Hubungan Persepsi Penyakit dengan Perawatan Diri Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa di RSD dr. Soebandi Jember

Abstract

Self-care for Chronic Kidney Disease (CKD) patients undergoing hemodialysis has become a concern due to limitations in fulfilling self-care and daily activities. An individual's perception of illness impacts how a patient can cope and adapt to the illness. This study analyzed the relationship between illness perception and self-care among CKD patients undergoing hemodialysis at RSD dr. Soebandi Jember. The study was a correlational descriptive design with a cross-sectional approach. Ninety-seven respondents were involved in the study using a total sampling technique. Data were collected with the Brief-Illness Perception Questionnaire (B-IPQ) and Self-care of CKD index and analyzed using Spearman's rank test with a significant level of 0.05. The results showed that the mean of illness perception was 37.16 (SD=10.292), and most self-care respondents were partly compensatory systems (72.2%). There was a significant negative correlation between illness perception and self-care in CKD patients undergoing hemodialysis (p=0.043 and r=-0.206). It means that the more positive the illness perception, the lower the patient's level of dependence on self-care. Illness perception can affect self-care by involving coping strategies and decision-making that depend on the patient’s understanding of the disease. Assessing the patient's self-care ability and providing interventions to improve illness perception is essential to maximize the self-care of hemodialysis patients.