Spiritual and Knowledge level, and the Acceptance of Patients with Chronic Renal Failure Who Underwent Hemodialysis

https://doi.org/10.22146/rpcpe.76245

Iman Permana(1*)

(1) Master of Nursing, School of Postgraduate; Universitas Muhammadiyah Yogyakarta; Indonesia
(*) Corresponding Author

Abstract


Background: Spirituality and knowledge level has been correlated to the patient's adaptive ability to accept the condition among chronic renal failure (CRF) patients undergoing hemodialysis. Objective: To determine the relationship between the spiritual and knowledge level towards the acceptance of hemodialysis among patients in PKU Muhammadiyah Yogyakarta. Method: an analytic cross-sectional study was conducted on 101 patients who underwent hemodialysis. Data collection was done utilizing the Daily Spiritual Experience Scale (DSES) questionnaire, knowledge level of hemodialysis, and Illness Cognition Questionnaire (ICQ). The Spearman correlation test and multiple linear regression test were used to analyze the results. Results: The majority of patients have a high spiritual level, level of knowledge, and acceptance. There is a significant relationship between the spiritual level and knowledge level on the acceptance of CRF patients undergoing hemodialysis with a p-value of 0.000. Linear multiple regression analysis shows that the spiritual level has more influence on acceptance than other factors with a beta value of 0.550. Conclusion: Spiritual and knowledge levels might influence the acceptance of CRF patients undergoing hemodialysis. However, the spiritual level is the most influencing factor on acceptance. Dialysis nurses are advised to improve their ability to provide spiritual nursing care and promoting better knowledge to patients undergoing hemodialysis.


