ktpp dergisi Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi 1302-7840 2667-8225 Kıbrıs Ruh Sağlığı Enstitüsü 10.35365/ctjpp.26.1.04 Clinical Psychology Klinik Psikoloji Kronik Böbrek Hastalığı Olan Hemodiyaliz Hastalarında Stresi Azaltmak İçin Gestalt Grup Terapisi Kullanarak Hastalık Kabulünü İyileştirmek Improving Illness Acceptance and Reducing Stress in Patients with Chronic Kidney Disease Receiving Hemodialysis https://orcid.org/0000-0001-5787-8314 Yuniardi Muhamad Salis University of Muhammadiyah Malang https://orcid.org/0009-0006-7772-0905 Triana Khairil Ashran University of Muhammadiyah Malang https://orcid.org/0009-0004-6322-2425 Husna Nurul University of Muhammadiyah Malang 03 28 2026 8 1 28 33 03 03 2025 12 26 2025 Copyright © 2000, Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi 2000 Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi

Böbrek yetmezliğinden muzdarip olmak ve ardından yeni bir hemodiyaliz tedavisi rutinine uyum sağlamak strese yol açabilir. Stres koşulları, hastaların hastalığını ve ruh sağlığını kötüleştirebilir. Hastalık kabulünün stresi azalttığı bilinmektedir. Gestalt yaklaşımı, müşterilerin kendilerini tanımalarına ve kabul etmelerine yardımcı olur. Hastalığı kabul, kendini kabul etmenin bir parçası olarak kabul edilir. Grup terapisi, kendini kabul etme sürecini hızlandırdığına inanılan diğer hastalardan sosyal destek sağlar. Bu deney, Gestalt grup terapisinin hemodiyalize giren kronik böbrek hastalığı hastalarında hastalık kabulünü iyileştirmede ve stresi azaltmadaki etkinliğini test etti. Deney grubunda tedavi gören 4 katılımcı ve tedavi almayan kontrol grubunda 4 katılımcının yer aldığı ön test son test kontrol gruplu desen kullanılmıştır. Araştırma araçları arasında 0.861 güvenirlik ile Kronik Hastalık Kabul Anketi ve 0.814 güvenirlik ile Algılanan Stres Ölçeği yer almıştır. Wilcoxon test sonuçları, Gestalt grup terapisinin hastalık kabulünü önemli ölçüde iyileştirdiğini (p = 0.046) ve stres düzeylerini azalttığını (p = 0.046) buldu. Bu bulgular, Gestalt grup terapisinin, hemodiyalize giren kronik böbrek hastalığı hastaları arasında stresi azaltırken aynı zamanda hastalık kabulünü iyileştirmek için kullanılabileceğini düşündürmektedir. Mevcut durumlarının farkına varırlar ve ayrıca deney grubunun her bir üyesinin potansiyelinin toplu olarak farkına varırlar. Sonuç olarak, günlük aktiviteleri daha keyifli hale gelir ve daha fazla zevk alırlar.

Suffering from kidney failure and subsequently adapting to a new routine of hemodialysis therapy can lead to stress. Stress conditions can worsen the illness and the mental health of patients. Illness acceptance is known to reduce stress. The Gestalt approach helps clients recognize and accept themselves. Illness acceptance is considered part of self-acceptance. Group therapy provides social support from fellow patients, which is believed to accelerate the self-acceptance process. This experiment tested the effectiveness of Gestalt group therapy in improving illness acceptance and reducing stress among chronic kidney disease patients undergoing hemodialysis. A pre-test post-test control group design was employed, involving 4 participants in the experimental group who received treatment and 4 participants in the control group who did not receive treatment. The research instruments included the Chronic Illness Acceptance Questionnaire with a reliability of 0.861 and the Perceived Stress Scale with a reliability of 0.814. The Wilcoxon test results found that Gestalt group therapy significantly improved illness acceptance (p = 0.046) and reduced stress levels (p = 0.046). These findings recommend that Gestalt group therapy can be used to improve illness acceptance while simultaneously reducing stress among chronic kidney disease patients undergoing hemodialysis. They become aware of their current condition and are also collectively aware of the potential of each member of the experimental group. Consequently, their daily activities become more enjoyable and take more pleasure.

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