Effect of benson relaxation therapy combined with Medical Nutrition Therapy (MNT) on blood sugar levels in patients with type 2 diabetes mellitus

Eka Sutrisna* -  Nursing Science Study Program, Faculty of Health, Technology and Science, Bumi Persada University, Indonesia
Yunita Sari -  Nursing Science Study Program, Faculty of Health, Technology and Science, Bumi Persada University, Indonesia
Kamalia Pohan -  Yappkes Nursing Academy, Indonesia
Nanda Fitria -  Muhammadiyah Health College Lhokseumawe, Indonesia
Rizky Mauliza -  Nursing Science Study Program, Faculty of Health, Technology and Science, Bumi Persada University, Indonesia
Suriani Suriani -  IM Lhokseumawe Military Academy of Nursing., Indonesia

Type 2 diabetes mellitus is a chronic disease with an increasing global prevalence. Non-pharmacological approaches that may support glycemic control include Benson relaxation therapy, which focuses on stress management, and Medical Nutrition Therapy (MNT), which encompasses nutrition diagnosis, therapy, and counseling. This study aimed to analyze the effects of combining Benson relaxation therapy and MNT on blood glucose levels in patients with type 2 diabetes mellitus. Methods: A quantitative study with a quasi-experimental pretest–posttest two-group design was conducted in the North Aceh District in 2024. A total of 100 respondents participated: 50 individuals in the intervention group and 50 in the control group. The intervention consisted of daily 20-minute Benson relaxation sessions combined with MNT over a 14-day period. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0,05. Results: The mean blood glucose level in the intervention group decreased from 349,04 ± 16,40 mg/dL at baseline to 299,12 ± 23,89 mg/dL post-intervention (p = 0,001). In contrast, the control group showed an increase from 312,88 ± 19,28 mg/dL to 331,10 ± 16,74 mg/dL (p= 0,042). In conclusion, the combination of Benson relaxation therapy and MNT effectively reduced blood glucose levels in patients with type 2 diabetes mellitus and is recommended as a complementary non-pharmacological therapy.

Keywords : Blood Glucose, Diabetes Mellitus, Type 2, Nutrition Therapy, Relaxation Therapy

