Effectiveness of slow deep breathing exercise on decreasing stress levels for patients with diabetes mellitus

Warsono Warsono,Arief Yanto

doi:10.26714/seanr.2.2.2020.10-14

Warsono Warsono, Arief Yanto

Open Access

https://doi.org/10.26714/seanr.2.2.2020.10-14

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Abstract

The prevalence of diabetes mellitus patients increases in Semarang province every year. Whereas, it reached 120 numbers of patients in Kedungmundu public health center by 2020. One of the psychological problems encountered by patients with diabetes is a high risk of stress levels. The condition of stress, anxiety, and fear influence the production of adrenaline hormones which aggravate the capability of patients to perform daily living activities. Slow deep breathing exercise is a nonpharmacologic method to reduce stress levels on diabetes mellitus patients. This study aimed to investigate the effect of slow deep breathing exercises on decreasing stress levels for patients with diabetes mellitus. This study used a quasi-experiment pretest-posttest with a control group design was conducted at Kedungmundu public health center, Semarang. All of 32 samples were recruited in this study. Wilcoxon test analysis calculated a value of p=0.000 < ɑ 0,005. The statistical analysis found significantly different results between the pretest and posttest in the experimental group. Slow deep breathing exercise is effective to decrease the stress levels for patients with diabetes mellitus. Slow deep breathing exercise is strongly suggested for patients with diabetes mellitus as self-intervention to reduce stress levels.

Highlights

Diabetes mellitus (DM) is a disease of metabolic disorder that occurs when the pancreas can not produce insulin with a marked presence of impaired metabolism of carbohydrates, proteins, and fats caused due to the increase in insulin levels in relative terms
The production of the hormone serotonin is produced in small amounts, insulin automatically decreases and can reduce its ability to neutralize blood sugar. because blood lacks insulin production, blood glucose will remain in the bloodstream without being able to enter the cell wall, so there is an increase in blood sugar. 4,5
Characteristics and general description of respondents age, gender, last education of respondents, occupation of respondents, and stress level of respondents, which are presented in the central tendency in the form of frequency values

Summary

Introduction

Diabetes mellitus (DM) is a disease of metabolic disorder that occurs when the pancreas can not produce insulin with a marked presence of impaired metabolism of carbohydrates, proteins, and fats caused due to the increase in insulin levels in relative terms. The level of prevalence globally patient DM in the year 2016 amounted to 11.3% of the total population of the world and experiencing an increase in the year 2017 into 677 million cases. The pituitary gland in the brain decreases the production of the hormone serotonin. Serotonin is a mood-regulating hormone that affects the pancreas gland to secrete insulin. The production of the hormone serotonin is produced in small amounts, insulin automatically decreases and can reduce its ability to neutralize blood sugar. The production of the hormone serotonin is produced in small amounts, insulin automatically decreases and can reduce its ability to neutralize blood sugar. because blood lacks insulin production, blood glucose will remain in the bloodstream without being able to enter the cell wall, so there is an increase in blood sugar. 4,5

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