Self Management terhadap Psychosocial Adjustment Pasien Penyakit Ginjal Kronis dengan Hemodialisa
Abstract: Patients with
chronic kidney disease have physical limitations due to chronic pain and they
should take regular hemodialysis therapy. The main cause of the deterioration
of the psychosocial state of the patients undergoing hemodialysis is the
failure to adapt to the current state of illness.To investigate the effect of
self-management (education and SEFT therapy) towards psychosocial adjustment in
patients with chronic kidney disease undergoing hemodialysis.The method used is
quasi experiment. The design used was pre-test and post-test with control group
design. This study used purposive sampling with 32 patients with chronic kidney
disease. The treatment provided is self-management with education and SEFT
therapy in patients with chronic kidney disease during hemodialysis therapy at
the hospital. The data collection used is questionnaire Pasychosocial
Adjustment to Illness Scale (PAIS). Result of researchshowed that the ability
of psychosocial adjustment patients on pre-test had mean value (x̄) PAIS:
103.12 to increase in post test with mean value (x̄) PAIS: 141,81. Based on the
results of wilcoxon test obtained p value 0.000, therefore p value <0.05,
the hypothesis of this study is accepted. It concluded the ability of
psychosocial adjustment of patients increases after participating educational
treatment and SEFT therapy. The engagement between patient, family and nurse
during the education period and SEFT therapy can improve the patient's
psychosocial adjustment as respond the changes in health status.
Keywords: hemodialysis;
kidney; psychosocial; therapy
Penulis: Astuti, Anggorowati,
Kusuma
Kode Jurnal: jpkeperawatandd170247