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The effect of Su Jok therapy to reduce the severity scale of physical complaints in diabetes mellitus patients: case reports
https://doi.org/10.22146/jcoemph.86362 Titin Octavia(1), Reni Tri Astuti(2*), Ananda Prastuti Sutrisno(3), Intansari Nurjannah(4)
(1) Magister Student of Magister Nursing Program, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Magister Student of Magister Nursing Program, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Magister Student of Magister Nursing Program, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) Department of Mental Health and Community Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author
Abstract
Introduction: Diabetes mellitus is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits. Diabetes mellitus patients may have physical complaints of pain, stiffness, numbness, and tingling that are usually related to the symptoms of diabetic neuropathy. This article aims to report the effect of Su Jok therapy on the severity scale of physical complaints in diabetes mellitus patients.
Methods: This case report involved 15 respondents, and the data were collected in May 2023 at a public health center in Yogyakarta. Su Jok therapy was conducted by massaging with a probe for 5-10 minutes on the pain point found on the hands, and then followed by putting the fenugreek seeds with the sticky tape. Wilcoxon signed-rank tests were used for statistical analysis.
Result: The report showed 13 respondents were female (86.7%) and 2 respondents were male (13.3%), with the largest number in the age range of 51-55 years and the age range of 61-65 years, as many as 5 respondents each (33.3%). A total of 19 types of physical complaints were found, with the most complaints being pain in both knees (26.67%). On a Likert scale of 1 to 5, where 1 represents no complaints and 5 represents extremely severe complaints, the average severity of physical complaints was 3.16 prior to therapy and 2.05 following therapy.
Conclusion: Before and after Su Jok therapy, individuals with diabetes mellitus saw a substantial decrease in the severity scale of physical complaints (p=0.001, p<0.05). It may be stated that Su Jok combined with massage and fenugreek seeds, is a therapeutic approach that can help individuals with diabetes mellitus experience less severe physical problems.
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21. Pandey, H., & Awasthi, P. Effect of processing techniques on nutritional composition and antioxidant activity of fenugreek (Trigonella foenum-graecum) seed flour. Journal of food science and technology. 2015; 52(2), 1054–1060. https://doi.org/10.1007/s13197-013-1057-0
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23. Rantung, J. Penerapan Terapi Musik Terhadap Nyeri Neuropati Pada penyandang Diabetes Mellitus [Application of Music Therapy to Neuropathy Pain in people with Diabetes Mellitus]. Journal of Nutrix. 2019; 3(1), 2579-4426. https://doi.org/10.37771/nj.Vol3.Iss1.392
1. Perrin, B. M., Southon, J., McCaig, J., Skinner, I., Skinner, T. C., & Kingsley, M. I. C. The Effect of structured exercise compared with education on neuropathic signs and symptoms in people at risk of neuropathic diabetic foot ulcers: a randomized clinical trial. Medicina. 2020; 58(1–11). https://doi.org/10.3390/medicina58010059
2. Sharma, J. K., Rohatgi, A., & Pandita, N. Diabetic neuropathy. RJMS. 2021; 11(2):85-91 https://doi.org/10.26463/rjms.11_2_10
3. Nurjannah, I., & Hariyadi, K. Su Jok as a complementary therapy for reducing the level of pain: A retrospective study. Complementary therapies in clinical practice. 2021; 43, 101337 https://doi.org/10.1016/j.ctcp.2021.101337
4. International Sujok Association. Sujok therapy: the true meaning of life [Internet]. Maharashtra: International Sujok Association; 2012 [cited 2023 June 2]. Available from https://www.sujok.com/about1-c1axy
5. Rahmi, A. S. Hubungan kadar gamma glutamil transferase serum dengan kejadian neuropati pada pasien diabetes mellitus tipe 2 [Relationship between serum gamma-glutamyl transferase levels and the incidence of neuropathy in patients with type 2 diabetes mellitus] [thesis]. Padang, Universitas Andalas; 2022. 102p.
