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Hydrotherapy as an evidence-based nursing intervention for managing type 2 diabetes mellitus: An integrative review Wiguna, Yutika; Nursiswati, Nursiswati; Ibrahim, Kusman
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2373

Abstract

Background: Type 2 diabetes mellitus (DM) is a major global health challenge. Effective management requires non pharmacological interventions in addition to medication. Hydrotherapy, a non invasive and affordable water-based therapy, shows promise in improving blood glucose, insulin sensitivity, and vascular function. This review identifies hydrotherapy interventions for type 2 DM and evaluates their clinical impact. Purpose: To analyze how to improve adherence in type 2 diabetes mellitus patients in implementing the five pillars of diabetes mellitus management. Method: This integrative reviews the size devidence on hydrotherapy for type 2 DM, guided by two questions: "what forms of hydrotherapy intervention are used in the management of type 2 diabetes mellitus?" and "What is the impact of hydrotherapy on clinical out comes for patients with type 2 diabetes mellitus?". The population, intervention, outcome (PIO) frame work was used. A systematic literature search was conducted across major electronic data bases (PubMed, Scopus, Web of Science, EBSCO host: Medline). Seventeen relevant studies were included after screening. Results: Hydrotherapy interventions include hot water baths/immersions, aquaticexercise, hot/cold compression, and oral water consumption. Aquatic exercise can lower HbA1c, fasting glucose, and insulin levels. Hot baths may reduce poor glycemic control and decrease fasting plasma glucose. The tests revealed animmediate decrease in blood glucose. Oral hydrotherapy improved the ankle brachial index. Hydrotherapy also improved quality of life, physical health and reduced stress. The benefits extend to lipid profiles and obesity , as well as blood flow, vascular function, pain, and mobility. Conclusion: Hydrotherapy is a potential complementary intervention for type 2 DM, offering benefits interms of glycemic control, vascular function, quality of life, and physical symptoms. Its non pharmacological, non invasive, afford able, and safe nature make sit a viable nursing option, especially in resource-limited are as. While nurses are crucial in its implementation, current studies have limitations interms of methodology, standardization, and long-term data. Further robust research is needed for widerad option.
Co-Authors Acob, Joel Rey Adam, Saddam Febriansyah Adisite, Meina Nur Aeni Aisyah Istiqomah Anastasia Anna Andini, Nathania Putri Anza Zahya Qeysha Aprilia Inggritika Priyatmoko Putri Arina Elhaqqa Awaluddin A Azrania Fatima Bambang Aditya Nugraha Bambang Aditya Nugraha Bambang Aditya Nugraha Cahyani, Eka Maulidya Carissa Muthia Putri Nugroho Chandra Isabella Hostanida Purba Citra Windani Mambang Sari Dadang Purnama Deasy Silvya Sari Deasy Sylvia Sari Desy Indra Yani Devita Listuhayu Dianantari, Fauziyyah Dimas Andhika Diva Jogina Dwi Winastuti Efri Widianti Eka Afrima Sari Eka Afrima Sari Etika Emaliyawati Fa'izah, Bella Nadia Fadhilah, Adinda Fadillah, Jasmine Fasya Faradisa, Firna Husnika Farida Afifah Nurlathifah Faturrahman, Reza Rizkika Febbie Chandra Syahrani Feni Agustina Fera Imelia Agustin Firman Sugiharto Firman Sugiharto Fitry Filianty Ghifani Sifa Azahra Gian Cipta G HAMIDAH Hana Rizmadewi Agustina Hartiah Haroen Harun, Hasniatisari Harun, Hasniatisari Hasniatisari Harun Hasniatisari Haruni Hediati Hastuti I. -, Rafiyah, I. Ikhsan Hafidz Iqbal Pramukti Istiqomah Dieni Hanifa Joel A Roy Khoirunnisa, Fadila Kirana, Ade Kurnia Herliani, Yusshy Kusman Ibrahim Lestari, Shaffira Deva Lia Sari Lidya Rahmawati Malfa Laila Pratidina Malihatunnisa Nurrofikoh Malihatunnisa Nurrofikoh Maniatunufus Maniatunufus Maniatunufus Maniatunufus Maniatunufus, Maniatunufus Maria Komariah Muhamad, Sahrul Nur Muhammad Alghifari Budiman Muhammad Fauzan Tamir Muhammad Sajid Ramadhan Naomi Sella Aprilia Nasrulloh, Iqbal Nita Fitria Novia Rahmawati Novia Yulianti Nur'aeni, Nabyla Nur'aeni, Nabyla Nur'aeni Nurrofikoh, Malihatunnisa Nurrofiqoh, Malihatunnisa Nurul Darmawulan Nurul Maulidya Nurwijayanti Oktaviani Fauziyah Ooh Hodijah Pebriana, Tika Rifa Luthfiyah Perbrianti, Sandra Priambodo, Ayu Prawesti Putri Noor Kholisoh Purnama Wati Putri, Silvi Riana Rafiyah, I. - Rahmat, Dadang Ramdhani, Muhammad Zaky Regina Cahyani Revi Merliani Nugraha Reyza, Muhammad Fakhrul Ridwana, Feni Rifia Azka Nabiilah Rizka Adinda Rizkiani, Agni Rustianti Salwa, Sayyidah Sandra Pebrianti Sandra Pebrianti Sania Yulianti Santi Rukminita Anggraeni Sari, Eka Afirma Setiani, Haniifah Setiawan Shabira Fairuz Hasna Shafira Rizki A Sisca Damayanti Siti Nur Fatimah Siti Ulfah Rifa’atul Fitri Sri Hartati Pratiwi Sutini, T. - Sya'fa, Siti Noor Syifaurrahmah, Syifaurrahmah T. -, Sutini, T. Taty Hernawaty Titis Kurniawan Titis Kurniawan Titis Kurniawan Titis Kurniawan Triesna, Meuthia Saulikha Tuti Pahria Umy Riskyani Urip Rahayu Vieri Abdurrafi Wati, Putri Noor Kholisoh Purnama Widaningsih, Ida Wiguna, Yutika Yanti Rubiyanti Yuli Wahyuni Yusshy Kurnia Heliani Yutantri, Savitri Kartika