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Psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program: a cross-sectional study

Jurnal Ners · Vol. 19 No. 3 (2024) · pp. 314–325

DOI
10.20473/jn.v19i3.48195
ISSN
2502-5791, 1858-3598
Published
2024-08-31
Publisher
Universitas Airlangga
Language
eng
License
creativecommons.org/licenses/by/4.0

Abstract

Introduction: This study aims to analyze the effect of psychosocial factors on hemodialysis program adherence. Methods: The study was cross-sectional, with a sample size of 90 respondents, obtained through simple random sampling. The study’s dependent variable was hemodialysis program adherence and the independent variables were knowledge, motivation, coping, depression, perceived family support and health worker support. Data were collected using a questionnaire and analyzed using multiple linear regression. Results: Most respondents adhered to the hemodialysis program (90%). The level of knowledge, motivation, coping, family support, and health worker support was in the good category (93.3%; 100%; 91.1%; 90%; 88.9%, respectively), and did not experience depression (90%). The independent variables (knowledge, motivation, coping, family support, health worker support) simultaneously significantly affected the dependent variable, namely adherence to the hemodialysis program by 94.5% (R2 = 0.945; F = 236.613; p = 0.001). Partially, the factors of knowledge, motivation, coping, family support, health workers support, and depression also had a significant effect on hemodialysis program adherence (t = 2.234, t = 5.344, t = 3.473, t = -4.190, t = 6.457, t = 4.887, t = 4.190, respectively; p = 0.001). Conclusions: The study results showed that psychosocial factors (knowledge, motivation, coping, family support, health worker support, and depression) simultaneously or partially influenced the adherence of CKD patients to undergo a hemodialysis program, with the most dominant factor affecting adherence to hemodialysis as perceived family support. Keywords: Adherence, Hemodialysis, Psychosocial

Collaboration network of the authors

22 authors · 46 co-authorship links · 16 across different organisations

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  • Universitas Jember
  • Universitas Airlangga
  • Jenderal Soedirman University
  • Mahidol University
  • Prince of Songkla University
  • University of Brawijaya
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
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Co-authorOrganisationJoint articles
Kushariyadi KushariyadiUniversitas Jember2
Muhamad Zulfatul A’laUniversitas Jember2
Dwi HariantoUniversitas Jember1
Dewi Diniyatul MaulidiyahUniversitas Jember1
Akhmad Zainur RidlaUniversitas Jember1
Fandi Ahmad Kurniawan Setia BudiUniversitas Jember1
Mulia HakamUniversitas Jember1
Rafi Izuddin Al AlawiUniversitas Jember1
Ridlwan KamaluddinJenderal Soedirman University1
Pairin YodsubanMahidol University1
Dicky Endrian KurniawanUniversitas Jember1
Nurfika AsmaningrumUniversitas Jember1
Kholid Rosyidi Muhammad NurUniversitas Jember1
Orachorn LumpromPrince of Songkla University1
Ahsan AhsanUniversity of Brawijaya1
Soenarnatalina MelanianiUniversitas Airlangga1
Nursalam NursalamUniversitas Airlangga1
Kusnanto KusnantoUniversitas Airlangga1
Mohammed RahmatullahUniversitas Jember1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) http://e-journal.unair.ac.id/index.php/JNERS/oai, first harvested 9 Nov 2026, last seen 9 Nov 2026.
Original metadata (oai_dc) 
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	<dc:title xml:lang="en-US">Psychosocial factors affecting the adherence of chronic kidney disease patients to undergo a hemodialysis program: a cross-sectional study</dc:title>
	<dc:creator>Rondhianto, Rondhianto</dc:creator>
	<dc:creator>Murtaqib, Murtaqib </dc:creator>
	<dc:creator>Yonda, Nila Nabila</dc:creator>
	<dc:description xml:lang="en-US">Introduction:  This study aims to analyze the effect of psychosocial factors on hemodialysis program adherence.
Methods: The study was cross-sectional, with a sample size of 90 respondents, obtained through simple random sampling. The study’s dependent variable was hemodialysis program adherence and the independent variables were knowledge, motivation, coping, depression, perceived family support and health worker support. Data were collected using a questionnaire and analyzed using multiple linear regression.
Results: Most respondents adhered to the hemodialysis program (90%). The level of knowledge, motivation, coping, family support, and health worker support was in the good category (93.3%; 100%; 91.1%; 90%; 88.9%, respectively), and did not experience depression (90%). The independent variables (knowledge, motivation, coping, family support, health worker support) simultaneously significantly affected the dependent variable, namely adherence to the hemodialysis program by 94.5% (R2 = 0.945; F = 236.613; p = 0.001). Partially, the factors of knowledge, motivation, coping, family support, health workers support, and depression also had a significant effect on hemodialysis program adherence (t = 2.234, t = 5.344, t = 3.473, t = -4.190, t = 6.457, t = 4.887, t = 4.190, respectively; p = 0.001).
Conclusions: The study results showed that psychosocial factors (knowledge, motivation, coping, family support, health worker support, and depression) simultaneously or partially influenced the adherence of CKD patients to undergo a hemodialysis program, with the most dominant factor affecting adherence to hemodialysis as perceived family support. 
Keywords: Adherence, Hemodialysis, Psychosocial</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Airlangga</dc:publisher>
	<dc:date>2024-08-31</dc:date>
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	<dc:identifier>https://e-journal.unair.ac.id/JNERS/article/view/48195</dc:identifier>
	<dc:identifier>10.20473/jn.v19i3.48195</dc:identifier>
	<dc:source xml:lang="en-US">Jurnal Ners; Vol. 19 No. 3 (2024): AUGUST 2024; 314-325</dc:source>
	<dc:source>2502-5791</dc:source>
	<dc:source>1858-3598</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/JNERS/article/view/48195/29734</dc:relation>
	<dc:relation>https://e-journal.unair.ac.id/JNERS/article/view/48195/31174</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2024 Jurnal Ners</dc:rights>
	<dc:rights xml:lang="en-US">http://creativecommons.org/licenses/by/4.0</dc:rights>
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