Efektivitas Relaksasi Benson Terhadap Kecemasan Pasien Yang Menjalani Hemodialisa

Isnaini Nur Anisah(1*), Arina Maliya(2),

(1) Universitas Muhammadiyah Surakarta
(2) Universitas Muhammadiyah Surakarta
(*) Corresponding Author
DOI: https://doi.org/10.23917/bik.v14i1.12226

Abstract

Pendahuluan: Penyakit gagal ginjal merupakan gangguan fungsi ginjal yang terjadi saat tubuh tidak bisa mempertahankan metabolisme, keseimbangan cairan serta elektrolit sehingga menyebabkan terjadinya retensi urea dan sampah nitrogen dalam darah. Hemodialisa menjadi pilihan terapi untuk mengatasi gagal ginjal kronik. Hemodialisa dilakukan dengan alat khusus untuk mempertahankan fungsi ginjal dengan menyeimbangkan kadar elektrolit dan keseimbangan cairan tubuh. Hemodialisa yang dilakukan dalam waktu lama dapat menyebabkan gangguan pada aspek biologis maupun aspek psikologis bagi pasien hemodialisa. Sebanyak 48,6 % pasien hemodialisa mengalami gangguan kecemasan. Salah satu non-farmakologi terapi untuk mengurangi kecemasan yaitu relaksasi benson yang dilakukan selama 15-20 menit setiap pagi dan sore hari. Tujuan dari penelitian untuk mengetahui efektivitas relaksasi benson terhadap kecemasan pada pasien yang menjalani hemodialisa. Metode yang digunakan untuk penelitian ini adalah studi literature review dengan membandingkan beberapa literature dari penelusuran situs jurnal seperti Sciendirect, PubMed, Elsevier dan Google Schoolar Hasil Penelitian menunjukkan relaksasi benson yang dilakukan sehari 2 kali selama 15-20 menit efektif untuk mengatasi masalah kecemasan pada pasien yang melakukan hemodialiasa. Kesimpulan: relakasi benson efektif dan bekerja dengan baik dalam menurunkan kadar kecemasan pada pasien hemodialisa Kata Kunci : gagal ginjal kronik, Hemodialisa, Cemas, Relaksasi Benson. Abstract: Introduction: Kidney failure is a disorder of kidney function that occurs when the body cannot maintain metabolism, fluid and electrolyte balance, causing retention of urea and nitrogen waste in the blood. Hemodialysis is a therapeutic option for treating chronic renal failure. Hemodialysis is performed with special tools to maintain kidney function by balancing electrolyte levels and body fluid balance. Hemodialysis that is carried out for a long time can cause disturbances in biological and psychological aspects for hemodialysis patients. As many as 48.6% of hemodialysis patients experienced anxiety disorders. One of the non-pharmacological therapies to reduce anxiety is benson relaxation which is done for 15-20 minutes every morning and evening. The aim of this study was to determine the effectiveness of Benson relaxation on anxiety in patients undergoing hemodialysis. The method used for this research is a literature review study by comparing some literature from searching journal sites such as Sciendirect, PubMed, Elsevier and Google Schoolar. The results showed that Benson relaxation which is carried out twice a day for 15-20 minutes is effective in overcoming anxiety problems in patients with do regular hemodialysis. Conclusion: Benson Relaxation is effective and works well in reducing anxiety levels in hemodialysis patients Keywords: chronic renal failure, hemodialysis, anxiety, Benson Relaxation

Keywords

gagal ginjal kronik; Hemodialisa; Cemas; Relaksasi Benson.

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References

Agustriadi, O. (2019). Hubungan Antara Perubahan Volume Darah Relatif dan Episode Hipotensi Intradialitik Selama Hemodialisis pada Gagal Ginjal Kronik (Karya Akhir). Denpasar: Universitas Udayana

Anisa Nuri Kurniasari, Harmilah, Anita Kustanti. The Effect Benson Relaxation Technique with Anxiety In Hemodialysis Patients In Yogyakarta. Indonesian of Journal Nursing Practice.Volume 1 No 1 Desember 2016. DOI Number : 10.18196/ijnp.1149

Amalia, F. N. (2015). Gambaran Tingkat Depresi pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RSUP DR. M. Djamil Padang. Jurnal Kesehatan Andalas; 4(1), 115-121.

