• Rizki Muliani
  • Leni Selviana Herman
  • Sri Wulan Megawati
Keywords: Anxiety, Chronic Kidney Disease, Hemodialysis, Self-management


Chronic kidney disease is irreversible so it is necessary to make efforts to maintain kidney function through hemodialysis throughout its life. Hemodialysis will not be effective without being based on the daily life management of the client itself, known as self-management, which includes modification of his lifestyle in regulating diet, limiting fluids, vascular access care, and medication adherence. One of the factors that influence self-management is anxiety because this worry can make the patient's condition worse so that the patient cannot control, direct and manage his management. The purpose of this study was to analyze the relationship between anxiety levels and self-management in patients undergoing hemodialysis at Majalaya General Hospital. The type of research used is a correlation study with a cross-sectional approach. In this study, the population was 55 patients with new hemodialysis patients from January to July at Majalaya Hospital with a sample of 35 respondents, taken using the Accidental Sampling technique. The research instrument used the Hemodialysis Self-Management Instrument (HDSMI) and ZSRA-S (Zung Self Rating Anxiety Scale). Data analysis using Spearman Rank Correlation. The results showed that most of the patients had a moderate level of anxiety, namely 19 people (54%), and most patients had moderate self-management, namely 21 people (60%). The results of the Spearman Rank Correlation test show a signed value (2-tailed) of 0.000 <α (0.05), which means that there is a relationship between the level of anxiety and self-management in patients undergoing hemodialysis at the Majalaya Hospital. Nurses are expected to improve communication so that patients can express their feelings and problems, as well as provide education and information about the importance of self-management of hemodialysis.


Arafah, S., Hrp, J., Yustina, I., & Ardinata, D. (2015). Faktor-Faktor Yang Berhubungan Dengan Tingkat Kecemasan Pasien Hemodialisis Di RSUD Dr. Pirngadi Medan. Idea Nursing Journal, 6(3), 1–9.
Astuti, P., Herawati, T., & Kariasa, I. made. (2018). Faktor-faktor yang Berhubungan Dengan Self Management pada Pasien Hemodialisis di Kota Bekasi. Health Care Nursing Journal, 1.
Gela, D., & Mengistu, D. (2018). Self-management and associated factors among patients with end-stage renal disease undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia. International Journal of Nephrology and Renovascular Disease, 11, 329–336.
Ghufron, M, N., & Risnawita, R. (2012). Teori-Teori Psikologi. AR-RUZZMEDIA.
Griva, K., Mooppil, N., Seet, P., Krishnan, D. S. P., James, H., & Newman, S. P. (2011). The NKF-NUS hemodialysis trial protocol - A randomized controlled trial to determine the effectiveness of a self management intervention for hemodialysis patients. BMC Nephrology, 12(1), 1–11.
Hafezieh, A., Dehghan, M., Taebi, M., & Iranmanesh, S. (2020). Self-management, self-efficacy and knowledge among patients under haemodialysis: a case in Iran. Journal of Research in Nursing, 25(2), 128–138.
Harmilah, N. (2020). Asuhan Keperawatan Pada Pasien Dengan Gangguan Sistem Perkemihan. PUSTAKA BARU PRESS.
IRR. (2018). 11th Report Of Indonesian Renal Registry 2018. Irr, 1–46.
Kemenkes RI. (2018). Upaya Peningkatan Promotif Preventif Bagi Kesehatan Ginjal Di Indonesia. Hasil Riset Kesehatan Dasar Kementrian Kesehatan RI, Hari Ginjal Sedunia, 34.
Li, H., Jiang, Y. fang, & Lin, C. C. (2014). Factors associated with self-management by people undergoing hemodialysis: A descriptive study. International Journal of Nursing Studies, 51(2), 208–216.
McDowell, I. (2009). Measuring Health: A guide to rating scales and questionnaires. In Measuring Health: A Guide to Rating Scales and Questionnaires.
Muttaqin, A., & Sari, K. (2014). Asuhan Keperawatan Gangguan Sistem Perkemihan. Salemba Medika.
Nasution, T. H., Ropi, H., & Sitorus, R. E. (2013). Faktor-Faktor Yang Berhubungan Dengan Manajemen Diri Pada Pasien Yang Menjalani Hemodialisis di Ruang Hemodialisis RSUP DR Hasan Sadikin Bandung. Ilmu Keperawatan, 1 no 2.
Pratiwi, S. H., Sari, E. A., & Kurniawan, T. (2019). Kepatuhan Menjalankan Manajemen Diri Pada Pasien Hemodialisis. Jurnal Perawat Indonesia, 3(2), 131.
Riskesdas, K. (2018). Hasil Utama Riset Kesehata Dasar (RISKESDAS). Journal of Physics A: Mathematical and Theoretical, 44(8), 1–200.
Riski, R., Munawaroh, S., & Mashudi, S. (2019). Respon Stres Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis Di Ruang Hemodialisa RSUD Dr.Hardjono Ponorogo. JURNAL ILMIAH MAHASISWA Ruang, D., Rsud, H., & Ponorogo, H. (2019), 3(1), 1–10.
Santoso, M. D. Y. (n.d.). Ginjal Kronik Dengan Tindakan Hemodialisis. 2018, 534.
Smeltzer, S. &, & Bare, B. (2010). Buku Ajar Keperawatan Medikal Bedah Edisi 8. Jakarta: EGC.
Wakhid, A., & Suwanti. (2018). Description of the Anxiety Level of Patients Undergoing.
Yanti, E. K., & Miswadi. (2018). Faktor-Faktor Yang Berhubungan Dengan Kecemasan Pada Hemodialisis Di Ruangan Hemodialisis Rsud Bengkalis Tahun 2016. Jurnal Ners, 2(1), 28–40.