Keywords


spiritual, knowledge, acceptance, chronic renal failure, hemodialysis

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References

  1. Lv JC, Zhang LX. Prevalence and disease burden of chronic kidney disease. Renal Fibrosis: Mechanisms and Therapies. 2019:3-15.
  2. 10th Report of Indonesian Renal Registry 2017 [Internet]. [Cited 2022 Sep 7]. Available from: https://www.indonesianrenalregistry.org/data/IRR%202017%20.pdf
  3. Charuwanno R. The meaning of quality of life among Thai end stage renal disease patients on maintenance hemodialysis. [Washington]: The Catholic University of America ProQuest Dissertations Publishing; 2005.
  4. Yulianti A. Tingkat spiritualitas pada pasien gagal ginjal kronik dengan hemodialisis di unit hemodialisis RS PKU Muhammadiyah Yogyakarta. [Yogyakarta]: Universitas Muhammadiyah Yogyakarta; 2010.
  5. Hawari D. Dimensi religi dalam praktek psikitri dan psikologi. Jakarta: Fakultas Kedokteran Universitas Indonesia; 2002.
  6. Ginting M, Wardani Y. Hubungan pengetahuan dan kecemasan klien gagal ginjal kronik menjalani hemodialisa. 2013.
  7. Hodge DR, Horvath VE. Spiritual needs in health care settings: a qualitative meta-synthesis of clients’ perspectives. Soc Work. 2011 Oct 1; 56(4):306–16.
  8. Chudaefah U. Pengaruh shalat terhadap tingkat penerimaan diri pasien gagal ginjal do Klinik nitripuran. [Yogyakarta]: Universitas Muhammadiyah Yogyakarta; 2017.
  9. Lestari R. Gambaran tingkat spiritualitas pada pasien gagal ginjal kronik di ruang hemodialisa Rumah Sakit Al-Ihsan Prov. Jawa Barat. [Bandung]: Poltekkes Kemenkes Bandung; 2018.
  10. Delima P, Sriati A, Nuraeni A. Illness Cognition pada Pasien dengan Penyakit Jantung Koroner. Journal of Nursing Care. 2018; 1.
  11. Sodhi R, Dr. Manju. Spiritually and mental health among normal and chronic disease group. International Journal of Research Studies in Psychology. 2012 May 29; 2(1).
  12. Hamid A. Bunga Rampai Asuhan Keperawatan Kesehatan Jiwa. Jakarta: EGC; 2008.
  13. Stuart G. Psychiatric Nursing. 10th ed. Jakarta: EGC; 2013.
  14. Husna C, Linda CN, Keilmuan B, Bedah KM, Keperawatan F. The relationship between spirituality with self esteem in diabetic ulcer patients at Polyclinic Endocrine General Hospital of dr. Zainoel Abidin Banda Aceh in 2014. Idea Nursing Journal. 2014; 5(3):61–8.
  15. Mubarak. Promosi kesehatan sebuah pengamatan proses belajar mengajar dalam pendidikan. Yogyakarta: Graha Ilmu; 2007.
  16. Indah Wardani N, Sarwani DS, Masfiah S, Jurusan Kesehatan Masyarakat A, dosen Jurusan Kesehatan Masyarakat UNSOED S. Faktor-faktor yang berhubungan dengan tingkat pengetahuan kader Kesehatan tentang thalassaemia di kecamatan Sumbang Kabupaten Banyumas. Jurnal Kesehatan Masyarakat Indonesia. 2014; 6(3):194–206.
  17. Khairiyah Ar-Rasily O, Dewi PK. Faktor - faktor yang mempengaruhi tingkat pengetahuan orang tua mengenai kelainan genetik penyebab disabilitas intelektual di kota Semarang. Jurnal Kedokteran Diponegoro. 2016; 5(4):1422–33.
  18. Setiyowati A, Hastuti W, STIKES PKU Muhammidiyah Surakarta Jl Tulang Bawang Seltan D, Banjarsari Surakarta K. Hubungan tingkat pengetahuan dengan kecemasan pasien hemodialisa di Rumah Sakit PKU Muhammidiyah Surakarta. Vol. 11. 2014.
  19. Nursalam, Parini. Pendekatan Praktis Metodelogi Riset Keperawatan. Jakarta: Salemba Medika; 2001.
  20. Hanum R, Nurchayati S, Hasneli Y. Pengaruh pendidikan kesehatan secara individual tentang pembatasan asupan cairan terhadap pengetahuan tentang pembatasan cairan dan idwg (interdialytic weight gain) pada pasien hemodialisis. Jurnal Online Mahasiswa. 2015; 2(2).
  21. Kamaludin R, Rahayu E. Analisis faktor-faktor yang mempengaruhi kepatuhan asupan cairan pada pasien gagal ginjal kronik dengan hemodialisis di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Jurnal Keperawatan Sudirman. 2009; 4(1).
  22. Afrida M. Pengaruh pemberian self care education program terhadap tingkat pengetahuan perawatan diri pada pasien hemodialisa di rumah. [Yogyakarta]: Universitas Muhammadiyah Yogyakarta; 2017.
