Kontakt X:X | DOI: 10.32725/kont.2026.057

Mental health, self-management, and treatment adherence associated with quality of life among hemodialysis patientsNursing - Original article

Cholina Trisa Siregar ORCID...1, 2, *, Azizah Nasution3, Khairunnisa Khairunnisa ORCID...3, Riri Andri Muzasti ORCID...4, Evi Karota ORCID...5
1 Universitas Sumatera Utara, Faculty of Pharmacy, Doctor in Pharmaceutical Sciences Program, Medan, Indonesia
2 Universitas Sumatera Utara, Faculty of Nursing, Department Medical-Surgical Nursing, Medan, Indonesia
3 Universitas Sumatera Utara, Faculty of Pharmacy, Department of Pharmacology and Clinical/Community Pharmacy, Medan, Indonesia
4 Universitas Sumatera Utara, Faculty of Medicine, Department Internal Medicine, Medan, Indonesia
5 Universitas Sumatera Utara, Faculty of Nursing, Department of Community Nursing, Medan, Indonesia

Introduction: Quality of life in hemodialysis patients is influenced by psychosocial and behavioural factors. This study examined the association between psychosocial and behavioural factors and quality of life in patients undergoing hemodialysis.

Methods: A cross-sectional design was adopted, with the sample consisting of 106 respondents undergoing hemodialysis twice weekly for ≥3 months. Consecutive sampling was used. Data were collected using validated questionnaires on self-management, mental health, adherence, functional dependence, and quality of life. Data were analysed using Chi-square and logistic regression analysis for multivariate testing with a significance level of p < 0.05.

Results: Mental health was significantly associated with patients' quality of life (p = 0.001; OR = 3.583; 95% CI: 1.671-7.524). Self-management, adherence, and functional dependence were not associated with quality of life.

Conclusion: Mental health is associated with quality of life in hemodialysis patients. These results underscore the importance of addressing the psychological aspects, as well as the need to strengthen psychosocial support and emotion-based interventions in nursing practice to improve patients' well-being.

Keywords: Compliance; Hemodialysis; Mental health; Quality of life; Self-management
Grants and funding:

This research is part of a doctoral dissertation funded by the Universitas Sumatera Utara under the TALENTA program in 2024. This study was approved by the Health Research Ethics Committee of Universitas Sumaetra Utara on November 17, 2023 (number: 333/UN5.2.3.1/PPM/2023).

Conflicts of interest:

The authors have no conflict of interest to declare.

Received: April 10, 2026; Revised: July 24, 2026; Accepted: September 29, 2026; Prepublished online: October 7, 2026 

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