The Effect of A Combination of Hydrotherapy Drinking Water and Acupressure on the KGDS of DM Patients
DOI:
https://doi.org/10.37287/ijghr.v7i6.157Keywords:
Keywords: acupressure; diabetics; drink; temporary blood sugar levels; waterAbstract
Diabetes Mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from abnormalities in insulin secretion, insulin action, or both. Diabetes Mellitus remains a significant health problem and a priority target for global follow-up due to its dangerous impacts and increasing prevalence annually. Complementary therapy, a combination of hydrotherapy, drinking water, and acupressure, is a non-pharmacological therapy that can be administered to control blood sugar levels in diabetes mellitus patients. This combination of therapies has been proven to be more effective in controlling blood glucose levels in diabetes mellitus patients because it can impact the excretion of excess sugar in the body while simultaneously affecting the hypothalamus by activating one of the carbohydrate metabolism enzymes (glucose-6-phosphate). In the pancreas, it increases insulin synthesis, increases receptors on target cells, and accelerates glucose utilization in cells. The purpose of this study was to analyze the effect of the combination of drinking water hydrotherapy and acupressure therapy on blood glucose levels during Type II DM patients in Ilir Village, Gunungsitoli District Health Center Working Area in 2024. This type of research is quasi-experimental with a nonequivalent control group design approach. The study population was all Type 2 DM patients in Ilir Village, Gunungsitoli District Health Center Working Area with a sample size of 32 respondents. The sampling technique was purposive sampling. The sample was selected according to the researcher's wishes with inclusion criteria: age 30-70 years, type 2 diabetes mellitus diagnosed by a doctor, stable drug therapy ≥ 4 weeks (no change in dose/type of insulin), random blood sugar 140-300 mg/dl, good hydration status, adequate kidney function and no fluid restrictions, controlled blood pressure; exclusion criteria: type 1 DM, gestational DM, changes in antihyperglycemic therapy < the last 4 weeks, suffering from kidney failure, heart failure, experiencing acute infections, uncontrolled blood pressure, skin disorders/wounds. Researchers used repeated ANOVA tests if the data were normally distributed or Friedman Tests if the data were not normally distributed. For comparison of the intervention and control groups, researchers used t-tests if they were normally distributed or Mann Whitney if they were not normally distributed. From the results of the repeated ANOVA test, it was known that the Greenhouse-Geisser significance value was 0.001 (p = <0.05), which means there was a significant difference between blood sugar levels before and after the intervention in the intervention group. From the results of the independent t-test, it is known that the two-sided significant value is 0.001 (p < 0.05), which means there is a significant difference between random blood sugar levels in the intervention group and the control group after intervention 3. The conclusion of this study is that the combination of drinking water hydrotherapy and acupressure has an effect on the KGDS of diabetes mellitus patients.
References
Afrianti. (2021). Penerapan Terapi Akupresur Pada Pasien Diabetes Mellitus. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 11(4), 579–586.
Arikunto. (2009). Prosedur Penelitian Suatu Pendekatan Praktik (Edisi Revi). Jakarta: Rineke Cipta.
Chen et al. (2009). Acupressure Therapy Inhibits the Development of Diabetic Complications in Chinese Patients with Type 2 DiabetesNo Title, 1027–1032.
Cicilia L, dkk. (2018). hubungan aktivitas fisik dengan kejadian diabetes melitus pada pasien rawat jalan di Rumah Sakit Umum Daerah Kota Bitung. Jurnal KESMAS, 7(5), 1–6.
Decroli, E. (2019). Diabetes Melitus Tipe 2. (by A. Kam et al, Ed.). Padang: Pusat Penerbitan Bagian Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Andalas.
Elmatris. (2012). EFEK HIDROTERAPI PADA PENURUNAN KADAR GULA DARAH SESAAT ( KGDS ) TERHADAP PENDERITA DIABETES MELITUS TIPE 2. Majalah Kedokteran Andalas, 36, 202–214.
