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Pengalaman Manajemen Nyeri Kronis pada Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa : Studi Kualitatif Kartika, Imelda Rahmayunia; Rezkiki, Fitrianola
Journal of Pubnursing Sciences Vol 3 No 04 (2025): Journal of Pubnursing Sciences
Publisher : PT. Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/jps.v3i04.321

Abstract

Background: Chronic pain is a common and distressing experience for patients with end-stage renal disease (ESRD) undergoing hemodialysis, yet its complexity and management remain insufficiently explored. Understanding how patients perceive and manage this pain is crucial for developing holistic nursing interventions. Aim: To explore the lived experiences of chronic pain management among patients receiving long-term hemodialysis. Method: A qualitative descriptive approach was employed, using in-depth semi-structured interviews with a purposive sample of hemodialysis patients. Data were analyzed thematically to identify core patterns and meanings. Results: Three themes emerged: (1) perceived meaning and impact of pain during hemodialysis, reflecting patients’ physical discomfort, emotional distress, and disruption of daily life; (2) patterns and characteristics of pain, described as fluctuating in intensity, duration, and location throughout the hemodialysis process; and (3) complementary and supportive strategies for pain management, including spiritual practices, relaxation, distraction techniques, and reliance on family support. The findings underscore that pain during hemodialysis is not only a physical phenomenon but also a psychosocial and spiritual challenge. Nurses play a pivotal role in recognizing patients’ multidimensional pain experiences and in integrating complementary approaches alongside conventional care. Conclusion: This study highlights the importance of patient-centered, culturally sensitive strategies to enhance pain management and quality of life in ESRD care. It is recommended that future nursing practice and policies incorporate complementary therapies and patient education programs to strengthen pain management strategies in hemodialysis units.
Patient Experiences of Receiving the Therapeutic touch of Nurses in Chronic Illness Care: A Qualitative Study Rezkiki, Fitrianola; Kartika, Imelda Rahmayunia; Febrina, Cory; Fatin, Nisa Nurliana
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.10805

Abstract

Therapeutic touch is a form of non-verbal communication, but its delivery in clinical settings often does not align with patient needs. Understanding the perspectives is essential to optimise its use in nursing care. Explore the experiences of Indonesian patients with chronic illness in receiving the therapeutic touch during hospitalisation. A qualitative descriptive design was used. Eight patients with chronic disease were recruited through purposive sampling. Data were collected through in-depth audio recordings and analyzed thematically. Results: Four themes emerged: Nurses’ ways of providing touch – techniques, intention and manner of initiating touch; Effects of touch – emotional comfort, reduced anxiety and perceived support; Timing of touch – appropriate moments when touch is expected or meaningful; Cultural and belief influences – feelings of shame, religious considerations and personal boundaries. Most of the patients expressed positive perceptions of therapeutic touch and acknowledged its benefits for comfort and connection. However, some hesitated due to cultural norms, religious values, or limited prior experience. Patients emphasised their right to therapeutic touch when nurses provide care, especially when it conveys empathy and genuine care. Practice Implications: Nurses should strengthen their use of therapeutic touch as part of holistic care. Health professionals are encouraged to integrate therapeutic touch intentionally and sensitively during hospitalisation.