• Diana Laila Ramatillah Pharmacy Faculty, Universitas 17 Agustus 1945 Jakarta
  • Syed Azhar Syed Sulaiman School of Pharmaceutical Sciences, Universiti Sains Malaysia
  • Amer Hayat Khan School of Pharmaceutical Sciences, Universiti Sains Malaysia
Keywords: Patients on Haemodialysis, Quality of Life, KDQoL-SF24, Indonesia


Haemodialysis is a continuous treatment provided to patients with chronic kidney disease as a replacement for renal function. It is important to assess the quality of life among these patients. The aim of this study was to evaluate quality of life among patients on haemodialysis using an Indonesian version of the KDQoL-SF24 questionnaire. This is a cohort observational study that included 145 haemodialysis patients in a haemodialysis centre in Jakarta, Indonesia. A translated and validated version of the KDQoL-SF24 was used in this survey. The participants in this study had lower mean scores than the standard form in the following 6 components: burden of kidney disease (44.22±33.23), cognitive function (74.94±20.32), sleep (57.07±24.15), patient satisfaction (60.11±18.56), role-physical (26.21±44.01), emotional well-being (69.19±24.25) and role-emotional (40.69±49.18). A significant relationship was found between sexual function, physical functioning, role emotional and age among haemodialysis patients (P <0.05). Based on the overall health rating from the KDQoL-SF24, the mean and standard deviation for the 21- to 30-year-old age group was lower than the standard form. The burden of kidney disease, cognitive function, sleep, patient satisfaction, role-physical, emotional well-being and role-emotional component scores were low for haemodialysis patients in Indonesia compared to the standard form. Additionally, age significantly affected sexual function, physical functioning and role-emotional.


1. K/DOQI Work Group. K/DOQI clinical practice guidelines for cardiovascular disease in dialysis patients. Am. J. Kidney Dis. 45, S1-153 (2005).

2. Ramatillah, D. L., Syed Sulaiman, S. A., Khan, A. H., Meng, O. L. & Markum. Systematic Reviews : Complication of Disease and Risk of Death on Chronic Kidney Patients Non Hemodialysis. Indo Am. J. Pharm. Sci. 3, 1291–1296 (2016).

3. Ramatillah, D. L., Syed Sulaiman, S. A., Khan, A. H., Meng, O. L. & Markum. Prevalence and Correlation of Viral Infection (Hepatitis B or/and Hepatitis C) Among Hypertensive and Diabetic Patients in Malaysia and Indonesia Who Underwent Hemodialysis. Int. J. Pharm. Sci. Res. 8, 2677–2681 (2017).

4. National Kidney Foundation. Update of the KDOQI TM Clinical Practice Guideline for Hemodialysis Adequacy. (2015).

5. Kidney Health Australia. Kidney Fast Facts. 1–4 (2016).

6. Thaweethamcharoen, T. et al. Validity and Reliability of KDQOL-36 in Thai Kidney Disease Patient. Value Heal. Reg. Issues 2, 98–102 (2013).

7. Fukuhara, S. et al. Health-related quality of life among dialysis patients on three continents : The Dialysis Outcomes and Practice Patterns Study. Kidney Int. 64, 1903–1910 (2003).

8. Parvan, K., Roshangar, F. & Mostofi, M. Quality of Sleep and its Relationship to Quality of Life in Hemodialysis Patients. J. Caring Sci. 2, 295–304 (2013).

9. Chang, S. & Yang, T. Sleep Quality and Associated Factors in Hemodialysis Patients. Acta Nephrol. 25, 97–104 (2011).

10. Mingardi, G. et al. Nephrology Dialysis Transplantation Health-related quality of life in dialysis patients . A report from an Italian study using the SF-36 Health Survey. Nephrol. Dial. Transplant. 14, 1503–1510 (1999).

11. Zyoud, S. H. et al. Factors affecting quality of life in patients on haemodialysis : a cross-sectional study from Palestine. BMC Nephrol. 1–12 (2016). doi:10.1186/s12882-016-0257-z

12. Liu, W. J., Chew, T. F., Chiu, A. S. F. & Zaki, M. Quality of Life of Dialysis Patients in Malaysia. Med. J. Malaysia 61, (2006).

13. Bohlke, M. et al. Predictors of quality of life among patients on dialysis in southern Brazil. Sao Paulo Med. J. 126, 252–6 (2008).

14. Johansen, K. L. et al. Physical activity levels in patients on hemodialysis and healthy sedentary controls. Kidney Int. 57, 2564–2570 (2000).

15. Santos, P. R. Relationship between gender and age with quality of life in chronic hemodialysis patients. Rev Assoc Med Bras 52, 356–9 (2006).

16. Ramalingam, A. . et al. Quality of life , level of physical activity and depression in dialysis patients. Jdms 8, 46–50 (2013).

17. Abdel-kader, K., Unruh, M. L. & Weisbord, S. D. Symptom Burden , Depression , and Quality of Life in Chronic and End-Stage Kidney Disease. Clin J Am Soc Nephrol 1057–1064 (2009). doi:10.2215/CJN.00430109

18. Pagels, A. A., Söderkvist, B. K., Medin, C., Hylander, B. & Heiwe, S. Health-related quality of life in different stages of chronic kidney disease and at initiation of dialysis treatment. Health Qual. Life Outcomes 1–11 (2012).

19. Wang, L.-J. & Chen, C.-K. The Psychological Impact of Hemodialysis on Patients with Chronic Renal Failure. INTECH (2012). doi:DOI: 10.5772/36832

20. Tsay, S.-L. & Healstead, M. Self-care self-efficacy, depression, and quality of life among patients receiving hemodialysis in Taiwan. Int. J. Nurs. Stud. 39, 245–251 (2002).

21. Son, Y.-J., Choi, K.-S., Park, Y.-R., Bae, J.-S. & Lee, J.-B. Depression, Symptoms and the Quality of Life in Patients on Hemodialysis for End-Stage Renal Disease. Am. J. Nephrol. 29, 36–42 (2009).

22. Kao, T.-W. et al. Economic, Social, and Psychological Factors Associated With Health-Related Quality of Life of Chronic Hemodialysis Patients in Northern Taiwan: A Multicenter Study. Artif. Organs 33, 61–68 (2009).

23. Perlman, R. L. et al. Quality of life in Chronic Kidney Disease (CKD): A cross-sectional analysis in the Renal Research Institute-CKD study. Am. J. Kidney Dis. 45, 658–666 (2005).

24. Martin-Diaz, F., Reig-Ferrer, A. & Ferrer-cascales, R. Sexual functioning and quality of life of male patients on hemodialysis. Nefrologia 26, (2006).

25. Edey, M. M. Male Sexual Dysfunction and Chronic Kidney Disease. Front. Med. 4, 1–10 (2017).
How to Cite
Diana Laila Ramatillah, Syed Azhar Syed Sulaiman, & Amer Hayat Khan. (2019). QUALITY OF LIFE AMONG PATIENTS UNDERGOING HAEMODIALYSIS IN JAKARTA, INDONESIA. Malaysian Journal of Public Health Medicine, 19(2), 29-37. Retrieved from http://mjphm.org/index.php/mjphm/article/view/166