scholarly journals Analisis Determinan Kepatuhan Menjalani Hemodialisa Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik

2021 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Riris Andriati ◽  
Aisyah Aisyah

In 2015, the number of cases of end stage chronic kidney failure in Indonesia was 70 thousand sufferers. Based on these figures, patients undergoing hemodialysis therapy are only 4000 to 5000 patients with renal failure. The objective of this study was to determine the relationship between adherence to hemodialysis therapy and the quality of life of patients with chronic renal failure in the Hemodialysis Unit of Haji Hospital Jakarta. This research method is a quantitative study with a cross-sectional design. The number of samples was 54 people who were in the hemodialysis unit of the Jakarta Hajj Hospital during the last three months. The results of the study Respondents with good quality of life, moderate compliance were 1 respondent (%), and good quality were 10 respondents (%). The results of bivariate analysis using the Chi Square test, obtained p value = 0.468˃0.05. This means that there is no relationship between compliance undergoing hemodialysis with the quality of life of patients at the Jakarta Hajj Hospital.Keywords: Adherence;Quality of life; Patients;HemodialysisABSTRAK Pada tahun 2015, Jumlah kasus gagal ginjal kronik tahap akhir di Indonesia sebanyak 70 ribu penderita. Berdasarkan angka tersebut, pasien yang menjalani terapi hemodialisa hanya 4000 hingga 5000 penderita gagal ginjal.. Tujuan penelitian untuk mengetahui hubungan antara kepatuhan menjalani terapi hemodialisa dengan kualitas hidup pasien gagal ginjal kronik di Unit Hemodialisa RS Haji Jakarta. Metode penelitian ini merupakan penelitian kuantitatif dengan rancangan cross-sectional. Jumlah sampel  sebanyak 54 orang yang berada di unit hemodialisa Rumah Sakit haji Jakarta selama tiga bulan terakhir. Responden dengan kualitas hidup baik, memiliki kepatuhan sedang sebanyak 1 responden (%), dan kualitas baik sebanyak 10 responden (%). Hasil analisa bivariat dengan menggunakan uji Chi Square,  diperoleh nilai p value = 0,468˃0.05. Artinya tidak ada hubungan antara kepatuhan menjalani hemodialisa dengan kualitas hidup pasien di Rumah Sakit Haji Jakarta.Kata Kunci: kepatuhan;kualitas hidup;pasien;hemodialisa

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Tendy Ar Riqi ◽  
Sutejo Sutejo ◽  
Erika Nurwidayanti

Hemodialysis would affect body image and have an impact on the spiritual wellbeing of patients due to the variety of changes in the patient’s body. The purpose of this study was to determine the relationship between body image and the spiritual wellbeing of patients undergoing hemodialysis. The research method is descriptive correlative with a cross-sectional approach. The study was conducted in PKU Muhammadiyah Hospital Gamping with a sample of 60 respondents. The sampling method is purposive sampling. Data collection tool in this study is a questionnaire with 22 statements. Data were analyzed using univariate and bivariate analysis using chi square tests. The results showed that there is a relationship between body image and the spiritual wellbeing of patients with chronic renal failure undergoing hemodialysis with p-value (0,027) < α (0,05). This study recommends hemodialysis unit to improve further performance in providing comprehensive care nursing practice both physical and psychosocial in patients with chronic renal failure undergoing hemodialysis especially on the subject of body image disturbance that will affect the spiritual wellbeing of patients.


2021 ◽  
Vol 5 (2) ◽  
pp. 8
Author(s):  
Riris Andriati ◽  
Fenita Purnama Sari Indah ◽  
Aisyah Aisyah

