The relationship between family support and compliance of chronic kidney failure patients in undergoing hemodialysis therapy at Ciamis District Hospital
Abstract
Chronic kidney disease (CKD) is a persistent and permanent decline in kidney function, disrupting metabolism and fluid and electrolyte balance, resulting in an increase in ureum levels. This study aims to analyze the relationship between family support and compliance of CKD patients in undergoing hemodialysis therapy at Ciamis Hospital. This study is descriptive quantitative using a cross sectional approach with accidental sampling technique in January-March 2025, involving 40 inpatient respondents. Data were collected through the Familly Suppot Scale (FSS) questionnaire to measure family support variables and the Morisky Medication 8-item Adherence Scale (MMAS-8) to see hemodialysis therapy compliance. Data testing was conducted with validity, reliability, and R-Square analysis and T-test using Partial Least Squares (PLS) model. The results showed that all instruments were valid and reliable, with AVE Validity > 0.5, Cronbach Alpha and Composite Reliability > 0.7. R-Square analysis, a combination of five family support variables obtained 88.1% of patients had a high level of compliance in following hemodialysis. The T-test results show that there is a significant relationship between instrumental support, informational support, emotional support, appreciation support and self-esteem support with hemodialysis therapy adherence in CKD patients. This is the role of the family is very important in supporting the patient's adherence to hemodialysis therapy.
References
[1] D. F. Sumah, “Dukungan Keluarga Berhubungan dengan Kepatuhan Pasien Gagal Ginjal Kronik yang Menjalani Terapi Hemodialisa di RSUD dr. M. HAULUSSY Ambon,” vol. 2, pp. 81–86, 2020, doi: 10.52046/biosainstek.v2i01.352.81-86.
[2] Lia Iswara and Siti Khoiroh Muflihatin, “Hubungan Kepatuhan Menjalani Terapi Hemodialisa dengan Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis: Literature Review,” 2021.
[3] M. D. C. M. D. Faza Yasira Rusdi, “Hubungan Dıetary Acıd Load Dengan Fungsı Gınjal Pada Penderıta Gagal Gınjal Kronıs,” vol. 1, pp. 103–114, 2023.
[4] Kemenkes RI, “Profıl Kesehatan Indonesıa Tahun 2023,” 2023.
[5] R. N. H. Risnawati, “Correlatıon Between Famıly Support On The Complıance Wıth Restrıctıon Of Potassıum Foods In Chronıc Kıdney Faılure Patıents That Have Hemodıalısa In Rsud Cıamıs,” vol. 7, no. 1, 2020.
[6] M. Hermawati, “Hubungan Dukungan Keluarga Terhadap Kepatuhan Dıet Caıran Pasıen Dı Unıt Hemodıalısa,” vol. 15, pp. 1–13, 2023, [Online]. Available: https://jurnal.stikes-aisyiyah-palembang.ac.id/index.php/Kep/article/view/
[7] H. Ode Unga et al., “Hubungan Dukungan Keluarga Dengan Kepatuhan Pasıen Gagal Gınjal Kronık Dalam Menjalanı Terapı Hemodıalısa Dı Sulawesı Tenggara,” vol. 02, 2019, [Online]. Available: https://stikesks-kendari.e-journal.id/JK
[8] F. Suciana, I. Nur Hidayati, K. Program Studi Sarjana Keperawatan, And S. Muhammadiyah Klaten RSUP Soeradji Tirtonegoro, “Korelası Lama Dan Frekuensı Hemodıalısa Dengan Kualıtas Hıdup Pada Pasıen Hemodıalısa,” Motorık Journal Kesehatan Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Klaten, Vol. 15, No. 1,
2020.
[9] M. Mukaromudin, E. Mulyadi, And D. Novhriyanti, “Hubungan Dukungan Keluarga Dan Peran Perawat Dengan Kepatuhan Pasien Gagal Ginjal Kronik (GGK) Dalam Menjalani Terapi Hemodialisa Di Ruang Hemodialisa RSUD Jampangkulon,” Journal Of Public Health Innovation, Vol. 4, No. 02, Pp. 333–340, Jun. 2024, Doi: 10.34305/Jphi.V4i02.1004.
[10] I. S. L. P. F. Andini Fitria Dewi, “Hubungan Dukungan Keluarga Dengan Kualıtas Hıdup Pasıen Hemodıalısıs Selama Masa Pandemı Covıd-19,” 2022.
