GAMBARAN TINGKAT KECEMASAN, STRES, DEPRESI DAN MEKANISME KOPING PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS DI RSUD Dr. MOEWARDI

Abstract

Chronic kidney disease (CKD) was a progressive and irreversible disease caused by the decreasing function of renal system. One of other way to treat the disease was hemodialysis. Routine Hemodialysis will cause psychological problem such as anxiety, stress, and depression. The patient psychological problem level was affected by coping mechanisms used. The purpose of this study was to describe the level of anxiety, stress, depression and coping mechanisms in patients with CKD who undergoing hemodialysis. This study was a descriptive quantitative research. Sampling method used purposive sampling. Samples were 91 patients with CKD who undergoing hemodialysis. Instrument of this study used questionnaire DASS 42. The results of this study showed that 52,7% had normal anxiety; 18.6% mild anxiety; 17,6% moderate anxiety; 4,4% severe anxiety; 6.6% very severe anxiety; 64,8% normal stress; 24.2% mild stress; 6,6% moderate stress; 1,1% severe stress; 3,3% very severe stress; 51,6% normal depression, 23,1% mild depression, 25,3% moderate depression. This study showed that most respondents had normal levels of anxiety, stress, depression and adaptive coping mechanisms. Nurse can apply progressive muscle relaxation, Cognitive Behavioral Therapy to prevent or overcome psychological problems experienced in patients with CKD.