Penerapan Relaksasi Benson Kombinasi Unsur Keyakinan untuk Menurunkan Kecemasan pada Pasien CKD yang Menjalani Hemodialisa: Studi Kasus

https://doi.org/10.22146/jkkk.82351

Rovi Apriani Eka Suci(1*), Laili Nur Hidayati(2)

(1) Universitas Muhammadiyah Yogyakarta
(2) Universitas Muhammadiyah Yogyakarta
(*) Corresponding Author

Abstract


Background: Benson relaxation is one of non-pharmacological therapies that helps patients deal with their anxiety, thus becomes a viable option. By reducing the body’s need for oxygen and allowing the muscles to relax, the Benson Relaxation Technique which is combined with belief elements, may induce comfort and peace feelings.
Objective: To evaluate the effectiveness of the Benson relaxation therapy intervention with the combination of belief elements to reduce anxiety in a CKD patient who was receiving hemodialysis.
Case report: A 70-year-old man was diagnosed with chronic kidney disease (CKD) stage V. After the first hemodialysis, this patient had complained about his feeling of limp, nausea, and queasy body, fear and anxiety about his condition, and restless sleeping. Patient was given Benson relaxation technique with the combination of elements of belief for 3 days as his main intervention.
Outcome: Following the use of the Benson relaxation treatment and a combination of belief elements in the form of zikir (praising to God) and istigfar (apologizing toward God) for twice a day for three days, the result had shown a decrease in HARS score from 23 (moderate anxiety) to 15 (mild anxiety).
Conclusion: Patients with CKD can effectively reduce anxiety with non-pharmacological Benson relaxation therapy using a combination of beliefs elements.

ABSTRAK

Latar belakang: Penanganan kecemasan dapat menggunakan terapi non-farmakologi, salah satunya dengan relaksasi Benson. Teknik Relaksasi Benson dapat menghambat aktivitas saraf simpatis sehingga mengurangi penggunaan oksigen oleh tubuh dan menyebabkan otot-otot menjadi rileks serta menimbulkan perasaan tenang dan kenyamanan.
Tujuan: Mengetahui efektivitas intervensi terapi relaksasi Benson dengan penambahan unsur keyakinan untuk menurunkan kecemasan pada pasien CKD yang sedang menjalani hemodialisis.
Laporan kasus: Seorang laki-laki berusia 70 tahun dengan diagnosa chronic kidney disease (CKD) stadium V. Kondisi pasien setelah melakukan hemodialisis pertama mengeluhkan lemas, mual, muntah, takut dan cemas dengan kondisinya, serta mengeluh tidak bisa beristirahat dengan tenang. Pasien diberikan intervensi utama relaksasi Benson dengan penambahan unsur keyakinan selama 3 hari.
Hasil: Setelah dilakukan pemberian intervensi terapi relaksasi Benson dengan penambahan unsur keyakinan seperti berzikir dan beristigfar selama 3 hari dengan frekuensi 2 kali sehari, didapatkan hasil penurunan skor HARS dari 23 (kecemasan sedang) menjadi 15 (kecemasan ringan).
Simpulan: Terapi relaksasi Benson dengan penambahan unsur keyakinan efektif untuk menurunkan kecemasan pasien CKD.


