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Yulanda, Nita Arisanti
Universitas Tanjungpura
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Journal : Jurnal Kesehatan Kusuma Husada

 1 
PENGARUH COACHING: SELF HEALING TERHADAP TINGKAT STRES DAN KADAR KORTISOL PADA PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISIS Nita Arisanti Yulanda; H Herman
Jurnal Kesehatan Kusuma Husada Vol. 11 No. 2, Juli 2020
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.795 KB) | DOI: 10.34035/jk.v11i2.450

Abstract

Gagal Ginjal Kronis (GGK) merupakan gangguan fungsi renal yang progresif dan irreversible yang memerlukan tindakan hemodialisis dan memiliki keterbatasan dalam kehidupannya. Keterbatasan ini mengakibatkan pasien rentan terhadap stres. Salah satu terapi self healing: mind body and spirit menggunakan do’a dan zikir mampu meningkatkan spiritual value dan mempengaruhi peningkatan kepribadian. Terapi ini mampu merubah stres negatif (distres) menjadi stres positif (eustres) dan perubahan respon biologis oleh potensi penurunan kortisol. Tujuan penelitian menganalisis pengaruh self healing terhadap tingkar stres dan kadar kortisol pasien gagal ginjal yang menjalani hemodialisis. Desain penelitian ini adalah quasy eksperimental (pre post test with control group design). Populasi penelitian adalah pasien gagal ginjal yang menjalani hemodialisis di dua Rumah Sakit yang berbeda di Kalimantan Barat namun memiliki tipe yang sama, yaitu tipe B. Jumlah sampel 40 responden yang terbagi menjadi 2 kelompok (intervensi dan kontrol) masing – masing kelompok penelitian terdapat 20 responden yang sesuai dengan kriteria inklusi penelitian. Tehnik pengambilan sampel menggunakan purposive sampling. Pengumpulan data menggunakan instrumen DASS 42 dan pengukuran kadar kortisol dengan Elisa Kit. Hasil uji Independent T-test kedua kelompok pada variabel tingkat stres memiliki hubungan bermakna (p=0,004) sedangkan pada kadar kortisol memiliki hubungan tidak bermakna (p=0,148). Terdapat pengaruh self healing pada tingkat stres pasien hemodialisis. Sebagai seorang perawat dalam melaksanakan asuhan keperawatan juga harus memperhatikan kebutuhan spiritual klien yang mampu menurunkan tingkat stres klien selama perawatan di rumah sakit. Chronic Renal Failure (CRF) is a progressive and irreversible renal function disorder that requires hemodialysis and CRF patients have several life limitation which make them vulnerable to stres. The self healing treatment:mind body and spirit therapy using prayers can increase spiritual value and influence personality improvement so that it changes negative stress (distress) to positive stress (eustress) and changes in biological responses by the effect for decreased cortisol. The purpose of the study was to analyze the effect of self healing on stress level and hemodialysis patient levels of cortisol in chronic renal failure patients. The design of this study is quasy experimental pretest-posttest with control group design. The population was hemodialysis patients in Hospitals Type B in West Kalimantan. The number of sample was 40 respondents who were divided into 2 groups (intervention and control). Purposive sampling technique was used to select the respondents. Data collection used DASS 42 instrument and measurement of cortisol levels. The results of the independent t-test of two groups on the stress level variable had a significant relationship (p = 0.004) whereas on cortisol levels the relationship was not significant (p = 0.148). There is a significant effect of self healing therapy on the stress level of hemodialysis patients. As a nurse in carrying out nursing care must also consider the spiritual needs of clients who are able to reduce the level of client stress during treatment in the hospital.
Co-Authors Adiningsih, Berthy Sri Utami Agustian, Ardi Akhmad, Arif Nur Aliviah Anggelisa Larasati Anna, Theodora Elvia Annisa Mega Puspita Arief Andriyanto Arief Andriyanto Arief Andriyanto, Arief Arif Nur Akhmad Arina Nurfianti Arizki Rahman Hakim Asmalia, Nur Budiharto, Ichsan Cindiarty Kurnia Saputri Delia, Delia Dika Putri, Uray Weza Azalia Dinda Pratiwi Djoko Priyono Djoko Priyono Ericha Rizki Ridhowati Ervina Lili Neri Faisal Kholid Fahdi Fauzan, Suhaimi Fitri Fujiana Fitri, Tasya Aulia Fitriasari, Andikawati Fradianto, Ikbal Fujiana, Fitri Gabby Novikadarti Rahmah Ghifari, M. Ikhsan H Herman Hania, Uray Putri Hastuti, Maria Fudji Heriye Heriye Heriye Heriye, Heriye Herman . Ichsan Budiharto Ichsan Budiharto Jonatan, Pendri Karitas, Mirdayata Diana Keti Andriani Kharisma Aji Martadi Kharisma Aji Martadi Kharisma Aji Martadi Konyan, Riski Konyan, Rizki Kurniawan, Cahya Dwi Larasati, Anggelisa Litaqia, Wulida M. Ali Maulana M. Ikhsan Ghifari Maharani, Emalia Maulana, M. Ali Maulana, Muhammad Ali Mita Mita Mita Mita Mita Mita Mita, Mita Murtilita, Murtilita Nadia Rahmawati Nadia, Priska Liz Pavita Arista Widya Pondi, Muhamad Pratiwi, Dinda Priyono, Djoko Puspita, Annisa Mega Raga M, Sigit Rahma W, Alvina Rahma, Alvina Rahmah, R. A. Gabby Novikadarti Rahmawati, Nadia Ramadani, Siska Putri RARASARI, DHITIA Rasyid, Agung Nur Ratih Sulistianingrum Raudhatul Jannah, Siti Riski Konyan Riszky Safitri Rosaldi Millenianto Sari, Serly Novita Selviani, Selviani Suhendri Suhendri Sukarni Sukarni Sukarni Sukarni Sukmawati Sukmawati Sulistianingrum, Ratih Suptya, Adrian Putra Syafira, Kania Syifa Az-zahra Tari Dwi Sundari K Titan Ligita Triyana Harlia Putri Ucok Budiman Wibowo, Widya Astuti Widya, Pavita Arista Winarianti Winarianti Winarianti, Winarianti Wirdani Nurhidayati Yoga Pramana Zenita Indra Ramadhita