The effect of progressive muscle relaxation on the psychological burden of caregivers of patients with diabetes mellitus
DOI: https://doi.org/10.33024/minh.v8i12.1993
Caregivers Diabetes Mellitus Progressive Muscle Relaxation Psychological Burden
Abstract
Background: Type 2 Diabetes Mellitus (DM) is a chronic disease that not only affects patients but also places a significant psychological burden on their families as caregivers. This burden can take the form of stress, anxiety, depression, physical exhaustion, and decreased quality of life.
Purpose: To determine the Progressive Muscle Relaxation (PMR) technique in reducing the psychological burden on caregivers of patients with DM type 2.
Method: A descriptive qualitative approach, specifically focusing on exploratory study. The study took place April 2025, in Batutulis, Bogor. Using total sampling 2 participants were selected, contributor informant inquired Mr. W as caregiver and Mrs. U patients with diabetes mellitus type 2. Data collection in this study was done through triangulation, which combines several data sources, methods, and theories to increase the validity of the results. For data collection, it was conducted using indepth interviews were conducted with open-ended questions with questionnaire. The data were analysed using thematic analysis technique to identify important information and understand the core meaning of each data.
Results: There was a decrease in psychological burden after the PMR intervention, as evidenced by a decrease in family questionnaire scores. Data collection was conducted through interviews, observation, and documentation.
Conclusion: Progressive Muscle Relaxation has been shown to reduce the psychological burden on caregivers of patients with chronic illnesses, including diabetes. This intervention can be used as a supporting strategy for community nursing services to improve caregiver mental well-being.
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References
Adianta, I. K. A., & Wardianti, G. A. (2018). Beban Keluarga Pada Penderita Diabetes Melitus Tipe Ii. Jurnal Riset Kesehatan Nasional, 2(1), 85-90.
Anna, R., Wiwik, U., Ika, P. S., & Nurul, H. (2018). Effect Of Progressive Muscle Relaxation Techniques To Blood Glucose Levels On Patients With Type 2 Diabetes Melitus; Systematic Review.
Auliani, A., & Sholichah, M. (2020). The Effectiveness Of Relaxation Techniques To Decrease The Anxiety Of Diabetes Mellitus Elderly Patients. International Journal Of Sciences: Basic And Applied Research, 54(3), 117-123.
Baykal, D., & Bilgic, B. (2024). The Effects Of Progressive Muscle Relaxation Exercise On Dementia Caregivers. Geriatric Nursing, 59, 491-497.
Çapacı, S., Aşiret, G. D., & Kapucu, S. (2022). Effect Of Progressive Muscle Relaxation On Caregiver Satisfaction, Caregiver Burden And Depression Levels Of The Caregivers Of Older Patients: A Randomized Control Trial. European Journal Of Integrative Medicine, 50, 102114.
Dewi, R., Agustina, F. D., Budhiana, J., & Fatmala, S. D. (2021). Effects Of Five-Finger Relaxation Technique On Depression In Type 2 Diabetes Mellitus Patients. Jurnal Keperawatan Soedirman, 16(1).
Jane, O. A., Olatunji, A., Bamiso, M. A., Kola, O. J., Ayodele, O. J., & Ideraoluwa, B. O. (2019). Burden Of Care And Psychological Distress In Primary Caregivers Of Patients With Type-2 Diabetes Mellitus In A Tertiary Hospital In Nigeria. Ethiopian Journal Of Health Sciences, 29(6).
Kristaningrum, N. D., Ramadhani, D. A., Hayati, Y. S., & Setyoadi. (2021). Correlation Between The Burden Of Family Caregivers And Health Status Of People With Diabetes Mellitus. Journal Of Public Health Research, 10(2), Jphr-2021.
