Patients Undergoing Hemodialysis Therapy Research Articles

POS-582 HEMODIALYSIS AND CARDIOVASCULAR DISEASE OCCURRENCE

Cardiovascular disease is a highly common complication and the first cause of death in patients undergoing hemodialysis therapy. The cardiovascular mortality in these individuals is 10 to 20 fold more frequent than in the general population. The diagnosis of abnormalities by Doppler echocardiography is an important step for the characterization of individuals with higher cardiovascular risk. The aim of this study is to describe cardiovascular complications in our population and to compare their prevalence in patients with a proximal versus distal fistula.

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

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.

Dietary inflammatory index and mortality in hemodialysis patients by path analysis approach (NUGE-HD study)

ObjectiveThe aim of this study was to evaluate the interrelationships between dietary, nutritional, and inflammatory factors in predicting all-cause mortality among individuals in hemodialysis (HD) treatment. MethodsParticipating in this study were 137 patients undergoing HD (58.4% men, 61.7 ± 15.4 y of age) from the NUtrition and GEnetics on HemoDialysis outcomes (NUGE-HD study) cohort. Sociodemographic, anthropometric, and clinical data were collected. Dietary inflammatory index scores were calculated from a quantitative food frequency questionnaire. Plasma C-reactive protein was used as an inflammatory marker. Data were analyzed by path analysis. ResultsDuring the 2-y follow-up, 27 patients (19.7%) died. Compared with survivors, non-survivors were older (P = 0.01) and had lower body mass index (P = 0.04). In relation to direct (unmediated) associations, dietary inflammatory index (P = 0.049) and C-reactive protein (P = 0.016) were positively associated, whereas body mass index was negatively associated with mortality (P = 0.012). There were no indirect (mediated) associations of the variables evaluated with mortality. ConclusionMore proinflammatory diet and systemic inflammation have a direct association with mortality among patients undergoing HD therapy. Additionally, more proinflammatory diet is associated with unhealthy dietary pattern.

PEMBERIAN AROMATERAPI PEPPERMINT KEPADA PASIEN HD DI RSU SEMBIRING DELI TUA

Uremic pruritus is one of the complaints that often occurs in patients with chronic renal failure which is an uncomfortable sensation or itching and can cause disturbances during the day or night and can even occur throughout the day such as sleep disturbances, activity, depression and skin complications that can reduce quality of life for patients with chronic renal failure. Patients undergoing hemodialysis therapy will be faced with a variety of health status disorders, one of the most common complications is uremic pruritus (UP) with a multi-factor cause. The intensity and spatial distribution of pruritus were highly significant over time and patients varied to a greater extent and were influenced by the duration of renal impairment. This health education is to provide information about the benefits of peppermint in reducing uremic pruritus experienced by patients with chronic renal failure. This health education provides information about the benefits of peppermint in reducing uremic pruritus experienced by patients with chronic renal failure. This counseling was conducted at the Sembiring Deli Tua General Hospital. This counseling provides some information on the factors that cause and exacerbate the incidence of uremic pruritus in patients with chronic renal failure so that nurses can be more optimal in providing nursing care for patients with uremic pruritus, especially in patients with chronic renal failure.

PEMBERDAYAAN KELUARGA DALAM MENURUNKAN TINGKAT KECEMASAN PASIEN GGK DENGAN HEMODIALISA

Chronic kidney failure (CKD) is a pathological condition in the kidney with diverse etiologies, resulting in progressive decline in kidney function, and in general must undergo hemodialysis therapy. In patients with hemodialysis therapy, anxiety often arises with the therapeutic procedures that are given so that the system needs support from the family. This study wanted to determine the effect of family empowerment on anxiety levels of chronic renal failure patients with hemodialysis. The pre-experimental design was the design in this study with a population of 36 patients and a sample size of 22 patients obtained through purposive sampling. This study used a questionnaire instrument and the data obtained were analyzed using the Wilcoxon Sign Rank Test. The measurement results on the level of anxiety before the intervention showed 63% in the level of severe anxiety and after the intervention showed 46% in the category of moderate anxiety. P-value in the statistical test shows 0.003 which means that there is an influence of family empowerment with anxiety level of CRF patients undergoing hemodialysis therapy. Family empowerment can reduce the level of anxiety for patients undergoing hemodialysis in the Hemodialysis Room of RSUD. Mardi Waluyo Blitar. Family empowerment provides assistance, solutions, support, so that it can be used to overcome the anxiety experienced by patients undergoing hemodialysis.