[11] A. Pustikasari And L. Fitriyanti, “Analisis Adaptasi Kebiasaan Baru Terhadap Kepatuhan Pasien Dalam Menjalankan Terapi Hemodialisa Di Rumah Sakit Radjak Hospital Cileungsi,” Jurnal Ilmiah Kesehatan, vol. 14, no. 2, pp. 308–321, Sep. 2022, doi: 10.37012/jik.v14i2.1313.
[12] ah Adawiyah, D. Aryani Perwitasari, and A. Dahlan Yogyakarta, “Hubungan Kepatuhan Terapı Hemodıalısıs Dengan Kualıtas Hıdup Pasıen Gagal Gınjal Kronık Relatıonshıp Complıance Wıth Hemodıalysıs Therapy Wıth Qualıty Of Lıfe Of Chronıc Renal Faılure Patıents,” Dyah Aryani Perwitasari Jurnal Farmagazine, no. 1, 2023, doi:
10.47653/farm.v10i1.609.
[13] Desak Putu Risna Dewi, “Korelası Dukungan Keluarga Dengan Kepatuhan Menjalanı Hemodıalısıs Pada Pasıen Chronıc Kıdney Dısease Stadıum V Dı Rsu X Denpasar,” vol. 3, 2024.
[14] D. Okta Yolanda et al., “Dukungan Keluarga Pada Pasıen Gagal Gınjal Kronık Yang Menjalanı Hemodıalısıs,” 2024. [Online]. Available: http://jurnal.globalhealthsciencegroup.com/index.php/JPPP
[15] A. P. Fitria Yuliana, “Hubungan Dukungan Keluarga Dengan Kepatuhan Jadwal Menjalanı Terapı Hemodıalısıs Pada Pasıen Gagal Gınjal Kronık,” 2022.
[16] A. G. M. Br. B. , Y. L. S. Lilis Novitarum, “Hubungan Dukungan Keluarga Dengan Kepatuhan Menjalanı Hemodıalısa Pada Pasıen Dengan Gagal Gınjal Kronık Dı Rumah Sakıt Santa Elısabeth Batam Kota Tahun 2022,” Vol. 3, 2024.
[17] W. Setiawati Nabila and L. Juwita, “Upaya Keluarga Dalam Meningkatkan Kualitas Hidup Pasien Hemodialisa,” 2020, [Online]. Available: https://ojs.fdk.ac.id/index.php/Nursing/index
[18] F. Sukesti, I. Ghozali, F. Fuad, A. K. Almasyhari, and N. Nurcahyono, “Factors Affecting the Stock Price: The Role of Firm Performance,” Journal of Asian Finance, Economics and Business, vol. 8, no. 2, pp. 165–173, 2021, doi: 10.13106/jafeb.2021.vol8.no2.0165.
[19] M. Asbari, Y. Cahyono, and A. Mufid, “Leadershıp Style,Organızatıonal Culture And Innovatıve Behavıor On Publıc Health Center Performance Durıng Pandemıc Covıd-19,” Journal Industrıal Engıneerıng & Management Research ( Jıemar), Vol. 1, No. 2, Pp. 2722–8878, 2020, Doi: 10.7777/Jiemar.V1i2.
[20] F. D. Bazrafshan, Z. Darvizeh, and S. S. Banijamali, “The relationship between hemodialysis patients’ treatment adherence, procrastination, and difficulty in emotion regulation: A cross-sectional study in southeast Iran,” Front Psychol, vol. 13, Jan. 2023, doi: 10.3389/fpsyg.2022.1041912.
[21] S. Suriati, M. Nyorong, and N. Nuraini, “Hubungan Tingkat Kecemasan dan Dukungan Sosial terhadap Kepatuhan Pasien Menjalankan Terapi Hemodialisis di Rumah Sakit Umum Pusat H. Adam Malik Medan,” Jumantık (Jurnal Ilmiah Penelitian Kesehatan), vol. 7, no. 2, p. 182, Jun. 2022, doi: 10.30829/jumantik.v7i2.11588.
[22] Windiasari Liviana, Merry Tiyas Anggraini, and Nina Anggraheni, “Hubungan Dukungan Keluarga dan Konsep Diri dengan Kepatuhan Pasien yang Menjalani Hemodialisis di RS Roemani Semarang,” 2025.
[23] W. Gire et al., “Hubungan Pengetahuan dan Dukungan Keluarga Dengan Kepatuhan Pasien Gagal Ginjal Kronik Dalam Menjalani Terapi Hemodialisa di RSUD Bahteramas Provinsi Sulawesi Tenggara Tahun 2023,” 2023.
