Quality of Life Hemodialysis Patient and Caregiver: A Correlational Study During Pandemic Covid-19 on Indonesian Sample

Wantonoro Wantonoro(1*), Endang Koni Suryaningsih(2), Tuan Van Nguyen(3)
(1) "Universitas Aisyiyah Yogyakarta (UNISA YK)"
(2) Midwifery Department, Universitas Aisyiyah Yogyakarta
(3) Faculty of Nursing and Technology, Can Tho University of Medicine and Pharmacy, Viet Nam
(*) Corresponding Author
DOI : 10.30604/jika.v7i3.1078

Abstract

The COVID-19 pandemic has caused great panic and anxiety worldwide, including for patients dialysis who reported high mortality and decreased patients quality of life including caregivers. This study aimed to investigate the correlation between the quality of life among patients undergoing hemodialysis and caregiver, especially during COVID-19 in Indonesia. A cross-sectional study design has been adopted. An accidental sampling technique was employed in this study between June and December 2021. Short Form-36 and Hospital Anxiety and Depression Scale were used to measure primary outcomes. Seventy-eight patients receiving hemodialysis and Seventy-eight caregivers were recruited. All of the patients had comorbidities (88.7%) and patients tend to be at a high level of depression and anxiety (53.2%), Middle level of depression and anxiety (30,4%). However, only a few (26.9%) caregivers had comorbidities, and all were without a high level of depression and anxiety. This study shows no correlation between the patients quality of life and the family caregivers quality of life during the COVID-19 pandemic, both from the physical (p 0.43) and mental dimensions (p 0.55). This study concluded that hemodialysis status, being older, a number of comorbidities, and depressing status influence quality of life. Program and specific treatment on depression among end-stage renal disease suggested for future study.

 

Abstrak: Pandemi COVID-19 telah menimbulkan kepanikan dan kecemasan yang luar biasa di seluruh dunia, termasuk bagi pasien cuci darah yang dilaporkan memiliki angka kematian yang tinggi, penurunan kualitas hidup pasien termasuk bagi caregiver. Penelitian ini bertujuan untuk mengetahui hubungan kualitas hidup antara pasien yang menjalani hemodialisis dengan caregiver khususnya selama COVID-19 di Indonesia. Sebuah desain studi cross-sectional telah diadopsi. Teknik pengambilan sampel secara kebetulan digunakan dalam penelitian ini antara bulan Juni dan Desember 2021. Short Form-36 dan Hospital Anxiety and Depression Scale digunakan untuk mengukur hasil primer. Tujuh puluh delapan pasien yang menerima hemodialisis dan Tujuh puluh delapan pengasuh direkrut. Semua pasien memiliki penyakit penyerta (88,7%) dan pasien cenderung berada pada tingkat depresi dan kecemasan tinggi (53,2%), tingkat depresi dan kecemasan sedang (30,4%). Namun, hanya sedikit (26,9%) pengasuh yang memiliki penyakit penyerta, dan semuanya tanpa tingkat depresi dan kecemasan yang tinggi. Penelitian ini menunjukkan tidak ada hubungan antara kualitas hidup pasien dengan kualitas hidup caregiver keluarga selama pandemi COVID-19, baik dari dimensi fisik (0,43) maupun mental (0,55). Penelitian ini menyimpulkan bahwa status hemodialisis, usia lanjut, jumlah penyakit penyerta, dan status depresi mempengaruhi kualitas hidup. Program dan pengobatan khusus pada depresi di antara penyakit ginjal stadium akhir disarankan untuk studi masa depan.

Keywords


Keperawatan; caregiver; covid-19; hemodialysis; quality of life

References


Al Naamani, Z., Gormley, K., Noble, H., Santin, O., & Al Maqbali, M. (2021). Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis. BMC nephrology, 22(1), 157. https://doi.org/10.1186/s12882-021-02349-3

Bah, A. O., Nankeu, N., Balde, M. C., Kaba, M. L., Bah, B. K., & Rostaing, L. (2014). Quality of life of patients with end-stage renal disease in Guinea. Saudi J Kidney Dis Transpl, 25(6), 1346-1351. https://doi.org/10.4103/1319-2442.144322

Cha, J., & Han, D. (2020). Health-Related Quality of Life Based on Comorbidities Among Patients with End-Stage Renal Disease. Osong public health and research perspectives, 11(4), 194-200. https://doi.org/10.24171/j.phrp.2020.11.4.08

Chan, A. S. W., Ho, J. M. C., Li, J. S. F., Tam, H. L., & Tang, P. M. K. (2021). Impacts of COVID-19 Pandemic on Psychological Well-Being of Older Chronic Kidney Disease Patients [Mini Review]. Frontiers in Medicine, 8(715). https://doi.org/10.3389/fmed.2021.666973

