scholarly journals Effects of Benson’s Relaxation Technique on Nausea in Patients with Chronic Kidney Disease Undergoing Hemodialysis

2019 ◽  
Author(s):  
Chandra Bagus Ropyanto ◽  
Sumarsih . ◽  
Niken Safitri Dyan Kusumaningrum ◽  
Wahyu Hidayati
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Intervention Group ◽  
Complementary Therapy ◽  
Mean Value ◽  
Pharmacological Therapy ◽  
Relaxation Technique ◽  
Control Group ◽  
P Value ◽  
The Brain

Background: Nausea is a common complaint of patients with chronic kidney disease due to an accumulation of urea. Hemodialysis therapy has some side effects that play a role in increasing nausea. The use of pharmacological treatment to deal with nausea may bring a risk of aggravating the work of the kidneys, and thus its administration should be limited. Benson relaxation is a complementary therapy which reduces nausea by increasing the relaxation response that affects the nausea center in the brain. Objectives: This study aims to determine the effects of Benson relaxation technique on decreasing nausea. Methods: This study used a pre-posttest quasiexperimental research design with a control group. The samples were 30 patients recruited using consecutive sampling and were divided into the intervention group (n=15)andthecontrolgroup(n=15).Nauseawasmeasuredusinganumericratingscale. Theresultsshowedthattherewasadecreaseinthemeanofnauseaintheintervention group from 7.13 to 2.26, with p-value = 0.001. The mean value slightly decreased in the control group from 7.20 to 6.40, with p-value = 0.001. Conclusions: Benson relaxation affected the decrease of nausea in patients undergoing hemodialysis. Based on the results of this study, it is expected that nurses apply Benson relaxation technique as a non-pharmacological therapy to decrease nausea in hemodialysis patients.

scholarly journals THE APPLICATION OF ART THERAPY TO REDUCE THE LEVEL OF DEPRESSION IN PATIENTS WITH HEMODIALYSIS

2018 ◽  
Vol 4 (3) ◽  
pp. 329-335
Author(s):  
Atikah Fatmawati ◽  
M. Rachmat Soelaeman ◽  
Imas Rafiyah
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Art Therapy ◽  
Intervention Group ◽  
Psychological Adaptation ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Before And After ◽  
Quasi Experimental

Background: Depression can occur in patients with chronic kidney disease undergoing hemodialysis and can lead to decreased quality of life, and will have a two-fold risk for the occurrence of death and hospitalization. Objective: The purpose of this study was to identify the effects of art therapy on the level of depression patients with hemodialysis.Methods: This study used a quasi-experimental method with pretest posttest with control group design. Collecting data using questionnaires of Beck Depression Inventory (BDI-II) versions of Indonesia, which was done twice, before and after art therapy intervention. Data were analyzed using paired t-test and unpaired t-test.Results: The results showed that after given intervention of art therapy there were differences in the average scores of depression in the intervention group (t = 0.764; p-value = 0.000). Art therapy is a medium to expose and express the feelings, fears or perceived problem, so it can be used as an adaptive coping method in patients with chronic kidney disease undergoing hemodialysis. Conclusion: It is concluded that art therapy could reduce depression in patients with chronic kidney disease undergoing hemodialysis. Nurses can act as a facilitator to provide art-based therapy in order to improve the ability of psychological adaptation in patients with chronic kidney disease undergoing hemodialysis. 

scholarly journals Effects of Five-Finger Relaxation Technique on Depression in Type 2 Diabetes Mellitus Patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Rosliana Dewi ◽  
Fanny Dwi Agustina ◽  
Johan Budhiana ◽  
Syiva Dwi Fatmala
Keyword(s):  
Diabetes Mellitus ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Relaxation Technique ◽  
Control Group ◽  
P Value ◽  
Relaxation Techniques ◽  
Psychological Changes ◽  
Type 2 Dm

Diabetes mellitus (DM) can cause physical and psychological changes for sufferers. Psychological changes include changes in self-concept and depression. Psychological changes can be treated with nonpharmacological therapies, one of which is five-finger relaxation technique. The research aimed to reveal the effect of five-finger relaxation technique on depression experienced by type 2 DM patients. The five-finger relaxation technique is one of the generalist relaxation techniques by recalling pleasant experiences. This research is a quasi-experiment. Samples of this research were 34 respondents whom were selected using purposive sampling.  The intervention was carried out once a day for 3 consecutive days.  In order to measure depression, a valid and reliable questionnaire of Indonesian version of the Beck Depression Inventory (BDI) was employed.  Data were analyzed using the Wilcoxon Test and the Mann-Whitney Test. The results showed the was a decrease in depression in the control group (p-value of 0.008) and the intervention group (p-value of 0.000) and there were differences in depression in the control group and the intervention group (p-value of 0.000). It can be concluded that there is an effect of five-finger relaxation technique on depression in type 2 DM patients<em>.</em>

scholarly journals PENINGKATAN MOTIVASI KONSUMSI SAYUR DAN BUAH MELALUI COGNITIVE BEHAVIOUR THERAPY (CBT)

