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Journal : Lentera Perawat

Association between family support and activities of daily living among patients undergoing hemodialysis: A cross-sectional study Sari, Intan Kumala; Soelistyoningsih, Dwi; Rifa'i, Achmad; Qodir, Abdul
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.729

Abstract

Background: Patients with hemodialysis frequently experience physical limitations that may affect their capacity to accomplish Activities of Daily Living (ADL). This decline in independence increases patients’ dependence on others. Family support plays a crucial role in helping patients maintain independence and refine the quality of their lives during long-term treatment. Objective: This study aimed to determine the association between family support and Activities of Daily Living (ADL) among patients undergoing hemodialysis. Methods: A cross-sectional analytical correlational study was implemented at Muhammadiyah General Hospital. The participants were 50 patients with chronic kidney disease undergoing hemodialysis for at least three months, aged 18-60 years, selected through purposive sampling. Family support was assessed using the Perceived Social Support–Family (PSS-FA) instrument, while independence in activities of daily living (ADL) was measured using the Barthel Index. Descriptive statistics were used to summarize participants characteristics. The relationship between family support and ADL was analyzed using Somers' d test at the 5% significance level. Results: The evidence indicates that most respondents received high levels of family support (86%) and had relatively good levels of independence in performing ADL (68%). Statistical analysis indicated a critical association between family support and ADL among hemodialysis patients (p=0.001; r = 0.61). These findings imply that higher levels of family support contribute to improve patient independence in carrying out daily activities. Conclusion: Family support is significantly associated with the capacity of hemodialysis patients to perform Activities of Daily Living. Strengthening family involvement through family-centered nursing interventios may help improve patient independence and overall well-being during long-term hemodialysis treatment.  
Co-Authors Abda Abda Achmad Choerudin AHMADI Al Ikhlas, Al Ikhlas Alwi Haqiqi Amri, Novita Aras Prabowo, Muhammad Ariga Bahrodin Ausat, Abu Muna Almaududi Dakir Dakir Daramatasia, Wira Darrin, Abu Desi Erawati, Desi Devy Habibi Muhammad Djaja , Djuniawan Karna Eka Julaiha Eka Yunita, Eka Erfandi AM Erni Setyowati Fadiahayya, Syadzwina FAHRUDDIN , FAHRUDDIN Fahruddin, Ahmad Hanif Fahrudin Fahrudin Fatchurahman, M Fathurrahman Fathurrahman Fauzi Ahmad Muda Fira Mubayyinah Fitri Aryani, Habsyah Hamdani, Moh. Ulil Absor Husniyah, Nur Iftitahul Ilahiyah, Iva Inayatul Ilahiyah, Iva Inyatul Iman, M. Kamilul Intan , Bunga Iqbal, Asep Iqbal, Asep Jasiah Jasiah Jihan Nur Azizah Juraid Abdul Latief Khairil Anwar Khovivatun Nazah, Siti khusnul khotimah Lailatul Qomariyah, Lailatul Laily Masruroh, Laily Lutfa, Asna Lutfi, Saiful Luthfi Hakim Maemonah, Maemonah Marzuki, M.Hasbullah Masruroh, Sayidah Afyatul MASYHUR, AHMAD Maulidiyah, Rizka, Nur Mazrur, Mazrur Meidyawati, Meidyawati MUFIDA, ILMI Muh. Hanif Muharor, Muhammad Zaki Mundzir, Ali Muntaha, Muntaha Muzaki, Muhamad Iqbal Mu’at, Mu’at Niswah MZ, Isniyatun Niswah, Isniyatun Noorazmah Hidayati, Noorazmah Nur Kuswanti Nurhidayat, Samsul Nurul Hikmah Kartini Nurul Millah Pomalingo, Sitti Fizraini Puji Kurniawan Rahmawati, Masnunah Rifa'i, Achmad Rifaat, Hafid rubiyad, adib Saputri Yayup, Keri Sari, Intan Kumala Shofi, Ahmad Sholichah, Aida Nur Shomadiyah, Wardatus Siminto Siminto Siminto, Siminto Soelistyoningsih, Dwi Sri Minarti Suprapto Suprapto Suryono Suryono Taqwa Martadinata, Ahmad Umam, Fuadul Umiarso Umiarso Wira, Daramatasia Wulandari, Angernani Trias Yasik, Fatkhu Zainap Hartati, Zainap Zaka, Muhammad Zakaria Zuhro, Fatimah