  23. Sandra, Dewi W, Dewi Y. Gambaran stres pada pasien gagal ginjal terminal yang menjalani terapi hemodialisa di Rumah Sakit Umum Daerah Arifin Achmad Pekanbaru. Jurnal Ners Indonesia [Internet]. 2012 [cited 2022 Sep 7]; 2(2):11–4. Available from: https://jni.ejournal.unri.ac.id/index.php/JNI/article/view/2019
  24. Chan R. The effect of acceptance on health outcomes in patients with chronic kidney disease. Nephrology Dialysis Transplantation. 2013 Jan; 28(1):11–4.
  25. Gagani A, Gemao J, Relojo D, Pilao SJ. The stages of denial and acceptance among patients with chronic kidney disease. Journal of Innovation in Psychology, Education and Didactics. 2016; 20(2):113-124.
  26. Besen DB, Esen A. Acceptance of illness and related factors in Turkish patients with diabetes. Social Behavior and Personality: an international journal. 2012; 40(10).
  27. Anggina L, Hamzah AP. Hubungan antara dukungan sosial keluarga dengan kepatuhan pasien diabetes mellitus dalam melaksanakan program diet di poli penyakit dalam RSUD Cibabat Cimahi. Jurnal penelitian kesehatan suara forikes. 2010; 1.
  28. Pratiwi D. Hubungan dukungan keluarga dengan tingkat depresi pasien gagal ginjal kronik yang menjalani hemodialisa di PTPN X Rumah Sakit Gatoel Mojokerto. Medica Majapahit. 2013; 5(1).
  29. Smeltzer S, Bare B, Hinkle J, Cheever K. Brunner & Suddarth’s Textbook of Medical, Surgical Nursing . 12th ed. Lippincott Williams & Wilkins; 2010.
  30. Taylor C, Lillis C, LeMone P. Fundamental of Nursing. 5th ed. Philadelphia: Lippincott, Williams & Wilkins; 2005.
  31. Novitasari D. Hubungan lama hemodialysis dengan kepatuhan pembatasan asupan cairan pada klien hemodialysis di RS PKU Muhammadiyah Unit 1. Naskah Publikasi. 2015.
  32. Vachon M, Fillion L, Achille M. A conceptual analysis of spirituality at the end of life. J Palliat Med. 2009; 12(1).
  33. Potter P, Perry A. Fundamental of Nursing. 7th ed. Jakarta: Salemba Medika; 2010.
  34. Doolittle F, Doolittle BR, Farrell M, Huot S, Stein J, Kim C. Prim Care Companion. Prim Care Companion J Clin Psychiatry. 2004, vol. 6.
  35. Young C, Koopsen C. Spritualitas, kesehatan dan penyembuhan. Medan: Bina Media Perintis; 2007.
  36. Wijayanti L, Haryanto J, Suharto. The Effects of Spiritual Care on Depression and Meaning in Life in the Clients with Kidney Failure Receiving Hemodialysis in Rumah Sakit Islam Surabaya. International Journal of Science and Research. 2017; 6(7).
  37. Underwood LG, Teresi JA. The Daily Spiritual Experience Scale: development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Ann Behav Med. 2002 Winter; 24(1):22-33.
  38. Sitiaga S. Hubungan Tingkat Pendidikan, Pengetahuan dan Dukungan Keluarga dengan Asupan Protein Pasien Gagal Ginjal Kronik (GGK) yang Menjalani Hemodialisa (HD) Rawat Jalan di RSUD Kab Sukoharjo. 2015.
  39. Kurniawati A, Asikin A. Gambaran Tingkat Pengetahuan Penyakit Ginjal dan Terapi Diet Ginjal dan Kualitas Hidup Pasien Hemodialisis di Rumkital Dr Ramelan Surabaya. Amerta Nutrition [Internet]. 2018 [cited 2022 Sep 7]; 2(2). Available from: https://www.e-journal.unair.ac.id/AMNT/article/view/5906
  40. Dineen-Griffin S, Garcia-Cardenas V, Williams K, Benrimoj SI. Helping patients help themselves: a systematic review of self-management support strategies in primary health care practice. PLoS ONE. 2019 Aug 1; 14(8).
  41. Bele S, Bodhare TNM, Nikhil Saraf A, Valsangkar S. Health-related quality of life and existential concerns among patients with end-stage renal disease. Indian J Palliat Care. 2012; 18(2):103–8.
  42. Potter P, Perry A. Buku ajar fundamental keperawatan: konsep, proses, dan praktik. 4th ed. Vol. 2. Jakarta: EGC; 2005.
  43. Kementrian Agama RI. Quran Kemenag. Lajnah Pentashihan Mushaf AlQuran, editor. Jakarta: Kementrian Agama RI; 2022.
  44. Valcanti Carolina Costa, Chaves É de Cássia L, Mesquita A Cláudia, Nogueira Denismar A, de Carvalho E Campos. Religious/spiritual coping in people with chronic kidney disease undergoing hemodialysis. Rev Esc Enferm USP [Internet]. 2012; 46(4):837–43. Available from: www.ee.usp.br/reeusp/



DOI: https://doi.org/10.22146/rpcpe.76245

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