PENGARUH MEDITASI MINDFULLNESS TERHADAP KECEMASAN PADA PASIEN HEMODIALISA DI BADAN LAYANAN UMUM DAERAH (BLUD) UNIT PELAKSANA TEKNIS (UPT) PUSKESMAS MEGANG SAKTI
Abstract
ABSTRAK
Latar Belakang :Â Latihan mindfulness juga berkaitan dengan peningkatan fungsi kekebalan tubuh, penurunan tekanan psikologis, peningkatan kesejahteraan, mengurangi kecemasan dan meningkatkan empati dan kasih sayang. Masalah penelitian adalah masih banyaknya pasien hemodialisa yang mengalami kecemasan. Tujuan penelitian adalah diketahui pengaruh meditasi mindfullness terhadap kecemasan pada pasien hemodialisa di Badan Layanan Umum Daerah (BLUD) Unit Pelaksana Teknis (UPT) Puskesmas Megang Sakti.
Metode : Jenis penelitian menggunakan rancangan penelitian quasi eksperimental dengan pre test dan post test. Populasi sebanyak 53 orang dan sampel sebanyak 10 orang. Jenis data penelitian adalah data primer dan sekunder. Analisis data pada penelitian ini menggunakan statistik uji paired t-test.
Hasil : Hasil penelitian adalah nilai rata-rata kecemasan pada pasien hemodialisa sebelum adalah 17,60 dan setelah meditasi mindfullness adalah 8,50. Simpulan ada pengaruh Meditasi Mindfullness Terhadap Kecemasan pada pasien hemodialisa di Badan Layanan Umum Daerah (BLUD) Unit Pelaksana Teknis (UPT) Puskesmas Megang Sakti, uji statistik t-test didapatkan r value = 0,000, berarti < 0,05 (α).
Saran : Saran dalam penelitian bagi Badan Layanan Umum Daerah (BLUD) Unit Pelaksana Teknis (UPT) Puskesmas Megang Sakti melakukan sosialisasi kepada seluruh pegawai agar bisa mempraktikan terapi mindfulness dan dapat menerapkan SOP terapi mindfulness dalam penatalaksanaan pada pasien dengan kasus kecemasan pada pasien hemodialisa.
Kata Kunci :Â Meditasi Mindfullness, Kecemasan, Hemodialisa.
Â
ABSTRACT
Background : Mindfulness practice is also related to increased immune function, decreased psychological stress, increased well-being, reduced anxiety and increased empathy and compassion. The research problem is that many hemodialysis patients still experience anxiety. The purpose of the study was to determine the effect of mindfulness meditation on anxiety in hemodialysis patients at the Regional Public Service Agency (BLUD) Technical Implementation Unit (UPT) Megang Sakti Health Center.
Methods : The population was 53 people and the sample was 10 people. The types of research data are primary and secondary data. Data analysis in this study used paired t-test statistics.
Results : The results of the study were that the average anxiety score in hemodialysis patients before was 17.60 and after mindfulness meditation was 8.50. Conclusion There is an effect of Mindfullness Meditation on Anxiety in hemodialysis patients at the Regional Public Service Agency (BLUD) Technical Implementation Unit (UPT) Megang Sakti Health Center, the statistical t-test obtained r value = 0.000, meaning <0.05 (α). Suggestions in the study for the Regional Public Service Agency (BLUD) Conclusion : Technical Implementation Unit (UPT) Megang Sakti Health Center to conduct socialization to all employees so that they can practice mindfulness therapy and can apply the SOP for mindfulness therapy in the management of patients with anxiety cases in hemodialysis patients.
Keywords: Mindfulness Meditation, Anxiety, Hemodialysis.
References
DAFTAR PUSTAKA
Alimuddin.T.A. (2020). Efektivitas Spiritual Midnfulness Based On Breathing Exercise terhadap Kecemasan Pasien Dabetes Melitus. NERS JOURNAL AWAL BROS http://ojs.stikesawalbrosbatam.ac.id/index.php/NersJournal e-ISSN: 2721-6659
Ardiansyah, F., Shinta, S., & Amita, D. (2021). Acceptance and commitment therapy (ACT) for patients with chronic renal failure. Malahayati International Journal of Nursing and Health Science, 4(1), 51-56.
Aristin, r. P. (2022). Gambaran kadar hemoglobin pada pasien gagal ginjal kronik yang menjalani hemodialisa di rumah sakit umum bahteramas provinsi sulawei tenggara
Awaliyah and Yunani, Sri Astuti (2022) Penerapan Mindfulness Terhadap Kecemasan Pada Pasien Penyakit Ginjal Kronik (PGK) Yang Menjalankan Hemodialisa Di RSUD Kota Bogor. Diploma thesis, Poltekkes kemenkes Bandung.
Cohen, S. D., Cukor, D., & Kimmel, P. L. (2016). Anxiety in patients treated with hemodialysis. Clinical Journal of the American Society of Nephrology, 11(12), 2250–2255.
