The Relationship Between Coping Strategies And Motivation With The Quality Of Life In Chronic Kidney Failure Patients Undergoing Hemodialysis At The Medan IPI General Hospital

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The Relationship Between Coping Strategies and Motivation with the Quality of Life in Chronic Kidney Failure Patients Undergoing Hemodialysis at the Medan IPI General Hospital

Introduction

Chronic kidney failure has become a significant health concern worldwide, with a substantial number of individuals undergoing hemodialysis to maintain their survival. However, this treatment not only affects the patient's physical health but also has a profound impact on their lifestyle. In this situation, patients require effective coping strategies and strong motivation to manage their condition and improve their quality of life. This study aims to investigate the relationship between coping strategies, motivation, and quality of life in patients with chronic kidney failure undergoing hemodialysis at the Medan IPI General Hospital.

Background

Chronic kidney failure is a complex and debilitating condition that affects millions of people worldwide. The increasing number of patients with this condition has led to a surge in the number of individuals undergoing hemodialysis. Hemodialysis is a life-sustaining treatment that filters waste products from the blood when the kidneys are no longer able to perform this function. However, this treatment has a significant impact on the patient's lifestyle, affecting their physical and emotional well-being.

Coping Strategies and Motivation

Coping strategies and motivation play a crucial role in managing chronic kidney failure and improving the patient's quality of life. Coping strategies refer to the ways in which individuals manage stress and adversity, while motivation refers to the drive or enthusiasm to achieve a goal. Effective coping strategies and motivation can help patients manage their condition, adhere to treatment, and improve their overall quality of life.

Research Methods

This study used a correlation design with a cross-sectional approach to investigate the relationship between coping strategies, motivation, and quality of life in patients with chronic kidney failure undergoing hemodialysis. The study was conducted at the Medan IPI General Hospital and involved 79 patients with chronic kidney failure undergoing hemodialysis in 2018. Data was collected through a questionnaire and analyzed using the Spearman test to measure the relationship between variables.

Research Findings

The results of this study showed several important findings:

  1. Coping Strategy
  • There is a significant positive relationship between the use of the Problem Focused Coping (PFC) strategy and the quality of life of the patient (R = 0.725; p <0.05). This means that the higher the level of use of the PFC strategy, the better the quality of life enjoyed by patients with chronic kidney failure.
  • Conversely, a negative relationship is found between the use of the Emotion Focusing Coping (EFC) strategy and quality of life (r = -0.494; p <0.05). This shows that the use of a higher EFC strategy correlates with an increasingly worse quality of life.
  1. Motivation
  • There is a strong positive relationship between motivation received and patients with their quality of life (r = 0.813; p <0.05). The higher the motivation received and the patient has, the better the quality of life they experience.

Analysis and Explanation

The findings of this study provide important insight into how coping strategies and motivation interact with each other to influence the quality of life of chronic kidney failure patients. The use of proper coping strategies, such as Problem Focused Coping, which focuses on solving problems, makes a major contribution to improving the quality of life. Conversely, the more emotional-oriented emotion-focused coping strategy can risk reducing the quality of life of the patient, because it tends to focus on emotional responses rather than actions that can overcome problems.

Motivation is also a very crucial factor. Patients who have high motivation to care for their health and follow treatment will tend to have a better quality of life. This shows that the holistic approach, which combines the improvement of coping strategies and motivational support, can significantly improve the quality of life of patients undergoing hemodialysis.

Implications for Health Workers

These findings have important implications for health workers, especially in the context of providing health education to patients and their families. Provision of information and support regarding effective coping strategies and the importance of motivation can help patients face the challenges caused by disease. With the right approach, patients can be encouraged to adopt a more positive and proactive mindset, which in turn can improve their quality of life.

Conclusion

This study confirms the importance of the role of coping and motivation strategies in improving the quality of life of chronic kidney failure patients undergoing hemodialysis. By understanding the relationship between these factors, health workers can be better in designing interventions that support patients to achieve higher quality life even in difficult conditions.

