The Implementation of Progressive Muscle Relaxation on Fatique in Patient with Diabetes Mellitus

Abstrak

In patients with diabetes mellitus, complaints of fatigue often occur due to uncontrolled blood glucose levels, impaired energy metabolism, and physical and psychological stress. Hyperglycemia causes the body to have difficulty utilizing glucose as an energy source, resulting in weakness, tiredness, sleep disturbances, and decreased motivation to carry out daily activities. The application of progressive muscle relaxation is a non-pharmacological intervention aimed at reducing muscle tension and promoting physical relaxation. This study used a descriptive case study method with a multi-case design and applied the nursing care process approach in patients with type 2 diabetes mellitus. The intervention was implemented for three consecutive days in two diabetic patients at Puskesmas Simpang Tiga Pekanbaru. The effectiveness of the intervention was evaluated before and after the implementation of progressive muscle relaxation using the Fatigue Assessment Scale (FAS). The results showed that after three days of intervention, Patient 1 experienced a reduction in fatigue level to a score of 20 (no fatigue/normal) with a blood glucose level of 126 mg/dl, while Patient 2 had a fatigue score of 22 (mild to moderate) with a blood glucose level of 187 mg/dl. Based on these findings, it is recommended that diabetic patients practice progressive muscle relaxation regularly to reduce fatigue and improve their quality of life. Nurses are expected to integrate progressive muscle relaxation as a non-pharmacological intervention in nursing care practice for patients experiencing fatigue.