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ANALISIS TARIF RUMAH SAKIT DIBANDINGKAN DENGAN TARIF INDONESIAN CASE BASED GROUPS PADA PASIEN RAWAT INAP PESERTA JAMINAN KESEHATAN NASIONAL DI RUMAH SAKIT Rahayuningrum, Indriyati Oktaviano; Tamtomo, Didik Gunawan; Suryono, Arief
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2017: PROSIDING IMPLEMENTASI PENELITIAN PADA PENGABDIAN MENUJU MASYARAKAT MANDIRI BERKEMAJUAN
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Latar Belakang: Rumah sakit sebagai fasilitas rujukan tingkat lanjut memiliki peran penting dalam implementasi program Jaminan Kesehatan Nasional (JKN). Untuk pembayaran pelayanan kesehatan bagi peserta JKN yang dirawat di RS, BPJS kesehatan melakukan pembayaran berdasarkan tarif Indonesian case based groups (INA CBGs). Namun hal ini belum efektif karena dengan tarif INA CBGs berpotensi menimbulkan kerugian bagi RS. Penelitian ini bertujuan untuk menganalisis apakah tarif RS lebih tinggi dari tarif INA CBGs dan apakah terdapat hubungan antara tarif RS dan faktor-faktor : jenis RS, kelas perawatan, tingkat keparahan, penggunaan ICU dan lama perawatan.Subjek dan Metode : Desain penelitian ini adalah analitik observasional dengan pendekatan cross sectional. Penelitian dilaksanakan pada bulan Oktober-Desember 2016 di dua RS pemerintah dan 2 RS Swasta. Pengambilan sampel dengan teknik consecutive sampling.Jumlah sampel 100 sampel. Variabel terikat : tarif RS dan tarif INA CBGs, variabel bebas : jenis RS, kelas perawatan, tingkat keparahan, penggunaan ICU dan lama perawatanHasil: Tarif RS lebih rendah dari tarif INA CBGs. Mean tarif RS Rp. 2.280.000 ,- dan mean tarif INA CBGs Rp. 3.060.000,-. Korelasi positif dan signifikan (r= 0.51 p = <0.001). Terdapat hubungan negatif antara tarif RS dan Jenis RS. Tarif RS swasta lebih rendah daripada RS pemerintah (b=-5.66xRp. 1.000.000, CI=95%, p= 0.078).Terdapat hubungan negatif antara tarif RS dan kelas perawatan (kelas 2 : b= -0.34 XRp.1.000.000,- , CI= 95 %, p =0.371 dan kelas 3 : b =-0.50 XRP. 1.000.000,-, CI =95%, p= 0.177). Terdapat hubungan positif antara tarif RS dan penggunaan ICU (b= 1.58 X Rp. 1.000.000, CI= 95 %, p= <0.001).Terdapat hubungan positif antara tarif RS dan tingkat keparahan sedang (b= 0.55 XRp, 1.000.000,-, CI =95 %, p= 0.150) dan terdapat hubungan negatif antara RS dan tingkat keparahan berat ( b= -0.12 XRp. 1.000.000,- , CI= 95 %, p= 0.894.7. Terdapat hubungan positif antara tarif RS dan lama perawatan (b= 0.27 X Rp. 1.000.000,-, CI= 95%, p= 0.005 )Kesimpulan : tarif RS lebih rendah dari tarif INA CBGs. Jenis RS, kelas perawatan, penggunaan ICU, lama perawatan meningkatkan tarif RS.Kata kunci : tarif RS, tarif INA CBGs
Estimasi Tinggi Badan Berdasarkan Panjang Telapak Tangan dan Panjang Telapak Kaki Santosa, Novian Anindito; Tamtomo, Didik Gunawan; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Body height measurement is one of forensic identification examinations. One of evidence that probably found in forensic cases is hand length or foot length. This research aimed to the know correlation between hand length and body height, foot length and body height, and also hand length and foot length with body height. Methods: This research was descriptive analytic with cross-sectional study design. The research was held in Faculty of Medicine Universitas Sebelas Maret with 40 samples of students which consisted of 24 males and 16 females. Independent variable of this research werehand and foot length. Hand length was measured with caliper, foot length was measured with plan A4 paper and ruler. Dependent variable of this research was body height estimation which was measured with microtoise. Samples obtained were measured height, hand length and foot length. The result obtained was tested with double linear regression test. Results: The statistical analysis result for regression test partially obtained that right hand length had correlation score (r) 0,971 (p=0,000), left hand length had correlation score (r) 0,968 (p=0,000),right foot length had correlation score (r) 0,975 (p=0,000), left foot length had correlation score (r) 0,973 (p=0,000). While the result of double linear regression test had correlation score (r) 0,999 (p=0,000). Conclusions: There was correlation between hand length and body height, foot length and body height, and also hand length and foot length with body height. Keywords: Body height,hand length  foot length.  
