KEMAMPUAN SPIRITUALITAS DAN TINGKAT STRES PASIEN DIABETES MELLITUS DI RUMAH PERAWATAN: STUDI PENDAHULUAN

Tiara Suciani, Tuti Nuraini

Abstract

Abstrak

 

Spiritualitas merupakan salah satu hal yang terpenting dalam hidup seseorang, termasuk bagi pasien diabetik. Spiritualitas digambarkan sebagai pengalaman yang paling tinggi, hubungan yang lebih mendalam yang dirasakan terhadap Tuhan, sesama, termasuk terhadap alam. Studi pendahuluan ini bertujuan mengidentifikasi hubungan antara kemampuan spiritualitas dan tingkat stres pasien diabetes yang melakukan perawatan luka di rumah perawatan. Penelitian potong lintang ini melibatkan sampel sebanyak 64 responden pasien diabetes di rumah perawatan di wilayah Jabodetabek, dengan teknik consecutive sampling. Instrumen yang digunakan adalah modifikasi dari Multidimensional Measure of Religiousness/Spirituality, Spiritual Involvement and Belief Scale Revised Version, Spiritual Health, and Life-Orientation Measure dan kuesioner Depression Anxiety Stress Scales (DASS). Hasil penelitian menujukkan bahwa tidak terdapat hubungan yang signifikan (p= 0,219; p< 0,05) antara kemampuan spiritualitas dan tingkat stres, namun secara klinis penelitian ini cukup bermakna karena responden dengan tingkat stres normal memiliki rerata kemampuan spiritualitas yang lebih tinggi dibanding kategori lainnya. Studi lanjutan perlu dilakukan untuk menguji hubungan factor lainnya terhadap kemampuan spiritual dan tingkat stress. Kemampuan spiritualitas pasien diabetik ini perlu lebih diperhatikan oleh seorang perawat ketika memberikan asuhan keperawatan pada pasien diabetikum sehingga dapat menunjang aspek lainnya yang berkontribusi dalam kemampuan perawatan diri pasien.

 

Kata kunci: kemampuan spiritualitas, pasien diabetes, tingkat stres

 

Abstract

 

The Ability of Spirituality and Stress Level of Patients with Diabetes Mellitus in Home Care Setting: A Preliminary Study. Spirituality is one of the important things in patients’ life, including patients with diabetes. Spirituality is defined as the highest experience of a deeper connection feeling to God, others, and nature. This preliminary study aimed to identify the relationship between the ability of spirituality and stress level of diabetic patients in-home care setting. In this study, the design method was cross-sectional with 64 respondents of the diabetic patient at several home care settings in Jabodetabek area, which used consecutive sampling technique. The instrument used a modification of Multi-dimensional Measure of Religiousness/ Spirituality, Spiritual Involvement and Belief Scale-Revised Version, Spiritual Health And Life-Orientation Measure and questionnaires Depression Anxiety Stress Scales. The result showed that there was no significant relationship (p = 0.219; p <0.05) between the ability of spirituality and stress levels, but this research was clinically significant because the respondents with normal stress levels have a higher average spiritual capability than other categories. Further study need to undertake to determine the relationship between the other factors toward spirituality ability and the stress level. The ability of spirituality of patient with diabetes needs more attention by a nurse when providing nursing care to the diabetic patient to support other aspects that contribute in the patient self-care capability.

 

Keywords: diabetic patients, spirituality,  stress level

Keywords

spiritualitas; tingkat stres; pasien diabetes

References

Black, J.M., & Hawks, J.H. (2014). Keperawatan medikal bedah: Manajemen klinis untuk hasil yang diharapkan. (R.A. Nampira, Yudhistira, S.C. Eka, penerjemah). Singapore: Elsevier. Buku asli diterbitkan tahun 2008.

Chaves, L.J., & Gil, C.A. (2015). Older people’s concepts of spirituality, related to aging, and quality of life. Ciência & Saúde Coletiva, 20 (12), 3641–3652. https://dx.doi.org/10.1590 /1413-812320152012.19062014

Cook, C., Powell, A., & Sims, A. (Eds). (2010). Spirituality and psychiatry. London: RS Psych Publications.

Faulenbach, M., Uthoff, H., Schwegler, K., Spinas, G.A., Schmid, C., & Wiesli, P. (2012). Effect of psychological stress on glucose control in patients with Type 2 diabetes. Diabet Med, 29 (1), 128–131. doi: 10.1111/j.1464-5491. 2011.03431.x.

