PENGARUH INTERVENSI SUPPORT GROUP TERHADAP KUALITAS HIDUP PASIEN PENYAKIT GINJAL KRONIS YANG MENJALANI HEMODIALISA

Abstract

ABSTRACT Nugroho Lazuardi Effects of Support Group Intervention on Quality of Life of Patients with Chronic Kidney Disease Undergoing Hemodialysis XVI + 137 pages + 11 tables + 4 figures + 11 appendixes Patients with chronic kidney disease undergoing hemodialysis are at risks of decreased quality of life and will give effects on the deterioration of their physical, psychological, social, spiritual and environmental health. The support group is one of the therapeutic processes in a group of people who have similar problems to motivate each other and learn together to care themselves according to the problem, and thus will improve their quality of life. This study aimed to determine the effects of support group intervention on the quality of life of patients with chronic kidney disease undergoing hemodialysis. This study used a quasi-experimental pre-post-test design without a control group with an intervention of support group. The study was conducted in July to August 2016 and involved 60 patients undergoing hemodialysis treatment in Tugurejo public hospital. The participants were requested to complete the questionnaire of the WHOQOL-BREF before the support group intervention was given. After the treatment for 12 sessions, the participants were again requested to fill out the quality of life questionnaire. The collected data were analyzed using the Wilcoxon test. To determine the relationship between the potential confounding variables and the quality of life variable, a chi-square test was used. A multivariate analysis was also performed by ANCOVA test. The results showed a significant difference in the quality of life of the participants before and after the intervention of support group (p = 0.000). Furthermore, there was no relationship between the potential confounding variables (age = 0.802, gender = 0.387, education = 0.504, marriage = 0.910, occupation = 0.610, duration of hemodialysis treatment: 0.508, and Hb = 0.839) on the quality of life. A further analysis showed that the covariate variables gave no effects on the difference in the quality of life after the support group intervention (p-value ranged from 0.52 to 0.756). The support group intervention was evident to improve the quality of life of the patients with chronic kidney disease undergoing hemodialysis. The support group intervention needs to be continuously implemented and developed in the hemodialysis unit as a nursing intervention to improve the quality of life of the patients. Keywords: Support Group, Hemodialysis, Chronic Kidney Disease References: 50 (year 2000 - year 2016)