Hubungan Dukungan Keluarga, Dukungan Perawat, Resiliensi Dengan Kecemasan Pasien Penyakit Ginjal Kronis Dengan Hemodialisis Akibat Pandemik Covid-19

Ni Luh Widani

Sari


ABSTRACT

 

The risk of infection with COVID-19 is higher for someone with comorbidities. Kidney failure patients on hemodialysis (HD) have several comorbidities such as diabetes, kidney failure, heart disease, and lung disease. Patients are very vulnerable to experiencing anxiety and patients need family support, nurse support, and resilience in the face of the COVID-19 pandemic. Quantitative research with descriptive correlative design with a cross-sectional method. This study was conducted on 93 patients who routinely undergo HD therapy from September - to October 2020. Quantitative research with descriptive correlative design with the cross-sectional method. This study was conducted on 93 patients who routinely undergo HD therapy from September - October 2020. Univariate analysis is the majority of respondents aged 41-60 years (43%), male (54.8%), Higher education (54.8%), duration of HD 24-60 months (50 %),   good family support (65.6%), good nurse support (55.9%), moderate resilience 62.4% and 60.2% not anxious. The results of the Kendal tau-C test analysis showed that there was a statistically significant relationship between the level of resilience (p-value=0.025; p<0.05) and anxiety. There was no significant relationship between family support (p-value 0.290) and no relationship between care support (p-value 0.151); (p>0.05) with anxiety. The level of resilience of CKD patients with HD is related to patient anxiety in this Covid-19 pandemic.

 

Keywords: Family Support, Health Worker Support, Hemodialysis, Resilience

 

ABSTRAK

 

Risiko  infeksi COVID-19 lebih  berisiko pada seseorang   dengan  komorbid.  Pasien gagal ginjal dengan hemodialisis (HD) memiliki beberapa komorbiditas seperti diabetes, gagal ginjal, penyakit jantung, dan penyakit paru-paru. Pasien sangat rentan mengalami kecemasan dan pasien membutuhkan dukungan keluarga, dukungan perawat, dan resiliensi dalam menghadapi pandemic covid-19. Tujuan mengedentifikasi kecemasan pasien, menganalisis   hubungan antara dukungan keluarga,  dukungan perawat, resiliensi dengan kecemasan pasien penyakit ginjal kronis dengan hemodialisis dalam pandemic COVID-19. Jenis penelitian kuantitatif   desain  deskriptif korelatif, cross-sectional.  Responden  pasien  rutin menjalani terapi HD di RS X Jakarta Pusat sebanyak 93 orang   pada Bulan September – Oktober 2020 yang memenuhi kriteria. Analisa univariate  mayoritas responden dengan  dukungan keluarga baik (65,6%), dukungan perawat baik (55,9%), tingkat resiliensi sedang 62,4% dan tidak cemas 60,2%. Hasil analisis uji Kendal tau-C didapatkan  secara statistik  ada hubungan yang bermakna antara  tingkat resiliensi (p-value=0,025 ;p<0,05) dengan kecemasan. Tidak ada  hubungan bermakna dukungan keluarga (p-value 0,290) dan hubungan dukungan perawatan (p-value 0,151) ; (p>0,05) dengan kecemasan. Tingkat resiliensi pasien PGK dengan HD ada hubungan dengan kecemasan pasien dalam pandemic Covid-19 ini.  

 Kata Kunci: Dukungan Keluarga, Dukungan Petugas Kesehatan, Hemodialis, Resiliensi


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Referensi


Abd Al-Maksoud, A. A.-H., Salama Al-Adl, A., Fathi Asla, A., Bahbah, E. I., Emad, D., Mokhtar, A., & Attia, M. M. (2019). The Relation between Preserved Social Support, Resilience (Depression and Anxiety) and Psychiatric Disorders among a Sample of Egyptian Patients on Regular Hemodialysis. Current Psychiatry Research and Reviews, 15(3), 209–214. https://doi.org/10.2174/2666082215666190917162630

Agustina, M., & Cia, S. P. (2020). Dukungan keluarga dan faktor-faktor yang mempengaruhi kecemasan pasien hemodialisa. Jurnal Online Keperawatan Indonesia, 3(2), 65–72.

Ahead, P. (2020). Nephrology. 7–8. https://doi.org/10.34067/KID.0001452020

Alfikrie, F., Sari, L., Akbar, A., & Kidney, C. (2019). Factors Associated With Anxiety in Patients With Chronic Kidney Disease Undergoing Hemodialysis : a Crossectional.

