eprintid: 59259 rev_number: 39 eprint_status: archive userid: 24046 dir: disk0/00/05/92/59 datestamp: 2026-03-13 07:40:11 lastmod: 2026-03-13 07:40:11 status_changed: 2026-03-13 07:40:11 type: thesis metadata_visibility: show contact_email: 8884220046@untirta.ac.id creators_name: Yudin, Ali creators_id: 8884220046 contributors_type: http://www.loc.gov/loc.terms/relators/THS contributors_type: http://www.loc.gov/loc.terms/relators/THS contributors_name: Djuria, Syafrina Arbaani contributors_name: Sudrajat, Andi contributors_id: 199109052025062004 contributors_id: 197703222010011003 corp_creators: Universitas Sultan Ageng Tirtayasa corp_creators: Fakultas Kedokteran dan Ilmu Kesehatan corp_creators: Prodi Keperawatan title: PENGARUH GUIDED IMAGERY TERHADAP TINGKAT KECEMASAN PASIEN END STAGE RENAL DISEASE (ESRD) Y ANG MENJALANI DIALISIS RUTIN DI RS DR ADJIDARMO RANGKASBITUNG ispublished: pub subjects: RT full_text_status: restricted keywords: ESRD, Guided Imagery, Kesemasan anxiety, ESRD, Guided imagery note: Latar Belakang: Pasien End Stage Renal Disease (ESRD) yang menjalani hemodialisis rutin seringkali mengalami kecemasan akibat ketergantungan terhadap mesin dialisis, perubahan gaya hidup, dan ketidakpastian masa depan. Kecemasan yang tidak tertangani dapat mempengaruhi kepatuhan terapi dan kualitas hidup pasien. Tujuan: Mengetahui pengaruh Guided imagery terhadap tingkat kecemasan pasien ESRD yang menjalani hemodialisis rutin di RSUD Dr. Adjidarmo Rangkasbitung Tahun 2025. Metode: Penelitian menggunakan desain pre- experimental one group pre-test post-test dengan teknik purposive sampling pada 34 responden. Tingkat kecemasan diukur menggunakan kuesioner Hamilton Anxiety Rating Scale (HARS) sebelum dan sesudah intervensi Guided imagery. Data dianalisis menggunakan uji Paired Sample t-Test. Hasil: Sebelum intervensi, mayoritas responden mengalami kecemasan sedang (67,6%) dan ringan (32,4%). Setelah intervensi, terjadi penurunan menjadi kecemasan kecemasan sedang (2,9%), ringan (50,0%), tidak ada kecemasan (47,1%),Uji statistik menunjukkan p-value = 0,000 (p < 0,05). Kesimpulan: Terdapat pengaruh signifikan Guided imagery terhadap penurunan tingkat kecemasan pasien ESRD yang menjalani hemodialisis rutin. Guided imagery dapat direkomendasikan sebagai intervensi keperawatan komplementer untuk manajemen kecemasan pada pasien ESRD. abstract: Background: End Stage Renal Disease (ESRD) patients undergoing routine hemodialysis often experience anxiety due to dependence on dialysis machines, lifestyle changes, and future uncertainty. Untreated anxiety can affect treatment adherence and patients' quality of life. Objective: To determine the effect of Guided imagery on anxiety levels of ESRD patients undergoing routine hemodialysis at Dr. Adjidarmo Rangkasbitung Hospital in 2025. Methods: This study used a pre-experimental one group pre-test post-test design with purposive sampling technique on 34 respondents. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) questionnaire before and after Guided imagery intervention. Data were analyzed Paired Sample t-Test. Results: Before intervention, the majority of respondents experienced moderate anxiety (67.6%) and mild anxiety (32.4%). After intervention, there was a decrease to mild anxiety (50.0%), no anxiety (47.1%), and moderate anxiety (2.9%). Statistical test showed p-value = 0.000 (p < 0.05) Conclusion: There was a significant effect of Guided imagery on reducing anxiety levels of ESRD patients undergoing routine hemodialysis. Guided imagery can be recommended as a complementary nursing intervention for anxiety management in ESRD patients. date: 2026 date_type: published pages: 111 institution: Universitas Sultan Ageng Tirtayasa department: Fakultas Kedokteran dan Ilmu Kesehatan thesis_type: sarjana thesis_name: sarjana citation: Yudin, Ali (2026) PENGARUH GUIDED IMAGERY TERHADAP TINGKAT KECEMASAN PASIEN END STAGE RENAL DISEASE (ESRD) Y ANG MENJALANI DIALISIS RUTIN DI RS DR ADJIDARMO RANGKASBITUNG. S1 thesis, Universitas Sultan Ageng Tirtayasa. document_url: https://eprints.untirta.ac.id/59259/10/Ali%20Yudin_8884220046_FullText.pdf document_url: https://eprints.untirta.ac.id/59259/11/Ali%20Yudin_8884220046_01.pdf document_url: https://eprints.untirta.ac.id/59259/3/Aliyudin_8884220046_02.pdf document_url: https://eprints.untirta.ac.id/59259/4/Aliyudin_8884220046_03.pdf document_url: https://eprints.untirta.ac.id/59259/5/Aliyudin_8884220046_04.pdf document_url: https://eprints.untirta.ac.id/59259/6/Aliyudin_8884220046%20_05.pdf document_url: https://eprints.untirta.ac.id/59259/7/Aliyudin_8884220046_Reff.pdf document_url: https://eprints.untirta.ac.id/59259/8/Aliyudin_8884220046_Lamp.pdf document_url: https://eprints.untirta.ac.id/59259/9/Aliyudin_8884220046_CP.pdf