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.