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Framing the Interpersonal Communication of Chronic Kidney Disease Patients Underwent Hemodialysis with Their Partners on Sexual Dysfunction

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Framing the Interpersonal Communication of Chronic Kidney Disease Patients Underwent Hemodialysis with Their Partners on Sexual Dysfunction

Andria Saptyasari

Abstract


This study elaborates on how patients with chronic kidney disease and their partners provide stimulation and respond response to sexual dysfunction problems using the relationship framing theory. Previous research has shown that 20-30% of patients with stage 3-5 chronic kidney disease undergoing hemodialysis experience sexual dysfunction. This study assumes that sexual dysfunction can lead to decreased sexual desire, commitment, and proximity between patients and their partners which impact their interpersonal communication. This study is interpretive qualitative research with which applied an in-depth interview method. Relationship framing theory is was used to explore the content dimensions related to the topics of passion, commitment, and proximity to describe the relationship dimensions, which are related to dominance-submissiveness and affiliation-disaffiliation of the utterances of participants’ utterances. The results show that the content dimensions consisting of passion, closeness, and commitment between chronic kidney disease patients and their partners could frame the relationship between them by looking at the stimulus and respective responses related to these three things. The stimuli and responses between these couples differ because there are four factors that influence it, namely (1) the context of the problem that is framed; (2) relational context; (3) sincerity of the participants in accepting the conditions; (4) partner’s sensitivity regarding empathy; and (5) values, religion and spiritual which both patients and their partners have.


 

Penelitian ini mengelaborasi bagaimana pasien penyakit ginjal kronik dan pasangannya memberikan stimulasi dan respon terhadap masalah disfungsi seksual dengan menggunakan teori pembingkaian hubungan. Penelitian sebelumnya menunjukkan bahwa 20-30% pasien penyakit ginjal kronis stadium 3-5 yang menjalani hemodialisis mengalami disfungsi seksual. Studi ini mengasumsikan bahwa disfungsi seksual dapat menyebabkan penurunan gairah seksual, komitmen, dan kedekatan antara penderita dan pasangannya yang berdampak pada komunikasi interpersonal mereka. Penelitian ini merupakan penelitian kualitatif interpretatif dengan metode wawancara mendalam. Teori pembingkaian hubungan digunakan untuk mengeksplorasi dimensi isi yang berkaitan dengan topik gairah, komitmen, dan kedekatan untuk mendeskripsikan dimensi relasi terkait dominance-submissiveness dan affiliation-disaffiliation dari ucapan-ucapan partisipan. Hasil penelitian menunjukkan bahwa dimensi isi yang terdiri dari passion, kedekatan, dan komitmen antara pasien penyakit ginjal kronis dan pasangannya dapat membingkai hubungan antara mereka dengan melihat stimulus dan respon masing-masing terkait ketiga hal tersebut. Stimulus dan respon antara pasangan ini berbeda karena ada empat faktor yang mempengaruhinya, yaitu (1) konteks masalah yang dibingkai; (2) konteks relasional; (3) kesungguhan peserta menerima persyaratan; (4) sensitivitas pasangan tentang empati; dan (5) nilai-nilai, agama dan spiritual yang dimiliki oleh pasien dan pasangannya.

 


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Keywords


sexual dysfunction, passion, proximity, commitment, the framing of husband and wife relationships

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