Efektivitas Terapi Humor terhadap Tingkat Anxiety pada Pasien Penyakit Kronis: “A Systematic Reviewâ€
Keywords:
depresi, kecemasan, penyakit kronik, terapi humorAbstract
Penyakit kronis merupakan kondisi sakit dengan waktu yang lama dapat menimbulkan kecemasan. Beberapa intervensi yang dapat dilakukan untuk mengurangi kecemasan diantaranya adalah terapi spiritual, konseling kelompok, terapi kognitif (penguatan persepsi positif), pendidikan kesehatan dan terapi tawa/humor. Terapi tawa dapat menurunkan tingkat kecemasan dan untuk mengurangi kecemasan. Terapi tawa dapat menjadi intervensi yang ekonomis dalam mengurangi stres dan melawan emosi negatif di lingkungan yang penuh tekanan. Review ini bertujuan untuk mengidentifikasi dan menganalisa tentang efektivitas pemberian terapi humor terhadap tingkat kecemasan pasien dengan penyakit kronik di pelayanan kesehatan. Desain studi ini merupakan systematic review, serta mempergunakan PRSIMA chekslist sebagai metode untuk meninjau secara sistematis artikel dari database. Pencarian artikel menggunakan database PubMed, Clinical Key Nursing, dan Proquest yang diterbitkan 5 tahun terakhir yaitu dari 2015 - 2020, Jumlah artikel yang diperoleh dari hasil pencarian yaitu 634.373 artikel. Artikel yang diinklusi pada review ini berupa original research, artikel berupa penelitian kuantitatif, setiap studi dengan penilaian hasil berupa perubahan / penurunan anxiety atau kecemasan terhadap pasien kronis dalam pemberian terapi humor, dan berbahasa Inggris atau Indonesia. Pertanyaan penelitian menggunakan metode PICOT (P : chronic disease, I : humor therapy, C : -, O : anxiety, T : -). Akan tetapi hanya 6 artikel yang masuk dalam kategori kriteria inklusi. Hasil pencarian diperoleh artikel yang RCT sebanyak 5 artikel dan dianalisa serta dikritisi menggunakan CASP – RCT dan artikel yang Quasi-Experimental sebanyak 1 artikel serta dianalisa dan dikritisi menggunakan JBI Critical Apprasial Checklist. Sedangkan untuk penentuan grade dan level setiap artikel yang diperoleh menggunakan OCEBM tools. berdasarkan tinjauan sistematis, didapatkan hasil bahwa terapi humor dapat mengurangi tingkat kecemasan pada pasien dengan penyakit kronis.References
American Psychological Association. (2021). Anxiety.
Bennett, P. N., Hussein, W. F., Reiterman, M., Yu, J., & Schiller, B. (2020). The effects of laughter therapy on depression symptoms in patients undergoing center hemodialysis: A pragmatic randomized controlled trial. Hemodialysis International, 24(4), 541–549. https://doi.org/10.1111/hdi.12870
Bennett, P. N., Parsons, T., Ben-Moshe, R., Neal, M., Weinberg, M. K., Gilbert, K., Ockerby, C., Rawson, H., Herbu, C., & Hutchinson, A. M. (2015). Intradialytic Laughter Yoga therapy for haemodialysis patients: A pre-post intervention feasibility study. BMC Complementary and Alternative Medicine, 15(1), 1–7. https://doi.org/10.1186/s12906-015-0705-5
CASP. (2017). Critical Appraisal Skills Programme (Randomised Controlled Trial). Critical Appraisal Skills Programme, 0317(2017), 1–5.
CASP. (2018). Critical appraisal skills programme (CASP).
Dewina, A., Emaliyawati, E., & Praptiwi, A. (2018). Death anxiety level among patients with chronic renal failure undergoing hemodialysis. Journal of Nursing Care, 1(1).
Edmealem, A., & Olis, C. S. (2020). Factors Associated with Anxiety and Depression among Diabetes, Hypertension, and Heart Failure Patients at Dessie Referral Hospital, Northeast Ethiopia. Behavioral Neurology.
Eriksen, M. B., & Frandsen, T. F. (2018). The impact of PICO as a search strategy tool on literature search quality: A systematic review. Journal of the Medical Library Association, 106(4), 420–431. https://jmla.pitt.edu/ojs/jmla/article/view/345/726
Genç, H., & Saritas, S. (2020). The effects of watching comedy videos on anxiety and vital signs in surgical oncology patients. Explore, 16(6), 401–406. https://doi.org/10.1016/j.explore.2020.02.009
Gonot-schoupinsky, F., & Garip, G. (2018). Laughter and humour interventions for well-being in older adults : A systematic review and intervention classification Complementary Therapies in Medicine Laughter and humour interventions for well-being in older adults : A systematic review and intervent. Complementary Therapies in Medicine, 38(August 2019), 85–91. https://doi.org/10.1016/j.ctim.2018.04.009
House, A., & Stark, D. (2002). ABC of psychological medicine: Anxiety in medical patients. BMJ, 325, 207–209.
Kim, S. H., Kim, Y. H., & Kim, H. J. (2015). Laughter and Stress Relief in Cancer Patients: A Pilot Study. Evidence-Based Complementary and Alternative Medicine, 2015. https://doi.org/10.1155/2015/864739
Lee, Y. J., Kim, M. A., & Park, H. J. (2020). Effects of a laughter programme with entrainment music on stress, depression, and health-related quality of life among gynaecological cancer patients. Complementary Therapies in Clinical Practice, 39(August 2019), 101118. https://doi.org/10.1016/j.ctcp.2020.101118
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. . (2009). Supplement-additional resources: Systematic reviews and meta-analyses: The prisma statement. Annals of Internal Medicine, 151(4), 264–269.
Morishima, T., Miyashiro, I., Inoue, N., Kitasaka, M., Akazawa, T., Higeno, A., Idota, A., Sato, A., Ohira, T., Sakon, M., & Matsuura, N. (2019). Effects of laughter therapy on quality of life in patients with cancer: An open-label, randomized controlled trial. PLoS ONE, 14(6), 1–15. https://doi.org/10.1371/journal.pone.0219065
Rokhmat, R., Juniarto, A. Z., & Ropyanto, C. B. (2020). Descriptive study of anxiety among chronic kidney disease patients underwent hemodialysis: Pilot study. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 5(1).
Shoar, S., Naderan, M., Aghajani, M., Sahimi-Izadian, E., Hosseini-Araghi, N., & Khorgami, Z. (2016). Prevalence and Determinants of Depression and Anxiety Symptoms in Surgical Patients. Oman Med J, 31(3), 176–181.
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