ANXIETY LEVELS AND SELF-MANAGEMENT IN PATIENTS UNDERGOING HEMODIALYSIS

Abstract

Chronic kidney disease is irreversible so it is necessary to make efforts to maintain kidney function through hemodialysis throughout its life. Hemodialysis will not be effective without being based on the daily life management of the client itself, known as self-management, which includes modification of his lifestyle in regulating diet, limiting fluids, vascular access care, and medication adherence. One of the factors that influence self-management is anxiety because this worry can make the patient's condition worse so that the patient cannot control, direct and manage his management. The purpose of this study was to analyze the relationship between anxiety levels and self-management in patients undergoing hemodialysis at Majalaya General Hospital. The type of research used is a correlation study with a cross-sectional approach. In this study, the population was 55 patients with new hemodialysis patients from January to July at Majalaya Hospital with a sample of 35 respondents, taken using the Accidental Sampling technique. The research instrument used the Hemodialysis Self-Management Instrument (HDSMI) and ZSRA-S (Zung Self Rating Anxiety Scale). Data analysis using Spearman Rank Correlation. The results showed that most of the patients had a moderate level of anxiety, namely 19 people (54%), and most patients had moderate self-management, namely 21 people (60%). The results of the Spearman Rank Correlation test show a signed value (2-tailed) of 0.000 <α (0.05), which means that there is a relationship between the level of anxiety and self-management in patients undergoing hemodialysis at the Majalaya Hospital. Nurses are expected to improve communication so that patients can express their feelings and problems, as well as provide education and information about the importance of self-management of hemodialysis.