Analysis of Emotional Support Intervention on Acute Lymphoblastic Leukemia Patient with Anxiety

Nurlita Dwi Hikmatia, Denissa Faradita Aryani

Abstract

Objective: This study aimed to describe nursing care provided for Acute Lymphoblastic Leukemia (ALL) patient who was affected by anxiety with case study approach which conducted for five consecutive days

Methods: The emotional support intervention which was provided for 30-45 minutes in each of 5 days and evaluated by hemodynamic values monitoring, observation of patient's general condition, and the Hospital Anxiety and Depression Scale (HADS) revealed the effectiveness of the intervention. The monitoring of hemodynamic values was performed prior to and following the intervention.

Results: The result suggested the stability of hemodynamic values within 5 days of intervention. There was no sign of bleeding, though the patient complained for cough and cold. The patient was still required to undergo blood transfusions due to low platelet counts. The patient reported that he felt more exuberant and seemed vigorous within those 5 days. The patient was also able to perform ADLs including eating, changing clothes, and praying independently on the bed, and seemed to be smiling all the time and remained a cheerful and sociable figure with his surroundings.

Conclusion: Anxiety level score using HADS was decreased to 7 with normal category.

Keywords: Acute Lymphoblastic Leukemia (ALL); anxiety; emotional support intervention.

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