Determinants of Quality of Life in Patients with Chronic Kidney Disease Undergoing Hemodialysis at Dr. M. Djamil Hospital Padang
DOI:
https://doi.org/10.22437/jkmj.v9i3.50877Keywords:
Chronic Kidney Disease, Hemodialysis, Quality of Life, Perception, Social SupportAbstract
Patients with Chronic Kidney Disease (CKD) encounter persistent health burdens that substantially affect their quality of life, particularly during treatment and hemodialysis. Consequently, identifying factors that influence quality of life in this population is essential. This study examined determinants of quality of life among CKD patients undergoing hemodialysis at Dr. M. Djamil General Hospital Padang in 2025. This study employed a mixed-methods approach with a concurrent triangulation design. The quantitative component used a cross-sectional design involving 73 patients selected through simple random sampling. Research instruments included the Kidney Disease Quality of Life–Short Form 36 and the Perceived Kidney Disease Self-Management Scale. Data were analyzed using univariate, bivariate, and multivariate analyses with logistic regression. The qualitative component applied a phenomenological approach through in-depth interviews with 15 informants, and the data were analyzed using thematic analysis. Overall, 53.4% of patients with chronic kidney disease undergoing hemodialysis reported low quality of life. Bivariate analysis showed that gender and disease perception were associated with quality of life, however, multivariate analysis identified only disease management perception as the dominant predictor. Patients with negative perceptions had a 33-fold higher risk of low quality of life compared to those with positive perceptions (p<0.001; OR=33.026; 95% CI: 6.124–178.106). No significant associations were found for age, education level, employment status, marital status, comorbidities, or duration of hemodialysis. Qualitative findings supported the quantitative results, showing that patients perceptions were influenced by informational, emotional, financial, and family support, which in turn improved disease acceptance, adaptation, and quality of life.
Downloads
References
1. Gehman KS. Global Kidney Health Atlas. ISN Int Soc Nephrol 2023;19–28.
2. Kemenkes RI. Survei kesehatan indonesia (ski) 2023 dalam angka. Kementeri Kesehat Badan Kebijak Pembang Kesehat 2023;
3. Yanti E, Apriyeni E, Fridalni N. Analisis Hubungan Faktor Usia Dengan Kejadian Chronic Kidney Disease Stage V. J Kesehat Saintika Meditory 2023;6(1):224–31.
4. Barat RS. Riset Kesehatan Dasar Provinsi Sumatera Barat Tahun 2018. Lap Riskesdas Nas 2018;2018:1–478.
5. Nu’im Haiya N, Ardian I, Azizah IR, Marfu’ah S. Investigasi Kualitas Hidup Pasien Hemodialisa Berdasarkan Aspek Dukungan Keluarga. J Gema Keperawatan 2024;17(1):162–78.
6. Ferrans CE, Powers MJ. Quality of life index: development and psychometric properties. Rech Soins Infirm 2007;88(1):32–7.
7. Siwi AS. Kualitas hidup pasien gagal ginjal kronik yang menjalani terapi hemodialisa. J keperawatan muhammadiyah bengkulu 2021;9(2):1–9.
8. Nurjamah F, Sri Susilaningsih F, Hara Permana R. Kualitas Hidup (Quality Of Life) Pada Mahasiswa Profesi Fakultas Keperawatan Universitas Padjadjaran. Med Respati J Ilm Kesehat 2023;18(1):51–62.
9. Chilcot J, Wellsted D, Farrington K. Illness perceptions predict survival in haemodialysis patients. Am J Nephrol 2011;33(4):358–63.
10. Permata Sari S, AZ R, Maulani M. Hubungan Lama Hemodialisis dengan Kualitas Hidup Pasien Penyakit Ginjal Kronik di Ruang Hemodialisa Rumah Sakit Bhayangkara Kota Jambi. J Ilm Ners Indones 2022;3(2):54–62.
11. Dwi Nurbadriyah W, Nursalam N, Yuni Widyawati I, Wahyu Kurniawan A. Factors associated with quality of life among patients undergoing hemodialysis in Indonesia. 2023;
12. Azira N, Mutmainna A, Tinggi Ilmu Kesehatan Nani Hasanuddin S, Perintis Kemerdekaan VIII J, Makassar K. Pengaruh Hemodialisa Terhadap Quality Of Life Pada Pasien Gagal Ginjal Kronik. J Ilm Mhs Penelit Keperawatan 3:2023.
13. Muhammad Cahyono Tito Hudoyo, Melyza Perdana SS. Validity and Reliability Test of Kidney Disease Quality Of Life-36 (KDQOL-36) Instrument for Patient with Hemodialysis. J Keperawatan Klin dan Komunitas 2021;5(1):397–9.
14. Adref F, Said S, Amir M. Validity And Reliability Of The Perceived Kidney Disease Self Management Scale Among Indonesian Hemodialysis Patients. Diagnosis J Ilm Kesehat 2024;19:15–21.
15. Kallifah NR, Budhiana J, Farhania I. Pengaruh Self-Care terhadap Kualitas Hidup Pasien Gagal Ginjal Kronik di Unit Dialisis Kota Sukabumi. J Keperawatan Cikini 2024;5(1):1–9.
16. Riehl-Tonn VJ, MacRae JM, Dumanski SM, Elliott MJ, Pannu N, Schick-Makaroff K, et al. Sex and gender differences in health-related quality of life in individuals treated with incremental and conventional hemodialysis. Clin Kidney J [Internet] 2024;17(10):sfae273. Available from: https://doi.org/10.1093/ckj/sfae273
17. Wahyuni P, Miro S, Kurniawan E. Hubungan Lama Menjalani Hemodialisa Dengan Kualitas Hidup Pasien Penyakit Gagal Ginjal Kronik. Kesehat Andalas 2018;4.
18. Gellman MD. Behavioral Medicine BT - Encyclopedia of Behavioral Medicine [Internet]. In: Gellman MD, editor. . Cham: Springer International Publishing; 2020. page 223–6.Available from: https://doi.org/10.1007/978-3-030-39903-0_1660
19. Inga-Romero ME, Huaman-Untiveros S, Arellán-Bravo L. Relationship Between Complications and Quality of Life Among Hemodialysis Patients at a National Hospital in Huancayo, Peru, 2022. Enfermería Cuid Humaniz 2025;14(1).
20. Khusniyati N, Forwaty E, Delvira Poltekkes Kemenkes Riau W. Pengaruh Kepatuhan Batasan Cairan, Dukungan Keluarga terhadap Kualitas Hidup pada Pasien Hemodialisa. J Keperawatan) 2023;8(2).
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Friska Adilla Friska, Dien Gusta Anggraini Nursal, Vivi Triana (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Proposed Creative Commons Copyright Notices
1. Proposed Policy for Journals That Offer Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Proposed Policy for Journals That Offer Delayed Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication, with the work [SPECIFY PERIOD OF TIME] after publication simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
p-ISSN : 
e-ISSN : 
