scholarly journals Effect of Life Review and Cognitive Therapy on Depression in Patients with Chronic Renal Failure

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Sutinah Sutinah Sutinah
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Cognitive Therapy ◽  
Comparison Group ◽  
Nursing Intervention ◽  
Life Review ◽  
Depression Score ◽  
Social Changes ◽  
Life Review Therapy ◽  
Depression Level

Patients with chronic renal failure suffer higher rates of depression because of psychological stress due to physical and social changes. Efforts to reduce depression level are needed. Cognitive therapy and life review therapy are believed to be effective in reducing depression. The aim of this study was to compare the effects of life review therapy alone and in combination with cognitive therapy on depression in patients with chronic renal failure. This study employed a quasi-experiment with a comparison group design. Fifty-six respondents were selected using a consecutive sampling, which thirty-six were assigned in the experiment and comparison group. Depression was measured using Beck Depression Inventory. Dependent and Independent t-test were used for data analyses. The results revealed that the combination of life review and cognitive therapy had a significant effect (p<.05) in reducing depression compared with the life review therapy alone. The average of depression score decreased in the experiment group from 27.04 (4.71) to 22.29 (4.24). But there was no significant change in the average of depression score in the comparison group from 26.54(4.18) to 26.71 (3.70). This therapy can be used as a complementary medicine to treat patients with chronic renal failure, specifically for those with depression, and it serves as a recommendation for nursing intervention in hemodialysis units.

scholarly journals Faktor yang berhubungan dengan tingkat depresi pada pasien gagal ginjal kronis yang menjalani tindakan hemodialisa

2020 ◽  
Vol 14 (1) ◽  
pp. 101-109
Author(s):  
Indra Maulana ◽  
Iwan Shalahuddin ◽  
Taty Hernawaty
Keyword(s):  
Chronic Kidney Disease ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Disease ◽  
Psychosocial Factors ◽  
Health Workers ◽  
Depression Score ◽  
Cross Sectional ◽  
Depression Level ◽  
The Impact

Psychosocial factors: The depression level  in patients with chronic kidney disease maintained on dialysisBackground: Chronic renal failure undergoing hemodialysis therapy in the world is almost 1.5 million people, and in Indonesia there are approximately 0.2 people with chronic renal failure undergoing hemodialysis therapy. The impact of hemodialysis on the physical that will occur in patients become weak tired in living their daily lives, against the psychological impact that will occur on sleep problems, impurity and depression, the impact on social and economic conditions that will occur to patients on social relationships, and on the environment the client will also have an impact on the social environment in which he lives. Therefore hemodialysis therapy will have an impact on the quality of life of patients.Purpose: To determine Psychosocial factors: the depression level  in patients with chronic kidney disease maintained on dialysisMethod: A descriptive correlational study by a cross sectional design approach. The sample used was 40 respondents, data collection techniques using questionnaires and direct observation with results calculated based on the total answers to questions given by respondents with criteria: score <17 = no sign of depression, score 18-24 = mild depression, score 25-34 = moderate depression and a score of 35-51 = severe depression, while the bivariate test used chi-squareResults: There was a relationship among factors such as: age, educational, sex, duration of maintaine of hemodialysis therapy and sleep patterns with the depression level in patients with chronic kidney disease under maintained on dialysis at Garut dr. Slamet Hospital.Conclusion: Health workers (nurses) to provide motivational and therapeutic informing in implementing hemodialysis therapy so that patients are more excited and better understand the importance of hemodialysis and to reduce the level of depression.Keywords: Depression level; Patients; Chronic kidney disease; DialysisPendahuluan: Penyakit gagal ginjal kronik yang menjalani terapi hemodialisis di dunia hampir sekitar 1,5 juta orang, dan di indonesi hampitr sekitar 0,2 jiwa penderita gagal ginjal kronik yang menjalani terapi hemodialisis. Dampak hemodialisis terhadap fisik yang akan terjadi pada pasien menjadi lemah lelah dalam menjalani kehidupan sehari-hari, terhadap psikologis dampak yang akan terjadi pada masalah tidur, kecemasaan dan depresi, dampak terhadap sosial dan ekonomi yang akan terjadi pada pasien pada hubungan sosialnya, dan pada lingkungan klien juga akan berdampak pada sosial lingkungan dimana dia tinggal. Maka dari itu terapi hemodialisis akan berdampak pada kualitas hidup pasien.Tujuan: Mengetahui faktor-faktor yang berhubungan dengan tingkat depresi pada pasien gagal ginjal kronis yang menjalani tindakan HemodialisaMetode: Menggunakan rancangan deskriptif korelasional dengan pendekatan desain cross sectional dengan sampel sebanyak 40 responden, teknik pengambilan data menggunakan kuesioner dan observasi langsung dengan hasil dihitung berdasarkan  total jawaban dari pertanyaan yang diberikan responden dengan kriteri skor <  17 = tidak ada depresi,  skor 18-24 = depresi ringan,  skor 25-34= depresi sedang dan skor 35-51= depresi berat                        sedangkan uji bivariat menggunakan chi-square.Hasil: Menunjukan adanya hubungan antara faktor : usia, pendidikan, jenis kelamin, lamanya periode menjalani terapi hemodialisa dan pola tidur. Semua faktor tersebut sangat  berhubungan dengan tingkat depresi pada pasien gagal ginjal kronik yang menjalani tindakan hemodialisa di Ruang Hemodialisa RSUD dr. Slamet Garut.Simpulan: Petugas kesehatan (perawat) agar memberikan motivasi dan terapeutik informing dalam pelaksanaan terapi hemodialisa agar pasien lebih bersemangat dan lebih memahami pentingnya hemodialisa serta untuk mengurangi tingkat depresi.

