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Journal : MEDISAINS

Psychosocial therapy model to reduce anxiety levels in hemodialysis patients Ariyanto, Fajar; Pratiwi, Arum; Hudiyawati, Dian
MEDISAINS Vol 22, No 3 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i3.23788

Abstract

Background: Chronic kidney disease (CKD) is a global health issue that significantly impacts the quality of life of patients undergoing hemodialysis. Anxiety is one of the common psychological challenges faced by these patients. While various studies have addressed psychological and social interventions, most have focused on only one aspect, such as family support or psychological therapy, without considering the biological, social, and spiritual needs simultaneously. No research has integrated all these dimensions into a holistic approach.Purpose: This study aims to develop and evaluate a holistic nursing management model that combines all of these aspects to reduce anxiety levels for hemodialysis patients.Methods: This study used a mixed-method approach with an action research design. It was conducted at the Klaten Islamic Hospital. The population in the study was patients undergoing hemodialysis; as many as 15 patients participated in this study. The holistic nursing module was tested in five sessions, each lasting 15-30 minutes. Anxiety levels were measured using the Hamilton Rating Scale for Anxiety (HRS-A) before and after the intervention.Results: The study's results showed that the average level of anxiety in patients before the intervention was 35.13±3.22; after the intervention, it decreased to 24.87±1.68 (p<0.001).Conclusion: The application of the holistic nursing management model effectively reduced anxiety levels in hemodialysis patients.
Effect of intradialytic mindfulness-based meditation on spiritual well-being and anxiety in hemodialysis patients: a randomized controlled trial Murwani, Wara Gati; Fahrun Nur Rosyid; Dian Hudiyawati
MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan Vol. 24 No. 1 (2026)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v24i1.28905

