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All Journal Idea Nursing Journal Journal of Midwifery and Nursing Indonesian Trust Health Journal Science Midwifery Nursing and Health Sciences Journal (NHSJ) KESANS : International Journal of Health and Science Jurnal Keperawatan Cikini JUMANTIK (Scientific Journal of Health research) Herbal Medicine Journal Indonesian Trust Health Journal
Melva Epy Mardiana Manurung
Academic Yayasan Tenaga Pembangunan Arjuna Laguboti
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health Veterinary

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Treatment compliance and quality of life in hemodialysis patients: A cross-sectional study highlighting the ceiling effect in a high-adherence population Melva Epy Mardiana Manurung; Parulian Dormaida Gultom; Tumpal Manurung; Baharuddin J. E. A. Togatorop; Agustina Sonatha Rumahorbo
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.679

Abstract

Treatment compliance is widely considered important for maintaining patient well-being, although although quality of life may be influenced by factors beyond consistently high treatment compliance. This study investigated the association between treatment compliance and quality of life among patients with chronic kidney disease receiving maintenance hemodialysis in a secondary hospital setting in Indonesia. A cross-sectional study was conducted involving 56 patients recruited consecutively from the hemodialysis unit of Djasamen Saragih Regional Hospital, North Sumatra. Treatment compliance was evaluated using the End Stage Renal Disease Adherence Questionnaire (ESRD-AQ), while The Kidney Disease Quality of Life Short Form (KDQOL-SF) was used to evaluate patient quality of life. Because the variables were not normally distributed, data analysis was performed using Spearman’s rank correlation. Most participants demonstrated high treatment compliance (94.6%), while quality of life was predominantly moderate (83.9%). No statistically significant association was identified between treatment compliance and quality of life (rs = 0.073, 95% CI −0.19 to 0.33, p = 0.611), indicating a negligible association despite high compliance levels. This finding may be explained by a ceiling effect resulting from uniformly high compliance. These findings suggest that psychosocial and contextual influences may play a larger role in determining quality of life than treatment compliance alone. Therefore, improving patient well-being may require nursing strategies that address psychosocial conditions as well as treatment compliance
Co-Authors Agustina Sonatha Rumahorbo Ayu Hutahaean Baharuddin J. E. A. Togatorop Baharuddin J.E.A. Togatorop Connie Melva Sianipar Harsudianto Silaen Jenti Sitorus Manurung, Devi Yanthre Sari Mila Gustia Parulian Dormaida Gultom Putri Sitorus Rachel Natalia Riris Sianipar Tumpal Manurung Veronica Silalahi