The Relationship Between the Duration of Cimino Arteriovenous Fistula Use and Quality of Life Among Hemodialysis Patients
DOI:
https://doi.org/10.37287/ijghr.v8i4.2603Keywords:
chronic kidney disease, duration of cimino av use, hemodialysis, quality of lifeAbstract
Chronic Kidney Disease (CKD) is a global health problem with increasing prevalence. Hemodialysis uses Cimino AV shunt as the patient’s lifeline, but complications and duration of use are suspected to affect quality of life. This quantitative cross sectional study aimed to determine the relationship between duration of Cimino AV use and quality of life in hemodialysis patients at EMC Cikarang Hospital, West Java. A population of 120 CKD hemodialysis patients with a sample of 55 respondents was selected by purposive sampling using Slovin formula. The independent variable, duration of Cimino AV use, was obtained from medical records, while the dependent variable, quality of life, was measured using SF-36 questionnaire. The validity and reliability of the questionnaire had been tested, confirming that the instrument was valid and reliable for use in this study.Data were analyzed using Fisher’s Exact Test and Multiple Logistic Regression with p-value <0.05. Results showed that most respondents were >50 years old 56.4%, male 63.6%, and had high school education 65.4%. Good quality of life was found in 65.4% respondents. Duration of Cimino AV use of 24-60 months was dominant 56.5%. There was a significant relationship between duration of Cimino AV use and quality of life p=0.001. Duration of Cimino AV use was the dominant factor OR = 8.54 after controlling for age, education, occupation, marital status, and gender. Longer duration of Cimino AV use is significantly associated with better quality of life in hemodialysis patients.
References
Al Salmi, I., Kamble, P., Lazarus, E. R., D'Souza, M. S., Al Maimani, Y., & Hannawi, S. (2021). Kidney disease-specific quality of life among patients on hemodialysis. International Journal of Nephrology, 2021, 8876559. https://doi.org/10.1155/2021/8876559
Antoun, J., Brown, D. J., Jones, D. W., Clarkson, B. G., Shepherd, A. I., Sangala, N. C., Lewis, R. J., McNarry, M. A., Mackintosh, K. A., Mason, L., Corbett, J., & Saynor, Z. L. (2023). Exploring patients' experiences of the impact of dialysis therapies on quality of life and wellbeing. Journal of Renal Care, 49(1), 15–23. https://doi.org/10.1111/jorc.12416
Brown, E. A., Zhao, J., McCullough, K., Fuller, D. S., Figueiredo, A. E., Bieber, B. A., Morgenstern, H., Gillespie, B. W., Robinson, B. M., & Pisoni, R. L. (2021). Burden of kidney disease, health-related quality of life, and employment among patients receiving peritoneal dialysis and in-center hemodialysis: Findings from the DOPPS program. American Journal of Kidney Diseases, 78(4), 489–500.e1. https://doi.org/10.1053/j.ajkd.2021.02.327
Fidan, C., & Ağırbaş, İ. (2023). The effect of renal replacement therapy on health-related quality of life in end-stage renal disease: A meta-analysis. Clinical and Experimental Nephrology, 27(10), 829–846. https://doi.org/10.1007/s10157-023-02377-3
Investigation of perception of quality of life and psychological burden of patients undergoing hemodialysis—Quality of life of hemodialysis patients. (2023). Nursing Reports, 13(3), 112. https://doi.org/10.3390/nursrep13030112
Kidney Disease: Improving Global Outcomes (KDIGO) Blood Pressure Work Group. (2021). KDIGO 2021 clinical practice guideline for the management of blood pressure in chronic kidney disease. Kidney International, 99(3S), S1–S87.
Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. (2024). KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney International, 105(4S), S117–S314.
Locatelli, F., Del Vecchio, L., & Manzoni, C. (2021). Morbidity and mortality on maintenance haemodialysis. Nephrology Dialysis Transplantation, 36(7), 1184–1192.
Nursalam. (2020). Metodologi penelitian ilmu keperawatan: Pendekatan praktis (5th ed.). Salemba Medika.
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
Quality of life and its associated factors in chronic kidney disease patients undergoing hemodialysis from a Peruvian city: A cross-sectional study. (2024). [Lengkapi nama jurnal, volume, nomor, dan halaman sesuai artikel asli].
Quality of life tools among patients on dialysis: A systematic review. (2024). [Lengkapi nama jurnal, volume, nomor, dan halaman sesuai artikel asli].
Raoofi, S., Pashazadeh Kan, F., Rafiei, S., Hoseinipalangi, Z., Rezaei, S., Ahmadi, S., Masoumi, M., Noorani Mejareh, Z., Roohravan Benis, M., Sharifi, A., Shabaninejad, H., Mansour Kiaee, Z., & Ghashghaee, A. (2023). Hemodialysis and peritoneal dialysis-health-related quality of life: Systematic review plus meta-analysis. BMJ Supportive & Palliative Care, 13(4), 365–373. https://doi.org/10.1136/bmjspcare-2021-003182
Rokhman, M. R., Wardhani, Y., Partiningrum, D. L., Purwanto, B. D., Hidayati, I. R., Idha, A., At Thobari, J., Postma, M. J., Boersma, C., & van der Schans, J. (2023). Psychometric properties of kidney disease quality of life-36 (KDQOL-36) in dialysis patients in Indonesia. Quality of Life Research, 32(1), 247–258. https://doi.org/10.1007/s11136-022-03236-6
Yonata, A., et al. (2022). Factors affecting quality of life in hemodialysis patients. [Lengkapi nama jurnal, volume, nomor, dan halaman sesuai artikel asli].
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