Pengaruh Konseling Keperawatan terhadap Tingkat Kecemasan Pasien dengan Penyakit Kronis di Wilayah Kerja UPT Puskesmas Gunungsari
Keywords:
Nursing Counseling, Anxiety , Chronic Disease, Community Nursing, Primary HealthcareAbstract
Patients with chronic diseases frequently experience anxiety related to prolonged treatment, physical limitations, fear of complications, and uncertainty about disease prognosis, which may negatively affect treatment adherence and overall well-being. In primary healthcare settings, nurses have a pivotal role in addressing psychosocial problems through holistic nursing care, including structured nursing counseling. This study aimed to examine the effect of nursing counseling on anxiety levels among patients with chronic diseases in the working area of UPT Puskesmas Gunungsari. A quasi-experimental study with a pretest–posttest design was conducted involving patients diagnosed with chronic conditions who met the inclusion criteria and were selected using purposive sampling. Anxiety levels were assessed before and after the intervention using a standardized and validated anxiety measurement tool. The nursing counseling intervention was delivered through structured individual sessions focusing on emotional support, health education, coping strategies, and problem-solving related to disease management, conducted by trained nurses in the primary care setting. Statistical analysis was performed to compare anxiety scores before and after the intervention using appropriate inferential tests. The results demonstrated a significant reduction in anxiety levels among patients following the nursing counseling intervention, indicating that counseling effectively alleviated anxiety in patients with chronic diseases. These findings support previous evidence that psychosocial nursing interventions can improve mental health outcomes and enhance patient adaptation to chronic illness (Stuart, 2013; Townsend & Morgan, 2021). In conclusion, nursing counseling is an effective and feasible intervention to reduce anxiety among patients with chronic diseases in primary healthcare services. Integrating structured nursing counseling into routine nursing care at community health centers is recommended to promote mental well-being, strengthen patient-centered care, and support comprehensive chronic disease management.
References
American Psychiatric Association. (2022). DSM-5-TR: Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://www.psychiatry.org/psychiatrists/practice/dsm
Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman.
https://www.macmillanlearning.com/college/us/product/Self-Efficacy/p/0716726262
Berman, A., Snyder, S. J., & Frandsen, G. (2021). Kozier & Erb’s fundamentals of nursing (11th ed.). Pearson. https://www.pearson.com/en-us/subject-catalog/p/fundamentals-of-nursing/P200000003393
Black, J. M., & Hawks, J. H. (2019). Medical-surgical nursing: Clinical management for positive outcomes (10th ed.). Elsevier.
https://www.elsevier.com/books/medical-surgical-nursing/black/978-0-323-55870-2
Brunner, L. S., & Suddarth, D. S. (2018). Brunner & Suddarth’s textbook of medical-surgical nursing (14th ed.). Wolters Kluwer.
https://shop.lww.com/Brunner-and-Suddarth-s-Textbook-of-Medical-Surgical-Nursing/p/9781496351296
Carpenito, L. J. (2017). Handbook of nursing diagnosis (15th ed.). Wolters Kluwer.
https://shop.lww.com/Handbook-of-Nursing-Diagnosis/p/9781496333216
Gulanick, M., & Myers, J. L. (2022). Nursing care plans: Diagnoses, interventions, and outcomes (10th ed.). Elsevier.
https://www.elsevier.com/books/nursing-care-plans/gulanick/978-0-323-75674-0
Halter, M. J. (2018). Varcarolis’ foundations of psychiatric-mental health nursing: A clinical approach (8th ed.). Elsevier.
Herdman, T. H., & Kamitsuru, S. (2021). NANDA International nursing diagnoses: Definitions and classification 2021–2023. Thieme.
https://www.thieme.com/books-main/nursing/product/5120-nanda-international-nursing-diagnoses
Kaplan, H. I., & Sadock, B. J. (2017). Synopsis of psychiatry (11th ed.). Wolters Kluwer.
https://shop.lww.com/Synopsis-of-Psychiatry/p/9781451191763
Kementerian Kesehatan Republik Indonesia. (2019). Pedoman pelayanan kesehatan jiwa di fasilitas pelayanan kesehatan tingkat pertama.
https://www.kemkes.go.id/resources/download/info-terkini/Pedoman-Pelayanan-Kesehatan-Jiwa.pdf
Kementerian Kesehatan Republik Indonesia. (2020). Panduan pelayanan penyakit kronis di puskesmas.
https://p2ptm.kemkes.go.id/dokumen-ptm/panduan-pelayanan-penyakit-kronis-di-puskesmas
Kozier, B., Erb, G., Berman, A., & Snyder, S. J. (2018). Fundamentals of nursing: Concepts, process, and practice (10th ed.). Pearson.
https://www.pearson.com/en-us/subject-catalog/p/fundamentals-of-nursing/P200000003393
McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.
https://shop.lww.com/Theoretical-Basis-for-Nursing/p/9781496350664
Notoatmodjo, S. (2018). Metodologi penelitian kesehatan. Rineka Cipta.
https://opac.perpusnas.go.id/DetailOpac.aspx?id=1137447
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
https://shop.lww.com/Nursing-Research/p/9781975154141
Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2021). Fundamentals of nursing (10th ed.). Elsevier.
https://www.elsevier.com/books/fundamentals-of-nursing/potter/978-0-323-54392-0
Stuart, G. W. (2013). Principles and practice of psychiatric nursing (10th ed.). Elsevier Mosby.
Townsend, M. C., & Morgan, K. I. (2021). Psychiatric mental health nursing: Concepts of care in evidence based practice (10th ed.). F. A. Davis.
https://www.fadavis.com/product/nursing-psychiatric-mental-health-townsend-morgan
Videbeck, S. L. (2020). Psychiatric-mental health nursing (8th ed.). Wolters Kluwer.
https://shop.lww.com/Psychiatric-Mental-Health-Nursing/p/9781975136789
World Health Organization. (2017). Depression and other common mental disorders: Global health estimates.
https://www.who.int/publications/i/item/depression-global-health-estimates
World Health Organization. (2018). Integrating mental health into primary care: A global perspective.
https://www.who.int/publications/i/item/WHO-MSD-MER-08.2
World Health Organization. (2020). Guidelines on mental health at work.
https://www.who.int/publications/i/item/9789240053052
World Health Organization. (2022). Mental health and chronic disease management.
https://www.who.int/teams/mental-health-and-substance-use
Yusuf, A., Fitryasari, R., & Nihayati, H. E. (2017). Keperawatan kesehatan jiwa. Salemba Medika.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Sri Maryani (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
