The Impact of Life Meaning and Spiritual Well-Being on the Quality of Life in Patients with Chronic Kidney Failure at Purbalingga Hospital

Munjiati

doi:10.18535/ijsrm/v13i02.mp05

Abstract

Chronic Kidney Failure (CKD) is a progressive and irreversible condition that necessitates lifelong renal replacement therapies such as hemodialysis or kidney transplantation. Globally, the prevalence of CKD has risen significantly, accompanied by high mortality and morbidity rates. In Indonesia, CKD continues to grow as a public health challenge, with many patients reliant on hemodialysis, which, while improving survival, brings physical, psychological, social, and financial burdens. These challenges often lead to diminished quality of life, emphasizing the need for holistic support systems.

This study highlights the critical role of spiritual well-being and the sense of meaning in life in enhancing the quality of life for CKD patients undergoing hemodialysis. Spiritual well-being fosters hope and acceptance, empowering patients to cope with chronic illness while finding meaning amidst adversity. A higher sense of spiritual and existential well-being correlates positively with improved physical, psychological, social, and environmental health domains. By integrating spiritual well-being with the concept of meaning in life, patients can achieve greater resilience and an enhanced quality of life. This therapeutic interplay underscores the need for comprehensive interventions that address not only physical health but also the psychosocial and spiritual dimensions of CKD care.

Keywords

Chronic Kidney failure (CKD)HemodialysisSpiritual Well-BeingMeaning in Life

References

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[refR-2] C. P. Kovesdy, “Epidemiology of chronic kidney disease: an update 2022,” Kidney Int. Suppl., vol. 12, no. 1, pp. 7–11, 2022, doi: 10.1016/j.kisu.2021.11.003.DOI ↗Google Scholar ↗

[refR-3] Ice Ratnalela Siregar and Sri Wahyuni, “Gambaran Hasil Pemeriksaan Hepatitis C Pada Pasien Gagal Ginjal Kronik (Ggk) Yang Menjalani Hemodialisa Di Rumah Sakit Universitas Sumatera Utara,” J. Ilm. PANNMED (Pharmacist, Anal. Nurse, Nutr. Midwivery, Environ. Dent., vol. 17, no. 2, pp. 344–348, 2022, doi: 10.36911/pannmed.v17i2.1348.DOI ↗Google Scholar ↗

[refR-4] Riskesdas, Laporan Riskesdas 2018 Kementrian Kesehatan Jawa Tengah Republik Indonesia. 2018.Google Scholar ↗

[refR-5] W. Tesfaye, N. Parrish, K. Sud, A. Grandinetti, and R. Castelino, “Medication Adherence Among Patients With Kidney Disease: An Umbrella Review,” Adv. Kidney Dis. Heal. , vol. 31, no. 1, pp. 68–83, 2024, doi: 10.1053/j.akdh.2023.08.003.DOI ↗Google Scholar ↗

[refR-6] V. M. Nurani and S. Mariyanti, “Gambaran Makna Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa,” J. Psikol., vol. 11, no. 1, pp. 1–13, 2013, [Online]. Available: http://kesehatan.kompas.com.Google Scholar ↗

[refR-7] P. F. Wiliyanarti and A. Muhith, “Life Experience of Chronic Kidney Diseases Undergoing Hemodialysis Therapy,” NurseLine J., vol. 4, no. 1, p. 54, 2019, doi: 10.19184/nlj.v4i1.9701.DOI ↗Google Scholar ↗

[refR-8] A. Ali and M. A. H. Syed, “Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis [Letter],” Int. J. Gen. Med., vol. 16, no. April, pp. 2707–2708, 2023, doi: 10.2147/IJGM.S424728.DOI ↗Google Scholar ↗

[refR-9] M. T. Anggraini, A. Baihaqi, A. Antoni, C. Faizin, and A. Lahdji, “Family Support System and Psychological Well Being in Patients with Chronic Kidney Disease,” Heal. Community Psychol., vol. 13, no. 1, p. 303, 2024.Google Scholar ↗

[refR-10] N. Rikos et al., “Investigation of Perception of Quality of Life and Psychological Burden of Patients Undergoing Hemodialysis — Quality of Life of Hemodialysis Patients,” pp. 1331–1341, 2023.Google Scholar ↗

[refR-11] L. I. Chia-Yu, C. J. Hsieh, Y. L. Shih, and Y. T. Lin, “Spiritual well-being of patients with chronic renal failure: A cross-sectional study,” Nurs. Open, vol. 8, no. 5, pp. 2461–2469, 2021, doi: 10.1002/nop2.1004.DOI ↗Google Scholar ↗

[refR-12] C. Pilger, R. O. P. Dos Santos, M. H. Lentsck, S. Marques, and L. Kusumota, “Spiritual well-being and quality of life of older adults in hemodialysis,” Rev. Bras. Enferm., vol. 70, no. 4, pp. 689–696, 2017, doi: 10.1590/0034-7167-2017-0006.DOI ↗Google Scholar ↗

