Self-Management and Relating Factors among Chronic Kidney Disease Patients on Hemodialysis: An Indonesian Study

Fitri Mailani; Emil Huriani; Rahmi Muthia; Rahmiwati Rahmiwati

doi:10.14710/nmjn.v13i1.48708

DOI: https://doi.org/10.14710/nmjn.v13i1.48708

Self-Management and Relating Factors among Chronic Kidney Disease Patients on Hemodialysis: An Indonesian Study

*Fitri Mailani

- Faculty Of Nursing, Universitas Andalas, Indonesia

Emil Huriani - Faculty of Nursing, Universitas Andalas, Indonesia

Rahmi Muthia - Faculty of Nursing, Universitas Andalas, Indonesia

Rahmiwati Rahmiwati - Dr. M. .Jamil Padang Hospital, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{NMJN48708,
    author = {Fitri Mailani and Emil Huriani and Rahmi Muthia and Rahmiwati Rahmiwati},
    title = {Self-Management and Relating Factors among Chronic Kidney Disease Patients on Hemodialysis: An Indonesian Study},
    journal = {Nurse Media Journal of Nursing},
  volume = {13},
    number = {1},
    year = {2023},
    keywords = {Chronic kidney disease; hemodialysis; knowledge; self-efficacy; self-management},
    abstract = {  Background:  The latest approach to managing chronic kidney disease (CKD) involves the implementation of self-management methods. Nonetheless, numerous previous studies indicate that self-management behaviors remain inadequate among hemodialysis patients in Indonesia. Therefore, a deeper comprehension of the factors that affect a patient’s self-management should be studied.   Purpose:  This study aimed to examine self-management among CKD patients undergoing hemodialysis and its relating factors.   Methods:  The study used a cross-sectional approach. A convenience sample of 164 patients undergoing hemodialysis determined using a table of power analysis was recruited from two hemodialysis centers in Padang, Indonesia, from May to July 2022. Hemodialysis self-management instrument-18 (HDSMI-18), the scale of self-efficacy for chronic diseases, and the hemodialysis knowledge questionnaire were used as the instruments. T-tests, ANOVA, Spearman correlation test, and multiple linear regression were used to analyse the data.   Results:  Self-management, knowledge, and self-efficacy mean scores were 48.62(8.45), 17.77(2.96), and 43.05(10.08), respectively. There was a significant positive correlation between self-management with education ( p =0.000), employment status ( p =0.025), monthly income ( p =0.003), knowledge ( p =0.000), and self-efficacy ( p =0.004). Multiple linear regression analyses for overall self-management indicated that knowledge and education were the main influencing factors of self-management.  Conclusion:  Hemodialysis patients had a subpar degree of self-management. Furthermore, knowledge and education were the most significant influencing factors of self-management. Nurses are expected to be able to provide structured education to increase patient knowledge which will later yield good self-management.},
   issn = {2406-8799},   pages = {109--120}  doi = {10.14710/nmjn.v13i1.48708},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/48708}
}

Citation Format:

Abstract

Background: The latest approach to managing chronic kidney disease (CKD) involves the implementation of self-management methods. Nonetheless, numerous previous studies indicate that self-management behaviors remain inadequate among hemodialysis patients in Indonesia. Therefore, a deeper comprehension of the factors that affect a patient’s self-management should be studied.

Purpose: This study aimed to examine self-management among CKD patients undergoing hemodialysis and its relating factors.

Methods: The study used a cross-sectional approach. A convenience sample of 164 patients undergoing hemodialysis determined using a table of power analysis was recruited from two hemodialysis centers in Padang, Indonesia, from May to July 2022. Hemodialysis self-management instrument-18 (HDSMI-18), the scale of self-efficacy for chronic diseases, and the hemodialysis knowledge questionnaire were used as the instruments. T-tests, ANOVA, Spearman correlation test, and multiple linear regression were used to analyse the data.

Results: Self-management, knowledge, and self-efficacy mean scores were 48.62(8.45), 17.77(2.96), and 43.05(10.08), respectively. There was a significant positive correlation between self-management with education (p=0.000), employment status (p=0.025), monthly income (p=0.003), knowledge (p=0.000), and self-efficacy (p=0.004). Multiple linear regression analyses for overall self-management indicated that knowledge and education were the main influencing factors of self-management.

Conclusion: Hemodialysis patients had a subpar degree of self-management. Furthermore, knowledge and education were the most significant influencing factors of self-management. Nurses are expected to be able to provide structured education to increase patient knowledge which will later yield good self-management.

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Keywords: Chronic kidney disease; hemodialysis; knowledge; self-efficacy; self-management

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In Vol 13, No 1 (2023): (April 2023)

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Self-Management and Relating Factors among Chronic Kidney Disease Patients on Hemodialysis: An Indonesian Study

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