Hubungan Dukungan Keluarga dengan Fatigue pada Pasien Hemodialisis Reguler

Abstract

Background. Hemodialysis is the most commonly performed kidney replacement therapy. Fatigue is a frequent side effect that can negatively impact the quality of life for hemodialysis patients. However, family support plays a significant role in improving their quality of life. Objective. This study assesses the relationship between family support and fatigue in patients receiving hemodialysis regularly. Methods. This study used a cross-sectional design with 100 regular hemodialysis patients at RSUP H. Adam Malik Medan. The sample was taken using consecutive sampling method, and data were collected through interviews using the Family Support Questionnaire by Rosyidah and the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) questionnaire. Results. Of the 100 hemodialysis patients, 88% received enough family support, while 12% received poor family support. The prevalence of fatigue showed that 48% experienced mild fatigue, while 52% experienced moderate to severe fatigue. The Chi-Square test showed a significant association between age (p=0.002), creatinine levels (p=0.016), and family support (p=0.021) with fatigue. Multivariate analysis showed the family support was the most dominant factor influencing fatigue in patients undergoing regular hemodialysis (OR: 5.137, 95% CI: 0.968-27.261, p=0.055). Conclusion : Family support is the most dominant factor influencing fatigue in patients undergoing regular hemodialysis