Self-Care Management with the Frequency of Hospitalization for Hemodialysis Patients
DOI:
https://doi.org/10.65310/5x750h93Keywords:
Self-Care Management, Hemodialysis, Hospitalization Frequency, Chronic Kidney Disease, Nursing Care.Abstract
This study examined the relationship between self-care management and hospitalization frequency among patients receiving maintenance hemodialysis. A quantitative empirical approach with a descriptive correlational cross-sectional design was applied to 99 patients undergoing routine hemodialysis. Self-care management was measured using a validated questionnaire, while hospitalization frequency during the previous year was obtained from medical records. Descriptive analysis demonstrated that a substantial proportion of patients exhibited moderate to high levels of self-care management. Bivariate analysis revealed a statistically significant association between self-care management and hospitalization frequency, indicating that patients with higher self-care capacity experienced fewer hospital admissions. These findings suggest that effective self-care behaviors, including adherence to diet and fluid restriction, vascular access care, and stress management, contribute to greater clinical stability. Integration with existing literature confirms that self-care management operates as a protective behavioral mechanism influencing objective health outcomes in chronic kidney disease. Strengthening self-care management through structured nursing education and supportive interventions may reduce preventable hospitalizations and improve healthcare efficiency for hemodialysis populations. The results provide empirical support for incorporating self-care management as a core component of chronic renal care strategies.
Downloads
References
Anggraini, M. T., Setyanegara, M. Y., & Setiawan, M. R. (2025, December). Dukungan Keluarga Dan Perilaku Manajemen Diri Pada Pasien Hemodialisis: Studi Kasus Di Rsd Krmt Wongsonegoro Semarang. In Unimus Web Conferences (Vol. 8, Pp. 255-264). Https://Doi.Org/10.26714/Uwc.V8.255-264.2025
Ashar, V., Riduansyah, M., Rahma, S., & Irawan, A. (2023). Hubungan Frekuensi Hemodialisa Dengan Tingkat Stres Pada Pasien Ckd Yang Menjalani Cuci Darah Di Rumah Sakit Ulin Banjarmasin. Nursing Science Journal (Nsj), 4(2), 123-132. Https://Doi.Org/10.53510/Nsj.V4i2.218
Bağriaçik, N., & Dikmen, Y. (2024). Self-Care Behaviors And Influencing Factors In Patients Undergoing Hemodialysis. Journal Of Renal Care, 50(1), 45–53. Https://Doi.Org/10.1111/Jorc.12412
Cahyanto, H. N., Enjelia, D., Susanah, S., Adja, H., & Herwanto, R. (2025). Edukasi Yang Dipimpin Perawat Untuk Perawatan Akses Vaskular Jangka Panjang Pada Hemodialisis: Sistematik Literature Review. Jurnal Penelitian Keperawatan Kontemporer, 5(4). Https://Doi.Org/10.59894/Jpkk.V5i4.1010
Chintya, D. (2025). Gambaran Pengetahuan Dan Perawatan Akses Vaskuler Pada Pasien Hemodialisa. Jurnal Keperawatan Sisthana, 10(2), 25-34. Https://Doi.Org/10.55606/Sisthana.V10i2.1758
Fitriani, M. F. M., Pebriani, E. P. E., & Meri, M. (2023). Edukasi Kesehatan Berbasis Family Support Pada Asuhan Keperawatan Pasien Gagal Ginjal Kronik Dengan Pendekatan Teori Orem Di Ruang Rawat Inap Rsud Kabupaten Curup Tahun 2022. Journal Of Midwifery And Nursing Studies, 5(1). Https://Doi.Org/10.57170/Jmns.V5i1.105
Gultom, A. B., & Batubara, A. (2024). Pelatihan Manajemen Diri Menggunakan Booklet Untuk Meningkatkan Kualitas Hidup Pasien Hipertensi. Jurnal Penelitian Kesehatan" Suara Forikes"(Journal Of Health Research" Forikes Voice"), 15(2), 273-276. Http://Dx.Doi.Org/10.33846/Sf15220
Hermawan, S. P., & Rustandi, B. (2025). Hubungan Self-Care Management Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis Di Rsud Bandung Kiwari Tahun 2025. Sinergi: Jurnal Riset Ilmiah, 2(5), 2096-2103. Https://Doi.Org/10.62335/Sinergi.V2i5.1183
Hidayati, N., & Wibowo, A. (2023). Kepatuhan Diet Dan Pembatasan Cairan Pada Pasien Hemodialisis. Jurnal Keperawatan Indonesia, 26(1), 44–52. Https://Doi.Org/10.7454/Jki.V26i1.1342
