The Relationship Between Family Support and Adherence with Hemodialysis in Chronic Kidney Disease Patients in Kupang City

Abstract : Background: Chronic kidney disease is a progressive condition requiring long-term therapy, one of which is hemodialysis. Adherence to hemodialysis is crucial for reducing complications and improving patients’ quality of life. Family support is considered a factor influencing adherence, but previous research findings remain inconsistent. Objective: To determine the relationship between family support and adherence with hemodialysis in patients with chronic renal failure in Kupang City. Methods: This study used an observational analytical cross-sectional design. Data was collected through the completion of family support and ESRD-AQ questionnaires by 163 respondents who met the inclusion and exclusion criteria. Sampling was conducted using purposive sampling. Data analysis was performed using univariate and bivariate analysis with Fisher’s exact test. Results: The results showed that 95.7% of patients had good family support, followed by 4.3% who had poor family support. The prevalence of adherence with hemodialysis was 82.8% compliant and 17.2% non-compliant. The statistical test yielded a p-value of 0.345. Conclusion: There was no significant relationship between family support and adherence with hemodialysis in patients with Chronic Kidney Disease in Kupang City.