Gender Differences in Determinant of Quality of Life Among Haemodialysis Patient

ABSTRACT
Introduction: Chronic kidney disease is a health problem in the global community with a fairly high incidence and prevalence. Patients with chronic kidney failure (ESDR) who undergo hemodialysis will experience stressors. The process of adaptation to hemodialysis varies between men and women. Women’s expectancies and behaviors vary from men. Puspose: To investigate the disparities in gender in determinant of hemodialysis patients’ life quality. Methods: A cross-sectional research approach was used. This research was carried out in an Indonesian hospital. A number of 239 hemodialysis patients were enlisted (112 females and 127 men). Data were collected including ociodemographic characteristics, Center for Epidemiological Studies Depression (CESD), Kidney Disease Quality of Life- Short Form (KDQOL-SF), and Spiritual Questionnaire. Results: There were a significant different in total score of depression and domain of depressed affect, and total score of spiritual and spiritual experience between male and female. The DSES result showed that both female and male participants were high in spiritual level. No significant different in family support in both female and male. Depression was a significant predictor of quality of life among female, while in male, age and depression significant predictor of quality of life. Conclusion: Gender disparities in quality of life, however, were significantly reduced after account was taken of differences in symptoms of depression.