The Effect of Mindfulness Based Stress Reduction (MBSR) on Anxiety Levels of Hemodialysis Patients at RSD KRMT Wongsonegoro, Semarang City

Hestami Kerenika Riyanti; Dwi Nur Aini

doi:10.55606/ijhs.v6i1.6930

Authors

Hestami Kerenika Riyanti Universitas Widya Husada Semarang
Dwi Nur Aini Universitas Widya Husada Semarang

DOI:

https://doi.org/10.55606/ijhs.v6i1.6930

Keywords:

Anxiety, Chronic Kidney Disease, Hemodialysis, Mindfulness-Based Stress Reduction, Wilcoxon Test

Abstract

Chronic kidney disease (CKD) is identified by a decrease in the glomerular filtration rate (GFR <60 mL/min/1.73) over a period of more than three months. Patients undergoing hemodialysis often experience anxiety due to the intense therapy routine and lifestyle limitations. This condition requires effective anxiety management. This study analyzes the effect of Mindfulness-Based Stress Reduction (MBSR) on anxiety levels in hemodialysis patients. The research design used was quantitative with a one-group pre-test post-test approach to evaluate the effectiveness of MBSR. Data were collected using the GAD-7 questionnaire . The research sample used purposive sampling of 88 respondents, analyzed using the Wilcoxon test. The findings showed that 68 respondents experienced a decrease in anxiety, 0 respondents experienced an increase, and 1 respondent experienced a decrease in anxiety. 20 respondents ( ties ) which did not experience an increase or decrease in anxiety levels. The p-value sign value = 0.000 or p < 0.05, the conclusion is 0.000 < α (0.05) then Ho is rejected and Ha is accepted which means there is an effect of MBSR therapy on the anxiety levels of hemodialysis patients. The conclusion obtained is that MBSR has an influence on the anxiety level of hemodialysis patients.

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References

Adhyartasari, V. P., Soetjiningsih, C. H., & Prapunoto, S. (2024). Validity and reliability tests on the generalized anxiety disorder diagnostic scale. JPPI (Jurnal Penelitian Pendidikan Indonesia), 10(1), 87. https://doi.org/10.29210/020242384

Agustyowati, T. H. R., Khofifah, N., & Putri, T. A. R. K. (2023). Factors affecting hemodialysis patients’ anxiety levels. Jurnal Keperawatan Medikal Bedah dan Kritis, 1(2), 97–103.

Aini, D. N., & Arifianto. (2024). Factors associated with self-acceptance in chronic kidney failure patients undergoing hemodialysis. Jurnal Ilmiah Permas, 14(4), 1343–1350.

Akbar, M. A., Harto, T., & Bangsa, U. K. (2023). The effect of affirmation techniques on anxiety levels in chronic kidney failure patients undergoing hemodialysis. Cendekia Medika, 8(2). https://doi.org/10.52235/cendekiamedika.v8i2.255

Arsyi, D. N., Natashia, D., Gayatri, D., Irawati, D., Jumaiyah, W., & Nuraini, T. (2024). Modified mindfulness-based stress reduction (MBSR) therapy to reduce psychological distress in chronic kidney disease (CKD) patients on hemodialysis (HD). International Journal of Global Health Research, 6(5), 2921–2932. https://doi.org/10.37287/ijghr.v6i5.3694

Astuti, V., Fitriyanti, D., & Yono, N. H. (2022). The effectiveness of mindfulness therapy on anxiety levels in patients undergoing hemodialysis. Siwalima Health Works, 1(2), 86–93. https://doi.org/10.54639/kks.v1i2.834

Blum, H., Rutt, C., Nash, C., Joyce, V., & Buonopane, R. (2021). Mindfulness meditation and anxiety in adolescents on an inpatient psychiatric unit. Journal of Health Care Chaplaincy, 27(2), 65–83. https://doi.org/10.1080/08854726.2019.1603918

Damanik, H. (2020). Anxiety level of chronic kidney failure patients undergoing hemodialysis at Imelda Hospital, Indonesia. Imelda Scientific Journal of Nursing, 6(1), 80–85. https://doi.org/10.52943/jikeperawatan.v6i1.365

Darusman, M. (2023). The effectiveness of mindfulness-based stress reduction (MBSR) in reducing social anxiety symptoms in college students (Master’s thesis). Universitas Muhammadiyah Malang.

Faulinna, N., Astuti, K., & Peristianto, S. F. (2022). The effect of mindfulness-based stress reduction training on reducing anxiety in nurses of the COVID-19 task force at RSUD X. Gadjah Mada Nursing Journal, 12(1), 58–65. https://doi.org/10.24127/gdn.v12i1.4870

Makmur, D., Shinta, & Novega. (2024). The effect of mindfulness meditation on anxiety in hemodialysis patients. Injection: Jurnal Keperawatan, 4.

Manurung, N. (2021). Reminiscence therapy: A solution approach as a nursing action effort to reduce anxiety, stress, and depression (T. Ismail, Ed.). Trans Info Media.

Marisi Dame, A., Rayasari, F., Irawati, D., & Kurniasih, D. N. (2022). Factors associated with anxiety levels in chronic kidney disease patients undergoing hemodialysis. Jurnal Keperawatan, 14(S3), 831–844.

Misdiyanti, D., Sumarsih, T., Djalil, A., & Sarjana, K. P. (2022). Analysis of nursing care in chronic kidney disease patients with anxiety through a combination of general therapy and mindfulness therapy.

Natalia, S., Suangga, F., Pramadhani, W., & Isnaini. (2023). The relationship between length of hemodialysis treatment and quality of life of chronic kidney failure patients. An-Najat Journal, 1(2). https://doi.org/10.59841/an-najat.v1i2.162

Pragholapati, A., Megawati, S. W., & Suryana, Y. (2021). Re-education psychotherapy (counseling) on anxiety levels in pre-operative caesarean section patients. Journal of Psychological Intervention, 13(1), 15–20. https://doi.org/10.20885/intervensipsikologi.vol13.iss1.art2

Rahman, R. A. N., Kartinah, & Kusnanto. (2023). Overview of anxiety, stress, and depression in adults undergoing hemodialysis. Aiska Nursing Journal, 4, 1–6.

Siregar, W. M., Tanjung, D., & Effendy, E. (2022). The effectiveness of natural music therapy on anxiety levels in hemodialysis patients. Jurnal Online Keperawatan Indonesia, 4, 428–438. https://doi.org/10.31539/joting.v4i2.2692

Syafii, H., Purnomo, H., & Azhari, H. (2024). Mindfulness-based stress reduction (MBSR) in reducing academic anxiety in students. Journal of Islamic Studies and Muhammadiyah, 4(2), 162–177. https://doi.org/10.18196/jasika.v4i2.129

Syamsuddin, F., Simbala, I., & Latjompoh, K. A. (2023). Application of mindfulness-based stress reduction intervention to anxiety levels in CKD patients. Jurnal Kesehatan Masyarakat, 7(3). https://doi.org/10.31004/prepotif.v7i3.22265

Ulfa, S. R., & Susanto, G. (2023). Application of mindfulness therapy in overcoming anxiety in hemodialysis patients. Nusantara Hasana Journal, 3(5), 23–33. https://doi.org/10.59003/nhj.v3i5.996

Widyawati, N. N., Yartin, S., & Mulki, M. M. (2023). The relationship between length of hemodialysis and quality of life in CKD patients. Multidisciplinary Journal of Science Warehouse, 1, 278–282. https://doi.org/10.59435/gjmi.v1i3.88