Fitriani, Y., Pristianty, L., & Hermansyah, A. (2019). Pendekatan Health Belief Model (HBM) untuk Menganalisis Kepatuhan Pasien Diabetes Melitus Tipe 2 dalam Menggunakan Insulin. PHARMACY: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia), 16(2), 167. https://doi.org/10.30595/pharmacy.v16i2.5427
Fitrullah. (2017). Effectiveness of Acupressure at the Zusanli (ST-36) Acupoint as a Comfortable Treatment for Diabetes Mellitus: A Pilot Study in Indonesia. JAMS Journal of Acupuncture and Meridian Studies, 10(2), 96–103. https://doi.org/10.1016/j.jams.2016.12.003
Gayatri, R. W., Kistianita, A. N., Virrizqi, V. S., & Sima, A. P. (2019). Diabetes Mellitus Dalam Era 4 . 0. Wineka Media.
Hikmah. (2021). EFEKTVITAS TERAPI AIR PUTIH TERHADAP KADAR GULA DARAH PADA PASIEN DIABETES MELITUS TIPE 2 STUDI: NARRATIVE REVIEW, 2(2), 121–126.
Jahidin. (2019). PENGARUH TERAPI MINUM AIR PUTIH TERHADAP PENURUNAN KADAR GULA DARAH SEWAKTU (GDS) PADA PASIEN DIABETES MELLITUS TIPE II Ahid, (1), 87–98.
Jamaluddin, D. (2019). Terapi Akupresure Terhadap Keseimbangan Glukosa Darah Pada Pasien Dm Tipe 2 Di Wilayah Kerja Puskesmas Jumpandang Baru Makassar. Media Kesehatan Politeknik Kesehatan Makassar, 14(2), 181. https://doi.org/10.32382/medkes.v14i2.1126
Jumari. (2019). Pengaruh Akupresur terhadap Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2. PJournal of Telenursing (JOTING), 1(9), 38–50.
Kementerian Kesehatan RI. (2020). Infodatin tetap produktif, cegah, dan atasi Diabetes Melitus 2020. Pusat Data Dan Informasi Kementerian Kesehatan RI.
Kementrian Kesehatan Republik Indonesia. (2018). Laporan_Nasional_RKD2018_FINAL.pdf. Badan Penelitian Dan Pengembangan Kesehatan.
Lutfiani. (2020). Panduan Konseling Kesehatan Dalam Upaya Pencegahan Diabetes Melitus. Yogyakarta: Penerbit Deepublish.
Masithoh, R. F., Ropi, H., & Kurniawan, T. (2016). Pengaruh Terapi Akupresur terhadap Kadar Gula darah Pada Pasien Diabetes Melitus tipe II. Journal Of Holistic Nursing Science, 3(2), 26–37.
Nanda. (2015). Diagnosis Keperawatan Defenisi & Klasifikasi 2015 – 2017. (S. K. T Heather Herdman, Ed.) (10th ed.). Jakarta: Salemba Medika.
Notoatmodjo, S. (2012). Metode Penelitian Kesehatan. Jakarta: Rineke Cipta.
Riskesdas Provinsi Sumatera Utara. (2018). Laporan Provinsi Sumatera Utara Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan.
Supri. (2013). Pengaruh Prolanis Terhadap Kadar Gula Darah Pada Pasien Diabetes Melitus.
Suyono, et all. (2017). pedoman diet diabetes melitus (2nd ed.). Jakarta: FKUI.
Syahid, Z. M. (2021). Faktor yang Berhubungan dengan Kepatuhan Pengobatan Diabetes Mellitus. Jurnal Ilmiah Kesehatan Sandi Husada, 10(1), 147–155. https://doi.org/10.35816/jiskh.v10i1.546
Tsai, dkk. (2012). Impact of subjective sleep quality on glycemic control in type 2 diabetes mellitus. Family Practice, 29(1), 30–35. https://doi.org/10.1093/fampra/cmr041
Widiasari, dkk. (2021). Diabetes Melitus Tipe 2: Faktor Risiko, Diagnosis, Dan Tatalaksana. Ganesha Medicine, 1(2), 114. https://doi.org/10.23887/gm.v1i2.40006
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