The Relationship Between Medical Staff Education and Hemodialysis Therapy Adherence to Improve Quality of Life in Patients With Chronic Kidney Disease (CKD) at RSUD Menggala [Accepted]

Abstract

Chronic Kidney Disease (CKD) is a chronic condition that requires routine and continuous hemodialysis therapy. Patient adherence to hemodialysis at RSUD Menggala is crucial to prevent complications and improve quality of life. Various factors are suspected to influence adherence, including environmental factors, educational instruments/media, and individual factors. This study aimed to analyze the relationship between environmental, instrument, and individual factors and adherence to hemodialysis therapy among CKD patients at RSUD Menggala in 2025. Methods: This analytical study employed a cross-sectional design. The sample consisted of 84 CKD patients undergoing hemodialysis at RSUD Menggala. Data were collected using a validated and reliable questionnaire. Analyses were conducted univariately, bivariately using Fisher’s Exact test, and multivariately using logistic regression. Results: Statistical analysis showed significant relationships between environmental factors (p=0.004), educational instruments (p=0.003), and individual factors (p=0.000) with patient adherence to hemodialysis. Multivariate analysis indicated that individual factors were the most dominant variable affecting adherence (p=0.001; OR=12.308). Conclusion: Individual factors play the most significant role in improving adherence to hemodialysis therapy among CKD patients at RSUD Menggala.