Mindfulness-Based Cognitive Therapy (MBCT) in improving quality of life: Case study in Chronic Kidney Disease patients with hemodialysis

Rini Junita Bakri Hasanudin*  -  Faculty of Psychology, Universitas Padjajaran, Bandung, Indonesia
Ahmad Gimmy Prathama Siswandi  -  Faculty of Psychology, Universitas Padjajaran, Bandung, Indonesia
Nurul Wardhani  -  Faculty of Psychology, Universitas Padjajaran, Bandung, Indonesia

Chronic Kidney Disease (CKD) not only affects the physical condition but also impacts on psychological conditions, such as feeling down, embarrassed by appearance, feelings of worthlessness, anxiety, to despair which is the cause of decreased quality of life. In improving the quality of life requires a psychological intervention called Mindfulness-Based Cognitive Therapy (MBCT). This study aims to seek the effects of MBCT interventions on improving the quality of life of patients with Chronic Kidney Disease (CKD) with hemodialysis. Research participants were 3 people. This research was a case study research with a mixed method. Data analysis strategy used was a concurrent embedded strategy that compares quantitative and qualitative data. The result showed that MBCT interventions could improve participant’s quality of life. MBCT interventions provide the skills to be aware of clear thoughts, feelings, and events without assessing them so that patients can sort out the things that originate from their thoughts and distinguish them from actual events. This accomplishment of the result can be perceived from the arising of feeling more enjoy life and there is an increase in scores on each aspect of quality of life on the measurement scale used.

Keywords : Mindfulness-Based Cognitive Therapy; quality of life; patients with Chronic Kidney Disease with hemodialysis

  1. Aisara, S., Azmi, S., & Yanni, M. (2018). Gambaran klinis penderita penyakit ginjal kronik menjalani yang hemodialisis di RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas, 7(1), 42–50.
  2. Bakri, R. J., & Usri, K. (2017). Gambaran quality of life pada pasien chronic kidney disease yang menjalani hemodialisis. Prosiding Konfrensi Nasional III Psikologi Kesehatan. Jakarta: Fakultas Psikologi Universitas YARSI.
  3. Bartley, T. (2012). Mindfulness-based cognitibe therapy for cancer. USA: John Wiley & Sons.
  4. Caninsti, R. (2013). Kecemasan dan depresi pada pasien gagal ginjal kronis yang menjalani terapi hemodialisis. Jurnal Psikologi Ulayat, 1(2), 207–222. https://doi.org/10.24854/jpu22013-22
  5. Gooz, M. (2012). Chronic kidney disease. Croatia: Intech.
  6. Hays, R. D., Kallich, J. D., Mapes, D. L., Coons, S. J., & Carter, W. B. (1994). Development of the Kidney Disease Quality of Life (KDQOLTM) instrument. Quality of Life Research, 3(5), 329–338. https://doi.org/10.1007/BF00451725
  7. Hidayah, N. (2016). Studi deskriptif kualitas hidup pasien penyakit ginjal kronik yang menjalani hemodialisis di Rumah Sakit PKU Muhammadiyah Yogyakarta. Jurnal Keperawatan Muhammadiyah, 1(1), 50–57.
  8. Indonesian Renal Registry. (2014). 7th Report of Indonesian Renal Registry. Retrieved from https://www.
  9. indonesianrenalregistry.org/data/INDONESIAN RENAL REGISTRY 2014.pdf
  10. Jha, V., Garcia-Garcia, G., Iseki, K., Li, Z., Naicker, S., Plattner, B., … Yang, C. W. (2013). Chronic kidney disease: Global dimension and perspectives. The Lancet, 382(9888), 260–272. https://doi.org/10.1016/S0140-6736(13)60687-X
  11. Mayuda, A., Chasani, S., & Saktini, F. (2017). Hubungan antara lama hemodialisa dengan kualitas hidup pasien penyakit gagal ginjal kronik (Studi di RSUP Dr. Kariadi Semarang). Jurnal Kedokteran Diponegoro, 6(2), 167–176.
  12. Prodjosudjadi, W., Suhardjono, Suwitra, K., Pranawa, Widiana, I. G. R., Loekman, J. S., … Working Group of the Indonesian Society of Nephrology. (2009). Detection and prevention of chronic kidney disease in Indonesia: initial community screening. Nephrology (Carlton, Vic.), 14(7), 669–674. https://doi.org/10.1111/j.1440-1797.2009.01137.x
  13. Rawat, K. J., Joshi, K. S., & Arora, R. D. (2017). Quality of life in patients on hemodialysis: A quasi-experiment with review of literature. International Journal of Medical Science and Public Health, 6(4), 786–791. https://doi.org/10.5455/ijmsph.2017.1061306122016
  14. Reza, I. F. (2016). Implementasi coping religious dalam mengatasi gangguan fisik-psikis-sosial-spiritual pada pasien gagal ginjal kronik. Intizar, 22(2), 243–280. https://doi.org/10.19109/intizar.v22i2.940
  15. Rustandi, H., Tranado, H., & Pransasti, T. (2018). Faktor-faktor yang mempengaruhi kualitas hidup pasien chronic kidney disease yang menjalani hemodialisa di ruang hemodialisa. Jurnal Keperawatan Silampari, 1(2), 32–46. https://doi.org/10.31539/jks.v1i2.8
  16. Sandra, Dewi, W. N., & Dewi, Y. I. (2012). Gambaran stres pada pasien gagal ginjal terminal yang menjalani terapi hemodialisis di Rumah Sakit Umum Daerah Arifin Achmad pekanbaru. Jurnal Ners Indonesia, 2(2).
  17. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford Press.
  18. Seidel, U. K., Gronewold, J., Volsek, M., Todica, O., Kribben, A., Bruck, H., & Hermann, D. M. (2014). Physical, cognitive and emotional factors contributing to quality of life, functional health and participation in community dwelling in chronic kidney disease. PLoS ONE, 9(3). https://doi.org/10.1371/
  19. journal.pone.0091176

Open Access Copyright (c) 2019 Psikohumaniora: Jurnal Penelitian Psikologi
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Psikohumaniora: Jurnal Penelitian Psikologi
Program Studi Psikologi
Fakultas Psikologi dan Kesehatan (FPK)
Universitas Islam Negeri Walisongo Semarang
Jl Prof. Dr. Hamka Kampus III Ngaliyan Semarang 50185
Website: https://fpk.walisongo.ac.id/

ISSN: 2502-9363 (Print)
ISSN: 2527-7456 (Online)