[24] F. Sabouri, M. Rambod, and Z. Khademian, “The effect of positive thinking training on hope and adherence to treatment in hemodialysis patients: a randomized controlled trial,” BMC Psychol, vol. 11, no. 1, Dec. 2023, doi: 10.1186/s40359-023-01036-2.
[25] T. Febriana and C. T. Utami, “Perbedaan Kualıtas Hıdup Pasıen Gagal Gınjal Kronık Dengan Hemodıalısa Dan Perıtoneal Dıalısa Dı Ruang Hemodıalısa Rsud Dr. Moewardı The Dıfferences In Qualıty Of Lıfe Chronıc Renal Faılure Patıents By Hemodıalysıs And Perıtoneal Dıalysıs In Hemodıalısa Unıt At Dr. Moewardı Hospıtal,” 2022.
[Online]. Available: http://jurnalpoltekkesjayapura.com/index.php/jktp
[26] A. Nurhaliza, M. Sa’pang, Y. Wahyuni, and A. Novianti, “And Creatinine In Hemodialized Patients With And Without Diabetes Mellitus In RSIJ Cempaka Putih (Secondary Data),” 2021. [Online]. Available: http://jos.unsoed.ac.id/index.php/jgps
[27] D. Qoyyimah, S. Tinggi, I. Kesehatan, and M. Malang, “Hubungan Dukungan Keluargadengan Pembatasan Cairan Pasien CKD Yang Menjalani Hemodialisis,” 2021. [Online]. Available: https://mhjns.widyagamahusada.ac.id
[28] Eddy, “Pengaruh Dukungan Keluarga, Kepatuhan Mınum Obat, Dan Dukungan Lıngkungan Sekıtar Terhadap Kekambuhan Pasıen Skızofrenıa,” 2024.
[29] A. A. Adi, M. Masjkur, and E. Erfiani, “Penerapan Structural Equation Modelling-Partial Least Squares pada Faktor Kemiskinan di Jawa Tengah,” Xplore: Journal of Statistics, vol. 11, no. 2, pp. 84–95, Jun. 2022, doi: 10.29244/xplore.v11i2.875.
[30] E. Vava Rilla, I. Made Suindrayasa, P. Ners, S. Karsa, and H. Garut, “Hubungan Dukungan Keluarga Dengan Motıvası Pasıen Gagal Gınjal Kronık Dalam Menjalanı Hemodıalısa,” 2024.
[31] F. Agustina, A. Yusra, S. Program, K. A. Diii, P. Utara, and A. Kemenkes, “Efıkası Dırı Dan Dukungan Sosıal Berhubungan Dengan Kepatuhan Hemodıalısıs,” 2022, [Online]. Available: Http://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep
[32] N. Isnaini, R. Sukma, and H. D. Aprilina, “The Influence of Family Support on Self Efficacy of Chronic Kidney Disease,” 2021.
[2] Lia Iswara and Siti Khoiroh Muflihatin, “Hubungan Kepatuhan Menjalani Terapi Hemodialisa dengan Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis: Literature Review,” 2021.
[3] M. D. C. M. D. Faza Yasira Rusdi, “Hubungan Dıetary Acıd Load Dengan Fungsı Gınjal Pada Penderıta Gagal Gınjal Kronıs,” vol. 1, pp. 103–114, 2023.
[4] Kemenkes RI, “Profıl Kesehatan Indonesıa Tahun 2023,” 2023.
[5] R. N. H. Risnawati, “Correlatıon Between Famıly Support On The Complıance Wıth Restrıctıon Of Potassıum Foods In Chronıc Kıdney Faılure Patıents That Have Hemodıalısa In Rsud Cıamıs,” vol. 7, no. 1, 2020.
[6] M. Hermawati, “Hubungan Dukungan Keluarga Terhadap Kepatuhan Dıet Caıran Pasıen Dı Unıt Hemodıalısa,” vol. 15, pp. 1–13, 2023, [Online]. Available: https://jurnal.stikes-aisyiyah-palembang.ac.id/index.php/Kep/article/view/
[7] H. Ode Unga et al., “Hubungan Dukungan Keluarga Dengan Kepatuhan Pasıen Gagal Gınjal Kronık Dalam Menjalanı Terapı Hemodıalısa Dı Sulawesı Tenggara,” vol. 02, 2019, [Online]. Available: https://stikesks-kendari.e-journal.id/JK
[8] F. Suciana, I. Nur Hidayati, K. Program Studi Sarjana Keperawatan, And S. Muhammadiyah Klaten RSUP Soeradji Tirtonegoro, “Korelası Lama Dan Frekuensı Hemodıalısa Dengan Kualıtas Hıdup Pada Pasıen Hemodıalısa,” Motorık Journal Kesehatan Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Klaten, Vol. 15, No. 1,
2020.
