Studi Kasus: Ansietas pada Pasien Gagal Ginjal Kronik
Keywords:
ansietas, gagal ginjal kronis, hemodialisisAbstract
Dampak gagal ginjal kronis dapat menimbulkan masalah psikososial salah satunya ansietas berupa tanda dan gejala seperti sulit tidur, tekanan darah meningkt. Tujuan penelitian untuk memberikan gambaran asuhan keperawatan ansietas pada pasien gagal ginjal kronik dengan cara teknik relaksasi. Desain penelitian dengan studi kasus. Penelitian dilakukan selama 5 hari di ruang perawatan. Dimulai dari pengkajian sampai dengan evaluasi. Tindakan keperawatan ners yang diberikan yaitu relaksasi tarik napas dalam, distraksi dan hipnosis lima jari dan tindakan keperawatan ners spesialis yaitu CBT. Hasil yang didapatkan adalah hilangnya tanda dan gejala ansietas dan meningkatnya kemampuan Ny. S dalam mengatasi ansietas. Tindakan keperawatan ners dan ners spesialis dapat digunakan terhadap pasien gagal ginjal kronik yang mengalami ansietas fisik di rumah sakit umum.References
Agung Octa NR, Sulastri, Anita. (2017). Pengaruh Terapi Relaksasi Nafas dalam Terhadap Penurunan Tingkat Kecemasan pada Pasien PreOperasi Bedah Abdomen. Jurnal Keseahtan. Volume VIII. No. 2.
Annisa, D., & Ifdil. (2016). Konsep Kecemasan (Anxiety) Pada Lanjut Usia (Lansia). Jurnal Konselor Universitas Padang, 5(2), 93-99. Diunduh dari ejournal.unp.ac.id/index.php/konselor/article/download/6480/5041.
Arisjulyanto, D. (2018). Primary Health Care : Open Access The Effect of Progressive Muscle Relaxation Techniques to Decrease Blood Pressure for Patients with Hypertension in Mataram. Primary Health Care, 8(4), 10–13. 1079.1000309
Astuti, R. T., Amin, M. K., & Purborini, N. (2017). Efektifitas Metode Hipnoterapi Lima Jari (Hp Majar) Terhadap Tingkat Stres Akademik Remaja Di Smk Muhammadiyah 2 Kabupaten Magelang. Journal Of Holistic Nursing Science.
Cicero, Bruno, & Rosilene (2018). Decision-making process in the pre-dialysis CKD patients: do anxiety, stress and depression matter. 1Nephrology, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, São Paulo, Brazil 2Universidade Nove de Julho (UNINOVE), São Paulo, Brazil.
Departemen Kesehatan Repoblik Indonesia. (2014). Profil Kesehatan Indonesia 2012. Jakarta: Depertemen Kesehatan Republik Indnesia
Evangelista, T., Widodo, D., & Widiani, E. (2016). Pengaruh Hipnosis 5 Jari 34 Universitas Muhammadiyah Magelang Terhadap Tingkat Kecemasan Pasien Sirkumsisi Di Tempat Praktik Mandiri Mulyorejo Sukun Malang. Nursing News, 1, 63–74
Gullich, L., et al. (2013). Prevalence of patients admitted to a university hospital in southern Brazil and associated factors. Rev Bras Epidemol, 16 (3),644-657.
Hardwood, L., et al. (2008). Stressors and coping in individuals with chronic kidney disease. Nephrology Nursing Journal.
Haryanti, I. A., & Nisa, K. (2015). Terapi Konservatif dan Terapi Pengganti Ginjal sebagai Penatalaksanaan pada Gagal Ginjal Kronik. Majority, 49-54.
Hikmawati, R. Mubin, F., Livana, PH. (2013). Pengaruh pemberian hipnotis jari terhadap tingkat stres pada keluarga dalam merawat anggota keluarga gangguan jiwa berat di RSUD dr. H. Soewondo Kendal. Skripsi. Kendal: STIKes Kendal. Tidak dipublikasikan
Hill NR, Fatoba ST, Oke JL, Hirst JA, Callaghan CAO, Lasserson DS, Hobbs FDR. Global Prevalence of Chronic Kidney Disease – A Systematic Review and MetaAnalysis. PLoS One. 2016; 11(7): e0158765. doi: 10.1371/journal.pone.0158765
Ida, Krisna, Luknis (2015). Kecemasan Dan Lamanya Waktu Menjalani Hemodialisis Berhubungan Dengan Kejadian Insomnia Pada Pasien Gagal Ginjal Kronik. Depok: FIK.
