Main Article Content
Abstract
Akses vaskular pada pasien hemodialisis dapat menimbulkan komplikasi yang menyebabkan kematian. Komplikasi dapat dicegah melalui perilaku self-care. Tujuan dari penelitian ini untuk mengetahui hubungan tingkat pengetahuan dan dukungan sosial terhadap perilaku self-care pada pasien yang menjalankan hemodialisis dengan menggunakan atriovenous fistula dan double catheter lumen. Penelitian ini dilaksanakan di RSUD BLUD dr.Ben Mboi dan RSUD dr.TC.Hilers Maumere pada April 2021. Sampel dalam penelitian ini adalah pasien yang menjalankan hemodialisis dengan menggunakan atriovenous fistula dan double catheter lumen (n=65). Teknik pengambilan sampling menggunakan convenience sampling. Analisis data menggunakan chi-sguare. Hasil penelitian menunjukan bahwa perilaku self-care yang baik pada pasien hemodialisi yang menggunakan atriovenous fistula dan double catheter lumen sebanyak 33 responden (51 %) sedangkan yang kurang baik sebanyak 32 responden (49%). Terdapat hubungan yang signifikan antara tingkat pengetahuan (OR 5.208, 95 % CI 1.758-15.192, p value 0.002) dan dukungan sosial (OR 6.065, 95 % CI 1.195-30.782, p value 0.018) dengan perilaku self-care. Pendidikan kesehatan mengenai self-care pada pasien hemodialisis dengan menggunakan atriovenous fistula dan double catheter lumen perlu diberikan secara rutin pada saat pasien menjalankan hemodialisis. Dukungan sosial dari keluarga dan petugas kesehatan diperlukan untuk meningkatkan perilaku self-care.
Keywords
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References
- Adib-Hajbagheri, M., Molavizadeh, N., Alavi, N. M., & Abadi, M. H. M. (2014). Factors associated with complications of vascular access site in hemodialysis patients in Isfahan Aliasghar hospital. Iranian Journal of Nursing and Midwifery Research, 19(2), 208–214. http://www.ncbi.nlm.nih.gov/pubmed/24834093%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4020033
- CDC. (2019). Chronic Kidney Disease in the United States, 2019. https://www.cdc.gov/kidneydisease/publications-resources/2019-national-facts.html
- Costa Pessoa, N. R., de Souza Soares Lima, L. H., dos Santos, G. A., de Queiroz Frazão, C. M. F., Sousa, C. N., & Ramos, V. P. (2020). Self-care actions for the maintenance of the arteriovenous fistula: An integrative review. International Journal of Nursing Sciences, 7(3), 369–377. https://doi.org/10.1016/j.ijnss.2020.06.007
- Diab, T. M., & Mostafa, N. M. (2019). Self-Care Behaviors for Arteriovenous Fistula among Hemodialysis Patients at Assiut University Hospital ( Suggested Nursing Brochure ). 7(1), 87–92. https://doi.org/10.12691/ajnr-7-1-12
- Fadlalmola, H. A., & Elkareem, E. M. A. (2020). Impact of an educational program on knowledge and quality of life among hemodialysis patients in Khartoum state. International Journal of Africa Nursing Sciences, 12(February), 1–4. https://doi.org/10.1016/j.ijans.2020.100205
- Gela, D., & Mengistu, D. (2018). Self-management and associated factors among patients with end-stage renal disease undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia. International Journal of Nephrology and Renovascular Disease, 11, 329–336. https://doi.org/10.2147/IJNRD.S184671
- Han, S. J., & Kim, H. W. (2016). Factors influencing self-care behaviors in elderly hemodialysis patients. International Journal of Bio-Science and Bio-Technology, 8(6), 31–38. https://doi.org/10.14257/ijbsbt.2016.8.6.04
- Kementerian Kesehatan RepublikIndonesia. (2018). Hasil Utama Riskesdas 2018. https://www.kemkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf
- Kim, B., & Kim, J. (2019). Influence of uncertainty, depression, and social support on self-care compliance in hemodialysis patients. Therapeutics and Clinical Risk Management, 15, 1243–1251. https://doi.org/10.2147/TCRM.S218934
- Maia, S. F., Facundes, D. M., & Carneiro, A. L. L. (2019). Patient self-care with double catheter lumen for hemodialization: Validation of instructional folder. Acta Scientiarum - Health Sciences, 41(1), 2–7. https://doi.org/10.4025/actascihealthsci.v41i1.47558
- Pessoa, N. R. C., & Linhares, F. M. P. (2015). Hemodialysis patients with arteriovenous fistula: knowledge, attitude and practice. Escola Anna Nery - Revista de Enfermagem, 19(1), 73–79. https://doi.org/10.5935/1414-8145.20150010
- Purba, A. K., Emaliyawati, E., & Sriati, A. (2018). Self-Management and Self-Efficacy in Hemodialysis Patients. Journal of Nursing Care, 1(2), 129–139. http://jurnal.unpad.ac.id/jnc/article/view/16137/8271
- Sousa, C. N., Marujo, P., Filipa, V., & Dias, F. (2020). Self-Care Behavior Profiles With Arteriovenous Fistula in Hemodialysis Patients. Clinical Nursing Research ·, 29(6), 363–367. https://doi.org/10.1177/1054773818787110
- Sousa, C. N., Teles, P., Filipa, V., Dias, F., Luís, J., Apóstolo, A., Henriqueta, M., Silva, J., & Martins, M. M. (2014). Physical examination of arteriovenous fistula : The influence of professional experience in the detection of complications. Hemodialysis International, 18(3), 695–699. https://doi.org/10.1111/hdi.12170
