HUBUNGAN SELF MANAGEMENT DENGAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK DI UNIT HEMODIALISIS
Abstract
Background Chronic kidney failure is a condition where kidney function decreases gradually due to kidney damage. Self-management is a decision-making and strategy carried out by patients to improve health, maintain life, achieve complete health, and minimize the decline in quality of life. Self-management can improve quality of life and reduce rehospitalization in chronic kidney failure patients. Objective is to determine the correlation between self-management and quality of life in chronic kidney failure patients in the Hemodialysis Unit. Method used a quantitative approach, a correlational research type with a cross-sectional design. The sample of this study was patients undergoing hemodialysis, using 88 respondents. The sampling technique used Nonprobability Sampling with the total sampling method. The instrument used the Word Health Organization Quality of Life (WHOQoL)-BREF questionnaire and the Hemodialysis Self-Management Instrument (HDSMI) questionnaire. Data analysis used the Kendalls Tau-B test. Results show that the majority of chronic kidney failure patients had a good quality of life of 55 respondents (62.5%) and good self-management of 72 respondents (81.8%). The results of the analysis showed a p-value of 0.001 <0.05, which means that there is a correlation between self-management and the quality of life of kidney failure patients in the Hemodialysis Unit. Conclusion is that there is a correlation between self-management and the quality of life of kidney failure patients in the Hemodialysis Unit.
References
Alisa, F., & Wulandari, C. (2019). Faktor- Faktor Yang Berhubungan Dengan Kepatuhan Pasien Penyakit Ginjal Kronik (PGK) Yang Menjalani Hemodialisa Di Rsup Dr. M. Djamil Padang. Jurnal Kesehatan Mercusuar, 2(2), 58–71. https://doi.org/10.36984/jkm.v2i2.63
Arriyani, F., & Wahyono, T. Y. M. (2023). Faktor Risiko Penyakit Ginjal Kronis pada Kelompok Usia Dewasa : Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(5), 788–797. https://doi.org/10.56338/mppki.v6i5.3239
Cipto, Siwoko, Normawati, A. T., & Uripno, P. S. (2024). Kajian Karakteristik Penderita Gagal Ginjal Kronis Dalam Terapi Hemodialisis. Jurnal Studi Keperawatan, 5(1), 18–21.
Cui, X., Zhou, X., Ma, L., Sun, T., & Bishop, L. (2019). A Nurse-led Structured Education Program Improves Self Management Skills and Reduces Hospital Readmissions in Patients With Chronic Heart Failure: a randomized and Controlled Trial in China. Rural and Remote Health, 19(2), 1–8. https://doi.org/10.22605/RRH5270
Dejvorakul, S., Kumar, R., Srirojanakul, S., Panupichit, N., & Somrongthong, R. (2020). Factors predicted with quality of life among hemodialysis patients in private hospital of Thailand. Hospital Practice, 47(5), 254–258. https://doi.org/10.1080/21548331.2019.1682879
Depkes RI. (2018). Hasil Utama Riskesdes 2018. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Endro Haksara, Ainnur Rahmanti, Adi Irawan, Akas Tri Wicaksono, Dedy Purba Winarto, Gita Indah Lestari, & Grenada Nabella Putri. (2020). Edukasi Tentang Self Management Pasien Gagal Ginjal Yang Menjalani Hemodialisis di RS Soedjono Magelang. Jurnal Pengabdian Kepada Masyarakat Sisthana, 2(2), 62–63. https://doi.org/10.55606/pkmsisthana.v2i2.42
Faustina, L. P., & Naibaho, E. N. V. (2022). Hubungan Dukungan Keluarga dan Self Management dengan Kepatuhan Minum Obat Pasien Hipertensi di Rumah Sakit Imelda Pekerja Indonesia Tahun 2022. Jurnal Ilmiah Keperawatan IMELDA, X(Xxx), 1–8.
García-Martínez, P., Temprado-Albalat, M. D., Ballester-Arnal, R., Gandhi-Morar, K., Castro-Calvo, J., & Collado-Boira, E. (2020). Predictive Model of Variables Associated with Health-Related Quality of Life in Patients with Advanced Chronic Kidney Disease Receiving Hemodialysis. Quality of Life Research, 29(7), 1817–1827. https://doi.org/10.1007/s11136-020-02454-0
Hsu, C., Huang, C., Chang, Y., Chen, J., Tsai, C., & Wang, K. (2020). A comparison of quality of life between patients treated with different dialysis modalities in Taiwan. PLoS ONE, 1–11.
Idzharrusman, M., & Budhiana, Jo. (2022). Hubungan Dukugan Keluarga Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik Rsud Sekarwangi. Jurnal Keperawatan Bsi, 10(1), 61–69.
Ikhwati, L., Dwi Retnaningsih, & Supriyanti, E. (2024). Harga Diri Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa. Jurnal Ilmiah STIKES Kendal, 14(3), 75–82. https://journal2.stikeskendal.ac.id/index.php/PSKM/article/view/1979/1260
Indonesian Renal Registry (IRR). (2018). 11th report Of Indonesian renal registry 2018. Indonesian Renal Registry (IRR), 14–15.