Indonesian Renal Registry. (2014). 7th Report Of Indonesian Renal Registry. Program Indonesia Renal Registry. https://doi.org/10.2215/CJN.0237031
Iorga, M., Starcea, M., Munteanu, M., & Sztankovszky, L. (2014). Psychosocial and social problems of children with chronic kidney disease. European Journal of Science and Theology, 10(1), 179–188.
Jangkup, J. Y. K., Elim, C., & Kandou, L. F. J. (2015). Tingkat Kecemasan Pada Pasien Penyakit Ginjal. Jurnal E-Clinic.
Kemenkes RI. (2015). Riset Kesehatan Dasar 2015. Jakarta: Badan Peneitian dan Pengembangan Kesehatan.
Koon at all (2017). Prevalence and impact of anxiety and depression in Chinese peritoneal dialysis patients: A single center study. Department of Medicine, Queen Elizabeth Hospital, Hong Kong SAR.
Kozier,B.,Glenora Erb, Audrey Berman dan Shirlee J.Snyder. (2010). Buku Ajar Fundamental Keperawatan ( Alih bahasa : Esty Wahyu ningsih, Devi yulianti, yuyun yuningsih. Dan Ana lusyana ). Jakarta :EGC
M. Hussain & Baloch (2017). Prevalence of Anxiety and Depression in Chronic Kidney Disease Patients According to CKD Stages. Department of Nephrology, Rawal Institute of Health Sciences, Islamabad.
Moreira, J. M., Matta, S. M. da, Kummer, A. M. e, Barbosa, I. G., Teixeira, A. L., & Silva, A. C. S. e. (2014). Neuropsychiatric disorders and renal diseases: an update. Jornal Brasileiro de Nefrologia, 36(3), 396–400. https://doi.org/10.5935/0101-2800.20140056
Premkumar, P., Bream, D., Sapara, A., Fannon, D., Anilkumar, A. P., Kuipers, E., & Kumari, V. (2018). Pituitary volume reduction in schizophrenia following cognitive behavioural therapy. Schizophrenia Research, 192(2018), 416–422. https://doi.org/10.1016/j.schres.2017.04.035
Smeltzer, S.C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddart's Textbook of Medical-Surgical Nursing (12th ed.). Philadelphi: Lippincott.
Stuart, G. W. (2016). Principles and Practice of Psychiatric Nursing. (9th edition). St Louis. Canada: Mosby.Inc.
Sundara Y.T. (2014). Penyakit Di Indonesia, Sampai Dimana?. http://ppibelanda.org/penyakitginjal-di-indonesia-sampai-dimana/, diakses 21 November 2019.
Susanti, H., & Nasution, R. A. (2019). Modul terapi cognitive behaviour therapy pada klien yang mengalami risiko bunuh diri.
Untas, et al. (2013). The effects of hypnosis on anxiety, depression, fatigue, and sleepiness in people undergoing hemodialysis: a clinical report. Int J Clin Exp Hypn. 61(4):475-83. DOI: 10.1080/00207144.2013.810485.
Yusuf, Wahyu, & Anis (2017). Kecemasan Pasien gagal Ginjal Kronik Yang Akan Menjalani Hemodialisa Pertama kali Di RSUD DR. Moewardi. Stikes Kusuma Husada Surakarta: FIK
Wartilisan, Rinna & Abram. (2015). Hubungan Tindakan Hemodialisa Dengan Tingkat Kecemasan Klien Gagal Ginjal di Ruangan Dahlia RSUP Prof Dr.R. Kandou Manado. Universitas Sam Ratulangi: Program Studi Ilmu Keperawatan Fakultas Kedokteran
Wiederhold, et al. (2014). Virtual reality as a distraction technique in chronic pain patients. Cyberpsychology, Behavior and Social Networking, 17(6): 346– 352.DOI:10.1089/cyber.2014.02
Wim, Adriaan, & Carl (2015). Association of depressive and anxiety symptoms with adverse events in Dutch chronic kidney disease patients: a prospective cohort study. Loosman et al. BMC Nephrology (2015) 16:155 DOI 10.1186/s12882-015-0149-7Belanda
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Jurnal Ilmu Keperawatan Jiwa
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution 4.0 International License.