Chan, L., Tummalapalli, S. L., Ferrandino, R., Poojary, P., Saha, A., Chauhan, K., & Nadkarni, G. N. (2017). The Effect of Depression in Chronic Hemodialysis Patients on Inpatient Hospitalization Outcomes. Blood Purif, 43(1-3), 226-234. https://doi.org/10.1159/000452750

Cho, Y., Lee, J. K., Kim, D.-H., Park, J.-H., Choi, M., Kim, H.-J., Nam, M.-J., Lee, K.-U., Han, K., & Park, Y.-G. (2019). Factors associated with quality of life in patients with depression: A nationwide population-based study. PLoS One, 14(7), e0219455. https://doi.org/10.1371/journal.pone.0219455

Ganu, V. J., Boima, V., Adjei, D. N., Yendork, J. S., Dey, I. D., Yorke, E., Mate-Kole, C. C., & Mate-Kole, M. O. (2018). Depression and quality of life in patients on long term hemodialysis at a nationalhospital in Ghana: a cross-sectional study. Ghana medical journal, 52(1), 22-28. https://doi.org/10.4314/gmj.v52i1.5

Gerasimoula, K., Lefkothea, L., Maria, L., Victoria, A., Paraskevi, T., & Maria, P. (2015). QUALITY OF LIFE IN HEMODIALYSIS PATIENTS. Materia socio-medica, 27(5), 305-309. https://doi.org/10.5455/msm.2015.27.305-309

Hagemann, P. d. M. S., Martin, L. C., & Neme, C. M. B. (2019). The effect of music therapy on hemodialysis patients' quality of life and depression symptoms. Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia, 41(1), 74-82. https://doi.org/10.1590/2175-8239-jbn-2018-0023

Hall, R. K., Cary, M. P., Washington, T. R., & Colón-Emeric, C. S. (2020). Quality of life in older adults receiving hemodialysis: a qualitative study. Quality of Life Research, 29(3), 655-663. https://doi.org/10.1007/s11136-019-02349-9

Hao, W., Tang, Q., Huang, X., Ao, L., Wang, J., & Xie, D. (2021). Analysis of the prevalence and influencing factors of depression and anxiety among maintenance dialysis patients during the COVID-19 pandemic. International Urology and Nephrology, 53(7), 1453-1461. https://doi.org/10.1007/s11255-021-02791-0

Krishnan, A., Teixeira-Pinto, A., Lim, W. H., Howard, K., Chapman, J. R., Castells, A., Roger, S. D., Bourke, M. J., Macaskill, P., Williams, G., Lok, C. E., Diekmann, F., Cross, N., Sen, S., Allen, R. D. M., Chadban, S. J., Pollock, C. A., Turner, R., Tong, A., Yang, J. Y. H., Williams, N., Au, E., Kieu, A., James, L., Francis, A., Wong, G., & Craig, J. C. (2020). Health-Related Quality of Life in People Across the Spectrum of CKD. Kidney International Reports, 5(12), 2264-2274. https://doi.org/https://doi.org/10.1016/j.ekir.2020.09.028

Lardone, A., Sorrentino, P., Giancamilli, F., Palombi, T., Simper, T., Mandolesi, L., Lucidi, F., Chirico, A., & Galli, F. (2020). Psychosocial variables and quality of life during the COVID-19 lockdown: a correlational study on a convenience sample of young Italians. PeerJ, 8, e10611-e10611. https://doi.org/10.7717/peerj.10611

Lee, J., Steel, J., Roumelioti, M.-E., Erickson, S., Myaskovsky, L., Yabes, J. G., Rollman, B. L., Weisbord, S., Unruh, M., & Jhamb, M. (2020). Psychosocial Impact of COVID-19 Pandemic on Patients with End-Stage Kidney Disease on Hemodialysis. Kidney360, 1(12), 1390-1397. https://doi.org/10.34067/kid.0004662020

Lilympaki, I., Makri, A., Vlantousi, K., Koutelekos, I., Babatsikou, F., & Polikandrioti, M. (2016). EFFECT OF PERCEIVED SOCIAL SUPPORT ON THE LEVELS OF ANXIETY AND DEPRESSION OF HEMODIALYSIS PATIENTS. Materia socio-medica, 28(5), 361-365. https://doi.org/10.5455/msm.2016.28.361-365

McCall, B. (2018). What does the GDPR mean for the medical community? Lancet, 391(10127), 1249-1250. https://doi.org/10.1016/s0140-6736(18)30739-6

Md. Yusop, N. B., Yoke Mun, C., Shariff, Z. M., & Beng Huat, C. (2013). Factors Associated with Quality of Life among Hemodialysis Patients in Malaysia. PLoS One, 8(12), e84152. https://doi.org/10.1371/journal.pone.0084152

Murillo-Zamora, E., Macías-de la Torre, A. A., & Higareda-Almaraz, M. A. (2016). [Depression prevalence among end stage renal disease patients in maintenance hemodialysis]. Rev Med Inst Mex Seguro Soc, 54(4), 429-433. (Prevalencia de depresión entre pacientes con enfermedad terminal en hemodiálisis de mantenimiento.)