Kallifah, N. R., Budhiana, J., & Farhania, I. (2024). Pengaruh Self-Care Terhadap Kualitas Hidup Pasien Gagal Ginjal Kronik Di Unit Dialisis Kota Sukabumi. Jurnal Keperawatan Cikini, 5(1), 01-09. Https://Doi.Org/10.55644/Jkc.V5i01.151
Kintan, Y., Astuti, N. L. P. A., & Victoria, A. Z. (2023, August). Hubungan Self Management Terhadap Tingkat Stres Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa. In Prosiding Seminar Nasional Stikes Telogorejo Semarang (Vol. 2, No. 1, Pp. 100-113). Https://Doi.Org/10.63520/Prosemnas.V2i1.398
Kumara, R. A., & Widiyono, W. (2025). Pengaruh Emotional Freedom Technique (Eft) Terhadap Tingkat Kecemasan Pasien Dengan Hemodialisis. Journal Of Medical Surgical Concerns, 5(1), 7-14. Https://Doi.Org/10.56922/Msc.V5i1.1330
Lee, Y. J., Kim, M. S., & Cho, J. H. (2022). Hospitalization Risk And Outcomes In Patients Receiving Maintenance Hemodialysis. Bmc Nephrology, 23, 214. Https://Doi.Org/10.1186/S12882-022-02814-6
Lestari, D., Hartono, R., & Suryani, M. (2022). Edukasi Keperawatan Dan Penurunan Komplikasi Pada Pasien Hemodialisis. Jurnal Keperawatan Indonesia, 25 (2), 101–109. Https://Doi.Org/10.7454/Jki.V25i2.1287
Ma, L. C., Chang, H. J., Liu, Y. M., & Hsu, C. C. (2022). Self-Care Behaviors And Hospitalization Outcomes Among Hemodialysis Patients. Clinical Nursing Research, 31(4),652664. Https://Doi.Org/10.1177/10547738211048954
Mailani, F. (2023). Hubungan Pengetahuan Dan Efikasi Diri Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis. Jurnal Ilmiah Keperawatan Imelda, 9(2), 143-149. Https://Doi.Org/10.52943/Jikeperawatan.V9i2.1224
Mailani, F., Muthmainah, M., & Purnama, A. J. (2023). Hubungan Self Management Dengan Penambahan Berat Badan Interdialisis Pada Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis. Jurnal Kesehatan Medika Saintika, 14(2), 424-436. Http://Dx.Doi.Org/10.30633/Jkms.V14i2.1892
Marbun, F. H., Barus, M., & Novitarum, L. (2024). Gambaran Self Management Pasien Hipertensi Di Rumah Sakit Harapan Pematang Siantar Tahun 2023. Innovative: Journal Of Social Science Research, 4(5), 7756-7770. Https://Doi.Org/10.31004/Innovative.V4i5.15188
Murniati, M., & Umar, W. (2025). Hubungan Tingkat Pengetahuan Pasien Hemodialisa Terhadap Kemampuan Perawatan Cimino Secara Mandiri Di Rumah Sakit Sentra Medika Cikarang. Innovative: Journal Of Social Science Research, 5(4), 6818-6832. Https://Doi.Org/10.31004/Innovative.V5i4.19810
Nabila, P. R., & Herlina, S. (2025). Hubungan Tekanan Darah Intradialisis Dan Kadar Hemoglobin Dengan Kejadian Fatigue Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis. Jurnal Keperawatan Widya Gantari Indonesia, 9(1), 60-71. Https://Doi.Org/10.52020/Jkwgi.V9i1.10482
Sagala, D. S. P., Manurung, S. S., Zamago, J. H. P., Hutagaol, A., Damanik, H., & Noradina, N. (2023). Edukasi Perawatan Diri Terhadap Aktivitas Sehari-Hari Pasien Hemodialisa Di Rumah Sakit Imelda Medan Pekerja Indonesia Tahun 2022. Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-Somba), 2(2), 39-47. Https://Doi.Org/10.52943/Ji-Somba.V2i2.1146
Solehan, F., & Sarwono, B. (2025). Pengaruh Manajemen Keseimbangan Cairan Berbasis Smartphone Terhadap Kemampuan Self-Care Pasien Penyakit Ginjal Kronis Dengan Hemodialisis Di Rst Dr. Soedjono Magelang. Juru Rawat. Jurnal Update Keperawatan, 5(2), 244-252. Https://Doi.Org/10.31983/Juk.V5i2.13193
Susanto, G., & Sugiarto, S. (2024). Program Pendidikan Dan Intradialytic Exercise Pasien Yang Menjalani Hemodialisis. Indonesia Berdaya, 5(1), 413-418. Https://Doi.Org/10.47679/Ib.2024721
Ulumy, L. M., Yuswanto, T. J. A., & Ramlan, D. (2023). Edukasi Kesehatan Dengan Teknik Model Seci Meningkatkan Self Care Management Dan Kepatuhan Cairan Pasien Gagal Ginjal Dengan Hemodialisis. Jurnal Penelitian Kesehatan" Suara Forikes"(Journal Of Health Research" Forikes Voice"), 14(2), 243-246. Http://Dx.Doi.Org/10.33846/Sf14201
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Muhammad Isra’ul Majiid, Dwi Retno Sulistyaningsih, Indah Sri Wahyuningsih (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
