Efektivitas Terapi Musik Alam terhadap Tingkat Kecemasan pada Pasien Hemodialisis
Abstract
This study aims to identify and evaluate the effect of natural music therapy intervention on hemodialysis patients. This research uses quantitative methods with a quasi-experimental non-equivalent control group pretest-posttest design. Respondents in this study were 96 hemodialysis patients. Data were collected using a State Anxiety Inventory (SAI) questionnaire comprising 20 statement items. Data were analyzed using nonparametric tests (Wilcoxon Signed Rank Test and Mann Whitney U Test). The results showed a difference between the mean value of anxiety in the intervention group and the control group, namely 37.90 in the intervention group and 42.33 in the control group, with a p-value of 0.048. In conclusion, natural music therapy is recommended as an alternative to reduce the level of anxiety in hemodialysis patients to improve the patient's quality of life.
Keywords: Hemodialysis, Anxiety, Natural Music Therapy
References
Akarsu, K., Koç, A., & Ertuğ, N. (2019). The Effect of Nature Sounds and Earplugs on Anxiety in Patients Following Percutaneous Coronary Intervention: A Randomized Controlled Trial. European Journal of Cardiovascular Nursing, 18(8), 651–657. https://doi.org/10.1177/1474515119858826
Al-Shammari, N., Al-Modahka, A., Al-Ansari, E., Al-Kandari, M., Ibrahim, K. A., Al-Sanea, J., Al-Sabah, R., & Albatineh, A. N. (2021). Prevalence of Depression, Anxiety, and Their Associations among End-Stage Renal Disease Patients on Maintenance Hemodialysis: A Multi-Center Population-Based Study. Psychology, Health and Medicine, 26(9), 1134–1142. https://doi.org/10.1080/13548506.2020.1852476
Bahonar, E., Ghezeljeh, T. N., & Haghani, H. (2019). Comparison of Single and Combined Effects of Nature Sounds and Foot Sole Reflexology Massage on the Level of Consciousness in Traumatic Comatose Patients: A Randomized Controlled Clinical Trial. Holistic Nursing Practice, 33(3), 177–186. https://doi.org/10.1097/HNP.0000000000000326
Burrai, F., Magavern, E. F., Micheluzzi, V., Magnaghi, C., Apuzzo, L., & Brioni, E. (2020). Effectiveness of Music to Improve Anxiety in Hemodialysis Patients a Systematic Review and Meta-analysis. Holistic Nursing Practice, 34(6), 324–333. https://doi.org/10.1097/HNP.0000000000000411
Cimen, S. G., Oğuz, E., Gundogmus, A. G., Cimen, S., Sandikci, F., & Ayli, M. D. (2020). Listening to Music during Arteriovenous Fistula Surgery Alleviates Anxiety: A Randomized Single-Blind Clinical Trial. World Journal of Transplantation, 10(4), 79–89. https://doi.org/10.5500/wjt.v10.i4.79
Farzaneh, M., Abbasijahromi, A., Saadatmand, V., Parandavar, N., Dowlatkhah, H. R., & Bahmanjahromi, A. (2019). Comparative Effect of Nature-Based Sounds Intervention and Headphones Intervention on Pain Severity after Cesarean Section: A Prospective Double-Blind Randomized Trial. Anesthesiology and Pain Medicine, 9(2), 1–7. https://doi.org/10.5812/aapm.67835
Fernandes, S., & D’silva, F. (2019). Effectiveness of Music Therapy on Depression, Anxiety and Stress among Haemodialysis Patients. International Journal of Nursing Education, 11(1), 124-129. https://doi.org/10.5958/0974-9357.2019.00024.2
