Resilience of Chronic Kidney Failure Patients Undergoing Hemodialysis Using The Callista Roy Theory Approach
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Abstract
Introduction: Chronic Kidney Disease (CKD) is a progressive illness with long-term impact, where patients are required to undergo regular hemodialysis therapy. This condition affects not only the physical aspect but also causes significant psychological distress, such as fear of death, depression, prolonged stress, emotional exhaustion, and a sense of social isolation. Resilience becomes a crucial factor to help patients endure and recover from these adverse conditions.
Objectives: This study aims to explore more deeply the resilience experiences of chronic kidney failure patients undergoing hemodialysis at RSUD RAA Soewondo Pati, Indonesia.
Methods: This study used a mixed-methods approach with a sequential exploratory design. The initial phase involved quantitatively measuring resilience levels to identify 141 respondents with very high resilience. Of this population, 17 respondents met the criteria and were subsequently interviewed qualitatively to understand the meaning of resilience in their lives.
Results: Most patients exhibited a moderate level of resilience. The qualitative findings revealed five major themes: (1) fear of death, (2) the impact of hemodialysis on daily life, (3) the role of family support systems, (4) spiritual and social coping mechanisms, and (5) life meaning and hope as sources of motivation.
Conclusion: Resilience in CKD patients is significantly influenced by family support and spiritual coping abilities. Nursing interventions involving psychological and social support are essential to improving the overall quality of life of these patients.
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References
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