PERAN KEPERCAYAAN DALAM KEPUTUSAN TERAPI HEMODIALISA PASIEN MELALUI FAKTOR PSIKOLOGIS DAN SOSIAL
Abstract
Pendahuluan: Penelitian ini dilandaskan hasil observasi awal yang menginformasikan bahwa 30% pasien hemodialisa enggan melanjutkan terapi hemodialisa. Alasan pasien tidak berminat melanjutkan terapi hemodialisa bahwa kepercayaan diri, pengalaman negatif, stigma sosial, dukungan yang minim, beban ekonomi, dan kurangnya informasi mempengaruhi keputusan pasien untuk tidak melanjutkan terapi hemodialisa. Rasa ragu akan efektivitas terapi dan dampaknya terhadap kualitas hidup juga menjadi alasan utama pasien menghentikan terapi. Tujuan penelitian ini adalah untuk mengungkap secara empiris pengaruh faktor psikologis dan faktor sosial terhadap keputusan pasien untuk melakukan terapi hemodialisa dengan kepercayaan sebagai variabel intervening. Metode: Jenis penelitian termasuk dalam kuantitatif dengan desain kausalitas. Populasi yang digunakan adalah pasien rawat jalan dan rawat inap. Teknik sampling menggunakan non-probability, dengan perhitungan yang mengalikan jumlah indikator dengan 5 kali observasi, sehingga didapatkan jumlah sampel sebanyak 130 responden. Teknik pengumpulan data menggunakan kuesioner, dan metode analisa menggunakan analisa three box method serta Structural Equation Modelling (SEM) melalui software LISREL. Hasil dan Pembahasan: Hasil analisa membuktikan bahwa faktor psikologis dan faktor sosial berpengaruh terhadap keputusan pasien dengan kepercayaan sebagai variabel intervening. Faktor psikologis dan faktor sosial berpengaruh terhadap kepercayaan. Kesimpulan: Faktor psikologis, faktor sosial dan kepercayaan berpengaruh terhadap keputusan pasien, dan faktor sosial merupakan variabel dominan yang mampu meningkatkan keputusan pasien untuk melakukan terapi hemodialisa.
Downloads
References
B. Vainikka, “Psychological Factors Influencing Consumer Behaviour,” 2022.
C. Qiu, Y. Zhang, X. Wang, and D. Gu, “Trust-Based Research: Influencing Factors of Patients’ Medical Choice Behavior in the Online Medical Community,” Healthcare, vol. 10, no. 5, 2022.
E. Ruswanti, A. Eff, and M. Kusumawati, “Word of mouth, trust, satisfaction and effect of repurchase intention to Batavia hospital in west Jakarta, Indonesia,” Manag. Sci. Lett., vol. 10, no. 2, pp. 265–270, 2020.
F. Agustina, K. Yetti, and L. Sukmarini, “Contributing factors to hemodialysis adherence in Aceh, Indonesia,” Enferm. Clin., vol. 29, pp. 238–242, 2019.
I. Ajzen, EBOOK: Attitudes, Personality and Behaviour. McGraw-Hill Education, 2005.
I. O. Friberg, L. Mårtensson, B. Haraldsson, G. Krantz, S. Määttä, and K. Järbrink, “Patients’ Perceptions and Factors Affecting Dialysis Modality Decisions,” Perit. Dial. Int., vol. 38, no. 5, pp. 334–342, 2019.
J. Antoun et al., “Exploring patients’ experiences of the impact of dialysis therapies on quality of life and wellbeing,” J. Ren. Care, vol. 49, no. 1, pp. 15–23, 2023.
J. C. Mowen and M. Minor, Consumer Behavior: A Framework. Prentice Hall, 2001.
J. F. J. Hair, W. C. Black, B. J. Babin, and R. E. Anderson, Multivariate data analysis, 8th ed. Cengage Learning EMEA, 2019.
J. Finderup, J. Dam Jensen, and K. Lomborg, “Evaluation of a shared decision-making intervention for dialysis choice at four Danish hospitals: a qualitative study of patient perspective.,” BMJ Open, vol. 9, no. 10, p. e029090, Oct. 2019.
J. P. Peter and C. J. Olson, Consumer Behavior and Marketing Strategy, 9th ed. New York: McGraw- Hill/Irwin., 2010.
J. Wirtz and C. Lovelock, Services Marketing: People, Technology, Strategy (Ninth Edition). World Scientific Publishing Company, 2021.