Compliance with hemodialysis therapy is one of the important things to note, if the patient is not compliant, it can cause a buildup of harmful substances in the body and if left unchecked, it can lead to death. The purpose of this study was to determine the relationship between adherence to undergo hemodialysis therapy with the quality of life of patients with chronic renal failure in the Hemodialysis Unit of the Jakarta Hajj Hospital. This research method is a quantitative study using primary data (questionnaires) and using cross-sectional research. Data collected by using questionnaires. The number of samples were 54 people who were in the hajodialysis unit at the Jakarta Hajj Hospital for the past three months. The results of the study of 54 respondents who have moderate compliance there are 11 people (20.4%), and good compliance a number of 43 people (79.%), in general patients obedient. While from the aspect of quality of life, there were 6 respondents (11.1%) who experienced less quality of life, 35 people had a moderate quality of life (75.%) and 13 people (24.1%) had a good quality of life, in general the quality of life of patients was moderate. After analyzing the relationship between adherence to undergo hemodialysis with quality of life using the Chi Square test p value = 0.468˃0.05, meaning that Ho is accepted, so it can be concluded that there is no relationship between adherence to hemodialysis with the quality of life of patients at Jakarta Hajj Hospital .ABSTRAKKepatuhan menjalani terapi hemodialisa merupakan salah satu hal yang penting untuk diperhatikan, jika pasien tidak patuh dapat menyebabkan terjadinya penumpukan zat-zat berbahaya dalam tubuh dan apabila hal tersebut dibiarkan maka dapat mengakibatkan kematian. Tujuan penelitian untuk mengetahui hubungan antara kepatuhan menjalani terapi hemodialisa dengan kualitas hidup pasien gagal ginjal kronik di Unit Hemodialisa RS Haji Jakarta. Metode penelitian ini merupakan penelitian kuantitatif dengan menggunakan data primer (kuisioner) dan memakai metode penelitian cross-sectional. Data yang dikumpulkan dengan cara menggunakan kuisioner. Jumlah sampel  sebanyak 54 orang yang berada di unit hemodialisa Rumah Sakit haji Jakarta selama tiga bulan terakhir. Hasil penelitian dari 54 responden yang memiliki kepatuhan sedang terdapat 11 orang (20.4 %), dan kepatuhan baik sejumlah 43 orang (79.6 %), secara umum pasien patuh. Sementara dari aspek kualitas hidup diperoleh  responden  yang  mengalami  kualitas  hidup  kurang sejumlah 6 orang (11.1%), kualitas hidup sedang sejumlah 35 orang (75.%)  dan  kualitas  hidup  baik  13 orang  (24.1%), secara umum kualitas hidup pasien sedang. Setelah dilakukan analisa hubungan antara kepatuhan menjalani hemodialisa dengan kualitas hidup dengan menggunakan uji Chi Square diperoleh p value = 0.468˃0.05,  artinya Ho diterima, sehingga dapat disimpulkan tidak ada hubungan antara kepatuhan menjalani hemodialisa dengan kualitas hidup pasien di Rumah Sakit Haji Jakarta.


2020 ◽  
Vol 10 (2) ◽  
pp. 78-83
Author(s):  
Heru Ginanjar Triyono ◽  
Dian Novita K ◽  
Sugiarto Sugiarto ◽  
Tengku Isni Yuli ◽  
Winda Rofiyati

Abstract Kidney is one the organs that has an important function in the body. These functions include regulating the concentration of salt in the blood, and regulating the balance of acid base and the excretion of excess salt.Design Of this study was analytic with total Random Sampling. Research that uses descriptive quantitative type using cross sectional. This researcher only observed and measured variables without giving treatment. Cross sectional design or cross-sectional study, researchers only make observations and measure variables at one time. The Sampling in this study. The sampling in this study were 30 respondents who underwent hemodialysis. The amount was obtained based on data on the number of patients. The results of the analysis of the relationship of diet adherence with the quality of life of hemodialysis patients at Hospital using the chi square test. From table 4.4 the chi suare correlation test results obtained sig (2-tailed) values ​​with the results of 0.003 p value <0.05 to 0.003 <0.05 showed a relationship between diet compliance with quality of life. Data generated from the bivariate analysis of respondents who comply with good quality of life were 14 respondents (66.7%), while respondents who were not compliant and with less quality of life were 4 respondents (44.4%). Key word: Diet, Kidney Failure, Quality Of Life, Hemodialysis  


2020 ◽  
Vol 2 (3) ◽  
pp. 641-648
Author(s):  
Muhammad Thob Dhiya’ul Haq ◽  
Flora Marbun ◽  
Aziva Zahrianis ◽  
Maria Ulfa ◽  
Novita K. Rambe ◽  
...  

