Perbedaan Ansietas pada Pasien Hemodialisa Berdasarkan Perspektif Gender
DOI:
https://doi.org/10.26699/jnk.v6i1.ART.p019-026Keywords:
Hemodialisa, Ansietas, GenderAbstract
Pasien yang menjalani terapi hemodialisa selama hidupnya akan bergantung dengan alat dializzer, prosedur hemodialisa harus dilakukan secara rutin dan berkelanjutan dengan frekuensi 2-3 kali dalam satu minggu. Profil data menunjukkan bahwa gagal ginjal kronis diIndonesia sedikit lebih banyak menyerang laki-laki daripada perempuan, individu yang mengalami gagal ginjal kronis dan sedang menjalani proses hemodialisa sangat berpotensi terhadap masalah gangguan emosional. Ansietas merupakan gangguan utama yang dapat timbul akibat prosedur hemodialisa, seseorang menjalani hemodialisa akan memiliki kekhawatiran, ketakutan, dan ketidakpastian akibat dari persepsi negatifnya.Peneliti telah mengidentifikasi perbedaan ansietas pasien hemodialisa berdasar perspektif gender melalui uji Kruskalwallis. Hasil menunjukkan bahwa didapatkan p-value sebesar P = 0.488, hal ini memiliki arti bahwa tidak ada perbedaan ansietas yang dialami baik oleh responden laki-laki maupun responden perempuan. Kemunculan ansietas secara umum pada pasien hemodialisa diakibatkan karena berbagai faktor seperti masalah finansial yang harus didukung dengan pemanfaatan asuransi kesehatan, tingkat pemahaman terhadap penyakit dan prosedur terapi, dan riwayat menjalani prosedur terapi
References
Asselmann E, Venz J, Pieper L, Wittchen HU, Pittrow D, Beesdo-Baum K. (2017). The role of gender and anxiety in the association between somatic diseases and depression: findings from three combined epidemiological studies in primary care. Epidemiology and Psychiatric Sciences. (1)12. doi: 10.1017
Birmele, B., Le Gall, A., Sautenet, B., Aguerre, C., & Camus, V. (2012).Clinical, sociodemographic, and psychological correlates of health-related quality of life in chronic hemodialysis patients.Psychosomatics, 53 (1), 30–37. doi:10.1016/j.psym.2011.07.002
Brecht, Grant. (2000). Sorting Out Stress . Tim Redaksi Mitra Utama. Jakarta: PT. Prenhallindo
Feroze, U., Martin, D., Kalantar-Zadeh, K., Kim, J. C., Reina-Patton, A., & Kopple, J. D. (2012). Anxiety and depression in maintenance dialysis patients: Preliminary data of a cross-sectional study and brief literature review.Journal of Renal Nutrition. 22 (1), 207–210. doi:10.1053/j.jrn.2011.10.009
Fortinash, K.M, Worret P.A. (2012). Psychiatric Mental Health Nursing: 5th Edition. Canada: Elsevier
Hawari. (2011). Manajemen Stres, Cemas dan Depresi, Jakarta : Balai Penerbit FKUI Menez, John Allan (2015). Lippincott’s review for medical-surgical nursing certification, 5th ed. Philadelphia : Wolters Kluwer, Lippincott Williams & Wilkins
Ignatavicius, D.D., & Workman.L. (2006).Medical surgical nursing, critical thinking for collaborative care. Elsevier saunders.
Jordanova, Nada Pop. & Polenakovic, Momir. (2016). Are Depression and Anxiety Common in Hemodialyzed Patients?.BANTAO Journal, 14(2):84-88;DOI:10.1515/bj-2016-0020
Kallenbach, J.Z. (2005). Review of Hemodialysis for nurses and dialysis personnel. St. Louis, Missouri. Elsevier.
Katona, C., Cooper, C., Robertson, M., 2012. At a Glance Psikiatri edisi keempat. Jakarta : Erlangga
Kim Ji-Hyun, Maeng Je Cho,Jin Pyo Hong, Jae Nam Bae, Seong-Jin Cho, Bong-Jin Hahm, Dong-Woo Lee, Jong-Ik Park, Jun-Young Lee, Hong Jin Jeon, Sung Man Chang (2015). Gender Differences in Depressive Symptom Profile: Results from Nationwide General Population Surveys in Korea. J Korean Med Sci, 30: 1659-1666
Knox Sarah S., Xinxin Guo, Yuqing Zhang, G. Weidner, Scott Williams, R. Curtis Ellison, (2010). AGT M235T Genotype/Anxiety Interaction and Gender in the HyperGEN Study.Plos One, 5-10
Langvik Eva, Hans M, (2014). Nordahl Anhedonic depression, history of depression, and anxiety as genderspecific risk factors of myocardial infarction in healthy men and women: The HUNT study. Health Psychology Open, 1–9
Marcotte, D., Alain,M., Gosselin, MJ, (2002). Gender Differences in Adolescent Depression : Gender typed Characteristic or problem Solving Skill Deficit?. Sex Roles :A Journal of Research. Vol 14 Issue 31-43
Paul B. Perrin, Ivan Panyavin, AlejandraMorlett Paredes, Adriana Aguayo, Miguel AngelMacias, Brenda Rabago, Sandra J. Fulton Picot, and Juan Carlos Arango-Lasprilla, (2015). A Disproportionate Burden of Care: Gender Differences in Mental Health, Health-Related Quality of Life, and Social Support in Mexican Multiple Sclerosis Caregivers. Behavioural Neurology. Volume 2015, Article ID 283958
PERNEFRI.(2009). 2 nd Report of Indonesian Renal Registry.Profil pasien hemodialisa di Indonesia, 3, 20-23.
RISKESDAS, (2018). Hasil Utama Riskesdas 2018. Kementerian Kesehatan Badan Penelitian dan Pengembangan Kesehatan.
Stuart, G. W. (2013). Principles and Practice of Psychiatric Nursing (10th ed.). St Louis, Missouri: Mosby Elsevier Inc.
Sudoyo, A.W., Setiyohadi, B., Alwi, I., Simadibrata, M., & Setiati, S. (Ed.). (2009). Buku Ajar Ilmu Penyakit Dalam.(Edisi 4). Jilid II. Jakarta: Pusat Penerbitan Ilmu Penyakit Dalam FKUI.
Wang, P. L., & Watnick, S. G. (2004). Depression: A common but underrecognized condition associated with end-stage renal disease. Seminars in Dialysis 17 (3), 237 – 241. doi:10.1111/ j.0894-0959.2004.17313.x
Yerkes, R. & Dodson, J.D. 1908.The Relationship of Stimulus to Rapidity of Habit Formation.Journal of Comparative Neurological Psychology 18: 459-482.
