The The Effectiveness of Psychoeducation to Reduce Anxiety and Insomnia among Patients with Chronic Kidney Failure in Hemodialysis Unit

Jurnal Keperawatan Soedirman Pub Date : 2023-11-05 DOI:10.20884/1.jks.2023.18.3.6754

Shanty Amalia Sumai, Ibrahim Rahmat, Sri Warsini

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Abstract

Patients with chronic kidney disease who undergo hemodialysis may feel anxiety and experience insomnia. Anxiety is one of the factors that affects insomnia in patients with chronic kidney disease. One of the nursing interventions to reduce patient anxiety and insomnia is psychoeducation. The purpose of this research was to determine the effect of psychoeducation to reduce anxiety and insomnia in patients with chronic kidney failure treated in the hemodialysis unit. This was a quasi-experimental research using pre-test and post-test design with control group. The total sample was 54 respondents using a convenience sampling technique. Insomnia was measured using the Insomnia Severity Index questionnaire and anxiety was measured using the Zung Self Rating Anxiety Scale questionnaire. Psychoeducation intervention was carried out within three weeks. The results showed there were differences of anxiety score in the intervention group (p<0.001) and control group (p=0.022). There were differences of insomnia score in the intervention group (p<0.001) and control group (p=0.029). The results of multivariate test showed that the factors significantly related to anxiety were age and comorbidity. Psychoeducation using booklets was effective to reduce anxiety and insomnia of patients with chronic kidney disease undergoing hemodialysis.

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心理教育对减轻血液透析室慢性肾衰竭患者焦虑和失眠的效果

接受血液透析的慢性肾病患者可能会感到焦虑和失眠。焦虑是影响慢性肾病患者失眠的因素之一。心理教育是减轻患者焦虑和失眠的护理干预措施之一。本研究旨在确定心理教育对减少血液透析室慢性肾衰竭患者焦虑和失眠的效果。这是一项准实验研究，采用前测和后测设计，并设有对照组。采用便利抽样技术，共抽取了 54 名受访者。失眠采用失眠严重程度指数问卷进行测量，焦虑采用 Zung 焦虑自评量表问卷进行测量。心理教育干预在三周内进行。结果显示，干预组（P<0.001）和对照组（P=0.022）的焦虑评分存在差异。干预组的失眠评分（P<0.001）与对照组（P=0.029）存在差异。多变量检验结果显示，与焦虑明显相关的因素是年龄和合并症。使用小册子进行心理教育能有效减轻接受血液透析的慢性肾病患者的焦虑和失眠。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Jurnal Keperawatan Soedirman

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