The Effect of Family Functionality and Social Support on Hemodialysis Patient's Quality of Life Among CKD Patients with Hypertension and Diabetes in Royal Prima Hospital

Abstract

Hemodialysis, which involves regular visits to the hospital, increases the risk of social disability, where lack of social support contributes to mental and emotional problems experienced by patients undergoing hemodialysis. This study aims to determine the effect of social support and family functionality on the quality of life of chronic kidney disease patients undergoing hemodialysis. This study involved 42 patients with chronic kidney disease undergoing hemodialysis at the Hemodialysis Unit of Royal Prima Medan Hospital, selected by incidental technique. Primary data in this study were collected using the Kidney Disease Quality of Life Questionnaire, Multidimensional Scale of Perceived Social Support, and Family APGAR, while secondary data were sourced from patients' medical records. Data were analyzed using binomial logistic regression. This study found that 78.5% of respondents had hypertension, 40.5% had diabetes mellitus, and 31% had both. In addition, most respondents had low levels of social support (38.1%) but had highly functional families (47.6%). Logistic regression analysis found that social support was the only factor affecting the quality of life of chronic kidney disease patients undergoing hemodialysis (p<0.001; OR: 13.355). It can be concluded that adequate social support benefits the quality of life of chronic kidney disease patients undergoing routine hemodialysis, so promoting a positive social environment that supports hemodialysis patients is necessary.