Pengaruh Kombinasi Expressive Writing Therapy dan Afirmasi Positif Terhadap Kecemasan pada Pasien Hemodialisis di RSUD Tidar Kota Magelang

Kombinasi Expressive Writing Therapy dan Afirmasi Positif

Authors

  • Meinanda Enjang Wulansari Poltekkes Kemenkes Semarang
  • Angga Sugiarto Poltekkes Kemenkes Semarang
  • Erna Erawati Poltekkes Kemenkes Semarang
  • Dwi Ari Murti Widigdo Poltekkes Kemenkes Semarang

DOI:

https://doi.org/10.65175/kewinus.v2i1.33

Keywords:

Adolescents, Fast Food, Obesity

Abstract

Patients undergoing hemodialysis often experience anxiety due to the unpredictable nature of their illness, raising concerns about potential recovery and dependence on dialysis machines. Addressing anxiety is crucial, as it significantly impacts patients' quality of life. The combination of expressive writing therapy and positive affirmations is a non-pharmacological approach to managing anxiety by allowing individuals to express their feelings and thoughts through writing and reinforce their self-esteem through positive statements.

This study aims to investigate the effect of the combination of expressive writing therapy and positive affirmations on anxiety in hemodialysis patients at RSUD Tidar, Magelang. A quantitative research design was employed, utilizing a quasi-experimental approach with a pretest-posttest design and a control group. Purposive sampling was used, resulting in a total of 40 respondents. The Hamilton Anxiety Rating Scale (HARS) was utilized as the measurement instrument.

In the intervention group, the Paired T-test yielded a p-value of 0.000 (p < 0.005). In the control group, the Wilcoxon test resulted in a p-value of 0.000 (p > 0.05). The Mann-Whitney U test indicated a p-value of 0.000 (p < 0.05) when comparing the intervention and control groups. These findings demonstrate that the combination of expressive writing therapy and positive affirmations is effective in reducing anxiety among hemodialysis patients.

 

Keyword :  Anxiety; expressive writing therapy; hemodialysis; positive affirmations

References

Amaludin, M., Arisandi, D., Nurpratiwi, Akbar, A., Rusdian, U., Akfikrie, F., & Hatmaakin, D. (2023). Tingkat Depresi, Ansietas dan Stres Pasien Gagal Ginjal Kronik (GGK) dengan Hemodialisa. Jurnal Kesehatan, 13(1), 1–7. https://doi.org/https://doi.org/10.35963/hmjk.v13i1.374

Anggara, O. F., Hazin, M., Habsy, B. Al, Reza, M., Acep, & Beny, O. N. (2024). Penerapan Terapi Relaksasi Untuk Mengurangi Kecemasan Terhadap Atlik Paralimpik. Jurnal Pengabdian Kepada Masyarakat, 4(1), 60–64. https://journal.unesa.ac.id/index.php/jpm/article/view/28046/11746

Anggarawati, T., & Fidiarohana, R. (2024). Penerapan Expressive Writing Therapy untuk Menurunkan Tingkat Kecemasan pada Remaja Korban Bullying di SMA N 14 Semarang. Jurnal Ilmu Kesehatan, 1(2), 163–172. https://doi.org/https://doi.org/10.62383/quwell.v1i2.765

Auliya, E. P., & Yudiarso, A. (2023). Medium Effect Size Terapi Musik untuk Menurunkan Kecemasan melalui Musik Klasik , Tradisional dan Relaksasi / Instrumental. Jurnal Psikologi Perseptual, 8(2), 124–137. https://doi.org/https://doi.org/10.24176/perseptual.v8i2.7468

Damanik, H. (2020). Tingkat Kecemasan Pasien Gagal Ginjal Kronik Dalam Menjalani Hemodialisa di Rumah Sakit Imelda Pekerja Indonesia. Jurnal Ilmiah Keperawatan Imelda, 6(1), 80–85. https://doi.org/https://doi.org/10.52943/jikeperawatan.v6i1.365

Fadilah, A. N., Handoyo, A. W., & Conia, P. D. D. (2023). Pengaruh Expressive Writing Therapy Menggunakan Media Tik-Tok dalam Menurunkan Kecemasan AKibat Perasaan Tidak Aman (Insecure) pada Siswa Sekolah Menengah ATas. Diversity Guidance and Counseling Journal, 1(1), 30–42. https://doi.org/https://doi.org/10.30870/diversity.v1i1.11

Ghoniy, Z. A., Khadijah, S., Insiyah, & Sulistyowati, E. C. (2022). Pengaruh Terapi Menulis Ekspresif dengan Kombinasi Afirmasi Positif Terhadap Tingkat Kecemasan pada Mahasiswa di Jurusan Keperawatan Poltekkes Surakarta. Jurnal Ilmiah Keperawatan, 10(2), 134–144. https://doi.org/10.52236/ih.v10i2.247

Hajarani, S., Zahra, R. A., Camelia, R. V., Silvia, M., Nisrina, Zahira, H., & Zakariyya, F. (2024). Efektivitas Pelatihan “ The Power of Positive Thinking ” dalam Menurunkan Kecemasan Akademik pada Mahasiswa Baru. Jurnal Psikologi Insight, 8(2), 81–90. https://doi.org/https://doi.org/10.17509/insight.v8i2.74933

Hasanuddin, F. (2022). Adekuasi Hemodialisa Pasien Gagal Ginjal Kronik. https://www.google.co.id/books/edition/_/4J99EAAAQBAJ?hl=id&gbpv=1

