ADHERENCE OF HEMODIALYSIS PATIENTS WITH CHRONIC RENAL FAILURE TO TREATMENT GUIDELINES
Main Article Content
Eva Nandawati
Marlina
Marthoenis
Background: End-stage renal Disease (ESRD) is a major health problem for most people, with a large burden on healthcare systems and economies around the world. This disease requires various medical treatments in the form of hemodialysis, peritoneal dialysis, or hemofiltration. The duration of treatment depends on the cause and extent of kidney damage; this will be more dangerous if the sufferer is not dialysis or transplanting the kidney. Methods: This cross-sectional study was conducted among 176 patients with end-stage chronic renal failure who underwent hemodialysis and were selected by purposive sampling. Data were collected using a patient perception questionnaire, a Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire, and an end-stage renal disease adherence questionnaire (ESRD-AQ). Data were analyzed using frequency distribution, chi-square test, and binary logistic regression. Results: This study showed that the results of long hemodialysis (HD) (P = 0.000), long-suffering from ERDS (P = 0.000), social support (P = 0.006), perception of nurse services (P = 0.038) and availability of transportation (P = 0.031) were associated with compliance of CKD patients with hemodialysis. Duration of hemodialysis (HD) (P = 0.000; OR = 8.597) was the most dominant factor associated with compliance of CKD patients on hemodialysis. Conclusion: The length of hemodialysis (HD) is the most dominant factor associated with the adherence of CRF patients undergoing hemodialysis, where the length of HD can be a factor that affects a person's compliance with CRF when undergoing hemodialysis. In certain circumstances, long HD can be a reminder for someone to remember to undergo hemodialysis so that metabolic waste does not accumulate in the patient's body.
Ministry of Health of the Republic of Indonesia. (2017). Renal datin info. Chronic kidney disease situations, 1–10.
Kim, Y., Evangelista l.S., Phillips, L.R., Pavlish, C., & Kopple, J.D. (2010). The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): Testing the psychometric properties in patients receiving in-center hemodialysis. Nephrology Nursing Journal, 37 (4), 377-393.
Laksono, D.G., Septiwi, C., &; Astuti, P.D. (2019). Factors Affecting the Adherence of Chronic Renal Failure Patients in Undergoing the Hemodialysis Therapy Program at PKU Muhammadiyah Gombong Hospital.
Marthoenis, M., Syukri, M., Abdullah, A., Tandi, T. M. R., Putra, N., Laura, H., Setiawan, A., Sofyan, H., &; Schouler-Ocak, M. (2021). Quality of life, depression, and anxiety of patients undergoing hemodialysis: Significant role of acceptance of the illness. International Journal of Psychiatry in Medicine, 56(1), 40–50. https://doi.org/10.1177/0091217420913382
Meichelboeck, W. (2017). Global trends in ESRD epidemiology and impact on Vascular Access. In: Paper presented at: 5th Svenska Accessmötet. 2017. p. 2---3. Available from: https://edcmixrisk.ki.se/wp-content/uploads/sites/43/2017/02/Global-trends-in ESRDepidemiology-Wolfgang-Meichelboeck. compressed.pdf
Naalweh, K. S., Barakat, M. A., Sweileh, M. W., Al-Jabi, S. W., Sweileh, W. M., & Zyoud, S. H. (2017). Treatment adherence and perception in patients on maintenance hemodialysis: A cross - Sectional study from Palestine. BMC Nephrology, 18(1). https://doi.org/10.1186/s12882-017-0598-2
Nurchayati, S. (2011). Analysis of factors related to the quality of life of chronic kidney disease patients undergoing hemodialysis at RSI Fatimah Cilacap and RSUD Banyumas [thesis]. Jakarta: University of Indonesia [downloaded August 2, 2016]. Available from: ://lontar.ui.ac.id/file?file=digital/20282431T%20 Sofiana%20Nurchayati.pdf.
Okorie, C., Annan, R., Turkey, H., Akhtar, N., Gray, F., Hamdy, K., Isina, A., Maharjan, G., Maghroudi, W., & Nwaduwa, I. C. (2018). Epidemiology and management of chronic renal failure: a global public health problem. Biostatistics and Epidemiology International Journal, 1(1), 11–16. https://doi.org/10.30881/beij.00005
Saputra, A., &; Wiryansyah, O.A. (2023). The relationship of the length of hemodialysis with the quality of life of patients with chronic renal failure. Babul Scientific Ilmi_Jurnal Multi Science Health; Volume 15, No. 1, June 2023, p. 112-123. e-ISSN 2622-6200, p-ISSN 2087-8362. https://jurnal.stikes-aisyiyah-palembang.ac.id/index.php/Kep/article/view/126
Shapiro, R.S., Deshetler, N., & Stockard, H.E. (1994). Fluid Overload Again! A Technique To Enhance Fluid Compliance. United States: Creative Age Publications
Suharyanto & Majid. (2013). Nursing Care in Clients with Urinary System Disorders. Jakarta: Trans Info Media.
Sumah, D.F. (2020). Family support is related to the compliance of chronic kidney failure patients undergoing hemodialysis therapy at RSUD dr. M. Haulussy Ambon.
Shamsiah, N. (2011). Factors Associated with the Adherence of CKD Patients Undergoing Hemodialysis at RSUPAU Dr. Esnawan Antariksa Halim Pernada Kusuma Jakarta. Thesis. University of Indonesia Library. Jakarta.
Wahyuni, &; Darmawan. (2020). The influence of booklet media on selfcare for patients with chronic kidney failure who undergo hemodialysis therapy in the working area of the Tamalanrea Jaya Health Center, Makassar City. Sriwijaya Journal of Nursing.