ABSTRACT : Background : Hemodialysis is a process in which blood is separated from harmful substances or poisons and excess fluid is then discharged through a dialysis device. Quality of life is a quality that is felt in everyday life one of which is the physical dimension, namely the impact of anemia experienced by patients. Purpose : to identify the relationship between anemia and quality of life in patients with chronic kidney failure who underwent hemodialysis for less than 6 months. Method: quantitative research design with analytic survey through a cross sectional approach. The population in this study were all patients with chronic kidney failure who did hemodialysis at the Rasyida Kidney Hospital in Medan. “The sample in this study amounted to 40 respondents with purposive sampling. Researchers requested laboratory results for the patient's hemoglobin level in the patient's medical record, and then the patient filled out a WHOQOL quality of life questionnaire”. Results: Patients with chronic kidney failure who underwent hemodialysis <6 months, the majority were male 26 people (65.0%), aged> 50 years (50.0%), married 38 people (95.0%), high school education was 17 people (42.5%), and had 14 self-employed jobs (35.0%). The majority experienced not anemia as many as 16 people (40,0%) and the majority experienced poor quality of life as many as 22 people (55,0%). Conclusion : Chi Square bivariate test results there is “a relationship between anemia and quality of life in patients with chronic kidney failure who undergo hemodialysis less than 6 months with a p-value of 0.002”. Keywords: Anemia, Quality Of Life, Chronic Kidney Disease, Hemodialysis INTISARI : HUBUNGAN ANEMIA DENGAN KUALITAS HIDUP PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS DIBAWAH 6 BULAN DI RUMAH SAKIT KHUSUS GINJAL RASYIDA MEDAN Pendahuluan : Hemodialisis merupakan proses dimana darah dipisahkan dari zat atau racun berbahaya dan cairan berlebih kemudian dibuang melalui alat dialysis. Kualitas hidup merupakan kualitas “yang dirasakan dalam kehidupan sehari-hari salah satunya adalah dimensi fisik, yaitu dampak anemia yang dialami pasien”.Tujuan : Penelitian untuk mengidentifikasi hubungan antara anemia dan kualitas hidup pada pasien yang gagal ginjal kronik yang menjalani hemodialisa kurang dari 6 bulan.Metode : Penelitian ini menggunakan kuantitatif dengan survey analitik yang melalui pendekatan cross sectional. Populasi dalam penelitian ini yakni seluruh pasien gagal ginjal kronik yang melakukan hemodialisis di Rumah Sakit Khusus Ginjal Rasyida Medan “Sampel dalam penelitian ini berjumlah 40 responden  dengan purposive sampling”. Peneliti meminta hasil laboratorium kadar hemoglobin pasien pada rekam medis pasien, dan kemudian pasien mengisi kuisioner kualitas hidup WHOQOL. Hasil : Pasien gagal ginjal kronik yang menjalani hemodialisa < 6 bulan mayoritas berjenis kelamin laki-laki 26 orang (65,0%), berusia >50 Tahun (50,0%), berstatus sudah menikah 38 orang (95,0%), pendidikan terakhir SMA 17 orang (42,5 %), dan memiliki pekerjaan wiraswasta 14 orang (35,0%). Mayoritas tidak mengalami anemia 16 orang (40,0%), anemia ringan 13 orang (32,5%), anemia sedang 11 orang (27,5%) dan mayoritas mengalami kualitas hidup buruk sebanyak 22 orang (55,0%). Hasil uji bivariate Chi Square terdapat “hubungan antara anemia dan kualitas hidup pada pasien gagal ginjal kronik yang menjalani hemodialisa kurang dari 6 bulan dengan nilai p-value 0,002”. Kata Kunci : Anemia, Kualitas Hidup, Gagal Ginjal Kronik, Hemodialisa