Hubungan Teknik, Frekuensi, Durasi Menyusui dan Asupan Energi dengan Berat Badan Bayi Usia 1-6 Bulan di Puskesmas Tasikmadu Kabupaten Karanganyar Sari, Dewi Kartika; Tamtomo, Didik Gunawan; Anantayu, Sapja
Amerta Nutrition Vol 1, No 1 (2017): AMERTA NUTRITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (795.412 KB) | DOI: 10.20473/amnt.v1i1.2017.1-13

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Background: Weight is the first indicator for baby’s growth value. Eforts to increasing the baby’s weight is maximise the nutrients and mother’s milk as the primmary food for baby on 1-6 months. Objective: This research was conducedt to analyze relation factors with giving mother’s milk and the view of weight accomplishment. This factors such as technique, frequency, sucking duration and the intake of energy with baby’s weight on 1-6 months.Methods: Design in this reserach is cohort prostective to follwoing  the baby’s weight as long as 4 months. Sample in this research are baby’s mother on 1-6 months which was taken by purpossive sampling in the beginning of this research are 60 respondent and fall 14 respondent, 46 respondent were been analyze. Data analyze was obtained with chi square and multivariate with multiple logistic of regression test.Results: This research showed that  has relation betweeen breasfeeding technique with baby’s weight by p-value=0.003, there is relation between breasfeeding frequency with baby’s weight by p-value=0.018, there is relation between breasfeeding duration with baby’s weight by p-value=0,001, there is relation between the intake of energy with baby’s weight by p-value<0.001. The intake of energy has impact of the multivariate analyze from independent variable by exp (B) 38.822 it has means risk to 38.822 times will increasing weight if mothers’s intake energy is good.Conclusion: There are relation between technique, frequency, sucked  duration and the intake of the energy with baby’s weight on 1-6 months.ABSTRAKLatar Belakang: Berat badan merupakan indicator pertama dalam menilai pertumbuhan bayi. Upaya untuk meningkatkan berat badan bayi diperlukan gizi yang maksimal dan ASI merupakan makanan utama bagi bayi terutama pada usia 1-6 bulan.Tujuan: Penelitian ini bertujuan untuk mengnalisis faktor yang berkaitan dengan pemberian ASI dan dilihat pencapaian berat badan. Faktor yang dimaksud meliputi teknik, frekuensi, durasi menyusui dan asupan enegi dengan berat badan bayi usia 1-6 bulan.Metode: Desain dalam penelitian ini adalah kohort prostektif karena mengikuti berat badan bayi selama 4 bulan.  Sampel dalam penelitian ini adalah ibu yang memiliki bayi usia 1-6 bulan yang diambil secara purposive sampling pada titik awal penelitian berjumlah 60 responden dan dropout sebayak 14 responden sehingga yang dapat dianalisis sebesar 46 responden.  Analisis data secara bivariat dilakukan dengan chi square dan multivariate dengan uji regresi logistic ganda.Hasil: Dari hasil penelitian menunjukan hasil adanya hubungan antara teknik menyusui dan berat badan bayi dengan p value 0,003, ada hubungan antara frekuensi menyusui dengan berat badan bayi dengan p value 0,018 ada hubungan durasi menyusui dengan berat badan bayi dengan p value 0,001dan ada hubungan antara asupan energi dengan berat badan bayi dengan p value 0,000. Dari analisis multivariate dari keempat variabel bebas, asupan energi merupakan yang paling berpengaruh diantara variabel lainya dengan exp (B) sebesar 38,822 yang berarti jikaasupan energi ibu menyusui baik maka beresiko 38,822  kali mengalami kenaikan berat badan.Kesimpulan: Terdapat hubungan antara teknik, frekuensi, durasi menyusui dan asupan energi ibu dengan berat badan bayi usia 1-6 bulan.
