Dhikr (Recitation) and Relaxation Improve Stress Perception and Reduce Blood Cortisol Level in Type 2 Diabetes Mellitus Patients with OAD

Abstract

Recitation and relaxation are translated as stimuli that can turn disstraints into uneven conditions (balanced conditions). The purpose of this study was to explain the effect of remembrance and relaxation on improving stress perception and decreasing blood cortisol levels in patients with type 2 diabetes mellitus with Anti Diabetes Medication (OAD). This type of research is quasi-experimental with the non randomized control group pretest posttest design. The population in this study were all type 2 diabetes mellitus patients at the Internal Poly department of Syarifah Ambami Hospital Rato Ebu Bangkalan. The study sample was divided into 2 groups, namely control and intervention, each of which was 14 respondents. First, respondents were asked to fill out an informed consent form, identity, fill in the Depression Anciety Stress Scale 42 questionnaire (DASS 42) and examine cortisol levels as pre-treatment data. Then for 6 weeks the intervention group was given remembrance and relaxation treatment, while the control group was only given health education. After 6 weeks the second group respondents were asked to fill in DASS 42 and examined cortisol levels as data after treatment. Difference data before and after the treatment was tested for normality using Shapiro-Wilk and obtained normal data distribution so that the different tests used independent T test with a = 0.05. Recitation and relaxation can significantly improve stress perception with p value (0.001) <0.05 and reduce cortisol levels with p value (0.024) <0.05. Recitation and relaxation improve stress perception so that the hypothalamic pituitary adrenal (HPA) axis produces a balanced level of the hormone cortisol. Cortisol in a balanced level will improve various metabolic processes.

Family care model development in treating schizophrenia patients that have self-deficit nursing based system

“…In addition, the social impact is the emergence of stigma where mental disorders are considered as karma, curses, and several other negative perceptions . Problems in schizophrenic patients are very complex, one of which can affect physiological conditions such as blood pressure (Amir et al, 2018), and requires collaboration between health workers and family members. The involvement of family members in the treatment of people with schizophrenia is very crucial.…”

Tinjauan Literatur:terapi Spiritual (Doa Dan Relaksasi) Untuk Pasien Diabetes Mellitus Tipe 2

“…Peneliti menggunakan kriteria inklusi dan ekslusi untuk menyeleksi literatur mana yg akan peneliti gunakan untuk ditinjau. Kriteria inklusi dan ekslusi yang digunakan peneliti, yaitu: (Amir et al, 2018;Safitri et al, n.d.) a. Sholat Melalui terapi spiritual care berupa sholat mampu membentuk persepsi yang positif berupa keyakinan kepada Tuhan, lebih dekat dengan Tuhan, berserah diri kepada Tuhan sehingga menimbulkan mekanisme koping yang positif, permintaan oksigen meningkat, jantung meningkatkan aliran darah sehingga menimbulkan vasodilatasi pada pembuluh darah, aktivasi gelombang alfa di otak, pelepasan endorphin, serotonin, dopamine, melatonin sehingga terjadi respon adaptif pada diri seseorang untuk lebih menerima suatu penyakit, ikhlas, bersyukur dan memohon ampunan sehingga hasil akhir yang dicapai adalah meningkatnya makna hidup dan kualitas hidup. (Santoso, 2017) (Juwita et al, 2016;Purwasih et al, 2017;Ratnawati et al, 2018) Terapi spiritual dalam bentuk relaksasi dalam tinjauan literatur ini adalah relaksasi Benson dan relaksasi nafas dalam yang merupakan perpaduan dari terapi relaksasi otot progresif, relaksasi musik, dan relaksasi imajinasi yang memiliki banyak manfaat.…”

Pelatihan Dzikir untuk Menurunkan Stres Akademik Siswa

“…Hal ini didukung temuan Penelitian (Wulandari & Huriyaty, 2015) bahwa dzikir dapat bermanfaat apabila dilakukan secara rutin sehingga pasien merasakan kedamaian dan ketenangan pikiran yang dapat mengurangi dampak hormon stres yang dilepaskan ketika cemas. Selain itu, treatmen menggunakan dzikir selama 6 minggu menunjukkan peningkatan persepsi stress dan keseimbangan hormon kortisol pada pasien (Amir, Mastutik, Taat Putra, & Hasinuddin, 2018).…”