Efektivitas virtual reality (VR) terhadap kecemasan, depresi, dan nyeri pada pasien yang menjalankan hemodialisa: A systematic review
DOI: https://doi.org/10.33024/hjk.v19i1.764
Depresi Hemodialisa Kecemasan Nyeri Virtual Reality
Abstract
Background: Chronic kidney disease is one of the leading causes of mortality in the 21st century. Hemodialysis is a life-saving treatment for patients with end-stage renal disease; however, the procedure can cause pain, discomfort, anxiety, and depression, ultimately leading to a lower quality of life.
Purpose: To examine the effects of virtual reality on anxiety, depression, and pain in patients undergoing hemodialysis.
Method: Systematic review with randomized controlled trial (RCT) design. Articles were searched using 5 databases, namely Pubmed, Sage Journal, Springerlink, Proquest, and ScienceDirect published from January 2014 to December 2024.
Results: Shows that there are 6 articles that meet the criteria and most of the studies reported that virtual reality interventions are effective in reducing levels of anxiety, depression, and pain in patients undergoing hemodialysis.
Conclusion: Virtual reality interventions can be considered as adjunctive or alternative therapy to reduce anxiety, depression, and pain in patients undergoing hemodialysis.
Keywords: Anxiety; Depression; Hemodialysis; Pain; Virtual Reality.
Pendahuluan: Penyakit ginjal kronis merupakan salah satu penyebab kematian paling banyak di abad ke-21 ini. Hemodialisis adalah pengobatan yang dapat menyelamatkan jiwa bagi penderita penyakit ginjal stadium akhir, meskipun begitu, proses ini dapat menyebabkan rasa nyeri dan ketidaknyamanan,cemas dan depresi, sehingga mengakibatkan kualitas hidup menjadi lebih rendah.
Tujuan: Untuk mengetahui efek virtual reality (VR) terhadap kecemasan, depresi dan nyeri pada pasien yang menjalankan hemodialisa.
Metode: Systematic review dengan desain randomized controlled trial (RCT). Pencarian artikel menggunakan 5 database yaitu Pubmed, Sage Journal, Springerlink, Proquest, dan ScienceDirect yang terbit dari Januari 2014 hingga Desember 2024.
Hasil: Menunjukkan bahwa terdapat 6 artikel yang memenuhi kriteria dan sebagian besar studi melaporkan bahwa, intervensi virtual reality efektif dalam menurunkan tingkat cemas, depresi, dan nyeri pada pasien yang menjalankan hemodialisa.
Simpulan: Intervensi VR dapat dijadikan terapi pendamping atau pengganti untuk menurunkan tingkat kecemasan, depresi, dan nyeri pada pasien yang menjalankan hemodialisis.
Kata Kunci: Depresi; Hemodialisis; Kecemasan; Nyeri; Virtual Reality.
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References
Back, Y., & Lee, Y. (2020). Optimal time of thermotherapy for reducing pain, anxiety, and side effects in arteriovenous fistula puncture patients: A randomized controlled trial. International Journal of Environmental Research and Public Health, 17(19), 1–10.
Burrows, B. T., Morgan, A. M., King, A. C., Hernandez, R., & Wilund, K. R. (2023). Virtual Reality Mindfulness and Personalized Exercise for Patients on Hemodialysis with Depressive Symptoms: A Feasibility Study. Kidney and Dialysis, 3(3), 297–310.
Chirico, A., Lucidi, F., De Laurentiis, M., Milanese, C., Napoli, A., & Giordano, A. (2016). Virtual Reality in Health System: Beyond Entertainment. A Mini-Review on the Efficacy of VR During Cancer Treatment. Journal of cellular physiology, 231(2), 275–287.
Chou, H. Y., Chen, S. C., Yen, T. H., & Han, H. M. (2020). Effect of a Virtual Reality-Based Exercise Program on Fatigue in Hospitalized Taiwanese End-Stage Renal Disease Patients Undergoing Hemodialysis. Clinical Nursing Research, 29(6), 368–374.
Elmalı Şimşek, H., & Aksoy, M. (2024). The Effect of Using Virtual Reality Glasses on Pain During Fistula Cannulation in Hemodialysis Patients: A Randomized Controlled Trial. Clinical and Experimental Health Sciences, 14(3), 821–826.
