Nurse Media Journal of Nursing
Vol 13, No 1 (2023): (April 2023)

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

Fitri Mailani (Faculty Of Nursing, Universitas Andalas)
Emil Huriani (Faculty of Nursing, Universitas Andalas)
Rahmi Muthia (Faculty of Nursing, Universitas Andalas)
Rahmiwati Rahmiwati (Dr. M. .Jamil Padang Hospital)



Article Info

Publish Date
30 Apr 2023

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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Journal Info

Abbrev

medianers

Publisher

Subject

Nursing

Description

Nurse Media Journal of Nursing (e-ISSN: 2406-8799, p-ISSN: 2087-7811) is an international journal that provides a forum for publishing the scientific works of nurse practitioners, academics, and researchers. The focus and scopes of the journal include adult nursing, emergency nursing, gerontological ...