HIV STADIUM IV + COMMUNITY AQUIRED PNEUMONIA + KASUS BARU TB PARU BTA POSITIF + PLEURITIS EKSUDATIVA TB SINISTRA + ANEMIA PENYAKIT

KRONIS + MALNUTRISI
Silahuddin, Arwindy, Bob, Ali Zainal, Tini, Welly, Rizki, Yuniza*, Nova K*, Eddy M Salim* *Divisi Alergi Imunologi Bagian Penyakit Dalam FK Unsri/RSMH Palembang

RSMH

Methods Cross sectional study, The Patients were asked to answer SF-36 questioner. Population Hemodialysis patients in renal ward of Muhammad Hoesin Hospital Palembang. The data collection period in September 2010.

Introduction SF-36 generic profile measure: Physical Health (PCS): Physical functioning (10) Role limitations/physical (4) Pain (2) General health perceptions (5) Mental Health (MCS): Social functioning (2) Energy/fatigue (4) Role limitations/emotional (3) Emotional well-being (5)

Variable Age (yr) Female/Male Systolic/Diastolic

Characteristic(n=40) 44,5 11,9 16 (40%)/24 (60%) 139,3716,5/88,256,26

Methods Included criteria: all patients aged 18 years or older, who agreed to take part in the research by providing written informed consent. Exclusion criteria: (1) intellectual deficit or organic alteration that hindered understanding the questionnaire and answering the questions, making its application impossible; (2) current neoplasia; or (3) previous renal transplantation.

Scale Physical Health (PCS) Physical function (PF) Role physical (RP) Body Pain (BP) General Health (GH) Mental Health (MCS) Emotional Well-Being (MH) Role function-emotional (RE) Energy (VT) Social function (SF)

results 42,13% 41,87% 33,75% 56,63% 46,25% 50,70% 57,00% 35,83% 49,00% 60,63%

70

BMI Length of hemodialysis Etiology Hypertension Diabetic Infection Urolytiasis Cyst

32,924,8 2,92,1

60 50 40 30 F M

PCS

Discussion End-stage chronic kidney disease considerably reduces the physical and professional performances of patients, leading to a negative impact on their perception of their own health and affecting their vitality levels, which may limit their social interactions and cause problems related to mental health.
In

70 60 50 40 30 20 10 0 PF RF BP GH VT SF RE MH PCS MCS 140 <140 70 60 50 40 30 20 10 0 6 <6

this study was shown i, the lowest values being observed in physical health, but mental health is good enough. Similarly to the results in this study by Silveira CB. In this study, The male patients had PCS better than female, The length of hemodialysis had no significant correlation with PCS and MCS. The patients with hypertension had no significant correlation PCS and MCS. This study in differed results with before study by Ali Z.

References Conclusion The quality of life the physical health summaries (PCS) of hemodialysis patients is lower. The mental and social health summaries (MCS) were good enough. The clinical status could influence the quality of life, especially physical health (PCS).
Silveira

CB, Pantoja IKO, et al: Quality os life of hemodialysis patients in a Brazilian Public Hospital in Belem-Para, Jornal Brasilero de Nefrolgia 2010. Ali Z, Nainggolan G, et al: Assesisng the quality of life of hemodialysis patients with SF-36 associated to the clinical status, Ginjal Hipertensi 2002; 3:44-47. Farivar SS, Cunningham WE, et al: Correlated physical and mental health summary scores for the SF-36 and SF-12 health survey, BioMed Central 2007.

MCS

MH

47,5% 15,0% 27,5% 7,5% 2,5%

20 10 0 RP GH VT RE PF BP SF