Gerogianni, G., Polikandrioti, M., Babatsikou, F., Zyga, S., Alikari, V., Vasilopoulos, G., Gerogianni, S., & Grapsa, E. (2019). Anxiety-Depression of Dialysis Patients and Their Caregivers. Medicina (Lithuania), 55(5), 1–9. https://doi.org/10.3390/medicina55050168
Hagemann, P. de M. S., Martin, L. C., & Neme, C. M. B. (2019). The Effect of Music Therapy on Hemodialysis Patients’ Quality of Life and Depression Symptoms. Brazilian Journal of Nephrology (BJN), 41(1), 74–82. https://doi.org/10.1590/2175-8239-JBN-2018-0023
Ibrahim, M. B., Elmetwally, S., Badawi, A., & Alameri, R. A. (2022). Assessment of Pain and Anxiety during Arteriovenous Fistula Cannulation among Hemodialysis Patients : A Cross-Sectional Study in Saudi Arabia. Journal of Multidisciplinary Heealthcare, 15(1), 705–718. https://doi.org/doi.org/10.2147/JMDH.S344256
Imani, M., Jalali, A., Salari, N., & Abbasi, P. (2021). Social Support and Self ‑ Care Behavior Study. Journal of Education and Health Promotion, 10(1), 305–310. https://doi.org/10.4103/jehp.jehp_1472_20
Indonesian Renal Registry. (2018). 11th Report of Indonesian Renal Registry 2018. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Kementerian Kesehatan RI. (2018). Cegah dan Kendalikan Penyakit Ginjal dengan Cerdik dan Patuh. http://www.depkes.go.id/article/print/18030700007/cegah-dan-kendalikan-penyakit-ginjal-dengan-cerdik-dan-patuh.html
Kim, S., & Jeong, H. C. (2021). Effects of Patient-Selected Music Listening on the Pain and Anxiety of Patients Undergoing Hemodialysis: A Randomized Controlled Trial. Healthcare (Basel), 9(11), 1–9. https://doi.org/10.3390/healthcare9111437
Kovesdy, C. P. (2022). Epidemiology of Chronic Kidney Disease: An Update 2022. Kidney International Supplements, 12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003
Laska, Y., Suryono, S., Widyawati, M. N., Suwondo, A., & Kusworowulan, S. (2018). Effect of Nature Sound Therapy on the Level of Cortisol in Postpartum Primipara. Belitung Nursing Journal, 4(1), 26–30. https://doi.org/10.33546/bnj.339
Momennasab, M., Ranjbar, M., & Najafi, S. S. (2018). Comparing Ehe Effect of Listening to Music during Hemodialysis and at Bedtime on Sleep Quality of Hemodialysis Patients: A Randomized Clinical Trial. European Journal of Integrative Medicine, 17, 86–91. https://doi.org/10.1016/j.eujim.2017.12.001
Mosleh, H., Alenezi, M., Al johani, S., Alsani, A., Fairaq, G., & Bedaiwi, R. (2020). Prevalence and Factors of Anxiety and Depression in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-Sectional Single-Center Study in Saudi Arabia. Cureus, 12(1), 1–11. https://doi.org/10.7759/cureus.6668
Nadeak, S. E., Adam, M., & Maria, R. (2021). Efektivitas Terapi Musik terhadap Kecemasan dan Nyeri Pasien Coronary Artery Bypass Graft. Journal of Telenursing, 3(2), 711–717. https://doi.org/10.31539/joting.v3i2.2955
Nasari, M., Ghezeljeh, T., & Haghani, H. (2018). Effects of Nature Sounds on Sleep Quality among Patients Hospitalized in Coronary Care Units: A Randomized Controlled Clinical Trial. Nursing and Midwifery Studies, 7(1), 18–23. https://doi.org/10.4103/nms.nms_39_17
Semaan, V., Noureddine, S., & Farhood, L. (2018). Prevalence of Depression and Anxiety in End-Stage Renal Disease: A Survey of Patients Undergoing Hemodialysis. Applied Nursing Research, 43, 80–85. https://doi.org/10.1016/j.apnr.2018.07.009
