Hypnodialysis and its Effect on Quality of Life in Patients with Chronic Kidney Disease: A Pre-Experimental Study
DOI:
https://doi.org/10.51143/jksi.v10i2.1000Keywords:
Chronic Kidney Disease Dialysis Hipnodialysis Hypnotherapy Quality of LifeAbstract
Kualitas hidup pasien Chronic Kidney Disease (CKD) sering kali buruk akibat berbagai komplikasi gejala, menjadikannya area fokus penting. Hipnodialisis, kombinasi hipnoterapi dan dialisis telah terbukti mengurangi kecemasan dan meningkatkan kepatuhan pengobatan pada pasien CKD. Namun, penelitian mengenai pengaruh hipnodialisis terhadap kualitas hidup pasien CKD masih sangat terbatas terutama di Indonesia. Studi pra-eksperimental ini menggunakan desain one-group pretest-posttest. Sampel terdiri dari 30 responden yang dipilih berdasarkan kriteria inklusi. Kuesioner WHOQOL-BREF digunakan untuk mengukur Kualitas Hidup pasien sebelum dan sesudah intervensi hipnodialisis. Analisis data menggunakan Uji Peringkat Bertanda Wilcoxon (Wilcoxon Signed-Rank Test) karena skor selisih tidak terdistribusi normal. Intervensi menyebabkan pergeseran positif dengan p value 0,001 (<0,05) di semua domain kualitas hidup. Hipnodialisis menunjukkan hasil yang efektif sebagai terapi komplementer yang secara signifikan meningkatkan kualitas hidup pasien CKD dan direkomendasikan untuk perawatan paliatif.
The quality of life for Chronic Kidney Disease (CKD) patients is often poor due to various symptomatic complications, making it a critical area of focus. Hypnodialysis, a combination of hypnotherapy and dialysis has been shown to reduce anxiety and improve treatment adherence in CKD patients. However, research on the effects of hypnodialysis on the quality of life for CKD patients remains very limited, especially in Indonesia. This pre-experimental study used a one-group pretest-posttest design. The sample consisted of 30 respondents selected based on inclusion criteria. The WHOQOL-BREF questionnaire was used to measure patients’ quality of life before and after the hypnodialysis intervention. Data analysis used the Wilcoxon Signed-Rank Test due to non-normal distribution of difference scores. The intervention resulted in a positive shift with a p-value of 0,001 (<0,05) across all domains of quality of life. Hypnodialysis shows promise as an effective complementary therapy for significantly improving the quality of life of CKD patients and is recommended for palliative care.
References
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Anggawijayanto, E., & Hastjarjo, T. D. (2019). Validation of the Standford Hypnotic Susceptibility Scale form C as a Hypnosis Module in Indonesia. Proceedings of the 1st International Conference on Psychology, 154–160. https://doi.org/10.5220/0009439201540160
Bello, A. K., Alrukhaimi, M., Ashuntantang, G. E., Basnet, S., Rotter, R. C., Douthat, W. G., Kazancioglu, R., Köttgen, A., Nangaku, M., Powe, N. R., White, S. L., Wheeler, D. C., & Moe, O. (2017). Complications of chronic kidney disease: current state, knowledge gaps, and strategy for action. Kidney International Supplements, 7(2), 122–129. https://doi.org/10.1016/j.kisu.2017.07.007
Bello, A. K., Okpechi, I. G., Osman, M. A., Cho, Y., Htay, H., Jha, V., Wainstein, M., & Johnson, D. W. (2022a). Epidemiology of haemodialysis outcomes. Nature Reviews Nephrology, 18(6), 378–395. https://doi.org/10.1038/s41581-022-00542-7
Bieber, J. P. (2023). The Effects of Musical Frequency and Interval on Meditation. In Sofia University (pp. 1–14). Sofia University.
