Five-finger hypnosis alleviates fatigue in chronic kidney patients
Abstract
Fatigue is a common symptom experienced by chronic kidney failure patients undergoing hemodialysis, which significantly affects their quality of life. This study aims to evaluate the effect of five-finger hypnosis therapy on reducing fatigue in chronic kidney failure patients in the hemodialysis room of Bhayangkara Lumajang Hospital. The research design used was pre-experiment with pre-and post-test approaches. The population in this study were chronic kidney failure patients undergoing regular hemodialysis, with a total of 40 patients. The sample consisted of 36 respondents selected through the purposive sampling technique. Data were collected using the Fatigue Assessment Scale (FAS) questionnaire to measure fatigue levels and the five-finger hypnosis module for intervention techniques. Data were analyzed bivariate using the paired sample t-test. The results showed that the average value of the fatigue level before the five-finger hypnosis intervention was 31.83, with a standard deviation of 4.98. After the intervention, the respondents' average fatigue level was 25.27, with a standard deviation of 4.53. Data analysis using the Paired Sample T-Test showed a significant effect between five-finger hypnosis therapy on reducing fatigue levels with a value of ρ = 0.000 (ρ <0.05). Five-finger hypnosis therapy can be integrated as part of a non-pharmacological care program to improve the quality of life of patients in hemodialysis units.
References
Ahmad, N. N., Sulistyaningrum, D. P., & Megawati, R. R. (2023). The Relationship between Quick Of Blood and Fatigue in Stage V Chronic Renal Failure Patients Undergoing Hemodialysis. HealthCare Nursing Journal, 5(2), 790–799. https://doi.org/10.35568/healthcare.v5i2.3637
Ahmed, J., Fatima, A., & Ullah Cheema, I. (2022). Effectiveness of Timeline Therapy under Hypnosis for the Management of Anxiety among Rescuers. Journal of Development and Social Sciences, 3(3), 292–303. https://doi.org/10.47205/jdss.2022(3-III)29
Annisa, R., & Cing, M. T. G. C. (2022). The Effect of Five-Finger Hypnosis Relaxation Educational Videos as Psychosocial Support on Reducing Anxiety Levels in Student Chronotype during Distance Learning during the COVID-19 Pandemic. Jurnal Keperawatan Komprehensif, 8(4), 466–472. https://doi.org/10.33755/jkk.v8i4.420
Azizah, L. M., Zainuri, I., & Akbar, A. (2023). The Effectivness of Five-Finger Hypnosis Theraphy to Decrease on Family’s Anxiety Levels in the Intensive Care Unit. JSRET (Journal of Scientific, Research, Education, and Technology), 2(1), 42–52. https://doi.org/10.58526/jsret.v2i1.38
Brys, A. D. H., Stifft, F., Van Heugten, C. M., Bossola, M., Gambaro, G., & Lenaert, B. (2021). mHealth-Based Experience Sampling Method to Identify fatigue in the Context of Daily Life in Haemodialysis Patients. Clinical Kidney Journal, 14(1), 245–254. https://doi.org/10.1093/ckj/sfaa124
Chan, G. C. K., Kalantar-Zadeh, K., Ng, J. K. C., Tian, N., Burns, A., Chow, K., Szeto, C., & Li, P. K. T. (2024). Frailty in patients on dialysis. Kidney International, 106(1), 35-49. https://doi.org/10.1016/j.kint.2024.02.026
Chen, H., Zhang, J., Li, S., Zhang, H., & Wei, L. (2025). Non-pharmacological Interventions for Preoperative Anxiety in Children: A Systematic Review and Network Meta-Analysis. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.17582
Deabes, A. A., & Essa, A. (2024). Fluid and electrolyte imbalance in renal dysfunction. Anaesthesia & Intensive Care Medicine, 25(5), 316-319. https://doi.org/10.1016/j.mpaic.2024.03.006
Debnath, S., Rueda, R., Bansal, S., Kasinath, B. S., Sharma, K., & Lorenzo, C. (2021). Fatigue characteristics on dialysis and non-dialysis days in patients with chronic kidney failure on maintenance hemodialysis. BMC nephrology, 22, 1-9. https://doi.org/10.1186/s12882-021-02314-0
