Family support and anxiety levels in chronic kidney disease patients undergoing hemodialysis

DOI: https://doi.org/10.56922/mhc.v4i7.1366

Authors

  • Shandi Setiawan Edison Universitas Malahayati
  • Andoko Andoko Universitas Malahayati
  • Umi Romayati Keswara Universitas Malahayati

Anxiety Family Support Hemodialysis

Abstract

Background: The incidence of chronic kidney disease (CKD) in Indonesia is 0.38% of the total population of 252.124.458, approximately 713.783 individuals. In Lampung Province, it is estimated that there are 25,842 CKD patients in 2023, ranking Lampung 18th in Indonesia for this disease.

Purpose: To determine the relationship between family support and anxiety levels in chronic kidney disease patients undergoing hemodialysis at RSUD Abdul Moeloek, Lampung Province, in 2025.

Method: A quantitative analytical design with a cross-sectional approach. The population consists of 150 hemodialysis patients at RSUD Abdoel Moloek in Lampung Province, with a sample size of 110 respondents. The sampling technique used is purposive sampling. Data analysis is conducted using the chi-square statistical test

Results: Based on frequency distribution, 36.4% of respondents reported low family support, while 63.6% reported good family support. A p-value of 0.001 was obtained, with an odds ratio of 4.026.

Conclusion: There is a relationship between family support and anxiety levels (p value 0.001, OR 4.02) in chronic kidney failure patients undergoing hemodialysis at RSUD Abdul Moeloek, Lampung Province, in 2025. Healthcare providers need to implement programs involving families to enhance emotional support for chronic kidney failure patients, such as educational videos and posters about supporting hemodialysis patients

Keywords: Anxiety; Family Support; Hemodialysis.

Downloads

Download data is not yet available.

References

Al Kahfi, R., Rahman, S., Palimbo, A., & Sari, N. N. (2017). The Influence Of Family Support To Patients' anxiety Of Chronic Renal Failure Withexperience Of Hemodialysis At The Hemodialysis Unit Of Ulin Hospital Banjarmasin. In 2nd Sari Mulia International Conference on Health and Sciences 2017 (SMICHS 2017)–One Health to Address the Problem of Tropical Infectious Diseases in Indonesia (pp. 219-226). Atlantis Press.

George, S., Zaidi, S. Z. H., & Kazmi, S. S. H. (2022). Stress, anxiety and perceived social support among hemodialysis patients with chronic kidney disease. International journal of health sciences, 6(S1), 9494-9507.

Inayati, A., Hasanah, U., & Maryuni, S. (2020). Family Support With Quality Of Life Chronic Kidney Failure Patients Understanding. Journal of Health Discourse, 5(2), 588-595.

Isnaini, N., Sukma, R., & Aprilina, H. D. (2021). The influence of family support on self efficacy of chronic kidney disease. In 4th International Conference on Sustainable Innovation 2020–Health Science and Nursing (ICoSIHSN 2020) (pp. 484-487). Atlantis Press.

Kurniawan, R. Y., Elasari, Y., Wulandari, R. Y., & Kurniawan, M. H. (2024). Hubungan Dukungan Keluarga dan Tawakal dengan Tingkat Kecemasan pada Pasien Gagal Ginjal yang Menjalani Terapi Hemodialisis di RSUD HM Ryacudu Kotabumi. Health Research Journal of Indonesia, 2(3), 180-187.

Lilympaki, I., Makri, A., Vlantousi, K., Koutelekos, I., Babatsikou, F., & Polikandrioti, M. (2016). Effect of perceived social support on the levels of anxiety and depression of hemodialysis patients. Materia socio-medica, 28(5), 361.

Lina, L. F., Safitri, A. R., Oktavidiati, E., Efrisnal, D., & Arifah, S. (2025). Knowledge and Family Support on Anxiety Of Chronic Kidney Disease Patients Undergoing Hemodialyzed During The Covid-19 Pandemic: A Cross Sectional Study. Jurnal Berita Ilmu Keperawatan, 18(1), 10-18.

Marwanti, M., Islamiati, S. A., & Zukhri, S. (2022). Dukungan Keluarga Berhubungan dengan Kecemasan pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 12(3), 497-504.

Nugraha, A., Rahmah, G. U., & Bhudiaji, P. (2020). Effect of Family Support Towards Elderly Hemodialysis Patients’ Anxiety Level. Basic and Applied Nursing Research Journal, 1(1), 20-24.

Patimah, I. (2021). Konsep relaksasi zikir dan implikasinya terhadap penderita gagal ginjal kronis (kajian teoritik dan praktik). Penerbit Adab.

Pratiwi, W. N., Gayatri, P. R., Astutik, W. S., Pratama, Y. G., & Ayyaroh, F. A. (2023). The role of family support in stress and anxiety conditions in the elderly with chronic kidney disease underwent hemodialysis therapy. Adi Husada Nursing Journal, 9(1), 20-29.

Purnawinadi, I. G. (2021). Peran hemodialisis terhadap kadar kreatinin darah pasien gagal ginjal kronik. Klabat Journal of Nursing, 3(1), 28-34.

Putri, E., Alini, A., & Indrawati, I. (2020). Hubungan Dukungan Keluarga dan Kebutuhan Spiritual Dengan Tingkat Kecemasan Pasien Gagal Ginjal Kronik Dalam Menjalani Terapi Hemodialisis Di RSUD Bangkinang. Jurnal Ners Universitas Pahlawan, 4(2), 47-55.

Rahman, S., & Pradido, R. (2020). The anxiety symptoms among chronic kidney disease patients who undergo hemodialysis therapy. Int J Public Heal Sci, 9(4), 281-285.

Ramie, A. (2022). Mekanisme Koping, Pengetahuan Dan Kecemasan Ibu Hamil Pada Masa Pandemi Covid-19. Deepublish.

Saputra, Y., Anggraini, R. B., & Lestari, I. P. (2024). Faktor–faktor yang berhubungan dengan tingkat stres pada pasien gagal ginjal kronis yang menjalani hemodialisa di rsud depati bahrin sungailiat tahun 2024. Jurnal Kesehatan Tambusai, 5(3), 8204-8213.

Siregar, C. T. (2020). Buku ajar manajemen komplikasi pasien hemodialisa. Deepublish.

Suarni, L., Wahyuni, S., & Faswita, W. (2022). Hubungan Dukungan Keluarga dengan Tingkat Kecemasan pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di Rumah Sakit Umum Delia Kecamatan Selesai Kabupaten Langkat. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 7(2), 122-130.

Tezel, A., Karabulutlu, E., & Şahin, Ö. (2021). Depression and perceived social support from family in Turkish patients with chronic renal failure treated by hemodialysis. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences, 16(5), 666.

Vranada, A., & Sari, N. J. (2026). Understanding Anxiety in Chronic Kidney Disease: The Role of Haemodialysis Duration and Family Support–A Correlational Study. HealthCare Nursing Journal, 8(1), 194-203.

Downloads

Published

2026-03-27