Pratiwi, Danies Tunjung
Mahasiswa Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

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Hubungan Dukungan Keluarga Dengan Tingkat Depresi Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di PTPN X Rumah Sakit Gatoel Mojokerto Pratiwi, Danies Tunjung
MEDICA MAJAPAHIT Vol 5, No 1 (2013): MEDICA MAJAPAHIT
Publisher : SEKOLAH TINGGI KESEHATAN MAJAPAHIT MOJOKERTO

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Abstract

Depression is a psychological effect that is common in patients with chronic health problems such as ESRD (End Stage Renal Disease). Depression is often associated with increased morbidity of the disease. The results of preliminary studies that the researchers did found that 85% of patients with chronic renal failure undergoing regular hemodialysis in PTPN X Gatoel Hospital Mojokerto depressed. Strong support system can speed up recovery of depressive episodes. Family support would substantially increase a person’s adjustment to the events in live. The purpose of this study to determine the relationship of family support with levels of depression chronic renal failure patients undergoing hemodialysis. The research is Expost Facto Time Changes to the type of research Throhoc or Retrospectives. The population in this study were patients with chronic renal failure undergoing hemodialysis at PTPN X Gatoel Hospital Mojokerto by the number of samples taken by 30 respondents with non-probability sampling technique thst is consecutive sampling.The results showed that the majority (90%) patients with chronic renal failure undergoing hemodialysis were depressed with the largest proportion is mild depression (43%). Judging from the absence of family support is known that more than 50% get good family support. Spearman Rank Test results of the analysis results obtained p = 0,000 < α = 0,05, so Ha is received it means there is a relationships of family support with levels of depression chronic renal failure patients undergoing hemodialysis in PTPN X Gatoel Hospital Mojokerto. Family support is an important form of support system for patients who are depressed. Family support appropriate and as required improved the lives an improve quality of live. Families can always be expected to provide support so that patients can develop coping mechanism and problem solving are effective.Keywords : Family Support, Depression, GGK, Hemodialysis.
Determinants of the Quality of Life for Hemodialysis Patients Pratiwi, Danies Tunjung; Tamtomo, Didik Gunawan; Suryono, Arief
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Chronic kidney disease (CKD) is a major cause of changes in activity, psychology and life. Analysis of the use of hemodialysis on quality of life was carried out as a treatment eva­lu­a­tion to maintain the survival of CKD patients. This study aimed to determine the determinants qu­a­­lity of life among he­modialysis patients.Subjects and Method: This was a cross-sectional study conducted at the Hospital Hemodialysis Unit Dr. Hardjono, Ponorogo, East Java, in April 2019. A total sample of 200 hemodialysis patients we­­re selected using simple random sampling. The dependent variable was the quality of life of he­mo­­dialysis patients. The independent variables were age, gender, education, type of financing, fa­mi­ly­ income, stress, frequency of hemodialysis, level of physical dependence, comorbidity, and so­cial group. The data of life quality were collected using the Kidney Disease Quality of Life (KDQoL) SF-36 questionnaire and analyzed using multiple logistic regressions.Results: The quality of life of hemodialysis patients was affected by age ≥ 50 years (b = -1.40; CI 95% = -2.42 to -0.36; p = 0.008), severe stress (b = -1.73; CI 95% = -2.91 to -0.54; p = 0.004), had co­­­morbidity (b = -1.25; CI 95% = -2.29 to -0.23; p = 0.017), male sex (b = 1.48; CI 95% = 0.41 to 2.54; p = 0.007), education high (b = 1.46; 95% CI = 0.43 to 2.50; p = 0.006), family income ≥ mi­ni­­mum wage (b = 1.98; 95% CI = 0.75 to 3.20; p = 0.002), PBI financing type (b = 1.69; 95% CI = 0.40 to 2.98; p = 0.010), frequency of hemodialysis often (b = 1.21; 95% CI = 0.20 to 2.22; p = 0.019), independent physical dependence level (b = 1.41; 95% CI = 0.33 to 2.49 ; p = 0.011), and has a social group (b = 3.28; 95% CI = 1.12 to 9.65; p = 0.031).Conclusions: Age, gender, education, type of financing, family income, stress, frequency of he­mo­di­a­lysis, level of physical dependence, comorbidity, and social group affect the quality of life of he­mo­­dialysis patients.Keywords: Chronic kidney disease, quality of life, hemodialysis, social group.Correspondence: Danies Tunjung Pratiwi. STIKES Buana Husada, Jl. Gabah Sinawur 9A, Ponorogo 63411, Jawa Timur. Email: daniestunjung@gmail.com. Mobile: +6285229-209108Indonesian Journal of Medicine (2019), 4(2): 145-154https://doi.org/10.26911/theijmed.2019.04.02.08