ADHERENCE OF SELF-CARE MANAGEMENT AMONG HEMODIALYSIS PATIENTS
DOI:
https://doi.org/10.31674/mjn.2021.v12i03.007Abstract
Chronic kidney disease (CKD) has a high prevalence and incidence so that it is a frequent global problem. CKD causes kidney tissue damage which is marked by the accumulation of metabolic waste in the blood so it is necessary to do kidney replacement therapy, one of which is hemodialysis. CKD has 5 stages based on the glomerular filtration rate, wherein each stage the patient must be responsible for managing his health such as diet and lifestyle modification, administering large amounts of medication, and complying with doctor's rules. Therefore, patients must increase their adherence to self-care management so that they can prevent the worsening of the disease. This study aims to determine adherence of self-care management among hemodialysis patients. The research design used a quantitative descriptive with a cross-sectional approach. The sample in this study was 84 patients who underwent hemodialysis at the Majalaya Hospital, and they were taken by consecutive sampling technique from a population of 145 people. The instrument used in this study was Morisky questionnaire, Body Mass Index, Hemodialysis Self-Management Instrument (HDSMI), IDWG (Interdialytic Weight Gain). Data analysis was done using statistical software to obtain frequency distribution. The results showed that the compliance of hemodialysis patients in taking medication was still low, 50% (42 respondents), 72.6% (61 respondents) did not comply with the diet, 61.9% (52 respondents) did not comply with fluid intake, 53.6% (45 respondents) were not obedient in caring for AV fistula. This result can be influenced by several factors, namely education, gender, marital status, age, length of HD. Adherence to self-care management it is very important because it greatly influences the management of complications, controlling symptoms, minimizing negative effects, and delaying disease progression.
Keywords:
Chronic Kidney Disease, Compliance, Hemodialysis, Self-care ManagementDownloads
References
Adnan, A., Dania, H. & Supadmi, W. (2018). Evaluation of erythropoietin therapy in hemodialysis patients at PKU Muhammadiyah Hospital Yogyakarta. Pharmaciana, 8(2).
Aini, N. & Wahyuni, E.S. (2018). Hubungan Dukungan Keluarga Dengan Kepatuhan Diet Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di Rsud Dr. H. Abdul Moeloek. Holistik Jurnal Kesehatan, 12(1), pp 1-9.
Ayunda, A.R. & Priyantini, D. (2017). Hubungan Kepatuhan Diet Dan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di Rumah Sakit Umum Daerah Sidoarjo. Prosiding HEFA (Health Events for All), 1(1). Retrieved from: http://prosiding.stikescendekiautamakudus.ac.id/index.php/pros/article/view/222/2
Badariah, B., Kusuma, F.H.D. & Dewi, N. (2017). Karakteristik Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RSUD Kabupaten Kotabaru. Nursing News: Jurnal Ilmiah Keperawatan, 2(2).
Başer, E. & Mollaoğlu, M. (2019). The effect of a hemodialysis patient education program on fluid control and dietary compliance. Hemodialysis International, 23(3), pp 392-401.
Brunner, L.S. & Suddarth, D.S. (2013). Buku Ajar Keperawatan Medikal Bedah, 8th ed. EGC kedokteran; Indonesia.
Chen, S.H., Tsai, Y.F., Sun, C.Y., Wu, I. W., Lee, C.C. & Wu, M.S. (2011). The impact of self-management support on the progression of chronic kidney disease - A prospective randomized controlled trial. Nephrology Dialysis Transplantation, 26(11), pp 3560–3566.
Chen, Y. C., Chang, L. C., Liu, C. Y., Ho, Y. F., Weng, S. C. & Tsai, T. I. (2018). The Roles of Social Support and Health Literacy in Self-Management Among Patients with Chronic Kidney Disease. Journal of Nursing Scholarship, 50(3), pp 265–275.
Denhaerynck, K., Manhaeve, D., Dobbels, F., Garzoni, D., Nolte, C. & De Geest, S. (2007). Prevalence and consequences of nonadherence to hemodialysis regimens. American Journal of Critical Care, 16(3), pp 222-235.
Eckardt, K.U., Coresh, J., Devuyst, O., Johnson, R.J., Köttgen, A., Levey, A.S. & Levin, A. (2013). Evolving importance of kidney disease: from subspecialty to global health burden. The Lancet, 382(9887), pp 158-169.
