Determinants of Compliance Among Chronic Kidney Disease Patients Undergoing Hemodialysis at RSUD ODSK, North Sulawesi

Irene R. Rondonuwu; Nova H. Kapantow; Suryadi N. N. Tatura

doi:10.47650/pjphsr.v5i2.1922

Irene R. Rondonuwu Postgraduate Program, Sam Ratulangi University, Indonesia
Nova H. Kapantow Faculty of Medicine, Sam Ratulangi University, Indonesia
Suryadi N. N. Tatura Faculty of Medicine, Sam Ratulangi University, Indonesia

DOI: https://doi.org/10.47650/pjphsr.v5i2.1922

Keywords: Chronic Kidney Disease, hemodialysis, patient adherence, family support, health education

Abstract

Chronic Kidney Disease (CKD) is a major chronic health issue that requires long-term therapy, one of which is hemodialysis. The success of hemodialysis therapy is highly influenced by patient adherence. However, the adherence rate to scheduled hemodialysis at ODSK Provincial General Hospital, North Sulawesi, is only 71.67%, which is still below the National Quality Indicator standard of 100%. This study aimed to analyze the factors influencing adherence among CKD patients undergoing hemodialysis at ODSK Provincial General Hospital in North Sulawesi. A quantitative approach with a cross-sectional design was employed. The sample consisted of 78 CKD patients who routinely underwent hemodialysis, selected using total sampling. Data were collected through a structured questionnaire. Chi-square tests and logistic regression analyses were conducted to assess the relationships between variables. The results revealed significant associations between adherence and several factors, including education level (p=0.009), duration of hemodialysis (p=0.004), knowledge (p=0.013), nurse support (p=0.006), and family support (p=0.006). The most influential factors were family support and patient knowledge, with family support emerging as the strongest predictor of adherence among CKD patients undergoing hemodialysis. Efforts to improve adherence should focus on patient education, strengthening the role of nurses and hospital services, and actively involving family members in the patient care process.

References

Andersen, R., Agustani, S. and others (2022) ‘Analisis faktor-faktor yang berhubungan terhadap kepatuhan pasien gagal ginjal kronik dalam menjalani hemodialisa di Unit Hemodialisa RSUD 45 Kuningan 2021’, Journal of Public Health Innovation Health Sciences Journal, 2(2), June, pp. [page numbers if available]. doi:10.34305/jphi.v2i2.411.

Badan Penelitian dan Pengembangan Kesehatan (2019) Laporan nasional Riskesdas 2018. Jakarta: Kementerian Kesehatan Republik Indonesia. Available at: https://labmandat.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf.

Baia, R. (2014) ‘Review of: Wright LM, Leahey M. Nurses and families: a guide to assessment and intervention in family. 5th ed. São Paulo: Roca, 2012’, Revista Rene.

Bello, A.K., Okpechi, I.G., Osman, M.A. et al. (2022) ‘Epidemiology of haemodialysis outcomes’, Nature Reviews Nephrology, 18, pp. 378–395.

Damayanti, Y.A. and Sarnianto, P. (2021) ‘Analisis kualitas hidup pada pasien hemodialisis di rumah sakit wilayah Cirebon’, Jurnal Ilmiah Indonesia, 6(6), pp. 5–24. doi: http://dx.doi.org/10.36418/syntax-literate.v6i6.3108.

Hartweg, D.L. (1991) Dorothea Orem: Self-care deficit theory. Newbury Park, CA: Sage Publications.

Kalantar-Zadeh, K., Jafar, T.H., Nitsch, D., Neuen, B.L. and Perkovic, V. (2021) ‘Chronic kidney disease’, The Lancet, 398, pp. [page numbers if available]. doi: 10.1016/S0140-6736(21)00519-5.

Kusniawati (2018) ‘Hubungan kepatuhan menjalani hemodialisis dan dukungan keluarga dengan kualitas hidup pasien gagal ginjal kronik di ruang hemodialisa Rumah Sakit Umum Kabupaten Tangerang’, Jurnal Medikes (Media Informasi Kesehatan), 5(2), pp. 206–233. doi:10.36743/medikes.v5i2.61.

Kusuma, H. et al. (2019) Mengenal penyakit ginjal kronis dan perawatannya. Semarang: Penerbit Fakultas Kedokteran Universitas Diponegoro.

Kolb, D.A. (1984) Experiential learning: Experience as the source of learning and development. Englewood Cliffs, NJ: Prentice-Hall.

Laksono, G.D. (2019) ‘Faktor-faktor yang mempengaruhi kepatuhan pasien gagal ginjal kronik dalam menjalani program therapi hemodialisa di RS PKU Muhammadiyah Gombong’, The 10th University Research Colloquium.

Mukaromudin, M., Mulyadi, E. and Novhriyanti, D. (2024) ‘Hubungan dukungan keluarga dan peran perawat terhadap kepatuhan pasien gagal ginjal kronik (GGK) dalam menjalani terapi hemodialisa di ruang hemodialisa RSUD Jampangkulon’, Journal of Public Health Innovation (JPHI), 4(2), pp. 333–340. doi: 10.34305/jphi.v4i02.1004.

Notoatmodjo, S. (2014) Promosi kesehatan dan ilmu perilaku. Jakarta: Rineka Cipta.

Nutbeam, D. (2000) ‘Advancing health literacy’, Health Promotion International, 15(3), pp. 183–184. doi:10.1093/heapro/15.3.183.

Paath, C.G.J. (2020) ‘Study cross sectional: Dukungan keluarga terhadap kepatuhan hemodialisa pada pasien gagal ginjal kronis’, Journal Keperawatan (JKp), 8(1), pp. 106–112.

Pebriantari, N.K.G. and Dewi, I.P.A. (2020) ‘Hubungan komplikasi intra hemodialisis dengan kualitas hidup pada pasien chronic kidney disease (CKD) stage V yang menjalani hemodialisis di ruang hemodialisa BRSU Tabanan’, Jurnal Riset Kesehatan Nasional, 2(1), pp. 9–17. doi: http://dx.doi.org/10.37294/jrkn.v2i1.95.

Ramadhani, D. (2022) ‘Faktor-faktor yang berhubungan dengan tingkat kepatuhan pasien penyakit ginjal kronik dalam menjalani hemodialisis’, Jurnal Kesehatan Ilmiah Indonesia, 7(2), [December], pp. [page numbers if available].

Wells, J.R. (2011) ‘Hemodialysis knowledge and medical adherence in African Americans diagnosed with end-stage renal disease: Results of an educational intervention’, Nephrology Nursing Journal, 38(2), pp. 155–162.