The Hope Therapy Effect Toward Depression, Anxiety, and Stress of Tuberculosis Patients with Multi-Drug Resistance at Jayapura’s Healthcare Center, Papua
DOI:
https://doi.org/10.30994/jnp.v8i1.353Keywords:
anxiety, depression, HOPE therapy, multi-drug resistance, tuberculosisAbstract
Background: Indonesia is the third country with a high-rate case of tuberculosis with multi-drug resistance, for a percentage of 5% per 100.000 population. In Papua, TB-MDR becomes the main problem of health with a successful percentage of medication at 68.7%, an indicator of WHO higher than 85%. The complexity and the prolonged occurrence make the patients to have mental health illnesses, such as depression, anxiety, and stress. The field data of depression cases consisted of 65 patients. 50% with had mild depression, 20% with moderate, and 25.55 with severe. Patients with anxiety ranged from 16.7% to 37.29%. Patients with severe stress consisted of 20%. The mental illness health problems for TB-MDR patients required the roles of the nurses, such as counseling based on HOPE therapy.
Purpose: Analyzed the effects of HOPE therapy to manage depression, anxiety, and stress levels.
Methods: Quasi-experimental research applied a systematically assigned control group. The population consisted of patients with TB-MDR receiving medication at Jayapura's healthcare center, 40 individuals.
Results: HOPE therapy effects for depression, stress, and anxiety levels applied the Wilcoxon test. The obtained result was a p-value lower than 0.05. The results indicated the effect of HOPE therapy medication on depression, stress, and anxiety levels. The intervention group had decreased depression, stress, and anxiety levels with p-values of 0.043 and 0.012. The results contradicted the control group. The obtained p-value was higher than 0.05, indicating no effect. The p-values were 0.721, 0.532, and 0.670.
Conclusion: HOPE therapy was useful for TB-MDR patients with mental illness. The administered HOPE therapy for patients could improve their confidence and hopes to live better and recover.
Downloads
References
Abadi, M. N., Zadeh, D. Y., Movahedi, S., & Hasani, F. (2017). The Effect of Group Therapy Based On Hope Therapy Approach On Mental Well-Being, Anxiety, Depression and Stress in Female Patients with Multiple Sclerosis MSc in General Psychology, Department of Psychology, Faculty of Literature and Humanities, MSc. 3(3), 35–43.
Aini, Q., Yovi, I., & Hamidy, M. Y. (2015). Gambaran Efek Samping Obat Anti Tuberkulosisi (OAT) Lini Kedua pasa Pasien Tuberculosis-Multidrug Resistance (TB-MDR) di Poliklinik TB-MDR RSUD Arifin Achmad Provinsi Riau. JOM FK, 1 No 2(9), 1689–1699. http://publications.lib.chalmers.se/records/fulltext/245180/245180.pdf%0Ahttps://hdl.handle.net/20.500.12380/245180%0Ahttp://dx.doi.org/10.1016/j.jsames.2011.03.003%0Ahttps://doi.org/10.1016/j.gr.2017.08.001%0Ahttp://dx.doi.org/10.1016/j.precamres.2014.12.
Baral, S. C., Aryal, Y., Bhattrai, R., King, R., & Newell, J. N. (2014). The importance of providing counselling and financial support to patients receiving treatment for multi-drug resistant TB: Mixed method qualitative and pilot intervention studies. BMC Public Health, 14(1). https://doi.org/10.1186/1471-2458-14-46.
Bawonte, T. G., Mambo, C. D., & Masengi, A. S. R. (2021). Faktor-Faktor Yang Mempengaruhi Tuberculosis Multidrug Resistance (TB MDR). Jurnal E-Biomedik, 9(1), 117–125. https://doi.org/10.35790/ebm.v9i1.31949.
Chalco, K., Wu, D. Y., Mestanza, L., Muñoz, M., Llaro, K., Guerra, D., Palacios, E., Furin, J., Shin, S., & Sapag, R. (2006). Nurses as providers of emotional support to patients with MDR-TB. International Nursing Review, 53(4), 253–260. https://doi.org/10.1111/j.1466-7657.2006.00490.x.
Chan, K., Wong, F. K. Y., & Lee, P. H. (2019). A Brief Hope Intervention to Increase Hope Level and Improve Well-Being in Rehabilitating Cancer Patients: A Feasibility Test. SAGE Open Nursing, 5, 1–13. https://doi.org/10.1177/2377960819844381.
