Management of Depression in Hemodialysis Patients: a Pilot Study
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Introduction: Depression is a common mental health problem in patients undergoing hemodialysis therapy. However, handling the problem of depression in the hospital has not become a treatment concern, resulting in increasing non-adherence to dialysis patient therapy. This study aims to determine the effect of depression management on the depression score of patients undergoing hemodialysis.
Method: This study used pre-experimental designs with One Group Pretest-Posttest. The study was conducted at the Malang Regional Hospital. The study population was chronic kidney failure patients undergoing routine hemodialysis in the hospital, with the sample criteria for depression based on the Beck Depression Inventory-II instrument, using the simple random sampling technique obtained from a total of 40 respondents. Data were analyzed quantitatively by Wilcoxon Signed Rank Test.
Results: There was an effect of depression management on the depression score of patients undergoing hemodialysis, and almost all respondents (92.5%) experienced a decrease in depression score. Providing depression management interventions carried out in 2 meetings was able to reduce depression scores.
Conclusions: Depression management has been shown to be effective in reducing depression in patients with all categories of depression, both mild, moderate, and severe depression to not depressed. Provision of interventions in the management of depression is necessary for patients who experience depression as a result of undergoing hemodialysis therapy to avoid non-adherence to therapy.
American Psychiatric Association. (2020). What Is Depression? American Psychiatric Association. https://www.psychiatry.org/patients-families/depression/what-is-depression
Anggraeni, K. N., Sarwono, B., & Sunarmi, S. (2017). Hubungan Dukungan Keluarga Dengan Tingkat Depresi Pada Pasien Yang Menjalani Terapi Hemodialisa Di Unit Hemodialisa Rumah Sakit Tentara Dr. Soedjono Magelang. Jurnal Keperawatan Sudirman (The Soedirman Journal of Nursing), 12(2), 109–117.
Badariah, B., Farida, H., & Novita, D. (2017). Karakteristik Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis Di RSUD Kabupaten Kota Baru. Jurnal Kesehatan Universitas Tribhuwana Tunggadewi Malang, 2(2), 281–285.
Black, J. M., & Hawks, J. H. (2014). Keperawatan Medikal Bedah: Manajemen Klinis untuk Hasil yang Diharapkan (8th ed.). Salemba Medika.
Cuijpers, P., Cristea, I. A., Karyotaki, E., Reijnders, M., & Huibers, M. J. H. (2016). How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta-analytic update of the evidence. World Psychiatry, 15(3), 245–258. https://doi.org/10.1002/wps.20346
Cuijpers, P., Noma, H., Karyotaki, E., Vinkers, C. H., Cipriani, Andrea, & Furukawa, T. A. (2020). A network meta-analysis of the effects of psychotherapies, pharmacotherapies and their combination in the treatment of adult depression. World Psychiatry, 19(1), 92–107. https://doi.org/10.1002/wps.20701
Cuijpers, P., Quero, S., Noma, H., Ciharova, M., Miguel, C., Karyotaki, E., Cipriani, A., Cristea, I. A., & Furukawa, T. A. (2021). Psychotherapies for depression: a network meta-analysis covering efficacy, acceptability and long-term outcomes of all main treatment types. World Psychiatry, 20(2), 283–293. https://doi.org/10.1002/wps.20860
Dalimunthe, N. N. (2014). Peningkatan Nilai Parameter Status Besi Reticulocyte Hemoglobin Equivalent Setelah Pemberian Suplemen Besi Intravena Pada Pasien Hemodialisis Reguler. Universitas Sumatera Utara.
Davison, G. C., Neale, J. M., & Kring, A. M. (2014). Psikologi Abnormal (diterjemahkan oleh Nurmalasari Fajar). Rajawali Pers.
Direktorat Jenderal Pencegahan dan Pengendalian Penyakit Kementerian Kesehatan RI. (2021). Petunjuk Teknis Layanan Depresi. Kementerian Kesehatan RI.
Inker, L. A., Astor, B. C., Fox, C. H., Isakova, T., Lash, J. P., Peralta, C. A., Kurella, T. M., & Feldman, H. I. (2014). KDOQI US commentary on the 2012 KDIGO clinical practice guideline for the evaluation and management of CKD. American Journal of Kidney Diseases, 63(5), 713–735.
Kemenkes RI. (2019). RISKESDAS 2018.
Lukman, N., Kanine, E., & Wowiling, F. (2013). Hubungan Tindakan Hemodialisa Dengan Tingkat Depresi Klien Penyakit Ginjal Kronik Di Blu RSUP Prof.Dr.R.D.Kandou Manado. Ejournal Keperawatan (e-Kp), 1(1), 1–6. https://doi.org/https://doi.org/10.35790/jkp.v1i1.2207
Maulina, S., Mawaddah, N., & Puspitaningsih, D. (2019). Medica Majapahit Pengaruh Life Review Therapy Terhadap Depresi Lansia Di Unit Pelaksana Teknis (UPT) Pesanggrahan Penyandang Masalah Kesejahteraan Sosial (PMKS) Majapahit Mojokerto. Medica Majapahit, 11(1), 60–70.
