The Effect Of Psychosocial Nursing Training On Type 2 Diabetes Mellitus Patients By Measuring Anxiety And Cortisol Hormones At The Pekanbaru City Health Centre

Abstract

Type 2 diabetes mellitus has a significant impact on patients' quality of life, both physically and psychologically. Patients must undergo long-term therapy, regular check-ups, and lifestyle changes, which can cause anxiety and increase glucocorticoid (cortisol) hormone levels. The role of nurses as frontline workers is crucial in providing holistic psychosocial services through education, emotional support, and anxiety screening. Nurses at community health centres must master the competencies in accordance with SDKI, SLKI, and SIKI standards for the management of anxiety. The purpose of this study was to prove the effect of psychosocial nursing training on anxiety by measuring anxiety and cortisol hormone levels in DMT2 patients at community health centres in Pekanbaru City. This research is quantitative with a quasi-experimental design. There were 21 research subjects divided into two groups, 11 subjects as the intervention group and 10 subjects as the control group. Data were collected using the ZSAS Questionnaire for anxiety and ARCHITECT C8000 for blood cortisol through laboratory tests. Data analysis using the t-test showed no significant difference between the pretest anxiety scores of the intervention group and the control group (p value = 0.858), but there was a significant difference. There was no significant difference between the intervention group and the control group in the pretest cortisol hormone test scores (p value = 0.123) or posttest scores (p value = 0.146). The psychosocial training provided to nurses was proven to be effective in significantly reducing patient anxiety in the intervention group. Therefore, this training should be routinely integrated into the professional development of nurses, particularly those who treat patients with Type 2 Diabetes Mellitus at the primary care level (community health centres).