HYPNODIALYSIS FOR ANXIETY RELIEF AND ADHERENCE TO MEDICATION, KIDNEY DIET AND FLUID INTAKE IN PATIENTS WITH CHRONIC KIDNEY DISEASE

Siti Hajar Wati, Mardiyono Mardiyono, Warijan Warijan


DOI: https://doi.org/10.33546/bnj.306

Abstract


Objective: To examine the effectiveness of hypnodialysis on anxiety levels and adherence to medication, kidney diet and fluid intake in patients with chronic kidney disease.

Methods: This was a randomized controlled trial study conducted from November to December 2016. Thirty respondents recruited using simple random sampling, which 17 respondents assigned randomly in the experiment and control group. The Hamilton Anxiety Rating Scale (HARS), Morisky scale, adherence to kidney diet questionnaire, adherence to fluid intake questionnaire were used as instruments for this study. Paired t-test and repeated ANOVA were used for data analysis.

Results: Findings showed that there was a statistically significant effect of hypnodialysis in reducing anxiety levels and improving adherence to medication, kidney diet, and fluid intake in patients with chronic kidney disease with p-value 0.000 (<0.05), which its effect started from day 7 (posttest 1).

Conclusion: Hypnodialysis may decrease anxiety levels and improve medication adherence, kidney diet and fluid intake. Therefore, hypnodialyis can be alternative treatment for patients with chronic kidney disease.


Keywords


anxiety; medication adherence; kidney diet; fluid intake; chronic kidney disease

Full Text:

PDF

References


Aminoto, C., & Asti, A. D. (2012). Pengaruh hypnotherapy terhadap kepatuhan diit cairan pada pasien gagal ginjal kronis rawat jalan di Instalasi Hemodialisa Rs PKU Muhammadiyah Gombong [Effect of hypnotherapy on fluid intake compliance in patients with chronic kidney failure at Instalasi Hemodialisa Rs PKU Muhammadiyah Gombong]. Jurnal Ilmiah Kesehatan Keperawatan, 8(3), 113-120.

Batbual, B. (2010). Hypnosis hypnobirthing: Nyeri persalinan dan berbagai metode penanganannya [Hypnosis hypnobirthing: Labor pain and varioys methods to handle it]. Yogyakarta: Gosyen Publishing.

Ds, A. I., Kristiyawati, S. P., & Supriyadi. (2014). Pengaruh hipnoterapi terhadap penurunan tingkat kecemasan pada pasien yang menjalani kemoterapi di RS Telogorejo Semarang [Effect of hypnotherapy in lowering anxiety in patients undergoing chemotherapy at Telogorejo Hospital Semarang]. Jurnal Ilmu Keperawatan dan Kebidanan, 3, 1-10.

Elizabeth, J. C. (2009). Buku Saku Patofisiologi [Handbook of pathophysiology]. Jakarta: EGC

Golden, W. L. (2012). Cognitive hypnotherapy for anxiety disorders. American Journal of Clinical Hypnosis, 54(4), 263-274.

Hakim, A. (2010a). Hipnoterapi: Cara tepat & cepat mengatasi stres, fobia, trauma, dan gangguan mental lainnya [Hypnotherapy: Exact and fast way to deal with stress, phobia, trauma, and other mental health problems]. Jakarta: VisiMedia.

Hakim, A. (2010b). Hypnosis in teaching: A great way to educate and teach. Jakarta: VisiMedia.

Hargyowati, Y. E. (2016). Tingkat kecemasan yang dilakukan tindakan hemodialisa di ruang hemodialisa RSUD Dr. Soehadi Prijonegoro Sragen Anxiety level of those with hemodyalisis at hemodyalisis unit of Dr. Soehadi Prijonegoro Hospital]. Stikes Kusuma Husada Surakarta. Retrieved from http://stikeskusumahusada.ac.id/ digilib/files/disk1/31/01-gdl-yaniekohar-1508-1-yanieko-).pdf

Harrison, I., Wilson, B. W., & Kasper, M. F. (2005). Prinsip-prinsip ilmu penyakit dalam [The principles of internal medicine]. Jakarta: EGC.

Kurniawati, D. P. (2014). Edukasi dalam meningkatkan kepatuhan intake cairan pasien penyakit ginjal kronik (PGK) on hemodialisis [Education in improving fluid intake compliance in patients with chronic kidney failure undergoing hemodyalisis]. Surabaya: Fakultas Keperawatan, Universitas Airlangga.