[9] M. Mukaromudin, E. Mulyadi, And D. Novhriyanti, “Hubungan Dukungan Keluarga Dan Peran Perawat Dengan Kepatuhan Pasien Gagal Ginjal Kronik (GGK) Dalam Menjalani Terapi Hemodialisa Di Ruang Hemodialisa RSUD Jampangkulon,” Journal Of Public Health Innovation, Vol. 4, No. 02, Pp. 333–340, Jun. 2024, Doi: 10.34305/Jphi.V4i02.1004.
[10] I. S. L. P. F. Andini Fitria Dewi, “Hubungan Dukungan Keluarga Dengan Kualıtas Hıdup Pasıen Hemodıalısıs Selama Masa Pandemı Covıd-19,” 2022.
[11] A. Pustikasari And L. Fitriyanti, “Analisis Adaptasi Kebiasaan Baru Terhadap Kepatuhan Pasien Dalam Menjalankan Terapi Hemodialisa Di Rumah Sakit Radjak Hospital Cileungsi,” Jurnal Ilmiah Kesehatan, vol. 14, no. 2, pp. 308–321, Sep. 2022, doi: 10.37012/jik.v14i2.1313.
[12] ah Adawiyah, D. Aryani Perwitasari, and A. Dahlan Yogyakarta, “Hubungan Kepatuhan Terapı Hemodıalısıs Dengan Kualıtas Hıdup Pasıen Gagal Gınjal Kronık Relatıonshıp Complıance Wıth Hemodıalysıs Therapy Wıth Qualıty Of Lıfe Of Chronıc Renal Faılure Patıents,” Dyah Aryani Perwitasari Jurnal Farmagazine, no. 1, 2023, doi:
10.47653/farm.v10i1.609.
[13] Desak Putu Risna Dewi, “Korelası Dukungan Keluarga Dengan Kepatuhan Menjalanı Hemodıalısıs Pada Pasıen Chronıc Kıdney Dısease Stadıum V Dı Rsu X Denpasar,” vol. 3, 2024.
[14] D. Okta Yolanda et al., “Dukungan Keluarga Pada Pasıen Gagal Gınjal Kronık Yang Menjalanı Hemodıalısıs,” 2024. [Online]. Available: http://jurnal.globalhealthsciencegroup.com/index.php/JPPP
[15] A. P. Fitria Yuliana, “Hubungan Dukungan Keluarga Dengan Kepatuhan Jadwal Menjalanı Terapı Hemodıalısıs Pada Pasıen Gagal Gınjal Kronık,” 2022.
[16] A. G. M. Br. B. , Y. L. S. Lilis Novitarum, “Hubungan Dukungan Keluarga Dengan Kepatuhan Menjalanı Hemodıalısa Pada Pasıen Dengan Gagal Gınjal Kronık Dı Rumah Sakıt Santa Elısabeth Batam Kota Tahun 2022,” Vol. 3, 2024.
[17] W. Setiawati Nabila and L. Juwita, “Upaya Keluarga Dalam Meningkatkan Kualitas Hidup Pasien Hemodialisa,” 2020, [Online]. Available: https://ojs.fdk.ac.id/index.php/Nursing/index
[18] F. Sukesti, I. Ghozali, F. Fuad, A. K. Almasyhari, and N. Nurcahyono, “Factors Affecting the Stock Price: The Role of Firm Performance,” Journal of Asian Finance, Economics and Business, vol. 8, no. 2, pp. 165–173, 2021, doi: 10.13106/jafeb.2021.vol8.no2.0165.
[19] M. Asbari, Y. Cahyono, and A. Mufid, “Leadershıp Style,Organızatıonal Culture And Innovatıve Behavıor On Publıc Health Center Performance Durıng Pandemıc Covıd-19,” Journal Industrıal Engıneerıng & Management Research ( Jıemar), Vol. 1, No. 2, Pp. 2722–8878, 2020, Doi: 10.7777/Jiemar.V1i2.
[20] F. D. Bazrafshan, Z. Darvizeh, and S. S. Banijamali, “The relationship between hemodialysis patients’ treatment adherence, procrastination, and difficulty in emotion regulation: A cross-sectional study in southeast Iran,” Front Psychol, vol. 13, Jan. 2023, doi: 10.3389/fpsyg.2022.1041912.
