Determinasi Dukungan Sosial Dan Kepatuhan Terapi Terhadap Kualitas Hidup Pasien Hemodialisis Berbasis Aplikasi Digital Hd-Care

Nonok Karlina; Sri Nurcahyati; Magfirohtul Munawaroh; Tantri Maulani Putri; Terry Melany

doi:10.54867/jkm.v13i1.300

Authors

Nonok Karlina
nonok.karlina@mahardika.ac.id
Institut Teknologi dan Kesehatan Mahardika Cirebon
Sri Nurcahyati Institut Teknologi dan Kesehatan Mahardika
Magfirohtul Munawaroh Institute Technology and Health of Mahardika
Tantri Maulani Putri Institut Teknologi dan Kesehatan Mahardika
Terry Melany Institut Teknologi dan Kesehatan Mahardika

Keywords:

Hemodialysis, Quality of Life, Social Support, Therapy Adherence, HD-care

Abstract

Introduction: Chronic kidney disease is a global health problem that significantly affects the quality of life of hemodialysis patients. Social support and therapy adherence are key determinants, particularly with the use of digital applications such as HD-Care. Purpose: To analyze the determinants of social support and therapy adherence on the quality of life among hemodialysis patients using the HD-Care digital application. Methods: A quantitative observational analytic study was conducted on 83 hemodialysis patients at Permata Kuningan Hospital in 2025. Data were collected using MSPSS, ESRD-AQ, and WHOQOL-BREF. Multiple linear regression analysis was applied with a significance level of 0.05. Results: Social support (p=0.003) and therapy adherence (p=0.000) significantly influenced quality of life. Therapy adherence was the dominant factor (β=0.498). Both variables explained 37.4% of the variance in quality of life (R²=0.374). Conclusions: Social support and therapy adherence play an important role in improving quality of life. Digital-based nursing interventions may enhance patient outcomes.

References

Almeida, O. A. E. de, Lima, M. E. F. de, Santos, W. S., & Silva, B. L. M. (2023). Telehealth strategies in the care of people with chronic kidney disease: Integrative review. Revista Latino-Americana de Enfermagem, 31, e4050. https://doi.org/10.1590/1518-8345.6824.4050

Bossola, M. (2021). Quality of life in patients undergoing hemodialysis. Journal of Nephrology, 34(2), 409–418. https://doi.org/10.1007/s40620-020-00798-3

Chao, S.-M., Pan, C.-K., Wang, M., Fang, Y.-W., & Chen, S. (2024). Functionality and usability of mHealth apps in patients with peritoneal dialysis: A systematic review. Healthcare, 12(5), 593. https://doi.org/10.3390/healthcare12050593

Görtz, M., Wendeborn, A., Müller, M., & Hohenfellner, M. (2023). The mobile patient information assistant (PIA) app during inpatient surgical hospital stay: Evaluation of usability and patient approval. Healthcare, 11(5), 682. https://doi.org/10.3390/healthcare11050682

Huang, K., Kumar, M., Cheng, S., Urcuyo, A. E., & Macharia, P. (2022). Applying technology to promote sexual and reproductive health and prevent gender-based violence for adolescents in low- and middle-income countries. BMC Health Services Research, 22(1), 1–15. https://doi.org/10.1186/s12913-022-08673-0

Kalfoss, M. H. (2021). Health-related quality of life in chronic kidney disease patients. Nursing Research and Practice, 2021, 1–10. https://doi.org/10.1155/2021/6614580

Karami, H. (2025). Social support and resilience among hemodialysis patients. BMC Nephrology, 26(1), 278. https://doi.org/10.1186/s12882-025-04204-1

Karlina, N., Nurcahyati, S., Munawaroh, M., Herliani, L., & Azka, M. (2025). EFEKTIVITAS APLIKASI DIGITAL HD-CARE TERHADAP DUKUNGAN SOSIAL DAN KEPATUHANJADWAL TERAPI PASIEN HEMODIALISIS: RANDOMIZED CONTROLLED TRIAL (Pt. 7379–7383). Jurnal Ners, 9(4). http://journal.universitaspahlawan.ac.id/index.php/ners

Lin, C. C. (2023). Factors affecting quality of life in hemodialysis patients. International Journal of Environmental Research and Public Health, 20(5). https://doi.org/10.3390/ijerph20053945

Luque, M. Á. G., Belenchón, I. R., Congregado-Ruíz, C. B., Escobar-Rodríguez, G. A., Rivas-González, J. A., & López, R. A. M. (2025). The role of mHealth applications in uro-oncology: A systematic review and future directions. Cancers, 17(16), 2613. https://doi.org/10.3390/cancers17162613

Magalhães, B., Fernandes, C. S., Santos, C., & Martínez-Galiano, J. M. (2020). The use of mobile applications for managing care processes during chemotherapy treatments: A systematic review. Cancer Nursing, 44(6), E339–E360. https://doi.org/10.1097/NCC.0000000000000823

Paalimäki-Paakki, K., Virtanen, M., Henner, A., Nieminen, M. T., & Kääriäinen, M. (2022). Effectiveness of digital counseling environments on anxiety, depression, and adherence to treatment among patients who are chronically ill. Journal of Medical Internet Research, 24(1), e30077. https://doi.org/10.2196/30077

Schrauben, S. J., Park, D., Amaral, S., Purcell, A., Zhang, S., Kearney, M. D., Bilger, A., Feldman, H. I., & Dember, L. M. (2024). Supporting self-management of healthy behaviors in chronic kidney disease and hypertension. Clinical Journal of the American Society of Nephrology, 19(9), 1109–1118. https://doi.org/10.2215/CJN.0000000000000492

Suara, E., & Retnaningsih, D. (2024). Karakteristik faktor risiko pasien chronic kidney disease (CKD) yang menjalani hemodialisa. Jurnal Manajemen Asuhan Keperawatan, 8(2), 59–63. https://doi.org/10.33655/mak.v8i2.194

Suciana, F. S., Hidayati, I. N., & Kartin. (2021). Korelasi lama dan frekuensi hemodialisa dengan kualitas hidup pada pasien hemodialisa. Motorik: Jurnal Ilmu Kesehatan, 15(1), 13–20. https://doi.org/10.61902/motorik.v15i1.38

Wen, Y., Ruan, Y., & Yu, Y. (2024). Mobile health management among end stage renal disease patients: A scoping review. Frontiers in Medicine, 11, 1366362. https://doi.org/10.3389/fmed.2024.1366362