Circulating angiopoietin-like protein 2 levels and arterial stiffness in patients receiving maintenance hemodialysis: A cross-sectional study

Background and aimsChronic low-grade inflammation is receiving much attention as a critical pathology that induces various aging phenotypes, a concept known as “inflammaging”. Uremic patients undergoing hemodialysis therapy show vascular aging phenotypes characterized by greater arterial stiffness and calcification compared to healthy controls of the same generation. In the current study, we investigated whether levels of inflammaging markers in the circulation were associated with vascular aging phenotypes in hemodialysis patients, as estimated by the cardio-ankle vascular index (CAVI). MethodsWe conducted a multicenter cross-sectional study of 412 patients receiving hemodialysis and evaluated the relationship between circulating hs-CRP or ANGPTL2 levels, as markers of inflammaging, and CAVI. ResultsOf 412 patients, 376 were analyzed statistically. While circulating hs-CRP levels had no significant association with CAVI, generalized linear models revealed that high circulating ANGPTL2 levels were significantly associated with increasing CAVI after adjustment for classical metabolic factors and hemodialysis-related parameters [β 0.63 (95%CI 0.07–1.18)]. Exploratory analysis revealed that high circulating ANGPTL2 levels were also strongly associated with increased CAVI, particularly in patients with conditions of increased vascular mechanical stress, such elevated blood pressure [β 1.00 (95%CI 0.23–1.76)], elevated pulse pressure [β 0.75 (95%CI 0.52–0.98)], or excess body fluid [β 1.25 (95%CI 0.65–1.84)]. ConclusionsWe conclude that circulating levels of ANGPTL2 rather than hs-CRP are positively associated with CAVI in the uremic population and that ANGPTL2 could be a unique marker of progression of vascular aging in patients receiving hemodialysis.

HUBUNGAN DUKUNGAN KELUARGA DAN KEBUTUHAN SPIRITUAL DENGAN TINGKAT KECEMASAN PASIEN GAGAL GINJAL KRONIK DALAM MENJALANI TERAPI HEMODIALISIS DI RSUD BANGKINANG

The increasing incidence of kidney failure is due to the epidemiological transformation of the disease in recent years. Chronic renal failure patients undergoing hemodialysis therapy will experience anxiety caused by the threat of death, and do not know the final outcome of the therapy. This study aims to analyze the relationship between family support and spiritual needs with the level of anxiety of chronic kidney failure patients undergoing hemodialysis therapy at Bangkinang Hospital in 2020. This study used a cross sectional research design. The population in this study were 47 patients undergoing hemodialysis therapy in the hemodialysis unit at Bangkinang Hospital. The sample in this study patients who underwent hemodialysis therapy were 47 people with a total sampling technique. Collecting data through distributing questionnaires. Data processing used univariate and bivariate analysis. The results showed most respondents had low family support as many as 25 people (53.2%), most respondents had low spiritual needs as many as 29 people (61.7%), most respondents experienced high anxiety levels as many as 30 people (63, 8%). The results of the Chi-square test found that there was a significant relationship between family support and spiritual needs with the level of anxiety of chronic kidney failure patients undergoing hemodialysis therapy at Bangkinang Hospital. It is recommended that the hospital be able to provide counseling about family support and spiritual needs in order to reduce the anxiety level of chronic kidney failure patients.

