Quality of life of adolescent patients undergoing hemodialysis at Dr. Soetomo General Hospital, Surabaya (instrumental case study)

Background: Chronic Kidney Disease (CKD) is defined as a decrease in kidney function or kidney damage that lasts more than three months, which can affect all stages of age. The end stage of kidney disease is End Stage Renal Disease (ESRD), which requires dialysis or a kidney transplant. The long course of the disease and the long treatment procedures can affect the quality of life of patients. All dimensions of the quality of life of adolescents undergoing hemodialysis, namely physical, functional, psychological and social dimensions are affected during the course of the disease. Hemodialysis, which is a central element for adolescent CKD patients, can affect quality of life, either increasing or even decreasing quality of life. The aim of this research is to qualitatively analyze the quality of life of adolescent patients undergoing hemodialysis at Dr. Sutomo Hospital Surabaya. Methods: Qualitative with a case study approach. Data collection used interviews (in-depth interviews), observation and documentation and research subjects were determined purposively. Data analysis used Miles and Huberman's interactive model analysis technique. Results: There were 7 subjects consisting of 4 teenage girls and 3 teenage boys, with an age range of 12-18 years. The four dimensions of quality of life studied, namely physical (short stature), functional (educational barriers), psychological (embarrassment, sadness) and social (peer relationships) are affected by CKD. There are dynamics between dimensions so that not all dimensions worsen in the subject, so that subjects can accept and undergo hemodialysis as a part of their life. Conclusion: Findings on quality of life dimensions can be used to provide recommendations for adolescent patients to maintain their quality of life while undergoing hemodialysis and to optimize Consultation Liaison Psychiatry to develop more optimal treatment strategies for adolescent patients undergoing hemodialysis.