The Effect of Indonesian Traditional Music on Stress in Type II Diabetes Mellitus Patients
Abstract
Diabetes mellitus is a metabolic disorder characterized by an increase in blood glucose levels. Changes in blood glucose levels in type II diabetes mellitus patients can be influenced by many factors, one of which is changes in stress level. Patients with diabetes mellitus type II need not only pharmacology treatments but also non-pharmacology treatments and complementary therapy to reduce their stress. Music therapy is one type of complementary therapy. The purpose of this study was to examine the effect of saluang, which is a form of Indonesian traditional music, on reducing the stress of type II diabetes mellitus patients. The design of this study was quasi-experimental one-group pretest-posttest. There were 20 participants, who were all diagnosed as type II diabetes mellitus patients. Data were collected using the Depression Anxiety Stress Scale (DASS). Data were analyzed using paired sample t-tests. The average stress level of the type II diabetes mellitus patients obtained before receiving saluang music therapy was 22.5 (SD 5.0), and after receiving saluang music therapy the value was 14.5 (SD 2.3); this difference was significant (p < 0.01). Therefore, we can conclude that Indonesian traditional music can be used as therapy to reduce the patient stress level. So, it is recommended that saluang be used as a complementary therapy for type II diabetes mellitus patients.
Keywords: Indonesian traditional music, saluang, stress, type II diabetes mellitus
References
[1] World Health Organization. Global report on diabetes. Geneva: WHO; 2016.
[2] Soelistijo S, Novida H, Rudijanto A, et al. Konsesus pengelolaan dan pencegahan diabetes melitus tipe2 di Indonesia 2015. 2015.
[3] Kementerian Kesehatan RI. Situasi dan analisis diabetes melitus. 2014.
[4] World Health Organization. World Diabates Day 2018. Geneva: World Health Organization; 2018.
[5] Badan Penelitian dan Pengembangan Kesehatan. Hasil utama RISKESDAS 2018. 2018.
[6] ADA. Standards of medical care in diabetes. Diabetes Care.
[7] International Diabetes Federation. IDF diabetes atlas. 8th ed. 2017.
[8] Dinas Kesehatan Kota Padang. Profil kesehatan tahun 2019. 2019.
[9] Black J. Keperawatan medical bedah. 2014.
[10] Meidikayanti W, Wahyuni CU. Hubungan dukungan keluarga dengan kualitas hidup diabetes melitus tipe 2 di puskesmas pademawu. Jurnal Berkala Epidemiologi. 2017;5:240–252.
[11] Yunding J, Ibrahim. Efek stress terhadap penyembuhan luka dibetik di klinik IWCC majene Junaedi. J Heal Educ Lit. 2019;1:33–38.
[12] Sumirta IN, Candra IW, Harini IGA. Pelatihan teknik visualisasi untuk menurunkan stres pada pasien diabetes mellitus di puskesmas sukawati i kabupaten gianyar tahun 2019. Jurnal Pengabdian Masyarakat Sehat. 2019;2:97–102.
[13] Paramita PDG, Candra IW, Harini IGA. Reprocessing terhadap tingkat stres pasien diabetes melitus. Jurnal Gema Keperawatan. 2019;28–34.
[14] Wiastuti SM, Rondhianto R, Widayati N. Pengaruh diabetes self management education and support (dsme/s) terhadap stres pada pasien diabetes melitus (dm) tipe 2 di wilayah kerja puskesmas patrang kabupaten jember. Pustaka Kesehat. 2017;5:268–275.
[15] Mahdiyah D, Juniana RD. The influence of diabetes self management education on stress level of diabetes mellitus patient in area Puskesmas Cempaka Banjarmasin. Adv Heal Sci Res. 2017;6:47–54.
[16] Jayanti R. Efektivitas pelatihan mindfulness dengan pendekatan spiritual terhadap peningkatan psychological wellbeing penderita diabetes mellitus tipe 2.
[17] Clancy MJ. Position statements. Emergency Medicine Journal. 2001;18:329.
[18] Wasta A, Sholihat N. Musik kacapi suling sebagai musik terapi. JPKS ( Jurnal Pendidik dan Kaji Seni). 5.
[19] Batt-Rawden KB. The benefits of self-selected music on health and well-being. Arts Psychother. 2010;37:301–310.
[20] Schneider M. The effect of listening to music on postoperative pain in adult orthopedic patients. J Holist Nurs. 2016;1–10.
[21] Verrusio W, Andreozzi P, Marigliano B, et al. Exercise training and music therapy in elderly with depressive syndrome: A pilot study. Complement Ther Med. 2014;22:614–620.
[22] Wang CF, Sun YL, Zang HX. Music therapy improves sleep quality in acute and chronic sleep disorders: A meta-analysis of 10 randomized studies. Int J Nurs Stud. 2014;51:51–62.
[23] Nurmalisa BE. Literature review: Managemen nyeri pada pasien kanker. Lentora Nurs J. 2020;1:20–26.
[24] Yulastri PR, Betriana F, Kartika IR. Terapi musik untuk pasien hipertensi: A literatur review. Real Nurs J. 2019;2:56–65.