2015 ◽  
Vol 1 (1) ◽  
pp. 23
Author(s):  
Etika Purnama Sari
Keyword(s):  
Cognitive Behaviour Therapy ◽  
Demographic Data ◽  
Intervention Group ◽  
Mean Value ◽  
Control Group ◽  
P Value ◽  
Behaviour Therapy ◽  
Purposive Sampling ◽  
Cognitive Behaviour ◽  
Vegetables And Fruits

Many children didn’t like to consume vegetables and fruit, they consumed it in value standard below from WHO. The aim from this study explained the increasing motivation within consume vegetables and fruits through Cognitive Behaviour Therapy (CBT). The study design was quasy experiment with prepost control group design. The variables studied were motivation within consume vegetables and fruits. The samples obtained were 27 respondents for intervention group and 28 respondents for control group using purposive sampling. Collecting data includes demographic data and motivation data with questionnaire. Based on Mann Whitney U Test, p value for pretest between intervention and control group was 0,495 with α=0,05 it means that there wasn’t different in motivation consume vegetables and fruit, but for posttest p value was 0,029 it means that there was different in motivation. Based on mean value, there was increasing value for intervention group from 29,30 to 31,91 it means that CBT could increasing motivation to concume vegetables and fruits in children. The increasing motivation could happen because CBT changes the irrational thinking or negative thinking about vegetables and fruit to rational thinking or positive thinking. CBT could be an alternative method to motivate children to consume vegetables and fruits. Banyak anak-anak tidak suka mengkonsumsi sayur dan buah sehingga menunjukkan angka dibawah standar WHO. Tujuan dari penelitian ini adalah menjelaskan tentang peningkatan motivasi konsumsi sayur dan buah melalui Cognitive Behaviour Therapy (CBT). Desain penelitian yang digunakan adalah quasy experiment dengan kelompok kontrol pre-post. Variabel yang diteliti adalah motivasi dalam mengkonsumsi sayur dan buah. Sampel yang digunakan terdapat 27 responden untuk kelompok perlakuan dan 28 reponden untuk kelompok kontrol dengan menggunakan purposive sampling. Pengambilan data menggunakan kuesioner demografi dan motivasi. Berdasarkan hasil tes Mann Whitney U dengan signifikansi p=0,05 didapatkan nilai p=0,495 pada pretest antara kelompok kontrol dan perlakuan, sehingga tidak terdapat perbedaan motivasi sedangkan pada hasil posttest kelompok kontrol dan perlakuan menunjukkan p= 0,029 sehingga terdapat perbedaan dan dan terdapat peningkatan mean value pada kelompok kontrol dari 29,30 menjadi 31,91. Hal tersebut membuktikan bahwa CBT mempengaruhi motivasi anak-anak dalam mengkonsumsi sayur dan buah. Peningkatan motivasi terjadi karena CBT dapat mengubah pemikiran irasional dan negatif terhadap sayur dan buah menjadi lebih rasional dan positif. CBT dapat digunakan sebagai metode alternatif dalam meningkatkan motivasi anak untuk mengkonsumsi sayur dan buah. DOWNLOAD FULL TEXT PDF >>

scholarly journals Health Education Through a Campaign and mHealth to Enhance Knowledge and Quality of Life Among Patients With Chronic Kidney Disease in Bangladesh: Protocol for a Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Mohammad Habibur Rahman Sarker ◽  
Michiko Moriyama ◽  
Harun Ur Rashid ◽  
Md Moshiur Rahman ◽  
Mohammod Jobayer Chisti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Randomized Controlled Trial ◽  
Kidney Disease ◽  
Health Education ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled

