Abstract
Intradialytic hypertension can reduce the quality of life in hemodialysis patients. Providing appropriate nursing interventions will reduce morbidity, and improve the quality of intradialytic hypertensive patients. Provision of “SEHAT” nursing intervention package in the form of providing support, education and empowering, holistically with attention to therapeutic sensitivity can be applied to overcome patients problems. The purpose of the study was to analyze the "SEHAT" nursing intervention package to improve the quality of life of intradialytic hypertensive patients. The research method was a randomized controlled trial on 40 samples of hemodialysis patients which were divided into 20 group samples and 20 control group samples. The research instrument uses the Indonesian version of the Kidney Disease Quality of Life (KDQOL-36). The intervention was carried out for 4 weeks using the SEHAT nursing intervention package. The results showed an increase in the quality of life scores of respondents in the intervention group after being given SEHAT nursing intervention (p=0.000). There was a significant difference in the quality of life scores between the intervention group and the control group after being given the intervention (p=0.000). The “SEHAT” nursing intervention package is effective for improving the quality of life of intradialytic hypertensive patients.
Highlights
Prevalensi Penyakit Ginjal Kronik (PGK) di Indonesia meningkat secara signifikan sekitar 90% menjadi 3,8 kasus pada 1000 penduduk dan 19,3% diantaranya sedang atau sedang menjalani hemodialisis [1]
The results showed an increase in the quality of life scores of respondents in the intervention group after being given SEHAT nursing intervention (p=0.000)
Health and Quality of life outcomes. 2012;10(1):115
Summary
Kualitas hidup merupakan bagaimana orang mempersepsikan kebaikan dari sebagian aspek kehidupan mereka. Penelitian ini untuk menyelidiki pengaruh intervensi keperawatan SEHAT terhadap kualitas hidup pada pasien yang mengalami peningkatan tekanan darah intradialisis. Penelitian ini memberikan solusi untuk mengatasi permasalah pada aspek fisik akibat penurunan fungsi tubuh, mengatasi permasalahan psikologis dan sosial yang kompleks, bahkan permasalahan spiritual. Riset ini menyimpulkan bahwa sebagian besar responden pasien hipertensi intradialisis memiliki kualitas hidup baik. Penelitian ini membuktikan bahwa pasien hipertensi yang diberikan paket intevensi keperawatan SEHAT selama 4 minggu mengalami peningkatan kualitas hidup yang signifikan. Responden yang diberikan intervensi keperawatan SEHAT meningkat kualitas hidupnya signifikan pada dimensi peranan fisik, rasa nyeri, kesehatan umum, emosi, vitalitas dan kesehatan mental. Peneliti melibatkan keluarga dalam sesi-sesi edukasi dan konseling, juga sesi pengawasan dan pemandirian pasien agar selanjutnya dapat memberikan dukungan optimal pada semua aspek kehidupan pasien. Tentu ini dapat mengatasi permasalah dari aspek psikologis, sosial dan spiritual yang selanjutnya dapat meningkatkan kualias hidup pasien
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