Spiritual Emotional Freedom Technique against Anxiety and Psychological Well-being of Type 2 DM Patients during the COVID-19 Pandemic

Authors

  • Ratna Yunita Sari Lecturer of Master’s Degree Program in Applied Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia
  • Abdul Muhith Lecturer of Master’s Degree Program in Applied Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia
  • Riska Rohmawati Lecturer of Master’s Degree Program in Applied Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia https://orcid.org/0000-0002-6212-1137
  • Umdatus Soleha Lecturer of Master’s Degree Program in Applied Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia
  • Imamatul Faizah Lecturer of Master’s Degree Program in Applied Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia
  • Raden Khairiyatul Afiyah Lecturer of Master’s Degree Program in Applied Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia
  • Firman Suryadi Rahman Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7217

Keywords:

Spiritual emotional freedom technique, Anxiety, Psychological well-being, Diabetes mellitus, COVID-19

Abstract

BACKGROUND: The COVID-19 pandemic makes patients with type 2 diabetes mellitus experience an increase in anxiety, considering that diabetes mellitus is one of the dangerous comorbidities for people infected with the COVID-19 virus so that it affects their psychological well-being. Low psychological well-being will have an impact on decreasing self-care, thereby increasing the occurrence of complications.

AIM: The purpose of this study was to analyze the effect of the spiritual emotional freedom technique (SEFT) on anxiety and the psychological well-being of patients with type 2 DM during the COVID-19 pandemic.

METHODS: The research design employed is a quasi-experimental research with the untreated control group design with dependent pre-test and post-test samples. The sampling technique used is probability sampling which is a random sampling to meet the inclusion and exclusion criteria with a total sample of 110 respondents with the distribution of the intervention group consisting of 55 respondents and the control group consisting of 55 respondents. The instrument used to measure the level of anxiety is the Hamilton Rating Scale for Anxiety and psychological well-being of Ryff’s psychological well-being. The statistical tests used are Paired Sample t-Test and Independent t-test with significant p < 0.05.

RESULTS: The results showed that the mean level of anxiety in the intervention group before the implementation of the intervention was 21.89 (moderate), while after the intervention was 10.98 (mild) and the psychological well-being before the intervention was 147.49 (low), while after the intervention was 170.91 (moderate). Furthermore, in the case of the control group, the mean level of anxiety before the intervention was 19.16 and after the intervention was 19.11 and psychological well-being before the intervention was 146.67 while after the intervention was 146.45. Furthermore, the data analysis obtained that the SEFT affected the level of anxiety and psychological well-being of patients with type 2 diabetes during the COVID-19 pandemic with p = 0.00.

CONCLUSION: The SEFT that is routinely implemented can reduce the level of anxiety so that it can improve the psychological well-being of patients with type 2 DM during the COVID-19 pandemic.

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References

Singhai K, Swami MK, Nebhinani N, Rastogi A, Jude E. Psychological adaptive difficulties and their management during COVID-19 pandemic in people with diabetes mellitus. Diabetes Metab Syndr. 2020;14(6):1603-5. https://doi.org/10.1016/j.dsx.2020.08.025 PMid:32862099 DOI: https://doi.org/10.1016/j.dsx.2020.08.025

Hall G, Laddu DR, Phillips SA, Lavie CJ, Arena R. A tale of two pandemics: How will COVID-19 and global trends in physical inactivity and sedentary behavior affect one another? Prog Cardiovasc Dis. 2021;64:108-10. https://doi.org/10.1016/j.pcad.2020.04.005 PMid:32277997 DOI: https://doi.org/10.1016/j.pcad.2020.04.005

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729. PMid:32155789 DOI: https://doi.org/10.3390/ijerph17051729

Muniyappa R, Gubbi S. COVID-19 pandemic, coronaviruses, and diabetes mellitus. Am J Physiol Endocrinol Metab. 2020;318(5):E736-41. https://doi.org/10.1152/ajpendo.00124.2020 PMid:32228322 DOI: https://doi.org/10.1152/ajpendo.00124.2020

Dubey MJ, Ghosh R, Chatterjee S, Biswas P, Chatterjee S, Dubey S. COVID-19 and addiction. Diabetes Metab Syndr. 2020;14(5):817-23. https://doi.org/10.1016/j.dsx.2020.06.008 PMid:32540735 DOI: https://doi.org/10.1016/j.dsx.2020.06.008