  1. Almaini, A., & Heriyanto, H. (2019). The effect of diet compliance, physical activity and medication on changes in blood sugar levels in Rejang Tribe diabetes mellitus patients. Jurnal Keperawatan Raflesia, 1(1), 55–66. https://doi.org/10.33088/jkr.v1i1.393
  2. American Diabetes Association Professional Practice Committee. (2022). Facilitating behavior change and well-being to improve health outcomes: Standards of medical care in diabetes—2022. Diabetes Care, 45(Suppl. 1), S60–S82. https://doi.org/10.2337/dc22-S005
  3. American Diabetes Association. (2019). Lifestyle management: Standards of medical care in diabetes—2019. Diabetes Care, 42(Suppl. 1), S46–S60. https://doi.org/10.2337/dc19-S005
  4. Apovian, C. M., Okemah, J., & O’Neil, P. M. (2019). Body weight considerations in the management of type 2 diabetes. Advances in Therapy, 36(1), 44–58. https://doi.org/10.1007/s12325-018-0824-8
  5. Barrea, L., Vetrani, C., Verde, L., Frias-Toral, E., Ceriani, F., Cernea, S., Docimo, A., Graziadio, C., Tripathy, D., Savastano, S., Colao, A., & Muscogiuri, G. (2023). Comprehensive approach to medical nutrition therapy in patients with type 2 diabetes mellitus: From diet to bioactive compounds. Antioxidants, 12(4), 904. https://doi.org/10.3390/antiox12040904
  6. Bellou, V., Belbasis, L., Tzoulaki, I., & Evangelou, E. (2018). Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses. PLOS ONE, 13(3), e0194127. https://doi.org/10.1371/journal.pone.0194127
  7. Benson, H., & Proctor, W. (2012). Keimanan yang menyembuhkan: Dasar-dasar respon relaksasi. Bandung: Kaifa.
  8. Dewi, N. K. S. M., Surasta, I. W., & Suardana, I. K. (2022). Intervensi relaksasi Benson pada pasien diabetes mellitus tipe II dengan masalah ketidakstabilan kadar glukosa darah: Studi kasus. Jurnal Gema Keperawatan, 15(1), 148–159. https://doi.org/10.33992/jgk.v15i1.1941
  9. Eroglu, H., & Metin, Z. G. (2022). Benson relaxation technique combined with music therapy for fatigue, anxiety, and depression in hemodialysis patients. Holistic Nursing Practice, 36(3), 139–148. https://doi.org/10.1097/HNP.0000000000000509
  10. Juwita, L., Prabasari, N. A., & Manungkalit, M. (2016). The effect of Benson relaxation therapy towards blood glucose level in elderly with diabetes. Jurnal Ners Lentera, 4(1), 6–14. https://doi.org/10.33508/ners.v4i1.80
  11. Leite, R. G. O. F., Banzato, L. R., Galendi, J. S. C., Mendes, A. L., Bolfi, F., Veroniki, A. A., Thabane, L., & Dos Santos Nunes-Nogueira, V. (2020). Effectiveness of non-pharmacological strategies in the management of type 2 diabetes in primary care: A protocol for a systematic review and network meta-analysis. BMJ Open, 10(1), e034481.
  12. https://doi.org/10.1136/bmjopen-2019-034481
  13. Mardiah, A., Widodo, A., & Thúy, L. (2022). A literature review of Benson relaxation technique for reducing anxiety in patients with chronic kidney disease. Innovation in Health for Society, 2(1), 1–8. https://doi.org/10.31603/ihs.7231
  14. Novita, M., Emilia, N., Sabarulin, S., Assa, A., & Purwanza, S. (2023). Application of Benson’s relaxation therapy to reducing anxiety in patients with hypertension: Case study. Adi Husada Nursing Journal, 9(1), 1–7. https://doi.org/10.37036/ahnj.v9i1.387
  15. Nursihhah, M. (2021). Hubungan kepatuhan diet terhadap pengendalian kadar gula darah pada pasien diabetes melitus tipe 2. Jurnal Medika Hutama, 2(3), 1002–1010. https://doi.org/10.1234/jmh.v2i3.1002 (← tambahkan DOI bila tersedia)
  16. Oliveira, B., Chang, C., Oetsch, K., Falkenhain, K., Crampton, K., Stork, M., Hoonjan, M., Elliott, T., Francois, M., & Little, J. (2023). Impact of a low-carbohydrate versus low-fat breakfast on blood glucose control in type 2 diabetes: A randomized trial. The American Journal of Clinical Nutrition, 118(1), 1–10. https://doi.org/10.1016/j.ajcnut.2023.04.032
  17. Paul, S., Ali, A., & Katare, R. (2020). Molecular complexities underlying the vascular complications of diabetes mellitus: A comprehensive review. Journal of Diabetes and Its Complications, 34(7), 107613. https://doi.org/10.1016/j.jdiacomp.2020.107613
  18. Pearce, M., Fanidi, A., Bishop, T. R., Sharp, S. J., Imamura, F., Dietrich, S., Forouhi, N. G., et al. (2021). Associations of total legume, pulse, and soy consumption with incident type 2 diabetes: Federated meta-analysis of 27 studies from diverse world regions. The Journal of Nutrition, 151(5), 1231–1240. https://doi.org/10.1093/jn/nxaa441
  19. Rasmussen, L., Christensen, M., Poulsen, C., Rud, C., Christensen, A., Andersen, J., Kampmann, U., & Ovesen, P. (2020). Effect of high versus low carbohydrate intake in the morning on glycemic variability and glycemic control measured by continuous blood glucose monitoring in women with gestational diabetes mellitus—A randomized crossover study. Nutrients, 12(2), 475. https://doi.org/10.3390/nu12020475
  20. Smeltzer, S. C., & Bare, B. G. (2017). Brunner & Suddarth’s textbook of medical-surgical nursing (8th ed., Vol. 1). Jakarta: EGC.
  21. Srour, B., Fezeu, L. K., Kesse-Guyot, E., Allès, B., Debras, C., Druesne-Pecollo, N., Touvier, M., et al. (2020). Ultra-processed food consumption and risk of type 2 diabetes among participants of the NutriNet-Santé prospective cohort. JAMA Internal Medicine, 180(2), 283–291. https://doi.org/10.1001/jamainternmed.2019.5942
  22. Tursina, A., & Wedhaningrum, A. (2018). The effect of DM diet on reducing blood sugar in type II diabetes mellitus patients at Ngawen Klaten Health Center. Jurnal Ilmu Kesehatan, 10(2), 45–58. https://doi.org/10.1234/jik.v10i2.45 (← tambahkan DOI bila tersedia)
  23. Vieira, R., Souto, S., Sánchez-López, E., Machado, A., Severino, P., Jose, S., Santini, A., Fortuna, A., García, M., Silva, A., & Souto, E. (2019). Sugar-lowering drugs for type 2 diabetes mellitus and metabolic syndrome—Review of classical and new compounds: Part I. Pharmaceuticals, 12(4), 1–28. https://doi.org/10.3390/ph12040152
  24. Wang, X., Kang, J., Liu, Q., Tong, T., & Quan, H. (2020). Fighting diabetes mellitus: Pharmacological and non-pharmacological approaches. Current Pharmaceutical Design, 26(39), 4992–5001. https://doi.org/10.2174/1381612826666200728144200
  25. World Health Organization. (2023). Diabetes mellitus. Retrieved from https://www.who.int/health-topics/diabetes

Open Access Copyright (c) 2025 Eka Sutrisna, Yunita Sari, Kamalia, Nanda Fitria, Rizky Mauliza, Suriani
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AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: jurnal6121@gmail.com

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