Bossola, M., Pepe, G., & Marzetti, E. (2017). Health?related quality of life of patients on chronic dialysis: The need for a focused effort. Seminars in Dialysis, 30(5), 413–416. https://doi.org/10.1111/sdi.12620
Bossola, M., Pepe, G., Picca, A., Calvani, R., & Marzetti, E. (2019). Treating symptoms to improve the quality of life in patients on chronic hemodialysis. International Urology and Nephrology, 51(5), 885–887. https://doi.org/10.1007/s11255-019-02121-5
Dhawo, M. S., Trifianingsih, D., & Sitompul, D. R. (2022). Pengaruh Strategi Hipnotek (Hipnoterapi Buteyko) pada Wanita Dewasa Muda yang Mengalami Overweight dan Obesitas dalam Menurunkan IMT. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 11(1), 1–9. https://doi.org/10.20527/jdk.v10i3.181
Elkins, G. (2022). Clinical Hypnosis in Health Care and Treatment. International Journal of Clinical and Experimental Hypnosis, 70(1), 1–3. https://doi.org/10.1080/00207144.2022.2011112
Hadning, I., & Ainii, N. Q. (2021). An Analysis of Health Workers’ Quality of Life in Indonesia During COVID-19 Pandemic. https://doi.org/10.2991/ahsr.k.210115.085
Hao, J., Wang, Y., Wang, Y., Zhang, J., Gao, J., Kang, L., Wang, X., Yang, J., Zhang, L., & Liu, J. (2024). Analysis of influencing factors on quality of life in patients with chronic kidney disease undergoing maintenance haemodialysis. Heliyon, 10(4). https://doi.org/10.1016/j.heliyon.2024.e25817
Kemenkes: Badan Kebijakan Pembangunan Kesehatan. (2023). Survey Kesehatan Indonesia (SKI) Dalam Angka: Data Akurat Kebijakan Tepat.
Meneses, E. (2025). Harmonic Healing: The Influence of Sound Therapy on Cultivating Forgiveness. In Globe Institute (pp. 1–12). Globe Institute.
Narlan, A., Prian, A., & Gumilar, R. (2023). Pengaruh Dryland and Swimming Workout Terhadap Peningkatan VO2MAX Dalam Olahraga Renang. Jurnal of S.P.O.R.T, 7(1), 119–124.
Rashidi, S. (2025). Music Therapy; Integration of Science and Art in Promoting Mental Health, Beyond a Complementary Approach. https://doi.org/10.14293/PR2199.001833.v1
Resminya, L., & Misbach, I. H. (2019). Pengembangan Alat Ukur Kualitas Hidup Indonesia. Jurnal Psikologi Insight, 3(1), 20–31.
Satyanarayana R. Vaidya1; Narothama R. Aeddula2. (2025). Chronic Kidney Disease. StatPearls Publishin.
Tukaev, R. (2020). The Integrative Theory of Hypnosis in the Light of Clinical Hypnotherapy. In Hypnotherapy and Hypnosis. IntechOpen. https://doi.org/10.5772/intechopen.92761
Vionalita Program Studi Kesehatan Masyarakat, G., Ilmu Kesehatan, F., Esa Unggul Jalan Arjuna Utara Nomor, U., & Tomang Kebon Jeruk, T. (2019). PENINGKATAN PENGETAHUAN HIDUP SEHAT UNTUK KUALITAS HIDUP PASIEN KRONIS. In Peningkatan Pengetahuan Hidup Sehat untuk Kualitas Hidup Pasien Kronis Jurnal Abdimas (Vol. 5).