Ernst, A. F., & D’Mello, D. (2020). Efficacy of a brief mindfulness intervention upon anxiety in early psychosis patients. Early Intervention in Psychiatry, 14(4), 503–506. https://doi.org/10.1111/eip.12902
Gotink, R. A., Chu, P., Busschbach, J. J. V, Benson, H., Fricchione, G. L., & Hunink, M. G. M. (2015). Standardised mindfulness-based interventions in healthcare: an overview of systematic reviews and meta-analyses of RCTs. PloS One, 10(4), e0124344.
Hargett, J. L., & Criswell, A. C. (2019). Nonpharmacological interventions for acute pain management in patients with opioid abuse or opioid tolerance: a scoping review protocol. JBI Database of Systematic Reviews and Implementation Reports, 17(7), 1283–1289. https://doi.org/10.11124/JBISRIR-2017- 003878
Hidayat, A. A. (2021). Menyusun Instrumen Penelitian & Uji Validitas-. Reliabilitas. Health Books Publishing. Hal. 12.
Kementerian Kesehatan RI. (2018). Riset kesehatan Dasar. http://www.depkes.go.id/article/vi ew/18110200003/potret-sehat
Kholifah. 2023. Hubungan Frekuensi Hemodialisis Dengan Kadar Hemoglobin Pada Pasien Gagal Ginjal Kronis Atau Chronic Kidney Disease (CKD) Di RSD Balung. Universitas dr. Soebandi, Jember.
Kopple, J. D., Shapiro, B. B., Feroze, U., Kim, J. C., Zhang, M., Li, Y., & Martin, D. J. (2017). Hemodialysis treatment engenders anxiety and emotional distress. Clinical Nephrology, 88(4), 205.
Makarim. 2023. Artikel/ini-cara-menerapkan-mindfulness-untuk-jaga-kesehatan-mental.
Nidayatul, awaliyah and Yunani, Sri Astuti (2022). Penerapan Mindfulness Terhadap Kecemasan Pada Pasien Penyakit Ginjal Kronik (PGK) Yang Menjalankan Hemodialisa Di RSUD Kota Bogor. Diploma thesis, Poltekkes kemenkes Bandung.
Ratcliff, C. G., Prinsloo, S., Chaoul, A., Zepeda, S. G., Cannon, R., Spelman, A., Yang, W. T., & Cohen, L. (2019). A Randomized Controlled Trial of Brief Mindfulness Meditation for Women Undergoing Stereotactic Breast Biopsy. Journal of the American College of Radiology, 16(5), 691–699. https://doi.org/10.1016/j.jacr.2018.09.009
Rifai, A. (2022). Hemodialisis. Ilmu penyakit Dalam, https://scholarhub.ui.ac.id/cgi/viewcontent.cgi?article=1079&context=jpdi.
Sari, Nababan dan Dauly. 2023. Pengaruh Meditasi Mindfullnessterhadap Perubahan Cemas. Jurnal Kesehatan, vol 12,no.1, Edisi Juni 2023, pISSN: 2301-783X, eISSN: 2721-8007.
Sarizadeh, M. S., Rafienia, P., Sabahi, P., & Tamaddon, M. R. (2018). The effectiveness of acceptance and commitment therapy on hemodialysis patients’ quality of life: a randomized educational trial study. Journal of Rafsanjan University of Medical Sciences, 17(3), 241–252
Siregar, W. M., Tanjung, D., & Effendy, E. (2022). Efektivitas Terapi Musik Alam terhadap Tingkat Kecemasan pada Pasien Hemodialisis. Journal of Telenursing (JOTING), 4(2), 428– 438. https://doi.org/10.31539/joting.v4i2.2692
Sohn, B. K., Oh, Y. K., Choi, J.-S., Song, J., Lim, A., Lee, J. P., An, J. N., Choi, H.-J., Hwang, J. Y., & Jung, H.-Y. (2018). Effectiveness of group cognitive behavioral therapy with mindfulness in end-stage renal disease hemodialysis patients. Kidney Research and Clinical Practice, 37(1), 77.
Stinson, C., Curl, E. D., Hale, G., Knight, S., Pipkins, C., Hall, I., White, K., Thompson, N., & Wright, C. (2020). Mindfulness Meditation and Anxiety in Nursing Students. Nursing Education Perspectives, 41(4), 244–245. https://doi.org/10.1097/01.NEP.00000000000 00635
Tokala, B. F., Kandou, L. F. J., & Dundu, A. E. (2015). Hubungan antara lamanya menjalani hemodialisis dengan tingkat kecemasan pada pasien dengan penyakit ginjal kronik di rsup prof. Dr. RD Kandou manado. E-CliniC, 3(1).
Ulumy, m. L., agus, j. T., & ramlan, d. (2022). Edukasi kesehatan pasien dengan hemodialisa. Kediri: lembaga chakra brahmanda lentera.
Wahyuni, S. E., Daulay, W., Purba, J. M., & Nasution, M. L. (2022). The Influence of Online Cognitive Behavior Therapy Applications on Nurse’s Anxiety during the COVID-19. Open Access Macedonian Journal of Medical Sciences, 10(G), 354–357. https://doi.org/10.3889/oamjms.2022.8128
Zuliani, malinti, e., faridah, u., rahmi, r. R., malisa, n., mandias, r., Suwarto, t. (2021). Gangguan pada sistem perkemihan. Yayasan kita menulis.
