Skip to main content Skip to main navigation menu Skip to site footer
Jurnal Keperawatan Indonesia
Articles
VIEWS: 141
10.7454/jki.v23i2.582
Submitted: 2023-02-13
Published: 2020-07-31

Adaptation to Sexual Dysfunction in Patients with Chronic Renal Failure

Nursing Program Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto 53152
Faculty of Nursing, Universitas Indonesia, Depok 16424
Faculty of Nursing, Universitas Indonesia, Depok 16424
chronic renal failure patient experience of the adaptation process sexual dysfunction

Abstract

The prevalence of chronic renal failure in Indonesia tends to increase in the lower age group (45–54 years). Chronic renal failure may lead to impaired sexual function. A descriptive phenomenology study with in-depth interviews was carried out with 12 participants, and thematic content analysis was applied. Six themes were revealed, as follows: 1) adaptation process to sexual dysfunction experienced, 2) sexual dysfunction experience, 3) importance of fulfilling sexuality needs, 4) behavior in dealing with sexual dysfunction, 5) perception of the cause of sexual dysfunction, and 6) participants’ expectation of health service related to sexual function. The experience of adapting to sexual dysfunction became a meaningful process through partner involvement. Similar research involving more heterogeneous samples would benefit further discourse.

 

Abstrak

Adaptasi Terhadap Disfungsi Seksual Pada Pasien Gagal Ginjal Kronis. Prevalensi gagal ginjal kronis di Indonesia cenderung meningkat pada kelompok usia lebih muda (45–54 tahun). Gagal ginjal kronis sering menyebabkan gangguan fungsi seksualitas (disfungsi seksual). Penelitian ini bertujuan mendapatkan gambaran mendalam tentang pengalaman proses adaptasi pasien gagal ginjal kronis yang mengalami disfungsi seksual. Desain penelitian menggunakan deskriptif fenomenologi dengan wawancara mendalam. Dua belas partisipan diperoleh dengan teknik purposive sampling. Hasil penelitian ini teridentifikasi enam tema yaitu 1) proses adaptasi terhadap disfungsi seksual yang dialami partisipan, 2) disfungsi seksual yang dialami, 3) makna pentingnya pemenuhan kebutuhan seksualitas, 4) perilaku dalam menghadapi disfungsi seksual, 5) persepsi tentang penyebab disfungsi seksual, dan 6) harapan partisipan terhadap pelayanan kesehatan terkait fungsi seksualitas. Proses adaptasi yang dialami partisipan merupakan pengalaman yang sangat bermakna karena melibatkan dirinya sendiri dan hubungan interpersonal dengan pasangannya. Penelitian sejenis dengan sampel lebih heterogen diperlukan untuk memperkaya keilmuan.

Kata kunci: disfungsi seksual, gagal ginjal kronis, pengalaman proses adaptasi pasien