Coping Mechanisms and Stress Adaptation in Chronic Kidney Failure Patients Underwent Hemodialysis Therapy in RSUD Waled Kabupaten Cirebon

Chronic renal failure is a disease that results in a progressive and gradual decline in renal function that requires hemodialysis therapy. In Indonesia, there were 198,575 patients chronic kidney failure in 2018. The number of undergoing hemodialysis therapy is 132,142 patients. The hemodialysis routine causes tension, anxiety, stress and depression in patient. The purpose of this study was to determine the relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy ant Waled Hospital. The method of this research was descriptive correlational with a cross sectional approach. This research used purposive sampling technique amounted to 79 respondents. The instrument of this research was a questionnaire Jaloweic Coping Scale (JCS) and stress adaptation questionnaire. Data analysis used the spearman rank test. Place of research at Waled Hospital, Cirebon Regency during July 2020. The result showed that most respondents had an adaptive category as many as 55 adaptation showed the results of most respondents had an adaptive category as many as 55 respondents with a percentage (69.6%). The spearman rank test showed p value <α and r<1, which means that there was a moderate an positive relationship between coping mechanisms and stress adaptation (p value=0,000 < α=0.05 and r=0.593). The is a relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy. The better coping mechanism is carries out, the adaptive stress that arises will be adaptive so that the patient can adjust and be able to cope with the stress he is experiencing.

P1453THE DEVELOPMENT OF A NEW PATIENT-REPORTED OUTCOME MEASURE TO EVALUATE THE QUALITY OF DIALYSIS THERAPY

Abstract Background and Aims There is a growing interest in Patient-Reported Outcome Measures (PROMs) as evaluation tools of medical care globally, including dialysis therapy. We developed our original PROM for patients undergoing maintenance hemodialysis (MHD), which was named the Ai-POD (Ai means love in Japanese, POD stands for Patients Oriented Dialysis). The Ai-POD is composed of 20 items relating to physical symptoms (joint pain, itching, frustration, weakness, shortness of breath, constipation, difficulty getting to sleep, asleep condition), complaints during dialysis therapy (pain of cannulation, headache, drop of blood-pressure, leg crumps, fatigue after dialysis session), dietary conditions (appetite, food enjoyment, sore or dry mouth), mental health (depressive feeling, life enjoyment) and comprehensive life satisfaction. All items are rated on a Likert scale from 0 (best) to 4 (worst) except mental health. The mental health questions are yes-no closed questions converting 0 (excellent) or 4 (bad). The sum of all 20 components ranges from 0 to 80, denoting increasing of severity. We have been collecting the data of Ai -POD from all patients in our facilities for over ten years. We examined the associations between the score of Ai-POD and prospective mortality in our patients undergoing hemodialysis therapy to assess the usefulness of the Ai-POD score. Method Three hundred ninety-six patients (262 men, 134 women; age 66 ± 12years) on MHD therapy for at least three months were evaluated with Ai-POD in October 2013 and followed up for three years. We categorized the patients into the four groups according to the quartile of the Ai-POD score and compared anthropometric measurements and laboratory measurements among the groups. The four groups are as below: Grop1 (Score: 0 ∼ 10), Group 2 (11 ∼18), Group 3 (19 ∼29), and Group 4 (29 ∼). A Cox regression analysis was used to evaluate the association between the severity of the Ai-POD score and mortality risk adjusting with several factors. Kaplan-Meire analysis and Log-rank test assessed the mortality rate for comparison among the four groups. Results The average of Ai-POD score of all patients was 19.6 ± 11.7, following a normal distribution. Among the four quartile groups, we found no differences in age, dialysis vintage and diabetes ratio, but found the statistic difference in gender ratio and serum-albumin. Compared with Group 1, the multivariable-adjusted hazard ratio for mortality was significantly increased to 2.51 (95% CI 1.03 – 7.02) and 3.00 (95% CI 1.25 – 8.46) in Group 3 and Group 4, respectively. Kaplan-Meier analysis showed higher mortality in Group 3 and 4 (16.7% and 19.1% respectively) compared with Group 1 and 2 (5.6% and 6.5% respectively) significantly (p=0.0033) (Figure). Sub-analysis with each Ai-POD item indicated that frustration, appetite, food enjoyment, and overall life satisfaction were strong independent predictors of prognosis. Conclusion The score of PROM is a significant prognostic factor, suggesting the Ai-POD score could be one of the useful tools to estimate the quality of dialysis therapy. The strategies to improve the score in each item could enhance the quality of dialysis therapy.