Hermayani, Kurnyata, Yoceline, Hasniati, Menga, & Rudy. (2022). Gambaran tingkat kecemasan pasien gagal ginjal kronik yang menjalani hemodialisis di masa pandemi Covid-19 di RS Bhayangkara dan RSUD Labuang Baji Makassar. Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE), 1(2), 106–119. https://doi.org/https://doi.org/10.55606/jurrike.v1i2.754

Indonesian Renal Registry. (2021). Annual Report of Indonesian Renal Registry.Edisi Pertama. https://www.indonesianrenalregistry.org/

International Society of Nephrology (ISN). (2023). New Global Kidney Health Report Sheds Light on Current Capacity Around the World to Deliver Kidney Care. https://www.theisn.org/blog/2023/03/30/new-global-kidney-health-report-sheds-light-on-current-capacity-around-the-world-to-deliver-kidney-care/

Jannah, A. R., Sumiatin, T., & Su’udi. (2024). Respon Psikologis pada Pasien yang Menjalani Terapi Hemodialisis di Ruang Hemodialisa RSUD Dr. R. Koesma Tuban. Multidiciplinary Scientific Journal, 1(9). https://mutiara.al-makkipublisher.com/index.php/al/article/view/258/330

Jannah, Z. (2022). Efektivitas Expressive Writing Therapy dalam Menurunkan Kecemasan Santri yang Mengalami Broken Home. Jurnal Psikologi Islam dan Budaya, 5(2), 95–104. https://doi.org/https://doi.org/10.15575/jpib.v5i2.19507

Kemenkes. (2023). Layanan Hemodialisis. https://kemkes.go.id/id/permudah-akses-masyarakat-wamenkes-resmikan-layanan-hemodialisis-rs-hasri-ainun-habibie

Kristina. (2022). Dampak Menulis Ekspresif Terhadap Tingkat Stres , Kecemasan, Depresi pada Mahasiswa Keperawatan. 26(1), 66–72. https://doi.org/10.46984/sebatik.v26i1.1663

Mufidah, N., Aini, D. N., & Prihati, D. R. (2024). Hubungan Lamanya Terapi Hemodialisa terhadap Tingkat Kecemasan pada Pasien CKD yang Menjalani Hemodialisa. Jurnal Keperawatan, 16(4). https://doi.org/https://doi.org/10.32583/keperawatan.v16i4.2077

Robertson, S. M. C., Short, S. D., Sawyer, L., & Sweazy, S. (2020). Randomized Controlled Trial Assessing the Efficacy of Expressive Writing in Reducing Anxiety in First-Year College Students : the Role of Linguistic Features. Psychology & Health, 0(0), 1–25. https://doi.org/10.1080/08870446.2020.1827146

Rusidi, D., Anas, M., & Sinring, A. (2022). Penerapan Teknik Expressive Writing untuk Mengurangi Kecemasan Komunikasi pada Siswa Man 2 Parepare. Pinisi Journal of Education, 1–9. https://eprints.unm.ac.id/25305/1/Devayanti Rusidi_Artikel Ilmiah Skripsi_1744041034_Bimbingan.pdf

Sarastini, N. K. A. (2022). Pengaruh Self Healing dengan Terapi Yoga “Pranayama” Terhadap Penurunan Tingkat Kecemasan pada Mahasiswa Tingkat IV Prodi Sarjana Keperawatan di Itekes Bali. https://repository.itekes-bali.ac.id/medias/journal/Ni_Kadek_Ayu_Sarastini.pdf

Setiyani, S. F., Maharrani, T., Kasiati, K., & Purwanto, T. S. (2024). The Effect of Providing Positive Affirmations Through Audiovisual Media on the Anxiety Level of Mothers in Fisrt Stage of Birth. Jurnal Ilmiah Kebidanan, 12(2), 135–141. https://doi.org/10.33992/jik.v12i2.3298

Syah, A. Y. (2023). The Effect of Expressive Writing Therapy in Reducing Anxiety Levels in Adolescent Bullying Victims. The Scientific Journal of Nursing, 4(3), 337–347. https://doi.org/https://doi.org/10.37363/bnr.2023.43248

Wahiddah, & Julia. (2022). Afirmasi Positif: Booster Utuk Meminimalisir Hambatan Belajar Siswa Sekolah Dasar. Jurnal Penelitian Ilmu Pendidikan, 15(2), 189–199. https://doi.org/http://dx.doi.org/10.21831/jpipfip.v15i2.50910

Widanarko, Y., Agustina, M., & Herliana, I. (2021). Pengaruh Afirmasi Positif Terhadap Harga Diri Pasien dengan Harga Diri Rendah di Ruang Stabilisasai Laki-Laki PKJN RSj Dr. H. Marzoeki Mahdi Bogor Tahun 2023. 1–9. https://rsmmbogor.com/cfind/source/files/penelitian/afirmasi-positif.pdf

Yildirim, M., Akbal, S., & Turkoglu, M. (2023). The Effect of Self-Affirmation on Anxiety and Perceived Discomfort in Patients Who Have Undergone Open-Heart Surgery . A randomized Controlled Trial. 72, 2–9. https://doi.org/10.1016/j.apnr.2023.151687

Downloads

Published

2025-06-30

How to Cite

Enjang Wulansari, M., Sugiarto, A., Erawati, E., & Murti Widigdo, D. A. (2025). Pengaruh Kombinasi Expressive Writing Therapy dan Afirmasi Positif Terhadap Kecemasan pada Pasien Hemodialisis di RSUD Tidar Kota Magelang: Kombinasi Expressive Writing Therapy dan Afirmasi Positif . KEWINUS: Jurnal Keperawatan Dan Kesehatan, 2(1), 101–117. https://doi.org/10.65175/kewinus.v2i1.33

Issue

Section

KEWINUS: Jurnal Keperawatan dan Kesehatan