The Role of Support Systems on Self-Acceptance in Chronic Kidney Disease Patients Undergoing Hemodialysis in Malang

Chronic Kidney Disease (CKD) is a non-communicable disease that is progressive and irreversible for a long time. CKD patients who need hemodialysis (HD) which must be done for life by CKD patients to improve the quality of life. Self-acceptance is one of the essential aspects of CKD patients, which is a trigger factor for adaptive coping strategies to the effects of HD; the support system influences this. This study aims to know the relationship between the support system and self-acceptance of CKD patients undergoing HD. This quantitative research was conducted using observational design with a cross-sectional approach. The sample used was 114 patients with the stratified random sampling method according to the duration of HD. Measurements were made using a questionnaire to measure self-acceptance, family support, and social support. The results were analyzed using a logistic regression test using a confidence level of 95%. The results of the majority of patients experienced negative self-acceptance (52.6%), excellent family support (55.3%), and sufficient social support (5.6%). Results show there was a relationship between family support and social support for self-acceptance of HD patients and the most influential factor for self-acceptance of hemodialysis patients was family support. The results of this study can improve mental health nursing services in the HD unit in overcoming psychological problems experienced by improving the support system for patients.