<![CDATA[Chronic Kidney Disease (CKD) is a progressive health condition that often requires lifelong renal replacement therapy through hemodialysis. Patients undergoing routine hemodialysis commonly experience anxiety due to repeated invasive procedures, unfamiliar treatment environments, dependence on dialysis machines, and concerns about disease progression. Anxiety can negatively affect patients’ physiological and psychological conditions, quality of life, and treatment adherence. Virtual Reality (VR) distraction is a non-pharmacological nursing intervention that provides immersive audiovisual stimulation to divert attention from anxiety-provoking stimuli. This study aimed to determine the effect of Virtual Reality distraction on anxiety among hemodialysis patients at RSD K.R.M.T. Wongsonegoro Semarang. A quantitative case study with a one-group pretest-posttest design involved five hemodialysis patients selected through total sampling. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZSAS) before and after four Virtual Reality intervention sessions. The results showed decreased anxiety scores in all participants. Most respondents improved from moderate to mild anxiety, while one improved from severe to moderate anxiety. These findings indicate that Virtual Reality distraction is effective, safe, practical, and innovative for reducing anxiety and improving psychological well-being among hemodialysis patients.]]>
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