A Study on the Relationship between Self-Management and Quality of Life in End-Stage Renal Disease Patients Undergoing Hemodialysis
DOI:
https://doi.org/10.58774/jourkep.v4i2.98Keywords:
Chronic Disease, End-Stage Renal Disease, Hemodialysis, Self-Management, Quality of LifeAbstract
Background: End-Stage Renal Disease (ESRD) is a chronic disease that has a significant impact on patients' physical, psychological, and social functioning. While hemodialysis therapy prolongs life expectancy, it also places a significant physical and emotional burden. This condition can reduce their quality of life. Implementing good self-management behaviors, such as adherence to therapy, dietary adjustments, and emotional management, can help patients adapt and improve their well-being.
Purpose: To identify the relationship between self-management and quality of life in ESRD patients undergoing hemodialysis in Surakarta.
Methods: This study was a quantitative study with a cross-sectional design. The population consisted of 150 patients undergoing HD, and the sampling technique used convenience sampling with a sample size of 80 people. Inclusion criteria included patients undergoing HD for at least 6 months. The instrument used to measure self-management was the HemoDialysis Self-Management Instrument (HDSMI), while quality of life was measured using the Kidney Disease Quality of Life Short Form (KDQOL SF-36). The relationship between the two variables was analyzed using the Chi-square test.
Results: This study found a significant positive relationship between self-management and quality of life in hemodialysis patients (p = 0.000; p < 0.05). Patients with good self-management skills tended to demonstrate higher levels of physical and psychological well-being.
Conclusion: Improved self-management is positively associated with a higher quality of life in patients with end-stage renal disease undergoing hemodialysis. Therefore, nursing interventions should focus on strengthening self-management skills through health education and ongoing psychosocial support.
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