Keywords


hemodialisis; kecemasan; relaksasi Benson

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References

  1. Anggraini S, Fadila Z. Kualitas Hidup Pasien Gagal Ginjal Kronik dengan Dialisis di Asia Tenggara : A Systematic Review. Hearty: Jurnal Kesehatan Masyarakat. 2022; 11(1): 77–84.
  2. Twistiandayani R, Prabowo AR. Terapi Mendengarkan Murottal Al-Qur’an Surat Al-Fatihah dan Surah Ar- Rahman terhadap Stres, Kecemasan, dan Depresi pada Pasien CKD V yang Menjalani Hemodialisis. Journals Ners Community. 2021; 12(1): 95–104. DOI: https://doi.org/10.55129/jnerscommunity.v12i1.1327.
  3. Riskesdas. Hasil Utama Riset Kesehatan Dasar (RISKESDAS) 2018. [Internet]. 2018. Available from: http:// www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Hasil Riskesdas 2018.pdf.
  4. Putri P, Afandi AT. Eksplorasi Kepatuhan Menjalani Hemodialisis Pasien Gagal Ginjal Kronik. Jurnal Keperawatan. 2022; 11(2): 37-44. DOI: https://doi.org/10.47560/kep.v11i2.367.
  5. Wakhid A, Suwanti S. Gambaran Tingkat Kecemasan Pasien yang Menjalani Hemodialisis. Jurnal Ilmu Permas Jurnal Ilmiah STIKES Kendal. 2019; 9(2): 95–102. DOI: https://doi.org/10.32583/pskm.9.2.2019.95-102.
  6. Fadlilah S. Faktor-faktor yang Berhubungan dengan Kualitas Hidup Pasien Hemodialisis. Jurnal Kesehatan. 2019; 10(2): 284–90. DOI: http://dx.doi.org/10.26630/jk.v10i2.1454.
  7. Walean CJS, Pali C, Sinolungan JS V. Gambaran Tingkat Kecemasan pada Mahasiswa di Masa Pandemi COVID-19. Jurnal Biomedik: JBM. 2021; 13(2): 132. DOI: https://doi.org/10.35790/jbm.13.2.2021.31765.
  8. Aprilia NW, Susaldi S, Suryadi B. Teknik Distraksi Virtual Reality Dapat Memengaruhi Tingkat Kecemasan pada Pasien Hemodialisis. Journal of Nursing Education & Practice. 2022; 1(4): 130–5. DOI: https://doi. org/10.53801/jnep.v1i4.80.
  9. Hernawaty T, Sriati A, Maesaroh I, Salsabila A, Nurafni R. Teknik Relaksasi Menurunkan Kecemasan: Narrative Review. Jurnal Cakrawala Ilmiah. 2022; 2(3): 903–912.
  10. Misdiyanti D, Sumarsih T, Djalil A. Analysis of Nursing Care in Chronic Kidney Disease Patients with Anxiety Through Combination of General Therapy with Mindfulness Therapy in PKU Muhammadiyah Gombong Hospital. Proceeding of The 15th University Research Colloquium 2022: Bidang MIPA dan Kesehatan. 2022;189–99. Available from: http://repository.urecol.org/index.php/proceeding/article/view/1933.
  11. Faruq M, Purwanti S. Efek Relaksasi Benson dalam Menurunkan Kecemasan Pasien yang Menjalani Hemodialisis. Jurnal Ilmiah Keperawatan Sai Betik. 2020; 16(1): 24–9. DOI: http://dx.doi.org/10.26630/jkep. v16i1.1895.
  12. Rohmawati N, Murtaqib M. Kombinasi Terapi Relaksasi Benson dan Posisi Head-up 30 Derajat untuk Penanganan Nausea pada Stroke Iskemik: Studi Kasus. Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal). 2022; 6(3): 183-190. https://doi.org/10.22146/jkkk.77216.
  13. Agustiya N, Hudiyawati D, Purnama AP. Pengaruh Efektivitas Relaksasi Benson terhadap Kecemasan pada Pasien yang Menjalani Hemodialisis di Unit Hemodialisis. Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta 2020 (Profesi Ners XXI). 2020; 62–8.