[25] Jasmarizal, Sastra L, Yunita D. Pengaruh terapi musik klasik (mozart) terhadap penurunan tekanan darah sistolik pada lansia dengan hipertensi di wilayah kerja puskesmas air dingin kecamatan koto tangah padang tahun 2011. Mercubaktijaya. 2011;1–11.
[26] Nasrullah D, W NA. Efektifitas terapi muscong (musik keroncong) untuk menurunkan intensitas nyeri pada pasien arthitis rhemathoid (studi kasus panti werdha surabaya timur). J Keperawatan Muhammadiyah. 2016;1:115–121.
[27] Rahman A, Santoso B, Sudirman S. Effect of hariring kabayan instrumental music therapy on pain and anxiety level in patients with acute myocardial infarction. Belitung Nurs J. 2018;4:89–97.
[28] Handayani KP, Johan A, Ropyanto CB. The influence of Sundanese zither (kacapi) music therapy on anxiety levels in pre-cardiac catheterization patients. Belitung Nurs J. 2018;4:256–262.
[29] Supriadi D, Hutabarat E, Monica V. Pengaruh terapi musik tradisional kecapi suling sunda terhadap tekanan darah pada lansia dengan hipertensi. J Sk Keperawatan. 2015;1:29–35.
[30] Damayanti D, Taukhid M, Rahayu YA. Pengaruh mendengarkan instrumental klenengan gending jawa klasik terhadap tekanan darah pasien hipertensi. J Ilk ( Jurnal Ilmu Kesehatan). 2019;10:33–44.
[31] Wahyuningsih T, Warongan AW, Rayasari F. Pengaruh terapi musik degung terhadap tingkat nyeri pada pasien post orif (open reduction and internal fixation) fraktur extremitas bawah di RSUD kabupaten tangerang. J Islam Nurs. 2020;5:121–127.
[32] Nurhidayati T, Pambudi DA, Rahayu DA, et al. The effectiveness of gamelan therapy on depression levels in chronic kidney failure patients. Enfermería Clínica. 2020;30:69–72.
[33] Wulan ES, Apriliyasari RW. Perubahan intensitas nyeri melalui pemberian terapi musik gamelan pada pasien di intensive care unit (ICU) RSUD Dr. Loekmonohadi Kudus. J Keperawatan dan Kesehat Masy. 2020;9:1–6.
[34] Zhou LY, Zhang Y, Tian Y, et al. Effect of music intervention on mental health in patients with diabetes mellitus: Protocol for a systematic review and meta-analysis of randomized controlled trials. BMJ Open. 2020;10:1–6.
[35] Croom AM. Music, neuroscience, and the psychology of well-being: A précis. Front Psychol. 2012;3:1–15.
[36] Singh VP, Khandelwal B, Sherpa NT. Effect of yoga and music therapy with standard diabetes care in type II diabetes mellitus - A randomized control study. Intenational J Adv Res. 2015;3:386–399.
[37] Dewi MP. Studi metaanalisis: Musik untuk menurunkan stres. J Psikol. 2015;36:106–115.
[38] Khoiriyah N, Sinaga SS. Pemanfaatan pemutaran musik terhadap psikologis pasien pada klinik ellena skin care di kota surakarta. J Seni Musik. 2017;6:81–90.
[39] Djohan. Terapi musik: Teori dan aplikasi. Yogyakarta: Galangpress; 2006.
[40] Economidou E, Klimi A, Vivilaki VG, et al. Does music reduce postoperative pain? A review. Heal Sci J. 2012;6.
[41] Koelsch S. Towards a neural basis of music-evoked emotions. Trends Cogn Sci. 2010;14:131–137.
[42] Chanda ML, Levitin DJ. The neurochemistry of music. Trends Cogn Sci. 2013;17:179– 193.
[43] Lin PC, Lin ML, Huang LC, et al. Music therapy for patients receiving spine surgery. J Clin Nurs. 2011;20:960–968.
[44] Weeks BP, Nilsson U. Music interventions in patients during coronary angiographic procedures: A randomized controlled study of the effect on patients’ anxiety and well-being. Eur J Cardiovasc Nurs. 2011;10:88–93.
[45] Loewy J. Music therapy as a potential intervention for sleep improvement. Nat Sci Sleep. 2020;12:1–9.
[46] Argstatter H. Perception of basic emotions in music: Culture-specific or multicultural? Psychol Music. 2016;44:674–690.
[47] Giger JN, Hadda L. Transcultural nursing-e-book: Assessment and intervention. 8th ed. St. Louis: Elsevier; 2020.
[48] Alamsah MS. Pengaruh intervensi musik sunda cianjuran terhadap tingkat kecemasan pasien hemodialisis di ruang hemodialisis RSUD sekarwangi kabupaten sukabumi. J Penelit dan Pengemb Sain dan Teknol. 2019;13:139–148.
[49] Sagala NS, Siregar HR, Darmi S. Pengaruh terapi musik dangdut terhadap tingkat kecemasan pasien dengan gagal ginjal kronik dalam menjalani terapi hemodialisa. J Educ Dev Inst Pendidik Tapanuli Selatan. 2020;8:540–544.
[50] Astuti LP. Pengaruh terapi musik tradisional terhadap tingkat depresi pada pasien gagal ginjal kronik yang menjalani hemodialisa di ruang hemodialisa dr. soehadi prijonegoro sragen. J Keperawatan Glob. 2018;3:1–6.