The Effect of Expressive Writing Therapy on Reducing Stress Levels in Chronic Kidney Disease Patients Undergoing Hemodialysis at Undata Hospital

Windu Unggun Cahya Jalu Putra; Sri  Yulianti; Moh  Reza

doi:10.56303/jhnresearch.v2i1.120

Authors

Windu Unggun Cahya Jalu Putra Department of Nursing, Tadulako University, Indonesia
Sri Yulianti Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Widya Nusantara Palu, Indonesia
Moh Reza Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Widya Nusantara Palu, Indonesia

Keywords:

Expressive Writing Therapy, Stress, Hemodialysis

Abstract

Chronic kidney disease is a world health problem with a high incidence and prevalence. Someone who suffers from chronic kidney disease must undergo hemodialysis regularly; it causes psychological disorders, including stress. Expressive writing therapy is a psychological therapy that can reduce stress levels by writing to reflect thoughts and feelings. This study aimed to prove the difference in stress levels in patients with chronic kidney disease undergoing hemodialysis at Undata General Hospital before and after being given expressive writing therapy. This type of research was Quantitative with a Pre-experimental design using the One Group Pre Test And Post Test Design. The population in this study amounted to 87 people and a sample of 10 people with a purposive sampling technique. The research results from 10 respondents using the Paired sample t-test obtained a p = 0.000 (p ≤ 0.05). Respondents' stress levels before doing expressive writing therapy were severe stress (30%), moderate stress (40%), and mild stress (30%). Meanwhile, the stress level of the respondents after doing expressive writing therapy was normal stress (50%), moderate stress (20%), and mild stress (30%). In conclusion, expressive writing therapy has an effect on reducing stress levels in patients with chronic kidney disease undergoing hemodialysis at Undata Hospital. It is suggested that the results of this study are expected to be used as material and input for non-pharmacological interventions in reducing stress

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References

Alemu H, Hailu W, Adane A. Prevalence of Chronic Kidney Disease and Associated Factors among Patients with Diabetes in Northwest Ethiopia: A Hospital-Based Cross-Sectional Study. Curr Ther Res Clin Exp. 2020 Feb 26;92:100578.

Kemenkes RI. Hasil Riset Kesehatan Dasar Tahun 2018. Jakarta: Kementrian Kesehatan RI; 2019.

Rahayu F, Fernandoz T, Ramlis R. Hubungan Frekuensi Hemodialisis dengan Tingkat Stres pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis. Jurnal Keperawatan Silampari. 2018 Mar 24;1(2):139–53.

Ardi HS. Hubungann Lama Menjalani Hemodialisis Dengan Stres Pada Pasien Penyakit Ginjal Kronik Di RSUP DR. M. Djamil Padang [Internet] [diploma]. [Padang]: Universitas Andalas; 2019 [cited 2023 Apr 17]. Available from: http://scholar.unand.ac.id/43951/

Danarti NK, Sugiarto A, Sunarko S. Pengaruh Expressive Writing Therapy Terhadap Penurunan Depresi, Cemas, Dan Stres Pada Remaja Di Panti Rehabilitasi Sosial PSMP Antasena Magelang. Jurnal Ilmu Keperawatan Jiwa. 2018 May 31;1(1):48–61.

Riska Okty Saputri 2016011954. Pengaruh Terapi Menulis ekspresif Terhadap Penurunan Stress Pada Remaja [Internet]. [Surakarta]: ITS PKU Muhammadiyah Surakarta; 2019 [cited 2023 Apr 17]. Available from: http://repository.itspku.ac.id/120/

Sugiyono. Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif, dan R & D. Edisi 1. Bandung: Alfabeta; 2016. 24–26 p.

Pennebaker JW. Expressive Writing in Psychological Science. Perspect Psychol Sci. 2018 Mar 1;13(2):226–9.

Savera ND, Purwaningrum R, Hidayat RR. A literature review: Does expressive writing effective to reduce stress? ProGCouns: Journal of Professionals in Guidance and Counseling. 2022 Nov 29;3(2):87–99.

Kupeli N, Chatzitheodorou G, Troop NA, McInnerney D, Stone P, Candy B. Expressive writing as a therapeutic intervention for people with advanced disease: a systematic review. BMC Palliat Care. 2019 Aug 2;18:65.

Lia T, Pranowo S, Permana KG. Hubungan Mekanisme Koping Dan Dukungan Keluarga Dengan Tingkat Stres Pada Pasien Hemodialisis. Jurnal Kesehatan Al-Irsyad. 2021 Apr 20;14(1):52–67.

Azizah YN, Herdaetha A, Nurmahmudah. Perbedaan Antara Tipe Kepribadian Ekstrovert Dan Introvert Dengan Tingkat Stres Pada Mahasiswa Fakultas Hukum Universitas Muhammadiyah Surakarta [Skripsi]. [Surakarta]: Universitas Muhammadiyah Surakarta; 2016.

Respati. Pengaruh Expressive Writing Therapy Terhadap Kecemasan Pada Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa (HD) Di R Tidar Kota Magelang [skripsi]. [Semarang]: Poltekkes Semarang; 2019.

Mugerwa S, Holden JD. Writing therapy: a new tool for general practice? Br J Gen Pract. 2012 Dec;62(605):661–3.

Wantini W, Suyatno S, Dinni SM. Implementation of Expressive Writing Therapy Through Writing Diary Coping Anxiety in Children Victims of Covid-19. Al-Hayat J Islamic E. 2022 Jun 20;6(1):140.

Hunt J. The effects of expressive writing on haemodialysis patients [Internet]. [cited 2023 Apr 29]. Available from: http://www.isrctn.com/ISRCTN19773253

Pierro L, Servidei G, Pretagostini R, Stabile D, Nudo F, Lai S, et al. Effectiveness of Expressive Writing in Kidney Transplanted Patients: A Randomized Controlled Trial Study. Healthcare. 2022 Aug;10(8):1559.