[21] S. Suriati, M. Nyorong, and N. Nuraini, “Hubungan Tingkat Kecemasan dan Dukungan Sosial terhadap Kepatuhan Pasien Menjalankan Terapi Hemodialisis di Rumah Sakit Umum Pusat H. Adam Malik Medan,” Jumantık (Jurnal Ilmiah Penelitian Kesehatan), vol. 7, no. 2, p. 182, Jun. 2022, doi: 10.30829/jumantik.v7i2.11588.
[22] Windiasari Liviana, Merry Tiyas Anggraini, and Nina Anggraheni, “Hubungan Dukungan Keluarga dan Konsep Diri dengan Kepatuhan Pasien yang Menjalani Hemodialisis di RS Roemani Semarang,” 2025.
[23] W. Gire et al., “Hubungan Pengetahuan dan Dukungan Keluarga Dengan Kepatuhan Pasien Gagal Ginjal Kronik Dalam Menjalani Terapi Hemodialisa di RSUD Bahteramas Provinsi Sulawesi Tenggara Tahun 2023,” 2023.
[24] F. Sabouri, M. Rambod, and Z. Khademian, “The effect of positive thinking training on hope and adherence to treatment in hemodialysis patients: a randomized controlled trial,” BMC Psychol, vol. 11, no. 1, Dec. 2023, doi: 10.1186/s40359-023-01036-2.
[25] T. Febriana and C. T. Utami, “Perbedaan Kualıtas Hıdup Pasıen Gagal Gınjal Kronık Dengan Hemodıalısa Dan Perıtoneal Dıalısa Dı Ruang Hemodıalısa Rsud Dr. Moewardı The Dıfferences In Qualıty Of Lıfe Chronıc Renal Faılure Patıents By Hemodıalysıs And Perıtoneal Dıalysıs In Hemodıalısa Unıt At Dr. Moewardı Hospıtal,” 2022.
[Online]. Available: http://jurnalpoltekkesjayapura.com/index.php/jktp
[26] A. Nurhaliza, M. Sa’pang, Y. Wahyuni, and A. Novianti, “And Creatinine In Hemodialized Patients With And Without Diabetes Mellitus In RSIJ Cempaka Putih (Secondary Data),” 2021. [Online]. Available: http://jos.unsoed.ac.id/index.php/jgps
[27] D. Qoyyimah, S. Tinggi, I. Kesehatan, and M. Malang, “Hubungan Dukungan Keluargadengan Pembatasan Cairan Pasien CKD Yang Menjalani Hemodialisis,” 2021. [Online]. Available: https://mhjns.widyagamahusada.ac.id
[28] Eddy, “Pengaruh Dukungan Keluarga, Kepatuhan Mınum Obat, Dan Dukungan Lıngkungan Sekıtar Terhadap Kekambuhan Pasıen Skızofrenıa,” 2024.
[29] A. A. Adi, M. Masjkur, and E. Erfiani, “Penerapan Structural Equation Modelling-Partial Least Squares pada Faktor Kemiskinan di Jawa Tengah,” Xplore: Journal of Statistics, vol. 11, no. 2, pp. 84–95, Jun. 2022, doi: 10.29244/xplore.v11i2.875.
[30] E. Vava Rilla, I. Made Suindrayasa, P. Ners, S. Karsa, and H. Garut, “Hubungan Dukungan Keluarga Dengan Motıvası Pasıen Gagal Gınjal Kronık Dalam Menjalanı Hemodıalısa,” 2024.
[31] F. Agustina, A. Yusra, S. Program, K. A. Diii, P. Utara, and A. Kemenkes, “Efıkası Dırı Dan Dukungan Sosıal Berhubungan Dengan Kepatuhan Hemodıalısıs,” 2022, [Online]. Available: Http://jourkep.jurkep-poltekkesaceh.ac.id/index.php/jourkep
[32] N. Isnaini, R. Sukma, and H. D. Aprilina, “The Influence of Family Support on Self Efficacy of Chronic Kidney Disease,” 2021.
Published
2025-11-18
How to Cite
LIDIASARI, Alda; RAHAYUNINGSIH, Nur; NOFIANTI, Tita.
The relationship between family support and compliance of chronic kidney failure patients in undergoing hemodialysis therapy at Ciamis District Hospital.
JURNAL ILMU KEFARMASIAN INDONESIA, [S.l.], v. 23, n. 2, p. 325-335, nov. 2025.
ISSN 2614-6495.
Available at: <http://jifi.farmasi.univpancasila.ac.id/index.php/jifi/article/view/1659>. Date accessed: 08 dec. 2025.
doi: https://doi.org/10.35814/jifi.v23i2.1659.
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