Anggeria, E., & Marsia, R. (2019). Hubungan Dukungan Keluarga Dengan Kecemasan Pasien Gagal Ginjal Kronik Di Ruang Hemodialisa Rumah Sakit Royal Prima Medan. Jurnal Keperawatan Priority, 2(1), 9–16.

Arenas, M. D., Villar, J., González, C., Cao, H., Collado, S., Crespo, M., Horcajada, J. P., & Pascual, J. (2020). Management of the SARS-CoV-2 (COVID-19) coronavirus epidemic in hemodialysis units. Nefrologia, 40(3), 258–264. https://doi.org/ 10.1016/ j.nefroe. 2020.04.001

Basile, C., Combe, C., Pizzarelli, F., Covic, A., Davenport, A., Kanbay, M., Kirmizis, D., Schneditz, D., van der Sande, F., & Mitra, S. (2020). Recommendations for the prevention, mitigation and containment of the emerging SARS-CoV-2 (COVID-19) pandemic in haemodialysis centres. Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, 2(March), 737–741. https://doi.org/10.1093/ndt/gfaa069

Brunori, G., Reboldi, G., & Aucella, F. (2021). Lessons Learnt during the COVID-19 Pandemic: For Patients with End-Stage Renal Disease, We Should Prioritize Home-Based Treatment and Telemedicine. Kidney and Blood Pressure Research, 1–6. https://doi.org/10.1159/000512629

Cal, S. F., Sá, L. R. de, Glustak, M. E., & Santiago, M. B. (2015). Resilience in chronic diseases: A systematic review. Cogent Psychology, 2(1). https://doi.org/10.1080/ 23311908.2015.1024928

CDC. (2019). CDC 2019 CKD fact sheet. Cdc, 1, 1–6. https://www.cdc.gov/kidneydisease /pdf/2019_National-Chronic-Kidney-Disease-Fact-Sheet.pdf

Hatami, A., Ghalati, Z. K., & Badrani, M. R. (2019). The Relationship between Resilience and Perceived Social Support with Hope in Hemodialysis Patients : A Cross- sectional Study. Journal of Research in Medical and Dental Science, 7(3), 14–20.

Ignatavicius; Donna D.; Workman; M. Linda; Rebar; Cherie. (2018). Medical-Surgical Nursing (Ninth Edit).

Ikizler, T. A., & Kliger, A. S. (2020). Minimizing the risk of COVID-19 among patients on dialysis. Nature Reviews Nephrology, 1–3. https://doi.org/10.1038/s41581-020-0280-y

Kamil, I., Agustina, R., & Wahid, A. (2018). Gambaran Tingkat Kecemasan Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis Di RSUD Ulin Banjarmasin. Dinamika Kesehatan, 9(2), 366–377. https://ojs.dinamikakesehatan.unism.ac.id/ index.php /dksm/article/view/350

Lee at al (2018). The Number of Comorbidities Predicts Renal Outcomes in Patients with Stage 3–5 Chronic Kidney Disease. J. Clin. Med. 2018, 7, 493; doi:10.3390 /jcm

Li, F., Luo, S., Mu, W., Li, Y., Ye, L., Zheng, X., Xu, B., Ding, Y., Ling, P., Zhou, M., & Chen, X. (2021). Effects of sources of social support and resilience on the mental health of different age groups during the COVID-19 pandemic. BMC Psychiatry, 21(1), 1–14. https://doi.org/10.1186/s12888-020-03012-1

Ma, Y., Diao, B., Lv, X., Zhu, J., Liang, W., Liu, L., Bu, W., Cheng, H., Zhang, S., Yang, L., Shi, M., Ding, G., Shen, B., & Wang, H. (2020). 2019 novel coronavirus disease in hemodialysis (HD) patients: Report from one HD center in Wuhan, China. MedRxiv, 2020.02.24.20027201. https://doi.org/10.1101/2020.02.24.20027201

Mental Health Foundation. (2020). Resilience across the UK during the coronavirus pandemic. Coronavirus: Mental Health in the Pandemic Study, 3. https://www.mentalhealth.org.uk/coronavirus/resilience-across-uk-coronavirus-

Ogetai, R. (2019). Gambaran Tingkat Resiliensi Pada Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis. Jurnal Departemen Ilmu Keperawatann, 1–11.

