Self Management terhadap Psychosocial Adjustment Pasien Penyakit Ginjal Kronis dengan Hemodialisa

Abstract

Patients with chronic kidney disease should take regular hemodialysis therapy. The main cause of the deterioration of the psychosocial state of the patients undergoing hemodialysis is the failure to adapt to the current state of illness. Objective of this study is to investigate the effect of self-management (education and SEFT therapy) towards psychosocial adjustment in patients with chronic kidney disease undergoing hemodialysis. The method used is quasi experiment with pre-test and post-test control group design. This study used purposive sampling with 32 patients with chronic kidney disease. The treatment provided is self-management with education and SEFT therapy in respondent at the hospital. The data collection used is questionnaire Pasychosocial Adjustment to Illness Scale (PAIS). Result of research showed that the ability of psychosocial adjustment patients on pre-test (x̄) PAIS: 103,12 and post test (x̄) PAIS: 141,81. Based on the results of wilcoxon test obtained p value 0,000, the hypothesis of this study is accepted. The ability of psychosocial adjustment of patients increases after participating educational treatment and SEFT therapy. The engagement between patient, family and nurse can improve the patient's psychosocial adjustment as respond the changes in health status.