BACKGROUND Despite the growing burden of chronic kidney disease (CKD), disease knowledge and understanding are still lacking, especially in Bangladesh. OBJECTIVE The aim of this study was to evaluate the outcome of a health education intervention in order to enhance knowledge, health-related quality of life (QOL), and motivation regarding healthy lifestyles among rural and periurban adults suffering from CKD. METHODS A parallel-group (1:1) randomized controlled trial is ongoing in the Mirzapur subdistrict, Bangladesh, where two groups of patients with CKD are being compared. Patients aged 18 years and over with CKD (stages 1-3) were enrolled in November 2020. Patients were randomly allocated into either the intervention group (n=63) or the control group (n=63). The control group received usual treatment, while the intervention group received health education through a CKD campaign facilitated by a nephrologist and via mHealth (ie, periodic mobile phone calls) from community health workers. Both groups were followed up for a period of 6 months. The primary endpoint is patients’ increased knowledge measured using the Chronic Kidney Disease Knowledge Questionnaire. The secondary endpoints are improved QOL measured using the standardized EuroQol 5-Dimension 5-Level (EQ-5D-5L) questionnaire as well as improvements in the levels of blood pressure, BMI, serum creatinine, fasting blood sugar, hemoglobin, cholesterol, high-density lipoprotein cholesterol, triglyceride, serum uric acid, blood urea nitrogen, and albumin to creatinine ratio. RESULTS Enrollment of participants began in November 2020; the intervention and follow-up were completed in May 2021. We enrolled 126 patients in the study. Patients’ mean ages were 57.97 (SD 15.03) years in the control group and 57.32 (SD 14.37) years in the intervention group. There were 45 out of 63 (71%) females in the control group and 38 out of 63 (60%) females in the intervention group. In addition, there were 38 out of 63 (60%) literate patients in the control group and 33 out of 63 (52%) literate patients in the intervention group. CONCLUSIONS It is expected that a combined approach, incorporating both a CKD campaign and mHealth, for health education may be an effective tool for increasing knowledge and improving QOL among patients with CKD. CLINICALTRIAL ClinicalTrials.gov NCT04094831; https://clinicaltrials.gov/ct2/show/NCT04094831 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/30191

scholarly journals Application Of Predialytic Exercise To Reduce Fatigue In-Patient Undergoing Hemodialysis

2021 ◽  
Vol 3 (1) ◽  
pp. 28
Author(s):  
Nugroho Lazuardi
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Control Group ◽  
Electrolyte Balance ◽  
Fatigue Score ◽  
Severe Fatigue ◽  
Moderate Fatigue ◽  
Quasi Experimental

Chronic kidney disease is an irreversible and slow-progressing disorder of kidney function so that the kidneys are unable to maintain the body's metabolism, fluid and electrolyte balance and cause uremia which requires dialysis or kidney transplantation. Hemodialysis is management to treat chronic kidney disease that is carried out for life so that the complications that often arise are fatigue, cramps, anxiety, pain. The phenomenon found in the Hemodialysis Room of the Tugurejo Hospital Semarang, there were 34% of the 84 patients who experienced fatigue which was characterized by lethargy, weakness, drowsiness, dizziness. This research is a quantitative study with a quasi-experimental design. The sample size is 4 respondents in the intervention group without a control group. Measurement of the level of fatigue (pre and post-test) using the PFS (Piper Fatigue Scale) which contains 22 subjective statements. Predialytic Exercise intervention is given for 5 sessions with a duration of 10-15 minutes. The results of this study indicate that the fatigue level of hemodialysis patients has decreased after the intervention of predialytic exercise for 5 sessions. The fatigue score of respondents 1 has decreased from a score of 4.8 (moderate fatigue) to 3.2 (mild fatigue), respondent 2 from a score of 6.3 (moderate fatigue) to 4.3 (moderate fatigue), respondent 3 from score 9 (severe fatigue) to 7 (severe fatigue), and respondent 1 from a score of 4.9 (moderate fatigue) to 2.4 (mild fatigue). The results of this study indicate that there is a decrease in each dimension of fatigue levels so that predialytic exercise intervention is effective to reduce fatigue in patients undergoing hemodialysis.

scholarly journals Effect of Nursing Training on Improving Knowledge, Skills, and Attitudes of Clinical Nurses

2019 ◽  
Vol 2 (1) ◽  
pp. 31-38
Author(s):  
I Ketut Sudiarta ◽  
Emiliana Tarigan ◽  
Sudibyo Supardi
Keyword(s):  
Quantitative Research ◽  
Intervention Group ◽  
Mean Value ◽  
Posttest Score ◽  
Control Group ◽  
P Value ◽  
Clinical Nurses ◽  
The Mean ◽  
Increasing Knowledge ◽  
Nursing Training

