Ketergantungan terhadap caregiver dengan kualitas hidup pasien hemodialisa gagal ginjal kronik
DOI: https://doi.org/10.33024/hjk.v19i11.1698
Caregiver Gagal Ginjal Kronik Hemodialisa Ketergantungan Kualitas Hidup
Abstract
Background: Dependence on caregivers is essential for chronic kidney disease patients undergoing hemodialysis due to physical and mental limitations, while quality of life reflects individual satisfaction in daily living
Purpose: To analyze the relationship between caregiver dependence and quality of life among hemodialysis patients with chronic kidney disease.
Method: This quantitative study used a cross-sectional design involving 55 respondents selected based on inclusion and exclusion criteria. Data were collected using questionnaires and analyzed with Fisher’s Exact test at a significance level of α = 0.05.
Results: Among eight quality of life domains, only emotional limitation was significantly associated with caregiver dependence (p=0.012). About 29% of highly dependent respondents reported poor quality of life in the emotional domain. Other domains showed no significant association.
Conclusion: Caregiver dependence is significantly related to quality of life in the emotional limitation domain, but not in other domains.
Suggestion: Family as the primary caregiver should play a more dominant role, particularly in providing emotional support, assistance, and motivation to help patients maintain a better quality of life.
Keywords: Caregiver Dependence; Chronic Kidney Disease; Hemodialysis; Quality of Life.
Pendahuluan: Ketergantungan terhadap caregiver diperlukan pasien gagal ginjal kronik yang menjalani hemodialisa akibat keterbatasan fisik maupun mental, sementara kualitas hidup mencerminkan kepuasan individu dalam menjalani kehidupan.
Tujuan: Untuk mengetahui hubungan ketergantungan terhadap caregiver dengan kualitas hidup pasien hemodialisa gagal ginjal kronik.
Metode: Penelitian kuantitatif dengan desain crosssectional pada 55 responden yang dipilih berdasarkan kriteria inklusi dan eksklusi. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan uji Fisher’s Exact dengan α = 0.05.
Hasil: Berdasarkan 8 domain kualitas hidup, hanya keterbatasan emosional yang berhubungan signifikan dengan ketergantungan caregiver (p=0.012). Sebanyak 29% responden dengan ketergantungan tinggi memiliki kualitas hidup buruk pada aspek emosional. Domain lain tidak menunjukkan hubungan signifikan.
Simpulan: Ketergantungan terhadap caregiver berhubungan dengan kualitas hidup pada domain keterbatasan emosional, tetapi tidak pada domain lainnya.
Saran: Peran keluarga sebagai caregiver perlu lebih dioptimalkan, terutama dalam memberikan dukungan emosional, pendampingan, dan motivasi sehingga pasien mampu mempertahankan kaulitas hidup yang baik.
Kata Kunci: Caregiver; Gagal Ginjal Kronik; Hemodialisa; Ketergantungan; Kualitas Hidup.
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