Doan, V., Shoker, A., & Abdelrasoul, A. (2024). Quality of Life of Dialysis Patients: Exploring the Influence of Membrane Hemocompatibility and Dialysis Practices on Psychosocial and Physical Symptoms. Journal of Composites Science, 8(5), 172. https://doi.org/10.3390/jcs8050172
FitzGerald, T. J., Joosten, H., Van Buren, M., Vinen, K., & Brown, E. A. (2023). A review of supportive care for older people with advanced chronic kidney disease. Clinical Kidney Journal, 16(4), 635-646. https://doi.org/10.1093/ckj/sfac256
Green, J. P., & Lynn, S. J. (2023). Hypnosis for the treatment of smoking. In L. S. Milling (Ed.), Evidence-based practice in clinical hypnosis (pp. 163–192). American Psychological Association. https://doi.org/10.1037/0000347-007
Gwozdzinski, K., Pieniazek, A., & Gwozdzinski, L. (2020). Reactive Oxygen Species and Their Involvement in Red Blood Cell Damage in Chronic Kidney Disease. Oxidative Medicine and Cellular Longevity, 2021(1), 6639199. https://doi.org/10.1155/2021/6639199
Hazin, M. A. A. (2020). Anemia in chronic kidney disease. Revista da Associação Médica Brasileira, 66(Suppl 1), s55-s58. https://doi.org/10.1590/1806-9282.66.S1.55
Kalariya, Y., Kumar, A., Ullah, A., Umair, A., Neha, F., Madhurita, F., Varagantiwar, V., Ibne Ali Jaffari, S. M., Ahmad, A., Aman, M., Sapna, F., Varrassi, G., Kumar, S., & Khatri, M. (2023). Integrative Medicine Approaches: Bridging the Gap Between Conventional and Renal Complementary Therapies. Cureus, 15(9), e46033. https://doi.org/10.7759/cureus.46033
Kassim, M. A., Pantazi, A. C., Nori, W., Tuta, L. A., Balasa, A. L., Mihai, C. M., Mihai, L., Frecus, C. E., Lupu, V. V., Lupu, A., Andrusca, A., Iorga, A. M., Litrin, R. M., Ion, I., Ciciu, E., Chirila, S. I., & Chisnoiu, T. (2022). Non-Pharmacological Interventions for Pain Management in Hemodialysis: A Narrative Review. Journal of Clinical Medicine, 12(16), 5390. https://doi.org/10.3390/jcm12165390
Kovesdy, C. P. (2022). Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements, 12(1), 7–11. https://doi.org/https://doi.org/10.1016/j.kisu.2021.11.003
Kurnianto, S., Abidin, Z., & Puspitasari, H. D. (2022). Cognitive Behavior Therapy Effects in Patients with Insomnia: A Literature Review. Fundamental and Management Nursing Journal, 5(1), 37–44. https://doi.org/10.20473/fmnj.v5i1.38908
Kurniawaty, Y., Lestarina, N. N. W., & Kristama, B. Y. (2020). Behavior of Patients with Chronic Kidney Disease. Jurnal Keperawatan, 11(2). https://doi.org/10.22219/jk.v11i2.12251
Kurniyawan, E. H., Pratiwi, D. S., Kurniasari, A., Sonya, K. P., Maulidia, I. K., Nur, K. R. M., & Kurniawan, D. E. (2024). Management Stress On Farmers In Agricultural Areas. Nursing and Health Sciences Journal (NHSJ), 4(1), 96–102. https://doi.org/10.53713/nhsj.v4i1.333
Leo, D. G., Keller, S. S., & Proietti, R. (2024). “Close your eyes and relax”: The role of hypnosis in reducing anxiety, and its implications for the prevention of cardiovascular diseases. Frontiers in Psychology, 15, 1411835. https://doi.org/10.3389/fpsyg.2024.1411835
Li, X., & Luo, J. K. (2023). Perceptions and attitudes of kidney supportive care among elderly patients with advanced chronic kidney disease and dialysis healthcare professionals in China: a qualitative study. BMC nephrology, 24(1), 316. https://doi.org/10.1186/s12882-023-03372-2
Loutradis, C., Sarafidis, P. A., Ferro, C. J., & Zoccali, C. (2021). Volume overload in hemodialysis: Diagnosis, cardiovascular consequences, and management. Nephrology Dialysis Transplantation, 36(12), 2182-2193. https://doi.org/10.1093/ndt/gfaa182
Maesaroh, M., Waluyo, A., & Jumaiyah, W. (2020). Maesaroh et al. Syntax Literate: Jurnal Ilmiah Indonesia, 5(4), 110–120.