  14. Fitrina Y, Putri A, Hartuti S. Pengaruh Relaksasi Zikir terhadap Tingkat Kecemasan Pasien Haemodialisa di RSUD Sawahlunto Tahun 2021. Jurnal Kesehatan Mercusuar. 2022; 5(1):107–14. DOI: https://doi. org/10.36984/jkm.v5i1.285.
  15. Rahman Z, Khariroh S, Abdi FN. Kualitas Hidup Pasien Gagal Ginjal Kronik dengan Komorbid Diabetes Melitus dan Hipertensi yang Menjalani Hemodialisis. Jurnal Menara Medika. 2022; 5(1): 121–7. DOI: https:// doi.org/10.31869/mm.v5i1.3541.
  16. Noviyanti LK, Heriyati R, Wulansari NMA. Tingkat Depresi Pasien Lansia Gagal Ginjal Kronis yang menjalani Hemodialisis di Kota Semarang. Jurnal Nursing Update. 2022; 13(4): 115-121.DOI: https://doi.org/10.36089/ nu.v13i4.894.
  17. Puspita T, Ramadan H, Budhiaji P, Sulhan MH. Hubungan Tingkat Kecemasan dengan Kualitas Tidur pada Lansia Penderita Hipertensi. Jurnal Keperawatan ’Aisyiyah. 2020; 6(2): 53–8. DOI: https://doi.org/10.33867/ jka.v6i2.141.
  18. Alshelleh S, Alhouri A, Taifour A, Abu-Hussein B, Alwreikat F, Abdelghani M, et al. Prevalence of Depression and Anxiety with Their Effect on Quality of Life in Chronic Kidney Disease Patients. Sci Rep [Internet]. 2022; 12(1): 1–9. https://doi.org/10.1038/s41598-022-21873-2.
  19. Alfikrie F, Sari L, Akbar A. Factors Associated with Anxiety in Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Crossectional Study. International Journal of Nursing, Health and Medicine [Internet]. 2020;2(2):1–6. Available from: https://journal.stkipsingkawang.ac.id/index.php/ijnhm/article/view/1631.
  20. Kartikasari A, Hudiyawati D. Literature Study: Effectiveness of Benson Relaxation on Anxiety in Hemodialysis Patients. Journal of Nursing Science. 2021; 9(2): 158–67. DOI: https://doi.org/10.21776/ub.jik.2021.009.02.3.
  21. Osman ASA, Kamel N, Holmes SL, Abdelfatah Arafat AE. Effect of Benson’s Relaxation Technique on Psychological Distress and Sleep Quality among Elderly. Health Education and Health Promotion. 2022;10(1): 1–12. Available from: http://hehp.modares.ac.ir/article-5-58542-en.html
  22. Heni P, Nyayu NPC, Eva SRW. Kebutuhan Spiritualitas Lansia dengan Penyakit Kronis: Literature Review. Jurnal Ilmu Keperawatan. 2021;7(3):26–32. DOI: https://doi.org/10.33023/jikep.v7i3.811.
  23. Dehghan M, Namjoo Z, Mohammadi Akbarabadi F, Fooladi Z, Zakeri MA. The Relationship between Anxiety, Stress, Spiritual Health, and Mindfulness among Patients Undergoing Hemodialysis: A Survey During The Covid-19 Outbreak in Southeast Iran. Health Science Reports. 2021; 4(4): 1–10. DOI: https://doi.org/10.1002/ hsr2.461.
  24. Nugroho ST, Prastiwi D, Apriliani RP. Aplikasi Terapi Zikir untuk Menurunkan Kecemasan pada Pasien Hipertensi di Ruang Penyakit Dalam RSUD Kardinah Kota Tegal. Jurnal Manajemen Asuhan Keperawatan. 2023; 7(1): 40–4. DOI: https://doi.org/10.33655/mak.v7i1.154.
  25. Meawad Elsayed EB, Mounir Radwan EH, Ahmed Elashri NIE, El-Gilany A-H. The Effect of Benson’s Relaxation Technique on Anxiety, Depression and Sleep Quality of Elderly Patients Undergoing Hemodialysis. International journal of Nursing Didactics. 2019; 09(02): 23–31. DOI: https://doi.org/10.15520/ijnd.v9i02.2443.



DOI: https://doi.org/10.22146/jkkk.82351

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