PSYCHONEUROIMMUNOLOGY APPROACH TO IMPROVE RECOVERY MOTIVATION, DECREASE CORTISOL AND BLOOD GLUCOSE OF DM TYPE 2 PATIENTS WITH DHIKR THERAPY
ABSTRACT: Blood glucose levels
are controlled when the management of diabetes success. Positive perception of
the strength of the spiritual aspect will improve the motivation of patients
with type 2 diabetes to control it. The purpose of this study was to determine
the effect of dhikr based on psychoneuroimmunology (PNI) on blood glucose
levels of patients with type 2 diabetes. Methods: This study used
quasi-experiment with pre-test and post-test control group design. Samples were
taken from the population of patients with type 2 diabetes who were
hospitalized in the Internal Medicine Rumkital Dr. Ramelan Surabaya with purposive
sampling techniques. Data taken include the general characteristics of
respondents, cures motivation, cortisol levels and fasting blood glucose
levels. Collecting data using questionnaires and laboratory test, then analyzed
using paired t-test and independent t-test, with α value <0.05. Results:
Statistical test showed that the motivation to recover increased (p = 0.001),
cortisol levels fall (p = 0.058) and a drop in blood glucose levels (p = 0.028)
after administration of dhikr therapy in patients with diabetes mellitus type
2. There was a significant difference in increased of recovery motivation
between patient conduct zikr therapy and patient cared (p = 0,000). Conclusion:
Dhikr therapy increases the motivation of patients with type 2 diabetes by
strengthening awareness and spirituality belief in Allah make positive stress
perception. Positive stress perception will affect the stress response and
improved regulation of blood glucose through the HPA axis to suppress the
secretion of CRH, ACTH, and cortisol.
KEYWORDS: dhikr, diabetes
mellitus type 2, recovery motivation, cortisol, blood glucose
Author: Rifka Pahlevi,
Suhartono Taat Putra, Sriyono
Journal Code: jpkesmasgg170024
