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Wantonoro Wantonoro, Wantonoro
Universitas Aisyiyah Yogyakarta
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Kesejahteraan Spiritual dan Dampaknya terhadap Kecemasan, Depresi, dan Kualitas Hidup Pasien Hemodialisa: Sebuah Tinjauan Literatur Rabuzain Rabuzain; Wantonoro Wantonoro; Asykuri Asykuri
Jurnal Keperawatan Florence Nightingale Vol 9 No 1 (2026)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v9i1.483

Abstract

Patients with chronic kidney disease undergoing hemodialysis frequently experience various psychological problems, including anxiety, depression, and decreased quality of life. In recent years, spiritual well-being has received increasing attention as a potential factor that may help patients adapt to the burden of chronic illness. This study aimed to review and synthesize scientific evidence regarding the relationship between spiritual well-being, anxiety, depression, and quality of life among hemodialysis patients. This study employed a Literature Review approach following the PRISMA guidelines. Articles published between 2020 and 2025 were retrieved from PubMed, Scopus, ScienceDirect, and Google Scholar databases. The selected studies were screened based on predetermined inclusion and exclusion criteria. A total of ten quantitative studies met the eligibility criteria and were included in the review. The findings indicated that spiritual well-being was consistently associated with better psychological outcomes among hemodialysis patients. Higher levels of spirituality were linked to lower levels of anxiety and depression, improved quality of life, and more adaptive coping abilities. In addition, several studies reported that spirituality contributed to better treatment adherence and greater life satisfaction. However, variations in findings were observed due to differences in cultural contexts, participant characteristics, and measurement instruments. In conclusion, spiritual well-being is an important factor associated with the mental health and quality of life of hemodialysis patients. The integration of spiritual aspects into nursing care may support a more holistic approach to patient management. Further studies with more rigorous research designs are needed to clarify the underlying mechanisms of this relationship.
A Qualitative Exploration of Palliative Care Experiences among Javanese Patients and Families Ruhyana Ruhyana; Wantonoro Wantonoro
Jurnal Manajemen Informasi Kesehatan (Health Information Management) Vol. 11 No. 1 (2026): Health Information and Management
Publisher : Sekolah Tinggi Ilmu Kesehatan Sapta Bakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51851/jmik.v11i1.945

Abstract

Background: Cultural aspects play a crucial role in providing nursing care, particularly for patients and families with terminal or chronic illnesses undergoing palliative care. Understanding patients' and families' cultural aspects is essential to provide empathetic, effective, and culturally respectful palliative care. Method: This qualitative phenomenological study involved in-depth interviews with 10 participants (5 patients and 5 family members) selected through purposive sampling. Data were analyzed using Colaizzi's method. Result: Five main themes emerged reflecting the cultural perceptions of palliative care among Javanese patients and families: (1) Hope for recovery and a better life-serving as a spiritual and emotional anchor held by patients and families; (2) Family roles and responsibilities-encompassing caregiving duties, emotional support, and efforts to maintain family harmony and dignity; (3) Anxiety about the future-including concerns about dependency, financial burden, and the impact of loss, felt by both patients and families; (4) Life as a test and trial from God-a strong spiritual belief that illness is part of destiny, collectively accepted; (5) Surrender and acceptance (nrimo)-a characteristic Javanese attitude practiced by patients and families as a coping mechanism to find peace amidst uncertainty. Conclusion: Nrimo, sincere acceptance of illness as divine will, functions as an active, value-based coping mechanism that enhances resilience and spiritual well-being, differing from Western concepts of passive resignation. Healthcare professionals must validate nrimo as adaptive coping, not fatalism. Family-centered, indirect communication with early engagement of decision-makers is recommended. Spiritual care integration through religious leaders is essential for meaning-making.
Co-Authors Adelia Rizky Brilianti Aini Inayati Al Amin, Taofani Rizal Apriliyani, Kiki Putri Arida Rahmawati Arif Bimantara Arman, Mohammed Astuti, Andari Wuri Astuti, Dhesi Asykuri Asykuri Atmanasari , Hesti Baros, Wan Aisyah Dewi, Suarse Dian Novita Dian Retnaningdiah, Dian Dika Rizki Imania Dika Rizki Imania, Dika Rizki Diyah Candra Diyah Candra Anita, Diyah Candra Dwi Astuti Edy Suprayitno Edy Suprayitno, Edy Endang Koni Suryaningsih, Endang Koni Faedati, Nur Faidati, Nur Faidullah, Hilmi Zadah Farida Kartini Febriyanti, Maya Fenny Nur Alvianty harun, sigit Harus, Sigit Heru Susanto Huynh Xuan Thi Nguyen Ilyas, Aura Risky Putri Indrawati Indrawati Islamiyatur Rokhmah Ismarwati Rendra Widyatama I.M. Sunarsih Sutaryo Jurdiansyah, Jurdiansyah Kartini, Farida Khoiriyah, Hikmatul Komarudin Komarudin Komarudin Komarudin L, Tri Hapsari Liem Thanh Nguyen Loc Van Huynh Lutfi Nurdian Asnindari, Lutfi Nurdian M Dahlan M Dahlan, M Made Suandika Mamnuah, Mamnuah Manahan, Lydia T. Manh Truc Huynh Nguyen Manurung, Khaterina Kristina Meei-Ling Gau Minh Quang Le Moh. Ali Imron, Moh. Mufdillah Mufdillah, Mufdillah My Ngoc Thi Huynh Nguyen, Tuan Van Nosa Septiana Anindita Phuong Viet Nguyen Pramanda, Tasya Prasestiyo, Hamudi Prihatiningsih, Dwi Putri, Rizki Anindya Rabuzain Rabuzain Rafikah Safitri Reisha Anom Dwijokangko Rini, Sulistio Rohmiasih, Rohmiasih Ruhyana Ruhyana Ruhyana, Ruhyana Salmiati, Suri Setianah, Heni Setyaningsih, Vita Siregar, Dedy Revelino Siti Fatimah Sitti Fadhillah Suarni, Lisa Sugiantoro, Hari Akbar Sugiyarto Sugiyarto Suri Salmiyati Suri Salmiyati, Suri Suriani Suriani Thi My, Nguyen Duyen Thi Ngoc, Nguyen Han Thi Yen, Nguyen Nhi Thu Minh Vo Thuy Hong Nguyen Tuan Van Nguyen Tuan Van Nguyen Van Nguyen, Tuan Wawan Febri Ramdani Widadi, Tri Yang, Hsiu-Ling Zain, Indah Choirunnisa Putri