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All Journal Poltekita : Jurnal Ilmu Kesehatan Journal of Health and Nutrition Research Journal Of Health Innovation And Community Services Jurnal Ilmiah Kesehatan Mandala Waluya Jurnal Anoa Keperawatan Mandala Waluya Jurnal Pengabdian Masyarakat Bumi Anoa
Indriani, Cece
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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The Effect of Cognitive Behavioral Therapy on Depression and Quality of Life in Chronic Kidney Disease Patients: A Quasi-Experimental Study Nazaruddin, Nazaruddin; Indriani, Cece; Novitasari, Icha; Ramadhani, Akbar
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.823

Abstract

Chronic Kidney Disease (CKD) imposes substantial physical and psychological burdens, with depression significantly exacerbating the decline in patients' health-related quality of life (QOL). This study aimed to assess the efficacy of Cognitive Behavioral Therapy (CBT) in alleviating depressive symptoms and enhancing the QOL of CKD patients. Methods: A quasi-experimental study was conducted with 70 CKD patients experiencing depressive symptoms (BDI > 14), who were divided into intervention (n=35) and control (n=35) groups. The intervention group underwent an eight-week CBT program consisting of structured weekly sessions (30–60 minutes each), while the control group received routine medical care only. Depression and QOL were evaluated pre- and post-intervention using the Beck Depression Inventory (BDI) and the WHOQOL instrument, respectively. Analysis using the Mann-Whitney test showed a statistically significant improvement in the intervention group compared with the control group (p = 0.000). Following the intervention, 48.6% of participants in the CBT group transitioned to a "no depression" state, and 60.0% reported a "good" QOL, whereas the control group remained largely unchanged with high rates of severe depression. The integration of structured CBT into clinical nursing care provides a robust, holistic approach to improving the psychological and physical well-being of CKD patients. These results underscore the importance of incorporating routine mental health screening and evidence-based psychological interventions into standard renal care protocols.
Co-Authors Abdul Rahim Sya’ban ahmad yani Ardiansyah, La Ode Ari Nofitasari Arie Lestari, Sari Dedi Krismiadi Dina, Hasnia Dina, Hasniah Hasanuddin, Silviana Idrus, Muh Ima, Lukman Kartini, Sapril Krismiadi, Dedi La Ode Ardiansyah Mahmud, Fadhilah N. Nazaruddin nawawi Nazaruddin Nazaruddin Nazaruddin Nova Noviyanti, Wa Ode Noviati Noviati Novitasari, Icha Nurdin Pongdatu, Merry Rachman, Wa Ode Nova Noviyanti Rahim Sya’ban, Abdul Rahmadhania, Wa Ode Rahmawati Ramadhani, Akbar Saparina, Titi Saparina. L, Titi Saputri, Aulia Sasmita, Evi Solihin Solihin Solihin Wa Ode Nova Noviyanti Zoahira, Wa Ode Aisa