Management Of Diabetes Mellitus Type 2 For Elderly: Taichi Exercise To Reduce Blood Sugar Levels
DOI:
https://doi.org/10.53713/nhs.v1i2.51Keywords:
Elderly, Taichi Exercise, Diabetes Mellitus, Blood sugar levelAbstract
Elderly are high risk for the development of type 2 diabetes due to the combined effects of increasing insulin resistance and impaired pancreatic function with aging. Diabetes mellitus is a chronic disease that causes insulin in the pancreas is not effective one of the treatments that can be done by diabetics to reduce blood sugar levels One of them with physical activity, the activity is taichi exercises.The purpose of this study was to investigate the effect of taichi exercises on reducing blood sugar levels in patients with type II diabetes mellitus.The design of this study was pre-experiment one group pre-test and post-test design with a population of 88 patients and a sample of 44 respondents. Research sampling technique used purposive sampling. Data collection with observation sheets. The intervention was carried out four times during 4 weeks. Before the intervention, sugar levels of type II diabetics were classified as moderate as 24 people (54.5%) and high as many as 20 people (45.5%). After the management of taichi exercises sugar levels experienced changes in the categories of good as many as 16 people (36.4%), moderate as many as 20 people (45.5%) and high as many as 8 people (18.2%). Data analized with Wilcoxon Signed Rank test with a significant level α = 0.05, the result ρ-value = 0.001 means ρ-value <α so that there is a significant effect of taichi exercises on decreasing blood sugar levels in patients with type II diabetes mellitus. Blood sugar levels in patients with diabetes mellitus before doing taichi exercises with the number of respondents 44 people mostly experienced changes, evidenced by the level of blood sugar levels from moderate levels to good.
Keywords: Elderly, Taichi, Diabetes Mellitus, Blood sugar level
References
Agustiana, L., & Prabo, H. (2017). Pengaruh Senam Lansia (Tai Chi) Terhadap Penurunan Tekanan Darah Pada Lansia Penderita Hipertensi Di Upt Pelayanan Sosial Lanjut Usia Banyuwangi Tahun 2017. XLII(May), 22– 24. https://doi.org/10.5194/isprs-archives-XLII-5-W1-175-2017
Cahyono, K. (2013). Pengaruh Senam Lansia Terhadap Kualitas Tidur Pada Lansia Di Desa Leyangan Kecamatan Unggaran Timur Kabupaten Semarang. PREPOTIF Jurnal Kesehatan Masyarakat, 1(1)
Clevo, & Margareth. (2012). Asuhan Keperawatan Medikal Bedah Dan Penyakit Dalam. Yogyakarta: Nuha Media
Devi, M.S. (2020). Hubungan Persepsi Penyakit Dengan Efikasi Diri Pada Pasien Diabetes Melitus Tipe 2 Di Poli Penyakit Dalam Rumah Sakit Tingkat III Baladhika Husada Jember. Skripsi. https://repository.unej.ac.id/bitstream/handle/123456789/102193
Dhania. (2009). Pengaruh Tingkat Pengetahuan Tentang Diabetes Mellitus Terhadap Kontrol Diri Pada Pasien Rawat Jalan Penderita Diabetes Mellitus. PANMED
Guyton, Arthur. C., & Hall. John., E. (2008). Buku Ajar Fisiologi Kedokteran (11th ed.). Jakarta: EGC.
Hikmaharidha, I. (2011). Pengaruh Senam Tai Chi Terhadap Tekanan Darah Wanita Berusia 50 Tahun Ke Atas. http://eprints.undip.ac.id/33315/1/Istifa.pdf
Holt, Tim & Kumar, Sudhesh. (2010). ABC of Diabetes 6th Edition. UK: John Wiley & Sons Ltd., Publication. International Diabetes Federation
Hovaguimian, A. (2011). Clinical approach to the treatment of painful diabetic neuropathy. Therapeutic Advances in Endocrinology and Metabolism, 2(1): 27-38. https://dx.doi.org/10.1177%2F2042018810391900
Indah, P.Y. (2015). Pengaruh Senam Bugar Lansia Indonesia Terhadap Penurunan Kadar Gula Darah Pada Wanita Lansia. Skripsi : Universitas Negeri Semarang
Kemenkes RI. (2017). Data Dan Informasi Profil Kesehatan Indonesia. Jakarta
Khamida. (2018). Senam Tai Chi dalam menurunkan kecemasan lansia. Jurnal Ners & Kebidanan. 218–223. https://doi.org/10.26699/jnk.v5i3.ART.p218
Kiadaliri, A.A., Najafi, B., Mirmalek-Sani, M. (2013). Quality of life in people with DM: a systematic review of study in Iran. Journal of Diabetes and Metabolic Disorders, 12(54). https://doi.org/10.1186/2251-6581-12-54
Kurdi, F., & Priyanti R. P. (2019). Manajemen Ulkus Kaki Diabetikum: Efektifitas Foot Exercise Terhadap Risiko DFU (Diabetic Foot Ulcers) Pasien Diabetes Mellitus di Al Hijrah Wound Care Center. Jurnal Ilmiah PANNMED, 14(2), 95–101. https://doi.org/10.36911/pannmed.v14i2.593
Qashuraini, Azza, A. Komarudin. (2018). The Relationship between Stress Level and Blood Sugar Level in Diabetes Mellitus Patients in the Work Area of Jember District Health Center. FIK Universitas Muhammadiyah Jember. http://repository.unmuhjember.ac.id/3882/10
Rudi A, K. H. (2013). Faktor Resiko Yang Memepengaruhi Kadar Gula Puasa Pada Pengguna Layanan Laboratorium. UNAIR Repository
Rumahorbo H. (2014). Mencegah Diabetes Mellitus Dengan Perubahan Gaya Hidup. Bogor : In Media
Soewondo, P. Perkeni. (2011). Konsensus Pengelolaan Dan Pencegah Diabetes Mellitus Tipe 2. Jakarta
Sukhee, A. (2012). Effects of Tai Chi Exercise on Glucose Control, Neuropathy Scores, Balance, and Quality of Life in Patients with Type 2 Diabetes and Neuropathy. Journal of Alternative and Complementary Medicine. 18(12): 1172–1178. https://dx.doi.org/10.1089%2Facm.2011.0690
Tambunan, M. (2011). Perawatan Kaki Diabetes, Dalam : Penatalaksanaan Diabetes Melitus Terpadu. Jakarta : Fakultas Kedokteran Universitas Indonesia.
Wang C., Bannuru R., Ramel J., Kupelnick B., Scott T., and Schmid C. H. (2010). Tai Chi on psychological well-being: systematic review and metaanalysis. BMC Complementary and Alternative Medicine, 10, article 23. https://doi.org/10.1186/1472-6882-10-23
