THE EFFECTS OF SPIRITUAL COUNSELING ON THE ANXIETY LEVEL OF PATIENT’S FAMILY AT THE INTENSIVE CARE UNIT (ICU) OF DR. DRADJAT PRAWIRANEGARA HOSPITAL IN SERANG, BANTEN PROVINCE, INDONESIA
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Keywords

family
counseling
spirituality
anxiety
ICU

How to Cite

Lukmanulhakim, L., & Syukrowardi, D. A. (2018). THE EFFECTS OF SPIRITUAL COUNSELING ON THE ANXIETY LEVEL OF PATIENT’S FAMILY AT THE INTENSIVE CARE UNIT (ICU) OF DR. DRADJAT PRAWIRANEGARA HOSPITAL IN SERANG, BANTEN PROVINCE, INDONESIA. Belitung Nursing Journal, 4(4), 403–410. https://doi.org/10.33546/bnj.404
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Abstract

Background: Critical nursing is a specific service in giving a holistic nursing service to fulfill human response to a life-threatening problem. A critical nurse can give a social support to patient’s family through assessment, counseling, and supporting group. Counseling is combination between high technology physical caring and emotional caring, which is needed by patients and the family. Spiritual counseling is a complementary medication preferred by the family of patient who is in acute and critical care.

Objective: The study aimed to identify the effects of spiritual counseling on the anxiety level of patient’s family at the ICU of dr. Dradjat Prawiranegara Hospital in Serang, Banten Province, Indonesia.

Methods: The study was a pre-experimental research with one group pre-test and post-test design. The samples were 25 respondents selected using consecutive sampling technique during one month (May to June 2016). The data of anxiety level were collected using HAR-S (Hamilton Rating Scale for Anxiety) questionnaire. The data were analyzed using parametrical t-test paired sample for the variable of anxiety before and after giving spiritual counseling. Meanwhile, the variable of respondents’ characteristics to anxiety was analyzed by using independent sample test.

Results: The study found that the mean of respondents’ anxiety level before spiritual counseling was 33.44 and the standard deviation was 5.213. Meanwhile, after conducting spiritual counseling, the mean was 18.60 and the standard deviation was 2.582. Bivariate analysis result showed a significant difference between anxiety level of patient’s family in ICU (Intensive Care Unit) before and after conducting spiritual counseling in which p value was 0.000, with the mean value of 14.840 and SD of 5.437.

Conclusion: Nurses should be more capable in implementing the intervention of spiritual counseling to patient’s family. Spiritual counseling can give a positive alteration to the family emotional situation. It impacts on the decrease of patient’s family anxiety level. By the decrease of family anxiety level, the possibility of doing mistake in decision-making is expected to be avoided.

https://doi.org/10.33546/bnj.404
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Supporting Agencies

Sekolah Tinggi Ilmu Kesehatan Faletehan, Indonesia

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Copyright (c) 2018 Lukmanulhakim, & Delly Arfa Syukrowardi

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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References

AACN. (2013). About critical care nursing. Retrieved from https://www.aacn.org/

Apriady, T., Yanis, A., & Yulistini, Y. (2016). Prevalensi ansietas menjelang ujian tulis pada mahasiswa kedokteran FK UNAND tahap akademik [Prevalence of anxiety of students of FK UNAND in facing written exam]. Jurnal Kesehatan Andalas, 5(3).

Brysiewicz, P., & Bhengu, B. R. (2010). The experiences of nurses in providing psychosocial support to families of critically ill trauma patients in intensive care units: A study in the Durban metropolitan area. Southern African Journal of Critical Care, 26(2), 42-51.

CCNAPI. (2012). Guidelines for critical care nursing. Retrieved from http://www.ccnapi.org/news-and-events/guidelines-for-critical-care-nursing/

Chang, C. W., Chen, Y. M., & Su, C. C. (2012). Care needs of older patients in the intensive care units. Journal of Clinical Nursing, 21(5‐6), 825-832.