scholarly journals Efficacy of Life Review Therapy Intervention on Life Satisfaction Among Older Adults Living in Taiwan Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 382-382
Author(s):  
Ching-Teng Yao ◽  
Chia-Ju Lin
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Nursing Homes ◽  
Comparison Group ◽  
Intervention Group ◽  
Life Review ◽  
Daily Activities ◽  
Post Intervention ◽  
Comprehensive Therapy ◽  
Life Review Therapy

Abstract Life review therapy, used as part of a comprehensive therapy plan for increasing the quality of life of the elderly, helps them to resolve their past conflicts, and accept their present conditions. This study tested the effectiveness of a structured life review therapy protocol on the life satisfaction of institutionalized older adults. A quasi-experimental design was adopted in this study. Fifty older adults aged 65 or above were recruited from nursing homes in southern Taiwan through convenience sampling. The participants in the intervention group carried out life review therapy for eight weeks in addition to their daily activities. The participants in the comparison group maintained their daily activities. Both groups were evaluated using a life-satisfaction scale including two aspects of life worries and situations in weeks 1 and 8. Data were collected at baseline (T1), immediately post-intervention (T2). Generalized estimating equations were used to examine the effect of the intervention on the outcomes. The overall life satisfaction increased significantly over time for the intervention group compared to the comparison group from week 1 to week 8. The life review therapy programs showed promising effects in improving the life satisfaction of older adults living in nursing homes.

scholarly journals GAMBARAN TINGKAT DEPRESI PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Abdul Wakhid ◽  
Kamsidi Kamsidi ◽  
Gipta Galih Widodo
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Mild Depression ◽  
Cross Sectional ◽  
Self Worth ◽  
Depression Level ◽  
Quota Sampling

