skip to main content

ASSOCIATION BETWEEN FAMILY SUPPORT AND THE SEVERITY OF FATIGUE IN PATIENTS UNDERGOING REGULAR HEMODIALYSIS

*Sandra Rosa Uli Siahaan orcid  -  Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansyur No.5, Padang Bulan, Kec. Medan Baru, Kota Medan, Sumatera Utara 20155, Indonesia
Riri Andri Muzasti orcid  -  Department of Internal Medicine, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansyur No.5, Padang Bulan, Kec. Medan Baru, Kota Medan, Sumatera Utara 20155, Indonesia
Gema Nazri Yanni orcid  -  Department of Pediatrics, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansyur No.5, Padang Bulan, Kec. Medan Baru, Kota Medan, Sumatera Utara 20155, Indonesia
Devira Zahara orcid  -  Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Sumatera Utara, Jl. Dr. Mansyur No.5, Padang Bulan, Kec. Medan Baru, Kota Medan, Sumatera Utara 20155, Indonesia
Open Access Copyright 2026 Sandra Rosa Uli Siahaan, Riri Andri Muzasti, Gema Nazri Yanni, Devira Zahara
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Citation Format:
Abstract

Introduction: Numerous studies indicate that fatigue is among the most frequently reported side effects in hemodialysis, and if left unaddressed it can negatively affect their quality of life. Conversely, family support may significantly enhance the quality of life for hemodialysis patients. This study explore the association between family support and fatigue in patients undergoing regular hemodialysis. Methods: This study used a cross-sectional survey design involving patients who regularly received hemodialysis at Haji Adam Malik Hospital. Participants were selected through consecutive sampling. Fatigue levels were assessed using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Questionnaire, which was translated into Bahasa. Family support was assessed using the Family Support Questionnaire developed by Rosyidah. The data collected from the sampling were analyzed using SPSS version 27. Results: Among the 100 hemodialysis patients, 62% reported recieving good family support, 26% reported recieving enough family support, and 12% reported recieving low family support. A survey indicated that 48% of respondents felt mild fatigue, while 36% reported moderate fatigue, and 16% felt severe fatigue. Spearman Ranks test showed a significant association between family support and fatigue (r=0,378 ; p=<0,01). Conclusion: Family support is significantly associated with fatigue in regular hemodialysis patients.

Note: This article has supplementary file(s).

Fulltext View|Download |  common.other
Ethical Clearance
Subject
Type Other
  Download (367KB)    Indexing metadata
 Data Set
Data Sets
Subject
Type Data Set
  Download (28KB)    Indexing metadata
 Research Instrument
Kuesioner
Subject
Type Research Instrument
  Download (327KB)    Indexing metadata
Email colleagues
Keywords: Fatigue, Family Support, Hemodialysis

Article Metrics:

