Reduce Patients Anxiety Undergoing Hemodialysis Using Progressive Muscle Relaxation Technique

Abstract

Introduction: Severe anxiety disorders experienced by patients with chronic kidney failure always increase up to 68.7% in undergoing hemodialysis therapy. Management of patients with kidney failure is basically by doing hemodialysis. One of the psychological measures to reduce the anxiety of patients undergoing hemodialysis is to perform progressive muscle relaxation. Aim: Knowing the effect of progressive muscle relaxation techniques on anxiety in patients undergoing hemodialysis. related to nurses’ knowledge about IPC application with 20 questions. Meanwhile, the implementation of IPC is carried out using a checklist from IPC surveillance conducted by infection prevention control nurse (IPCN). Three hundred thirty-six nurses observations were obtained from this study. Data analysis used descriptive and inferential regression to investigate the characteristics, knowledge, and implementation of IPC. Results: The results showed that almost all nurses in private hospitals had received training related to the application of IPC. Most nurses’ knowledge is good, although all components have not reached maximum values. There are still several IPC components, such as patient placement, environmental, and PPE usage, that still need to be improved. No significant relationship was found between knowledge and the application of IPC in the COVID-19 ward. Conclusion: It is necessary to conduct intensive training that involves observation of essential domains of IPC for both nurses and IPCN. This study had some implications on clinical practice that components of IPC training need to more emphasize on observation skills. Further study is needed to investigate the availability of facilities in the treatment room, organizational support, and internal factors to fully capture the IPC implementation.