Pasien yang menjalani hemodialisis sebagian besar ketergantungan terhadap mesin hemodialisis yang mengakibatkan terjadinya perubahan seperti masalah finansial, kesulitan dalam mempertahankan pekerjaan, dorongan seksual yang menghilang, impotensi, dan berisikomengalami depresi.Tujuan penelitian ini untuk mengetahui gambaran tingkat depresi pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Kabupaten Semarang. Desain penelitian yaitu deskriptif korelatif dengan pendekatansurvei. Populasi penelitian 85 pasien yang menderita gagal ginjal kronik yang menjalani hemodialisis.Teknik sampling menggunakan quota sampling sehingga jumlah sampel penelitian yaitu 85 pasien gagal ginjal kronik yang menjalani hemodialisis. Pengumpulan data menggunakan kuesioner tingkat depresi. Analisis data menggunakananalisisunivariat. Hasil penelitian diperoleh sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisisdepresi ringan sejumlah 41 orang (48,2%). Saran bagi RSUD Kabupaten Semarang untuk memberikan pelayanan keperawatan yang holistik pada pasien gagal ginjal kronik yang sedang menjalani hemodialisis. Kata kunci: Tingkat depresi, gagal ginjal kronik, hemodialisis DESCRIBE DEPRESSION LEVEL OF CHRONIC KIDNEY FAILURE UNDERGOING HEMODIALYSIS ABSTRACTThis research is motivated patients under going hemodialysis are largely dependent on hemodialysis machines resulting in changes such as financial problems, difficulty in keeping jobs, disappearing exualurges, impotence, and patient softenex perience self – conceptual disturbances as well as body image disturb ancesdue to the difficulty of accepting changes that result from failure kidney that  experienced resulting in depressed patients. The research aim is to describe depression level of chronic kidney failure under going hemodialysis ar Semarang Regency hospital. This research used descriptive correlative method with cross sectional approach. Population in this research were 85% of patients with chronic renal failure who under went hemodialysis at RSUD Semarang Regency. Sampling technique used sample quota. Data collection questionnaires used depressi on level sand self concept questionnaires. Analysis univariat was used in this analysis. The results of the study show that most patients with chronic renal failure under going hemodialysis experience mild depression as many as 41 people (48.2%). Suggestions to the hospital toteach patients to always optimistic to try new things, courageous, confident, enthusiastic, feeling self worth, dareto set a goal to live, behave and positively, and can be a reliable leader. Keyword: Depression level, chronic kidney disease, hemodialysis 

scholarly journals PENGARUH TERAPI KOGNITIF TERHADAP TINGKAT KECEMASAN PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA

2018 ◽  
Vol 7 (1) ◽  
pp. 19-25
Author(s):  
Dian Eka Nurjanah
Keyword(s):  
Renal Failure ◽  
Data Analysis ◽  
Chronic Renal Failure ◽  
Cognitive Therapy ◽  
P Value ◽  
Average Difference ◽  
Before And After ◽  
Anxiety Patient ◽  
Paired T Test

Individuals with long- term hemodialysis often feel anxious about the pain condition that cannot be foreseen and disruption in their lives. The results of the survey conducted in hospitals Hemodialysis Space M. Yunus Bengkulu on 10 samples obtained, 6 of them experienced moderate anxiety and 4 patients experienced mild anxiety. The purpose of the study was to determine the effect of cognitive therapy on anxiety of patients with chronic renal failure undergoing hemodialysis therapy. This research is Pre Experimental design one group pretest-posttest. The population in this study were all patients with chronic renal failure undergoing hemodialysis therapy Hemodialysis Hospital in Space M. Yunus Bengkulu, which is 184 people . Samples taken by accidental sampling as many as 30 patients with chronic renal failure undergoing hemodialysis therapy . Data collected by direct interview to the patient. Data analysis was performed using univariate and bivariate Paired t-test at α 5 %. The results showed that the average anxiety patient with chronic renal failure undergoing hemodialysis therapy prior to cognitive therapy was 9.33 , while the average anxiety after cognitive therapy was 6.6. There was an average difference of anxiety before and after cognitive therapy , and there was a significant decrease between the average anxiety after cognitive therapy cognitive therapy than before in patients with chronic renal failure undergoing hemodialysis therapy Hemodialysis Hospital in Space M. Yunus Bengkulu ( p value = 0.000 ).

KONSEP DIRI PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 9 (1) ◽  
pp. 7-11
Author(s):  
Abdul Wakhid ◽  
Gipta Galih Widodo
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Chronic Kidney Failure ◽  
Self Concept ◽  
P Value ◽  
Mild Depression ◽  
Holistic Nursing ◽  
Body Image Disturbances ◽  
Depression Level