2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Patrícia De Castro Rodrigues ◽  
Julia Carvalho Galiano ◽  
Virginia Fernandes Moça Trevizani ◽  
Fania Cristina Santos

Introduction: Locomotion is a determinant of intrinsic capacity ofolder people and can be limited by dysfunction in locomotory organs,characterizing Locomotive Syndrome (LoS). Knowledge on locomotiveproblems and sarcopenia, and their interface with quality of life, in theoldest old in the literature is scarce.Objective: To evaluate the correlation between LoS and sarcopenia andtheir influence on quality of life in oldest old.Methods: A cross-sectional study of an observational, descriptive andanalytical epidemiological survey in independent older adults aged 80and over from São Paulo, Brazil and who participated in the third waveof the LOCOMOV Project, was carried out. Sociodemographic data,comorbidities, functioning in activities of daily living, physical functioning,quality of life, and presence of sarcopenia and LoS were assessed. Thestatistical analyses included the Test-for-Comparing-Two-Proportions,Pearson's Correlation Coefficient, the chi-Square test and Student´s t-test.Results: Thirty oldest old with a mean age of 89.1 years were evaluated.The prevalence of LoS was high (53.3%) and correlated significantly withchronic pain (p-value 0.024), worse performance on the SPPB and Gaitspeed (p-value <0.001). Sarcopenia was not correlated with LoS, but worsequality of life on the physical domain was significantly associated with LoS(p-value <0.001) regardless of the presence of sarcopenia.Conclusions: LoS was highly prevalent among the oldest old studied andnegatively impacted their quality of life, regardless of the presence ofsarcopenia. 


Author(s):  
Etty Rekawati ◽  
Junaiti Sahar ◽  
Dwi Nurviyandari Kusuma Wati

The transition of elderly lives from productive periods to non-productive makes them need support from relatives, friends or family. The purpose of this study was to look at the relationship between family appreciation support with quality and life satisfaction of the elderly in the city of Depok, West Java, with a cross-sectional design. The subjects of this study were 135 elderly people> 60 years old, living with family, do not have infectious diseases, able to communicate in Indonesian; selected by purposive sampling technique. Data were analyzed using Chi square test. The results of the study indicate that there was a relationship between family appreciation support with the quality of life of the elderly (p-value = 0.022) and life satisfaction of the elderly (p-value = 0.014). The results of this study are expected to support the development of nursing science in the future, especially regarding the quality and satisfaction of life of the elderly. Keywords: elderly; award support; quality of life; life satisfaction ABSTRAK Transisi kehidupan lansia dari masa produktif menjadi non produktif membuat mereka memerlukan dukungan dari kerabat, teman atau keluarga. Tujuan penelitian ini adalah untuk melihat hubungan antara dukungan penghargaan keluarga dengan kualitas dan kepuasan hidup lansia di Kota Depok, Jawa Barat, dengan desain cross-sectional. Subyek penelitian ini adalah 135 lansia yang berusia >60 tahun, tinggal bersama keluarga, tidak memiliki penyakit menular, mampu berkomunikasi dengan bahasa Indonesia; yang dipilih dengan teknik purposive sampling. Data dianalisis menggunakan uji Chi square. Hasil peneltian menunjukkan bahwa ada hubungan antara dukungan penghargaan keluarga dengan kualitas hidup lansia (p-value = 0,022) dan kepuasan hidup lansia (p-value = 0,014). Hasil penelitian ini diharapkan dapat mendukung perkembangan ilmu keperawatan di masa mendatang, khususnya tentang kualitas dan kepuasan hidup lansia. Kata kunci: lansia; dukungan penghargaan; kualitas hidup; kepuasan hidup


