain level in the pre-test control group was 6 and post-test 5, while in the intervention group the average pre-test was 6 and post-test 4.81. The results of the Wilcoxon test in the control group showed a p value of 0.187 so there was no change in pain levels in the control group, while the intervention group showed a p value of 0.0001. The conclusion of this study is that there is a change in pain levels before and after PMR, so PMR can reduce neuropathic pain in patients with type 2 diabetes mellitus.

Downloads

Download data is not yet available.

References

International Diabetes Federation. (2021). IDF Diabetes Atlas 10th edition. www.diabetesatlas.org

Riset Kesehatan Dasar. (2018). KERANGKA KONSEP

American Diabetes Association. (2022). Introduction: Standards of Medical Care in Diabetes—2022. In Diabetes Care (Vol. 45, pp. S1–S2). American Diabetes Association Inc. https://doi.org/10.2337/dc22-SINT

Infodatin. (2020). Infodatin-2020-Diabetes-Melitus.

Perkumpulan Endokrin Indonesia. (2021). Diabetes Melitus Tipe 2 Dewasa Diabetes Melitus Tipe 2 Dewasa Di Indonesia Di Indonesia.

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. https://doi.org/10.1111/jnu.12580

Juster-Switlyk & Smith, 2016. (2016). Updates in diabetic peripheral neuropathy. Pubmed.

Gylfadottir, S. S., Weeracharoenkul, D., Andersen, S. T., Niruthisard, S., Suwanwalaikorn, S., & Jensen, T. S. (2019). Painful and non-painful diabetic polyneuropathy: Clinical characteristics and diagnostic issues. In Journal of Diabetes Investigation (Vol. 10, Issue 5, pp. 1148–1157). Blackwell Publishing. https://doi.org/10.1111/jdi.13105

Buzatto et all. (2019). Periprocedural anxiety associated with cardiac catheterisation and the monitored physiological measures. Journal of Perioperative Practice

Brunelli, B., & Gorson, K. C. (2004). The use of complementary and alternative medicines by patients with peripheral neuropathy. Journal of the Neurological Sciences, 218(1–2), 59–66. https://doi.org/10.1016/j.jns.2003.10.013

Najafi Ghezeljeh, T., Kohandany, M., Oskouei, F.H., & Malek, M. (2017). The Effect of Progressive Muscle Relaxation on Glycated Hemoglobin and Health-related Quality of Life in Patients with Type 2 Diabetes Mellitus. Applied Nursing Research , 33 , 142–148. https://doi.org/10.1016/j.apnr.2016.11.008

Simanjuntak, GV, Simamora, M., Nursing, B., Surgery, M., Nursing, F., & Midwifery, D. (2017). The Effect of Progressive Muscle Relaxation Exercises on Blood Sugar Levels and Ankle Brachial Index in Type II Diabetes Mellitus Patients" The Effect of Progressive Muscle Relaxation on the Glucose Level and Ankle Brachial Index in Patients With Type II Diabetes Mellitus. Idea Nursing Journal, VIII ( 1 ) .

Ilmi, ZM, Dewi, I., Rasni, H., Studi, P., Nursing, I., Jember, U., Kalimantan, J., Kampus, N., & Boto Jember, T. (2017). The Effect of Progressive Muscle Relaxation on Stress Levels of Female Prisoners

Bikmoradi, A., Oshvandi, K., & Roshanaei, G. (2014). Effect of Progressive Muscle Relaxation on Severity of Pain in Patients with Multiple Sclerosis: a Randomized Controlled Trial . https://www.researchgate.net/publication/287355323

Avianti, N., Z., D., & Rumahorbo, H. (2016). Progressive Muscle Relaxation Effectiveness of the Blood Sugar Patients with Type 2 Diabetes. Open Journal of Nursing , 06 (03), 248–254. https://doi.org/10.4236/ojn.2016.63025

Rokhman, Abdul., Ahsan & Supriati, Lilik. (2018). The effect of progressive muscle relaxation therapy on anxiety and quality of life in type 2 diabetes mellitus patients at Muhammadiyah Hospital Lamongan.JRKN. Vol. 2 No. 1

Bellary, S. et al. (2021) 'Type 2 diabetes mellitus in older adults: clinical considerations and management', Nature Reviews Endocrinology , 17(9), pp. 534–548

Susanti, S. and Bistara, DN (2018) 'Relationships Diet With Blood Sugar Levels In Diabetes Mellitus Patients', Journal Vocational Health , 3(1), p. 29. doi: 10.22146/jkesvo.34080

Herdiman, Fauzi, Deni Hamdan & Lindayani, Linlin (2022). The effect and progressive muscle relaxation on anxiety in covid 10 patients in Bandung. Journal of Comprehensive Nursing. Vol. 8. ISSN: 25988727

Keswara, U.R., Elliya, R., & Maya, M. (2021). The Effect of Progressive Muscle Relaxation on Reducing Blood Glucose Levels in Diabetes Mellitus Patients in the Working Area of the Ogan Lima Community Health Center, West Abung District, North Lampung. Malahayati Nursing Journal , 3 (2), 285-295.

Fitriyani., Erika, Kadek Ayu & Syahrul. (2019). Progressive muscle relaxation in reducing pain. Muhammadiyah Nursing Journal . No. 1 Vol. 3

Hidayati, R. (2018). Progressive Influence Muscle Relaxation Against Blood Sugar In Type 2 Diabetes Mellitus Patients in Tresna Werda Sabai Nan Social Home Aluih Siringin 2016. Menara Science , 12 (4)

Nurani, Rahmawati Dian & Fitriyani. (2023). Progressive muscle relaxation (PMR) to reduce blood sugar levels in diabetes mellitus patients. Mother Pomegranate Nursing Journal. Vol. 5 No. 1

Kurniawan, D., Zulfitri, R., & Dewi, AP(2019). The Effect of Progressive Muscle Relaxation on the Quality of Pain in Breast Cancer Patients. Indonesian Nurses Journal, 10(1).

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. https://doi.org/10.1111/jnu.12580

Kobayashi, S., & Koitabashi, K. (2016). Effects of progressive muscle relaxation on cerebral activity: An fMRI investigation. Complementary Therapies in Medicine, 26, 33–39. https://doi.org/10.1016/j.ctim.2016.02.010

Simanjuntak, GV, Simamora, M., Nursing, B., Surgery, M., Nursing, F., & Midwifery, D. (2017). The Effect of Progressive Muscle Relaxation Exercises on Blood Sugar Levels and Ankle Brachial Index in Type II Diabetes Mellitus Patients "The Effect of Progressive Muscle Relaxation on the Glucose Level and Ankle Brachial Index in Patients With Type II Diabetes Mellitus. Idea Nursing Journal, VIII ( 1 ) .

Published

2023-11-18

How to Cite

Fakhrudin Nasrul Sani, Musta’in, & Sutiyo Dani Saputro. (2023). The Effects of Progressive Muscle Relaxation in Reducing Neuropathic Pain in Type 2 Diabetes Patients. International Journal of Public Health Excellence (IJPHE), 3(1), 240–247. https://doi.org/10.55299/ijphe.v3i1.622