•  
  •  
 

JURNAL KOMUNIKASI INDONESIA

Abstract

This study elaborates on how patients with chronic kidney disease and their partners provide stimulation and 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 which applied an in-depth interview method. Relationship framing theory 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 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.

Bahasa Abstract

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.

References

Aisara, S., Azmi, S., & Yanni, M. (2018). Gambaran Klinis Penderita Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas, 7(1), 42-50.

Bachtiar, A., & Hidayah, N. (2015). Hubungan andropause dengan stress pria beristri. Jurnal Keperawatan, 6(2), 71-78.

DeVito, J. A. (2016). The interpersonal communication book (14th Ed.). New York: Pearson.

Edey, M. M. (2017). Male sexual dysfunction and chronic kidney disease. Frontiers in Medicine, 4(32), 1-10.

Gerasimoula, K., Lefkothea, L., Maria, L., Victoria, A., Paraskevi, T., & Maria, P. (2015). Quality of life in hemodialysis patients. Mater Sociomed, 27(5), 305-309.

Guerrero, L. K., Andersen, P. A., & Afifi, W. A. (2018). Close encounters: Communication in relationships (5th Ed.). Los Angeles: Sage Pub- lications.

Gutch, C. F., Stoner, M. H., & Corea, A. L. (2005). Review of hemodialysis for nurses and dialysis personnel. Missouri: Mosby.

Hall, J. A. (2016). Interpreting social-sexual communication: relational fram- ing theory and social-sexual communication, attraction and intent. Human Communication Reasearch, 42(1), 138-164.

Haryani, S., & Misniarti. (2016). Masalah kebutuhan seksual pada pasien gagal ginjal kronik yang menjalani terapi haemodialisa. Jurnal Me- dia Kesehatan, 9(1), 23-29.

Hayes, S. C., Blackledge, J. T., & Holmes, D. B. (2002). Language and cog- nition: Constructing an alternative approach within the behavioral tradition. In S. C. Hayes, D. B. Holmes, & B. Roche (Eds.), Relation- al Frame Theory: A Post Skinnerian Account of Human Language and Cognition (pp. 3-20). New York: Kluwer Academic Publishers.

Hayes, S. C., Fox, E., Gifford, E. V., Wilson, K. G., Holmes, D. B., & Healy, O. (2002). Derived relational responding as learned behavior. In S. C. Hayes, D. B. Holmes, & B. Roche (Eds.), Relational Frame Theo- ry: A Post Skinnerian Account of Human Language and Cognition (pp. 21-50). New York: Kluwer Academic Publishers.

Hayes, S. C., Holmes, D. B., & Roche, B. (2002). Relational Frame Theory: A Precis. In S. C. Hayes, D. B. Holmes, & B. Roche (Eds.), Re- lational Frame Theory: A post-Skinnerian Account of Human Lan- guage and Cognition (pp. 141-154). New York: Kluwer Academic Publishers.

Holmes, D. B., Hayes, S. C., & Gregg, J. (2002). Religion, spirituality and trancendence. In S. C. Hayes, D. B. Holmes, & B. Roche (Eds.), Relational Frame Theory: A Post Skinnerian Account of Human Language and Cognition (pp. 239-252). New York: Kluwer Aca- demic Publishers.

Holmes, D. B., O’ Hora, D., Roche, B., Hayes, S. C., Bissett, R. T., & Lyddy, F. (2002). Understanding and verbal regulation. In S. C. Hayes, D. B. Holmes, & B. Roche (Eds.), Relational Frame Theory: A Post Skinnerian Account of Human Language and Cognition (pp. 103- 118). New York: Kluwer Academic Publishers.

Inayati, A. (2016). Analisis faktor-faktor yang mempengaruhi disfungsi sek- sual pasien penyakit ginjal kronik stadium akhir yang menjalani he- modialisa di Rumah Sakit Dr Hi Abdul Moeloek Bandar Lampung. Wacana Kesehatan, 1(1), 28-35.

Jozifkova, E., & Kolackova, M. (2017). Sexual arousal by dominance and submission in relation to increase reproductive success in the gen- eral population. Neuroendocrinology Letters, 38(5), 381-387.

Knight, A., Wilson, E. E., & Nice, L. (2018). Protecting family bonds: Ex- amining religious disaffiliation through a spiritually in formed fam- ily systems lens. In E. E. Wilson, & L. Nice (Eds.), Socially Just Religious and Spiritual Interventions: Ethical Uses of Therapeutic Power (AFTA SpringerBriefs in Family Therapy, 1st ed.) (pp. 27-36). New York: Springer.

McLaren, R. M., Tusing, K. J., Dillard, J. P., & Solomon, D. H. (2014). Re- lational framing theory: utterance form and realtional context as antecedents of frame salience. Communication Quarterly, 62(5), 518-535.

Rogers, L. E. (2006). Relational Communication Theory: An Introductional Family Theory. In D. O. Braithwaite, & L. A. Baxter (Eds.), Engaging Theories in Family Communication (pp. 115-129). London: Sage Publications.

Sawitri, B., & Muhdi, N. (2019). Sexuality in Women after Hysterectomy. Jur- nal Psikiatri Surabaya, 8(2), 47-57.

Solomon, D. H., & McLaren, R. M. (2008). Relational framing theory. In L. A. Baxter, & D. O. Braithwaite (Eds.), Engaging theories in interper- sonal communication multiple perspective (pp. 103-116). Califor- nia: Sage Publications.

Sulistiowati, S. I. (2011). Faktor resiko penyakit ginjal kronik berdasarkan analisa cross-sectional data awal studi kohort penyakit tidak menu- lar penduduk usia 25-65 tahun kel. Kebon Kelapa, kota Bogor. Ja- karta: Pusat Teknologi Terapan Kesehatan dan Epidemiologi.

Tiedens, L. Z., & Fragale, A. R. (2003). Power moves: Complementarity in dominant and submissive nonverbal behavior. Journal of Personal- ity and Social Psychology, 84(3), 558-568.

Tokala, B. F., Kandou, L. F., & Dundu, A. E. (2015). Hubungan Antara La- manya Menjalani Hemodialisis dengan Tingkat Kecemasan Pada Pasien dengan Penyakit Ginjal Kronis di RSUP Prof. Dr. R. D. Kan- dou Manado. Jurnal e-Clinic, 3(1), 402-408.

Wilson, K. G., Hayes, S. C., Gregg, J., & Zettle, R. D. (2002). Psychopathol- ogy and psychotherapy. In S. C. Hayes, D. B. Holmes, & B. Roche (Eds.), Relational Frame Theory: A Post Skinnerian Account of Hu- man Language and Cognition (pp. 211-238). New York: Kluwer Academic Publishers.

Wood, J. T. (2016). Interpersonal communication everyday encounters. Bos- ton: Cengage Learning.

Share

COinS