Bystritsky, A., Sahib, S. K., Michael, E. C., et al. 2013. Current Diagnosis and Treatment of Anxiety Disorders. Pharmacy and Therapeutics, 38(1): 41-44

Brunner & Suddarth. Keperawatan Medikal Bedah. Jakarta:EGC. 2015

Cahyono, A. (2013). Pengaruh Teknik Relaksasi Religius Terhadap Pemenuhan Kebutuhan Tidur Pada Lanjut Usia Di Panti Werdha Mojopahit MOJOKERTO. MEDICA MAJAPAHIT Vol 5. No. 1, 12-21.

Dusek J.A dan Benson H. 2019. Mind Body medicine: A model of the comparative clinical impact of the acute stress and relaxation responded. Minnesota Medical Association. Volume 92 No.5

Elali ES, mahdavi a, jannati Y, Yazdani J, Setareh J. Effect of Benson Relaxation Response on Stress Among in Hemodialysis Patients. Journal of Mazandaran University of Medical Sciences.2017;22(91):61-8.

Eman Baleegh Meawad Eksayed. Eman Hasan Mounir Rradwan, Neamit Ibrahim Eleman. Abdel Hady El. The Effect of Benson's Relaxation Technique on Anxiety, Depression and Sleep Quality of Elderly Patients Undergoing Hemodialysis. International Journal of Nursing Didactics, 9: (02) February (2019). https://doi.org/10.15520/ijnd.v9i02.2443

Feyzi H, Khaledi paveh B, Hadadian F, Rezaie M, Ahmadi M. Investigating the effects of Benson’s relaxation technique on quality of life among patients receiving hemodialysis. Iranian Journal of Critical Care Nursing. 2015;8(1):13-20.

Gorji, H., Davanloo, A., & Heidarigorji. (2015). The efficacy of relaxation training on stress, anxiety, and pain perception in hemodialysis patients. Indian Journal of Nephrology, 356-361.

Georgani. G, Babatsikou. F, Polikandrioti. M, Grapsa, E., Management of Anxiety and depression in hemodyalisis patients: the role of non-pharmacological methods. 2018. Diakses tanggal 21 Juli 2020

Hill, N. R. (2016). Global Prevalence of chronic kidney disease: A systematic review and meta-analysis. ploS One One, 11(7), e0158765. https://doi.org/10.5414/CNP71244

Heshmatifar n, sadeghi h, mahdavi a, shegarf nahaee M, Rakhshani M. The Effect of Benson Relaxation Technique on Depression in Patients Undergoing Hemodialysis. Journal of Babol University Of Medical Sciences. 2015;17(8):34-40

Kaltsouda, A., Skapinakis, P., Domigos, D., Ikonomou, M., Kalaitzidis, R., Mavreas, V., et al. (2011). Defensive Coping and Health Related Quality of Life in Chronic Kidney

Kiani Fateemah, Ali Hasan M, Shahrakipaour Mahnaz. 2017. The effect of benson’s relaxation method on hemodialysis patient’s anxiety. Journal of Medical Research. 2017. 28 (3) ; 1075-1080

Kementrian Kesehatan RI. Info datim Pusat Data dan Informasi Kementrian Kesehatan RI. 2017. Diakses Tanggal 20 Juli 2020

Luyckx, V. A., Stanifer, J. W., & Tonelli, M. (2018). seWorld Health Organization. Global Burden Of Kidney Disea. Bulletin of the World Health Organization, March, 414–422. https://www.who.int/bulletin/volumes/96/6/17-206441-ab/es/

Mahdavi A, Gorji MAH, Gorji AMH, Yazdani J, Ardebil MD. Implementing benson's relaxation training in hemodialysis patients: Changes in perceived stress, anxiety, and depression. North American journal of medical. 2018;5(9):536.Melo OS, Ribeiro LRR, Costa ALRC et al. 2015. Community Impact of Integritas Therapy for Renal Patients People During Session Hemodialysis. ISSN 2175-5362