Das, M., Isaakidis, P., Van Den Bergh, R., Kumar, A. M. V., Nagaraja, S. B., Valikayath, A., Jha, S., Jadhav, B., & Ladomirska, J. (2014). HIV, multidrug-resistant TB and depressive symptoms: When three conditions collide. Global Health Action, 7(1). https://doi.org/10.3402/gha.v7.24912.
Finn McQuaid, C., Horton, K. C., Dean, A. S., Knight, G. M., & White, R. G. (2020). The risk of multidrug- or rifampicin-resistance in males versus females with tuberculosis. European Respiratory Journal, 56(3). https://doi.org/10.1183/13993003.00626-2020.
Fitrianur, W. L. (2018). A Systematic Review : Anxiety and Depression of Multi Drug Resistant Tubercolosis ( MDR-TB ) Patients in Treatment Process.
Javaid, A., Mehreen, S., Khan, M. A., Ashiq, N., & Ihtesham, M. (2017a). Depression and its Associated Factors with Multidrug-Resistant Tuberculosis at Baseline. Journal of Depression and Anxiety, 06(01), 1–6. https://doi.org/10.4172/2167-1044.1000253.
Kementerian Kesehatan RI. (2019). Health Statistics (Health Information System). Short Textbook of Preventive and Social Medicine, 28–28. https://doi.org/10.5005/jp/books/11257_5.
Khaledisardashti, F., Ghazavi, Z., Keshani, F., & Smaeilzadeh, M. (2018). Effect of hope therapy on the mood status of patients with diabetes. Iranian Journal of Nursing and Midwifery Research, 23(4), 281–286. https://doi.org/10.4103/ijnmr.IJNMR_36_16.
Khanal, S., Elsey, H., King, R., Baral, S. C., Bhatta, B. R., & Newell, J. N. (2017). Development of a patient-centred, psychosocial support intervention for multi-drug-resistant tuberculosis (MDR-TB) care in Nepal. PLoS ONE, 12(1), 1–16. https://doi.org/10.1371/journal.pone.0167559.
Kondori Fard, N., Keikhaei, A., Rahdar, M., & Rezaee, N. (2021). The Effect of Hope Therapy-based Training on the Happiness of Women with Breast Cancer: A Quasi-experimental Study. Medical-Surgical Nursing Journal, 9(4). https://doi.org/10.5812/msnj.113501.
Kulkarni, G., Palwe, S., Patil, N., Telkhade, A., & Kadukar, J. (2020). Prevalence of multidrug-resistant tuberculosis at a regional drug-resistant tuberculosis center of Maharashtra. Indian Journal of Respiratory Care, 9(1), 30. https://doi.org/10.4103/ijrc.ijrc_10_19.
Lange, C., Aarnoutse, R. E., Alffenaar, J. W. C., Bothamley, G., Brinkmann, F., Costa, J., Chesov, D., Van Crevel, R., Dedicoat, M., Dominguez, J., Duarte, R., Grobbel, H. P., Günther, G., Guglielmetti, L., Heyckendorf, J., Kay, A. W., Kirakosyan, O., Kirk, O., Koczulla, R. A., … Dheda, K. (2019). Management of patients with multidrug-resistant tuberculosis. International Journal of Tuberculosis and Lung Disease, 23(6), 645–662. https://doi.org/10.5588/ijtld.18.0622.
Lara-Espinosa, J. V., & Hernández-Pando, R. (2021). Psychiatric Problems in Pulmonary Tuberculosis: Depression and Anxiety. Journal of Tuberculosis Research, 09(01), 31–50. https://doi.org/10.4236/jtr.2021.91003.
Lee, E. G., Min, J., Kang, J. Y., Kim, S. K., Kim, J. W., Kim, Y. H., Yoon, H. K., Lee, S. H., Kim, H. W., & Kim, J. S. (2020). Age-stratified anti-tuberculosis drug resistance profiles in South Korea: A multicenter retrospective study. BMC Infectious Diseases, 20(1), 1–10. https://doi.org/10.1186/s12879-020-05157-6.
Liu, K., Zhang, Y., Qu, S., Yang, W., Guo, L., & Zhang, L. (2021). Prevalence and Correlates of Anxiety and Depressive Symptoms in Patients With and Without Multi-Drug Resistant Pulmonary Tuberculosis in China. Frontiers in Psychiatry, 12(September), 1–7. https://doi.org/10.3389/fpsyt.2021.674891.
Morris, M. D., Moser, K., & Laniado-laborin, R. (2016). Social, economic, and psychological impacts of MDR-TB treatment in Tijuana, Mexico : A patient’s perspective Social, economic, and psychological impacts of MDR-TB. Research Gate, 17(July 2013), 954–960.
