PENGALAMAN DAN HARAPAN PASIEN YANG MENJALANI HEMODIALISIS DI RSUD RATU ZALECHA MARTAPURA

Abstract

Background: Optimum care for chronic diseases should be
given a major attention. Hospitals have strategic roles in
providing health services, particularly for patients with chronic
diseases who require hemodialysis that is only available at the
hospital. In this unit, interpersonal relationship between the
patient and nursesis critical for the success of this long-term
therapy. The patient-nurse interaction will then shape
patients’experiences and hopes.
Objective: This study aimed to explore experiences and
expectations of patients undergoing hemodyalisis care at the
Hemodialysis Unit of Ratu Zalecha Hospital.
Method: The research employed a qualitative study. Data
were obtained from in-depth interviews with eight patients,
supported by an open observation, and the respondents were
selected purposively. The following criteria were used to select
the patients: age, sex, duration of hemodialysis treatment and
source of payment. Data were first transcribed and then
analyzed using open coding.
Result: Patients’ experiences during hemodialysis treatment
were divided into physiological, clinical, psychological, social
and spiritual experiences. These experiences shaped patient’s
hopes, consisted of individual, information, daily living and
nursing care expectations. Information played a central role to
continue hemodyalisis care and there was a major reliance on
care providers to give adequate information to support the
patients.
Conclusion:This study identified patient experiences and
hopes that should be taken account to improve hemodyalisis
care. In the future, it is recommended for hospitals to initiate
implementation of a chronic care model at a microsystem level
in order to integrate patient experiences and hopes into current
services.
Keywords:patient experience, hope, hemodialysis, qualitative
study