Elzeky, M. E. H., Salameh, B., Reshia, F. A. A., Sabry, A. A., Shahine, N. F. M., & Mohamed, E. A. (2024). The effect of Virtual Reality distraction on haemodialysis patients’ pain and anxiety during arteriovenous fistula puncture: a randomised controlled trial. Journal of Research in Nursing, 29(6), 421-434.
Gershon, J., Zimand, E., Pickering, M., Rothbaum, B. O., & Hodges, L. (2004). A pilot and feasibility study of Virtual Reality as a distraction for children with cancer. Journal of the American Academy of Child and Adolescent Psychiatry, 43(10), 1243–1249.
Goh, Z. S., & Griva, K. (2018). Anxiety and depression in patients with end-stage renal disease: Impact and management challenges – A narrative review. International Journal of Nephrology and Renovascular Disease, 11, 93–102.
Hernandez, R., Burrows, B., Browning, M. H. E. M., Solai, K., Fast, D., Litbarg, N. O., Wilund, K. R., & Moskowitz, J. T. (2021). Mindfulness-based Virtual Reality Intervention in Hemodialysis Patients: A Pilot Study on End-user Perceptions and Safety. Kidney360, 2(3), 435–444.
Hosseini, T., Hooshmandja, M., Noaparast, M., Mojtahedzadeh, R., & Mohammadi, A. (2024). Virtual Reality exposure therapy to decrease anxiety before surgical invasive procedures in hemodialysis patients: an interventional study. BMC Nephrology, 25(1).
Hsieh, C. H., & Li, D. (2022). Understanding How Virtual Reality Forest Experience Promote Physiological and Psychological Health for Patients Undergoing Hemodialysis. Frontiers in Psychiatry, 13.
Indovina, P., Barone, D., Gallo, L., Chirico, A., De Pietro, G., & Giordano, A. (2018). Virtual Reality as a Distraction Intervention to Relieve Pain and Distress During Medical Procedures: A Comprehensive Literature Review. The Clinical journal of pain, 34(9), 858–877.
Ioannou, A., Papastavrou, E., Avraamides, M. N., & Charalambous, A. (2020). Virtual Reality and Symptoms Management of Anxiety, Depression, Fatigue, and Pain: A Systematic Review. SAGE Open Nursing, 6.
Kassim, M. A. K., Pantazi, A. C., Nori, W., Tuta, L. A., Balasa, A. L., Mihai, C. M., & Chisnoiu, T. (2023). Non-pharmacological interventions for pain management in hemodialysis: A narrative review. Journal of clinical medicine, 12(16), 5390.
Kovesdy, C. P. (2022). Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements, 12(1), 7–11.
Llobera, J., González-Franco, M., Perez-Marcos, D., Valls-Solé, J., Slater, M., & Sanchez-Vives, M. V. (2013). Virtual Reality for assessment of patients suffering chronic pain: a case study. Experimental brain research, 225(1), 105–117.
McCann, R. A., Armstrong, C. M., Skopp, N. A., Edwards-Stewart, A., Smolenski, D. J., June, J. D., Metzger-Abamukong, M., & Reger, G. M. (2014). Virtual Reality exposure therapy for the treatment of anxiety disorders: an evaluation of research quality. Journal of anxiety disorders, 28(6), 625–631.
Namazinia, M., Mohajer, S., Abbaspour, S., Lopez, V., & Sarboozi-Hoseinabadi, T. (2024). Effects of Virtual Reality on pain induced by arteriovenous fistula needle insertion in patients undergoing hemodialysis: A randomized clinical trial. Journal of Vascular Access.
Parsons, T. D., Rizzo, A. A., Rogers, S., & York, P. (2009). Virtual Reality in paediatric rehabilitation: A review. Developmental Neurorehabilitation, 12(4), 224–238.
Şen, H., & Lafcı Bakar, D. (2024). The effect of Virtual Reality glasses on pain and patient satisfaction in arteriovenous fistula cannulation procedure. Applied Nursing Research, 79.
Teeley, A. M., Soltani, M., Wiechman, S. A., Jensen, M. P., Sharar, S. R., & Patterson, D. R. (2012). Virtual Reality hypnosis pain control in the treatment of multiple fractures: a case series. The American journal of clinical hypnosis, 54(3), 184–194.
Turoń-Skrzypińska, A., Tomska, N., Mosiejczuk, H., Rył, A., Szylińska, A., Marchelek-Myśliwiec, M., Ciechanowski, K., Nagay, R., & Rotter, I. (2023). Impact of Virtual Reality exercises on anxiety and depression in hemodialysis. Scientific Reports, 13(1).
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