scholarly journals Assessment of quality of life among chronic kidney disease patients undergoing hemodialysis in Sanglah General Hospital, Denpasar from April-May 2017 using EQ-5D-5L questionnaire

2020 ◽  
Vol 11 (1) ◽  
pp. 104
Author(s):  
Ni Putu Rani Apsari Dewi ◽  
Yenny Kandarini ◽  
I Gde Ketut Sajinadiyasa ◽  
Triharnoto Triharnoto
2019 ◽  
Vol 1 (2) ◽  
pp. 68-75
Author(s):  
Edriyani Yonlafado Simanjuntak ◽  
Bangun Andi syahputra Halawa

Salah satu penyakit tidak menular menjadi permasalahan kesehatan dunia adalah gagal ginjal kronis. Diperlukan kepatuhan dalam proses penatalaksanaan hemodialisis untuk mencapai kualitas hidup yang lebih baik. Ketidakpatuhan menimbulkan komplikasi kegawatan berdampak pada kualitas hidup pasien. Tujuan penelitian ini adalah untuk mengetahui faktor – faktor yang mempengaruhi kepatuhan pasien Gagal ginjal kronis yang menjalani hemodialisis di RSUD Gunungsitoli Nias. Penelitian ini menggunakan desain analitik komparatif dengan rancangan penelitian crossectional study. Populasi penelitian ini adalah pasien Gagal Ginjal Kronis yang menjalani terapi hemodialisis di Unit Hemodialisis Rumah Sakit Umum Daerah Gunungsitoli Nias dengan teknik pengambilan data menggunakan teknik accidental sampling dengan jumlah sampel didapatkan sebanyak 48 orang. Alat pengumpulan data menggunakan instrumen kuesioner dan uji satatistik menggunakan Person Chi-Square Test. Hasil penelitian menunjukkan faktor usia mayoritas 31-40 tahun (62,5%), jarak mayoritas ≥ 3 km (68,8%), pendapatan mayoritas tinggi (41,7%), motivasi mayoritas tinggi (68,8%), dukungan keluarga mayoritas baik (50%) dan kepatuhan mayoritas patuh (66,7%). Uji Person Chi-Square menunjukkan faktor usia (p=0,407), jarak (p=0,509) dan motivasi (p=0.186) dan faktor pendapatan (p=0.001) dan dukungan keluarga (p=0,000). Kesimpulan penelitian ini adalah faktor usia, jarak dan motivasi mempengaruhi kepatuhan sedangkan faktor pendapatan dan dukungan keluarga mempengaruhi kepatuhan pada pasien gagal ginjal kronis yang menjalani hemodialisis di RSUD Gunungsitoli Nias. Disarankan kepada keluarga dan petugas kesehatan dapat memberikan dukungan kepada anggota keluarga yang menjalani hemodialisa dan selalu mendampingi serta memberi semangat dalam menjalani hemodialisis, Bagi pasien agar meningkatkan kepatuhan akan terapi hemodialisis untuk meningkatkan kualitas hidup.   One of the non-communicable diseases in the world about health problem is chronic kidney failure. Adherence is required in the management process of hemodialysis to achieve a better quality of life. Noncompliance cause emergency complications that affect the quality of life of patients. The purpose of this study was to determine the factors that influence the compliance of patients with chronic kidney disease undergoing hemodialysis in the RSUD Gunungsitoli Nias. This study used a comparative analytic design with a crossectional study design. The population of this study was patients with Chronic Kidney Disease who underwent hemodialysis therapy at the Hemodialysis Unit of the Gunungsitoli General Hospital in Nias with data collection techniques using accidental sampling technique with a total sample of 48 people. The data collection tool uses questionnaire instruments and statistical tests using the Person Chi-Square Test. The results showed the majority of age factors were 31-40 years (62.5%), the majority of the distance ≥ 3 km (68.8%), the income of the majority was high (41.7%), the motivation of the majority was high (68.8%), support the majority of the family is good (50%) and the majority compliance is obedient (66.7%). Person Chi-Square test shows age (p = 0.407), distance (p = 0.509) and motivation (p = 0.186) and income factors (p = 0.001) and family support (p = 0,000). The conclusion of this study is that age, distance and motivation factors influence adherence while income and family support factors influence adherence in patients with chronic renal failure undergoing hemodialysis in Gunungsitoli Nias General Hospital. It is recommended to families and health workers to provide support to family members who undergoing hemodialysis and always accompany and encourage them to undergo hemodialysis, for patients to improve adherence to hemodialysis therapy to improve quality of life.


Chronic kidney disease (CKD) is a global health problem with global prevalence ranging from 11-13%. The process of chronic inflammation and malnutrition in CKD patients undergoing hemodialysis (HD) is a medical condition that affects the quality of life. This study aims to determine the correlation of hs-CRP levels and nutritional status with quality life of CKD patients undergoing HD. This research is an analytical study, cross sectional design, conducted in December 2019 - March 2020 at Haji Adam Malik General Hospital Medan. Based on the fisher's exact test of 37 samples, a significant correlation was found between hs-CRP and physical health (p = 0. 037, PR 1.6) and with psychological well- being (p = 0.045; PR 1.78). There was no correlation found between hs-CRP with social relations (p = 0.091; PR 1.7) and the environment (p = 0.078; PR 1.54). A significant correlation was found between nutritional status and several domains including physical health (p = 0.038; PR 1.6), psychological well-being (p = 0.005; PR 2.09), social correlations (p = 0.011; PR 2.48), and the environment (p = 0.012; PR 2.02). The study determinded that there was correlation found between hs-CRP levels with physical health and psychological well-being and between nutritional status with all domains of quality of life.


