Modified Mindfulness-Based Stress Reduction (MBSR) Therapy to Reduce Psychological Distress in Chronic Kidney Disease (CKD) Patients on Haemodialysis (HD)

Dila Nurul Arsyi; Dhea Natashia; Dewi Gayatri; Diana Irawati; Wati Jumaiyah; Tuti Nuraini

doi:10.37287/ijghr.v6i5.3694

Dila Nurul Arsyi Universitas Muhammadiyah Jakarta & Universitas Muhammadiyah Jakarta
Dhea Natashia Faculty of Nursing, Universitas Muhammadiyah Jakarta
Dewi Gayatri Faculty of Nursing, Universitas Indonesia
Diana Irawati Faculty of Nursing, Universitas Muhammadiyah Jakarta
Wati Jumaiyah Faculty of Nursing, Universitas Muhammadiyah Jakarta
Tuti Nuraini Faculty of Nursing, Universitas Indonesia

DOI: https://doi.org/10.37287/ijghr.v6i5.3694

Keywords: chronic kidney disease (CKD), hemodialisis, mindfulness-based stress reduction (MBSR), psychological distress

Abstract

Chronic Kidney Disease (CKD), is a disease with high mortality and mortality, so it requires lifelong hemodialysis (HD) management, this will trigger psychological distress which increases the risk of worsening in CKD. So, it is necessary to give non-pharmacological therapies, one of which is a modification of Mindfulness-Based Stress Reduction (MBSR) Therapy. Objective: The purpose of this study was to determine the effect of MBSR therapy modification on psychological distress in CKD patients. Method: Quasi-experiment with pretest-posttest control group approach. A population of 44 respondents with a sample of 29 respondents using a simple random sampling technique. Measurement of psychological distress variables using the Kessler Pshycological Distress Scale-10 (K-10). MBSR modification therapy intervention has 4 sessions in one treatment, applied 7 days with a total duration of 30 minutes. Data analysis using paired t-test and independent t-test. Results: The results showed that the mean scores of Psychological Distress intervention group (21.7 (pre-test); 17.1 (post-test)), control group (18.8 (pre-test); 18.5 (post-test)). There were differences in mean psychological distress scores between the intervention and control groups (MD=4.38, t=5.92 (95%CI, 2.81; 5.95), p < 0.001, d=2.22). Conclusions: MBSR modification therapy can be used to reduce psychological distress in patients.

References

Andrews, G., & Slade, T. (2001). Interpreting scores on the Kessler Psychological Distress Scale (K10). Australian and New Zealand Journal of Public Health, 25(6), 494–497. https://doi.org/10.1111/j.1467-842X.2001.tb00310.x

Astuti, L. P. (2018). Pengaruh Terapi Musik Tradisional Terhadap Tingkat Depresi Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di Ruang Hemodialisa Dr. Soehadi Prijonegoro Sragen. (JKG) JURNAL KEPERAWATAN GLOBAL, 3(1). https://doi.org/10.37341/jkg.v3i1.42

Aulia, A. (2017). Ginjal Kronis. Direktorat P2PTM. https://p2ptm.kemkes.go.id/kegiatan-p2ptm/subdit-penyakit-jantung-dan-pembuluh-darah/ginjal-kronis

Barello, S., Anderson, G., Acampora, M., Bosio, C., Guida, E., Irace, V., Guastoni, C. M., Bertani, B., & Graffigna, G. (2023). The effect of psychosocial interventions on depression, anxiety, and quality of life in hemodialysis patients: A systematic review and a meta-analysis. International Urology and Nephrology, 55(4), 897–912. https://doi.org/10.1007/s11255-022-03374-3

Chen, Y., Yang, X., Wang, L., & Zhang, X. (2013). A randomized controlled trial of the effects of brief mindfulness meditation on anxiety symptoms and systolic blood pressure in Chinese nursing students. Nurse Education Today, 33(10), 1166–1172. https://doi.org/10.1016/j.nedt.2012.11.014

Fradelos, E. C., Alikari, V., Tsaras, K., Papathanasiou, I. V., Tzavella, F., Papagiannis, D., & Zyga, S. (2021). Assessment of psychological distress in end stage renal disease: Is it spirituality related? Medicine and Pharmacy Reports. https://doi.org/10.15386/mpr-1623

García, G. G., Iyengar, A., Kaze, F., Kierans, C., Padilla-Altamira, C., & Luyckx, V. A. (2022). Sex and gender differences in chronic kidney disease and access to care around the globe. Seminars in Nephrology, 42(2), 101–113. https://doi.org/10.1016/j.semnephrol.2022.04.001

Gebrie, M. H., Asfaw, H. M., Bilchut, W. H., Lindgren, H., & Wettergren, L. (2023). Patients’ experience of undergoing maintenance hemodialysis. An interview study from Ethiopia. PLOS ONE, 18(5), 1–16. https://doi.org/10.1371/journal.pone.0284422

Gerogianni, G., Babatsikou, F., Polikandrioti, M., & Grapsa, E. (2019). Management of anxiety and depression in haemodialysis patients: The role of non-pharmacological methods. International Urology and Nephrology, 51, 113–118.

Hoogeveen, E. K. (2022). The Epidemiology of Diabetic Kidney Disease. Kidney and Dialysis, 2(3), 433–442. https://doi.org/10.3390/kidneydial2030038

Kemenkes RI. (2022). PROFIL KESEHATAN INDONESIA 2021.