Meiliana, S. W., Hakim, F. O., Hayati, Y. S., Kristianingrum, N. D., Kartika, A. W., & Sandi, P. S. (2024). The Burden Of Family Caregivers In The Care Of Type 2 Diabetes Mellitus Patients: A Literature Review. Journal Of Rural Community Nursing Practice, 2(1), 40-47
Młynarska, E., Czarnik, W., Dzieża, N., Jędraszak, W., Majchrowicz, G., Prusinowski, F., & Franczyk, B. (2025). Type 2 Diabetes Mellitus: New Pathogenetic Mechanisms, Treatment And The Most Important Complications. International Journal Of Molecular Sciences, 26(3), 1094.
Pateraki, N. S., Mantzourani, E., Darvyri, P. P., Alexopoulos, E. C., Varvogli, L., Mamoulakis, D., & Chrousos, G. P. (2015). Stress Management In Parents Of Children With Diabetes Type 1: A Randomized Controlled Trial. Psychology, 6(08), 1040.
Pereira, M. G., Pedras, S., Louro, A., Lopes, A., & Vilaça, M. (2023). Stress Reduction Interventions For Patients With Chronic Diabetic Foot Ulcers: A Qualitative Study Into Patients And Caregivers' Perceptions. Journal Of Foot And Ankle Research, 16(1), 3.
Rodrigues, D., Silva, R., Castanheira, S., Carvalho, L., & Pinto, C. (2024). Needs Of Family Caregivers Of People With Lower Limb Amputations: A Scoping Review. Behavioral Sciences, 14(4), 326.
Sari, D. R., Wahid, R. A. H., & Ambarsari, D. W. (2025). Knowledge And Medication Adherence Among Type 2 Diabetes Mellitus Patients: A Cross-Sectional Study In Yogyakarta, Indonesia. Indonesian Journal Of Pharmaceutical Education, 5(3), 311-324.
Shareef, Z., Murtaza, A., Fatima, G., Aqib, A. I., Manzoor, Z., Malik, M. S. U., & Hussain, H. I. (2025, March). Pharmacological And Herbal Approach To Diabetes Mellitus Type 2 Management: A Comparative Analysis Of Conventional Therapy And Alternative Remedy. In Annales Pharmaceutiques Françaises. Elsevier Masson.
Singh, A., Shadangi, S., Gupta, P. K., & Rana, S. (2025). Type 2 Diabetes Mellitus: A Comprehensive Review Of Pathophysiology, Comorbidities, And Emerging Therapies. Comprehensive Physiology, 15(1), E70003.
Tsakona, P., Tsiroukidou, K., Vamvakis, A., Papagianni, M., Anna, K., Onoufrios, P., & Hristara-Papadopoulou, A. (2019). Stress Management Among Families Of Children And Adolescents With Diabetes Mellitus Type 1 With Physiotherapeutic Techniques. International Research Journal Of Public And Environmental Health.
Turan, G. B., Özer, Z., & Demir, C. (2025). The Effect Of Progressive Muscle Relaxation Exercises Applied To Caregivers Of Palliative Care Patients On Stress Coping Styles And Anxiety Levels: A Randomised Controlled Trial. Nursing Open, 12(2), E70149.
Xie, C., Qi, C., Zhang, J., Wang, W., Meng, X., Aikepaer, A., & Gao, H. (2025). When Short-Chain Fatty Acids Meet Type 2 Diabetes Mellitus: Revealing Mechanisms, Envisioning Therapies. Biochemical Pharmacology, 116791.
Yadav, A., Kaushik, R. M., & Kaushik, R. (2021). Effects Of Diaphragmatic Breathing And Systematic Relaxation On Depression, Anxiety, Stress, And Glycemic Control In Type 2 Diabetes Mellitus. International Journal Of Yoga Therapy, 31(1), Article_13.
Yilmaz, C. K., Aşiret, G. D., Çetinkaya, F., Oludağ, G., & Kapucu, S. (2019). Effect Of Progressive Muscle Relaxation On The Caregiver Burden And Level Of Depression Among Caregivers Of Older Patients With A Stroke: A Randomized Controlled Trial. Japan Journal Of Nursing Science, 16(2), 202-211.
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