RELATIONSHIP BETWEEN ANEMIA AND THE QUALITY OF LIFE OF CLIENTS OF CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS

Abstract

Chronic kidney disease can cause various kinds of complications, and to prevent these complications, one of the treatment measures is done by hemodialysis. Clients who undergo hemodialysis are susceptible to emotional problems and thus have an impact on decreasing quality of life. The quality of life of clients of chronic kidney disease is influenced by psychosocial factors and clinical factors, one of which is anemia. Clients with severe and prolonged anemia will experience mental and physical fatigue, decreased exercise capacity, impaired cognitive function, decreased libido and lost sexual and appetite functions which can affect the quality of life of clients. Therefore this study aims to determine the relationship of anemia to the quality of life at clients of chronic kidney disease undergoing hemodialysis. The research method used was descriptive correlational with a cross-sectional approach. The sample of this study was 57 people using purposive sampling technique, with criteria for routine CKD clients and having undergone hemodialysis for more than 6 months, hemoglobin < 10 mg/dl, age > 18 years. Instruments for measuring quality of life using the WHO-QoL Bref questionnaire, and to determine anemia seen from Hb levels taken from medical records. Data were analyzed using Spearman Rank test. The results showed more than half (0.2%) had mild anemia and more than half (54.4%) had a high quality of life. The results of the Rank Spearman correlation test obtained a value of p = 0,000 so it can be concluded that there is a relationship between anemia and the quality of life of clients of chronic kidney disease undergoing hemodialysis. Therefore, it is expected that hospitals will continue to provide health education continuously, continue to provide varied types of food, and can facilitate the formation of associations of clients, families, and officers.

Keywords : anemia, quality of life, hemodialysis