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Determinants Quality of Life For Chronic Kidney Disease Patients Undergoing Hemodialysis Therapy Nurarifah; Gustini; Sukmawati; Mua, Estelle Lilian; Ra’bung, Alfrida Semuel
Public Health of Indonesia Vol. 11 No. 1 (2025): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i1.904

Abstract

Background:Hemodialysis is a kidney replacement therapy for patients with chronic kidney disease (CKD) aimed at removing excess fluid and waste products from the bloodstream and extending life expectancy. Although hemodialysis is considered the most effective therapy for increasing the life expectancy of CKD patients, it is associated with several side effects that can impact patients' overall well-being. Objective:This study aims to analyze the quality of life and associated factors among chronic kidney disease patients undergoing hemodialysis therapy. Methods:This cross-sectional study was conducted in the Hemodialysis Unit of Banggai District Hospital, Central Sulawesi, Indonesia. The study involved 60 CKD patients aged ≥18 years who were undergoing hemodialysis therapy from April to June 2024. Participants were selected using purposive sampling. Primary data were collected through direct interviews using the Kidney Disease Quality of Life Short Form 36 (KDQoL-SF36) questionnaire. Data analysis was performed using descriptive statistics, chi-square tests, and logistic regression analysis. Results:The chi-square test revealed significant associations between age (p = 0.024), gender (p = 0.041), blood pressure (p = 0.036), nutritional status (p = 0.039), hemoglobin levels (p = 0.024), creatinine levels (p = 0.023), and family support (p = 0.003) with the overall quality of life of hemodialysis patients. Logistic regression analysis demonstrated that gender (p = 0.025; OR = 8.739; 95% CI: 1.320–57.872) and blood pressure (p = 0.049; OR = 9.817; 95% CI: 1.012–95.251) were significant predictors of quality of life. Conclusion:Factors such as older age, female gender, hypertension, nutritional imbalances (obesity or malnutrition), anemia, and elevated creatinine levels contribute to a decline in the quality of life of hemodialysis patients. The findings underscore the importance of collaborative efforts by patients, families, nurses, healthcare providers, and the government to enhance therapy adherence, dietary management, and psychological support to improve the quality of life of patients undergoing hemodialysis. Keywords:quality of life; chronic kidney disease; hemodialysis; hemoglobin; creatinine
Increased knowledge about clean and healthy living behavior in an effort to prevent diarrhea Gustini Gustini; Sumiyati Sumiyati; A.Syamsinar Asmi Asmi; Nordianiwati Nordianiwati; Hendrik Hendrik
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 1 No. 2 (2024): Volume 1 Number 2 June 2024
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v1i2.42

Abstract

Diarrhea is one of the common public health issues, especially in areas with poor sanitation and unhealthy lifestyles. Preventive efforts against diarrhea involve not only medical interventions but also the importance of education on PHBS (Clean and Healthy Living Behavior). This study aims to evaluate the effectiveness of increasing knowledge about PHBS in preventing diarrhea. The research method used is experimental with a pre-test and post-test control group design. The subjects consist of two groups: the intervention group receiving PHBS education and the control group without education. Data collection was done through knowledge questionnaires before and after the intervention. The results showed a significant increase in knowledge about PHBS in the intervention group after receiving education, compared to the control group. This indicates that PHBS education is effective in improving the knowledge and understanding of the community in preventing diarrhea. The conclusion of this research emphasizes the importance of PHBS education in preventing diarrhea in the community. Structured and comprehensive education programs can be an effective strategy to reduce the incidence of diarrhea and improve public health overall.