Pasien yang menjalani hemodialisis sebagian besar ketergantungan terhadap mesin hemodialisis yang mengakibatkan terjadinya perubahan seperti masalah finansial, kesulitan dalam mempertahankan pekerjaan, dorongan seksual yang menghilang, impotensi, dan pasien sering kali mengalami gangguan konsep diri serta gangguan citra tubuh karena kesulitan menerima perubahan yang terjadi akibat gagal ginjal yang dialaminya sehinggamengakibatkan pasien mengalami depresi. Desain penelitian yaitu deskriptif dengan pendekatansurvei. Populasi penelitian 85 pasien gagal ginjal kronik yang menjalani hemodialisis.Teknik sampling menggunakan quota samplingsehinggajumlah sampel penelitian yaitu 85 pasien gagal ginjal kronik yang menjalani hemodialisis.Pengumpulan data menggunakan kuesioner tingkat depresi dan kuesioner konsep diri. Hasil penelitian diperoleh sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisismemiliki konsep diri yang negatifsejumlah 52 orang (61,2%), sebagian besar pasien gagal ginjal kronik yang menjalani hemodialisis mengalami depresi ringan sejumlah 41 orang (48,2%). Ada hubungan secara signifikan antara konsep diri terhadap tingkat depresi pasien gagal ginjal kronik yang menjalani hemodialisis dengan nilai p-value 0,000 < α (0,05). Saran bagi rumah sakit, untuk memberikan pelayanan keperawatan yang holistik pada pasien gagal ginjal kronik yang sedang menjalani hemodialisis.   Kata kunci : Konsep diri, gagal ginjal kronik, hemodialisis   SELF-CONCEPT OF PATIENTS WITH CHRONIC RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Patients under going hemodialysis are mostly dependent on hemodialysis machines which result in changes such as financial problems, difficulty maintaining work, sex drive that disappears, impotence, and patients often experience self-concept disorder sand body image disturbances dueto difficulties receiving changes that occur dueto failure the kidneys they experiences that the patient experiences depression. The research design is descriptive with a survey approach. The study population was 85 patients with chronic renal failure who under went hemodialysis. The sampling techniqueuse squota sampling so that the number of study samples is 85 patients with chronic renal failur eunder going hemodialysis. Data collection using depression level questionnaire sand self-concept questionnaires. The results showed that most patients with chronic kidney failure who under went hemodialysis had a negative self-conceptof 52 people (61.2%), the majority of patients with chronic renal failure who under went mild depression experienced 41 people (48.2%). There is a significant relationship between self-concept and depression level of patients with chronic renal failure under going hemodialysis with a p-value of 0,000 <α (0,05). Advice for hospitals, to provide holistic nursing services for patients with chronic kidney failure who are under going hemodialysis.   Keywords: Self-concept, chronic kidney failure, hemodialysis

scholarly journals Pengaruh Relaksasi Dzikir terhadap Tingkat Kecemasan Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa

1970 ◽  
Vol 3 (1) ◽  
Author(s):  
Iin Patimah ◽  
Suryani S ◽  
Aan Nuraeni
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Rating Scale ◽  
Nursing Intervention ◽  
Anxiety Level ◽  
Pharmacological Intervention ◽  
Purposive Sampling ◽  
Before And After ◽  
The Impact ◽  
Hamilton Anxiety