2018 ◽  
Vol 5 (2) ◽  
pp. 56-63
Author(s):  
Abdul Wakhid ◽  
Estri Linda Wijayanti ◽  
Liyanovitasari Liyanovitasari

Background: Self efficacy can optimize the quality of life of clients who undergo the healing process due to chronic diseases. Individuals with higher self-efficacy move their personal and social resources proactively to maintain and improve the quality and length of their lives so that they experience a better quality of life. Objectives: the purpose of this study was to find the correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency. Metode: This type of research was descriptive correlation with cross sectional approach. The samples in this study more 76 people with total sampling technique. The data collection tool for self efficacy was measured by General Self-Efficacy scale, for quality of life with WHOQoL-BREF. Statistical test used Kolmogorov-smirnov. Result: The result showed that self efficacy in patients with chronic kidney disease was mostly in moderate category (53,9%), quality of life in patients with chronic kidney disease was mostly in good category (68,4%). There was a correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency, the result obtained p-value of 0.000 <α (0,05). Suggestion: Patients with chronic kidney disease can maintain good quality of life by helping to generate positive self-esteem and high self efficacy.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yan Shen ◽  
◽  
Jinwei Wang ◽  
Jing Yuan ◽  
Li Yang ◽  
...  

Abstract Background Anemia is one of the common complications in patients with chronic kidney disease (CKD). However, there is no systematic investigation on the prevalence of anemia in CKD patients and its relationship with the quality of life in China. Methods The data for this study comes from baseline data from the Chinese Chronic Kidney Disease Cohort Study (C-STRIDE), which recruited predialysis CKD patients in China. The kidney disease quality of life summary (KDQOL-TM) was used to assess health-related quality of life (HRQoL). Use linear regression model to estimate the relationship between hemoglobin level and quality of life. Results A total of 2921 patients were included in this study. The adjusted prevalence of hemoglobin (Hb) less than 100 g/L was 10.3% (95% confidence interval [CI]: 9.9,11.4%), and showed an increased trend through reduced eGFR levels from 4.0% (95%CI:2.3,5.9%) in the 45-60 ml/min/1.73m2 group to 23.4% (95%CI:20.5,26.2%) in the 15–29 ml/min/1.73m2 group. The prevalence of anti-anemia treatment was 34.0% (95%CI: 28.7,39.3%) and it is shown by reducing eGFR levels from 15.8% (95%CI:0,36.7%) in the 45-60 ml/min/1.73m2 group to 38.2% (95%CI: 30.7,45.2%) in the 15–29 ml/min/1.73m2 group. All five dimensions of the KDQOL scores in patients with CKD decreased as hemoglobin declined. After multivariable adjustments,the degrees of decrease became somewhat blunted. For example, compared with hemoglobin of ≥130 g/L, regression coefficients in the hemoglobin of < 100 g/L were − 0.047(95%CI: − 0.049,-0.045) for Symptoms and Problems(S), − 0.047(95%CI: − 0.049,-0.044) for Effects of the Kidney Disease(E), − 0.207(95%CI: − 0.212,-0.203) for Burden of the Kidney Disease(B), − 0.112(95%CI: − 0.115,-0.109) for SF-12 Physical Functioning (PCS), − 0.295(95%CI: − 0.299, -0.292) for SF-12 Mental Functioning (MCS), respectively. Conclusions In our cross-sectional analysis of patients with CKD in China, prevalence of both anemia and anti-anemia treatment increased with decreased eGFR. In addition, anemia was associated with reduced HRQoL.


2018 ◽  
Vol 104 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Anna Francis ◽  
Madeleine S Didsbury ◽  
Anita van Zwieten ◽  
Kerry Chen ◽  
Laura J James ◽  
...  

ObjectiveThe aim was to compare quality of life (QoL) among children and adolescents with different stages of chronic kidney disease (CKD) and determine factors associated with changes in QoL.DesignCross-sectional.SettingThe Kids with CKD study involved five of eight paediatric nephrology units in Australia and New Zealand.PatientsThere were 375 children and adolescents (aged 6–18 years) with CKD, on dialysis or transplanted, recruited between 2013 and 2016.Main outcome measuresOverall and domain-specific QoL were measured using the Health Utilities Index 3 score, with a scale from −0.36 (worse than dead) to 1 (perfect health). QoL scores were compared between CKD stages using the Mann-Whitney U test. Factors associated with changes in QoL were assessed using multivariable linear and ordinal logistic regression.ResultsQoL for those with CKD stages 1–2 (n=106, median 0.88, IQR 0.63–0.96) was higher than those on dialysis (n=43, median 0.67, IQR 0.39–0.91, p<0.001), and similar to those with kidney transplants (n=135, median 0.83, IQR 0.59–0.97, p=0.4) or CKD stages 3–5 (n=91, 0.85, IQR 0.60–0.98). Reductions were most frequent in the domains of cognition (50%), pain (42%) and emotion (40%). The risk factors associated with decrements in overall QoL were being on dialysis (decrement of 0.13, 95% CI 0.02 to 0.25, p=0.02), lower family income (decrement of 0.10, 95% CI 0.03 to 0.15, p=0.002) and short stature (decrement of 0.09, 95% CI 0.01 to 0.16, p=0.02).ConclusionsThe overall QoL and domains such as pain and emotion are substantially worse in children on dialysis compared with earlier stage CKD and those with kidney transplants.


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