PERBEDAAN KUALITAS HIDUP PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS PADA BERBAGAI MANAJEMEN SELF-CARE
AbstractBackground: Chronic kidney disease (CKD) is a global health problem with increasing prevalence and incidence, poor prognosis, and high costs, as the number of diabetes mellitus and hypertension increases. Self-care management is an effort to participate in patients in line with chronic therapy and treatment programs to maintain their health status in order to maintain their quality of life. The purpose of the study was to analyze the differences in the quality of life of CKD patients undergoing hemodialysis in various conditions of self-care management that they do. Method: cross sectional study design, using a sample of all CKD patients undergoing hemodialysis as many as 60 respondents. The research measuring instrument uses Hemodialysis Patient's Self-care Management Scale (HPSMS) and Kidney Disease Quality of Life (KDQOL) SF 1.3. Data analysis was performed univariately, and bivariate using the fisher exact test. Results: the average age of 47.3 years, 53.3% of men, median HD length of 10.5 months, 58.3% did not work. Universal self-care 80% bad, dietary regulation 83.3% bad, stress prevention 81.7% good, consuming safe food 83.3% bad, exercise regulation 83.3% bad, habitual regulation 86.7% good . The quality of life of patients with CKD 81.7% is poor. There was a significant difference in quality of life between poor and good self-care management (p = 0.0001; OR = 15.4). Discussion: Good self-care management is needed by CKD patients to maintain their quality of life.
Keywords : Self-care management, quality of life, chronic kidney disease, hemodyalisis