Prediction of Self-Care in Patients with Chronic Renal Failure based on the Theory of Self-Regulation Intervention

Abstract

Background:Nurses who were able to develop positive relationships with clients while adapting to their illness, especially chronic kidney failure patients, could help reduce the number of complications that occur and the number of visits to the emergency unit. Self-management was directly related to high emotional distress, self-regulation, family support, and support from health workers because it provides opportunities for patients to develop acceptance and adaptation.

Objectives: This study aims to analyze the prediction of self-care in chronic kidney failure patients based on the theory of self-regulation intervention.

Methods:The research design used was analytic with a cross-sectional approach involving 130 respondents from all chronic kidney failure patients who underwent hemodialysis procedures with a simple random sampling technique. The study was carried out in the hemodialysis room of the Pasuruan Regency General Hospital, East Java, starting from July to August 2022. The independent variables of this study were family support, support from health workers, and self-regulation, while the dependent variable was self-management or adaptation.

Results:The results showed that family support with good criteria (60. 4%), support from health workers in good criteria (52. 4%), self-regulation was at a low level (56. 7%), and in self-management or adaptation of patients with chronic kidney failure. There was a moderate level of uncertainty (50%). The results of the regression analysis showed the probability value of 0. 000 was smaller than the alpha value (a), which was 0. 05, which means that there was a significant effect between the application of self-regulation on self-management and the regression model that was formed was self-management (y) = 86,316-1,231 x self-regulation (x). The effect of self-regulation on self-management had a percentage of 38.9%.

Conclusions: The conclusion of the study was that there was a significant influence between self-regulation on self-management of patients with chronic kidney failure.