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Atik Setiawan Wahyuningsih
Universitas STRADA Indonesia
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Effect of Mindfulness-Based Breathing Exercise Combined with Lavender Aromatherapy on Anxiety and Sleep Quality among Hemodialysis Patients: A Quasi-Experimental Study Yuwono, Trisno; Ellina, Agusta Dian; Prasetyo, Joko; Wahyuningsih, Atik Setiawan; Widyowati, Agustin
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.12

Abstract

Background: Patients with chronic kidney failure report the sight of blood-filled dialysis tubes, the burden of routine therapy costs, fear of invasive measures, and the uncertainty of recovery triggers their anxiety. This anxiety also carries over into the home, causing difficulty sleeping at night and ongoing feelings of restlessness. Purpose. The Effect of the Combination of Mindfulness based on Breathing Exercise with Lavender Aromatherapy on Anxiety and Sleep Quality in Hemodialysis Patients Methods: This study employed a quasi-experimental pretest–posttest control-group design and was reported in accordance with the TREND guidelines for non-randomized intervention research. The target population comprised 90 hemodialysis patients at Bhayangkara Kediri Hospital, of whom 40 were selected using purposive sampling. The intervention consisted of a combination of mindfulness-based breathing exercises and lavender aromatherapy, with anxiety and sleep quality as outcome variables. Anxiety was measured using the Self-Rating Anxiety Scale (SAS), and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), both of which have demonstrated acceptable validity and reliability in prior research. Data analysis included descriptive statistics and the Wilcoxon signed-rank test to determine pre-post differences between intervention and control groups, with a significance level set at p < 0.05. Result: The general characteristics of respondents were comparable between the intervention and control groups with respect to age, sex, duration of hemodialysis, and comorbid conditions. Specific baseline characteristics related to anxiety levels and sleep disturbances were also similar across groups, indicating initial equivalence. The Wilcoxon signed-rank test showed a statistically significant improvement in anxiety (p < 0.001) and sleep quality (p < 0.001) following the intervention. These findings suggest that combining mindfulness-based breathing exercises with lavender aromatherapy may reduce anxiety and enhance sleep quality among hemodialysis patients. Conclusion: The combination of mindfulness-based breathing exercises with Lavender Aromatherapy reduces Anxiety and improves Sleep Quality in hemodialysis patients. This intervention is very easy to implement, so it can be used as a nursing intervention in the hemodialysis unit to advance nursing science.
Co-Authors Agusta Dian Ellina Agustin Widyowati Agustinus Bali Matkusa Alfian Fawzi Alfian Fawzi Amin Zakaria Anik Nuridayanti Astri Yunita Astutik, Ina Byba Melda Suhita Candra Wahyuni Cindy Linggar Fitrianingrum Dedi Saifulah Detri Yulianty Tobe Dwi rahayu Erni Rahmawati Erva Elli Kristanti Esmenia Maria Rodrigues Soares Eva Agustina Fita Fitarusdian Fitra Okta Damayanti Fitria Nusantara, Ana Heri Saputro Ina Astutik Indasah Indasah Joel Rey Ugsang ACOB Joko Prasetyo Kase, Siti Meltiana Kristoforus Tnomel Lastareta, Rinay Linda Sukoco Mafalda Guterres De Carvalho Mafalda Guterres De Carvalho Mardova, Adelia Maria Putri Sari Utami Matkusa, Agustinus Bali Muhammad Fanani NENY TRIANA Novita Kurnia Sari Nurdina Nurdina Nuridayanti, Anik Nurmayunita, Heny Nuryeny H Oktaviana, Santi Prayoga Kurniawan Prima Dewi Kusumawati Rahmawati, Septi Dwi Rahmawati, Septi Dwi Ratna Wardani Renaldy Anggi Agastya Reni Nurhidayah Reni Yuli Astutik Restiya Agustin, Erda Rinay Lastareta Salmia Sandu Siyoto Sandu Siyoto, Sandu Santi Oktaviana Santi Oktaviana Santika, I Made Sari, Novita Kurnia Siti Meltiana Kase Siti Rofiatun Sugiharto, Mochamad Toto Sukoco, Linda Sumarmiati, Sumarmiati Sumiati Sumiati Sutik Sutrisno, Sutrisno Suwarto Suwarto Tamimi, Toriq Titih Huriah Titih Huriah Tobe, Detri Yulianty Utami, Maria Putri Sari Vitaria Wahyu Astuti Yalestyarini, Eva Agustina Yuan Mandira Wicaksana Yuli Peristiowati, Yuli Yulianti, Desak Made YUNI ASRI, YUNI Yuwono, Trisno