Correlation between Dialysis Malnutrition Score (DMS) and Quality of Life Based on Kidney Disease Quality of Life Short Form 36 (KDQOL-SF36) in Patients with Stage 5 Chronic Kidney Disease Undergoing Hemodialysis at the Hemodialysis Unit of RSUD Negara, Jembrana, Bali in 2025
DOI:
https://doi.org/10.33448/rsd-v14i8.49223Keywords:
Chronic Kidney Disease (CKD), Dialysis Malnutrition Score (DMS), Hemodialysis, Kidney Disease Quality of Life (KDQOL)-SF36, Quality of Life.Abstract
Introduction: Quality of life is one of the main expected outcomes in patients with chronic kidney disease (CKD) stage 5 undergoing hemodialysis. Objective: To determine the correlation between DMS and quality of life based on KDQOL-SF36 in patients with CKD stage 5 undergoing hemodialysis at the Hemodialysis Unit of RSUD Negara, Jembrana, Bali. Methods: The study was conducted between April 7 and April 30, 2025, at the Hemodialysis Unit of RSUD Negara, Jembrana, Bali. A total of 105 patients with CKD stage 5 undergoing hemodialysis from 2015 to April 2025 participated in the study. Nutritional status was assessed using DMS, while quality of life was measured using the KDQOL-SF36 questionnaire. Results: Spearman’s correlation test showed a statistically significant correlation between DMS and quality of life based on KDQOL-SF36 (p < 0.001), with a Spearman’s correlation coefficient (r) of -0.592, indicating a moderate negative correlation. The negative direction of the correlation suggests an inverse relationship: the higher the DMS score, the lower the KDQOL-SF36 score, and vice versa. Most participants had good nutritional status based on DMS and reported good quality of life based on KDQOL-SF36. Conclusion: There is a statistically significant correlation between Dialysis Malnutrition Score and quality of life based on KDQOL-SF36 in patients with stage 5 CKD undergoing hemodialysis at the Hemodialysis Unit of RSUD Negara, Jembrana, Bali.
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