Psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program: a cross-sectional study

Introduction:  This study aims to analyze the effect of psychosocial factors on hemodialysis program adherence. Methods: The study was cross-sectional, with a sample size of 90 respondents, obtained through simple random sampling. The study’s dependent variable was hemodialysis program adherence a...

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Main Authors: Rondhianto Rondhianto, Murtaqib Murtaqib, Nila Nabila Yonda
Format: Article
Language:English
Published: Universitas Airlangga 2024-08-01
Series:Jurnal Ners
Online Access:https://e-journal.unair.ac.id/JNERS/article/view/48195
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author Rondhianto Rondhianto
Murtaqib Murtaqib
Nila Nabila Yonda
author_facet Rondhianto Rondhianto
Murtaqib Murtaqib
Nila Nabila Yonda
author_sort Rondhianto Rondhianto
collection DOAJ
description Introduction:  This study aims to analyze the effect of psychosocial factors on hemodialysis program adherence. Methods: The study was cross-sectional, with a sample size of 90 respondents, obtained through simple random sampling. The study’s dependent variable was hemodialysis program adherence and the independent variables were knowledge, motivation, coping, depression, perceived family support and health worker support. Data were collected using a questionnaire and analyzed using multiple linear regression. Results: Most respondents adhered to the hemodialysis program (90%). The level of knowledge, motivation, coping, family support, and health worker support was in the good category (93.3%; 100%; 91.1%; 90%; 88.9%, respectively), and did not experience depression (90%). The independent variables (knowledge, motivation, coping, family support, health worker support) simultaneously significantly affected the dependent variable, namely adherence to the hemodialysis program by 94.5% (R2 = 0.945; F = 236.613; p = 0.001). Partially, the factors of knowledge, motivation, coping, family support, health workers support, and depression also had a significant effect on hemodialysis program adherence (t = 2.234, t = 5.344, t = 3.473, t = -4.190, t = 6.457, t = 4.887, t = 4.190, respectively; p = 0.001). Conclusions: The study results showed that psychosocial factors (knowledge, motivation, coping, family support, health worker support, and depression) simultaneously or partially influenced the adherence of CKD patients to undergo a hemodialysis program, with the most dominant factor affecting adherence to hemodialysis as perceived family support.  Keywords: Adherence, Hemodialysis, Psychosocial
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spelling doaj-art-ce706d0cae5849fda5a4556bae375aa72025-08-20T02:09:51ZengUniversitas AirlanggaJurnal Ners1858-35982502-57912024-08-0119331432510.20473/jn.v19i3.4819546282Psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program: a cross-sectional studyRondhianto Rondhianto0https://orcid.org/0000-0002-8487-069XMurtaqib Murtaqib1https://orcid.org/0000-0002-7481-7940Nila Nabila Yonda2https://orcid.org/0009-0002-6054-0677Faculty of Nursing, Universitas Jember, Jember, Indonesia Faculty of Nursing, Universitas Jember, Jember, Indonesia Faculty of Nursing, Universitas Jember, Jember, Indonesia Introduction:  This study aims to analyze the effect of psychosocial factors on hemodialysis program adherence. Methods: The study was cross-sectional, with a sample size of 90 respondents, obtained through simple random sampling. The study’s dependent variable was hemodialysis program adherence and the independent variables were knowledge, motivation, coping, depression, perceived family support and health worker support. Data were collected using a questionnaire and analyzed using multiple linear regression. Results: Most respondents adhered to the hemodialysis program (90%). The level of knowledge, motivation, coping, family support, and health worker support was in the good category (93.3%; 100%; 91.1%; 90%; 88.9%, respectively), and did not experience depression (90%). The independent variables (knowledge, motivation, coping, family support, health worker support) simultaneously significantly affected the dependent variable, namely adherence to the hemodialysis program by 94.5% (R2 = 0.945; F = 236.613; p = 0.001). Partially, the factors of knowledge, motivation, coping, family support, health workers support, and depression also had a significant effect on hemodialysis program adherence (t = 2.234, t = 5.344, t = 3.473, t = -4.190, t = 6.457, t = 4.887, t = 4.190, respectively; p = 0.001). Conclusions: The study results showed that psychosocial factors (knowledge, motivation, coping, family support, health worker support, and depression) simultaneously or partially influenced the adherence of CKD patients to undergo a hemodialysis program, with the most dominant factor affecting adherence to hemodialysis as perceived family support.  Keywords: Adherence, Hemodialysis, Psychosocialhttps://e-journal.unair.ac.id/JNERS/article/view/48195
spellingShingle Rondhianto Rondhianto
Murtaqib Murtaqib
Nila Nabila Yonda
Psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program: a cross-sectional study
Jurnal Ners
title Psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program: a cross-sectional study
title_full Psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program: a cross-sectional study
title_fullStr Psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program: a cross-sectional study
title_full_unstemmed Psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program: a cross-sectional study
title_short Psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program: a cross-sectional study
title_sort psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program a cross sectional study
url https://e-journal.unair.ac.id/JNERS/article/view/48195
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