References

  1. Ali, M., Abdel-Hafez, H., Mahran, A.M., Mohamed, H.Z., Mohamed, E.R., El-Shazly, A., Abbas, M. A. (2005). Erectile dysfunction in chronic renal failure patients undergoing hemodialysis in Egypt. International Journal of Impotence Research, 17 (2), 180–5.
  2. Alligood, M.R. (2015). Nursing theorist and their work (7th ed.). St. Louis, Missouri: Elsevier.
  3. Arslan, S.Y., & Ege, E. (2009). Sexual experiences of women exposed to hemodialysis treatment. Sexuality and Disability, 27 (4), 215–221.
  4. Basok, E.K., Atsu, N., Rifaioglu, M.M., Kantarci, G., Yildirim, A., & Tokuc, R. (2009). Assessment of female sexual function and quality of life in predialysis, peritoneal dialysis, hemodialysis, and renal transplant patients. International Urology and Nephrology, 41 (3), 473–481.
  5. Chatrung, C., Sorajjakool, S., & Amnatsatsue, K. (2015). Wellness and religious coping among thai individuals living with chronic kidney disease in Southern California. Journal of Religion and Health, 54 (6), 2198–2211.
  6. Cibulka, R., & Racek, J. (2007). Metabolic disorders in patients with chronic kidney failure. Physiological Research, 56 (6), 697–705.
  7. Clarkson, K.A., & Robinson, K. (2010). Life on dialysis: A lived experience. American Nephrology Nursing Journal, 37 (1), 29–35.
  8. Drüeke, T.B., & Massy, Z.A. (2010). Atherosclerosis in CKD: Differences from the general population. Nature Reviews Nephrology, 6 (12), 723–735.
  9. Dwiyanto, D. (2008). Ensiklopedi serat centhini. Yogyakarta: Panji Pustaka.
  10. Elvira, S.D. (2006). Disfungsi seksual pada perempuan. Jakarta: Balai Penerbit FKUI.
  11. Fesharah, A. (2006). Sexuality in psychology. Jakarta: Refika Aditama.
  12. Finkelstein, F.O., Shirani, S., Wuerth, D., & Finkelstein, S.H. (2007). Insight therapy: Sexual dysfunction in patients with chronic kidney disease. Nature Clinical Practice Nephrology, 3 (4), 200–207.
  13. Guan, Y., Liang, G., Hawken, P.A.R., Malecki, I.A., Cozens, G., Vercoe, P.E., & Guan, L.L. (2015). Roles of small RNAs in the effects of nutrition on apoptosis and spermatogenesis in the adult testis. Scientific Reports, 5, 10372–10379.
  14. Hendranata, L. (2011). The power of sex. Yogyakarta, Indonesia: Light Tree.
  15. Hill, N.R., Fatoba, S.T., Oke, J.L., Hirst, J.A., O'Callaghan, C.A., Lasserson, D.S., & Hobbs, F.D. (2016). Global prevalence of chronic kidney disease - A systematic review and meta-analysis. PLoS One, 11 (7), e0158765. doi: 10.1371/journal.pone.0158765.
  16. Hjelm, K.G., Bard, K., Nyberg, P., & Apelqvist, J. (2004). Believe about health in men of difference ethnic origin. Journal of Advanced Nursing, 50 (1), 47–59.
  17. Ho, C.C., Singam, P., Hong, G. E., & Zainuddin, Z. M. (2011). Male sexual dysfunction in Asia. Asian journal of andrology, 13 (4), 537–542.
  18. Ho, T., & Fernández, M. (2006). Patient's sexual health: do we care enough? Journal of Renal Care, 32, 183–186.
  19. Krägeloh, C.U. (2011). A systematic review of studies using the brief COPE: Religious coping in factor analyses. Religions, 2 (3), 216–246.
  20. Lessan-pezeshki, M., & Ghazizadeh, S. (2008). Sexual and reproductive functions in end-stage renal disease and effects of kidney transplantation. Asian Journal of Andrology, 10 (3), 441–6.
  21. Ministry of Health Republic of Indonesia. (2013). Basic health research. Jakarta: Ministry of Health Republic of Indonesia, Health Research and Development Agency.
  22. Roy, S.C. (2009). The Roy adaptation model (3rd ed.). New Jersey: Pearson Education.
  23. Sabanciogullari, S., Taskin Yilmaz, F., Güngör, F.I., Söylemez, S., & Benli, R.B. (2015). Sexual function in patients with chronic renal failure on hemodialysis and its effects on patients’ perception of health and life satisfaction. Sexuality and Disability, 33 (2), 175–186.
  24. Saglimbene, V., Natale, P., Palmer, S., Scardapane, M., Craig, J.C., Ruospo, M., & Hegbrant, J. (2017). The prevalence and correlates of low sexual functioning in women on hemodialysis: A multinational, cross-sectional study. PLoS One, 12 (6), e0179511. doi: 10.1371/journal.pone.0179511.
  25. Santos, P.R., Júnior, J.R.F.G.C., Cavalcanti, J.U., Vieira, C.B., Rocha, A.R.M., Apolônio, N.A.M., & de Oliveira, E.B. (2012). Quality of life among women with sexual dysfunction undergoing hemodialysis: A cross-sectional observational study. Health and Quality of Life Outcomes, 10 (1), 103. doi: 10.1186/1477-7525-10-103.
  26. Sunanto, A., Rompas S., & Pondang, L. (2015). Hubungan penyakit ginjal kronik dengan disfungsi seksual pada pasien di Dirina C RSUP Prof.Dr.D. Kondou Manado. Jurnal Keperawatan, 3 (2), 1–7. Retrieved from https://ejournal.unsrat.ac.id/index.php/jkp/article/view/8032
  27. Syarifuddin, A. (2014). Islamic marriage law in Indonesia between Munakahic Fiqh and marriage law. Jakarta: Prenadamedia Group.
  28. Tannor, E.K., Archer, E., Kapembwa, K., van Schalkwyk, S.C., & Davids, M.R. (2017). Quality of life in chronic dialysis in South Africa: A comparative mixed methods study. BMC Nephrology, 18 (1), 4. doi: 10.1186/s12882-016-0425-1
  29. Thompson, E.H., Jr., & Barnes, K. (2013). Meaning of sexual performance among men with and without erectile dysfunction. Psychology of Men & Masculinity, 14 (3), 271–280.
  30. Tobing, N.L. (2006). Sex demands for men. Jakarta: Gramedia.
  31. Yee, L. (2010). Aging and sexuality. Australian Family Physician, 39 (10), 718–721.
  32. Yılmaz, M., & Özaltın, G. (2011). The sexual behaviors of patients receiving peritoneal dialysis treatment. Sex Disabil, 29, 21–32.
  33. Zhou, X., Liu, F., & Zhai, S. (2007). Effect of L-carnitine and/or Lacetyl carnitine in nutrition treatment for male infertility: A systematic review. Asia Pacific Journal of Clinical Nutrition, 16, 383–390.

How to Cite

Anam, A., Sukmarini, L., & Waluyo, A. (2020). Adaptation to Sexual Dysfunction in Patients with Chronic Renal Failure. Jurnal Keperawatan Indonesia, 23(2), 85–92. https://doi.org/10.7454/jki.v23i2.582