Hemodialysis Therapy Compliance in Chronic Kidney Disease Patients

Yoppy Indra Wahyudi, Lisna Anisa Fitriana, Tita Puspita Ningrum, Natasya Natasya


Background: Chronic kidney disease (CKD) is a progressive and irreversible impairment or decrease in kidney function, occurring gradually over three months or more as a result of permanent damage to the kidney structure. One of the management for patients with CKD is hemodialysis therapy which replaces kidney function to eliminate the remnants of protein metabolism products and remove excess fluid and electrolytes through hemodialysis machines, and artificial kidneys (dialyzer). One of the major problems that contribute to failure in the management of hemodialysis therapy is patient compliance. Objective: This study was conducted to identify adherence to hemodialysis therapy in CKD patients in Bandung City Hospital. Methods: research design using descriptive analysis on 44 respondents with purposive sampling technique. Data collection using the End Stage Renal Disease–Adherence Questionnaire (ESRD-AQ) questionnaire. Univariate data analysis using frequency distribution. Results: In CKD patients undergoing hemodialysis therapy at the Bandung City Hospital as many as 33 respondents (75%) were compliant and 11 people (25%) were not compliant in undergoing hemodialysis therapy. The domains of adherence of CKD patients who were most adhered to by respondents were therapy attendance (75%), shortening duration (79.55%), length of time shortening therapy (79.55%), and medication adherence (52.27%). Conclusion: most of the patients were obedient in undergoing hemodialysis therapy. The suggestion from this study is that the hospital should include an assessment of the level of compliance of patients undergoing hemodialysis therapy as an additional domain in indicators of the quality of health services in the hemodialysis room of the Bandung City Hospital.


Chronic kidney disease, Adherence to hemodialysis therapy, ESRD-AQ

Full Text:



Alikari, V., Matziou, V., Tsironi, M., Kollia, N., Theofilou, P., Aroni, A., Fradelos, E., & Zyga, S. (2017). A modified version of the Greek Simplified Medication Adherence Questionnaire for hemodialysis patients. Health Psychology Research, 5(1), 1–7. https://doi.org/10.4081/hpr.2017.6647

Alikari, V., Tsironi, M., Matziou, V., Tzavella, F., Stathoulis, J., Babatsikou, F., Fradelos, E., & Zyga, S. (2019). The impact of education on knowledge, adherence and quality of life among patients on haemodialysis. Quality of Life Research, 28(1), 73–83. https://doi.org/10.1007/s11136-018-1989-y

Bikbov, B., Purcell, C. A., Levey, A. S., Smith, M., Abdoli, A., Abebe, M., Adebayo, O. M., Afarideh, M., Agarwal, S. K., Agudelo-Botero, M., Ahmadian, E., Al-Aly, Z., Alipour, V., Almasi-Hashiani, A., Al-Raddadi, R. M., Alvis-Guzman, N., Amini, S., Andrei, T., Andrei, C. L., … Murray, C. J. L. (2020). Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709–733. https://doi.org/10.1016/S0140-6736(20)30045-3

Febriana. (2014). Studi fenomenologi kepatuhan hemodialisis pada pasien gagal ginjal kronik di rsij cempaka putih. FIK Universitas Muhammadiyah Jakarta.

Inayah. (2017). Gambaran adekuasi dialisis pada pasien gagal ginjal terminal yang menjalani terapi hemodialisis di ruang hemodialisa rumah sakit F Jakarta. 178. http://lib.ui.ac.id/file?file=digital/2017-10/20459169-S66910-inayah.pdf

Kim, Y., Evangelista, L. S., Phillips, L. R., Pavlish, C., & Kopple, J. D. (2010). The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): testing the psychometric properties in patients receiving in-center hemodialysis. Nephrology Nursing Journal : Journal of the American Nephrology Nurses’ Association, 37(4), 377–393.

Kristianti, J., Widani, N. L., & Anggreaini, L. D. (2020). Pengalaman Pertama Menjalani Hemodialisa Pada Pasien Gagal Ginjal Kronik. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 10(03), 65–71. https://doi.org/10.33221/jiiki.v10i03.619

Naalweh, K. S., Barakat, M. A., Sweileh, M. W., Al-Jabi, S. W., Sweileh, W. M., & Sa’ed, H. Z. (2017). Treatment adherence and perception in patients on maintenance hemodialysis: a cross–sectional study from Palestine. BMC Nephrology, 18(1), 178-187. doi: 10.1186/s12882-017-0598-2

Kumala, T. F., Lindayani, L., Darmawati, I., & Safarina, L. (2021). The effect of progressive muscle relaxation on reducing restless legs syndrome among patients undergoing hemodialysis in a satellite/hospital unit in Indonesia/El efecto de la relajación muscular progresiva en la reducción del síndrome de las piernas inquietas entre los pacientes sometidos a hemodiálisis en una unidad periférica en Indonesia. Revista de la Sociedad Espanola de Enfermeria Nefrologica, 24(4), 409-416.

PERNEFRI. (2018). 11th Report Of Indonesian Renal Registry 2018. Irr, 1–46. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf

Pratiwi, S. H., Sari, E. A., & Kurniawan, T. (2019). Kepatuhan Menjalankan Manajemen Diri Pada Pasien Hemodialisis. Jurnal Perawat Indonesia, 3(2), 131. https://doi.org/10.32584/jpi.v3i2.308

Siti, S. K. A. A. &, & Edison, C. (2018). Adherence to dialysis therapy management in hemodialysis patients. UI Proceedings on Health and Medicine, 3, 38–41. http://proceedings.ui.ac.id/index.php/uiphm/article/view/39

Smeltzer. (2010). Textbook of Medical-Surgical Nursing 12th Edition. In Textbook of Medical-Surgical Nursing 12th Edition (Vol. 53, Issue 9).

Syamsiah. (2011). Faktor-faktor yang Berhubungan Hipertensi. Jurnal Visikes, 10(2), 115–123.

Wiliyanarti, P. F., & Muhith, A. (2019). Life Experience of Chronic Kidney Diseases Undergoing Hemodialysis Therapy. NurseLine Journal, 4(1), 54. https://doi.org/10.19184/nlj.v4i1.9701


  • There are currently no refbacks.

Copyright (c) 2023 Indonesian Journal of Community Development

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

E-ISSN: 2776-7078  P-ISSN: 2776-9712

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


 Flag Counter


Contact Person:
Nursing Department
Universitas Pendidikan Indonesia
Jl. Dr. Setiabudi No.229, Isola, Kec. Sukasari, Kota Bandung, Jawa Barat 40154
email:  ijcommunitydevelopment@gmail.com
Website: http://keperawatan.upi.edu/