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Wantonoro Wantonoro, Wantonoro
Universitas Aisyiyah Yogyakarta
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Journal : Jurnal Kesehatan

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Longitudinal Changes in Health-Related Quality of Life Among Older Adults Undergoing Hemodialysis Wantonoro, Wantonoro; Suarni, Lisa; Novita, Dian; Van Nguyen, Tuan
Jurnal Kesehatan Vol 16 No 2 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i2.5156

Abstract

Chronic kidney disease is a significant public health problem worldwide. Hemodialysis is the most common form of kidney replacement therapy in the world. Hemodialysis therapy is associated with deterioration in health-related quality of life. However, limited studies focused on health-related quality of life subscales among older persons with hemodialysis in the Indonesian population, especially with long-term follow-up. This study aims to explore the six-month longitudinal changes in health-related quality of life subscales among older persons with hemodialysis. This prospective cohort study evaluated 119 older adults undergoing hemodialysis using purposive sampling between March and September 2024 at PKU Yogyakarta Hospital, Indonesia. Outcomes status was evaluated with health-related quality of life at 1-, 3-, and 6-months. The Indonesian version of SF-36 assessed health-related quality of life. Data were analyzed using general estimating equations. In general, the health-related quality of life among older persons with hemodialysis was decreased. The longitudinal changes of eight subscales significantly deteriorated from the first month to the third month and remained consistently worse during the third to the sixth months (p=.001, respectively). Most deterioration was found in role limitation due to physical problem (β=-94.4; p=.001), general health (β=-70.5; p=.001), and vitality (β=-66.9; p=.001). Social function showed the better domain during the 6 months (β=-36.6; p=.001) than other health-related quality of life subscales. Different aspects of health-related quality of life deteriorate differently among older persons with hemodialysis. Specific attention needs to be paid to high-risk Indonesians among older persons with hemodialysis health-related quality of life, especially those who are older.
Co-Authors Adelia Rizky Brilianti Al Amin, Taofani Rizal Apriliyani, Kiki Putri Arida Rahmawati Arif Bimantara Arman, Mohammed Astuti, Andari Wuri Astuti, Dhesi Baros, Wan Aisyah Dewi, Suarse Dian Novita Dian Retnaningdiah, Dian Dika Rizki Imania Dika Rizki Imania, Dika Rizki Diyah Candra Anita, Diyah Candra Dwi Astuti Edy Suprayitno Edy Suprayitno, Edy Endang Koni Suryaningsih, Endang Koni Faedati, Nur Faidati, Nur Faidullah, Hilmi Zadah Farida Kartini Febriyanti, Maya Fenny Nur Alvianty harun, sigit Harus, Sigit Heru Susanto Huynh Xuan Thi Nguyen Ilyas, Aura Risky Putri Imron, Moh Ali Indrawati Indrawati Islamiyatur Rokhmah Ismarwati Rendra Widyatama I.M. Sunarsih Sutaryo Jurdiansyah, Jurdiansyah Kartini, Farida Khoiriyah, Hikmatul Komarudin Komarudin Komarudin Komarudin L, Tri Hapsari Liem Thanh Nguyen Loc Van Huynh M Dahlan M Dahlan, M Made Suandika Mamnuah, Mamnuah Manahan, Lydia T. Manh Truc Huynh Nguyen Manurung, Khaterina Kristina Meei-Ling Gau Minh Quang Le Mufdillah Mufdillah, Mufdillah My Ngoc Thi Huynh Nguyen, Tuan Van Nosa Septiana Anindita Phuong Viet Nguyen Prihatiningsih, Dwi Putri, Rizki Anindya Ramdani, Wawan Febri Rini, Sulistio Ruhyana, Ruhyana Salmiati, Suri Setianah, Heni Siregar, Dedy Revelino Siti Fatimah Sitti Fadhillah Suarni, Lisa Sugiantoro, Hari Akbar Sugiyarto Sugiyarto Suri Salmiyati Suri Salmiyati, Suri Suriani Suriani Thi My, Nguyen Duyen Thi Ngoc, Nguyen Han Thi Yen, Nguyen Nhi Thu Minh Vo Thuy Hong Nguyen Tuan Van Nguyen Tuan Van Nguyen Van Nguyen, Tuan Widadi, Tri Yang, Hsiu-Ling Zain, Indah Choirunnisa Putri