Pengembangan Model Adaptasi Psikososial terhadap Kualitas Hidup Pasien Hemodialisis
DOI:
https://doi.org/10.31539/j9h2rz84Abstract
Based on Calista Roy's adaptation theory and self-determination theory, this study aims to develop a psychosocial adaptation model for hemodialysis patients, affecting their quality of life. The method used was a non-probability sampling technique through purposive sampling, with a sample size of 119 hemodialysis patients at the Bina Husada Cipta Canthi Clinic (BHCC) and the Semesta Mandiri Clinic (KSM), calculated using the rule of thumb. Statistical analysis used SEM-PLS. The results showed that stimulus factors, interdependence, self-concept-resilience, and role function influenced quality of life. At the same time, basic psychological needs did not affect the quality of life of hemodialysis patients. This study concludes that the psychosocial adaptation model for hemodialysis patients' quality of life is valuable. Therefore, dialysis unit staff are expected to use this psychosocial adaptation development guideline to improve the quality of comprehensive hemodialysis unit services for hemodialysis patients.
Keywords: Adaptation, Hemodialysis, Quality of Life, Psychological, Social
References
Al-Muchtari, T. A., Syukri, M., & Yusni, Y. (2023). Association between Caregiver Burden in Family and Hemodialysis Compliance of Chronic Kidney Disease Patients in Aceh, Indonesia. Narra J, 3(3). https://doi.org/10.52225/narra.v3i3.255
Baye, T. A., Gebeyehu, H., Bekele, M., Abdelmenan, S., Ashengo, T. A., & Mengistu, B. (2024). The Economic Burden of Hemodialysis and Associated Factors of among Patients in Private and Public Health Facilities: A Cross-Sectional Study in Addis Ababa, Ethiopia. Cost Effectiveness and Resource Allocation, 22(1). https://doi.org/10.1186/s12962-024-00530-7
Bello, A. K., Okpechi, I. G., Osman, M. A., Cho, Y., Htay, H., Jha, V., Wainstein, M., & Johnson, D. W. (2022). Epidemiology of Haemodialysis Outcomes. Nature Reviews Nephrology, 18, 378–395. https://doi.org/10.1038/s41581-022-00542-7
Bossola, M., Hedayati, S. S., Brys, A. D. H., & Gregg, L. P. (2023). Fatigue in Patients Receiving Maintenance Hemodialysis: A Review. American Journal of Kidney Diseases, 82(4), 464–480. https://doi.org/10.1053/j.ajkd.2023.02.008
Bossola, M., Mariani, I., Piccinni, C. P., Spoliti, C., & Stasio, E. D. (2024). Symptom Burden in Patients on Maintenance Hemodialysis: Prevalence and Severity 17 Years Apart. Journal of Clinical Medicine, 13(18). https://doi.org/10.3390/jcm13185529
Caton, E., Sharma, S., Vilar, E., & Farrington, K. (2024). Measures of treatment Burden in Dialysis: A Scoping Review. Journal of Renal Care, 50(3), 212–222. John Wiley and Sons Inc. https://doi.org/10.1111/jorc.12480
Gawab, H. M. A. E., Hassan, M. S., Mohammed, M. A. E. R., & Abdelkader, H. M. (2022). Effect of Roy Adaptation Model Application on Patients Undergoing Hemodialysis. Port Said Scientific Journal of Nursing, 9(3), 260-277. https://doi.org/10.21608/pssjn.2023.117789.1173
Georges, T. D., Mbeng, A. C., Mahamat, M., Bandolo, V. N., Acha, M. K., Francois, K., & Gloria, A. (2022). Symptom Burden in Patients on Maintenance Haemodialysis: Magnitude, Associated Factors, Patients’ Attitude and Practice. The Open Urology & Nephrology Journal, 15(1). https://doi.org/10.2174/1874303x-v15-e2207050