Iswara, L., & Muflihati, S. K. (2021). Hubungan Kepatuhan Menjalani Terapi Hemodialisa dengan Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis : Literature Review. Borneo Student Research, 2(2), 958–967.
Kovesdy, C. P. (2022). Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements, 12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003
Lisa Lolowang, N. N., Lumi, W. M. ., & Rattoe, A. A. (2021). Kualitas Hidup Pasien Gagal Ginjal Kronis Dengan Terapi Hemodialisa. Jurnal Ilmiah Perawat Manado (Juiperdo), 8(02), 21–32. https://doi.org/10.47718/jpd.v8i01.1183
Maghfiroh, A. A., Simanjorang, C., Prashintya, A., Simawang, Pramesti, L. T., Apriningsih, & Wasir, R. (2023). Faktor-Faktor Yang Berhubungan Dengan Kejadian Gagal Ginjal Akut Pada Anak : A Litterarure Review. PREPOTIF : Jurnal Kesehatan Masyarakat, 7(April), 41–51.
Priadini, R. P., Handayani, L., & Rosyidah. (2023). Faktor-Faktor yang Berhubungan dengan Kualitas Hidup (Quality Of Life) Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa. Jurnal Pendidikan Tambusai, 7(1), 3332–3338.
Putri, P., & Afandi, A. T. (2022). Eksplorasi Kepatuhan Menjalani Hemodialisa Pasien Gagal Ginjal Kronik. Jurnal Keperawatan, 11(2), 37–44. https://doi.org/10.47560/kep.v11i2.367
Rohmawati, D. L., Komalawati, R., & Fadhlika Nymas Khoriah. (2022). Self –Management Dan Self-Efficacy Berhubungan Dengan Kualitas Hidup Pasien Hemodialisa. Jurnal Keperawatan, 15(September), 1211–1218. https://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/808/740
Saadah, S., & Hartanti, R. D. (2021). Gambaran Kecemasan Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa : Literature Review. Prosiding Seminar Nasional Kesehatan, 509–517.
Sari, I. M., & Prajayanti, E. D. (2019). Faktor-Faktor yang Berkontribusi Terhadap Kepatuhan Pada Pasien yang Menjalani Hemodialisa. Medical Science, 6(2), 63–70.
Sembiring, F., Nasution, S. S., & Ariani, Y. (2020). Gambaran Pruriyus Uremik Pasien Gagal ginjal Kronik Di Unit Hemodialisa Rumah Skait Umum Pusat Haji Adam Malik Medan. Jurnal Perawat Indonesia, 4(1), 1–7.
Sianturi, D. A., & Gunawan, A. (2022). Peritonitis as the Cause of Death of CAPD Patients at RSUD Dr. Saiful Anwar Malang 2014-2020. Clinical and Research Journal in Internal Medicine, 3(1), 239–244. https://doi.org/10.21776/ub.crjim.2022.003.01.4
Sinurat, L. R. E., Barus, D., Simamora, M., & Syapitri, H. (2022). Self Management Berhubungan Dengan Kualitas Hidup Pada Pasien Gagal Ginjal Kronis Di Unit Hemodialisa. Jurnal Penelitian Perawat Profesional, 4(Februari), 653–660. http://jurnal.globalhealthsciencegroup.com/index.php/JPPP
Siregar, G. L., & Tambunan, E. H. (2023). Gambaran Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di RSA Bandar Lampung. Jurnal Ilmiah Ilmu Keperawatan, 14(2), 1–9. https://doi.org/10.36089/nu.v14i2.1092
Siti Jundiah, R., Wulan Megawati, S., & Abidin, I. (2024). Hubungan Health Locus of Control Dan Gejala Depresi Dengan Self Management Pada Pasien Penyakit Ginjal Kronis Yang Menjalani Hemodialisis. Jurnal Keperawatan Muhammadiyah, 9(1), 120–125.
Sri Agung Lestari, Endah, T. A., Jumaiyah, W., Azzam, R., & Kurniasih, D. N. (2020). Hubungan Self Management dengan Kualitas Hidup Pasien Chronic Kidney Disease (CKD) yang Menjalani Hemodialisis di Instalasi Rawat Jalan RSPAD Gatot Soebroto Jakarta. Universitas Muhammadiyah Jakarta, 4(1), 1–23.
Suciana, F., Hidayati, I. N., & Kartini. (2020). Korelasi Lama Dan Frekuensi Hemodialisa Dengan Kualitas Hidup Pada Pasien Hemodialisa. Journal Kesehatan, 15(1), 13–20.
Wahyuningsih, M., & Astuti, L. A. (2022). Gambaran Kualitas Hidup dan Koping Pada Pasien Hemodialisa. Community of Publishing in Nursing (COPING), 10(4), 392–397.