Thenmozhi, P., & Indumathi, S. (2019). Nature Based Sound Therapy on Pain and Anxiety during Extubation of Mechanical Ventilation. Journal of Medical Music Therapy, 12(1), 16–23. https://doi.org/10.11319/jmm.12.16
Ulusoy, S. I., & Kal, Ö. (2020). Relationship among Coping Strategies, Quality of Life, and Anxiety and Depressive Disorders in Hemodialysis Patients. Therapeutic Apheresis and Dialysis, 24(2), 189–196. https://doi.org/10.1111/1744-9987.12914
Wakhid, A., & Suwanti, S. (2019). Gambaran Tingkat Kecemasan Pasien yang Menjalani Hemodialisa. Jurnal Ilmiah STIKES Kendal, 9(1), 95–102. https://doi.org/https//doi.org/10.32583/pskm.9.2.2019.95-102
Al-Shammari, N., Al-Modahka, A., Al-Ansari, E., Al-Kandari, M., Ibrahim, K. A., Al-Sanea, J., Al-Sabah, R., & Albatineh, A. N. (2021). Prevalence of Depression, Anxiety, and Their Associations among End-Stage Renal Disease Patients on Maintenance Hemodialysis: A Multi-Center Population-Based Study. Psychology, Health and Medicine, 26(9), 1134–1142. https://doi.org/10.1080/13548506.2020.1852476
Bahonar, E., Ghezeljeh, T. N., & Haghani, H. (2019). Comparison of Single and Combined Effects of Nature Sounds and Foot Sole Reflexology Massage on the Level of Consciousness in Traumatic Comatose Patients: A Randomized Controlled Clinical Trial. Holistic Nursing Practice, 33(3), 177–186. https://doi.org/10.1097/HNP.0000000000000326
Burrai, F., Magavern, E. F., Micheluzzi, V., Magnaghi, C., Apuzzo, L., & Brioni, E. (2020). Effectiveness of Music to Improve Anxiety in Hemodialysis Patients a Systematic Review and Meta-analysis. Holistic Nursing Practice, 34(6), 324–333. https://doi.org/10.1097/HNP.0000000000000411
Cimen, S. G., Oğuz, E., Gundogmus, A. G., Cimen, S., Sandikci, F., & Ayli, M. D. (2020). Listening to Music during Arteriovenous Fistula Surgery Alleviates Anxiety: A Randomized Single-Blind Clinical Trial. World Journal of Transplantation, 10(4), 79–89. https://doi.org/10.5500/wjt.v10.i4.79
Farzaneh, M., Abbasijahromi, A., Saadatmand, V., Parandavar, N., Dowlatkhah, H. R., & Bahmanjahromi, A. (2019). Comparative Effect of Nature-Based Sounds Intervention and Headphones Intervention on Pain Severity after Cesarean Section: A Prospective Double-Blind Randomized Trial. Anesthesiology and Pain Medicine, 9(2), 1–7. https://doi.org/10.5812/aapm.67835
Fernandes, S., & D’silva, F. (2019). Effectiveness of Music Therapy on Depression, Anxiety and Stress among Haemodialysis Patients. International Journal of Nursing Education, 11(1), 124-129. https://doi.org/10.5958/0974-9357.2019.00024.2
Gerogianni, G., Polikandrioti, M., Babatsikou, F., Zyga, S., Alikari, V., Vasilopoulos, G., Gerogianni, S., & Grapsa, E. (2019). Anxiety-Depression of Dialysis Patients and Their Caregivers. Medicina (Lithuania), 55(5), 1–9. https://doi.org/10.3390/medicina55050168
Hagemann, P. de M. S., Martin, L. C., & Neme, C. M. B. (2019). The Effect of Music Therapy on Hemodialysis Patients’ Quality of Life and Depression Symptoms. Brazilian Journal of Nephrology (BJN), 41(1), 74–82. https://doi.org/10.1590/2175-8239-JBN-2018-0023
Ibrahim, M. B., Elmetwally, S., Badawi, A., & Alameri, R. A. (2022). Assessment of Pain and Anxiety during Arteriovenous Fistula Cannulation among Hemodialysis Patients : A Cross-Sectional Study in Saudi Arabia. Journal of Multidisciplinary Heealthcare, 15(1), 705–718. https://doi.org/doi.org/10.2147/JMDH.S344256