Fisher, J. (2011). The four domains model: Connecting spirituality, health, and well-being. Religions, 2 (4), 17–28. MDPI AG. Retrieved from http://dx.doi.org/10.3390/rel 2010017

Gouin, J.P., & Kiecolt-Glaser, J.K. (2011). The impact of psychological stress on wound healing: Methods and mechanisms. Immuno-logy and Allergy Clinics of North America, 31(1), 81–93. http://doi.org/10.1016/j.iac.20 10.09.010

Gordon, T., Kelly, E., & Mitchell, D. (2011). Spiritual care for healthcare professionals: Reflecting on clinical practice. London: Radcliffe Publishing.

Gupta, P.S., & Anandarajah, G. (2014). The role of spirituality in diabetes self-management in an urban underserved population: A qualitative exploratory study. Rhode Island Medical Journal, 97 (3), 31–35.

International Diabetes Foundation. (2015). Diabetes fact and figures. Diperoleh dari http://www. idf.org/about-diabetes/facts-figures

Johnson, K.S., Tulsky, J.A., Hays, J.C., Arnold, R.M., Olsen, M.K., Lindquist, J.H., & Steinhauser, K.E. (2011). Which domains of spirituality are associated with anxiety and depression in patients with advanced illness? Journal of General Internal Medicine, 26 (7), 751–758. http://doi.org/10.1007/s11606-011 -1656-2

Kementerian Kesehatan RI. (2014). Profil kesehatan Indonesia tahun 2013. Jakarta: Kementerian Kesehatan RI. Diperoleh dari http://www.depkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-indonesia-2013.pdf

Koenig, H.G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry, 2012, Article ID 278730, 33. doi:10.5402/2012/278730

Lucchetti, G., Ramakrishnan, P., Karimah, A., Oliveira, G.R., Dias, A., Rane, A., … & Lucchetti, A.L.G. (2016). Spirituality, religiosity, and health: A comparison of physicians’ attitudes in Brazil, India, and Indonesia. International Journal of Behavioral Medicine, 23(1): 63–70. DOI https://doi.org/10.1007/s12529-015-9491-1

Lloyd, C., Smith, J., & Weinger, K. (2005). Stress and diabetes: A review of the Links. Diabetes Spectrum, 18 (2), 121–127. https://doi.org/ 10.2337/diaspect.18.2.121

Lynch, C.P., Strom, J.L., Hernandez-Tejada, M.A., & Egede, L.E. (2012). Association between spirituality and depression in adults with type 2 diabetes. Diabetes Educ, 38 (3), 427–435. doi: 10.1177/0145721712440335

Makhija, N. (2002). Spiritual nursing. The Nursing Journal of India, 93 (6), 129–30.

Ningrum, A.W. (2014). Gambaran spiritualitas pada pasien diabetes mellitus di Puskesmas Kampung Baru Medan (Skripsi, Tidak Dipublikasi). Universitas Sumatera Utara, Medan. Diperoleh dari: http://repository.usu. ac.id/handle/123456789/45503

Rogers, M., & Wattis, J. (2015). Spirituality in nursing practice. Nursing Standard, 29 (39), 51. http://dx.doi.org/10.7748/ns.29.39.51.e9 726

Saladin, K. (2011). Anatomy & physiology: The Unity of Form and Function (6th Ed.). New York: The McGraw Hill Companies.

Sandra, Dewi, W.N,. & Dewi, Y.I. (2012). Gambaran stres pada pasien gagal ginjal terminal yang menjalani terapi hemodialisa di Rumah Sakit Umum Daerah Arifin Achmad Pekanbaru. Jurnal Ners Indonesia, 2 (2), 99-108.

Sofiana, L.I., Elita, V., &Utomo, W. (2012). Hubungan antara stress dengan konsep diri pada penderita diabetes mellitus tipe 2. Jurnal Ners Indonesia, 2 (2), 167–176.

Wattis, J., & Curran, S. (2006). Spirituality and mental wellbeing in old age. Geriatric Medicine, 36 (12), 13–17.

WHO. (2014). Noncommunicable diseases country profiles 2014. Geneva: WHO. Diperoleh dari http://apps.who.int/iris/bitstream/10665/128038/1/9789241507509_eng.pdf

Wiesli, P., Schmid, C., Kerwer, O., Nigg-Koch, C., Klaghofer, R., Seifert, B., Spinas, G.A., Schwegler, K. (2005). Acute psychological stress affects glucose concentrations in patients with type 1 diabetes following food intake but not in the fasting state. Diabetes Care, 28 (8),1910–1915.

Zehtab, S., & Adib-Hajbaghery, M. (2014). The importance of spiritual care in nursing. Nursing and Midwifery Studies, 3 (3), e22261.


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