RELAKSASI OTOT PROGRESIF TERHADAP STRES PSIKOLOGIS DAN PERILAKU PERAWATAN DIRI PASIEN DIABETES MELLITUS TIPE 2

Sholihatul Maghfirah(1), I Ketut Sudiana(2), Ika Yuni Widyawati(3),


(1) Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Ponorogo
(2) Fakultas Kedokteran, Universitas Airlangga, Surabaya
(3) Fakultas Kedokteran, Universitas Airlangga, Surabaya

Abstract

Penderita DM tipe 2 sering mengalami stres berkaitan dengan terapi yang harus dijalani. Pengalaman stres sebelum dan selama terapi berpengaruh terhadap perilaku perawatan diri. Relaksasi otot progresif merupakan salah satu manajemen stres. Tujuan penelitian ini adalah untuk menjelaskan pengaruh relaksasi otot progresif terhadap stres psikologis dan perilaku perawatan diri pada pasien DM Tipe 2 ang dilakukan pada tahun 2014. Desain penelitian ini kuasi eksperimen dengan pre-test dan post-test. Jumlah sampel 30 responden yang terdiri dari kelompok 14 orang kelompok perlakuan dan 16 orang kelompok kontrol. Teknik pengambilan sampel menggunakan purpossive sampling. Analisa data khusus menggunakan  Wilcoxon Signed Rank Test dan Mann-Whitney U Test. Berdasarkan Wilcoxon Signed Rank Test  untuk menguji pre-test dan post-test pada kelompok perlakuan didapatkan hasil stres psikologis p=0,014 (p<0,05) dan perilaku perawatan diri p=0,003 (p<0,05). Mann-Whitney U Test pada post-test kelompok perlakuan dan kontrol didapatkan hasil stres psikologis p=0,035 (p<0,05) dan perilaku perawatan diri p=0,058 (p>0,05) Kesimpulan dari penelitian ini: ada pengaruh relaksasi otot progresif terhadap penurunan stres psikologis pada pasien DM tipe 2 dan tidak ada pengaruh relaksasi otot progresif terhadap perilaku perawatan diri pada pasien DM tipe 2. Penelitian lebih lanjut post-test perilaku perawatan diri perlu dilakukan dengan selang waktu yang lebih lama dibandingkan dengan stres psikologis.

 

Patients with Type 2 Diabetes mellitus often have stress experience related to diabetes therapy. Stress experience before and during therapy affects self-care behaviors. Progressive muscle relaxation is one of stress management. The purpose of this study is to clarify the effect of progressive muscle relaxation on the psychological stress and self-care behavior in patients with Type 2 Diabetes mellitus in 2014. The research design was quasy-experiment with pre-test and post-test design. Total sample was 30 respondents consisting of 14 people in treatment group and 16 people in control group recruited by purpossive sampling. Data were analyzed using the Wilcoxon Signed Rank Test test and Mann-Whitney U Test. The result showed in the experimental group of psychological stress p=0.014 (p<0,05) and self-care behavior of p=0,003 (p<0,05). Mann-Whitney U test to post-test treatment and control groups showed psychological stress p=0,035 (p<0,05) and self-care behavior of p=0,058 (p>0,05).  It is concluded that there was an effect of progressive muscle relaxation on reducing psychological stress in patients with type 2 diabetes and no effect of progressive muscle relaxation on self-care behavior in patients with type 2 diabetes mellitus. Further research about self-care behaviors post-test needs to be done at longer intervals than the psychological stress.

Keywords

Progressive Muscle Relaxation; Stress; Self Care

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