Application of Benson Relaxation Therapy Combined with Spiritual Therapy to Reduce Anxiety in Chronic Kidney Disease Patients Undergoing Hemodialysis

• Published in: RGSA : Revista de Gestão Social e Ambiental Vol. 18; no. 5; p. e05590
• Main Authors: Muhith, Abdul, Rohmawati, Riska, Faizah, Imamatul, Sari, Ratna Yunita, Hasina, Siti Nur
• Format: Journal Article
• Language: English
• Published: 21.03.2024
• ISSN: 1981-982X; 1981-982X
• DOI: 10.24857/rgsa.v18n5-067

Background: Chronic Kidney Disease (CKD) is a failure of kidney function to maintain metabolism and fluid and electronic balance due to progressive kidney structural damage. Hemodialysis is a replacement therapy for damaged kidney performance, if hemodialysis is carried out for a long time it can cause disturbances in the biological aspects and psychological aspects for hemodialysis patients. One of the effects that is often experienced in hemodialysis patients is anxiety. The research objective was to determine the application of spiritual-based benson relaxation therapy to anxiety levels in CKD patients undergoing hemodialysis.   Method:Quasy-Experimental research design with one group pre post test design. Population of all CKD patients undergoing hemodialysis. The large number of samples of 20 intervention respondents. The sampling technique was purposive sampling by taking samples according to the inclusion criteria. The research intervention that was carried out was benson relaxation therapy which was carried out in CKD patients who routinely had hemodialysis for more than 6 months with a frequency of 2 times a week for 10-15 minutes with guidance from a clergyman and repeated until the patient could be independent. The research instrument for measuring anxiety used HARS (Hamilton Anxiety Rating Scale) and the respondent's intervention used Benson relaxation SOP and spiritual healing SOP (spiritual guidance). Test analysis in this study was paired t test.   Results: the results of the research based on the intervention carried out obtained the anxiety score before the intervention from 20 respondents, the majority on the score of severe anxiety (28-41) which is as much as 70% then followed by moderate anxiety (21-27) which is as much as 30%. Anxiety scores after the intervention of 20 respondents, the majority on mild anxiety scores (14-20) which is as much as 70% then followed by moderate anxiety (21-27) which is as many as 20% and the minority in non-anxious conditions (<14) which is as many as 10% . From the results of the analysis using the paired t test, the results obtained were a p value of 0.001, with α = 0.05 so that the p value <α (0.001 <0.05). meaning that there is a difference between the pre and post tests on the level of anxiety with the spiritual-based benson relaxation therapy intervention in CKD patients undergoing hemodialysis.   Conclusion: Based on the discussion that we have conveyed, it can be concluded that benson relaxation and spiritual healing can reduce anxiety in CKD patients undergoing hemodialysis.