2017 ◽  
Vol 2 (1) ◽  
pp. 18
Author(s):  
Vivien Dwi Purnamasari

Abstract: PROLANIS was a system of health services and proactive approach that can be implemented in an integrated manner involving participants, health facilities, and BPJS. Presence of PROLANISTS would encourage participants with chronic illness to achieve optimal quality of life with an indicator of 75% had good results on a specific examination. The purpose of this reasearch was to analyzing correlation between knowledge and perceptions of PROLANIS participants with PROLANIS adherence in treatment at Puskesmas. This research design used correlational method with Cross Sectional approach. The population of this research was 101 PROLANIS’s participants who have met the inclusion criteria. Samples were taken with total sampling with total of 101 participants. Univariate and bivariate analysis (Chi Square) was used in this research. The results showed PROLANIS adherence level was only 48.5%. In bivariate analysis, knowledge (p = 0,002), and perception (p = 0,008) correlated to PROLANIS adherence at Puskesmas Kota Kediri. The conclusion is knowledge and perception level correlated to PROLANIS’s participants compliance in treatment at Puskesmas. Suggestion in this research is Puskesmas officer can give information related to illness clearly and accurately to PROLANIS’s participants and their family.Key words : Adherence PROLANIS, Knowledge, PerceptionAbstrak: PROLANIS adalah suatu sistem pelayanan kesehatan dan pendekatan proaktif yang dilaksanakan secara terintegrasi yang melibatkan peserta, fasilitas kesehatan dan BPJS. Adanya kepatuhan PROLANIS akan mendorong peserta penyandang penyakit kronis mencapai kualitas hidup optimal dengan indikator 75% memiliki hasil yang baik pada pemeriksaan spesifik. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan dan persepsi peserta PROLANIS dengan kepatuhan PROLANIS dalam menjalani pengobatan di Puskesmas. Desain penelitian ini menggunakan metode korelasional dengan pendekatan Cross Sectional. Populasi penelitian ini adalah 101 peserta PROLANIS yang telah memenuhi kriteria inklusi. Sampel diambil dengan total sampling dengan jumlah 101 peserta. Pada penelitian ini menggunakan analisa univariat, dan analisa bivariat (Chi Square). Hasil penelitian menunjukkan tingkat kepatuhan PROLANIS hanya sebesar 48,5%. Pada analisis bivariat diperoleh tingkat pengetahuan (p=0,002), persepsi (p=0,008) memiliki hubungan dengan kepatuhan PROLANIS di Puskesmas Kota Kediri. Kesimpulan dari penelitian ini adalah terdapat hubungan tingkat pengetahuan dan persepsi dengan kepatuhan peserta PROLANIS dalam menjalani pengobatan di Puskesmas. Saran pada penelitian ini adalah petugas Puskesmas dapat memberikan informasi terkait penyakit yang diderita dengan jelas dan akurat kepada peserta dan keluarga peserta PROLANIS.Kata Kunci : Kepatuhan PROLANIS, pengetahuan, persepsi


2020 ◽  
pp. 15-21
Author(s):  
Safruddin Safruddin ◽  
Maryunis ◽  
Suhermi ◽  
Sunarti Papalia

Pasien pendertita kanker payudara akan mengalami perubahan fisik, psikologis (seperti tingkat depresi dan kecemasan), fungsi sosial, seksual serta aktifitas sehari-hari. sehingga akan berpengaruh terhadap kualitas hidup atau quality of life (QOL)  penderita. Akan tetapi dengan adanya Perawatan paliatif yang baik diharapkan mampu merubah kualitas hidup pasien kanker menjadi lebih baik. penelitian ini bertujuan untuk mengetahui hubungan  perawatan paliatif dengan kualitas hidup pada pasien kanker payudara di Rumah Sakit Ibnu Sina YW-UMI Makassar. Penelitian ini menggunakan desain penelitian survei analitik dengan pendekatan cross sectional study. pengambilan sampel dalam penelitain ini adalah  purposive sampling dengan besar sampel sebanyak 43 responden. Hasil penelitian ini  menunjukkan bahwa perawatan paliatif dengan kualitas hidup baik yaitu 26 pasien (83,9%) dan yang memiliki  perawatan paliatif dengan kualitas hidup kurang baik 5 pasien (16,1%) sedangkan yang memiliki perawatan palitif dengan kualitas hidup cukup baik 3 pasien (30,0%) dan yang memiliki perawatan paliatif dengan kualitas hidup kurang baik 7 pasien (70,0%) sedangkan perawatan paliatif dengan kualitas hidup Baik 0 pasien (0,0%)  dan yang memiliki perawatan paliatif dengan kualitas hidup kurang baik 2  pasien (4,7%). Hasil uji statistik Chi Square diperoleh nilai probabilitas (p value =0,001. Sehigga dapat disimpulkan bahwa ini adalah terdapat hubungan antara perawatan paliatif dengan kualitas hidup pada kualitas hidup pada pasien kanker payudara di Rumah Sakit Ibnu Sina YW-UMI Makassar.