Article Info
  1. Bello AK, Okpechi IG, Osman MA, Cho Y, Htay H, Jha V, et al. Epidemiology of haemodialysis outcomes. Nat Rev Nephrol. 2022;18:378–95. [PubMed]
  2. IRR. 13th Annual Report of Indonesian Renal Registry 2020. Indonesia Renal Registry. 2020;13:11
  3. IRR. 11th report Of Indonesian renal registry 2018. Indonesia Renal Registry. 2018;14–5
  4. Alshammari B, Alkubati SA, Alrasheeday A, Pasay-An E, Edison JS, Madkhali N, et al. Factors influencing fatigue among patients undergoing hemodialysis: a multi-center cross-sectional study. Libyan J Med. 2024;19(1). [Journal]
  5. Parker Gregg L, Bossola M, Ostrosky-Frid M, Susan Hedayati S. Fatigue in ckd epidemiology, pathophysiology, and treatment. Clin J Am Soc Nephrol. 2021;16(9):1445–55. [PubMed]
  6. Maruyama Y, Nakayama M, Ueda A, Miyazaki M, Yokoo T. Comparisons of fatigue between dialysis modalities: A cross-sectional study. PLoS One. 2021;16(2 February):1–17. [Journal]
  7. Hintistan S, Deniz A. Evaluation of Symptoms in Patients Undergoing Hemodialysis. Bezmialem Sci. 2018;6(2):112–8. [ResearchGate]
  8. Imbimbo G, Amabile MI, Ammann T, Lionetto L, Salerno G, Simmaco M, et al. Fatigue in Patients on Chronic Hemodialysis : The Role of and Muscularity. 2023; 15(4). [PubMed]
  9. Turgay G, Tutal E, Sezer S. Restless legs syndrome, sleep quality and fatigue in hemodialysis patients. Turkish Nephrol Dial Transplant J. 2018;27(2):196–203. [Journal]
  10. Musniati, Kusmawardani D. Gejala Fatigue pada Pasien Hemodialisa Menggunakan Skala FSS. 2019;37–41. [Journal]
  11. Akturk U, Gul E. Investigation of Fatigue in Hemodialysis Patients, Severity and Influencing Factors. Turkish J Nephrol. 2019;28(3):197–201. [Journal]
  12. Sharif-Nia H, Marôco J, Froelicher ES, Barzegari S, Sadeghi N, Fatehi R. The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherence. Sci Rep. 2024;14(1):1–12. [Journal]
  13. Muhammad Idzharrusman JB. Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik Rsud Sekarwangi. J Keperawatan Bsi. 2022;10(1):61–9. [Journal]
  14. Susanto T. Buku Ajar Keperawatan Keluarga. In: 2nd ed. CV. Trans Info Media; 2022. p. 151–8
  15. Faridah VN, Nursalam, Aris A, Sholikhah S, Rukmawati FS. Improving the Quality of Life of Patients with Chronic Kidney Disease Undergoing Hemodialysis through Family Supportive Therapy. 2021;535:624–7. [ResearchGate]
  16. Pasaribu R, Muzasti RA. Factors Affecting Gastrointestinal Disorders in Patients Undergoing Regular Hemodialysis. Sumatera Med J. 2019;3(2). [Journal]
  17. Noronha IL, Santa-Catharina GP, Andrade L, Coelho VA, Jacob-Filho W, Elias RM. Glomerular filtration in the aging population. Front Med. 2022;9(1). [PubMed]
  18. Prasetyo A, Pranowo S, Handayani N. Karakteristik Pasien Gagal Ginjal yang Menjalani Terapi Hemodialisa di RSUD Cilacap. Pros Semin Nas dan Disem Penelit KesehatanSTIKes Bakti Tunas Husada Tasikmalaya. 2018;(April):1–6. [Journal]
  19. Swartling O, Rydell H, Stendahl M, Segelmark M, Trolle Lagerros Y, Evans M. CKD Progression and Mortality Among Men and Women: A Nationwide Study in Sweden. Am J Kidney Dis. 2021;78(2):190-199.e1. [Journal]
  20. Huang F, Li Y, Cui Y, Zhu Z, Chen J, Zeng F, et al. Relationship Between Serum Testosterone Levels and Kidney Stones Prevalence in Men. Front Endocrinol (Lausanne). 2022;13(May):1–9. [PubMed]
  21. Abyuta Wiksa Pranandhira R, Yudha Rahman E, Khatimah H. Karakteristik Pasien Chronic Kidney Disease yang Dilakukan Hemodialisis di RSUD Ulin Banjarmasin Selama Pandemi COVID-19. Homeostasis. 2023;6(1):69. [Journal]
  22. Suparti S, Nurjanah S. Hubungan Depresi dengan Fatigue pada Pasien Hemodialisis. JHeS (Journal Heal Stud. 2018;2(1):62–74. [Journal]
  23. Lee WC, Lee YT, Li LC, Ng HY, Kuo WH, Lin PT, et al. The number of comorbidities predicts renal outcomes in patients with stage 3–5 chronic kidney disease. J Clin Med. 2018;7(12). [PubMed]
  24. Hasballah H, Bayhakki B, Erika E. Relationship Between Hemodialysis Duration and Fatigue in Chronic Kidney Disease (CKD) Patients During Hemodialysis. JETISH J Educ Technol Inf Soc Sci Heal. 2023;2(2):1642–8. [ResearchGate]
  25. Kunasegaran K, Ismail AMH, Ramasamy S, Gnanou JV, Caszo BA, Chen PL. Understanding mental fatigue and its detection: a comparative analysis of assessments and tools. PeerJ. 2023;11:1–27. [PubMed]
  26. Maesaroh M, Waluyo A, Jumaiyah W. Faktor-Faktor Yang Berhubungan Dengan Terjadinya Fatigue Pada Pasien Hemodialisis. Syntax Lit ; J Ilm Indones. 2020;110–20. [Journal]
  27. Rosyidah K. Hubungan Dukungan Keluarga Dengan Tingkat Penerimaan Diri Paien Gagal Ginjal Kronik Di Unit Hemodialisa RSUD dr. Sayidman Magetan. STIKES Bhakti Husada Mulia Madiun. 2017. [Website]
  28. Garwai HM, Abdullah I, Abdulmutalib M, Mohammed AH. The relationship between social support and fatigue severity among hemodialysis patients. Am J Nurs Res. 2020;8(3):392–8. [Journal]
  29. Wang SY, Zang XY, Fu SH, Bai J, Liu JD, Tian L, et al. Factors related to fatigue in Chinese patients with end-stage renal disease receiving maintenance hemodialysis: A multi-center cross-sectional study. Ren Fail. 2016;38:442–50. [PubMed]
  30. Gulo SJ, P IH, Siringo-Ringo M, Zega D. Dukungan Keluarga Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa di Rumah Sakit Elisabeth Medan Tahun 2023. J Cakrawala Ilm. 2023;3:467–80. [Journal]
  31. Kim O, Yeom EY, Jeon HO. Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease. Nurs Heal Sci. 2020;22(3):548–56. [PubMed]
  32. Theodoritsi A, Aravantinou ME, Gravani V, Bourtsi E, Vasilopoulou C, Theofilou P, et al. Factors associated with the social support of hemodialysis patients. Iran J Public Health. 2016;45(10):1261–9. [PubMed]

Last update:

No citation recorded.

Last update:

No citation recorded.