Maryam, Siti. (2017). Mengenal Usia Lanjut dan Perawatannya. Jakarta: Salemba Medika

Ningtyas Ajeng R, Melyani Puspita I, Kurnia Sinuraya R. (2018). Review Artikel: Farmakoterapi depresi dan pengaruh jenis kelamin yerhadap efuikasi antidepresan. Farmaka Suplemen Jurnal Vol 16 No 2

Nur Adliah, Wan Nasrudin. 2018. Pengurusan Stress Melalui Pendekatan Istighatsah. Journal Al Banjari. Vol.17 ,No 2,Juli-Desember 2018. DOI:10.18592/al-banjari.vl7i1.1922

Purwanto. 2016. Relaksasi Dzikir. Jurnal Psikologi Universitas Muhammadiyah Semarang. 18(1):6-48

Rambod, M. et al. (2013). The efffect of Benson’s relaxation technique on the quality of sleep of Iranian hemodyalisis patients: A randomized trial complementary Therapies in medicine. Iran Journal of Nursing. [Research]. 2014;27(90):22-32.

Riset Kesehatan Dasar. Badan Penelitian dan Pengembangan Kesehatan Kementrian RI tahun 2019

Rocco, M., Daugirdas, J. T., Depner, T. A., Inrig, J., Mehrotra, R., Rocco, M. V., Suri, R. S., Weiner, D. E., Greer, N., Ishani, A., MacDonald, R., Olson, C., Rutks, I., Slinin, Y., Wilt, T. J., Kramer, H., Choi, M. J., Samaniego-Picota, M., Scheel, P. J., … Brereton, L. (2015). KDOQI Clinical Practice Guideline for Hemodialysis Adequacy: 2015 Update. American Journal of Kidney Diseases, 66(5), 884–930. https://doi.org/10.1053/j.ajkd.2015.07.015

Santarsieri and Schwartz. 2015. Antidepressant efficacy and side-effect burden: a quick guide for clinicians. Drugs Context. 4:212290

Sarsito. 2015. Pengaruh Terapi Relaksasi Benson Terhadap Penurunan Tingkat Stress Kerja Pada Karyawam di PT. Tri Cahya Purnama Semarang.Skripsi STIKES Telogorejo, Semarang

Sompie E.M, Kaunang T.M.D, Munayang. H. Hubungan Antara Lama Menjalani Hemodialisa dengan Depresi pada pasien PGK di RSUP Prof. Dr. R. Kondou Manado. Journal e-Clinic (eCI). 2015;13(1):1-5

Talo, V. B., Kandarini, Y., Loeman, J. S., Sudhana, W., Widiana, G. R., & Suwitra, K. (2015). Gangguan Kualitas Tidur Pada Pasien Hemodialisis. Bali.

Tjay, T. H. & Rahardja, K., 2010. Obat Obat Penting. Jakarta: Elex Media Komputindo

Wiwit Agus S et all.2017. Efektivitas relaksasi benson terhadap penurunan stress dan peningkatan kualitas tidur pada pasien hemodialisa. Skripsi

Wells, B. G., Dipiro, J. T., Schwinghammer, T. L. & Dipiro, C. V.,2019. Pharmacotheraphy Handbook Seventh Eedition. New York: The McGraw-Hill Companies

Wijayanti, N. F., Irawanto, M. E., & Murti, B. (2016). Difference of Self Directed Learning Readiness Between Introvert and Extrovert Personality Type Among Medical Students. Indonesian Journal of Medicine, 1(3), 194–200. https://doi.org/10.26911/theijmed.2017.02.01.07

Otaghi M, Bastami M, Borji M, Tayebi A, Azami M. The Effect of Continuous Care Model on the Sleep Quality of Hemodialysis Patients. Nephrourol Mon. 2016. 9;8(3):e3546

Zakeerie Moghadam M, Shaban M. Mehran A, Hashem S. Effect of Muscle Relaxation on Anxiety of Patients Undergo Cradiac Catheterixation. Journal Faculty Nurs Midwife .2016; 1664-71

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