[refR-13] N. N. Lisa Lolowang, W. M. . Lumi, and A. A. Rattoe, “Kualitas Hidup Pasien Gagal Ginjal Kronis Dengan Terapi Hemodialisa,” J. Ilm. Perawat Manad., vol. 8, no. 02, pp. 21–32, 2021, doi: 10.47718/jpd.v8i01.1183.DOI ↗Google Scholar ↗

[refR-14] D. S. Mulia, E. Mulyani, G. S. Pratomo, and N. Chusna, “Kualitas Hidup Pasien Gagal Ginjal Kronis yang menjalani Hemodialisis di RSUD Dr. Doris Sylvanus Palangka Raya,” Borneo J. Pharm., vol. 1, no. 1, pp. 19–21, 2018, doi: 10.33084/bjop.v1i1.238.DOI ↗Google Scholar ↗

[refR-15] Bustaman, Logoterapi Psikologi Untuk Menemukan Makna Hidup Dan Meraih Hidup Bermakna. Jakarta: PT Raja Grafindo Persada, 2007.Google Scholar ↗

[refR-16] Bukhori B, “Kesehatan Mental Narapidana,” J. Ad-Din , vol. 4, no. 1, pp. 1–19, 2012.Google Scholar ↗

[refR-17] R. O. Tumanggor, “Analisa Konseptual Model Spiritual Well-Being Menurut Ellison Dan Fisher,” J. Muara Ilmu Sos. Humaniora, dan Seni, vol. 3, no. 1, p. 43, 2019, doi: 10.24912/jmishumsen.v3i1.3521.DOI ↗Google Scholar ↗

[refR-18] T. Muzaenah and S. N. N. Makiyah, “Pentingnya Aspek Spiritual Pada Pasien Gagal Ginjal Kronik Dengan Hemodialisa: a Literature Review,” Herb-Medicine J., vol. 1, no. 2, 2018, doi: 10.30595/hmj.v1i2.3004.DOI ↗Google Scholar ↗

[refR-19] T. Rustendi, M. Murtiningsih, and I. Inayah, “Kualitas Hidup Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa,” Mando Care J., vol. 1, no. 3, pp. 98–104, 2022, doi: 10.55110/mcj.v1i3.88.DOI ↗Google Scholar ↗

[refR-20] W. Welly and H. Rahmi, “Self Efficacy Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa,” J. Keperawatan Abdurrab, vol. 5, no. 1, pp. 38–44, 2021, doi: 10.36341/jka.v5i1.1791.DOI ↗Google Scholar ↗

[refR-21] W. Astuti Cahya Ningrum and T. Hidayati, “Kualitas Hidup Pasien Urolithiasis Pada Komponen Fisik Dan Komponen Mental Dengan Instrumen Short Form-36,” J. Care, vol. 4, no. 3, pp. 70–77, 2016.Google Scholar ↗

[refR-22] S. R. Widowati, “Tingkat Kualitas Hidup Pasien Gagal Ginjal Kronik Terapi Hemodialisis,” J. Kesehat. Masy., vol. 6, no. 2, pp. 107–112, 2011.Google Scholar ↗

[refR-23] S. Marianna and S. Astutik, “Hubungan Dampak Terapi Hemodialisa Terhadap Kualitas Hidup Pasien Dengan Gagal Ginjal,” Indones. J. Nurs. Sci. Pract., pp. 41–52, 2018.Google Scholar ↗

[refR-24] A. Hilmi, “Konsep hidup sejahtera perspektif al-Qur ’ an,” pp. 1–110, 2018.Google Scholar ↗

[refR-25] G. Mait, M. Nurmansyah, and H. Bidjuni, “Gambaran Adaptasi Fisiologis Dan Psikologis Pada Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisis Di Kota Manado,” J. Keperawatan, vol. 9, no. 2, p. 1, 2021, doi: 10.35790/jkp.v9i2.36775.DOI ↗Google Scholar ↗

[refR-26] M. Romadloni and R. Setyawati, “Hubungan Antara Penyesuaian Diri dengan kebermaknaan Hidup pada Penderita Penyakit Ginjal Kronik di RSUD Banyumas,” Psycho Idea, vol. 000, pp. 11–17, 2013, [Online]. Available: http://jurnalnasional.ump.ac.id/index.php/PSYCHOIDEA/article/view/251.Google Scholar ↗

[refR-27] U. Sahara, “Hubungan_Antara_Komunikasi_Interpersonal Suami Istri terhadap Koping dengan Stres pada Penderita Gagal Ginjal kronik,” Skripsi, pp. 1–10, 2017.Google Scholar ↗

[refR-28] F. Purwaningrum, “Hubungan Aktivitas Spiritual dengan Tingkat Stres pada Pasien Gagal Ginjal Kronik yang menjalani Hemodialisa di RS PKU Muhammadiyah Yogyakarta,” Skripsi, 2013.Google Scholar ↗

[refR-29] A. Wiyahya, “Hubungan Kesejahteraan Spiritual Dengan Kronik Di Ruang Hemodialisa Rs Pku,” Skripsi, 2022.Google Scholar ↗