Quality of Life of Chronic Renal Failure Patients Undergoing Hemodialysis During Post Covid 19 Pandemic

Abstract

Chronic Kidney Disease (CKD) is one of the most involved diseases of the urinary system, which is becoming a serious public health problem among the world's population characterized by high prevalence, mortality, and health costs. CKD is defined as a progressive abnormality of kidney structure and/or function for more than three months followed by health implications. It can be determined using the glomerular filtration rate, which is used to classify the severity of the disease. The majority of patients with stage 4 and all stage 5 require renal replacement therapy to maintain their quality of life, including hemodialysis (HD). Hemodialysis (HD) is a procedure in which a dialysis machine and a special filter called an artificial kidney, or dialyzer are used to clean the patient's blood, which can improve the patient's quality of life. Basically, the hemodialysis process carried out by CKD patients is able to increase serum creatinine, albumin, and pre-albumin, then also able to normalize the catabolic rate of protein and increase the food intake of CKD patients. However, most previous studies have found that the hemodialysis process can increase the prevalence of malnutrition and reduce the quality of life of patients. This study aims to determine the picture of the quality of life of CKD patients undergoing hemodialysis during the post-COVID 19 pandemic period. Data collection of this study was carried out in the Hemodialysis room of Arifin Achmad Hospital Pekanbaru, with a total of 65 samples with the criteria of patients undergoing regular HD at least 2 times a week. Data analysis in this study using univariate for demographic data and quality of life picture of chronic kidney failure patients. The results showed that the majority of respondents were male as many as 37 people (56.9%), almost all of them were married as many as 62 respondents (95.4%), the majority had high school education as many as 41 respondents (63.1%), almost half were not working, namely as many as 29 respondents (44.6%), and the majority aged 51-60 years as many as 30 respondents (46.2%). While the picture of quality of life 2 shows that the majority of respondents have a good quality of life, namely 33 respondents (50.8%). Based on the results of this study, it is hoped that families can play an important role in providing support and motivation during hemodialysis therapy so as to increase expectations and higher quality of life for patients