Self-Management and Relating Factors among Chronic Kidney Disease Patients on Hemodialysis: An Indonesian Study
Dublin Core
Title
Self-Management and Relating Factors among Chronic Kidney Disease Patients on Hemodialysis: An Indonesian Study
Subject
Chronic kidney disease; hemodialysis; knowledge; self- efficacy; self-management
Description
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.
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.
Creator
Fitri Mailani1
, Emil Huriani1
, Rahmi Muthia1
, Rahmiwati2
, Emil Huriani1
, Rahmi Muthia1
, Rahmiwati2
Source
https://doi.org/10.14710/nmjn.v13i1.48708
Date
29 March 2023
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Fitri Mailani1
, Emil Huriani1
, Rahmi Muthia1
, Rahmiwati2, “Self-Management and Relating Factors among Chronic Kidney Disease Patients on Hemodialysis: An Indonesian Study,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11169.