Imani, M., Jalali, A., Salari, N., & Abbasi, P. (2021). Social Support and Self ‑ Care Behavior Study. Journal of Education and Health Promotion, 10(1), 305–310. https://doi.org/10.4103/jehp.jehp_1472_20
Indonesian Renal Registry. (2018). 11th Report of Indonesian Renal Registry 2018. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Kementerian Kesehatan RI. (2018). Cegah dan Kendalikan Penyakit Ginjal dengan Cerdik dan Patuh. http://www.depkes.go.id/article/print/18030700007/cegah-dan-kendalikan-penyakit-ginjal-dengan-cerdik-dan-patuh.html
Kim, S., & Jeong, H. C. (2021). Effects of Patient-Selected Music Listening on the Pain and Anxiety of Patients Undergoing Hemodialysis: A Randomized Controlled Trial. Healthcare (Basel), 9(11), 1–9. https://doi.org/10.3390/healthcare9111437
Kovesdy, C. P. (2022). Epidemiology of Chronic Kidney Disease: An Update 2022. Kidney International Supplements, 12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003
Laska, Y., Suryono, S., Widyawati, M. N., Suwondo, A., & Kusworowulan, S. (2018). Effect of Nature Sound Therapy on the Level of Cortisol in Postpartum Primipara. Belitung Nursing Journal, 4(1), 26–30. https://doi.org/10.33546/bnj.339
Momennasab, M., Ranjbar, M., & Najafi, S. S. (2018). Comparing Ehe Effect of Listening to Music during Hemodialysis and at Bedtime on Sleep Quality of Hemodialysis Patients: A Randomized Clinical Trial. European Journal of Integrative Medicine, 17, 86–91. https://doi.org/10.1016/j.eujim.2017.12.001
Mosleh, H., Alenezi, M., Al johani, S., Alsani, A., Fairaq, G., & Bedaiwi, R. (2020). Prevalence and Factors of Anxiety and Depression in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-Sectional Single-Center Study in Saudi Arabia. Cureus, 12(1), 1–11. https://doi.org/10.7759/cureus.6668
Nadeak, S. E., Adam, M., & Maria, R. (2021). Efektivitas Terapi Musik terhadap Kecemasan dan Nyeri Pasien Coronary Artery Bypass Graft. Journal of Telenursing, 3(2), 711–717. https://doi.org/10.31539/joting.v3i2.2955
Nasari, M., Ghezeljeh, T., & Haghani, H. (2018). Effects of Nature Sounds on Sleep Quality among Patients Hospitalized in Coronary Care Units: A Randomized Controlled Clinical Trial. Nursing and Midwifery Studies, 7(1), 18–23. https://doi.org/10.4103/nms.nms_39_17
Semaan, V., Noureddine, S., & Farhood, L. (2018). Prevalence of Depression and Anxiety in End-Stage Renal Disease: A Survey of Patients Undergoing Hemodialysis. Applied Nursing Research, 43, 80–85. https://doi.org/10.1016/j.apnr.2018.07.009
Thenmozhi, P., & Indumathi, S. (2019). Nature Based Sound Therapy on Pain and Anxiety during Extubation of Mechanical Ventilation. Journal of Medical Music Therapy, 12(1), 16–23. https://doi.org/10.11319/jmm.12.16
Ulusoy, S. I., & Kal, Ö. (2020). Relationship among Coping Strategies, Quality of Life, and Anxiety and Depressive Disorders in Hemodialysis Patients. Therapeutic Apheresis and Dialysis, 24(2), 189–196. https://doi.org/10.1111/1744-9987.12914
Wakhid, A., & Suwanti, S. (2019). Gambaran Tingkat Kecemasan Pasien yang Menjalani Hemodialisa. Jurnal Ilmiah STIKES Kendal, 9(1), 95–102. https://doi.org/https//doi.org/10.32583/pskm.9.2.2019.95-102