Kecemasan dengan kualitas hidup pasien yang menjalani hemodialisis

Chronic Kidney Failure (CRF) is a condition of chronic kidney function decline that is progressive and irreversible. One of the effective actions in handling this condition is hemodialysis. CRF patients undergoing hemodialysis therapy mostly experience anxiety and decreased quality of life. This study aims to determine the relationship of anxiety with quality of life in CRF patients undergoing hemodialysis at Rasyida Kidney Hospital Medan. The research method used correlation analytic with cross sectional approach. The study population was all patients undergoing hemodialysis with a sampling technique that was purposive sampling with a total sample of 76 people. The research instrument used the Zung Self Rating Anxiety Scale (ZSAS) and WHOQOL-BREF questionnaire. The results of the study were analyzed using the Spearmen Rank test. The results of this study indicated the anxiety of the majority of respondents with a moderate category of 49 respondents (64.5%) and the quality of life of patients undergoing majority hemodialysis with a bad category of 42 respondents (55.3%). Spearmen rank test analysis showed that there was a relationship between anxiety and the quality of life of CRF patients undergoing hemodialysis with value of p = 0.006 p

Hubungan Antara Dukungan Keluarga Dan Motivasi Dengan Kualitas Hidup Pada Pasien Yang Menjalani Terapi Hemodialisa di RSI Sultan Agung Semarang

Life quality of chronic kidney disease patients who undergoing hemodialysis therapy is still being an attractive problem for health professionals, a patient will feel worth if they get support from their family and have the motivation to undergo hemodialysis therapy. This research aims to acknowledge family support and motivation with life quality in patients undergoing hemodialysis therapy in Islamic Sultan Agung Hospital Semarang. This research is analytic observational study, using total sampling technique with 87 numbers of respondents. Data collection using a questionnaire. Data Analysis technique using a chi-square test. Chi-square test for family support and life quality discovers result p-value 0,005, meanwhile for motivation and life quality hemodialysis patients p-value 0,0001. Family support and motivation is correlated wit life quality on patients undergoing hemodialysis. The nurse has a big role to give support and motivation toward patients and family.

PENERAPAN LATIHAN RANGE Of MOTION (ROM) PADA PASIEN DENGAN GAGAL GINJAL KRONIK DALAM PEMENUHAN KEBUTUHAN AKTIVITAS

Chronic kidney failure (CKD) or Chronic Kidney Diseases (CKD) is a problem that occurs in the decline in kidney function because the kidneys become a vital organ in maintaining a healthy body. Decreased kidney function causes the kidneys can not maintain the balance of metabolism, fluid and electrolytes which can lead to uremia. This study aims to see the extent of the application of ROM exercises in Chronic Kidney Failure Patients in Meeting the Needs of Activities. This research is using descriptive case design with a case study approach. The results of this study are intradialysis ROM exercises in patients undergoing hemodialysis therapy can influence the level of fatigue (fatigue). This began to be seen in the treatment of the third to the sixth has changed and the value of fatigue has increased. Which means that the higher the value of fatigue, the better the quality of life of patients with chronic renal failure. But this exercise must be done continuously. Conclusion: Intradilysis ROM exercises in hemodialysis patients can affect the level of fatigue (fatigue). Keywords: Fatigue, ROM Exercise, CKD

Gambaran Perubahan Tekanan Darah Pada Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisis Di Ruang Hemodialisa Rumah Sakit TK. II Pelamonia Makassar

