Factors Influencing the Quality of Self-Care among Continuous Ambulatory Peritoneal Dialysis Patients in Central Java, Indonesia: A Cross-Sectional Study
Purpose: This study examined the associations between sociodemographic characteristics, knowledge, self-efficacy, social support, comorbidities, and self-care quality among CAPD patients in Central Java, Indonesia.Methods: This cross-sectional study included CAPD patients recruited from two tertiary referral hospitals in Central Java (Dr. Kariadi Hospital and Dr. Moewardi Hospital). Data were collected from April to May 2025, with a total sample of 72 patients. The study instruments comprised the Self-care Scale for Peritoneal Dialysis Patients, a knowledge questionnaire, the Duke-UNC Functional Social Support Questionnaire, and the General Self-Efficacy Scale. Data analysis was performed using the chi-square test, Spearman’s rank correlation, and univariate logistic regression.Results: Univariate logistic regression analysis demonstrated that the presence of comorbidities was associated with significantly lower odds of good self-care quality (odds ratio [OR], 0.05; 95% confidence interval [CI], 0.01–0.18; <i>p</i><.001). Higher levels of knowledge (OR, 1.45; 95% CI, 1.19–1.78; <i>p</i><.001), self-efficacy (OR, 1.27; 95% CI, 1.14–1.42; <i>p</i><.001), and social support (OR, 1.38; 95% CI, 1.16–1.64; <i>p</i><.001) were significantly associated with better self-care quality. Sociodemographic factors showed no statistically significant associations with self-care quality (all <i>p</i>>.05).Conclusion: Among CAPD patients in Central Java, higher levels of knowledge, self-efficacy, and social support were associated with better self-care quality, whereas the presence of comorbidities was associated with factors hindering optimal self-care. Sociodemographic variables did not demonstrate clear associations with self-care quality, which may be partly attributable to limited statistical power in this sample.
Authors
- Yuni Wijayanti
- Eram Tunggul Pawenang
- Muhamad Syamsul Arif Setiyo Negoro
- R Susanti
Publication Details
- Journal
- Korean Journal of Adult Nursing
- Published
- 2026-02-06
- DOI
- https://doi.org/10.7475/kjan.2025.0616
- Primary Topic
- Dialysis and Renal Disease Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00