KAI, MEGGY WULANDARI
(2020)
PENGARUH KOMBINASI TERAPI MUSIK KLASIK DAN LATIHAN NAFAS TERHADAP TINGKAT STRESS DAN KADAR KORTISOL PASIEN HEMODIALISIS DI RSUD DR.MM. DUNDA LIMBOTO KABUPATEN GORONTALO.
Masters thesis, University of Nahdlatul Ulama Surabaya.
Abstract
Introduction: Hemodialysis patients may experience various problems, such as
physical and psychological complications. The most frequently occurring
psychological complication is stress. Stress in patients with hemodialysis can
increase the cortisol level in the blood. Therefore, this study is aimed at analyzing
the effects of classical music therapy and breathing exercises on the stress level
and the cortisol level in the hemodialysis patients. Method: This true experiment
study was conducted using pretest-posttest control group design. The samples
involved patients with hemodialysis totaling 40 respondents comprising of 20
people in the control group and 20 people in the treatment group chosen by using
random allocation sampling method. The treatment group was given an
intervention of combining classical music therapy and breathing exercises done
twice a week for 30 minutes according to the respondents’ hemodialysis schedule.
On the other hand, the control group received the standard intervention. While the
stress level was measured using PSS (Perceived Stress Scale), the measurement of
the cortisol level was done through laboratory examination using ELISA method
(Enzym Linked Immunosorbent Assay). Moreover, the data were analyzed using
independent t-test and Ancova test with the significance level of p < 0.05. Results
and Analysis: There were differences in the stress level (p=0.000) and the
cortisol level (p=0.000) between the two groups. Conclusion: Based on the
results, this study concludes that the combination of classical music therapy and
breathing exercises is an innovative intervention which can decrease the stress
level and the cortisol level in the hemodialysis patients.
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