Background: The kidneys have a very important role in maintaining a healthy body. The kidneys experience acute renal failure when the kidney cannot function suddenly. Without kidney replacement therapy, deaths from metabolic disorders can occur quickly. One kidney replacement therapy can be done is hemodialysis. Although hemodialysis is safe and beneficial for patients, it does not mean without side effects. Various complications can occur when patients undergo hemodialysis one of which is intradialisis hypertension. This complication can lead to new, more complex problems, including discomfort, increasing stress affecting the quality of life, worsening the patient's condition and even causing death. Objective To determine the description of blood pressure changes in patients with chronic renal failure undergoing hemodialysis therapy in the Hemodialysis room at TK II Pelamonia Hospital Makassar. Methods: This study used a descriptive survey method with a case study approach. Results: Research shows that patients undergoing hemodialysis therapy experience changes in blood pressure in pre and post hemodialysis. Conclusion: There is an effect of hemodialysis on changes in blood pressure in patients with kidney failure in the Hemodialysis Room of TK. II Pelamonia Hospital Makassar.

Assessment of Sclerostin and Interleukin 6 Levels and Selected Anthropometric Parameters in Patients Receiving Hemodialysis Replacement Therapy—Pilot Study

Background and Objectives: Chronic kidney disease (CKD) is an important public health problem associated with, e.g., progressive renal insufficiency, bone mineral disorders, and increased inflammatory marker levels. The objective of this study was to compare selected biochemical parameters and to evaluate potential correlations between selected anthropometric parameters and levels of sclerostin and interleukin 6 (IL-6) in blood plasma. Materials and Methods: The study group consisted of 34 patients aged 59.8 ± 9.8 years, receiving hemodialysis therapy. The control group consisted of 31 individuals aged 55.4 ± 9.37 years, presenting with GFR (glomerular filtration rate) of more than 60 mL/min/1.73 m2. Selected anthropometric and biochemical parameters were assessed at baseline, as well as 3 and 6 months into the study. Statistical analyses were performed using the Statistica 2014 software package (StatSoft, Inc.Tulsa, OK, USA). Analyses included descriptive statistics, intergroup comparisons using the Mann-Whitney U-test or the Kruskal-Wallis test, and Spearman’s correlation analysis. The significance level was set at p ≤ 0.005. Results: At all measurement time points, i.e., at baseline, at month 3, and at month 6, the IL-6 levels in the study group were significantly higher than those in the control group. No correlations were observed in the study group between SCL or IL-6 levels and anthropometric parameters such as body weight, body mass index (BMI), or waist circumference. Conclusions: Patients receiving hemodialysis replacement therapy present with significantly higher levels of IL-6 in their blood. Anthropometric parameters (body weight, BMI, and waist circumference) have no impact on sclerostin and IL-6 levels in patients undergoing hemodialysis therapy. The results obtained are satisfactory, and the research will be continued.

Depressive symptoms and dietary non-adherence among end stage renal disease patients undergoing hemodialysis therapy: systematic review

BackgroundResearch suggests that patients with end stage renal disease undergoing hemodialysis have a higher rate of depression and dietary non adherence leading to hospitalization and mortality. The purpose of this review was to synthesize the quantitative evidence on the relationship between depressive symptoms and dietary non adherence among end stage renal disease (ESRD) patients receiving hemodialysis.MethodsA systematic review was undertaken. Three electronic databases were searched including PubMed, CINHAL and Web of Science. Only quantitative studies published between 2001 and 2016 were included in the review.ResultA total of 141 publications were reviewed during the search process and 28 articles that fulfilled the inclusion criteria were included in the review. Eleven studies (39.3%) reported on the prevalence of depressive symptoms or depression and its effect on patient outcomes. Ten studies (35.7%) focused on dietary adherence/non adherence in patients with ESRD and the remaining seven (25%) articles were descriptive studies on the relationship between depressive symptoms and dietary non adherence in patients with ESRD receiving hemodialysis. The prevalence of depressive symptoms and dietary non adherence ranged as 6–83.49% and from 41.1–98.3% respectively. Decreased quality of life & increased morbidity and mortality were positively associated with depressive symptoms. Other factors including urea, hemoglobin, creatinine and serum albumin had also association with depressive symptoms. Regarding dietary non adherence, age, social support, educational status, behavioral control and positive attitudes are important factors in ESRD patients receiving hemodialysis. Having depressive symptoms is more likely to increase dietary non adherence.ConclusionDepressive symptoms and dietary non adherence were highly prevalent in patients with end stage renal disease receiving hemodialysis therapy. Nearly all of the articles that examined the relationship between depressive symptoms and dietary non adherence found a significant association. Future research using experimental or longitudinal design and gold standard measures with established cut-points is needed to further explain the relationship.