Wahyuni, N. W. S., Kamaryati, N. P., Rismawan, M., & Suantika, P. I. R. (2025). The Determining Factors of Quality of Life in Chronic Kidney Disease Patients with Hemodialysisin Hospitals: A Literature Review. Babali Nursing Research, 6(1), 212–225. https://doi.org/10.37363/bnr.2025.61454
Wark, D. M. (2020). Hypnosis and end-stage renal disease: Review and treatment. American Journal of Clinical Hypnosis, 63(1), 36–48. https://doi.org/10.1080/00029157.2020.1748561
Wati, S. H., Mardiyono, M., & Warijan, W. (2017). HYPNODIALYSIS FOR ANXIETY RELIEF AND ADHERENCE TO MEDICATION, KIDNEY DIET AND FLUID INTAKE IN PATIENTS WITH CHRONIC KIDNEY DISEASE. Belitung Nursing Journal, 3(6), 712–721. https://doi.org/10.33546/bnj.306
Zahra, Z., Effendy, E., Mawarpury, M., Marthoenis, & Jaya, I. (2023). Psychotherapies for chronic kidney disease patients with hemodialysis: A systematic review of randomized control trials and quasi-experiments. Narra J, 3(3). https://doi.org/10.52225/narra.v3i3.215
Zeng, Y. S., Wang, C., Ward, K. E., & Hume, A. L. (2018). Complementary and Alternative Medicine in Hospice and Palliative Care: A Systematic Review. In Journal of Pain and Symptom Management (Vol. 56, Issue 5, pp. 781-794.e4). Elsevier Inc. https://doi.org/10.1016/j.jpainsymman.2018.07.016
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Copyright (c) 2026 Maria Silvana Dhawo, Sally Pobas, Rika Putri Yustina, Helda Iriani
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References
Andrade, C. (2021). The Limitations of Quasi-Experimental Studies, and Methods for Data Analysis When a Quasi-Experimental Research Design Is Unavoidable. Indian Journal of Psychological Medicine, 43(5), 451–452. https://doi.org/10.1177/02537176211034707
Anggawijayanto, E., & Hastjarjo, T. D. (2019). Validation of the Standford Hypnotic Susceptibility Scale form C as a Hypnosis Module in Indonesia. Proceedings of the 1st International Conference on Psychology, 154–160. https://doi.org/10.5220/0009439201540160
Bello, A. K., Alrukhaimi, M., Ashuntantang, G. E., Basnet, S., Rotter, R. C., Douthat, W. G., Kazancioglu, R., Köttgen, A., Nangaku, M., Powe, N. R., White, S. L., Wheeler, D. C., & Moe, O. (2017). Complications of chronic kidney disease: current state, knowledge gaps, and strategy for action. Kidney International Supplements, 7(2), 122–129. https://doi.org/10.1016/j.kisu.2017.07.007
Bello, A. K., Okpechi, I. G., Osman, M. A., Cho, Y., Htay, H., Jha, V., Wainstein, M., & Johnson, D. W. (2022a). Epidemiology of haemodialysis outcomes. Nature Reviews Nephrology, 18(6), 378–395. https://doi.org/10.1038/s41581-022-00542-7
Bieber, J. P. (2023). The Effects of Musical Frequency and Interval on Meditation. In Sofia University (pp. 1–14). Sofia University.
Bossola, M., Pepe, G., & Marzetti, E. (2017). Health?related quality of life of patients on chronic dialysis: The need for a focused effort. Seminars in Dialysis, 30(5), 413–416. https://doi.org/10.1111/sdi.12620
Bossola, M., Pepe, G., Picca, A., Calvani, R., & Marzetti, E. (2019). Treating symptoms to improve the quality of life in patients on chronic hemodialysis. International Urology and Nephrology, 51(5), 885–887. https://doi.org/10.1007/s11255-019-02121-5
Dhawo, M. S., Trifianingsih, D., & Sitompul, D. R. (2022). Pengaruh Strategi Hipnotek (Hipnoterapi Buteyko) pada Wanita Dewasa Muda yang Mengalami Overweight dan Obesitas dalam Menurunkan IMT. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 11(1), 1–9. https://doi.org/10.20527/jdk.v10i3.181
Elkins, G. (2022). Clinical Hypnosis in Health Care and Treatment. International Journal of Clinical and Experimental Hypnosis, 70(1), 1–3. https://doi.org/10.1080/00207144.2022.2011112
Hadning, I., & Ainii, N. Q. (2021). An Analysis of Health Workers’ Quality of Life in Indonesia During COVID-19 Pandemic. https://doi.org/10.2991/ahsr.k.210115.085
Hao, J., Wang, Y., Wang, Y., Zhang, J., Gao, J., Kang, L., Wang, X., Yang, J., Zhang, L., & Liu, J. (2024). Analysis of influencing factors on quality of life in patients with chronic kidney disease undergoing maintenance haemodialysis. Heliyon, 10(4). https://doi.org/10.1016/j.heliyon.2024.e25817
Kemenkes: Badan Kebijakan Pembangunan Kesehatan. (2023). Survey Kesehatan Indonesia (SKI) Dalam Angka: Data Akurat Kebijakan Tepat.