Davidson, J. E., Jones, C., & Bienvenu, O. J. (2012). Family response to critical illness: Postintensive care syndrome–family. Critical Care Medicine, 40(2), 618-624.

Davies, T., & Craig, T. (2009). ABC kesehatan mental [Mental health ABC]. Jakarta: EGC.

Duran, C. R., Oman, K. S., Abel, J. J., Koziel, V. M., & Szymanski, D. (2007). Attitudes toward and beliefs about family presence: a survey of healthcare providers, patients’ families, and patients. American Journal of Critical Care, 16(3), 270-279.

Friedman, M. R. (2008). Family nursing: Theory & practic. Stamford, CT: Apleton & Lange.

Halm, M. (1992). Support and reassurance needs: strategies for practice. Critical Care Nursing Clinics of North America, 4(4), 633-643.

Hill, P. C., & Pargament, K. I. (2008). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. American Psychologist, 58(1), 64-74.

Holt-Ashley, M. (2000). Nurses pray: Use of prayer and spirituality as a complementary therapy in the intensive care setting. AACN Advanced Critical Care, 11(1), 60-67.

Kinrade, T., Jackson, A. C., & Tomnay, J. E. (2009). The psychosocial needs of families during critical illness: comparison of nurses' and family members' perspectives. Australian Journal of Advanced Nursing, 27(1), 82.

Koenig, H. G. (2001). Religion and medicine II: Religion, mental health, and related behaviors. International Journal of Psychiatry in Medicine, 31(1), 97-109.

Lukmanulhakim, & Firdaus, W. (2018). Pemenuhan kebutuhan keluarga pasien kritis di ruang intensive care unit (ICU) RSUD dr. Dradjat Prawiranegara Serang [Meeting the family needs of critical patients at ICU unit of RSUD dr. Dradjat Prawiranegara Serang]. Jurnal Ilmu Keperawatan dan Kebidanan, 9(1), 104-110.

Lukmanulhakim, Suryani, & Anna, A. (2016). The relationship between communication of nurses and level of anxiety of patient’s family in emergency room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia. International Journal of Research in Medical Sciences, 4(12), 5456-5462.

Mitchell, M. L., & Courtney, M. (2004). Reducing family members’ anxiety and uncertainty in illness around transfer from intensive care: An intervention study. Intensive and Critical Care Nursing, 20(4), 223-231.

Morton, G. (2012). Keperawatan kritis: Pendekatan asuhan holistik [Emergency nursing: Holistic care approach]. (8th Ed.). Jakarta: EGC.

Morton, P. G., Fontaine, D., Hudak, C. M., & Gallo, B. M. (2013). Keperawatan kritis: Pendekatan asuhan holistik [Emergency nursing: Holistic care approach]. (8th Ed.). Jakarta: EGC.

Perry, A. G., & Potter, P. A. (2005). Buku ajar fundamental keperawatan: Konsep, proses, dan praktik [Teaching book of basic nursing: Concept, process, and practice]. Jakarta: EGC.

Powers, P. H., Goldstein, C., Plank, G., Thomas, K., & Conkright, L. (2000). The value of patient-and family-centered care. American Journal of Nursing, 100(5), 84-88.

Rusinova, K., Kukal, J., Simek, J., & Cerny, V. (2014). Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients ́ relatives–the DEPRESS study. BMC Psychiatry, 14(1), 21.

Stockdale, L. (1989). Person-centered counseling: application in an intensive care setting. Heart & Lung: The Journal of Critical Care, 18(2), 139-145.

Syukrowardi, D. A., Wichaikull, S., & von Bormann, S. (2017). Spirituality as an internal protective factor of resilience in children after exposing flood. International Journal of Research in Medical Sciences, 5(4), 1474-1479.

Urden, Linda, D., Stacy, Kathleen, M., Lough, & Mery, E. (2010). Critical care nursing diagnosis and management (6th Ed.). United States: Mosby Elsevier.

Young, K. S., & De Abreu, C. N. (2010). Internet addiction: A handbook and guide to evaluation and treatment. New Jersey: John Wiley & Sons.