L. Schiffman and L. Kanuk, Costumer Behavior, 10 th. New Jersey: Pearson Education Limited, 2010.
M. A. Alhamad et al., “Factors Affecting Adherence to Hemodialysis Therapy Among Patients With End-Stage Renal Disease Attending In-Center Hemodialysis in Al-Ahsa Region, Saudi Arabia.,” Cureus, vol. 15, no. 10, p. e46701, Oct. 2023.
M. Baroudi, I. Goicolea, A.-K. Hurtig, and M. San-Sebastian, “Social factors associated with trust in the health system in northern Sweden: a cross-sectional study,” BMC Public Health, vol. 22, no. 1, p. 881, 2022.
M. Nurtandhee, “Estimasi Biaya Pelayanan Kesehatan sebagai Upaya Pencegahan Defisit Dana Jaminan Sosial untuk Penyakit Gagal Ginjal,” J. Jaminan Kesehat. Nas., vol. 3, no. 2, pp. 84–101, 2023.
M. R. DiMatteo, H. S. Lepper, and T. W. Croghan, “Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence.,” Arch. Intern. Med., vol. 160, no. 14, pp. 2101–2107, Jul. 2020.
M. Reyes, J. N. Fuertes, M. T. Moore, G. J. Punnakudiyil, L. Calvo, and S. Rubinstein, “Psychological and relational factors in ESRD hemodialysis treatment in an underserved community,” Patient Educ. Couns., vol. 104, no. 1, pp. 149–154, 2021.
M. Sharif, B. Shao, F. Xiao, and M. Kashif, “The Impact of Psychological Factors on Consumers Trust in Adoption of M-Commerce,” Int. Bus. Res., vol. 7, Apr. 2019.
N. Kraetschmer, N. Sharpe, S. Urowitz, and R. B. Deber, “How does trust affect patient preferences for participation in decision-making?,” Health Expect., vol. 7, no. 4, pp. 317–326, Dec. 2021.
P. A. M. Gregory and Z. Austin, “Understanding the psychology of trust between patients and their community pharmacists.,” Can. Pharm. J. (Ott)., vol. 154, no. 2, pp. 120–128, 2021.
P. Kotler and G. Armstrong, Principles of Marketing, 17th ed. London: Pearson, 2017.
PERNEFRI, Konsensus Transplantasi Ginjal 2013, vol. I. 2013.
R. A. Baron, D. E. Byrne, and N. R. Branscombe, Social Psychology. Pearson/Allyn \& Bacon, 2006.
R. B. Cialdini, Influence: The Psychology of Persuasion. HarperCollins e-books, 2009.
R. Barnea, A. Tur-Sinai, O. Levtzion-Korach, Y. Weiss, and O. Tal, “Patient preferences and choices as a reflection of trust-A cluster analysis comparing postsurgical perceptions in a private and a public hospital.,” Heal. Expect. an Int. J. public Particip. Heal. care Heal. policy, vol. 25, no. 5, pp. 2340–2354, Oct. 2022.
R. D. Blackwell, P. W. Miniard, and J. F. Engel, Consumer Behavior. Thomson South-Western, 2006.
S. Chandra and M. Mohammadnezhad, “Investigating factors influencing patient trust in a developing Pacific Island Country, Fiji, 2018,” Heliyon, vol. 6, p. e05680, Dec. 2020.
S. P. Robbins and T. Judge, Organizational Behavior. Pearson, 2019.
An author who publishes in the Journal of Nursing and Public Health agrees to the following terms:
Author retains the copyright and grants the journal the right of first publication of the work simultaneously licensed under the Creative Commons Attribution-ShareAlike 4.0 License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal
Submission of a manuscript implies that the submitted work has not been published before (except as part of a thesis or report, or abstract); that it is not under consideration for publication elsewhere; that its publication has been approved by all co-authors. If and when the manuscript is accepted for publication, the author(s) still hold the copyright and retain publishing rights without restrictions. For the new invention, authors are suggested to manage its patent before published. The license type is CC-BY-SA 4.0.
Journal of Nursing and Public Health is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
You are free to:
Share — copy and redistribute the material in any medium or format
Adapt — remix, transform, and build upon the material
for any purpose, even commercially.
The licensor cannot revoke these freedoms as long as you follow the license terms.
