Analysis of Factors Associated with Hemodialysis Patient Compliance During the Covid-19 Pandemic
DOI:
https://doi.org/10.35730/jk.v14i1.940Keywords:
Compliance, Hemodialysis, Pandemic-Covid-19Abstract
Background: Undergoing hemodialysis during the pandemic has become a polemic for patients with kidney failure. As one of the groups at risk and susceptible to exposure, concerns about being exposed to the virus and the consequences if not undergoing hemodialysis are difficult choices. For each dialysis session, the patient must be in contact with many people in one room for 4-5 hours. In addition, their travel to and from the hospital, also increase the chance of being exposed to Covid-19. The uncertainty and low predictability of COVID-19 have an impact on patient adherence to hemodialysis. Meanwhile, patients who do not perform routine hemodialysis are also at risk for various complications, decreasing quality of life and the threat of death.
Aims: the purpose of this research was to identify the factors related to patient compliances with hemodialysis therapy during the pandemic Covid-19.
Methods : This research was a descriptive analytic using a cross sectional design. Number of samples involving 97 people was taken by a technique. Data was collected using a questionnaire and analyzed with multivariate statistics.
Results: 52.6% of respondents did not comply with the hemodialysis schedule. The factors related to the non-adherence were education level (p = 0.003), anxiety level (p = 0.002), ease of access to health services (p = 0.00) and family support (p = 0.00).
Conclusion: This research concluded that ease of access to health services was the main predictor of patient adherence to hemodialysis during the pandemic Covid-19.
References
Agung, I. M. (2020). Memahami Pandemi Covid-19 Dalam Perspektif Psikologi Sosial. Psikobuletin: Buletin Ilmiah Psikologi, 1(2), 68-84.
Alhawery, A., Aljaroudi, A., Almatar, Z., Alqudaimi, A. A., & Al Sayyari, A. A. (2019). Nonadherence to dialysis among saudi patients–Its prevalence, causes, and consequences. Saudi Journal of Kidney Diseases and Transplantation, 30(6), 1215.
Bulechek, G. M., Butcher, H. K., Dochterman, J. M., & Wagner, C. M. (2016). Nursing Intervension Classification (NIC) (6th ed.). Amerika: Elsevier.
Freire de Medeiros, C. M. M., Arantes, E. P., Tajra, R. D. D. P., Santiago, H. R., Carvalho, A. F., & Libório, A. B. (2017). Resilience, religiosity and treatment adherence in hemodialysis patients: a prospective study. Psychology, health & medicine, 22(5), 570-577.
Gray, KS, Cohen, DE, & Brunelli, SM (2017). In-center hemodialysis absenteeism: prevalence and association with outcomes. ClinicoEconomics and outcomes research: CEOR, 9, 307.
Hadian, Z., Rafiee Vardanjani, L., & Barimnejad, L. (2016). The most important causes of non-adherence in patients on dialysis. Clinical excellence, 5(2).
Hrp, S. A. J., Yustina, I., & Ardinata, D. (2015). Faktor-faktor yang berhubungan dengan tingkat kecemasan pasien hemodialisis di RSUD Dr. Pringadi Medan. Idea Nursing Journal, 6(3), 1-9.
Iskandarsyah, A & Yudiana, W (2020). Informasi COVID-19, Perilaku Sehat Dan Kondisi Psikologis Di Indonesia. Laporan Survei. Fakultas Psikologi Universitas Padjajaran
Kliger, A. S., Cozzolino, M., Jha, V., Harbert, G., & Ikizler, T. A. (2020). Managing the COVID-19 pandemic: international comparisons in dialysis patients. Kidney International.
Lal, W., Ali, T., Idrees, M. K., & Hafeez, A. R. (2019). Non-compliance of hemodialysis and related factors among end-stage renal disease patients. Journal of the Dow University of Health Sciences (JDUHS), 13(3), 128-132.
Li, S., Wang, Y., Xue, J., Zhao, N., & Zhu, T. (2020). The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. International journal of environmental research and public health, 17(6), 2032.
Lee, J. J., Hwang, S. J., & Huang, J. F. (2020). Review of the present features and the infection control challenges of COVID?19 pandemic in dialysis facilities. The Kaohsiung Journal of Medical Sciences.
Mellon L, Regan D, Curtis R. Factors influencing adherence among Irish haemodialysis patients. Patient Educ Couns. 2013 Jul;92(1):88-93.
National Kidney Foundation: K/DOQI Clinical Practice Guidelines and Clinical Practice Recomendations 2015 Updates: Hemodialysis Adequacy, Peritoneal Dialysis Adequacy and Vaskular Access. Am J Kidney Dis 2015; 48(Suppl 1): S1-S322.
Noghan, N., Akaberi, A., Pournamdarian, S., Borujerdi, E., & Hejazi, S. S. (2018). Resilience and therapeutic regimen compliance in patients undergoing hemodialysis in hospitals of Hamedan, Iran. Electronic physician, 10(5), 6853.
Obialo, C., Zager, PG, Myers, OB, & Hunt, WC (2014). Hubungan ukuran klinik, wilayah geografis, dan ras / etnis dengan frekuensi perawatan ialysis yang terlewat / dipersingkat. Jurnal nefrologi , 27 (4), 425-430.
Ozen, N., Cinar, F. I., Askin, D., Mut, D., & Turker, T. (2019). Nonadherence in hemodialysis patients and related factors: a multicenter study. The Journal of Nursing Research, 27(4), e36.
Rostanti, A., Bawotong, J., & Onibala, F. (2016). Faktor faktor yang berhubungan dengan kepatuhan menjalani terapi hemodialisa pada penyakit ginjal kronik di ruangan Dahlia dan Melati RSUP Prof. Dr. R. D Kandou Manado. Jurnal Keperawatan, 4(2).
Snyder, R. L., Jaar, B. G., Lea, J. P., & Plantinga, L. C. (2020). Association of patient-reported difficulty with adherence with achievement of clinical targets among hemodialysis patients. Patient preference and adherence, 14, 249.
Tohme, F., Mor, M. K., Pena-Polanco, J., Green, J. A., Fine, M. J., Palevsky, P. M., & Weisbord, S. D. (2017). Predictors and outcomes of non-adherence in patients receiving maintenance hemodialysis. International urology and nephrology, 49(8), 1471-1479. https://doi.org/10.1007/s11255-017-1600-4
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International journal of environmental research and public health, 17(5), 1729.
WHO (2020), Coronavirus disease (Covid-19) Situation Report– 208 https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200815-covid-19-sitrep-208.pdf?sfvrsn=9dc4e959_2