Kirsztajn, G. M., Moura, A. F., Rodrigues, C. I. S., Sanders-Pinheiro, H., Moura-Neto, J. A., Mansur, J., Moura, L. R. R., Bastos, M. G., Facca, T. A., & Pacheco-Silva, A. (2023). Kidney diseases in women: Difference in risks and opportunities. Revista Da Associação Médica Brasileira, 69(suppl 1), 1–5. https://doi.org/10.1590/1806-9282.2023s117

Lan, R., Qin, Y., Chen, X., Hu, J., Luo, W., Shen, Y., Li, X., Mao, L., Ye, H., & Wang, Z. (2023). Risky working conditions and chronic kidney disease. Journal of Occupational Medicine and Toxicology, 18(1), 26. https://doi.org/10.1186/s12995-023-00393-3

Maloney, S., Montero-Marin, J., & Kuyken, W. (2023). Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): A mediation analysis of an RCT. Psychotherapy Research, 1–12. https://doi.org/10.1080/10503307.2023.2269299

Marchand, W. R. (2014). Neural mechanisms of mindfulness and meditation: Evidence from neuroimaging studies. World Journal of Radiology, 6(7), 471. https://doi.org/10.4329/wjr.v6.i7.471

Mawarizka, H. T. (2019). Terapi Mindfulness Based Stress Reduction (MBSR) Untuk Menurunkan Stres Pada Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisa. Universitas Muhammadiyah Malang.

Merchant, R. A., & Vathsala, A. (2022). Healthy aging and chronic kidney disease. Kidney Research and Clinical Practice, 41(6), 644–656. https://doi.org/10.23876/j.krcp.22.112

Munazilah, M., & Hasanat, N. U. (2018). Program Mindfulness Based Stress Reduction untuk Menurunkan Kecemasan pada Individu dengan Penyakit Jantung Koroner. Gadjah Mada Journal of Professional Psychology (GamaJPP), 4(1), Article 1. https://doi.org/10.22146/gamajpp.45346

Natashia, D., Yen, M., Chen, H., & Fetzer, S. J. (2019). Self‐Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia. Journal of Nursing Scholarship, 1–10. https://doi.org/10.1111/jnu.12464

RISKESDAS. (2018). Hasil Utama Riskesdas 2018.

RSUD R. Syamsudin, SH. (2020). RSUD R. Syamsudin, SH. https://www.rsudsyamsudin.co.id/?page=ZmFzaWxpdGFzX2RldGFpbA==&fasilitas_id=TWc9PQ==

Senanayake, S., Gunawardena, N., Palihawadana, P., Suraweera, C., Karunarathna, R., & Kumara, P. (2018). Depression and psychological distress in patients with chronic renal failure: Prevalence and associated factors in a rural district in Sri Lanka. Journal of Psychosomatic Research, 112, 25–31. https://doi.org/10.1016/j.jpsychores.2018.06.009

Seto, Y., Kimura, M., Matsunaga, T., Miyasita, E., & Kanno, Y. (2022). Long-term body composition changes in patients undergoing hemodialysis: A single-center retrospective study. Renal Replacement Therapy, 8(1), 57. https://doi.org/10.1186/s41100-022-00448-x

Sitompul, A. R. (2021). Pengaruh Psychological Distress Terhadap Personal Growth Initiative Pada Dewasa Awal Dengan Riwayat Mengalami Kekerasan Masa Anak. Universitas Islam Negeri Maulana Malik Ibrahim Malang.

Su, G., Song, H., Lanka, V., Liu, X., Fang, F., Valdimarsdóttir, U. A., & Carrero, J. J. (2021). Stress Related Disorders and the Risk of Kidney Disease. Kidney International Reports, 6(3), 706–715. https://doi.org/10.1016/j.ekir.2020.12.032

Wijayanti, L., Yusuf, A., Widyawati, I. Y., Arif, M. F., Winoto, P. M. P., Septianingrum, Y., & Wardani, E. M. (2023). Family support in chronic kidney failure patients with hemodialysis. Bali Medical Journal, 12(2), 1998–2002. https://doi.org/10.15562/bmj.v12i2.4423

Yang, X., Chen, Y., & Meng, F. (2020). Effects of mindfulness-based stress reduction therapy on anxiety and depression in patients with maintenance hemodialysis: A meta analysis. TMR Integrative Medicine, 4(0). https://doi.org/10.53388/TMRIM202004008

Zhang, J.-Y., Ji, X.-Z., Meng, L.-N., & Cai, Y.-J. (2019). Effects of modified mindfulness-based stress reduction (MBSR) on the psychological health of adolescents with subthreshold depression: A randomized controlled trial. Neuropsychiatric Disease and Treatment, 2695–2704.

Zhao, B., Zhang, L., Ji, P., Lin, J., Han, J., Li, J., Zhou, Z., Wang, H., Qiu, L., Hong, X., Williams, W., & Chen, L. (2020). Bridging “Office-Based Care” With the “Virtual Practice Care Model”: Evolving Care for Chronic Kidney Disease Patients in the COVID-19 Pandemic—And Beyond. Frontiers in Medicine, 7. https://www.frontiersin.org/articles/10.3389/fmed.2020.568201

Modified Mindfulness-Based Stress Reduction (MBSR) Therapy to Reduce Psychological Distress in Chronic Kidney Disease (CKD) Patients on Haemodialysis (HD)

Abstract

References

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