Abstract
Hemodialysis therapy of patients with chronic kidney disease can changes the patients physically, psychological, social and economics because they have to deal with it for the rest of their life. This can affect the quality of life of the patients because of the long-term of hemodialysis therapy, this is one of the factors that affect the quality of life of the patients with chronic kidney disease. Quality of life is focused on the assessment of the individual against conditions acceptance. Each individual takes different phases to accept the condition. The purposes of the study were to determine if the relationship between the duration of hemodialysis and quality of life of the patients with chronic kidney disease at Gatoel Hospital Mojokerto. This research used cross-sectional design. The patient's population with chronic kidney disease undergoing hemodialysis is 150 people. The research sample is drawn using sampling techniques with the type of nonprobability purposive sampling with 130 people as a sample. Data obtained from questionnaires KDQoL 36. The result using Spearman rho test using SPSS V.16 shows p < α (0,006 < 0,05). H0 rejected, this means that there is a relationship between the duration of hemodialysis and quality of life with chronic kidney disease at Gatoel Hospital Mojokerto. The quality of life of the patients fluctuated based on the stage adaptation of the hemodialysis and disease. However, most patients with the duration of hemodialysis for more than 12 months had a sufficient quality of life and their therapy are already familiar with the symptoms and complications, but there are other factors that affect the quality of life such as gender, marital status, and education level. Patients are also expected to cooperate in what to do and not to do to improve the quality of life of the patients.
Highlights
Chronic renal failure is a progressive and irreversible kidney function disorder so that patients with chronic renal failure will lose kidney function gradually and can not change
For patients with chronic renal failure, hemodialysis therapy should be done throughout life (Muhammad, 2012)
Hemodialysis therapy can prolong unlimited age without clear limits, but this action will not alter the natural course of underlying kidney disease, nor will it restore all kidney function
Summary
Chronic renal failure is a progressive and irreversible kidney function disorder so that patients with chronic renal failure will lose kidney function gradually and can not change. People with chronic renal failure require therapy that aims to support the life of hemodialysis or kidney transplant therapy. For patients with chronic renal failure, hemodialysis therapy should be done throughout life (Muhammad, 2012). Hemodialysis therapy affects the patient's psychological, social and economic conditions. Patients will experience impaired thinking processes as well as disruptions in social relationships. Not to mention the problem of losing a job, changing family roles, changing relationships and wasted time for dialysis as well as the cost of routinely undergoing hemodialysis. All of these conditions will lead to decreased quality of life for patients with chronic renal failure who undergo hemodialysis therapy (Mailani, 2015)
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