Search Repository Universitas Fort De Kock

Latar belakang penelitian gagal ginjal kronik adalah penurunan fungsi ginjal yang
menyebabkan kerusakan jaringan ginjal yang progresif dan ireversibel yang terjadi
selama beberapa bulan atau tahun. Hemodialisis berarti proses pembersihan darah
dari zat-zat sampah, melalui proses penyaringan di luar tubuh. Kualitas hidup dapat
diartikan sebagai persepsi individu terhadap posisinya sendiri dalam kehidupan,
dimana terdapat tujuan, harapan dan standar dalam hidup dalam budaya dan sistem
nilainya(World Health Organization 2018). Tujuan penelitian untuk mengetahui
faktor-faktor yang berhubungan dengan kualitas hidup pasien gagal ginjal kronik
yang menjalani hemodialisa
Metode penelitian menggunakan deskriptif korelasi dengan desain cross sectional.
Pengambilan sampel menggunakan metode total sampling yaitu 53 responden.
Analisa kuantitatif menggunakan uji Chi Square dan uji Regresi Logistic. Penilaian
kualitas hidup menggunakan kuesioner Kidney Disease Quality of Life -Short Form
(KDQoL-SF).
Hasil penelitian uji statistik Chi-Square diperoleh nilai kadar Hb p-value 0,000
<0,05) dan OR 15, kecemasan p-value (0,013<0,05) dan OR 4,27, dukungan
keluarga p-value (0,000<0,05) dan OR 12,2, lama HD p-value (0,013<0,05) dan OR
4,27, komorbid p-value (0,000<0,05) OR 15 dan hasil uji Regresi Logistic
menunjukkan kadar Hb yang mempunyai p value < 0,05.
Kesimpulan hasil penelitian menunjukan bahwa ada hubungan kadar Hb, kecemasan,
dukungan keluarga, lama HD dan komorbid berhubungan dengan kualitas hidup
dengan p value < 0,05 dan faktor yang paling berpengaruh terhadap kualitas hidup
adalah kadar Hb dengan p value < 0,05. Diharapkan bagi pasien untuk mematuhi
terapi hemodialisa, untuk meningkatkan kadar Hb diharapkan pasien mendapatkan
pengobatan secara tepat dan diet HD sesuai instruksi konsulen gizi.

The background of the study of chronic renal failure is a decline in kidney function
that causes progressive and irreversible damage to kidney tissue that occurs over
several months or years. Hemodialysis means the process of cleansing the blood
from waste substances, through a filtering process outside the body.Quality of life
can be interpreted as an individual`s perception of his own position in life, where
there are goals, expectations and standards in life in his culture and value system
(World Health Organization 2018). The purpose of the study was to determine the
factors associated with the quality of life of chronic renal failure patients undergoing
hemodialysis
The research method used descriptive correlation with cross sectional design.
Sampling using the total sampling method was 53 respondents. Quantitative analysis
using Chi Square test and Logistic Regression test. Quality of life assessment using
the Kidney Disease Quality of Life -Short Form (KDQoL-SF) questionnaire.
The results of the Chi-Square statistical test obtained Hb p-value values of 0.000
<0.05) and OR 15, anxiety p-value (0.013<0.05) and OR 4.27, family support p-
value (0.000<0.05) and OR 12.2, old HD p-value (0.013<0.05) and OR 4.27,
comorbid p-value (0.000 <0.05) OR 15 and Logistic Regression test
resultsindicates the Hb level that has a p value < 0.05.
The conclusion of the results showed that there was a relationship between Hb levels,
anxiety, family support, HD duration and comorbidities related to quality of life with
p value < 0.05 and the most influential factor on quality of life was Hb levels with p
value < 0.05. It is expected for patients to adhere to hemodialysis therapy, to
increase Hb levels it is expected that patients get appropriate treatment and HD diet
according to the instructions of the nutrition consultant.