Faktor Yang Berhubungan dengan Kejadian Stunting Pada Balita Usia 24-59 Bulan Uliyanti, Uliyanti; Tamtomo, Didik Gunawan; Anantanyu, Sapja
Jurnal Vokasi Kesehatan Vol 3, No 2 (2017): Juli 2017
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.076 KB) | DOI: 10.30602/jvk.v3i2.107

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Abstract: Factors Related To Stunting Incident At Toddler 24-59 Months. The objective of this study was to analyze the predictors of stunting among children age 24-59 months in sub-district Matan hilir Selatan, Ketapang Regency. This research was designed with a case-control study on 51 stunting children and 51 normal children. The independent variables were mother nutrition knowledge, family nutrition awareness behaviour, clean and healthy life behaviour, infectious diseases history and nutrition intake. The dependent variable in this study was stunting status. Data collected through an interview by using structured questionnaires, food recall, height measurement with microtoise, then data analyzed by path analyze. The result of the research showed that stunting influenced directly by intake nutrition variable, infectious diseases history, mother nutrition knowledge and family nutrition awareness behaviour, while clean and healthy life behaviour influence indirect of infectious diseases history. The most related direct and indirect factors to stunting based on path coefficient as many as 0,31 or 9,61% were mother knowledge nutrition. The coefficient of determinant independent variable influencing dependent was 39,7%, while other factors were 60,3% influenced by another variable.Absrak: Faktor Yang Berhubungan Dengan Kejadian Stunting Pada Balita Usia 24-59 Bulan. Penelitian ini bertujuan untuk menganalisis pola hubungan langsung maupun tidak langsung terhadap kejadian stunting pada balita usia 24-59 bulan di kecamatan Matan hilir selatan, kabupaten Ketapang. Penelitian ini dilakukan dengan rancangan kasus kontrol pada 51 stunting dan 51 normal. Variabel independen meliputi pengetahuan gizi ibu, perilaku keluarga sadar gizi, perilaku hidup bersih dan sehat (PHBS), riwayat penyakit infeksi dan asupan gizi, sedangkan variabel dependen adalah kejadian stunting. Data diperoleh melalui wawancara menggunakan kuesioner terstruktur, food recall, pengukuran tinggi badan menggunakan microtoise. Data diolah dengan analisis statistik menggunakan analisis jalur. Hasil penelitian menunjukkan bahwa kejadian stunting secara langsung dipengaruhi oleh variabel asupan gizi, riwayat penyakit infeksi, pengetahuan gizi ibu dan kadarzi, sedangkan PHBS mempengaruhi secara tidak langsung melalui riwayat penyakit infeksi. Faktor pengaruh langsung dan tidak langsung yang paling dominan berdasarkan koefisien jalur yaitu pengetahuan gizi Ibu yaitu 0,31. Koefisien determinan variabel independen mempengaruhi variabel dependen sebesar 39,7%, sedangkan pengaruh lainnya sebesar 60,3% dipengaruhi oleh variabel lain diluar model yang diteliti.
Analysis of Patient Safety Management in Committee for Quality Improvement and Patient Safety at Sumbawa Hospital, West Nusa Tenggara Sulahyuningsih, Evie; Tamtomo, Didik Gunawan; Joebagio, Hermanu
Journal of Health Policy and Management Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Patient safety is a crucial issue and a focus of policy standard in internationally accredited organizations. The specific committee responsible for quality improvement in patient safety is the committee for quality improvement and patient safety (PMKP). Incidence of malpractice often occurs but are not reported. It indicates that the committee has not worked according to required accreditation standard. This study aimed to analyze patient safety management with the committee for quality improvement and patient safety at Sumbawa Hospital, West Nusa Tenggara. Subjects and Method: This was a qualitative study with phenomenology approach. Nine study participants were selected purposively, consisting of 3 committee members (chairperson, secretary, and patient safety sub-committee), 3 chiefs of ward (pediatrics, internal medicine, and surgery), and 4 nurses or midwives (pediatrics, surgery, ICU/ICCU, and obstetrics).Results: The committee for quality improvement and patient safety has been established at Sumbawa Hospital, West Nusa Tenggara to meet the requirement of hospital accreditation standard. It aimed to improve the quality of services and to assure patient safety. However, its work has not meet the required standard. The lack of knowledge among involving parties, including hospital management, PMKP member, medical professionals was identified as one important obstacle for the implementation of patient safety management. This has led to the incidence of malpractice at the hospital, sub-standard quality of services and patient safety.Conclusion: PMKP has been established at Sumbawa Hospital, West Nusa Tenggara. However, their work have not meet the required standard. The lack of knowledge among involving parties, including hospital management, PMKP, and health professional, has led to the incidence of malpractice at the hospital, sub-standard quality of services and patient safety.Keyword: quality improvement, patient safety management, committeeCorrespondence: Evie Sulahyuningsih. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Mobile: 08786410495.Journal of Health Policy and Management (2017), 2(2): 147-156https://doi.org/10.26911/thejhpm.2017.02.02.06 
