The Relationship between Comorbidity and Adequacy of Hemodialysis with Survival Rate in Hemodialysis Patients at Sultan Agung Islamic Hospital, Semarang
DOI:
https://doi.org/10.65310/nr29hy18Keywords:
Hemodialysis adequacy, Hemodialysis, Comorbidities, Hemodialysis patients, Survival rate.Abstract
Hemodialysis is the primary therapy for patients with chronic kidney disease to maintain survival. The success of hemodialysis therapy is influenced by several factors, including comorbidities and hemodialysis adequacy. Comorbid conditions may increase the risk of complications, while hemodialysis adequacy plays an important role in determining therapeutic effectiveness and patient prognosis. This study aimed to determine the relationship between comorbidities and hemodialysis adequacy with survival rates among hemodialysis patients at Sultan Agung Islamic Hospital, Semarang. This quantitative study employed a cross-sectional design. A total of 175 hemodialysis patients were selected using purposive sampling. Survival analysis was performed using the Kaplan–Meier method to evaluate differences in survival rates based on comorbidities and hemodialysis adequacy. The results showed that most respondents had diabetes mellitus as a comorbidity (64.6%), adequate hemodialysis adequacy (58.9%), and were alive during the observation period (65.1%). Kaplan–Meier analysis demonstrated no significant difference in survival rates based on comorbidities, whereas a significant difference in survival rates was observed based on hemodialysis adequacy. Comorbidities were not associated with survival rate, while hemodialysis adequacy was significantly associated with survival rate among hemodialysis patients. Adequate hemodialysis is essential to improve patient survival.
Downloads
References
Aeni, W. N., Hikmawati, K., & Salsabillah. (2023). Adekuasi Hemodialisa Dengan Kualitas Hidup Pasien Yang Menjalani Hemodialisa. Jurnal Keperawatan Widya Gantari Indonesia Vol, 7(3), 291–296.
Alcalde-Bezhold, G., Alcázar-Arroyo, R., Angoso-de-Guzmán, M., Arenas, M. D., Arias-Guillén, M., Arribas-Cobo, P., Díaz-Gómez, J. M., García-Maset, R., González-Parra, E., & Hernández-Marrero, D. (2021). Hemodialysis Centers Guide 2020. Nefrología (English Edition), 41, 1–77.
Andu, K., Alfianur, Hidaya, N., Ose, M. I., & Tukan, R. A. (2024). Hubungan Lama Menjalani Hemodialisis dengan Kualitas Hidup Pasien Gagal Ginjal Kronik di RSUD DR. H. Jusuf SK. Jurnal Keperawatan Cikini, 5(2), 240–251.
Artiany, S., & Gamayana Trimawang Aji, Y. (2021). Gambaran Komorbid pada Pasien Hemodialisis di Rumah Sakit Angkatan Udara (RSAU) drEsnawan Antariksa. Jurnal Keperawatan Cikini, 2(2), 1–6. https://doi.org/10.55644/jkc.v2i2.57
Bossola, M., Stasio, E. Di, Antocicco, M., Pepe, G., Tazza, L., Zuccalà, G., & Laudisio, A. (2019). Functional impairment is associated with an increased risk of mortality in patients on chronic hemodialysis. BMC Nephrology, 1–8. https://doi.org/10.1186/s12882-016-0302-y
Chan, K., Wong, F., Tam, S. L., Kwok, C. P., Fung, Y. P., & Wong, P. N. (2020). The effects of a brief hope intervention on decision‐making in chronic kidney disease patients: A study protocol for a randomized controlled trial. Journal of Advanced Nursing, 76(12), 3631–3640.
Chressia, N. A., Wulandari, R. Y., & Surmiasih, S. (2025). Upaya Peningkatan Pengetahuan Perawat dalam Pencegahan Resiko Jatuh di Ruang HD Rumah Sakit Bhayangkara Provinsi Lampung. DIAGNOSA: Jurnal Ilmu Kesehatan Dan Keperawatan, 3(3), 284–297. https://doi.org/10.59581/diagnosa-widyakarya.v3i3.5500
Fatonah, L., Murti Andayani, T., & Munif Yasin, N. (2021). Hubungan antara Efektivitas Hemodialisis dengan Kualitas Hidup Pasien Penyakit Ginjal Kronis di Yogyakarta.
