The Effect of Inhalation Aromatherapy on the Anxiety of Hemodialysis Patients at RSU Imelda Pekerja Indonesia Medan in 2023
Keywords:
Hemodialysis, Anxiety, Aromatherapy InhalationAbstract
According to KDIGO (2012) people with chronic kidney disease need hemodialysis therapy. Hemodialysis is the process of exchanging solutes and waste products of the body. The waste substances that accumulate in chronic kidney disease patients are withdrawn by the passive diffusion mechanism of semipermeable membranes. From the results of the analysis that has been carried out at RSU Imelda Pekerja Indonesia on patients undergoing hemodialysis, it was found that 7 out of 22 people undergoing hemodialysis experienced anxiety when they were about to start the hemodialysis process with signs of feeling tense, heart palpitations, nausea and anxiety about side effects during the hemodialysis process. One non-pharmacological therapy is complementary therapy that can be used to reduce some of the complications of hemodialysis such as anxiety, fatigue, pain, sleep quality, stress, and headaches, namely aromatherapy. The purpose of the study was to determine the effect of inhalation aromatherapy on the anxiety of patients undergoing iohemodialysisodi at RSU Imelda Pekerja Indonesia Medan in 2023. This study used quantitative methods. This type of study is pre-experimental with a one-group pretest-posttest design. The study population was 104 people, the study sample was 43 with purposive sampling. Bivariate test with wicoxon test. The results of the study The anxiety level of hemodialysis patients before giving aromatherapy had a mild anxiety level (40-59) as many as 21 people (48.8%), followed by hemodialysis patients with moderate anxiety levels (60-74) as many as 16 people (37.2%), followed by severe anxiety (75-80) as many as 6 people (14.0%). The anxiety level of hemodialysis patients after aromatherapy administration had mild anxiety levels (40-59) as many as 22 people (51.2%), followed by hemodialysis patients with moderate anxiety levels (60-74) as many as 13 people (30.2%), followed by no anxiety (20-39) as many as 5 people (11.6%) and severe anxiety (75-80) as many as 3 people (7.0%). The results of the Wilcoxon test, it was found that there was an effect of inhalation aromatherapy with a decrease in anxiety in hemodialysis patients with sig values. 0.000<0.05.
References
Ali, A. dkk., (2017). Perbandingan Kualitas Hidup Pasien Gagal Ginjal Kronik Dengan Comorbid Faktor Diabetes Melitis Dan Hipertensi. Jurnal keperawatan. Vol. 5 No 2 http://download.portalgaruda.org diakses tanggal 14Juli 2018
Argi, 2013. Aroma Terapi Herbal. Jakarta: Salemba Medika
Anastasia, S., Bayhakki, & Nauli, F.A.(2015). Pengaruh Aromaterapi Inhalasi Lavender Terhadap Kecemasan Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis.JOM. Vol.2, No.2
Bayhakki,Y.(2017).Hubungan Lama Menjalani Hemodialiss dengan Inter- Dialytic Weight Gain pada Pasien Hemodialisa.JKP.Vol.5, No.3
Chen, C.K.,Tsai, Y.C.,Hsu, H.J.,Wu, I.W.,Sun, C.Y.&Chou, C.C., dkk. (2010). Depression and suicide risk in hemodialysis patients with chronicrenalfailure. Psychosomatics,51,528-528e526. https://www.ncbi.nlm.nih.gov diakses tanggal 16 Juli 2018
Hamsyani, A.,Enok. (2017). Analisis Prkatik Klinik Keperawatan pada Pasien Cronik Kidney Disease (CKD) dengan intervensi Terapi Relaksasi Benson Kombinasi Murottal Al-Qurán (Qs.An-Naba) terhadap Kecemasan di Ruang Hemodialisa RSUDA.W.Sjahranie Samarinda. STIKES Muhammadiyah Samarinda
Hernawaty, T., Ramadhani,R.I.,& Solehati, T.(2013). Gambaran Tingkat Kecemasan Pasien Kanker Serviks Di RSUP Dr. Hasan Sadikin Bandung. Universitas Padjadjaran.
IRR (Indonesian Renal Registry).(2015). 5th Report Of Indonesian Renal Registry [Online]. Available: diakses tanggal 14 Juli 2018
Jangkup,J.,dkk. (2015). Tingkat Kecemasan Pada Pasien Penyakit Gagal Ginjal Kronik (PGK) Yang Menjalani Hemodialisis Di BLU RSUP PROF.DR.R.D.KandouManado. Jurnal e-Clinic. Vol.3, No. 1
John, J.F., & Thomas, V.J. (2013). The Psychosocial Experince of Patients with End-Stage Renal Disease and Its Impact on Quality of Life: Finding from a NeedsAssessment to Shape a Service. ISRNNephrology.
Julianty,SA.,dkk.(2014). Faktor-Faktor yang Berhubungan dengan Tingkat Kecemasan Pasien Hemodialisis di RSUD Rr.Prirngadi Medan. Idea Nursing Journal.ISSN: 2087-2879 Vol. VI, No.3
Leghari,N.U., Amin, R.,Akram,B., &Asadullah,M.A.(2015). Hemodialysis;Psychosocial Stressors In Patients Undergoing. The Professional Medical Journal, 22(6):762-766
Latifah,AH.,dkk.(2016). Pengaruh Distraksi Audio: MurottalAl-Qurán terhadap Tingkat Kecemasan Pasien Gagal Ginjal Kronik yang Menjalani Terapi Hemodialisa di RSUD Dr.Soedirman Kebumen. Stikes Muhamadiyah Gombong
Luana, NA.dkk. (2012). Kecemasan pada Penderita Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RS Universitas Kristen Indonesia. Media MedikaIndonesianan.Vol.46, No.3
Manalu, T. A. (2019). Pengaruh Aromaterapi Inhalasi Terhadap Penurunan Nilai Kecemasan Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa. Jurnal Keperawatan Dan Fisioterapi (Jkf), 1(2), 13-19.
Muchtaridi, 2015. Aspek Kimia Aroma terapi. Bandung: Pustaka Hidayah
Munadi,Y.(2008).MediaPembelajaran.Ciputat: gaungPersadaPress
Musa,Wartilisna,dkk..(2015). Hubungan Tindakan Hemodilisa dengan Tingkat Kecemasan Klien Gagal Ginjal di Ruangan Hemodialisa RSUP Prof Dr.R. Kandou Manado. Vol.3, No.1
Nurchayati,S.(2016).Hubungan Kecemasan Dengan Kualitas Hidup Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis. Jurnal Keperawatan Jiwa. Vol.4,No.1
Nursalam.(2008).Metodologi Penelitian Ilmu Keperawatan Pendekatan Praktis. Edisi3. Jakarta. Selemba Medika.pp.163-175
Rahman M., Kaunang T., & Elim T. (2016). Hubungan Antara Lama Menjalani Hemodialisis Dengan Kualitas Hidup PasienYang Menjalani Hemodialisis Di Unit Hemodialisis RSUP. Prof. Dr. R. D. Kandou Manado. Jurnal e-ClinicVolume4.
