Acupressure for improving neuropathy severity in patients with type 2 diabetes

Abstract

Diabetic neuropathy is one of the most common microvascular complications in patients with diabetes mellitus and leads to a decline in quality of life. Common causes or risk factors associated with diabetes mellitus include obesity, smoking, unhealthy eating patterns, lack of physical activity, hypertension, elevated blood glucose levels, and elevated cholesterol levels. Non-pharmacological therapies, such as complementary therapy involving massage using acupressure techniques, can reduce the severity of diabetic neuropathy. This study employed a descriptive method with a case study approach. The interventions implemented included monitoring the severity of neuropathy, wound care, dietary education with a low-saturated fat diet, omega-3 fish oil, blood sugar checks, and the application of acupressure therapy. The implementation was carried out over five consecutive days. Evaluation results showed a decrease in neuropathy symptoms measured by the Michigan Neuropathy Screening Instrument (MNSI) screening, with a score reduction of 4, indicating mild peripheral neuropathy. This acupressure therapy was proven effective in improving blood circulation and alleviating neuropathy symptoms. This therapy serves as a safe and measurable alternative nursing intervention.

Keywords: Acupressure, complementary therapy, neuropathy, prevention, type 2 diabetes