Hasanah, I., Nursalam, N., Pandin, M. G. R., Ikhwani, D. A., & Rohita, T. (2022). A Critical Analysis of Using Roy’s Adaptation Model in Nursing Research as an Empirical for Clinical Practice: a Systematic Review. Preprints. https://doi.org/10.20944/preprints202205.0276.v1
Heidari, H. (2025). Application of Roy’s Adaptation Model in a Child with COVID-19: Case Study and Review. Journal of Multidisciplinary Care (JMDC), 13(2), 102-106. https://doi.org/10.34172/jmdc.1331
Hosseini, M., & Soltanian, M. (2022). Application of Roy’s Adaptation Model in Clinical Nursing: A Systematic Review. Journal of Iranian Medical Council, 5(4), 540–556. https://doi.org/10.18502/jimc.v5i4.11327
Huang, M., Honghong, L., Lv, A., Yang, F., Tang, Y., Li, Y., Hua, Y., Liu, H., & Ni, C. (2023). Applying Self-Determination Theory Towards Motivational Factors of Physical Activity in People Undergoing Haemodialyses: A Qualitative Interview Study. Health Expectations, 26(3), 1368–1379. https://doi.org/10.1111/hex.13757
Karacan, E., & Gungormus, Z. (2024). The Effect of Roy Adaptation-Based Nursing Intervention on Stress, Psychosocial Adjustment and Self-Care Power in Hemodialysis Patients: A Randomized Controlled Experimental Study. International Journal of Caring Sciences, 17(2), 685-694. https://www.internationaljournalofcaringsciences.org/docs/6-6.gungormus.pdf
Kemenkes RI. (2023). Pedoman Nasional Pelayanan Kedokteran Tata Laksana Penyakit Ginjal Kronik. https://kemkes.go.id/id/pnpk-2023---tata-laksana-penyakit-ginjal-kronik
Krismiadi, D., Dina, H., Apriyanti, A., Nazaruddin, N., & Fujianti, M. E. Y. (2024). Adaptasi pada Pasien Gagal Ginjal Kronik yang Melakukan Terapi Hemodialisis Berdasarkan Teori Sister Calista Roy: Literatur Review Article Information Abstract. Indonesian Health Science Journal.id, 4(1), 27-34. https://ojsjournal.unt.ac.id/index.php/ihsj/article/view/57
Mehrotra, R., Davison, S. N., Farrington, K., Flythe, J. E., Foo, M., Madero, M., Morton, R. L., Tsukamoto, Y., Unruh, M. L., Cheung, M., Jadoul, M., Winkelmayer, W. C., Brown, E. A. (2023). Managing the Symptom Burden Associated with Maintenance Dialysis: Conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney International, 104(3), 441–454. https://doi.org/10.1016/j.kint.2023.05.019
Ouyang, W., Chen, H., Xu, X., Zhang, X., Fu, L., Tang, F., Wen, Z., Marrone, G., Liu, L., Lin, J., Liu, X., & Wu, Y. (2022). Self-Management Program for Patients with Chronic Kidney Disease (SMP-CKD) in Southern China: Protocol for an Ambispective Cohort Study. BMC Nephrology, 23(1). https://doi.org/10.1186/s12882-022-02700-2
Stewart, S., Kalra, P. A., Blakeman, T., Kontopantelis, E., Cranmer-Gordon, H., & Sinha, S. (2024). Chronic Kidney Disease: Detect, Diagnose, Disclose—A UK Primary Care Perspective of Barriers and Enablers to Effective Kidney Care. BMC Medicine, 22(1). https://doi.org/10.1186/s12916-024-03555-0
Tsirigotis, S., Polikandrioti, M., Alikari, V., Dousis, E., Koutelekos, I., Toulia, G., Pavlatou, N., Panoutsopoulos, G. I., Leftheriotis, D., & Gerogianni, G. (2022). Factors Associated with Fatigue in Patients Undergoing Hemodialysis. Cureus Journal of Medical Science, 14(3). https://doi.org/10.7759/cureus.22994
Yujie, W., & Miaoting, T. (2023). Life Experiences of Long-Term Hemodialysis Patients. https://www.diva-portal.org/smash/get/diva2:1759054/FULLTEXT01.pdf
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