Background: Clinical nurses are competent with good knowledge, skills and attitudes. These efforts are carried out through integrated training adaptation of the concept of From Novice to Expert Patricia Benner. The study aims to determine the effect of nursing training on increasing knowledge, skills and attitudes. Method: This quantitative research quasy experiment, using a non randomized control group pretest and posttest design. The study sample was 100 people, divided into two groups, namely the same intervention and control group. The research instrument was a valid and reliable questionnaire (Chronbach's alpha 0.989). Research for 12 weeks, March-June 2018 with nursing training interventions in the intervention group respondents. Results: The results of the study were the majority of respondents were female, aged 20-35, career level of clinical nurse level I. Diploma education and work period of 1-5 years. Bivariate results with the mean value of posttest score knowledge 97.20, increased by 21.6%, statistically meaningful knowledge of p value=0.000. The mean value of the posttest skill was score 92.96, increased by 23.92%, the skill statistically was significant p value=0.000 and the mean value of posttest attitude was 50.06, increased by 6.44%, statistically meaningful p value=0.000, there was an effect of nursing training on improving the knowledge, skills and attitudes of clinical nurses. The results of multivariate analysis of nursing training were statistically significant towards increasing knowledge of clinical nurses (p value=0.000), having the possibility of knowledge increasing 10 times, increasing skills statistically significant (p value=0.000), having the possibility of increasing skills 1.4 times and increasing statistically meaningful attitudes (p value=0.000), having an increased likelihood of attitudes 0.8 times compared to not getting training, no confounding variables were found. Conclusion: Based on this research, the increase in knowledge, skills and attitudes is influenced by nursing training from the aspects of material, methods, facilities, instructors and post-training evaluation methods. Thus to achieve optimal quality of knowledge, skills and attitude, it is advisable to conduct mentoring, supervision, mentoring and guidance in an integrated manner

scholarly journals Effect of Cognitive Behavioural Therapy on the Quality of Life of People with Schizophrenia in South-West Nigeria

2021 ◽  
Vol 4 (3) ◽  
pp. 35-44
Author(s):  
Makanjuola J.O. ◽  
Chiejina E.N. ◽  
Umunnah J.O.
Keyword(s):  
Quality Of Life ◽  
Intervention Group ◽  
Behavioural Therapy ◽  
Mean Value ◽  
Control Group ◽  
P Value ◽  
South West ◽  
Cognitive Behavioural ◽  
Z Value

The quality of life (QoL) of patients with schizophrenia is impaired compared to the general population. This study aimed to evaluate the effect of Cognitive Behavioural Therapy (CBT) on the quality of life of people with schizophrenia in selected Neuropsychiatric Hospitals in South-West Nigeria. A quasi-experimental research design was adopted in the study, 60 participants with schizophrenia were selected purposely, 30 participants to the intervention group and another 30 participants to the control group. Eight sessions of CBT were given to each participant in the intervention group. Data were collected with the use of the WHO Quality of life Bref questionnaire. Data collected were summarized using frequency, percentages, mean score, and standard deviation to answer research questions. The hypotheses were tested using the Mann-Whitney U Test and Wilcoxon Test at 0.05 level of significance. The outcome revealed that there was an overall post-intervention improvement in the Quality of life among the participants in the intervention group with a mean value of 3.63 ± 0.89, Z-value 3.72, p-value <0.001, unlike the control group with a mean value of 2.90 ± 0.85, Z-value= 1.77, p-value=0.08. CBT intervention with pharmacological management was effective in improving the quality of life in schizophrenic patients. CBT should be integrated into routine care given to schizophrenic clients in nursing interventions.

scholarly journals The influence of rosella flower tea on blood pressure reduction in hypertension patients

2020 ◽  
Vol 7 (12) ◽  
pp. 4777
Author(s):  
Siska Sakti Anggraini ◽  
Siti Aisyah Nur ◽  
Honesty Diana Morika ◽  
Ratna Indah Sari Dewi
Keyword(s):  
Blood Pressure ◽  
Health Center ◽  
Blood Pressure Reduction ◽  
Intervention Group ◽  
Pharmacological Therapy ◽  
Control Group ◽  
P Value ◽  
Heart Attacks ◽  
Urine Production ◽  
Post Test