Pane, J., & Saragih, I. S. (2020). the Relationship of Resilience and Quality of Life Patient With Chronic Kidney Disease Who Undergoing Haemodialysis in Rasyda Kidney Hospital Medan. Jurnal Ilmu Keperawatan (Journal of Nursing Science), 8(1), 10–14. https://doi.org/10.21776/ub.jik.2020.008.01.2

Pane J.P, Wahyuni A.A, Tarigan R (2014 ) Correlation Between Coping and Resilience in Chronic Kidney Failure patient who are treasted in hemodialysis

Plomecka M.B, Gobbi, S., Skórko, B., Lazzeri, S., Almazidou, K., Dedić, A., & Bakalović, A. (2020). Mental Health Impact of COVID-19: global study of risk and resiliensi factors. Department of Neurology, Baylor College of Medicine, Houston, TX, USA 20.

Prihandani, C. W. (2020). Hubungan Resiliensi Dengan Kualitas Hidup Pada Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisa. Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist), 15(2), 273–278. https://doi.org/10.36911/pannmed.v15i2.737

Rabb, H. (2020). Kidney diseases in the time of COVID-19: Major challenges to patient care. Journal of Clinical Investigation, 130(6), 2749–2751. https://doi.org/10.1172/JCI138871

Rodrigues R. el al (2015) Resilience is related to bettet psychological adaptation to hemodialysis treatmenst in patients with chronic kidney disease

Rohimah Siti. (2020). The Role Of Family Support In Hemodialysis Patient Anxiety Siti Rohimah Program Studi Ilmu Keperawatan Fakultas Ilmu Kesehatan Universitas Galuh , Indonesia. Jurnal Keperawatan Galuh, 2(2).

Sousa, H., Ribeiro, O., Costa, E., Frontini, R., Paúl, C., Amado, L., Miranda, V., Ribeiro, F., & Figueiredo, D. (2021). Being on hemodialysis during the COVID-19 outbreak: A mixed-methods’ study exploring the impacts on dialysis adequacy, analytical data, and patients’ experiences. Seminars in Dialysis, 34(1), 66–76. https://doi.org /10.1111/ sdi.12914

Sriwantha, S., Jullamate, P., & Piphatvanitcha, N. (2018). Factors Related to Resilience among Elderly Patients with End Stage Renal Disease. The Bangkok Medical Journal, 14(01), 29–35. https://doi.org/10.31524/bkkmedj.2018.02.006

Supriyono, S., Kusnanto, K., & Abidin, Z. (2020). Strategi Koping Dengan Pendekatan Spiritual Pada Pasien Chronic Kidney Disease (Ckd) Yang Menjalani Hemodialis: Studi Fenomenologi. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 6(1), 87–92. https://doi.org/10.33023/jikep.v6i1.446

Syed-Ahmed, M., & Narayanan, M. (2019). Immune Dysfunction and Risk of Infection in Chronic Kidney Disease. Advances in Chronic Kidney Disease, 26(1), 8–15. https://doi.org/10.1053/j.ackd.2019.01.004

Tecklenborg, J., Clayton, D., Siebert, S., & Coley, S. M. (2018). The role of the immune system in kidney disease. Clinical and Experimental Immunology, 192(2), 142–150.

Vinkers, C. H., van Amelsvoort, T., Bisson, J. I., Branchi, I., Cryan, J. F., Domschke, K., Howes, O. D., Manchia, M., Pinto, L., de Quervain, D., Schmidt, M. V., & van der Wee, N. J. A. (2020). Stress resilience during the coronavirus pandemic. European Neuropsychopharmacology, 35, 12–16. https://doi.org/10.1016/j.euroneuro.2020.05.003

Wulandari Oktavia, W. D., & Dengan, G. G. K. (2020). Pemberdayaan Keluarga dalam Menurunkan Tingkat Kecemasan Pasien GGK dengan Homodialisa. Jurnal Ilmiah Ilmu Kesehatan, 8(3), 326–337.

Xia, X., Wu, X., Zhou, X., Zang, Z., Pu, L., & Li, Z. (2020). Comparison of psychological distress and demand induced by COVID-19 during the Lockdown period in patients undergoing peritoneal dialysis and Hemodialysis: A cross-section study in a tertiary hospital. MedRxiv, 1–25. https://doi.org/10.1101/2020.04.13.20063099




DOI: https://doi.org/10.33024/mnj.v4i5.6326

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