Musthafa, S., & Armelia, L. (2019). Prevalence of Depression in Hemodialysis Patient Evaluated Using Beck Depression Inventory. Majalah Kesehatan Pharmadika, 116–122.
Mustika, F. A. (2019). Terapi-terapi untuk menurunkan depresi. Prosiding Seminar Nasional Magister Psikologi Universitas Ahmad Dahlan , 305–309.
Notoatmodjo, S. (2014). Ilmu Perilaku Kesehatan. Rineka Cipta.
Prima, A., Mortin Andas, A., Wada, F. H., Puspitasari, I., Shoaliha, M., Saputri Ilyas, A., Studi Keperawatan D-, P., Keperawatan Medikal Bedah, D., Ilmu Kesehatan dan Farmasi, F., Bani Saleh, U., Studi Keperawatan S-, P., Keperawatan Anak dan Maternitas, D., & Keperawatan Jiwa dan Komunitas, D. (2023). Beban Dan Psychological Well Being Pada Keluarga Pasien Yang Menjalani Hemodialisis. Jurnal Ilmiah Keperawatan IMELDA, 9(1). http://jurnal.uimedan.ac.id/index.php/JURNALKEPERAWATAN
Rahayu, N. A. H., & Ariana, A. D. (2021). Hubungan Body Dissatisfaction dengan Depresi pada Remaja dengan Obesitas pada Masa Pandemi COVID-19. Buletin Riset Psikologi Dan Kesehatan Mental (BRPKM), 1(2), 1420–1426. https://doi.org/https://doi.org/10.20473/brpkm.v1i2.29704
Setiati, S., Alwi, I., Sudoyo, A. W., Simadibrata, M., Setiyohadi, B., & Syam, A. F. (2016). Buku ajar ilmu penyakit dalam (6th ed., Vol. 1). Interna Publishing.
Setiawan, E., Attwells, S., Wilson, AA., Mizrahi, R., Rusjan, P. M., Miler, L., Xu, C., Sharma, S., Kish, S., Houle, S., & Meyer, J. H. (2018). Association of translocator protein total distribution volume with duration of untreated major depressive disorder: a cross-sectional study. The Lancet Psychiatry, 5(4), 339–347.
Shi, Y., Cai, J., Wu, Z., Jiang, L., Xiong, G., Gan, X., & Wang, X. (2020). Effects of a nurse-led positive psychology intervention on sexual function, depression and subjective well-being in postoperative patients with early-stage cervical cancer: A randomized controlled trial. International Journal of Nursing Studies, 111, 1–12. https://doi.org/10.1016/j.ijnurstu.2020.103768
Sierra, J. C., Haynes, S. N., Eysenck, M. W., Buela-Casal, G., Ginting, H., Näring, G., Van Der Veld, W. M., Srisayekti, W., & Becker, E. S. (2013). Validating the Beck Depression Inventory-II in Indonesia's general population and coronary heart disease patients. International Journal of Clinical and Health Psychology, 13. www.elsevier.es/ijchp
Sompie, E. M., Kaunang, T. M. D., & Munayang, H. (2015). Hubungan Antara Lama Menjalani Hemodialisis Dengan Depresi Pada Pasien Dengan Penyakit Ginjal Kronik Di Rsup. Prof. Dr. R. D. Kandou Manado. Jurnal E-Clinic (ECl), 3(1), 306–310.
Tartum, V. V. A., Kaunang, T. M. D., Elim, C., & Ekawardani, N. (2016). Hubungan lamanya hemodialisis dengan tingkat depresi pada pasangan hidup pasien gagal ginjal kronik di RSUP Prof. Dr. R. D. Kandou Manado. Jurnal E-Clinic (ECl), 4(1), 46–52. https://doi.org/https://doi.org/10.35790/ecl.v4i1.10832
Wahyuni, A., Kartika, I. R., Asrul, I. F., & Gusti, E. (2019). Korelasi Lama Hemodialisa Dengan Fungsi Kognitif. Real in Nursing Journal (RNJ), 2(1), 2685–1997. https://ojs.fdk.ac.id/index.php/Nursing/index
Waluyo, A., Mustikasari, M., & Setiawan, A. (2016). Peningkatan Pengetahuan Dan Penurunan Tingkat Depresi Pasien Penyakit Ginjal Kronik Yang Menjalani Terapi Hemodialisa Dengan Terapi Psikoedukasi. Jurnal Ilmiah Permas : Jurnal Ilmiah STIKES Kendal, 6(1), 11–15.
Yanah, Y. (2019). Pengaruh Pendidikan Kesehatan Manajemen Depresi terhadap Tingkat Depresi Pada Pasien Hemodialisa yang mengalami Gagal Ginjal Kronik di RST. TK. II dr. Soedjono Magelang. Universitas Muhammadiyah Magelang.
Zhou, X., Hetrick, S. E., Cuijpers, P., Qin, B., Barth, J., Whittington, C. J., Cohen, D., Del Giovane, C., Liu, Y., Michael, K. D., Zhang, Y., Weisz, J. R., & Xie, P. (2015). Comparative efficacy and acceptability of psychotherapies for depression in children and adolescents: A systematic review and network meta-analysis. World Psychiatry, 14(2), 207–222. https://doi.org/10.1002/wps.2021
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