6. Mawaddah, Susmiati, & Lenggogeni, D. P. Gambaran karakteristik pasien dengan neuropati diabetik pada diabetes melitus tipe 2 [Characteristics of patients with diabetic neuropathy in type 2 diabetes mellitus]. REAL in Nursing Journal (RNJ). 2022; 5(3), 207-213. https://ojs.fdk.ac.id/index.php/Nursing/index
7. Suharni, Kusnadi, D. T., & Zulkarnaini, A. Karakteristik faktor-faktor risiko terjadinya neuropati diabetik pada pasien diabetes melitus tipe 2 di RSI Siti Rahmah Padang tahun 2019-2020 [Characteristics of risk factors for diabetic neuropathy in patients with type 2 diabetes mellitus at RSI Siti Rahmah Padang in 2019-2020]. Scientific Journal. 2022; 1(2), 94–100. https://journal.scientic.id/index.php/sciena/issue/view/2
8. Amelia, R., Wahyuni, A. S., & Yunanda, Y. Diabetic neuropathy among type 2 diabetes mellitus patients at amplas primary health care in Medan city. Tropical and Infectious Diseases Control and Managemen. 2019; 7(20), 3400– 3403. https://doi.org/10.3889/oamjms.2019.433
9. Suri, M. H., Haddani, H., & Sinulingga, S. Hubungan karakteristik, hiperglikemi, dan kerusakan saraf pasien neuropati diabetik di RSMH Palembang [Relationship between characteristics, hyperglycemia, and nerve damage in diabetic neuropathy patients at RSMH Palembang]. Biomedical Journal of Indonesia. 2018; 4(1), 40– 45. https://doi.org/10.32539/bji.v4i1.7957
10. Abdissa, D., Hamba, N., Kene, K., Bedane, D. A., Etana, G., Muleta, D., & Gerbi, A. Prevalence and determinants of peripheral neuropathy among type 2 adult diabetes patients attending jimma university medical center, Southwest Ethiopia, 2019, an institutional-based cross-sectional study. Journal of Diabetes Research. 2020; 1–8. https://doi.org/10.1155/2020/9562920
11. Huang, L., Shen, X., Huang, L., Yan, S., & Wu, P. Identification of independent risk factors for diabetic neuropathy progression in patients with type 2 diabetes mellitus. Journal of International Medical Research. 2021; 49(9). https://doi.org/10.1177/03000605211044366
12. Mao, F., Zhu, X., Liu, S., Qiao, X., Zheng, H., Lu, B., & Li, Y. Age as an independent risk factor for diabetic peripheral neuropathy in Chinese patients with type 2 diabetes. Aging and Disease. 2019; 10(3), 592– 600. https://doi.org/10.14336/AD.2018.0618
13. Crook, J., Rideout, E., & Browne, G. The prevalence of pain complaints in a general population. Pain. 1984; 18(3), 299–314. https://doi.org/10.1016/0304-3959(84)90824-8
14. Chevassus, H. et al. A fenugreek seed extract selectively reduces spontaneous fat intake in overweight subjects. European journal of clinical pharmacology. 2010; 66(5), 449–455. https://doi.org/10.1007/s00228-009-0770-0
15. Sureshkumar, D., Begum, S., Johannah, N. M., Maliakel, B., & Krishnakumar, I. M. Toxicological evaluation of a saponin-rich standardized extract of fenugreek seeds (FenuSMART®): Acute, sub-chronic and genotoxicity studies. Toxicology reports. 2018; 5, 1060–1068. https://doi.org/10.1016/j.toxrep.2018.10.008
16. Pandey, H., & Awasthi, P. Effect of processing techniques on nutritional composition and antioxidant activity of fenugreek (Trigonella foenum-graecum) seed flour. Journal of food science and technology. 2015; 52(2), 1054–1060. https://doi.org/10.1007/s13197-013-1057-0
17. Amalia, K. T., Adriani, P., & Novitasari, D. Pengaruh Senam Kaki Diabetes dalam Menurunkan Intensitas Nyeri pada Penderita Diabetes Mellitus Tipe 2 [The Effect of Diabetes Foot Gymnastics in Reducing Pain Intensity in Patients with Type 2 Diabetes Mellitus]. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat (SNPPKM). 2021; 2809-2767
Rantung, J. Penerapan Terapi Musik Terhadap Nyeri Neuropati Pada penyandang Diabetes Mellitus [Application of Music Therapy to Neuropathy Pain in people with Diabetes Mellitus]. Journal of Nutrix. 2019; 3(1), 2579-4426. https://doi.org/10.37771/nj.Vol3.Iss1.392 DOI: https://doi.org/10.22146/jcoemph.86362
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