ASUHAN KEPERAWATAN DAN POTENSI TERAPI DZIKIR DALAM MENGATASI MASALAH DEPRESI PASIEN KANKER

MAISOHA, KARINA and Wahyuni, Dian (2020) ASUHAN KEPERAWATAN DAN POTENSI TERAPI DZIKIR DALAM MENGATASI MASALAH DEPRESI PASIEN KANKER. Undergraduate thesis, Sriwijaya University.

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Abstract

Latar Belakang: Kasus keganasan Kanker memiliki kecenderungan peningkatan sedangkan temuan didapatkan kesenjangan tindakan nonfarmakologi yang belum sepenuhnya dilakukan oleh perawat. Kanker membuat pasien merasa rendah diri, cemas, stres hingga depresi. Depresi menjadi masalah serius sebagai urutan keempat masalah penyakit di dunia. Terapi dzikir dewasa ini telah dilakukan oleh beberapa peneliti sebagai terapi komplementer yang dapat menghadirkan ketenangan dan ketentraman, menghilangkan depresi, keresahan, kegundahan, dan kesedihan. Tujuan: Menerapkan asuhan keperawatan pada kasus Kanker dan manajemen depresi untuk meningkatkan kualitas hidup dengan terapi dzikir sesuai evidence based. Metode: Menggunakan metode deskriptif kualitatif dengan pendekatan studi kasus. Hasil: Hasil pengkajian didapatkan masalah keperawatan yaitu nyeri kronis/nyeri akut, gangguan integritas kulit, perfusi perifer tidak efektif, defisit nutrisi, keputusasaan dan distres spiritual. Intervensi yang dilakukan untuk mengatasi keputusasan (depresi) adalah berikan dukungan emosional, berikan terapi kognitif perilaku, terapi reminisens dan terapi dzikir. Implikasi terapi dzikir setelah dilakukan selama 3 hari dapat menurunkan tingkat depresi pada ketiga pasien dari kategori depresi berat menjadi depresi ringan. Terapi dzikir lebih efektif dibandingkan dengan dukungan emosional, terapi kognitif perilaku dan terapi reminisens. Pembahasan: Terapi dzikir memiliki lima fase, yaitu: fase relaksasi bersama visualisasi, fase penyampaian do’a pembuka, fase pemutaran audio dzikir, fase dzikir menggunakan tasbih, fase penyampaian do’a penutup dan fase berdiam diri. Fisiologis respon emosional dzikir diterima oleh thalamus. Thalamus menstransmisikan impuls hipokampus untuk mensekresikan GABA (Gama Amino Batiric Acid), menghambat asetylcholine, serotonis dan neurotransmiter yang memproduksi sekresi kortisol, sehingga akan terjadi proses homeostasis, memperbaiki sistem neurotransmitter yang terganggu, dan memunculkan pikiran positif. Kesimpulan: Asuhan keperawatan dilakukan pada 3 pasien kelolaan yang terdiri dari proses pengkajian, diagnosa, intervensi, implementasi dan evaluasi. Terapi dzikir berpengaruh terhadap penurunan tingkat depresi. Kata Kunci: Asuhan Keperawatan, Terapi Dzikir, Depresi, Kanker ABSTRACT Background: Cancer malignancy cases have a tendency to increase while the findings found gaps in non-pharmacological actions that have not been fully carried out by nurses. Cancer makes patients feel inferior, anxious, stressed to depression. Depression is becoming a serious problem as the fourth problem in the world of disease. Dzikir therapy today has been carried out by some researchers as a complementary therapy that can bring calm and calm, relieve depression, anxiety, anxiety, and sadness. Aim: Apply nursing care in cases of cancer and depression management to improve quality of life with evidence based dhikr therapy. Method: Using a qualitative descriptive method with a case study approach. Results: The results of the study found that nursing problems are chronic pain / acute pain, impaired skin integrity, ineffective peripheral perfusion, nutritional deficits, hopelessness and spiritual distress. Interventions to overcome depression (depression) are providing emotional support, providing cognitive behavioral therapy, reminisce therapy and remembrance therapy. Implications of dhikr therapy after 3 days can reduce the level of depression in three patients from the category of severe depression to mild depression. Dzikir therapy is more effective than emotional support, cognitive behavioral therapy and reminisens therapy. Discussion: Dzikir therapy has five phases, namely: relaxation phase with visualization, opening prayer opening phase, dzikir audio playback phase, dhikr prayer using prayer beads, closing prayer delivery phase and silent phase. The physiological emotional response of dhikr is received by the thalamus. Thalamus transmits the hippocampal impulses to secrete GABA (Gama Amino Batiric Acid), inhibits asetylcholine, serotonis and neurotransmitters that produce cortisol secretion, so there will be a process of homeostasis, improve the disturbed neurotransmitter system, and generate positive thoughts. Conclusion: Nursing care is performed on 3 patients managed by the process of assessment, diagnosis, intervention, implementation and evaluation. Dhikr therapy affects the decrease in the level of depression. Keywords: Nursing Care, Dzikir Therapy, Depression, Cancer

Item Type:	Thesis (Undergraduate)
Uncontrolled Keywords:	Asuhan Keperawatan, Terapi Dzikir, Depresi, Kanker
Subjects:	R Medicine > RT Nursing > RT1-120 Nursing
Divisions:	04-Faculty of Medicine > 14901-Nursery Profession (Profesi)
Depositing User:	Users 5927 not found.
Date Deposited:	07 Jun 2020 14:15
Last Modified:	07 Jun 2020 14:15
URI:	http://repository.unsri.ac.id/id/eprint/29712

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