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M. Marthoenis
Departement Of Psychiatry And Mental Health Nursing, Universitas Syiah Kuala, Banda Aceh, Indonesia
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Journal : Narra J

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Psychotherapies for chronic kidney disease patients with hemodialysis: A systematic review of randomized control trials and quasi-experiments Zahra, Zulfa; Effendy, Elmeida; Mawarpury, Marty; Marthoenis, Marthoenis; Jaya, Indra
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.215

Abstract

Chronic kidney disease (CKD) patients, especially those with hemodialysis, frequently struggle with mental health issues like anxiety and depression. Psychotherapy has been known to treat psychological problems, but its effectiveness in managing CKD patients is still rarely scientifically proven. The aim of this study was to analyze the role of psychological treatments in improving the mental health of CKD patients with hemodialysis. We comprehensively reviewed the related studies published in PubMed, Google Scholar, ScienceDirect, and Clinical Key over the last ten years, up to June 7, 2023. A keyword combination was used in the search engine strategies, and all articles about CKD patients receiving hemodialysis and psychotherapy were included. Based on the eligibility criteria, 716 patients were included in 13 out of 18,830 studies in the final analysis. Psychological problem was complained by 399 CKD patients. The psychotherapy included cognitive behavioral therapy (reported in four studies, n=4), diaphragmatic breathing relaxation (n=1), meditation (n=1), hypnotherapy (n=1), Kidney Optimal Health Program (KOHP) (n=1), psychological intervention (n=1), murottal Al-Qur'an therapy (n=3), and spiritual therapy (n=1). These interventions were performed once to four times a week, for ten minutes to five hours during hemodialysis for two to ten weeks. Meditation and KOHP showed no significant improvement in anxiety and depression. The remaining psychotherapies significantly improved the quality of life by reducing anxiety and depression in hemodialysis patients and enhancing sleep quality, self-esteem, hopefulness, medication adherence, and physical condition. In conclusion, psychotherapy should be considered in an interdisciplinary team to treat CKD patients comprehensively. Further studies are still necessary to determine the efficacy of each psychological intervention in CKD patients with psychiatric problems. 
Co-Authors 'Aisy, Rohadatul AA Sudharmawan, AA Aaqib, Muhammad Amaylia Oehadian Arafat, S.M Yasir Ardianti, Riski Dian Arinda Siti Fathia Aripin Ahmad, Aripin Aryandi Darwis Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Asnawi Asniar Asniar Aulia, Nia Aulina Adamy Aulina Adamy Aulina Adamy Bai, Ancy Chandrababu Mercy Banerjee, Indrajit Basri Aramico, Basri Chairurrijal Chairurrijal Chowdhury, Mohammad Rocky Khan Cut Husna Cut Yulia Darmawati Delita Prihatni Delvia Basri, Mira Desi Rosdiana desri maulizani Dwi Indah Iswanti Elly Wardhani Ellyani Ellyani, Ellyani Elmeida Effendy Endang Mutiawati Rahayuningsih* Eva Nandawati Fahmi Ichwansyah Fahmi Ichwansyah Farah Dineva.R Farrah Fahdhienie Fatmawati Fatmawati Febrina Rizky Finaul Asyura Habibillah, Isra Yusri Yanti Hafnidar A. Rani Hajjul Kamil Hanis, Nonong Hastuti, Sastri Hayatul Maulida Hayhoe, Richard Henni Fitriani Hermansyah Hermansyah Hermansyah Hermansyah Hizir Sofyan Hizir Sofyan Husain, Syed Shajee Hussain, Remsha I Gusti Bagus Wiksuana Ichwansyah, Fachmi Iman Murahman Indra Jaya Irwan Saputra Irwan Saputra1 Ismail, Nizam Jannah, Syarifah Rauzatul Jauhari, Julianti Jones, Frenky Juanda, Andri Kabir, Russell Khan, Muhammad Feroz Khotijah, Alfreda Amelia Liana, Leni M. Fuad Maidar Maidar Maidar Maidar Maidar Maidar Maidar Maidar, Maidar Marlina Marlina Marlina Marlina Martina Martina Martunis - Marty Mawarpury Marty Mawarpury. Maulana, T Maulana, Teuku Maulidayani, Maulidayani Mawaddah, Husnul Melania Hidayat Mersiana, Lusi Meutia Zahara Milza Oka Yussar Mohammadnezhad, Masoud Mohd. Ichsan Mudatsir Muhammad Fadhil Muhammad Muhammad Mulud, Zamzaliza Abdul Munazar Munazar Murni, Mayang Mushaddiq, Muhammad Mustanir Muzdalifah Muzdalifah N. Nurjanah Nabila, Alifia Ni Luh Ari Yusasrini Nisa, Nurul Hafizatun Nofita Yulandari Nora Usrina Novianti, Hernia Novita Novita Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah Nurlela, Lela Nurliana Nurul Aini Nurul Fajri Parsa, Ali Davod Parvin, Sauda Putri Maina Putri, Rosalia Radhiah Zakaria Rahmadiana, Rahmadiana Rahmatillah, Irhamni Rahmi Inayati Rahmi Izzati Rahmi, Alfiatur Ramadhansyah Purnomo Iswa Reza Kurnia Riski Muhammad Riza Sofia RR. Ella Evrita Hestiandari Rudi Alfiandi Said Devi Elvin Said Usman Said Usman Said Usman Said Usman Saputra, Irwan Saputra, Irwan Sari, Dianis Wulan Sathian, Brijesh Siti Helmyati Sitio, Roma Sivasubramanian, Madhini Sofia Sofia Sofia Sofia, Sofia Sri Jumiati, Sri Sri Warsini Suhermawan, Suhermawan Suyani Suyani, Suyani Suyoso Suyoso Syed, Haniya Zehra Tahlil, Teuku Taufik Taufik Teuku Andi Syahputra Teuku Tahlil Usman, Said Vinnakota, Divya Yanti, Cut Aini Fauzi Yoga Yuniadi Yulia, Mirna Yusuf, Nazira Zahra, Zulfa Zakaria, Radhiah Zakaria, Radiah