Hubungan Self Management dan Self Efficacy pada Pasien Penyakit Ginjal Kronik on Hemodialisis

Authors

  • Fermata Sari Sekolah Tinggi Ilmu Kesehatan Hesti Wira Sriwjaya Palembang
  • Lindesi Yanti Sekolah Tinggi Ilmu Kesehatan Hesti Wira Sriwjaya Palembang
  • Masniati Arafah Sekolah Tinggi Ilmu Kesehatan Hesti Wira Sriwjaya Palembang

DOI:

https://doi.org/10.32583/keperawatan.v15i4.2045

Keywords:

hemodialisis, penyakit ginjal kronik, self efficacy, self management

Abstract

Pasien Penyakit ginjal kronik dengan hemodialisis menghadapi  kesulitan yang sangat komplek dalan adaptasi terhadap penatalaksanan masalah kesehatan yang sering kali sulit dipatuhi oleh pasien Pasien  harus berpartisipasi dalam proses pengobatan sehingga mengurangi komplikasi dan meningkatkan kualitas hidupnya. Salah satu metode efektif yaitu peningkatan manajemen diri, dan efikasi diri. Tujuan : Mengindentifikasi hubungan Efikasi diri dan Manajemen diri Pasien Penyakit Ginjal Kronik On Hemodialisis. Desain penelitian ini analisis deskriptif. Sampel penelitian ini adalah Pasien Penyakit Ginjal Kronik di RS Palembang Sumatera Selatan, yang ditentukan melalui tehnik purposive sampling,berjumlah 63 orang. Instrumen penelitian terdiri dari Hemodialysis self management Instrument  dan kuesioner  Chronic Kidney Disease Self Efficacy Instrument (PGK-SE), analisis data menggunakan uji Regresi linear sederhana korelasi pearson. Hasil karakteristik responden menunjukkan mayoritas responden  lansia awal (46%) ,berjenis kelamin laki laki (58,8%), berstatus menikah  (96,8%), dan berpendidikan SMA (52,4%),  sebagian besar tidak bekerja  (57,1%), lama hemodialisa >12 bulan (77,8%), dan penyakit penyerta Hipertensi (68,3%). Hubungan self efficacy dengan manajemen diri menunjukkan hubungan yang kuat (r=0,545). Nilai koefesien dengan determinasi 0,297, dan hasil uji statistik didapatkan ada hubungan yang signifikan antara self efficacy dengan self management (P value=0,001). Peneliti menyimpulkan bahwa semakin tinggi efikasi diri pada pasien dengan hemodialis maka  akan semakin baik perilaku manajemen diri pasien PGK dengan hemodiliasis.

References

Bandura, A. (1997). Self-Efficacy-The-Exercise-of-Control.pdf. W H Freeman and Company.

Elisabeth, B., Hadibrata, S., & Rantepadang, A. (2023). SELF-EFFICACY DAN SELF-CARE MANAGEMENT PADA PENDERITA HIPERTENSI (Vol. 5, Issue 1). http://ejournal.unklab.ac.id/index.php/kjn

Fathi Ibrahim Mohammed, A., Mohammed Abdel Aziz, T., & Ezzat Eltohamy, O. (2020). Zone Tool: Improving Self-Care and Self-Efficacy among Patients with Chronic Kidney Disease. American Journal of Nursing Research, 8(6), 608–623. https://doi.org/10.12691/ajnr-8-6-4

Hafezieh, A., Dehghan, M., Taebi, M., & Iranmanesh, S. (2020a). Self-management, self-efficacy and knowledge among patients under haemodialysis: a case in Iran. Journal of Research in Nursing, 25(2), 128–138. https://doi.org/10.1177/1744987120904770

Hafezieh, A., Dehghan, M., Taebi, M., & Iranmanesh, S. (2020b). Self-management, self-efficacy and knowledge among patients under haemodialysis: a case in Iran. Journal of Research in Nursing, 25(2), 128–138. https://doi.org/10.1177/1744987120904770

Lai, P. C., Wu, S. F. V., Alizargar, J., Pranata, S., Tsai, J. M., & Hsieh, N. C. (2021). Factors influencing self-efficacy and self-management among patients with pre-end-stage renal disease (Pre-esrd). Healthcare (Switzerland), 9(3). https://doi.org/10.3390/healthcare9030266

Mahjubian, A., Bahraminejad, N., & Kamali, K. (2019). The Effects of Group Discussion Based Education on the Promotion of Self-Management Behaviors in Hemodialysis Patients. Journal of Caring Sciences, 7(4), 225–232. https://doi.org/10.15171/jcs.2018.034

Melastuti, E., Nursalam, N., Sukartini, T., & Putra, M. M. (2022). Self-care Adherence in Hemodialysis Patients: A Structural Equation Modeling. Open Access Macedonian Journal of Medical Sciences, 10(B), 1107–1112. https://doi.org/10.3889/oamjms.2022.9365

Mirmazhari, R., Ghafourifard, M., & Sheikhalipour, Z. (2022). Relationship between patient activation and self-efficacy among patients undergoing hemodialysis: a cross-sectional study. Renal Replacement Therapy, 8(1). https://doi.org/10.1186/s41100-022-00431-6

Oktarina, Y., & Sulistiawan, A. (2020). The Self-Efficacy in Hemodialysis Patients. 25(Sicph 2019), 430–433. https://doi.org/10.2991/ahsr.k.200612.061

Prastiwi, D., Martyastuti, N. E., Isrofah, I., & Alisyahbana, B. (2022). Self-care management education increase quality of life of patient with chronic kidney disease undergoing hemodilysis. Media Keperawatan Indonesia, 5(1), 28. https://doi.org/10.26714/mki.5.1.2022.28-32

Ramezani, T., Sharifirad, Gh., Gharlipour, Z., & Mohebi, S. (2019). Effect of Educational Intervention Based on Self-efficacy Theory on Adherence to Dietary and Fluids-intake Restriction in Hemodialysis Patients. Health Education and Health Promotion, 6(1), 31–38. https://doi.org/10.29252/hehp.6.1.31

Sari, F.-, Raveinal, R., & Apriyanti, E. (2020). the Characteristic Description of Compliance With Fluid Limitation, Interdyalitic Weight Gain (Idwg), and Quality of Life in Hemodialysis Patients in Palembang City. International Journal of Nursing and Midwifery Science (Ijnms), 4(2), 132–140. https://doi.org/10.29082/ijnms/2020/vol4/iss2/300

Sari, F., Yanti, L., Badaruddin Akademi Keperawatan Kesdam, A. I., & Sultan Mahmud Badaruddin Palembang South Sumatra, J. I. (n.d.). INCREASING QUALITY OF LIFE IN PATIENTS WITH HEMODIALYSIS THROUGH EDUCATION BASED ON SELF-EFFICIENCY THEORY. https://doi.org/10.37287/ijghr.v3i4.728

Yao, J., Wang, H., Yin, X., Yin, J., Guo, X., & Sun, Q. (2019). The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes. PLoS ONE, 14(11). https://doi.org/10.1371/journal.pone.0224869.

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Published

12/30/2023

How to Cite

Sari, F., Yanti, L. ., & Arafah, M. . (2023). Hubungan Self Management dan Self Efficacy pada Pasien Penyakit Ginjal Kronik on Hemodialisis . Jurnal Keperawatan, 15(4), 367–372. https://doi.org/10.32583/keperawatan.v15i4.2045