Hartono, A., Funakawa, S. & Kosaki, T. (2006). Transformation of added phosphorus to acid upland soils with different soil properties in Indonesia. Soil Science & Plant Nutrition, 53(1).
Hidayati, S. & Sitorus, R. (2014). Efektifitas Konseling Analisis Transaksional Tentang Diet Cairan Terhadap Penurunan Interdialytic Weight Gain (Idwg) Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisa Di Rumah Sakit Umum Daerah Kardinah. Universitas Muhammadiyah Semarang. Retrieved from: https://jurnal.unimus.ac.id/index.php/psn12012010/article/view/1225/1278
Hidayati, S. & Sitorus, R. (2014). Efektifitas Konseling Analisis Transaksional tentang Diet Cairan terhadap Penurunan Interdialytic Weight Gain (IDWG) Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa di Rumah Sakit Umum Daerah Kardinah. Prosiding Seminar Nasional & Internasional. Retrieved from: https://jurnal.unimus.ac.id/index.php/psn12012010/article/view/1225
Kadambi, A., Leipold, R. J., Kansal, A. R., Sorensen, S. & Getsios, D. (2012). Inclusion of compliance and persistence in economic models. Applied Health Economics and Health Policy, 10(6), pp 365-379.
Kalogianni, A. (2011). Factors affect in patient adherence to medication regimen. Health Science Journal, 5(3), pp 157.
Kamaluddin, R. & Rahayu, E. (2009). Analisis faktor-faktor yang mempengaruhi kepatuhan asupan cairan pada pasien gagal ginjal kronik dengan hemodialisis di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Jurnal Keperawatan Soedirman, 4(1).
Karuniawati, E. & Supadmi, W. (2016). Kepatuhan penggunaan obat dan kualitas hidup pasien hemodialisa di RS PKU Muhammadiyah Yogyakarta periode Maret 2015. Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community), 13(2), pp 73-80.
Kazancioğlu, R. (2013). Risk Factors for Chronic Kidney Disease: An Update. Kidney International Supplements, 3(4), pp 368–371.
Kugler, C., Vlaminck, H., Haverich, A. & Maes, B. (2005). Nonadherence with diet and fluid restrictions among adults having hemodialysis. Journal of Nursing Scholarship, 37(1), pp 25-29.
Liyanage, T., Ninomiya, T., Jha, V., Neal, B., Patrice, H. M., Okpechi, I., Zhao, M. H., Lv, J., Garg, A. X., Knight, J., Rodgers, A., Gallagher, M., Kotwal, S., Cass, A. & Perkovic, V. (2015). Worldwide access to treatment for end-stage kidney disease: A systematic review. The Lancet, 385(9981), pp 1975–1982.
Mailani, F. & Andriani, R. (2017). Hubungan Dukungan Keluarga Dengan Kepatuhan Diet Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis. Jurnal Endurance, 2(3), pp 416.
Melastuti, E., Nafsiah, H. & Fachrudin, A. (2018). Gambaran Karakteristik Pasien Hemodialisis Di Rumah Sakit Islam Sultan Agung Semarang. Jurnal Ilmiah Kesehatan Rustida, 4(2), pp 518-525.
Molaison, E.F. & Yadrick, M.K. (2003). Stages of change in fluid intake in dialysis patients. Patient Education and Counseling, 49(1), pp 5–12.
Morton, R.L., Snelling, P., Webster, A.C, Rose, J., Masterson, R., Johnson D.W. & Howard, K. (2012). Factors influencing patient choice of dialysis versus conservative care to treat end-stage kidney disease. Canadian Medical Association Journal, 184(5), pp E277-E283.
Muchtar, R.S.U. & Marlian, M. (2019). Effect of Progressive Muscle Relaxation on The Level of Anxiety of Haemodialysis Patients at Muhammad Sani Hospital in Karimun. International Journal of Education & Curriculum Application, 2(1), pp 31-37.
Notoatmojo, S. (2010). Pendidikan dan Perilaku Kesehatan. Rineka Cipta; Jakarta.
Nugraha, A., Rahmah, G.U. & Bhudiaji, P. (2020). Effect of Family Support Towards Elderly Hemodialysis Patients' Anxiety Level. Basic and Applied Nursing Research Journal, 1(1), pp 20-24.