Salah satu permasalahan psikologis yang paling sering ditemukan pada pasien gagal ginjal kronis (GGK) yang menjalani hemodialisis yaitu cemas. Kecemasan yang tidak diatasi dapat mengakibatkan dampak negatif untuk pasien. Salah satu intervensi nonfarmakologis untuk mengurangi kecemasan, yaitu dengan teknik relaksasi. Teknik relaksasi yang digunakan dalam penelitian ini adalah relaksasi dzikir, yaitu suatu metode yang memadukan antara relaksasi dan dzikir dengan fokus latihan pada relaksasi dan kata yang terkandung di dalam dzikir yang dapat memunculkan respon relaksasi. Tujuan penelitian ini adalah untuk melihat pengaruh relaksasi dzikir terhadap kecemasan pada pasien GGK yang menjalani hemodialisis di RSUD dr. Slamet Garut. Metode penelitian menggunakan pre experimental one group pre and post test design dengan jumlah sampel 17 responden yang diambil berdasarkan teknik purposive sampling. Penelitian ini mengukur skor kecemasan menggunakan instrument HAM-A (Hamilton Anxiety) sebelum dan sesudah intervensi relaksasi dzikir. Relaksasi dzikir dilaksanakan dua kali dalam sehari selama 2 hari, selanjutnya data dianalisa menggunakan uji t. Hasil penelitian menunjukan terdapat perbedaan yang bermakna antara tingkat kecemasan sebelum dan sesudah intervensi (p<0.005). Relaksasi dzikir berdampak positif dalam menurunkan tingkat kecemasan pasien GGK yang menjalani hemodialisis. Penggunaan relaksasi dzikir dapat dipertimbangkan sebagai salah satu intervensi keperawatan untuk mengatasi kecemasan pada pasien GGK yang menjalani hemodialisis di RSUD dr. Slamet Garut. Kata kunci: Dzikir, gagal ginjal kronis, hemodialisis, kecemasan, relaksasi. The Impact of Dzikir to The Level of Anxiety of Chronic Renal Failure Patient Undergoing Hemodialysis AbstractAnxiety disorder can be adversely impacting to the chronic renal failure (CRF) patients undergoing hemodialysis. Untreated anxiety could affect negatively both physiological and psychological and exacerbate the disorder. Dzikr relaxation is a methode that combines relaxation and repetitious of prayer (dzikr) which focused on relaxation technique and the words contained in the dzikr can be a non-pharmacological intervention to reduce anxiety with leading relaxation respons. Thus, the purpose of this study was to examine the effect of dzikr relaxation intervention to the anxiety level of CRF patients undergoing hemodialysis in dr. Slamet Garut Hospital. Method and Design this research involving 17 participants, taken through purposive sampling, completed dzikr relaxation twice a day for two days period. Hamilton Anxiety Rating Scale (HAM-A) was used to assess anxiety level both before and after treatment. Current study used One-group pretest-posttest design and T-test was used for the analysis by the time all data have been completely gathered. The result showed there was a significant contrast of anxiety level for all participants before and after dzikr intervention (P<0.005). The average of participant anxiety scores is 18 (mild to moderate anxiety) before treatment whereas found 13 point (mild) in average for anxiety score post treatment. The anxiety scores decreased 3 to 6 points from initial scoring subsequent to participants completed dzikr relaxation. Dzikr relaxation can be considered as one of nursing intervention in mitigating anxiety disorder for CRF patients during hemodialysis treatment in dr. Slamet Garut Hospital.Key words: Anxiety, Chronic Renal Failure, dzikr, hemodialysis, relaxation.

scholarly journals Optimal Time of Thermotherapy for Reducing Pain, Anxiety, and Side Effects in Arteriovenous Fistula Puncture Patients: A Randomized Controlled Trial

2020 ◽  
Vol 17 (19) ◽  
pp. 7147
Author(s):  
Yangok Back ◽  
Yoonyoung Lee
Keyword(s):  
Renal Failure ◽  
Randomized Controlled Trial ◽  
Chronic Renal Failure ◽  
Side Effects ◽  
Arteriovenous Fistula ◽  
Controlled Trial ◽  
Nursing Intervention ◽  
Control Group ◽  
Pain Anxiety ◽  
Randomized Controlled

Chronic renal failure patients undergoing hemodialysis complain of moderate pain from repeated punctures of the arteriovenous fistula. This study examined the optimal application time of thermotherapy for reducing pain, anxiety, and side effects during arteriovenous fistula puncture. This study was conducted as a single-blinded randomized controlled trial. The participants were arteriovenous fistula puncture patients with chronic renal failure who were divided into two thermotherapy groups and one control group. This study was approved by the institutional review board and registered with the Clinical Research Information Service (KCT0003768). Differences between groups regarding pain, anxiety, and side effects were analyzed using one-way ANOVA, the χ2 test, and the Scheffé test. A significant difference was observed between the 10-min and 20-min thermotherapy groups and the control group in terms of the pain they experienced. Additionally, more side effects were encountered in the 20-min thermotherapy group than in the 10-min group. The 10-min application of thermotherapy for an arteriovenous fistula puncture showed the same pain-reducing effect as the conventional 20-min application. The study confirmed a 10-min application of thermotherapy to be an effective nursing intervention for pain relief without side effects.

Sign in / Sign up

Export Citation Format

Share Document