RESPON STRES PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA Di Ruang Hemodialisa RSUD Dr.Hardjono Ponorogo

Chronic renal failure (CRF) is a progressive and irreversible disorder of renal
function in which the body's ability fails to maintain metabolism and fluid and electrolyte
balance, causing uremia. Patients suffering from CRF are likely to get hemodialysis therapy.
Hemodialysis is a therapy to replace kidney function with the help of dialysis machines. In
Hemodialysis patients experiencing life-long dependence results in changes in imbalances in
their lives, these changes will cause various complications that will make discomfort,
decreased quality of life including physical health, psychological, spiritual, socioeconomic
status and family dynamics. Psychological impacts include anxiety, stress and depression.
The purpose of this study was to determine the psychological burden on patients with chronic
renal failure undergoing hemodialysis seen from 3 components, namely depression, anxiety,
and stress.
The design of this research is descriptive. In this study the population is all patients
with chronic renal failure undergoing hemodialysis in Dr.Hardjono Ponorogo 2017 General
Hospital in the amount of 224 people. The research sampling technique uses purposive
sampling. The number of samples was 34 respondents. Data collection using a questionnaire
with a DASS 42 scale. After the data is collected then data tabulation and data analysis are
carried out.
The results obtained for depression variables obtained from 34 respondents, there
were 5 respondents (14.71%) experienced normal depression, 21 respondents (61.76%)
experienced mild depression, and 1 respondent had severe depression. Anxiety variable
showed that out of 34 respondents, there were 4 respondents (11.76%) experienced normal
anxiety, 7 respondents (20.59%) experienced mild anxiety, 13 respondents (38.24%)
experienced moderate anxiety, and 10 respondents (29 41% experienced severe anxiety.
Stress variables found that from 34 respondents, there were 10 respondents (29.41%)
experienced normal stress, 19 respondents (55.88%) experienced mild stress, and 5
respondents (14.71%) experienced moderate stress.
From the results of this study discuss the psychological burden on patients with
chronic renal failure undergoing hemodialysis suggested to the study site to provide Health
Education about coping mechanisms in hemodialysis patients.