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Determinants of Quality of Life in Patients with Chronic Kidney Disease Undergoing Hemodialysis at Dr. M. Djamil Hospital Padang

Jurnal Kesmas Jambi · Vol. 9 No. 3 (2025) · hlm. 281–292

DOI
10.22437/jkmj.v9i3.50877
ISSN
2580-5894, 2549-8053
Terbit
2025-11-30
Penerbit
Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi
Bahasa
en
Lisensi
creativecommons.org/licenses/by/4.0

Abstrak

Patients with Chronic Kidney Disease (CKD) encounter persistent health burdens that substantially affect their quality of life, particularly during treatment and hemodialysis. Consequently, identifying factors that influence quality of life in this population is essential. This study examined determinants of quality of life among CKD patients undergoing hemodialysis at Dr. M. Djamil General Hospital Padang in 2025. This study employed a mixed-methods approach with a concurrent triangulation design. The quantitative component used a cross-sectional design involving 73 patients selected through simple random sampling. Research instruments included the Kidney Disease Quality of Life–Short Form 36 and the Perceived Kidney Disease Self-Management Scale. Data were analyzed using univariate, bivariate, and multivariate analyses with logistic regression. The qualitative component applied a phenomenological approach through in-depth interviews with 15 informants, and the data were analyzed using thematic analysis. Overall, 53.4% of patients with chronic kidney disease undergoing hemodialysis reported low quality of life. Bivariate analysis showed that gender and disease perception were associated with quality of life, however, multivariate analysis identified only disease management perception as the dominant predictor. Patients with negative perceptions had a 33-fold higher risk of low quality of life compared to those with positive perceptions (p<0.001; OR=33.026; 95% CI: 6.124–178.106). No significant associations were found for age, education level, employment status, marital status, comorbidities, or duration of hemodialysis. Qualitative findings supported the quantitative results, showing that patients perceptions were influenced by informational, emotional, financial, and family support, which in turn improved disease acceptance, adaptation, and quality of life.

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  • Andalas University
  • Universitas Dian Nuswantoro
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Rekan penulisOrganisasiArtikel bersama
Ratno WidoyoAndalas University3
Aprianti ApriantiUniversitas Dian Nuswantoro1
Yudi PradiptaAndalas University1
Defriman DjafriAndalas University1
Anisa SalsabilaAndalas University1
Azzahra Iwan GusmanaAndalas University1
Dwilly NoviaAndalas University1
Hasya Tsania AzzahraAndalas University1
Yessy MarkolindaAndalas University1
Yudi PradiptaAndalas University1
Utari MarjaAndalas University1

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Sumber metadata: OAI-PMH (metadata jurnal) https://online-journal.unja.ac.id/index.php/jkmj/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">Determinants of Quality of Life in Patients with Chronic Kidney Disease Undergoing Hemodialysis at Dr. M. Djamil Hospital Padang</dc:title>
	<dc:creator xml:lang="en">Adilla, Friska</dc:creator>
	<dc:creator xml:lang="en">Nursal, Dien Gusta Anggraini</dc:creator>
	<dc:creator xml:lang="en">Triana, Vivi</dc:creator>
	<dc:subject xml:lang="en">Chronic Kidney Disease</dc:subject>
	<dc:subject xml:lang="en">Hemodialysis</dc:subject>
	<dc:subject xml:lang="en">Quality of Life</dc:subject>
	<dc:subject xml:lang="en">Perception</dc:subject>
	<dc:subject xml:lang="en">Social Support</dc:subject>
	<dc:description xml:lang="en">Patients with Chronic Kidney Disease (CKD) encounter persistent health burdens that substantially affect their quality of life, particularly during treatment and hemodialysis. Consequently, identifying factors that influence quality of life in this population is essential. This study examined determinants of quality of life among CKD patients undergoing hemodialysis at Dr. M. Djamil General Hospital Padang in 2025. This study employed a mixed-methods approach with a concurrent triangulation design. The quantitative component used a cross-sectional design involving 73 patients selected through simple random sampling. Research instruments included the Kidney Disease Quality of Life–Short Form 36 and the Perceived Kidney Disease Self-Management Scale. Data were analyzed using univariate, bivariate, and multivariate analyses with logistic regression. The qualitative component applied a phenomenological approach through in-depth interviews with 15 informants, and the data were analyzed using thematic analysis. Overall, 53.4% of patients with chronic kidney disease undergoing hemodialysis reported low quality of life. Bivariate analysis showed that gender and disease perception were associated with quality of life, however, multivariate analysis identified only disease management perception as the dominant predictor. Patients with negative perceptions had a 33-fold higher risk of low quality of life compared to those with positive perceptions (p&amp;lt;0.001; OR=33.026; 95% CI: 6.124–178.106). No significant associations were found for age, education level, employment status, marital status, comorbidities, or duration of hemodialysis. Qualitative findings supported the quantitative results, showing that patients perceptions were influenced by informational, emotional, financial, and family support, which in turn improved disease acceptance, adaptation, and quality of life.</dc:description>
	<dc:publisher xml:lang="en">Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi</dc:publisher>
	<dc:date>2025-11-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://online-journal.unja.ac.id/jkmj/article/view/50877</dc:identifier>
	<dc:identifier>10.22437/jkmj.v9i3.50877</dc:identifier>
	<dc:source xml:lang="en">Jurnal Kesmas Jambi; Vol. 9 No. 3 (2025): VOLUME 9 - NUMBER 3 - November 2025; 281-292</dc:source>
	<dc:source>2580-5894</dc:source>
	<dc:source>2549-8053</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://online-journal.unja.ac.id/jkmj/article/view/50877/23517</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 Friska Adilla Friska, Dien Gusta Anggraini Nursal, Vivi Triana (Author)</dc:rights>
	<dc:rights xml:lang="en">http://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>