Background: Hypertension is called the silent killer because it does not provide specific symptoms, it can increase the incidence of strokes, heart attacks, chronic kidney disease if not controlled and controlled properly. Management of hypertension is generally with pharmacological therapy that has not shown improvement. Non-pharmacological treatment using rosella flower tea which functions to open blood vessels wider, reduce blood viscosity and increase urine production so as to reduce blood volume. The purpose of this study was to study the effect of rosella tea on reducing blood pressure in hypertensive patients.  Methods: This study uses a quasi-experiment design with the two-group pre-test and post-test design approach. This research was conducted on patients with hypertension at the Padang city health center with an intervention group of 16 respondents and a control of 16 respondents. Data analysis in this study used univariate and bivariate using independent t-test statistics.  Results: The results of the study showed the average blood pressure in the systolic pretest intervention group 147.81 for 94.69 diastole and posttest systole 129.06 posttest diastole 78.75 while the control group for systole pretest 154.6 for diastole 96.25 and posttest without posttest treatment systole 129.06 postest diastole 78.75. Obtained a p value 0,000 statistical test for systole and a p value 0,000 diastole.  Conclusions: There is an effect of rosella flower tea on reducing blood pressure in patients with hypertension at the Padang city health center.

scholarly journals Pengaruh Pemberian Akupresur oleh Anggota Keluarga terhadap Tingkat Nyeri Pasien Nyeri Kepala (Chephalgia) di Kota Padang Panjang

2019 ◽  
Vol 19 (3) ◽  
pp. 714
Author(s):  
Rika Roza ◽  
Budhi Mulyadi ◽  
Yonrizal Nurdin ◽  
Mahathir Mahathir
Keyword(s):  
Intervention Group ◽  
Simple Random Sampling ◽  
Complementary Therapy ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Before And After ◽  
Different Levels ◽  
Test Result

Chephalgia is grievance that is often felt like discomfort in head, Chephalgia can bother activity and productivity. One of complementary therapy that can reduce Chephalgia is acupressure. This study aims to determine the effect of acupressure by family member on pain level of Chephalgia patient in Padang Panjang conducted february-September 2019. The study is an experimental design and a pretest-posttest with control group design with 116 of samples and it uses simple random sampling. Different levels of pain before and after the administration of acupressure by family members used the Wilcoxon test. Whereas to see the comparison of the intervention group and the control group used to test two different groups used the mann withney test.. Satistic test result get p value = 0.0000 that means there is significant effect between before and after acupressure on intervention group, but there is no significant effect on control group get p value = 0,771. This therapy acupressure is recomended for solving Chephalgia, it means that we can give nursing complementary therapy for minimizingC.

scholarly journals THE INFLUENCE OF PROGRESSIVE MUSCLE RELAXATION TECHNIQUES ON DEPRESSION LEVEL OF CRONIC KIDNEY DISEASE PATIENT UNDERGOING HEMODIALYSIS THERAPY

2017 ◽  
Vol 1 (2) ◽  
pp. 111-121
Author(s):  
Ifa Roifah ◽  
Amar Akbar
Keyword(s):  
Kidney Disease ◽  
Muscle Relaxation ◽  
Muscle Tension ◽  
Disease Patient ◽  
Progressive Muscle Relaxation ◽  
Relaxation Technique ◽  
Control Group ◽  
P Value ◽  
Relaxation Techniques ◽  
Depression Level

Hemodialysis is a renal replacement therapy for patients with cronic renal disease who are decline of renal fuction. The complex therapy and physical condition of chronic kidney disease and hemodialysis patient involve a severe stressor that lead to depression. Progressive muscle relaxation technique is one of nonpharmacoloical therapies that treat depression. This research aimed to prove the influence of progressive muscle relaxation technique to changes in depression level in cronic kidney disease with hemodialysis in Dr. WahidinSudiroHusodoMojokertohospital. In this research design used is Quasy experiment with pre-test post-test control group design. Sample of 30 people were taken by simple random sampling. 15 people from experimental group were given routine progressive muscle relaxation technique in 2 times a day of the week and 15 people from control group were given not routine progressive muscle relaxation techniques in 2 day one time in a week . The research instrument was Beck Depression Inventory. Wilcoxon  Signed Rank Test shows that p value (0.001) < α (0.05), so it is accepted  that there is an effect of progressive muscle relaxation on the depression level of cronic kidney disease patient undergoing hemodialysis. To test the U-Mann Whitney shows that p value (0.005) < α (0.05), so that H0 is rejected it means there is different of the channge depression level between experiment group and the control group.this therapy can increase the production of melatonin and serotonin, reduce stress hormone cortisol. PMR also, lowering the muscle tension ,do make positive thinking so,  throught that is influence to decrease in depression level. Routine muscle relaxationdistractify the stressor everyday in training.

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