Abstract
Patients with hemodialysis therapy have uncertainty as to how long hemodialysis is required and should accept the fact that therapy is needed throughout life. Because it appears anxiety response, rejection and anger. ESRD patients undergoing hemodialysis therapy, require support from the family. The purpose of this study was to determine the relationship of family support and economic status with depressed ESRD patients who underwent hemodialysis therapy <1 year. The design of this research is descriptive correlation with cross sectional research method, by using simple random sampling technique with the number of samples of 47 ESRD patients who are undergoing hemodialysis at Gatoel Hospital Mojokerto. The Research done in April 2017. The results obtained most of the respondents have economic ability Above the Provincial Minimum Wage of 27 respondents (57.4%). Most of the respondents stated that they received good family support in 30 categories (63,8%) and most of respondents had light depression 24 respondents (51,1%). Based on statistical test of spearman's rho with significance level α 0,05 obtained result (r) = 0,462 meaning bigger than value signifikansi (0,462> 0,05) hence H1 rejected which mean there is no significant relation between economic status with depression level In ESRD patients and Spearman's rho statistical test results obtained significance value 0.000 <0.05 which means there is a significant relationship between family support with depression levels in ESRD patients. The economic level does not affect depression because the cost of hemodialysis therapy all respondents is covered by health insurance, whereas family support has a positive influence where the better the family support the lighter the depression level in ESRD patients undergoing hemodialysis therapy
Highlights
End-stage renal failure is the rate of kidney failure that can cause death unless renal replacement therapy (Smeltzer & Bare 2004 in Marlina & Andika 2012)
Have an impact on the economy, most patients with End Stage Renal Disease (ESRD) undergoing hemodialysis never return to their usual activity or occupation, resulting in a loss of employment, decreased income, loss of freedom, hope, self-esteem, and identity
Based on interviews conducted on 10 patients who were diagnosed with medical End Stage Renal Disease (ESRD) and underwent hemodialysis less than 1 year found 3 of (10) 30% of patients have middle economic status with family support less likely to have severe depression level
Summary
Muhith Abdul, Lutfi K.2, Tatik Sutarti, Hannan Mujib, Lantin Sulistyorini 5, Sandu Siyoto Associate Professor in Nursing Department of STIKes Majapahit Mojokerto 3Lecturer in STIKIP PGRI Pacitan) 4Lecturer in Faculty of Nursing Comunity Universitas wiraraja Sumenep, Indonesia 5Lecturer in Faculty of Nursing Universitas Jember 6Departemen Public Health of STIKes Surya Mitra Kediri, Indonesia
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