- Sukmawati, A. K. (2018). Analisis Faktor yang Berhubungan Dengan Penerimaan Diri Pasien Gagal Ginjal Kronis yang Menjalani Terapi Hemodialisa di Rumah Sakit Umum Haji Surabaya [Universitas Airlangga]. In Universitas Airlangga Surabaya. http://repository.unair.ac.id/85199/
- Tim Riskesdas. (2019). Laporan Provinsi Nusa Tenggara Timur : Riskesdas 2018. https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
- Yang, M. miao, Zhao, H. hua, Ding, X. qiang, Zhu, G. hong, Yang, Z. hua, Ding, L., Yang, X. hao, Zhao, Y., Chen, L., Yang, R. mei, Fang, J., & Sousa, C. N. (2019). Self-Care Behavior of Hemodialysis Patients With Arteriovenous Fistula in China: A Multicenter, Cross-Sectional Study. Therapeutic Apheresis and Dialysis, 23(2), 167–172. https://doi.org/10.1111/1744-9987.12770
References
Adib-Hajbagheri, M., Molavizadeh, N., Alavi, N. M., & Abadi, M. H. M. (2014). Factors associated with complications of vascular access site in hemodialysis patients in Isfahan Aliasghar hospital. Iranian Journal of Nursing and Midwifery Research, 19(2), 208–214. http://www.ncbi.nlm.nih.gov/pubmed/24834093%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4020033
CDC. (2019). Chronic Kidney Disease in the United States, 2019. https://www.cdc.gov/kidneydisease/publications-resources/2019-national-facts.html
Costa Pessoa, N. R., de Souza Soares Lima, L. H., dos Santos, G. A., de Queiroz Frazão, C. M. F., Sousa, C. N., & Ramos, V. P. (2020). Self-care actions for the maintenance of the arteriovenous fistula: An integrative review. International Journal of Nursing Sciences, 7(3), 369–377. https://doi.org/10.1016/j.ijnss.2020.06.007
Diab, T. M., & Mostafa, N. M. (2019). Self-Care Behaviors for Arteriovenous Fistula among Hemodialysis Patients at Assiut University Hospital ( Suggested Nursing Brochure ). 7(1), 87–92. https://doi.org/10.12691/ajnr-7-1-12
Fadlalmola, H. A., & Elkareem, E. M. A. (2020). Impact of an educational program on knowledge and quality of life among hemodialysis patients in Khartoum state. International Journal of Africa Nursing Sciences, 12(February), 1–4. https://doi.org/10.1016/j.ijans.2020.100205
Gela, D., & Mengistu, D. (2018). Self-management and associated factors among patients with end-stage renal disease undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia. International Journal of Nephrology and Renovascular Disease, 11, 329–336. https://doi.org/10.2147/IJNRD.S184671
Han, S. J., & Kim, H. W. (2016). Factors influencing self-care behaviors in elderly hemodialysis patients. International Journal of Bio-Science and Bio-Technology, 8(6), 31–38. https://doi.org/10.14257/ijbsbt.2016.8.6.04
Kementerian Kesehatan RepublikIndonesia. (2018). Hasil Utama Riskesdas 2018. https://www.kemkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf
Kim, B., & Kim, J. (2019). Influence of uncertainty, depression, and social support on self-care compliance in hemodialysis patients. Therapeutics and Clinical Risk Management, 15, 1243–1251. https://doi.org/10.2147/TCRM.S218934
Maia, S. F., Facundes, D. M., & Carneiro, A. L. L. (2019). Patient self-care with double catheter lumen for hemodialization: Validation of instructional folder. Acta Scientiarum - Health Sciences, 41(1), 2–7. https://doi.org/10.4025/actascihealthsci.v41i1.47558
Pessoa, N. R. C., & Linhares, F. M. P. (2015). Hemodialysis patients with arteriovenous fistula: knowledge, attitude and practice. Escola Anna Nery - Revista de Enfermagem, 19(1), 73–79. https://doi.org/10.5935/1414-8145.20150010
Purba, A. K., Emaliyawati, E., & Sriati, A. (2018). Self-Management and Self-Efficacy in Hemodialysis Patients. Journal of Nursing Care, 1(2), 129–139. http://jurnal.unpad.ac.id/jnc/article/view/16137/8271
Sousa, C. N., Marujo, P., Filipa, V., & Dias, F. (2020). Self-Care Behavior Profiles With Arteriovenous Fistula in Hemodialysis Patients. Clinical Nursing Research ·, 29(6), 363–367. https://doi.org/10.1177/1054773818787110
Sousa, C. N., Teles, P., Filipa, V., Dias, F., Luís, J., Apóstolo, A., Henriqueta, M., Silva, J., & Martins, M. M. (2014). Physical examination of arteriovenous fistula : The influence of professional experience in the detection of complications. Hemodialysis International, 18(3), 695–699. https://doi.org/10.1111/hdi.12170
Sukmawati, A. K. (2018). Analisis Faktor yang Berhubungan Dengan Penerimaan Diri Pasien Gagal Ginjal Kronis yang Menjalani Terapi Hemodialisa di Rumah Sakit Umum Haji Surabaya [Universitas Airlangga]. In Universitas Airlangga Surabaya. http://repository.unair.ac.id/85199/
Tim Riskesdas. (2019). Laporan Provinsi Nusa Tenggara Timur : Riskesdas 2018. https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
Yang, M. miao, Zhao, H. hua, Ding, X. qiang, Zhu, G. hong, Yang, Z. hua, Ding, L., Yang, X. hao, Zhao, Y., Chen, L., Yang, R. mei, Fang, J., & Sousa, C. N. (2019). Self-Care Behavior of Hemodialysis Patients With Arteriovenous Fistula in China: A Multicenter, Cross-Sectional Study. Therapeutic Apheresis and Dialysis, 23(2), 167–172. https://doi.org/10.1111/1744-9987.12770