EFEKTIFITAS RELAKSASI BENSON DAN SLOW STROKE BACK  MASSAGE TERHADAP PENURUNAN KECEMASAN PADA PASIEN HEMODIALISA
DOI:
https://doi.org/10.24269/ijhs.v4i2.2309Abstract
Terapi hemodialisa yang diberikan kepada pasien gagal ginjal kronik dapat menimbulkan kecemasan. Kecemasan yang terjadi adalah cemas tingkat ringan, sedang dan berat. Kecaemasan ini terjadi pada semua kalangan usia pasien hemodialisa, baik pasien yang punya pekerjaan maupun tidak, dan pada pasien yang sudah lama maupun pasien baru. Kecemasan yang terjadi pada pasien hemodialisa merupakan suatu kondisi yang harus ditangani karena akan memperberat kerusakan sel ginjal. Penelitian ini dilakukan bertujuan memberikan solusi untuk menurunkan kecemasan pada pasien hemodialisa dengan menggunakan teknik relaksasi Benson yang dipadukan dengan pemberian slow stroke back massage pada daerah punggung. Metode penelitian ini menggunakan penelitian quasi eksperimen dengan one group pre-test dan post-test dengan intervensi teknik relaksasi Benson dan slow stroke back massage terhadap 22 orang sampel penelitian. Kecemasan pada responden diukur dengan instrument HARS dan hasil penelitan di analisis dengan peired t-test. Berdasarkan uji statistik, mean skore kecemasan post-test pasien hemodialisa di RSU Aisyiyah Ponorogo menunjukkan terjadinya penurunan jika dibandingkan dengan mean skore kecemasan pre-test dengan tingkat signifikansi 0.000. Dari hasil penelitian ini dapat disimpulkan bahwa relaksasi Benson dan slow stroke back massage efektif menurunkan kecemasan pasien hemodialisa di RSU Aisyiyah Ponorogo.
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References
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[25] M. Keramati, M. S. Sargolzaei, A.  Moghadasi, M. H. Basirinezhad, and  R. Mohammadpourhodki, “Evaluating  the effect of slow-stroke back massage  on the anxiety of candidates for  cataract surgery,†Int. J. Ther.  Massage Bodyw. Res. Educ. Pract.,  vol. 12, no. 2, pp. 12–17, 2019, doi:  10.3822/ijtmb.v12i2.439.
[26] M. Adib-Hajbaghery, A. Abasi, and  R. Rajabi-Beheshtabad, “Whole body  massage for reducing anxiety and  stabilizing vital signs of patients in  cardiac care unit,†Med. J. Islam.  Repub. Iran, vol. 28, no. 1, pp. 1–9,  2014.
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[2] M. Z. Benson, Herbert; Klipper, The Relaxation Response, no. 2. New York: HarperCollins e-books, 2009.
[3] J. Mahdawi , A., Gorji, M. A., Gorji, A.M., & Yazni, “Implementing Benson’s Relaxation Training in Hemodialysis Patients: Changes in Perceived Stress, Anxiety, and Depression,†N. Am. J. Med.Sci., vol. 5, no. 9, pp. 536–540, 2013.
[4] H. Sompie, E. M., Kaunang , T. M., & Munayang, “Hubungan Antara Lama Menjalani Hemodialisis Dengan Depresi Pada Pasien Dengan Penyakit Ginjal Kronik Di Rsup. Prof. Dr. R. D. Kandou Manado,†vol. 3, no. 1, pp. 306–310, 2015, doi: 10.1002/2327-6924.12035.
[5] Sugiharto, “Olahraga, Fisioneurohormonal pada Stresor,†J. Sains, vol. 2, no. 2, pp. 54–66, 2012.
[6] R. A. Payne and M. Donaghy, Payne’s Handbook of Relaxation Techniques: A Practical Guide for the Health Care Professional, 4th ed. Churchill Livingstone, 2010.
[7] S. Amalia, F., Nadjmir, & Azmi, “Gambaran Tingkat Depresi pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RSUP DR. M. Djamil Padang,†J. Kesehat. Andalas, vol. 1, no. 4, pp. 114–121, 2015.
[8] Y. . Chen, W.L., Liu, G.J., Yeh, S.H., Chiang, M.C., Fu, M.Y., & Hsieh, “Effect of Back Massage Intervention on Anxiety, Comfort, and Physiologic Responses in Patients with Congestive Heart Failure,†J. Altern. Complement. Med., vol. 19, no. 5, pp. 467–470, 2013.
[9] Wijayanti, W., Isroin, L., & Purwanti, L.E., "Perilaku Pasien Hemodialisis Dalam Mengontrol Cairan Tubuh di Ruang Hemodialisa RSUD Dr. Harjono Ponorogo,"Indoneian Journal for Health Sciences, Volume 1(1), pp.10-16, 2017.
[10]F. Teles, V. F. D. de Azevedo, C. T. de Miranda, M. P. de Melo Miranda, M. D. C. Teixeira, and R. M. Elias, “Depression in hemodialysis patients:
The role of dialysis shift,†Clinics, vol. 69, no. 3, pp 198–202, 2014, doi: 10.6061/clinics 2014(03)10.
