Abstract :
Background: Chronic kidney disease is a progressive condition requiring long-term therapy, one of which is hemodialysis. Adherence to hemodialysis is crucial for reducing complications and improving patients’ quality of life. Family support is considered a factor influencing adherence, but previous research findings remain inconsistent.
Objective: To determine the relationship between family support and adherence with hemodialysis in patients with chronic renal failure in Kupang City.
Methods: This study used an observational analytical cross-sectional design. Data was collected through the completion of family support and ESRD-AQ questionnaires by 163 respondents who met the inclusion and exclusion criteria. Sampling was conducted using purposive sampling. Data analysis was performed using univariate and bivariate analysis with Fisher’s exact test.
Results: The results showed that 95.7% of patients had good family support, followed by 4.3% who had poor family support. The prevalence of adherence with hemodialysis was 82.8% compliant and 17.2% non-compliant. The statistical test yielded a p-value of 0.345.
Conclusion: There was no significant relationship between family support and adherence with hemodialysis in patients with Chronic Kidney Disease in Kupang City.
Keywords :
ESRD-AQ, Family Support, hemodialysis adherenceReferences :
- Gill JS, Mawad H, Johnston O. Chronic Kidney Disease in the Kidney Transplant Recipient. 4th ed. Chronic Kidney Disease, Dialysis, and Transplantation: A Companion to Brenner and Rector’s The Kidney. Philadelphia. Elsevier, 2019, pp. 2–9.
- Ministry of Health of the Republic of Indonesia. Directorate General of Disease Control and Environmental Health. Performance Report for the First Semester of 2023. Ministry of Health of the Republic of Indonesia, 2023, pp.1–134.
- National Guidelines for Medical Services in the Management of Chronic Kidney Disease. Jakarta: Ministry of Health of the Republic of Indonesia, 2023, 1–289
- Basic Health Research. 2018 National Riskesdas Report.Ministry of Health of the Republic of Indonesia, 2018, pp.156.
- 13th Annual Report of Indonesian Renal Registry 2020. Indonesia Renal Registry,13, 2020, pp.11.
- Mehmood Y, Umair A, Ali I. Hemodialysis; Acue Intradialytic Complications Found On Maintenance Patients at A Public Hospital ON Lahore . Professional Medical Journal, 26(1), 2019, pp.45–5.
- Azizi N, Goli R, Faraji N, Moradi M, Shakorzadeh S, Kazemi S. Exploring factors influencing treatment adherence in hemodialysis patients following unsuccessful renal transplantation surgery: a prospective cohort study. International Journal of Surgery Open, 62(3), 2024, pp.202–7.
- Milenkova Mimoza, Trajceska L, Mladenovska D, Blerim B, Pusevski V, Selim Gj, Rambabova Busljetik I SG. Family Support Is Crucial For Dialysis Patients Adherence To Treatment And Quality Of Life.Journal of Morphological Sciences, 3(2), 2020, pp.29-36.
- Sousa H, Ribeiro O, Paúl C, Costa E, Miranda V, Ribeiro F, et al. Social support and treatment adherence in patients with end-stage renal disease: A systematic review.Seminars in Dialysis, 31(6), 2019, pp.562–74.
- An J, Zhu X, Shi Z, An J. A serial mediating effect of perceived family support on psychological well-being. BMC Public Health, 24 (1), 2024, pp.1–10.
- Hakim RS, Solehudin, Lannasari. The Relationship Between Family Support and Adherence to Hemodialysis in Chronic Kidney Disease Patients at the PMI Hospital in Bogor in 2024. Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran, 3(2), 2025, pp.101.
- Wijayanti L, Yusuf A, Widyawati IY, Arif MF, Winoto PMP, Septianingrum Y, et al. Family support in Chronic Kidney Disease patients with hemodialysis. Bali Medical Journal,12(2), 2023, pp.1998–2002.
- Yuliawati AN, Made P, et al. Contribution of Characteristics of End-Stage Renal Disease Patients with Hemodialysis on Knowledge and Medication Adherence. Jurnal Farmasi Indonesia, 20(2), 2023, pp.89–102.
- Edi IGMS. Factors Affecting The Patient Adherence to Medical Treatment: A Systematic Review. Jurnal Ilmiah Medicamento, 1(1), 2015, pp.1–8.
- Peng S, He J, Huang J, Lun L, Zeng J, Zeng S, et al. Self-management interventions for chronic kidney disease: a systematic review and meta-analysis. BMC Nephrology, 20(142), 2019, pp.1-13.
- Safi F, Areshtanab HN, Ghafourifard M, Ebrahimi H. The association between self-efficacy, perceived social support, and family resilience in patients undergoing hemodialysis: a cross-sectional study. BMC Nephrology, 25(207), 2024, pp.1–9.
- Bazrafshan FD, Darvizeh Z, Banijamali SS. The relationship between hemodialysis patients’ treatment adherence, procrastination, and difficulty in emotion regulation: A cross-sectional study in southeast Iran.Frontiers in Psychology, 13(1), 2023, pp.1–10.
- Hidayati R, Demawan AC, Husna E, Susanti E, Putra Y. Analysis of Factors Associated with Hemodialysis Patient Adherence During the Covid-19 Pandemic Rahma. Jurnal Kesehatan, 14(01), 2023, pp. 28-36.

