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Comparison of Quality of Life in Children with Chronic Kidney Disease Undergoing Peritoneal Dialysis Versus Hemodialysis at Regional Public Hospital Dr. Soetomo Surabaya

Volume: 153  ,  Issue: 1 , July    Published Date: 20 July 2024
Publisher Name: IJRP
Views: 229  ,  Download: 141 , Pages: 76 - 87    
DOI: 10.47119/IJRP1001531720246968

Authors

# Author Name
1 Sinta Nuriyah
2 Risky Vitria Prasetyo
3 widodo

Abstract

      This research was aimed at finding out about maintaining pediatrics Chronic Kidney Disease patient with dialysis Quality of life (Qol) by analyzing and comparing quality of life in children with hemodialysis (HD) and peritoneal dialysis (PD) with its factor at Regional Public Hospital Dr. Soetomo Surabaya. To maintain the survival of pediatric CKD patients, renal replacement therapy (RRT), such as Hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD), is carried out. A cross sectional study that collected secondary data from 25 pediatrics patients medical history aged between 5-18 years old and primary data using PedsQL 4.0 Generic Core Scale questionnaire to collect health related quality of life.  during. Normality test using Shapiro-Wilk, and comparation using Mann-Whitney test. Of the 25 children, the number of female patients is slightly more than male (52%), the majority age group is 13-18 years (64%), the majority came from outside Surabaya (76%). The longest duration of therapy is more than 6 months (64%), and the type of therapy is dominated by HD (68%). Analysis of differences in quality of life according to parent report for the median total score of CKD patients with HD is significantly lower (63.04 (45.65-81.52)) than CAPD (71.73 (60.87-84.78)) ((P=0.000). According to child report for the median total score of CKD patients with HD is lower (58.69 (43.48-85.87)) undergoing CAPD (65.21 (61.96-85.87)) (P=0.000). The median total score for male patients (63.58 (60.87-68.48)) is lower than that for female patients (80.43 (75-84.78)) (P=0.021) in the parent-report. The median total score for children aged 13-18 undergoing HD (70.65 (52.17-85.87)) is significantly higher than that for children aged 5-12 undergoing HD (68.75 (37,5-93.75)) (P=0.039). In terms of duration of therapy and regional origin, there are no significant differences.

Keywords

  • Hemodialysis
  • Chronic Kidney Disease
  • Dialysis Peritoneal
  • Quality of Life
  • Children