MANAGEMENT OF DEPRESSION IN HEMODIALYSIS PATIENTS: A PILOT STUDY (Original Research)
Dublin Core
Title
MANAGEMENT OF DEPRESSION IN HEMODIALYSIS PATIENTS: A PILOT STUDY (Original Research)
Subject
chronic kidney failure; dialysis; disobedient; hospital; therapy
Description
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 univariate and bivariate analysis.
Results: Before interventions almost all respondents (95%) had mild depression, and
post-test scores showed that most respondents (72.5%) did not experience depression
after depression management interventions. The results of the Wilcoxon Signed Rank Test,
found that 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. The management of depression used
in this study is nursing care for depressed patients with a diagnosis of helplessness, namely
training in controlling life situations that can be controlled, training in controlling negative
thoughts and irrational thoughts, training in developing positive expectations and doing
positive affirmations, and training in roles that can be performed. and provide
reinforcement and praise.
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
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 univariate and bivariate analysis.
Results: Before interventions almost all respondents (95%) had mild depression, and
post-test scores showed that most respondents (72.5%) did not experience depression
after depression management interventions. The results of the Wilcoxon Signed Rank Test,
found that 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. The management of depression used
in this study is nursing care for depressed patients with a diagnosis of helplessness, namely
training in controlling life situations that can be controlled, training in controlling negative
thoughts and irrational thoughts, training in developing positive expectations and doing
positive affirmations, and training in roles that can be performed. and provide
reinforcement and praise.
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
Creator
Nurul Mawaddah , Mujiadi Mujiadi and Robby Wicaksono Utomo
Source
http://dx.doi.org/10.20473/pnj.v5.i2.48054
Publisher
UNAIR
Date
September 2023
Contributor
Sri Wahyuni
Rights
ISSN : 26563894
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Nurul Mawaddah , Mujiadi Mujiadi and Robby Wicaksono Utomo, “MANAGEMENT OF DEPRESSION IN HEMODIALYSIS PATIENTS: A PILOT STUDY (Original Research),” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/11810.