Novitasari, L., Perwitasari, D. A., & Khoirunisa, S. (2016). Validity of short form 36 (SF-36) Indonesian version on rheumatoid arthritis patients [validation SF-36 Indonesia, rheumatoid arthritis]. 2016, 7. https://doi.org/10.20885/JKKI.Vol7.Iss3.art2

Pei, M., Aguiar, R., Pagels, A. A., Heimbürger, O., Stenvinkel, P., Bárány, P., Medin, C., Jacobson, S. H., Hylander, B., Lindholm, B., & Qureshi, A. R. (2019). Health-related quality of life as predictor of mortality in end-stage renal disease patients: an observational study. BMC nephrology, 20(1), 144. https://doi.org/10.1186/s12882-019-1318-x

Post, M. W. M. (2014). Definitions of quality of life: what has happened and how to move on. Topics in spinal cord injury rehabilitation, 20(3), 167-180. https://doi.org/10.1310/sci2003-167

Rini, I. S., Rahmayani, T., Sari, E. K., & Lestari, R. (2021). Differences in the quality of life of chronic kidney disease patients undergoing hemodialysis and continuous ambulatory peritoneal dialysis. Journal of Public Health Research, 10(2). https://doi.org/10.4081/jphr.2021.2209

Rudi M, Widyadharma, & Adnyana. (2012). Reliability Indonesian Version of The Hospital Anxiety and Depression Scale (HADS) of Stroke Patient In Sanglah General Hospital Denpasar. Research Gate. https://doi.org/DOI:10.13140/RG.2.1/3604.5928

Salari, N., Hosseinian-Far, A., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Mohammadi, M., Rasoulpoor, S., & Khaledi-Paveh, B. (2020). Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Globalization and health, 16(1), 57. https://doi.org/10.1186/s12992-020-00589-w

Sosnowski, R., Kulpa, M., Zi?talewicz, U., Wolski, J. K., Nowakowski, R., Baku?a, R., & Demkow, T. (2017). Basic issues concerning health-related quality of life. Central European journal of urology, 70(2), 206-211. https://doi.org/10.5173/ceju.2017.923

Ursachi, G., Horodnic, I. A., & Zait, A. (2015). How Reliable are Measurement Scales? External Factors with Indirect Influence on Reliability Estimators. Procedia Economics and Finance, 20, 679-686. https://doi.org/https://doi.org/10.1016/S2212-5671(15)00123-9

van Loon, I. N., Bots, M. L., Boereboom, F. T. J., Grooteman, M. P. C., Blankestijn, P. J., van den Dorpel, M. A., Nubé, M. J., Ter Wee, P. M., Verhaar, M. C., & Hamaker, M. E. (2017). Quality of life as indicator of poor outcome in hemodialysis: relation with mortality in different age groups. BMC nephrology, 18(1), 217. https://doi.org/10.1186/s12882-017-0621-7

Vasilopoulou, C., Bourtsi, E., Giaple, S., Koutelekos, I., Theofilou, P., & Polikandrioti, M. (2015). The Impact of Anxiety and Depression on the Quality of Life of Hemodialysis Patients. Global journal of health science, 8(1), 45-55. https://doi.org/10.5539/gjhs.v8n1p45

von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2014). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg, 12(12), 1495-1499. https://doi.org/10.1016/j.ijsu.2014.07.013

Wantonoro, W., Kuo, W. Y., & Shyu, Y. L. (2020). Changes in Health-Related Quality of Life for Older Persons With Cognitive Impairment After Hip Fracture Surgery: A Systematic Review. J Nurs Res, 28(3), e97. https://doi.org/10.1097/jnr.0000000000000371

Yang, Z.-H., Pan, X.-T., Chen, Y., Wang, L., Chen, Q.-X., Zhu, Y., Zhu, Y.-J., Chen, Y.-X., & Chen, X.-N. (2021). Psychological Profiles of Chinese Patients With Hemodialysis During the Panic of Coronavirus Disease 2019 [Original Research]. Frontiers in Psychiatry, 12(157). https://doi.org/10.3389/fpsyt.2021.616016

Zazzeroni, L., Pasquinelli, G., Nanni, E., Cremonini, V., & Rubbi, I. (2017). Comparison of Quality of Life in Patients Undergoing Hemodialysis and Peritoneal Dialysis: a Systematic Review and Meta-Analysis. Kidney and Blood Pressure Research, 42(4), 717-727. https://doi.org/10.1159/000484115


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