Francis, A., Harhay, M. N., Ong, A., Tummalapalli, S. L., Ortiz, A., Fogo, A. B., Fliser, D., Roy-Chaudhury, P., Fontana, M., & Nangaku, M. (2024). Chronic kidney disease and the global public health agenda: an international consensus. Nature Reviews Nephrology, 1–13.
Hasanah, U., Dewi, N. R., Ludiana, L., Pakarti, A. T., & Inayati, A. (2023). Analisis faktor-faktor risiko terjadinya penyakit ginjal kronik pada pasien hemodialisis. Jurnal Wacana Kesehatan, 8(2), 96–103. https://doi.org/10.52822/jwk.v8i2.531
Kemenkes RI. (2023). Praviliensi Kesehatan Indonesia. Nursalam. (2020). Metodologi Penelitian Ilmu Keperawatan : Pendekatan Praktis (P. P. Lestari (ed.); 5th ed.).
Lenggogeni, D. P. (2023). Edukasi dan self manajemen pasien hemodialisis. CV. Mitra Edukasi Negeri.
Nurhayati, F., & Ritianingsih, N. (2022). Faktor-Faktor Yang Mempengaruhi Stress Dan Kecemasan Pada Pasien Penyakit Ginjal Kronik Dengan Hemodialisis. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 14(1). https://doi.org/10.34011/juriskesbdg.v14i1.2031
Paoh, K. A. N. A., Syuhada, I., Rahadianti, D., & Fatrahady, L. B. (2025). Hubungan Adekuasi Hemodialisa Dengan Stres, Kecemasan, dan Depresi Pada Pasien Yang Menjalani Hemodialisis di RSUD Praya Lombok Tengah. Bioscientist: Jurnal Ilmiah Biologi, 13(1), 382-393. https://doi.org/10.33394/bioscientist.v13i1.14640
Salemba Medika. Rahman, A. R. A., Rudiansyah, M., & Triawanti, T. (2020). Hubungan antara adekuasi hemodialisis dan kualitas hidup pasien di RSUD Ulin Banjarmasin: tinjauan terhadap pasien penyakit ginjal kronik yang menjalani hemodialisis rutin. Berkala Kedokteran, 9(2), 151–160.
Saragih, A. M., Wahyuni, S., Yuniarti, R., Indrayani, G., & Peri, P. (2024). Gambaran karakteristik pasien gagal ginjal kronis stadium V yang menjalani hemodialisis. Scientifica: Jurnal Ilmiah Sain Dan Teknologi, 3(1), 431–440.
Sari, N., & Muhani, N. (2020). Analisis Survival Pasien Hemodialisis dengan Hipertensi di Lampung Tahun 2016-2018. Media Penelitian Dan Pengembangan Kesehatan, 30(2), 89–96. https://doi.org/10.22435/mpk.v30i2.2251
Shojaat, R., Salehiniya, H., Mojahedi, M., & Raeisi, V. (2024). Relationship Between Dialysis Adequacy and Depression and Anxiety in Hemodialysis Patients. Health Technology Assessment in Action, 8(1). https://doi.org/10.18502/htaa.v8i1.15027
Sinuraya, E., & Lismayanur, L. (2019). Hubungan Lama Menjalani Terapi Hemodialisis Dengan Kualitas Hidup Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis Di Rumah Sakit Ginjal Rasyida Medan. Jurnal Online Keperawatan Indonesia, 2(1), 139–148.
Suparti, S., & Nurjanah, S. (2018). Hubungan Depresi dengan Fatigue pada Pasien Hemodialisis. JHeS (Journal of Health Studies), 2(1), 624. https://doi.org/10.31101/jhes.435
Susanto, G., Wahyudi, D. A., & Wulandari, R. Y. (2024). Penyakit Komorbid dan Survival Rate Pada Pasien Gagal Ginjal Kronik Diruang Hemodialisa RSUD Dr Abdul Moeloek Provinsi Lampung. Jurnal Rekam Medis Dan Informasi Kesehatan (JREMIK), 1(1), 1–8.
Yulianto, D., & Basuki, H. (2017). Analisis ketahanan hidup pasien penyakit ginjal kronis dengan hemodialisis di RSUD Dr. Soetomo Surabaya. Jurnal Manajemen Kesehatan Yayasan RS. Dr. Soetomo, 3(1), 96–108.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Siti Naili Baroroh, Dwi Retno Sulistyaningsih, Indah Sri Wahyuningsih (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
