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研究生： 韓若晴
Hidayah, Nurul
論文名稱： Quality of Life among Chronic Kidney Disease Patients undergoing Haemodialysis in Indonesia
Quality of Life among Chronic Kidney Disease Patients undergoing Haemodialysis in Indonesia
指導教授： 顏妙芬
Yen, Miaofen
學位類別： 碩士
Master
系所名稱： 醫學院 - 護理學系
Department of Nursing
論文出版年： 2014
畢業學年度： 102
語文別： 英文
論文頁數： 59
外文關鍵詞： Quality of Life, Chronic Kidney Disease, Haemodialysis, KDQOL-36™
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    • Quality of life is one of the major outcomes to evaluate treatment effectiveness. However, quality of life of chronic kidney disease patients in Indonesia has not been determined. The purpose of this study was to describe the quality of life and its relationship with demographic characteristics in chronic kidney disease patients undergoing haemodialysis in Indonesia. This research was a descriptive study with cross sectional design using survey technique. Total of 185 subjects were recruited from a Yogyakarta hospital in Indonesia. Mean age for the subjects was 51.1 years (SD = 12.6). Most were 50-79 years old (n = 104, 56.2%), male (n = 113, 61.1%), low education status (n = 132, 71.4%), married (n = 172, 93.0%), living with family (n = 181, 97.8%), no employment status (n = 107, 57.8%), and patients who had haemodialysis frequency two times per week (n = 116, 62.7%). Quality of life was evaluated using the Kidney Disease Quality of Life-36™ (KDQOL-36™). Content validity for all the items in this instrument reached 100%. The Chronbach’s alpha this instrument was .806. The mean and standard deviation scores of KDQOL-36™ subscales, such as: S/P (Symptom/Problem list), EKD (Effects of Kidney Disease), BKD (Burden of Kidney Disease), PCS (Physical Component Summary), MCS (Mental Component Summary) in this research were 77.00 (SD = 14.15), 74.51 (SD = 13.48), 41.62 (SD = 19.98), 31.57 (SD = 5.60), and 43.91 (SD = 6.51) respectively. The chronic kidney disease patients' demographic data and KDQOL-36™ subscales had contribution to determine the quality of life. Age, gender, educational status, marital status, living conditions, employment status, and frequency of haemodialysis were related aspects.

    Table of contents Acknowledgements............................................ iii Abstract............................................................................................................................. iv Table of contents.............................................................................................................. v List of figure..................................................................................................................... viii List of tables..................................................................................................................... ix List of appendixes........................................................................................................... x CHAPTER I INTRODUCTION.............................................................................................. 1 Section I - Background and significance.................................................................... 1 Section II - Problem statements.................................................................................. 2 Section III - Research question................................................................................... 3 Section IV - Purpose................................................................................................... 3 CHAPTER II LITERATURE REVIEWS.................................................................. 4 Section I - Chronic Kidney Disease.......................................................................... 4 Section II - Haemodialysis......................................................................................... 5 Section III - Quality of life......................................................................................... 7 Section IV - Kidney Disease Quality of Life-36™ (KDQOL-36™)......................... 8 CHAPTER III METHOD.............................................................................................. 9 Section I - Design........................................................................................................ 9 Section II - Sample...................................................................................................... 9 Section III - Instrument............................................................................................... 10 Section IV - Ethical consideration............................................................................... 11 Section V - Framework................................................................................................ 11 Section VI - Data collection procedures...................................................................... 12 Section VII - Data analysis.......................................................................................... 14 CHAPTER IV RESEARCH RESULTS........................................................................ 15 Section I - Demographic data...................................................................................... 15 Section II - Interpretation mean scores (standard deviation) of KDQOL-36™ subscales (N = 185)................................................................................. 18 Section III - Interpretation t-tests of demographic characteristics.............................. 21 Section IV - KDQOL-36™ table................................................................................ 22 Section V - Interpretation comparison of mean (standard deviation) from KDQOL-36™ in different countries and demographic data from different countries........ 26 CHAPTER V DISCUSSIONS........................................................................................ 30 Conclusion................................................................................................................. 33 Implications............................................................................................................... 33 Future research........................................................................................................... 33 REFERENCES..................................................................................................... 34 APPENDIXES................................................................................................................. 42 Appendix 1 KDQOL-36™ (English version)........................................................... 42 Appendix 2 KDQOL-36™ (Bahasa version)............................................................ 50 Appendix 3 Permission for KDQOL-36™ translation.............................................. 58 Appendix 4 Ethical clearance (Bahasa version)........................................................ 59 List of figure Figure 1 KDQOL-36™ subscales.................................................................................... 12 List of tables Table 1 Demographic characteristic of chronic kidney disease patients (N = 185)........... 15 Table 2 Mean scores (standard deviation) of KDQOL-36™ subscales (N = 185)............ 17 Table 3 t-tests of demographic characteristics.................................................................... 20 Table 4 KDQOL-36™ table (N = 185).................................................................. 22 Table 5 Comparison of mean (standard deviation) from KDQOL-36™ in different countries................................................................................................................ 24 Table 6 Demographic data from different countries........................................................... 25 List of appendixes Appendix 1 KDQOL-36™ (English version)............................................................. 42 Appendix 2 KDQOL-36™ (Bahasa version).............................................................. 50 Appendix 3 Permission for KDQOL-36™ translation................................................ 58 Appendix 4 Ethical clearance (Bahasa version).......................................................... 59

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