Recommendations

Based on the findings of this study, the following recommendations are made:

  • Health workers should provide patients with information and support regarding effective coping strategies, such as Problem Focused Coping.
  • Health workers should emphasize the importance of motivation in managing chronic kidney failure and improving quality of life.
  • Health workers should design interventions that combine the improvement of coping strategies and motivational support to improve the quality of life of patients undergoing hemodialysis.

Limitations

This study has several limitations, including:

  • The study was conducted at a single hospital, which may limit the generalizability of the findings.
  • The study used a cross-sectional design, which may not capture the dynamic nature of coping strategies and motivation.
  • The study relied on self-reported data, which may be subject to bias.

Future Research Directions

Future research should aim to:

  • Investigate the relationship between coping strategies and motivation in patients with chronic kidney failure undergoing hemodialysis in different settings.
  • Examine the effectiveness of interventions that combine the improvement of coping strategies and motivational support in improving the quality of life of patients undergoing hemodialysis.
  • Investigate the role of other factors, such as social support and access to healthcare, in influencing the quality of life of patients with chronic kidney failure undergoing hemodialysis.
    Frequently Asked Questions (FAQs) About the Relationship Between Coping Strategies and Motivation with the Quality of Life in Chronic Kidney Failure Patients Undergoing Hemodialysis

Q: What is the significance of coping strategies in managing chronic kidney failure?

A: Coping strategies play a crucial role in managing chronic kidney failure and improving the patient's quality of life. Effective coping strategies can help patients manage stress and adversity, adhere to treatment, and improve their overall quality of life.

Q: What are the different types of coping strategies?

A: There are two main types of coping strategies: Problem Focused Coping (PFC) and Emotion Focused Coping (EFC). PFC involves solving problems and taking action to overcome challenges, while EFC involves focusing on emotional responses and coping with feelings.

Q: What is the relationship between Problem Focused Coping and quality of life?

A: The study found a significant positive relationship between the use of Problem Focused Coping and quality of life. This means that the higher the level of use of PFC, the better the quality of life enjoyed by patients with chronic kidney failure.

Q: What is the relationship between Emotion Focused Coping and quality of life?

A: The study found a negative relationship between the use of Emotion Focused Coping and quality of life. This means that the use of a higher EFC strategy correlates with an increasingly worse quality of life.

Q: What is the role of motivation in managing chronic kidney failure?

A: Motivation plays a crucial role in managing chronic kidney failure and improving the patient's quality of life. Patients who have high motivation to care for their health and follow treatment will tend to have a better quality of life.

Q: What is the relationship between motivation and quality of life?

A: The study found a strong positive relationship between motivation and quality of life. This means that the higher the motivation received and the patient has, the better the quality of life they experience.

Q: What are the implications of this study for health workers?

A: The findings of this study have important implications for health workers, especially in the context of providing health education to patients and their families. Health workers should provide patients with information and support regarding effective coping strategies and the importance of motivation.

Q: What are the limitations of this study?

A: The study has several limitations, including the use of a cross-sectional design, the reliance on self-reported data, and the limited generalizability of the findings.

Q: What are the future research directions?

A: Future research should aim to investigate the relationship between coping strategies and motivation in patients with chronic kidney failure undergoing hemodialysis in different settings, examine the effectiveness of interventions that combine the improvement of coping strategies and motivational support, and investigate the role of other factors, such as social support and access to healthcare, in influencing the quality of life of patients with chronic kidney failure undergoing hemodialysis.

Q: What are the practical implications of this study for patients with chronic kidney failure?

A: The findings of this study have important practical implications for patients with chronic kidney failure. Patients should be encouraged to adopt effective coping strategies, such as Problem Focused Coping, and to seek support from healthcare providers and family members to improve their quality of life.

Q: What are the implications of this study for healthcare policy?

A: The findings of this study have important implications for healthcare policy, particularly in the context of providing support and resources for patients with chronic kidney failure. Healthcare policymakers should consider the importance of providing access to effective coping strategies and motivational support to improve the quality of life of patients with chronic kidney failure.