Self-care Adherence in Hemodialysis Patients: A Structural Equation Modeling

Erna Melastuti; Nursalam Nursalam; Tintin Sukartini; Made Mahaguna Putra

doi:10.3889/oamjms.2022.9365

Authors

Erna Melastuti Department of Nursing, Faculty of Nursing, Sultan Agung Islamic University, Semarang, Indonesia; Department of Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
Nursalam Nursalam Department of Nursing, Faculty of Nursing, Sultan Agung Islamic University, Semarang, Indonesia
Tintin Sukartini Department of Nursing, Faculty of Nursing, Sultan Agung Islamic University, Semarang, Indonesia https://orcid.org/0000-0003-3869-7897
Made Mahaguna Putra Department of Nursing, Faculty of Medicine, Universitas Pendidikan Ganesha, Singaraja, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9365

Keywords:

Adherence, Hemodialysis, Self-care, Structural equation modeling

Abstract

BACKGROUND: Management of health problems in patients undergoing hemodialysis is quite complicated, fluid restriction, diet, following treatment recommendations, and managing physical activity are problems that are often difficult to manage. Self-regulation of HD patients is needed to maintain adherence regarding fluid restriction, diet, medication, and physical activity management.

AIM: We aimed to investigate self-care adherence in hemodialysis patients with a structural equation modeling.

METHODS: One hundred and thirty patients with the hemodialysis-dependent end-stage renal disease took part in a quantitative cross-sectional study.

RESULTS: The researchers investigated personality traits, information factors, emotional factors, disease representation, motivation, appraisal, coping, and self-care adherence.

CONCLUSION: Except for motivation, which has no direct effect on coping (T-statistic = 1.666), almost every construct in this model significantly affects coping.

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