PENERAPAN EFEKTIVITAS RELAKSASI BENSON TERHADAP KUALITAS TIDUR PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) YANG MENJALANI HEMODIALISIS DI RSUD TARAKAN JAKARTA PUSAT
Abstract
Background: Hemodialysis patients can experience psychological problems such as: stress, anxiety, depression, and insomnia or disturbed sleep quality. Prolonged sleep quality disturbances can have an impact on the patient's quality of life, thus requiring interventions that are safe and easy to implement, one of which is Benson relaxation. The aim of applying Benson's relaxation to sleep quality in chronic kidney disease (CKD) patients undergoing hemodialysis. The application of evidence based nursing practice (EBNP) is through literature searches via the PubMed data base with the final result being an article entitled "The Effect of Benson's Relaxation Technique on the Quality of Sleep of Irian Hemodialysis Patients: A Randomized Trial" in the form of a randomized controlled trial with pre -post-test design. The sampling technique used G*Power based on effect size = 0.73, power of 0.8, and α = 0.05 with 44 hemodialysis patients (22 intervention group and 22 control group) at Tarakan Hospital, Central Jakarta. The application of Benson relaxation is carried out for 20 minutes, 2 times a day 3 days per week for 4 weeks from June 16 to July 15 2023. Sleep quality data was collected using the PSQI questionnaire before and after the intervention with paired t-test and independent sample test. t-test. The results of the implementation showed that the sleep quality score after the intervention had improved (p value 0.002) in the intervention group, while the sleep quality score did not improve in the control group (p value 0.061). The calculated t value between the intervention group and the control group was 2.894 (p value 0.006), so there was a significant difference in sleep quality between the two groups. Conclusion: there was an increase in the sleep quality score of hemodialysis patients in the intervention group and there was a difference in the average quality score after Benson relaxation between the intervention group and the control group. Suggestion: Benson relaxation can be used as a nursing intervention for hemodialysis patients as a measure to prevent sleep quality disorders.
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References
Bello, A. K., Okpechi, I. G., Osman, M. A., Cho, Y., Htay, H., Jha, V., Wainstein, M., & Johnson, D. W. (2022). Epidemiology of haemodialysis outcomes. Nature Reviews Nephrology, 18(6), 378–395. https://doi.org/10.1038/s41581-022-00542-7
Benson, H., Greenwood, M. M., & Klemchuk, H. (1975). The relaxation response: psychophysiologic aspects and clinical applications. Psychiatry in Medicine, 6(1–2), 87–98. https://doi.org/10.2190/376w-e4mt-qm6q-h0um
Carley, D. W., & Farabi, S. S. (2016). Physiology of sleep. Diabetes Spectrum, 29(1), 5–9. https://doi.org/10.2337/diaspect.29.1.5
Cho, J. H., Lee, J. Y., Lee, S., Park, H., Choi, S. W., & Kim, J. C. (2018). Effect of intradialytic exercise on daily physical activity and sleep quality in maintenance hemodialysis patients. International Urology and Nephrology, 50(4), 745–754. https://doi.org/10.1007/s11255-018-1796-y
DKI, D. K. P. (2022). Laporan Tahunan RSUD Tarakan Jakarta Pusat Tahun 2021. RSUD Tarakan Jakarta Pusat. https://rsudtarakan.jakarta.go.id/ppid/uploads/08. RSUDTARAKAN_Laporan Tahunan 2021.pdf
El Filali, A., Bentata, Y., Ada, N., & Oneib, B. (2017). Depression and anxiety disorders in chronic hemodialysis patients and their quality of life: A cross-sectional study about 106 cases in the northeast of morocco. Saudi Journal of Kidney Diseases and Transplantation : An Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 28(2), 341–348. https://doi.org/10.4103/1319-2442.202785
Guyton, Arthur C., Hall, J. E. (2016). Buku Ajar Fisiologi Kedokteran.
Hidayat, AAA., & Uliah, M. (2015). Pengantar Kebutuhan Dasar Manusia (Edisi 2). Salemba Medika.
KDIGO. (2020). Diabetes management in CKD. International Society of Nephrology, 98(4).
Kovesdy, C. P. (2022). Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements, 12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003
Masoumi, M., Naini, A. E., Aghaghazvini, R., Amra, B., & Gholamrezaei, A. (2013). Sleep quality in patients on maintenance hemodialysis and peritoneal dialysis. International Journal of Preventive Medicine, 4(2), 165–172. https://doi.org/10.1016/j.sleep.2015.02.181
Meawad Elsayed, E. B. (2019). The Effect of Benson’s Relaxation Technique on Anxiety, Depression and Sleep Quality of Elderly Patients Undergoing Hemodialysis. International Journal of Nursing Didactics, 09(02), 23–31. https://doi.org/10.15520/ijnd.v9i02.2443
Natale, P., Ruospo, M., Vm, S., Sc, P., Gfm, S., Natale, P., Ruospo, M., Vm, S., Sc, P., & Gfm, S. (2019). Interventions for improving sleep quality in people with chronic kidney disease (Review). https://doi.org/10.1002/14651858.CD012625.pub2.www.cochranelibrary.com
Otaghi, M., Borji, M., Bastami, S., & Solymanian, L. (2016). The Effect of Benson’s Relaxation on Depression, Anxiety and Stress in Patients Undergoing Hemodialysis. International Journal of Medical Research & Health Sciences, 5, 76–83. www.ijmrhs.com
Rambod, M., Pourali-Mohammadi, N., Pasyar, N., Rafii, F., & Sharif, F. (2013). The effect of Benson’s relaxation technique on the quality of sleep of Iranian hemodialysis patients: A randomized trial. Complementary Therapies in Medicine, 21(6), 577–584. https://doi.org/10.1016/j.ctim.2013.08.009
Sadock, BJ, Sadock, VA., & R. P. (2015). Kaplan and Sadock’s Synopsis of Psychiatry: Behavioural sciences/clinical Psychiatry (11th ed). Lippincott Williams & Wilkins.
Setiati, S., Alwi, I., Sudoyo, AW., Simadibrata, KM., Setiyohadi, B., & Syam, A. (2014). Buku Ajar Ilmu Penyakit Dalam (VI). Interna Publishing.
Soleimani, F., Motaarefi, H., & Hasanpour-Dehkordi, A. (2016). Effect of sleep hygiene education on sleep quality in hemodialysis patients. Journal of Clinical and Diagnostic Research, 10(12), LC01–LC04. https://doi.org/10.7860/JCDR/2016/19668.8941.
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