Abstract

Background: Patients undergoing hemodialysis frequently experience anxiety and reduced spiritual well-being; however, few studies have simultaneously addressed these outcomes using structured mindfulness-based interventions delivered during dialysis sessions. Purpose: To evaluate the effectiveness of intradialytic mindfulness-based meditation in reducing anxiety and improving spiritual well-being among patients undergoing hemodialysis. Methods: A randomized controlled trial was conducted involving 58 patients undergoing routine hemodialysis, randomly assigned to an intervention group (n = 29) or a control group (n = 29). The intervention group received a 2.5-hour mindfulness training session followed by audio-guided mindfulness practice during the first 15 minutes of hemodialysis sessions, twice weekly for four weeks. The control group rested quietly without guided practice. Anxiety was measured using the Zung Self-Rating Anxiety Scale (ZSAS), and spiritual well-being was assessed using the Spiritual Well-Being Scale (SWBS). Data were analyzed using paired and independent t-tests. Results: The intervention group showed a significant increase in spiritual well-being scores (mean change +6.07) compared with the control group (+1.21) (p = 0.021). Anxiety scores significantly decreased in the intervention group (−11.76) compared with minimal change in the control group (+0.69) (p = 0.001). The between-group effect sizes were large (SWB: d = 1.36; anxiety: d = −1.88). Conclusion: Intradialytic mindfulness-based meditation is a feasible and effective complementary intervention that improves spiritual well-being and reduces anxiety among patients undergoing hemodialysis.
Co-Authors Abi Muhlisin Adella Indri Afitasari Ady Tyawarman Agung Haryanto Agus Herianto Agustaria Budi Nugroho aisya, saktika Aji, Prima Trisna Ajie Maulana Prakoso Alfianti, Ade Leta Amalia, Luthfiana Ameilia Nurhadiyastuti ani syafriati Anik Widiastuti Anindyati Fatikhul Jannah Anjarsari, Rizki Annas Tasya Permata Sari Annisa Dewi Cahya Annisa, Safira Bela Antika, Febrianti Nur Aprilia Kartika Sari Ardhiansyah, Muhammad Faiz Fahrizal Ardhika Putri Utami Arif Widodo Ariwati Anggita Putri Ariwati Anggita Putri Ariyanto, Fajar Arum Pratiwi Arum Pratiwi Ashar, Burhanudin Astuti, Lia Atmaja, Hanandhiya Intansari Ayu Adi Novitriana Azizah, Amalia Nur Azulla, Sellvinia Beti Kristinawati Bima Surya Nugraha Charisma Alzura Chintya Putri Wibowo Chouhan, Devraj Singh Devina Dara Safitri Dewangga, Mahendra Wahyu Dewi, Siti Mutiara Sari Dilla Nurfatika Sari Dimas Ria Angga Pribadi Dinda Marini Putri Egidia Tiffany Eka Agustin Eka Lavenia Martini Ekan Faozi Endar Sulistyo Erna Herawati Erni Susanti Erni Susanti Faelani, Shelina Puput Gupita Fahrun Nur Rosyid Farah Fadilah Fardani Nur Annisa Febi Kusuma Nugraha Febrianti Nur Antika Hani Oktavira, Sisilia Hariati Wahyuningsih K Hayati, Fila Diana Nur Hunain Suci Kamila Iik Monika Ikrom, Yasier Imani, Nadia Nur Indhira Kurniastining Fiqriyah Indhira Kurniastining Fiqriyah Intan Roesyati Intan Roesyati Jami'atulhita Alfirizqi Jayanthi, Jesslyn Khoirunnisaa Jesslyn Khoirunnisaa Jayanthi Jihadilia Islami Putri Jumaiyah, Wati Jumaiyah, Wati Kamila, Hunain Suci Kartinah Karunia, Alya Fitri Dwi Khairunisa, Septi Latifardani, Rissa Maemunah Maemunah Martini, Eka Lavenia MH Dwi Nur Arif Miayunaisya Dyah Partita Muhammad Isa Hanafi Tabah Tohamik Muhammad Rafif ‘Ulwan Mujannidah, Afidatul Murwani, Wara Gati Musa, Mazlinda Mustofa, Sidqon Muzakar Isa Nabila Windi Aulia Nabilla Oktaviani Nurlitasari Nadya Yuniandita Nera Bela Beauty Nur Nida Zahrotul Ummah Nindi Muthohar Niswatin, Tsani Khoirun Noor Alis Setiyadi Nur Imamah, Ida Nur Janah, Sherly Nuralis Setyadi Oktandora, Nobrila Salsa Oktavira, Sisilia Hani Pambudiarto, Arie Agus Prasetia, Enggartyas Nur Pratiwi, Arum Prima Trisna Aji Primalia, Pudika Priyani, Nabila Novita Priyanti, Tiyas Pudika Primalia Putri Nurlia Anggraini Putri, Ariwati Anggita Putri, Ekky Puspita Sonia Rahmawati, Ellyza Renandha Parahita Reni Kartika Sari Rini Anggita Rini Indah Pratiwi Rissa Latifardani Riyani Wulaningsih Rizki Anjarsari Roesyati, Intan Romadhonia, Hanan Nofiana Sabila Rizki Saktika Aisya Hadyantari Saqina, Adhisty Fachrine Ayu sari, afifah laksmita Sari, Dilla Nurfatika Sari, Noviana Kurnia Sejati, Ilham Kukuh Septi Khairunisa Septia Denok Sugiharto Septiana, Yuni Setiyo Purwanto Sevia Yayustika Qoirunnisa Silviana Dian Putri Ichsani Silviana Rahmawati Ekaputri Siti Marfu'ah Sri Mulyani Sulastri Sulastri Sulastri Sumarno Adi Subrata Sumarno Adi Subrata Sutanto, Ikhlash Alkaustsar Syafriati, Ani Taqiyah, Serin Izzatut Tiffany, Egidia Tiyas Priyanti Tiyas Priyanti Tri Agustina Tsuroya Nabila Musthofa Tyawarman, Ady Utami, Ardhika Putri Via Marganingsih Violeta Yuman Tanaya Wachidah Yuniartika Wachidah Yuniartika Wibowo, Della Mardiana Widya Putri Rachmawati Wildan Prima Jalu Prasojo Winarsih Nur Ambarwati Wisardoyo Wisardoyo Wita Oktaviana Wulan Syafitry Yuli Susanti Yuni Sri Lestari, Yuni Sri Yuniandita, Nadya Zahrani Bakhita Hanifah Zain, Choirunnisa' Hanun Zainuddin S. Isa Ziddan Arif Darmawan