2019 ◽  
Vol 51 (2) ◽  
pp. 107-111
Author(s):  
Vincensius Hans Kristian Pratama ◽  
Alwi Shahab ◽  
Nita Parisa

Kualitas hidup merupakan persepsi seseorang tentang dirinya sendiri dalam kaitannya dengan sistem tata nilai di tempat dirinya tinggal yang dapat dipengaruhi banyak faktor, seperti tingkat kemandirian. Tingkat kemandirian berbanding lurus dengan kualitas hidup. Tingkat kemandirian yang baik dapat mengoptimalkan kualitas hidup, serta mencegah komplikasi akut dan kronis dari penyakit diabetes melitus tipe 2. Penelitian ini bertujuan untuk menganalisis hubungan tingkat kemandirian dengan kualitas hidup pasien diabetes melitus tipe 2. Penelitian ini adalah studi analitik observational dengan rancangan cross sectional. Sampel adalah pasien diabetes melitus tipe 2 di Poliklinik Penyakit Dalam dan Instalasi Rawat Inap di RSUP Dr. Mohammad Hoesin Palembang bulan November-Desember 2018. Sampel penelitian ini berjumlah 50 kasus. Hasil penelitian ini akan disajikan dalam bentuk tabel dan narasi.Dari 50 kasus pasien DM tipe 2 didapatkan penderita laki-laki berjumlah 27 orang (54%) dan perempuan 23 orang (46%), kelompok usia di bawah 40 tahun sebanyak 3 orang (6%), kelompok usia 40-50 tahun sebanyak 12 (24%), kelompok usia 50-60 tahun sebanyak 13 orang (26%)kelompok usia diatas 60 tahun sebanyak 22 orang (44%). Hasil uji Chi-square terdapat hubungan yang bermakna antara tingkat kemandirian dengan kualitas hidup pasien diabetes melitus tipe 2 yang dinyatakan dalam p value=0.011. Hasil odd ratio pada pasien diabetes melitus tipe 2 menyatakan bahwa kemungkinan terjadi peningkatan kualitas hidup 5,271 kali lebih besar pada pasien yang bertingkat kemandirian baik. Tingkat kemandirian juga merupakan faktor yang mempengaruhi kualitas hidup (CI 95% = 1,380-20,138).Terdapat hubungan yang signifikan antara tingkat kemandirian dengan kualitas hidup pasien diabetes melitus tipe 2.


2017 ◽  
Vol 33 (11) ◽  
pp. 509 ◽  
Author(s):  
Fitri Handayani ◽  
Fatwa Sari Tetra Dewi

Purpose This study aimed to determine factors that affect the quality of life of people living with HIV/AIDS (PLWHA) in Kota Kupang.MethodsThe study used cross-sectional study design with 100 people who had been on ARV therapy ≥1 months, age ≥18 years, was able to communicate with Indonesian language and willing to become respondents. The bivariate analysis used chi-square test and multivariate analysis used logistic regression test.ResultsThere was no significant correlation between the level of education, duration of antiretroviral therapy and the stigma of the quality of life of PLWHA. There was no significant relationship between sex, age, occupation, income, marital status, and adherence to the quality of life of PLWHA. The factors that most affect the quality of life of PLWHA were education level and stigma of ARV therapy.Conclusion The factors that most affect the quality of life of people living with HIV were education level and stigma of ARV therapy.


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