Self-Management and Self-Efficacy In Hemodialysis Patients

Abstract

Introduction, the success of treatment in chronic renal failure patients with hemodialysis required the existence of self-management and self-efficacy. Previous studies showed that self-efficacy had the influence to bring up self-management behavior. The purpose of this study was to determine patients’ self-management and self-efficacy in chronic renal failure patients who had hemodialysis at Advent’s Hospital Bandung. Methods, this study was a quantitative descriptive research. The study samples were chosen using consecutive sampling technique. The number of samples was 75 patients. Data were collected using the SMBQ and PEPPI+Life Options DeNovo instruments. Data were analyzed using the quantitative descriptive approach with mean value and frequency distribution. The results of self-efficacy in patients with chronic renal failure with hemodialysis was high (54.7%) and the self-management behavior was in a good category (53.3%). The conclusion of this study is that the patient has a good self-management as well as self-efficacy. However, this study found the poor category of the partnership in caring aspect. Recommendation There is a need for a strategy to improve the self-management in the partnership in caring aspect by providing emotional support, educating patients related to treatment and care, and evaluating patients’ health development periodically.

Evaluating Self-Efficacy among Patients Undergoing Dialysis Therapy

“…The overall self-efficacy score was 192.57 ± 39.23 among patients on dialysis, which means that the level of self-efficacy was 76.8%. This is a moderate level of self-efficacy, which aligns with similar previous studies conducted with CKD patients [ 23 , 24 , 25 ]. Evidence shows that patients on dialysis who have better self-efficacy reported better outcomes than those with worse self-efficacy.…”

Self-Effication in Relation to Personal Care and The Health-Related Quality of Life of Hemodialysis Patients

“…The empowerment perspective revealed the patient's acquiring knowledge, skills, and responsibility for changing actions and effects that would enhance their personal health care. 28 Previous research has found the level of CKD to be closely related to the level of quality of life. Patients with stage 4 CKD have a better quality of life than those with stage 5 CKD.…”

“…Some reasons for this are physical complaints that increase with the course of the disease, unstable mental conditions associated with toxic uremia, and boredom in undergoing treatment. 28 Individuals who have a poor or moderate HRQOL will experience negative symptoms of dialysis therapy, such as pain, sleep disturbances, fluctuations in blood pressure, and abdominal pain, all of which can impact the patients' ability to do their job and result in socio-economic disturbances. Routine hemodia-lysis therapy carried out for a long time will prompt a sense of saturation in the patient and family.…”

Hubungan Tingkat Pengetahuan dan Dukungan Sosial Terhadap Self-Care Behavioral pada Pasien Hemodialisis dengan Atriovenous Fistula dan Double Catheter Lumen

“…Di kabupaten Manggarai, prevalensi gagal ginjal kronis sebesar 0,15 % dan di kabupaten Sikka sebanyak 0,30 % (Tim Riskesdas, 2019) Hemodialisis adalah salah satu metode terapi yang digunakan untuk pengobatan gagal ginjal stadium akhir. Pasien gagal ginjal stadium akhir akan menjalankan hemodialisis seumur hidup untuk mempertahankan hidupnya (Purba et al, 2018). Akses vaskular pada pasien gagal ginjal tahap akhir yang menjalankan hemodialisis sangat diperlukan antar lain Doubel Catheter Lumen (DCL) dimana kateter diimplantasi pada vena sentral dan Arteriovenosus Fistula (AVF) .…”