Objective: The objective of this study was to identify the dominant factors and their relationships that influence hemodialysis adherence. Methods: This study used a cross-sectional method with 110 respondents who underwent hemodialysis treatment in Aceh Hospital of Indonesia. The samples were chosen using consecutive sampling. The questionnaires and Medical Record documents were used as instruments to obtain the data for this study. The data were analyzed using the chi-square test and logistic regression. Results: The percentage of patients who adhered to hemodialysis was 60%. There were significant relationships between hemodialysis adherence and satisfaction (p-value = 0.046), self-efficacy (p-value = 0.000), acceptance (p-value = 0.009), and social support (p-value = 0.004). The analysis of logistic regression shows that the most dominant factors that influence hemodialysis adherence are self-efficacy (OR = 8.589), acceptance (OR = 8.063) and social support (OR = 2.985). Conclusions: Despite a low cost and easy access, hemodialysis adherence in Indonesia is still low. There is a need to improve self-efficacy and acceptance of dialysis, which can be achieved by drawing on social support.
- Social support