Musavi, Z. S., & Khaleghipour, S. (2020). Effect of hope therapy on psychological capital and social vitality of students with symptoms of death anxiety. 93–98.
Nahda, N. D., Kholis, F. N., Wardani, N. D., & Hardian. (2017). Faktor – Faktor Yang Berpengaruh Terhadap Kejadian Depresi Pada Pasien Tuberkulosis Di Rsup Dr. Kariadi Semarang. Diponegoro Medical Journal (Jurnal Kedokteran Diponegoro), 6(4), 1529–1542.
Numpong, S., Kengganpanich, M., Kaewkungwal, J., Pan-ngum, W., Silachamroon, U., Kasetjaroen, Y., & Lawpoolsri, S. (2022). Confronting and Coping with Multidrug-Resistant Tuberculosis: Life Experiences in Thailand. Qualitative Health Research, 32(1), 159–167. https://doi.org/10.1177/10497323211049777.
Parrenas, J. C., Waller, K., & Sinsiri, N. (2018). Executive Summary. Developing Bond Markets in APEC, ix–xiv. https://doi.org/10.1355/9789812306395-002.
Rachma, L. N., Solichatun, Y., Ma’arif, B., Yudani, T., Raras, M., & Prawiro, S. R. (2022). Psychosocial Problems In Multidrug Resistance Tuberculosis (Mdr-Tb) Patients: A Qualitative Study. Journal of Positive School Psychology, 2022(6), 2154–2162. http://journalppw.com.
Rahimipour, M., Shahgholian, N., & Yazdani, M. (2015). Effect of hope therapy on depression, anxiety, and stress among the patients undergoing hemodialysis. Iranian Journal of Nursing and Midwifery Research, 20(6), 694–699. https://doi.org/10.4103/1735-9066.170007.
Sadeghi, H., Ebrahimi, L., & Vatandoust, L. (2015). Effectiveness of hope therapy protocol on depression and hope in amphetamine users. International Journal of High Risk Behaviors and Addiction, 4(4). https://doi.org/10.5812/ijhrba.21905.
Samsugito, I., & Hambyah. (2018). Hubungan Jenis Kelamin Dan Lama Kontak Dengan Kejadian Tuberkulosis Paru Di Rumah Sakit A. Wahab Sjahranie Samarinda. Jurnal Kesehatan Pasak Bumi Kalimantan, 1(1), 28–40.
Sans Frontieres, M. (2017). Out of Step 2017, TB Policies in 29 Countries A survey of prevention, testing and treatment policies and practices. 31. http://stepupfortb.org/%0A*Diagnosed.
Singh, N. K., Gupta, P. K., & Yadav, J. S. (2019). Psychological Distress in Patients of Multi Drug Resistant Tuberculosis. International Journal of Health Sciences and Research, 9(November), 126–130.
Singh, V., Kumar Verma, S., Kumar, A., Bajaj, D., Sekhar, C., Kant, S., & Prasad, R. (2018). Prevalence of Depression Among Newly Diagnosed Mdr Tuberculosis Patients At the Time of Registration-an Experience From Dots Plus Centre. Journal of Evolution of Medical and Dental Sciences, 7(04), 519–523. https://doi.org/10.14260/jemds/2018/116.
Sulistiyani, S., Situmeang, L., & Nur, Q. (2021). Psychological of the Patient Multi Drug Resistan Tuberculosis During. Keperawatan Tropis Jayapura, 04.
Suryani, Widianti, E., Hernawati, T., & Sriati, A. (2016). PSIKOEDUKASI MENURUNKAN TINGKAT DEPRESI, STRES DAN KECEMASAN PADA PASIEN TUBERKULOSIS PARU. Proc Counc Econ AIME Annu Meet, 21–34.
Thiruvalluvan, E., Thomas, B., Suresh, C., Sellappan, S., Muniyandi, M., & Watson, B. (2017). the Psychosocial Challenges Facing Multi Drug Resistance Tuberculosis Patients: a Qualitative Study. SAARC Journal of Tuberculosis, Lung Diseases and HIV/AIDS, 14(1), 14–21. https://doi.org/10.3126/saarctb.v14i1.17724.
Walker, I. F., Kanal, S., Baral, S. C., Farragher, T. M., Joshi, D., Elsey, H., & Newell, J. N. (2019). Depression and anxiety in patients with multidrug-resistant tuberculosis in Nepal: an observational study. Public Health Action, 9(1), 42–48. https://doi.org/10.5588/pha.18.0047.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Journal Of Nursing Practice
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.