La Kahija, Y. F. (2007). Hipnoterapi: Prinsip-prinsip dasar praktik psikoterapi [Hypnotherapy: The principles of psychotherapy practice]. Jakarta: Gramedia Pustaka Utama.

Lailatushifah, S. N. F. (2012). Kepatuhan pasien yang menderita penyakit kronis dalam mengkonsumsi obat harian [Compliance of patients with chronic disease in cosuming daily medicine]. Retrieved 16 January, 2017, from http://fpsi. mercubuana-yogya. ac. id/wp-content/.../Noor-Kepatuhan... pdf

Nicolas, G. A. (2013). Hemodyalisis therapy of sustained low efficiency daily dialysis for patients with chronic kidney disease in intensive care unit. E-Jurnal Medika Udayana, 2(5), 766-782.

Potter, P. A., & Perry, A. G. (2005). Buku ajar fundamental keperawatan: Konsep, proses, dan praktik [Teaching book of fundamentals of nursing: Concept, process, and practice]. Jakarta: EGC.

Price, S. A., & Wilson, L. M. (2005). Patofisiologi konsep klinis proses-proses penyakit [Pathophysiology of clinical concept of disease processes]. Jakarta: EGC.

Puspitasari, A. W. (2012). Analisis efektivitas pemberian booklet obat terhadap tingkat kepatuhan ditinjau dari kadar hemoglobin terglikasi (HbA1C) dan Morisky Medication Adherence Scale (MMAS)-8 pada pasien diabetes melitus Tipe 2 di Puskesmas Pati Jaya Kota Depok [Analysis of effectiveness of giving drug booklet on compliance level seen from the HbA1C and Morisky Medication Adherence Scale (MMAS)-8 in patients with Type 2 diabetes mellitus at Puskesmas Pati Jaya Kota Depok]. (Tesis). Jakarta, Indonesia: Universitas Indonesia.

Relawati, A., Kurniawan, R., Fauzi, I., & Hadi, R. (2016). Gambaran kepatuhan diet pada penderita gagal ginjal kronis di RSUD Tjitrowardoyo Purworejo [Description of diet compliance in patients with chronic kidney failure at Tjitrowardoyo Purworejo hospital]. Yogayakarta, Indonesia: Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta.

Rubak, S. (2005). Motivational interviewing in intensive treatment of type 2 diabetes detected by screening in general practice. Danish Medical Bulletin, 52(32), 54-60.

Sari, L. K. (2009). Faktor-faktor yang berhubungan dengan kepatuhan dalam pembatasan asupan cairan pada klien gagal ginjal kronik yang menjalani terapi hemodialisis diruang hemodialisa RSUP Fatmawati [Factors relationshop with compliance in fluid intake limit in patients with chronic kidney failure undergoing hemodyalisis at Fatmawati hospital]. Jakarta, Indonesia: Fakultas Kedokteran dan Ilmu Kesehatan, UIN Syarif Hidayatullah Jakarta.

Smeltzer, S. C., Bare, B. G., Hinkle, J. L., Cheever, K. H., Townsend, M. C., & Gould, B. (2008). Brunner & Suddarth’s textbook of medical surgical nursing (12th ed.). Philadelphia: Wolters Kluwer: Lippincott Williams and Wilkins.

Sukandar, E. (2006). Gagal ginjal dan panduan terapi dialisis [Kidney failure and dialysis therapy guideline]. Bandung, Indonesia: Pusat Informasi Ilmiah (PII) Bagian Ilmu Penyakit Dalam FK-UNPAD RS Dr. Hasan Sadikin.

Syamsiah, N. (2011). Faktor-faktor yang berhubungan dengan kepatuhan pasien CKD yang menjalani hemodialisa di RSPAU DR Esnawan Antariksa Halim Perdana Kusuma Jakarta [Factors influencing compliance of CKD patients undergoing hemodyalisis at RSPAU DR Esnawan Antariksa Halim Perdana Kusuma Jakarta]. Jakarta: Program Studi Magister Keperawatan, Fakultas Ilmu Keperawatan, Universitas Indonesia.


Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Siti Hajar Wati, Mardiyono, Warijan

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.