Kalra S, Jena BN, Yeravdekar R. Emotional and psychological needs of people with diabetes. Indian J Endocrinol Metab. 2018;22(5):696-704. https://doi.org/10.4103/ijem.IJEM_579_17 PMid:30294583 DOI: https://doi.org/10.4103/ijem.IJEM_579_17

Majumdar P, Biswas A, Sahu S. COVID-19 pandemic and lockdown: Cause of sleep disruption, depression, somatic pain, and increased screen exposure of office workers and students of India. Chronobiol Int. 2020;37(8):1191-200. https://doi.org/10.1080/07420528.2020.1786107 PMid:32660352 DOI: https://doi.org/10.1080/07420528.2020.1786107

Alessi J, De Oliveira GB, Franco DW, Do Amaral BB, Becker AS, Knijnik CP, et al. Mental health in the era of COVID-19: Prevalence of psychiatric disorders in a cohort of patients with Type 1 and Type 2 diabetes during the social distancing. Diabetol Metab Syndr. 2020;12:76. https://doi.org/10.1186/s13098-020-00584-6 PMid:32879637 DOI: https://doi.org/10.1186/s13098-020-00584-6

Arifin H, Kusnanto K, Widyawati IY. How did I feel before becoming diabetes resilience? A qualitative study in adult Type 2 diabetes mellitus. Indones Nurs J Educ Clin. 2020;5(1):27-34. DOI: https://doi.org/10.24990/injec.v5i1.280

Massey CN, Feig EH, Duque-Serrano L, Huffman JC. Psychological well-being and Type 2 diabetes. Curr Res Diabetes Obes J. 2017;4(4):555641. https://doi.org/10.19080/crdoj.2017.04.555641 PMid:29276801 DOI: https://doi.org/10.19080/CRDOJ.2017.04.555641

Ministry of Health Indonesia. COVID-19 Data for New Cases. Jakarta: Ministry of Health Indonesia; 2019.

Gao W, Ping S, Liu X. Gender differences in depression, anxiety, and stress among college students: A longitudinal study from China. J Affect Disord. 2020;263:292-300. https://doi.org/10.1016/j.jad.2019.11.121 PMid:31818792 DOI: https://doi.org/10.1016/j.jad.2019.11.121

Chew BH, Shariff-Ghazali S, Fernandez A. Psychological aspects of diabetes care: Effecting behavioral change in patients. World J Diabetes. 2014;5(6):796-808. https://doi.org/10.4239/wjd.v5.i6.796 PMid:25512782 DOI: https://doi.org/10.4239/wjd.v5.i6.796

Ng KY, Zhou S, Tan SH, Ishak ND, Goh ZZ, Chua ZY, et al. Understanding the psychological impact of COVID-19 pandemic on patients with cancer, their caregivers, and health care workers in Singapore. JCO Glob Oncol. 2020;6:1494-509. https://doi.org/10.1200/GO.20.00374 PMid:33017179 DOI: https://doi.org/10.1200/GO.20.00374

Zhong B, Huang Y, Liu Q. Mental health toll from the Coronavirus: Social media usage reveals Wuhan residents’ depression and secondary trauma in the COVID-19 outbreak. Comput Human Behav. 2021;114:106524. https://doi.org/10.1016/j.chb.2020.106524 PMid:32836728 DOI: https://doi.org/10.1016/j.chb.2020.106524

Ma’rifah AR, Handayani RN, Dewi P. The effectiveness of fingerhold relaxation technique and spiritual emosional freedom technique (SEFT) to the pain intensity scale on patients with post caesarean section. J Matern Care Reprod Health. 2018;1(2):325-40. DOI: https://doi.org/10.36780/jmcrh.v1i2.28

Bach D, Groesbeck G, Stapleton P, Sims R, Blickheuser K, Church D. Clinical EFT (emotional freedom techniques) improves multiple physiological markers of health. J Evid Based Integr Med. 2019;24:1-12. https://doi.org/10.1177/2515690X18823691 PMid:30777453 DOI: https://doi.org/10.1177/2515690X18823691

Banerjee P, Puri A, Luqman N. Emotional freedom technique: An alternative therapy in destressing. Int J Appl Innov Eng Manag. 2015;4(9):19-26.