Meneses, E. (2025). Harmonic Healing: The Influence of Sound Therapy on Cultivating Forgiveness. In Globe Institute (pp. 1–12). Globe Institute.
Narlan, A., Prian, A., & Gumilar, R. (2023). Pengaruh Dryland and Swimming Workout Terhadap Peningkatan VO2MAX Dalam Olahraga Renang. Jurnal of S.P.O.R.T, 7(1), 119–124.
Rashidi, S. (2025). Music Therapy; Integration of Science and Art in Promoting Mental Health, Beyond a Complementary Approach. https://doi.org/10.14293/PR2199.001833.v1
Resminya, L., & Misbach, I. H. (2019). Pengembangan Alat Ukur Kualitas Hidup Indonesia. Jurnal Psikologi Insight, 3(1), 20–31.
Satyanarayana R. Vaidya1; Narothama R. Aeddula2. (2025). Chronic Kidney Disease. StatPearls Publishin.
Tukaev, R. (2020). The Integrative Theory of Hypnosis in the Light of Clinical Hypnotherapy. In Hypnotherapy and Hypnosis. IntechOpen. https://doi.org/10.5772/intechopen.92761
Vionalita Program Studi Kesehatan Masyarakat, G., Ilmu Kesehatan, F., Esa Unggul Jalan Arjuna Utara Nomor, U., & Tomang Kebon Jeruk, T. (2019). PENINGKATAN PENGETAHUAN HIDUP SEHAT UNTUK KUALITAS HIDUP PASIEN KRONIS. In Peningkatan Pengetahuan Hidup Sehat untuk Kualitas Hidup Pasien Kronis Jurnal Abdimas (Vol. 5).
Wahyuni, N. W. S., Kamaryati, N. P., Rismawan, M., & Suantika, P. I. R. (2025). The Determining Factors of Quality of Life in Chronic Kidney Disease Patients with Hemodialysisin Hospitals: A Literature Review. Babali Nursing Research, 6(1), 212–225. https://doi.org/10.37363/bnr.2025.61454
Wark, D. M. (2020). Hypnosis and end-stage renal disease: Review and treatment. American Journal of Clinical Hypnosis, 63(1), 36–48. https://doi.org/10.1080/00029157.2020.1748561
Wati, S. H., Mardiyono, M., & Warijan, W. (2017). HYPNODIALYSIS FOR ANXIETY RELIEF AND ADHERENCE TO MEDICATION, KIDNEY DIET AND FLUID INTAKE IN PATIENTS WITH CHRONIC KIDNEY DISEASE. Belitung Nursing Journal, 3(6), 712–721. https://doi.org/10.33546/bnj.306
Zahra, Z., Effendy, E., Mawarpury, M., Marthoenis, & Jaya, I. (2023). Psychotherapies for chronic kidney disease patients with hemodialysis: A systematic review of randomized control trials and quasi-experiments. Narra J, 3(3). https://doi.org/10.52225/narra.v3i3.215
Zeng, Y. S., Wang, C., Ward, K. E., & Hume, A. L. (2018). Complementary and Alternative Medicine in Hospice and Palliative Care: A Systematic Review. In Journal of Pain and Symptom Management (Vol. 56, Issue 5, pp. 781-794.e4). Elsevier Inc. https://doi.org/10.1016/j.jpainsymman.2018.07.016