Faktor-Faktor yang Berhubungan dengan Kualitas Hidup Pasien Hemodialisis

The incidence of kidney failure worldwide continues to increase. Kidney failure patients are dependent on hemodialysis therapy. The implementation of hemodialysis therapy 2-3 times a week for 3-4 hours will cause boredom and boredom. This will affect the quality of life of patients with chronic kidney failure. This study to determine the relationship of age, sex, education, duration of hemodialysis, source of support, and family support to the quality of life of hemodialysis patients in Panembahan Senopati General Hospital Bantul Yogyakarta. This research used descriptive correlational with cross sectional approach. The samples were patients undergoing hemodialysis therapy at Panembahan Senopati Regional General Hospital Bantul taken by accidental sampling amounting to 71 respondents. Data collecting used a questionnaire. Bivariate analysis used the Spearman Rank statistical test. Most of the respondents were age range 46-60 years as many as 48 people (67.6%), male sex as many as 40 people (56.3%, high school education as many as 33 people (46, 5%), duration of 1-3 years hemodialysis range as many as 46 people (64.8%), and sources of support from husband/wife as many as 40 people (56.3%). Most respondents were getting enough family support as many as 31 people (43.7%) and adequate quality of life of 35 people (49.3%). Bivariate analysis of age, sex, education, duration of hemodialysis, and family support with quality of life obtained p-value 0.027; 0.758; 0.004; 0.093 0.015; and 0.000. There was a significant relationship between age, education, hemodialysis duration, and family support for the quality of life of hemodialysis patients in Panembahan Senopati Regional General Hospital, Bantul. While gender and source of support had no relation to the quality of life of hemodialysis patients in Panembahan Senopati Regional General Hospital Bantul.

The Relationship of Long Time Hemodialysis Therapy With Mentrual Change Among Chronic Kidney Failed Patient Who Have Hemodialysis In Waled General Hospital Cirebon District

The number of patiens undergoing hemodialysis therapy at Waled General Hospital Cirebon in 2018 amounted to 77 patients. Patients with cronic kidney disease who underwent hemodialysis at Waled General Hospital Cirebon experience Menstrual Changes. The purpose of this study was to determine Relationship Long Time Of Hemodialyisis Therapy With Menstrual Changes Of Cronic Kidney Disease Patient who Undergoing Hemodialysis at Waled General Hospital Cirebon. This research used descriptive correlational with cross sectional approach. The population of the study was55 female patients undergoing hemodialysis therapy from December 2019 to February 2019. A total of 48 respondens participated as the sample by using Purposive Sampling tecniques. The documentation sheet and questionnaires were attempted as the instrument of study and data were analyzed by using chi square (x2).The study was held in RSUD Waled Hospital Cirebon. On 2nd – 6th July, 2019. The results of the study obtained r value of 0.707 and< α H0 rejected. It showed there was an relationship long time of hemodialyisis therapy with menstrual changes of cronic kidney disease patient who undergoing hemodialysis at Waled General Hospital Cirebon ( p value = 0.027, α = 0.05 r = 0,707). The long time of hemodialysis therapy affects the menstrual cycle changes can occur due to the presence of hyperprolactinemia so that the changes that occur can be secondary amenorrhea.

