Coping Mechanism in Hemodialysis Patients at Dr. Zainoel Abidin Regional Public Hospital Banda Aceh: Study in Moeslim Community

Bebby Balqis, M. Syukri, Dedy Syahrizal
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Abstract

: The Patients with chronic kidney disease are required to undergo hemodialysis for their life survival. This situation is a stressor experienced in the long term. The ability of the patient in dealing with stressors uses different coping mechanisms. Coping mechanism in patients with chronic kidney disease consists of Problem Focused Coping, Emotion Focused Coping and Disfuntional Coping. The aspect of religiosityis one that influences the coping mechanism of patients who undergoing hemodialysis. This aspect of religiosity also include as a part of Emotion Focused Coping mechanism. The aim of this study was to analyze the coping mechanism in Moeslem hemodialysis patients in dr. Zainoel Abidin Banda Aceh. Methods: A total of 46 participants were the Moslem patients which is diagnosed with chronic kidney disease who undergoes hemodialysis in Dialysis Installation RSUD dr. Zainoel Abidin Banda Aceh since September-October 2017 formed a convenient sample for this descriptive, cross-sectional hospital-based study. The Coping Mechanism of patiens were measured using The Carver Brief Cope questionnaire. This research uses univariates analysis to know the frequency distribution of each variable. Results: Based on the datas found that all of the Moslem patients under going hemodialysis mostly use Emotion Focused Coping (abaout71,7%) as Coping mechanism than Problem Focused Coping (about 28,3%) and no patients using Disfungtional Coping to overcome their problems. Conclusion: This study revealed significant findings regarding the importance of religiosity as coping mechanism in Moeslem hemodialysis patients. All Moslem patients under going hemodialysis were not found using disfunctional coping to overcome their problems. Therefore, it has been highly recommended to integrate religiosity into the health-care process for such patients to facilitate the achievement of overall optimum health levels.
班达亚齐Zainoel Abidin医生地区公立医院血液透析患者的应对机制:穆斯林社区的研究
慢性肾脏疾病患者需要进行血液透析以维持生命。这种情况是长期经历的压力源。患者处理压力源的能力使用不同的应对机制。慢性肾脏疾病患者的应对机制包括问题聚焦型应对、情绪聚焦型应对和功能失调型应对。宗教信仰是影响血液透析患者应对机制的一个方面。宗教虔诚的这一方面也包括作为情感聚焦应对机制的一部分。本研究的目的是分析班达亚齐Zainoel Abidin医生的Moeslem血液透析患者的应对机制。方法:共有46名参与者是自2017年9月至10月以来在班达亚齐的RSUD医生Zainoel Abidin透析装置中接受血液透析的诊断为慢性肾病的穆斯林患者,为这项描述性、横断面的医院研究提供了方便的样本。采用Carver Brief Cope问卷对患者的应对机制进行测量。本研究使用单变量分析来了解每个变量的频率分布。结果:所有接受血液透析的穆斯林患者以情绪聚焦型应对为主(约71.7%),而以问题聚焦型应对为主(约28.3%),无患者以功能障碍型应对为主。结论:本研究揭示了宗教信仰作为Moeslem血液透析患者应对机制的重要性。所有接受血液透析的穆斯林患者都没有发现使用功能失调的应对来克服他们的问题。因此,强烈建议将宗教信仰纳入此类患者的保健过程,以促进实现总体最佳健康水平。
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