The Relationship Between Nutritional Status and The Quality of Life of Chronic Kidney Disease Patients Undergoing Hemodialysis

https://doi.org/10.33860/jik.v17i3.3196

Authors

  • Irsanty Collein Department of Nursing, Poltekkes Kemenkes Palu, Palu, Central Sulawesi, Indonesia
  • Fahmi Hafid Department of Nutrition, Poltekkes Kemenkes Palu, Palu, Central Sulawesi, Indonesia
  • Ismunandar Ismunandar Department of Nursing, Poltekkes Kemenkes Palu, Palu, Central Sulawesi, Indonesia

Keywords:

Nutritional Status, Quality of Life, CKD Patients, Hemodialysis

Abstract

Patients undergoing hemodialysis for a period of more than 3 years tend to experience malnutrition due to inadequate food intake, diseases of the digestive tract, eating restrictions, drugs that cause impaired nutrient absorption, inadequate dialysis, and comorbidities. This study aimed to determine the relationship between nutritional status and the quality of life of chronic kidney disease patients undergoing hemodialysis in Palu. This study used a cross-sectional design to determine the correlation or relationship between 2 variables. Data were analyzed using the Pearson correlation test. The sampling formula determined the number of samples to test the hypothesis on the average of two populations with 108 respondents. This study was carried out in 2 hemodialysis units in Palu. The samples involved in this study were selected by simple random sampling. The results of this study show that most respondents are in the age range of > 55 years, with 41 people (48.1%); are female, with 56 people (51.9%); have a high school education, with 46 people (42.6%); are working, with 81 people (75%) while the remainings are retirees and housewives; and have hypertension as their comorbid disease, with 56 people (51.9%). There is a relationship between nutritional status and overall quality of life, based on the SGA p-value of 0.016 (p-value < 0.05) and based on the MIS p-value of 0.004 (p-value < 0.05), with the strength of the relationship being weak. The conclusion is there is a relationship between nutritional status and the quality of life of CKD patients undergoing hemodialysis. It is hoped that nurses can pay more attention to the nutritional status of CKD patients undergoing hemodialysis.

References

Ikizler TA, Cuppari L. The 2020 Updated KDOQI Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease. Blood Purif. 2021;50(4–5):667–71.

Ikizler TA, Burrowes JD, Byham-Gray LD, Campbell KL, Carrero JJ, Chan W, et al. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. Am J Kidney Dis [Internet]. 2020;76(3):S1–107. Available from: https://doi.org/10.1053/j.ajkd.2020.05.006

Okasha, K., Negm, M., Gawaly A. Subjective Global Assessment for Nutritional Assessment of Patients on Regular Hemodialysis at Dialysis Unit at Tanta University Hospital. Med J Cairo Univ. 2019;87(9):3023–9.

Alvarenga L de A, Andrade BD, Moreira MA, Nascimento R de P, Macedo ID, Aguiar AS de. Nutritional profile of hemodialysis patients concerning treatment time. J Bras Nefrol. 2017;39(3):283–6.

Kefale B, Alebachew M, Tadesse Y, Engidawork E. Quality of life and its predictors among patients with chronic kidney disease: A hospital-based cross sectional study. Vol. 14, PLoS ONE. 2019.

Cruz MC, Andrade C, Urrutia M, Draibe S, Nogueira-Martins LA, Sesso R de CC. Quality of life in patients with chronic kidney disease. Clinics. 2011;66(6):991–5.

Supriyadi R, Rakhima F, Gondodiputro RS, Darmawan G. Validity and Reliability of the Indonesian Version of Kidney Disease Quality of Life (KDQOL-36) Questionnaire in Hemodialysis Patients at Hasan Sadikin Hospital, Bandung, Indonesia. Acta Med Indones. 2019;51(4):318–23.

Post M. Definitions of Quality of Life: What Has Happened and How to Move On. Top Spinal Cord Inj Rehabil [Internet]. 2014;20(3):167–80. Available from: http://archive.scijournal.com/doi/abs/10.1310/sci2003-167

Collister D, Pyne L, Cunningham J, Donald M, Molnar A, Beaulieu M, et al. Multidisciplinary Chronic Kidney Disease Clinic Practices: A Scoping Review. Vol. 6, Canadian Journal of Kidney Health and Disease. 2019.

Adiningrum N, Andayani TM, Kristina SA. Analisis Faktor Klinik terhadap Kualitas Hidup Pasien Hemodialisis di RSUD dr. Loekmono Hadi Kudus. J Farm Dan Ilmu Kefarmasian Indones. 2021;8(1):29.

Simorangkir R, Andayani TM, Wiedyaningsih C. Faktor-Faktor yang Berhubungan dengan Kualitas Hidup Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis. J Farm Dan Ilmu Kefarmasian Indones. 2021;8(1):83.