[11] F. Amalia, Nadjmir, and S. Azmi, “Gambaran Tingkat Depresi pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RSUP DR. M. Djamil Padang,†Jurnal.Fk.Unand.Ac.Id, vol. 4,
no. 1, pp. 115–121, 2015.
[12] A. W. Suwanto, “Efektifitas Relaksasi Benson Terhadap Penurunan Stres dan Peningkatan Kualitas Tidur pasien Hemodialisa,†Yogyakarta, 2018.
[13] N. Nagaratnam, K. Nagaratnam, and G. Cheuk, Diseases in the Elderly: Age-Related Changes and Pathophysiology, 1st ed. 2016.
[14] S.P. Dewi,“Hubungan Lamanya Hemodialisa dengan Kualitas Hidup Pasien Gagal Ginjal di RS PKU Muhammadiyah Yogyakarta,†pp. 1–11, 2015.
[15] Y. Norita, Joni, B. M. Nur, and F. Rayasari, “Efektivitas Exercise Intradialisis Menggunakan Barbell dan Range of Motion (ROM) Terhadap Adekuasi Hemodialisa pada Pasien Penyakit Ginjal Kronik,†J.
Keperawatan Silampari, vol. 2, no. 2, pp. 189–200, 2019, doi: https://doi.org/10.31539/jks.v2i2.533.
[16] A. Rostanti, J. Bawotong, and F. Onibala, “Faktor Faktor yang Berhubungan dengan Kepatuhan Menjalani Terapi Hemodialisa pada Penyakit Ginjal Kronik di Ruangan Dahlia dan Melati RSUP Prof. Dr. R. D
Kandau,†e-journal Keperawatan (e-Kp), vol. 4, no. 2, pp. 1–6, 2016.
[17] O. Zuanda, “Karakteristik Penderita Gagal Ginjal Kronik yang Menjalani Hemodialisis di Rumah Sakit Umum Daerah Dr . Pirngadi Medan Tahun 2017,†Medan, 2018.
[18] Kementerian Kesehatan RI,  “InfoDATIN Pusat Data dan  Informasi Kementerian Kesehatan RI:  Situasi Penyakit Ginjal Kronis,†pp.  1–10, 2017.
[19] N. Heshmatifar, H. Sadeghi, A.  Mahdavi, M. R. Shegarf Nakhaie, and  M. H. Rakhshani, “The effect of  benson relaxation technique on  depression in patients undergoing  hemodialysis,†J. Babol Univ. Med.  Sci., vol. 17, no. 8, pp. 34–40, 2015,  doi: 10.22088/jbums.17.8.34.
[20] A. Nuri Kurniasari, A. Kustanti, and  H. Harmilah, “The Effect Benson  Relaxation Technique With Anxiety  In Hemodyalisis Patients In  Yogyakarta,†Indones. J. Nurs. Pract.,  vol. 1, no. 1, 2016, doi:  10.18196/ijnp.1149.
[21] W. Tasdin, “Gelombang Otak – Level  of Consciousness,†2017. [Online].  Available: http://www.nous- id.com/News/Gelombang-Otak-Level- of-Consciousness.html. [Accessed:  09-Jan-2020].
[22] J. J. Foster, D. W. Sutterer, J. T.  Serences, E. K. Vogel, and E. Awh,  “Alpha-Band Oscillations Enable  Spatially and Temporally Resolved  Tracking of Covert Spatial Attention,† Psychol. Sci., vol. 28, no. 7, pp. 929– 941, 2017, doi:  10.1177/0956797617699167.
[23] M. D. Schwartz and T. S. Kilduff,  “The Neurobiology of Sleep and  Wakefulness,†Psychiatr. Clin. North  Am., vol. 38, no. 4, pp. 1–32, 2015,  doi: 10.1016/j.psc.2015.07.002.
[24] F. Jahdi, M. Mehrabadi, F. Mortazavi,  and H. Haghani, “The effect of slow- stroke back message on the anxiety  levels of Iranian women on the first  postpartum day,†Iran. Red Crescent  Med. J., vol. 18, no. 8, 2016, doi:  10.5812/ircmj.34270.
[25] M. Keramati, M. S. Sargolzaei, A.  Moghadasi, M. H. Basirinezhad, and  R. Mohammadpourhodki, “Evaluating  the effect of slow-stroke back massage  on the anxiety of candidates for  cataract surgery,†Int. J. Ther.  Massage Bodyw. Res. Educ. Pract.,  vol. 12, no. 2, pp. 12–17, 2019, doi:  10.3822/ijtmb.v12i2.439.
[26] M. Adib-Hajbaghery, A. Abasi, and  R. Rajabi-Beheshtabad, “Whole body  massage for reducing anxiety and  stabilizing vital signs of patients in  cardiac care unit,†Med. J. Islam.  Repub. Iran, vol. 28, no. 1, pp. 1–9,  2014.
[27] N. Meftahi, S. Bervis, S. Taghizadeh,  and F. Ghafarinejad, “The Effect of  Lying in Prone Position on Blood  Pressure and Heart Rate with and  without Massage,†J. Rehabil. Sci. Res., vol. 1, no. 2, pp. 40–43, 2014.
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