Maisel, P., Baum, E., & Donner-Banzhoff, N. (2021). Fatigue as the Chief Complaint - Epidemiology, Causes, Diagnosis, and Treatment. Deutsches Arzteblatt International, 118, 566–576. https://doi.org/10.3238/arztebl.m2021.0192
María, E. (2020). Perceived Stress in Relation to Quality of Life and Resilience in Patients with Advanced Chronic Kidney Disease Undergoing Hemodialysis. International Journal of Environmental Research and Public Health, 18(2), 536. https://doi.org/10.3390/ijerph18020536
Pratiwi, I., Anggraeni, R., PH, L., & Mubin, M. (2022). Reducing Five Finger Hypnotic Therapy on the Anxiety Level of Communities Affected by Phoneing. Proceedings of the International Conference on Nursing and Health Sciences, 3(1), 57-64. https://doi.org/10.37287/picnhs.v3i1.1124
Putri, P. (2024). The Relationship between Family Support and Patient Anxiety when Undergoing Rapid Screening Tests COVID-19 in Hospitals. Nursing and Health Sciences Journal (NHSJ), 4(3), 300–305. https://doi.org/10.53713/nhsj.v4i3.383
Rhee, C. M., Edwards, D., Ahdoot, R. S., Burton, J. O., Conway, P. T., Fishbane, S., Gallego, D., Gallieni, M., Gedney, N., Hayashida, G., Ingelfinger, J., Kataoka-Yahiro, M., Knight, R., Kopple, J. D., Kumarsawami, L., Lockwood, M. B., Murea, M., Page, V., Sanchez, J. E., . . . Kalantar-Zadeh, K. (2022). Living Well With Kidney Disease and Effective Symptom Management: Consensus Conference Proceedings. Kidney International Reports, 7(9), 1951-1963. https://doi.org/10.1016/j.ekir.2022.06.015
Safitri, A., & Tresya, E. (2023). Five finger hypnosis to reduce anxiety levels during the covid-19 pandemic. Journal of Complementary Nursing, 2(1), 122-126. https://doi.org/10.53801/jcn.v2i1.81
Sahu, S., & Modi, N. (2024). Long-Term Dialysis: Physiological Impact and Links with Depression. In Handbook of the Behavior and Psychology of Disease (pp. 1-23). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-031-32046-0_61-1
Seitz, F., Pourasghar, M., Hosseinnataj, A., Hoseinnezhad, S. Z., Eshraghi, N., & Ganji, J. (2024). Effect of hypnosis on anxiety and blood pressure of pregnant women with preeclampsia: A double-blind controlled clinical trial study. Journal of Education and Health Promotion, 13(1), 359. https://doi.org/10.4103/jehp.jehp_1097_23
Sułkowski, L., Matyja, A., & Matyja, M. (2024). The Impact of Dialysis Duration on Multidimensional Health Outcomes: A Cross-Sectional Study. Journal of Clinical Medicine, 14(2), 376. https://doi.org/10.3390/jcm14020376
Tornero-Aguilera, J. F., Jimenez-Morcillo, J., Rubio-Zarapuz, A., & Clemente-Suárez, V. J. (2022). Central and peripheral fatigue in physical exercise explained: A narrative review. International journal of environmental research and public health, 19(7), 3909. https://doi.org/10.3390/ijerph19073909
Tsirigotis, S., Polikandrioti, M., Alikari, V., Dousis, E., Koutelekos, I., Toulia, G., Pavlatou, N., Panoutsopoulos, G. I., Leftheriotis, D., & Gerogianni, G. (2022). Factors Associated With Fatigue in Patients Undergoing Hemodialysis. Cureus, 14(3), e22994. https://doi.org/10.7759/cureus.22994
Wang, Y., Yang, L., Lin, G., Huang, B., Sheng, X., Wang, L., Chen, L., Qiu, X., Wu, X., & Lin, R. (2024). The efficacy of progressive muscle relaxation training on cancer-related fatigue and quality of life in patients with cancer: A systematic review and meta-analysis of randomized controlled studies. International Journal of Nursing Studies, 152, 104694. https://doi.org/10.1016/j.ijnurstu.2024.104694
Xia, A., Meuleman, Y., Dekker, F. W., & Hoogeveen, E. K. (2025). Risk Factors and Potential Treatments for Fatigue in Patients with Advanced CKD: A Narrative Review. Kidney and Dialysis, 5(1), 8. https://doi.org/10.3390/kidneydial5010008