Vo TQ, Tran TQ, Duong KNC, Pham KC. Impact of chronic kidney disease on health-related quality of life: A prospective observational study using the KDQoL-36 instrument. J Clin Diagnostic Res. 2018;12(6):LC66–71.

Mujais SK, Story K, Brouillette J, Takano T, Soroka S, Franek C, et al. Health-related quality of Life in CKD patients: Correlates and evolution over time. Clin J Am Soc Nephrol. 2009;4(8):1293–301.

Sudhana IW. Penilaian Status Gizi pada Pasien Dialisis. Bali Uro-Nephrology Scientific Communication. 2017. p. 109–26.

Shankar M, Augustine R, Siddini V, Bonu R, Ballal S. Subjective Global Assessment and Quality of Life in Hemodialysis Patients- A Clinical Observational Study. J Clin Diagnostic Res. 2020;13–7.

Siagian Y. Status Nutrisi Pasien Hemodialisa di Rumah Sakit Umum Daerah. J Keperawatan Silampari. 2018;2(1):300–14.

Sohrabi Z, Eftekhari MH, Eskandari MH, Rezaeianzadeh A, Sagheb MM. Malnutrition-inflammation score and quality of life in hemodialysis patients: Is there any correlation? Nephrourol Mon. 2015;7(3).

Dai L, Mukai H, Lindholm B, Heimbürger O, Barany P, Stenvinkel P, et al. Clinical global assessment of nutritional status as predictor of mortality in chronic kidney disease patients. PLoS One. 2017;12(12):1–17.

Avesani CM, Sabatino A, Guerra A, Rodrigues J, Carrero JJ, Rossi GM, et al. A Comparative Analysis of Nutritional Assessment Using Global Leadership Initiative on Malnutrition Versus Subjective Global Assessment and Malnutrition Inflammation Score in Maintenance Hemodialysis Patients. J Ren Nutr [Internet]. 2022;32(4):476–82. Available from: https://doi.org/10.1053/j.jrn.2021.06.008

Nurchayati S. ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN. 2011.

Schulman-Green D, Jaser S, Martin F, Alonzo A, Grey M, Mccorkle R, et al. Processes of Self-Management in Chronic Illness. J Nurs Scholarsh. 2012;44(2):136–44.

Guerra F, Giacomo D Di, Ranieri J, Tunno M, Piscitani L, Ferri C. Chronic Kidney Disease and Its Relationship with Mental Health : Allostatic Load Perspective for Integrated Care. J Pers Med. 2021;11:1367.

Krishnan A, Teixeira-Pinto A, Lim WH, Howard K, Chapman JR, Castells A, et al. Health-Related Quality of Life in People Across the Spectrum of CKD. Kidney Int Reports [Internet]. 2020;5(12):2264–74. Available from: https://doi.org/10.1016/j.ekir.2020.09.028

Canavarro MC, Serra AV, Simões MR, Rijo D, Pereira M, Gameiro S, et al. Development and psychometric properties of the world health organization quality of life assessment instrument (WHOQOL-100) in Portugal. Int J Behav Med. 2009;16(2):116–24.

Smekal MD, Donald M, Beanlands H, Straus S, Herrington G, Waldvogel B, et al. Development and Preliminary Psychometric Testing of an Adult Chronic Kidney Disease Self-Management (CKD-SM) Questionnaire. Can J Kidney Heal Dis. 2021;8.

Tannor EK, Norman BR, Adusei KK, Sarfo FS, Davids MR, Bedu-Addo G. Quality of life among patients with moderate to advanced chronic kidney disease in Ghana - A single centre study. BMC Nephrol. 2019;20(1):1–10.

Kalfoss M, Schick-Makaroff K, Molzahn AE. Living with Chronic Kidney Disease: Illness Perceptions, Symptoms, Coping, and Quality of Life. Nephrol Nurs J. 2019;46(3):277–90.

Collein I, Sitorus R, Yetti K, Hastono SP. Facilitators and barriers to self-management of patients chronic kidney disease. Enfermería Clínica [Internet]. 2021;31:S37–40. Available from: https://doi.org/10.1016/j.enfcli.2020.10.014

Erez G, Selman L, Murtagh FEM. Measuring health-related quality of life in patients with conservatively managed stage 5 chronic kidney disease: limitations of the Medical Outcomes Study Short Form 36: SF-36. Qual Life Res. 2016;25(11):2799–809.

Black JM, Hawks JH. Medical-Surgical Nursing: Clinical Management for Positive Outcomes Eigth Edition. Vol 1. eigth Edit. St Louis Missiouri: Elsevier Ltd; 2009.

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Published

2023-11-30

How to Cite

Collein, I., Hafid, F. ., & Ismunandar, I. (2023). The Relationship Between Nutritional Status and The Quality of Life of Chronic Kidney Disease Patients Undergoing Hemodialysis. Poltekita : Jurnal Ilmu Kesehatan, 17(3), 909–916. https://doi.org/10.33860/jik.v17i3.3196

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Original Articles

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