Church D, Yount G, Brooks AJ. The effect of emotional freedom techniques on stress biochemistry: A randomized controlled trial. J Nerv Ment Dis. 2012;200(10):891-6. PMid:22986277 DOI: https://doi.org/10.1097/NMD.0b013e31826b9fc1

Fisher J, Brumley D. Nurses’ and carers’ spiritual wellbeing in the workplace. Aust J Adv Nurs. 2008;25(4):49-57.

Liu H, Chen S, Liu M, Nie H, Lu H. Comorbid chronic diseases are strongly correlated with disease severity among COVID-19 patients: A systematic review and meta-analysis. Aging Dis. 2020;11(3):668-78. https://doi.org/10.14336/AD.2020.0502 PMid:32489711 DOI: https://doi.org/10.14336/AD.2020.0502

Ozamiz-Etxebarria N, Dosil-Santamaria M, Picaza-Gorrochategui M, Idoiaga-Mondragon N. Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the Northern Spain. Cad Saude Publica. 2020;36(4):e00054020. https://doi.org/10.1590/0102-311X00054020 PMid:32374806 DOI: https://doi.org/10.1590/0102-311x00054020

Al‐Sofiani ME, Albunyan S, Alguwaihes AM, Kalyani RR, Golden SH, Alfadda A. Determinants of mental health outcomes among people with and without diabetes during the COVID‐19 outbreak in the Arab Gulf region. J Diabetes. 2021;13(4):339-352. https://doi.org/10.1111/1753-0407.13149 PMid:33351239 DOI: https://doi.org/10.1111/1753-0407.13149

Carriedo A, Cecchini JA, Fernandez-Rio J, Méndez-Giménez A. COVID-19, psychological well-being and physical activity levels in older adults during the nationwide lockdown in Spain. Am J Geriatr Psychiatry. 2020;28(11):1146-55. https://doi.org/10.1016/j.jagp.2020.08.007 PMid:32919872 DOI: https://doi.org/10.1016/j.jagp.2020.08.007

Davies M. Psychological aspects of diabetes management. Medicine. 2019;47(2):131-4. DOI: https://doi.org/10.1016/j.mpmed.2018.11.003

Joensen LE, Madsen KP, Holm L, Nielsen KA, Rod MH, Petersen AA, et al. Diabetes and COVID‐19: Psychosocial consequences of the COVID‐19 pandemic in people with diabetes in Denmark-what characterizes people with high levels of COVID‐19‐related worries? Diabet Med. 2020;37(7):1146-54. https://doi.org/10.1111/dme.14319 PMid:32392380 DOI: https://doi.org/10.1111/dme.14319

Dincer B, Inangil D. The effect of emotional freedom techniques on nurses’ stress, anxiety, and burnout levels during the COVID-19 pandemic: A randomized controlled trial. Explore (NY). 2021;17(2):109-14. https://doi.org/10.1016/j.explore PMid:33293201 DOI: https://doi.org/10.1016/j.explore.2020.11.012

Waite WL, Holder MD. Assessment of the emotional freedom technique: An alternative treatment for fear. Sci Rev Ment Health Pract. 2003;2(1):20-6.

Pluskal T, Weng JK. Natural product modulators of human sensations and mood: Molecular mechanisms and therapeutic potential. Chem Soc Rev. 2018;47(5):1592-637. https://doi.org/10.1039/c7cs00411g PMid:28933478 DOI: https://doi.org/10.1039/C7CS00411G

Elvina M. Integrative medicine through islamic perspective in respecting pandemic COVID-19. Int J Islamic Med. 2020;1(1):43-52. DOI: https://doi.org/10.37275/ijim.v1i1.6

Khodai A, Bagheri M, Kh F. The relationship between mindfulness, self-differentiation and borderline personality traits with the mediation role of Alexithymia. J Psychol Achiev. 2020;27(2):49-68.

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Published

2021-11-10

How to Cite

1.
Yunita Sari R, Muhith A, Rohmawati R, Soleha U, Faizah I, Afiyah RK, Suryadi Rahman F. Spiritual Emotional Freedom Technique against Anxiety and Psychological Well-being of Type 2 DM Patients during the COVID-19 Pandemic. Open Access Maced J Med Sci [Internet]. 2021 Nov. 10 [cited 2024 Nov. 22];9(G):260-5. Available from: https://oamjms.eu/index.php/mjms/article/view/7217

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Nursing in Internal Medicine

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