Journal of Advanced Nursing and Health Sciences
Vol. 7 No. 2, Agustus 2026

THE EFFECT OF MEDITATION SUPPORT ON STRESS LEVELS AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS

Nando Danung Priangga (Applied Bachelor’s Degree Program in Nursing, Department of Nursing, Poltekkes Kemenkes Semarang, Semarang, Indonesia)
Erna Erawati (Applied Bachelor’s Degree Program in Nursing, Department of Nursing, Poltekkes Kemenkes Semarang, Semarang, Indonesia)
Angga Sugiarto (Applied Bachelor’s Degree Program in Nursing, Department of Nursing, Poltekkes Kemenkes Semarang, Semarang, Indonesia)
Suharsono Suharsono (Applied Bachelor’s Degree Program in Nursing, Department of Nursing, Poltekkes Kemenkes Semarang, Semarang, Indonesia)



Article Info

Publish Date
31 Aug 2026

Abstract

Background: Chronic kidney disease (CKD) is a progressive disease requiring lifelong hemodialysis. Patients undergoing hemodialysis frequently experience psychological stress due to long-term treatment, dependence on dialysis machines, lifestyle changes, and physical and emotional limitations. Unmanaged stress may reduce quality of life and treatment adherence. Meditation support has been recognized as a complementary nursing intervention to reduce stress by promoting relaxation and emotional regulation. Methods: This study employed a quantitative pre-experimental design using a one-group pretest–posttest approach. A total of 36 patients with chronic kidney disease who were undergoing routine hemodialysis were selected through purposive sampling. Results: Stress levels were assessed using the Perceived Stress Scale (PSS-10) before and after a five-session meditation support intervention. Data were analyzed using the Wilcoxon Signed Rank Test. Before the intervention, 32 participants (88.9%) experienced moderate stress, 2 (5.6%) experienced mild stress, and 2 (5.6%) experienced severe stress. After the intervention, 32 participants (88.9%) experienced mild stress, while 4 participants (11.1%) remained in the moderate stress category. The median stress score decreased from 20 to 12. The Wilcoxon Signed Rank Test showed a statistically significant reduction in stress levels (Z = -5.239; p = 0.001). Meditation support significantly reduced stress levels among patients with chronic kidney disease undergoing hemodialysis. Conclusion: Meditation support may be considered an effective complementary nursing intervention to enhance psychological support and holistic nursing care for patients undergoing hemodialysis, thereby improving their overall well-being.

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Journal Info

Abbrev

KN

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Education Health Professions Nursing Physics Public Health

Description

Journal of Advanced Nursing and Health Sciences presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties, midwifery, public health, and other health field. The journal particularly focuses on the main problems in the development of ...