Pessoa, N. & Linhares, F. (2015). Hemodialysis patients with arteriovenous fistula: knowledge, attitude and practice. EEAN - Nursing Anna Nery. Retrieved from: https://www.scielo.br/pdf/ean/v19n1/en_1414-8145-ean-19-01-0073.pdf
Rai, D., Deenan, A. & Krungkraipetch, N. (2019). Factors Influencing Self-management of End-stage Renal Disease (ESRD) Patients Undergoing Hemodialysis in Bhutan. Thai Pharmaceutical and Health Science Journal, 14(1), pp 26-34.
Ravani, P., Marinangeli, G., Tancredi, M. & Malberti, F. (2003). Multidisciplinary chronic kidney disease management improves survival on dialysis. Journal of Nephrology, 16(6), pp 870-877.
Riskesdas, K. (2018). Hasil Utama Riset Kesehata Dasar (RISKESDAS). Journal of Physics A: Mathematical and Theoretical., 44(8), pp 1–200.
Sackett, D.L. & Haynes, R.B. (1976). Compliance with Therapeutic Regimens. Georgetown University. Retrieved from: http://hdl.handle.net/10822/772693
Sapri, A. (2008). Asuhan Gagal Ginjal Kronik Faktor-faktor yang Mempengaruhi Kepatuhan dalam Mengurangi Asupan Cairan pada Gagal Ginjal Kronik yang Menjalani Hemodialisa di RSUD Dr. H. Abdul Moeloek Bandar Lampung. Fakultas Kedokteran Universitas Sumatra Utara. Retrieved from: http://lontar.ui.ac.id/file?file=digital/20281994-T%20Nita%20Syamsiah.pdf
Senior, V., Marteau, T.M. & Weinman, J. (2004). Self-reported adherence to cholesterol-lowering medication in patients with familial hypercholesterolaemia: the role of illness perceptions. Cardiovascular Drugs and Therapy, 18(6), pp 475481.
Siagian, E. & Habeahan, E.J. (2019). The Life Experience of Patient Chronic Kidney Under Hemodialysis Treatment at Bandar Lampung Adventist Hospital. Abstract Proceedings, International Scholars Conference, 7(1), pp 99-115.
Sumadi, G. J., Pandelaki, P. A., Wijaya, C. N., Antoni, M. & Tjang, Y. S. (2018). Fistula Arteriovenosa untuk Hemodialisis pada Penderita Gagal Ginjal Kronik. Jurnal Kedokteran Meditek, 24 (66).
Sumigar, G., Rompas, S. S. & Pondaag, L. (2015). Hubungan Dukungan Keluarga Dengan Kepatuhan Diet Pada Pasien Gagal Ginjal Kronik Di IRINA C2 Dan C4 RSUP Prof. Dr. RD Kandou Manado. Jurnal Keperawatan, 3(1).
Susatyo, B. (2016). Gambaran Kepatuhan Diet Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa Rawat Jalan di RSUD Kayen Kabupaten Pati Tahun 2015 The Description of The Dietary Pursuance Cronical Renal Failure Patients Undergoing Hemodialysis Outp. Jurnal Kesehatan Masyarakat (e-Journal), 4(3), pp 168-176.
Susmita, P.R. & Supadmi, N.L. (2016). Pengaruh Kualitas Pelayanan, Sanksi Perpajakan, Biaya Kepatuhan Pajak, Dan Penerapan E-Filing Pada Kepatuhan Wajib Pajak. E-Jurnal Akuntansi, 14(2).
Tovazzi, M.E. & Mazzoni, V. (2012). Personal paths of fluid restriction in patients on hemodialysis. Nephrology Nursing Journal, 39(3), pp 207-215.
Walker, R., Marshall, M. R. & Polaschek, N. (2013). Improving self-management in chronic kidney disease: A pilot study. Renal Society of Australasia Journal, 9(3), pp 116–125.
Welch, J.L., Johnson, M., Zimmerman, L., Russell, C.L., Perkins, S.M. & Decker, B.S. (2015). Self-Management Interventions in Stages 1 to 4 Chronic Kidney Disease: An Integrative Review. Western Journal of Nursing Research, 37(5), pp 652–678.
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