FAMILY SUPPORT AND FAMILY ECONOMIC STATUS WITH DEPRESSION LEVEL ON PATIENTS END STAGE RENAL DISEASE (ESRD) IN GATOEL HOSPITAL MOJOKERTO DISTRICT INDONESIA

Patients with hemodialysis therapy have uncertainty as to how long hemodialysis is required and should accept the fact that therapy is needed throughout life. Because it appears anxiety response, rejection and anger. ESRD patients undergoing hemodialysis therapy, require support from the family. The purpose of this study was to determine the relationship of family support and economic status with depressed ESRD patients who underwent hemodialysis therapy <1 year. The design of this research is descriptive correlation with cross sectional research method, by using simple random sampling technique with the number of samples of 47 ESRD patients who are undergoing hemodialysis at Gatoel Hospital Mojokerto. The Research done in April 2017. The results obtained most of the respondents have economic ability Above the Provincial Minimum Wage of 27 respondents (57.4%). Most of the respondents stated that they received good family support in 30 categories (63,8%) and most of respondents had light depression 24 respondents (51,1%). Based on statistical test of spearman's rho with significance level α 0,05 obtained result (r) = 0,462 meaning bigger than value signifikansi (0,462> 0,05) hence H1 rejected which mean there is no significant relation between economic status with depression level In ESRD patients and Spearman's rho statistical test results obtained significance value 0.000 <0.05 which means there is a significant relationship between family support with depression levels in ESRD patients. The economic level does not affect depression because the cost of hemodialysis therapy all respondents is covered by health insurance, whereas family support has a positive influence where the better the family support the lighter the depression level in ESRD patients undergoing hemodialysis therapy

The THE RELATIONSHIP OF INFORMATION GIVING PERIODICALLY WITH PSYCHOLOGICAL WELL-BEING IN PATIENTS UNDERGOING HEMODIALYSIS THERAPY (Study at Islam Jemursari Hospital Surabaya)

Patients have undergone hemodialysis therapy experience changes in their lifestyle such as the body's limited function, dependence on treatment, feelings of fear and worry about uncertainty about death, as well as lifestyle changes that can cause anxiety and emotional instability in patients. The purpose of this study was to determine the relation of information giving periodically with psychological well-being in patients undergoing hemodialysis therapy.
 This research method was analytic with cross sectional approach. Total population was 120, sample of this research was 92 respondents. Sampling was using simple random sampling, the instrument used was a questionnaire of regular information and psychological well-being questionnaires in patients undergoing hemodialysis therapy. The statistical test used Spearman Rank with significance value α 0,05.
 The result of the study showed that the information giving was less, that was 43 respondents (47%), while the psychological well-being was 46 respondents (50%). The result of statistical test showed that P value (0,042) <α (0,05) mean there was a relation of information giving periodically with psychological well-being in patients who undergo hemodialysis therapy at RSI Surabaya.
 The results of the research conducted, there was a relationship of information giving periodically with psychological well-being in patients undergoing hemodialysis therapy. It is expected that nurses can give information periodically to patients undergoing hemodialysis therapy in order to phsychological well-being of patients is high.

The THE RELATIONSHIP OF INFORMATION GIVING PERIODICALLY WITH PSYCHOLOGICAL WELL-BEING IN PATIENTS UNDERGOING HEMODIALYSIS THERAPY (Study at Islam Jemursari Hospital Surabaya)

Patients have undergone hemodialysis therapy experience changes in their lifestyle such as the body's limited function, dependence on treatment, feelings of fear and worry about uncertainty about death, as well as lifestyle changes that can cause anxiety and emotional instability in patients. The purpose of this study was to determine the relation of information giving periodically with psychological well-being in patients undergoing hemodialysis therapy.
 This research method was analytic with cross sectional approach. Total population was 120, sample of this research was 92 respondents. Sampling was using simple random sampling, the instrument used was a questionnaire of regular information and psychological well-being questionnaires in patients undergoing hemodialysis therapy. The statistical test used Spearman Rank with significance value α 0,05.
 The result of the study showed that the information giving was less, that was 43 respondents (47%), while the psychological well-being was 46 respondents (50%). The result of statistical test showed that P value (0,042) <α (0,05) mean there was a relation of information giving periodically with psychological well-being in patients who undergo hemodialysis therapy at RSI Surabaya.
 The results of the research conducted, there was a relationship of information giving periodically with psychological well-being in patients undergoing hemodialysis therapy. It is expected that nurses can give information periodically to patients undergoing hemodialysis therapy in order to phsychological well-being of patients is high.