Analisis Durasi Tidur, Asupan Makanan, dan Aktivitas Fisik sebagai Faktor Risiko Kejadian Obesitas pada Balita Usia 3-5 Tahun Tristiyanti, Wara Fitria; Tamtomo, Didik Gunawan; Dewi, Yulia Lanti Retno
Sari Pediatri Vol 20, No 3 (2018)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (127.399 KB) | DOI: 10.14238/sp20.3.2018.178-84

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Latar belakang. Obesitas pada balita menjadi perhatian World Health Organization (WHO) dengan menetapkan masalah obesitas sebagai salah satu indikator untuk mengatasi masalah melalui Sustainable Development Goals (SDGs). Pada tahun 2015, prevalensi obesitas balita secara global mencapai 6,2% atau 42 juta balita. Faktor penyebab obesitas di antaranya adalah durasi tidur, asupan makanan, dan aktivitas fisik.Tujuan. Untuk menganalisis hubungan durasi tidur, asupan makanan, dan aktivitas fisik dengan kejadian obesitas pada balita usia 3-5 tahun beserta tingkat risiko di wilayah Kota Yogyakarta. Metode. Jenis penelitian ini adalah kasus-kontrol dengan jumlah total subjek adalah 144 balita di wilayah Kota Yogyakarta. Jumlah subjek pada masing-masing kelompok adalah 72 balita. Data durasi tidur diperoleh melalui kuesioner Children’s Sleep Habit Questionnaire (CSHQ) tervalidasi, data asupan makanan dikumpulkan dengan kuesioner recall makan 2x24 jam, dan data aktivitas fisik diperoleh dari kuesioner recall aktivitas fisik 24 jam. Data dianalisis menggunakan uji Chi- square dan regresi logistik. Hasil. Terdapat hubungan yang signifikan antara durasi tidur, asupan makanan, dan aktivitas fisik dengan kejadian obesitas pada balita usia 3-5 tahun (p<0,005). Balita dengan durasi tidur kurang (lama tidur <10 jam) berisiko menjadi obesitas 2,5 (OR=2,49; IK95%: 1,04-5,93) kali lebih besar dibandingkan dengan balita dengan durasi tidur yang cukup (lama tidur ≥10jam). Balita dengan asupan makanan lebih (asupan energi >110 % AKG) berisiko menjadi obesitas 4,4 (OR=4,42; IK95%: 2,02-9,69) kali lebih besar dibandingkan dengan balita dengan asupan makanan cukup (asupan energi 80-110% AKG). Balita dengan aktivitas fisik sangat ringan (PAL<1,5) berisiko menjadi obesitas 6,1 (OR=6,15; IK95%: 2,73-13,85) dibandingkan dengan balita dengan aktivitas fisik ringan atau sedang. Kesimpulan. Durasi tidur, asupan makanan, dan aktivitas fisik, secara signifikan berhubungan dengan kejadian obesitas pada balita usia 3-5 tahun.
Path Analysis on the Biopsychosocial Determinants of Type 2 Diabetes Mellitus and Depression at Dr. Moewardi Hospital, Surakarta Budiarti, Esty; Tamtomo, Didik Gunawan; Adriani, Rita Benya
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Diabetes Mellitus (DM) is a a major disease that is threatening global population health. This disease ranks third by global public health priority. The incidence of type 2 DM in 2014 was 442 million patients worldwide. Indonesia is one of 10 countries with high DM incidence. The incidence of type 2 DM in Indonesia in 2014 was 10 million patients. This study aimed to examine the biopsychosocial determinants of type 2 Diabetes Melitus and depression at Dr. Moewardi Hospital, Surakarta, using path analysis.Subjects and Method: This was an analytic and observational study with case control design. The study was conducted at Dr. Moewardi Hospital, Surakarta, from August to October, 2017. Sample consisting of 100 patients type 2 DM  and 100 non DM patients were selected for this study by fixed disease sampling. The dependent variable was type 2 DM. The independent variables were body age, mass index, education level, occupation, stres, family income, comorbidity, activity, and family history of type 2 DM. The data were collected using medical record and questionnaire. The data were analyzed by path analysis.Results: The risk of type 2 DM increased with higher body mass index (b= 2.66; 95% CI= 1.41 to 3.91; p<0.001), higher income (b=-0.93; 95% CI= -1.90 to 0.045; p=0.062), older age (b= 2.88; 95% CI= 0.62 to 5.15; p= 0.013), presence of DM family history (b= 2.56; 95% CI= 1.45 to 3.68; p <0.001), and comorbidity (b= 3.25; 95% CI= 2.07 to 4.43; p<0.001). The risk of depression increased by type 2 DM (b= 1.032; 95% CI= 0.42 to 1.63; p= 0.001). Body mass index increased with higher physical activity (b= -1.41; 95% CI= -2.03 to -0.79; p<0.001). Income increased with high education level (b= 2.58; 95% CI= 1.83 to 3.33; p<0.001). High physical activity increased with occupation (b=0.96; 95% CI= 0.38 to 1.53;p= 0.001).Conclusion: The risk of type 2 DM increased with higher body mass index, higher income, older age, presence of DM family history, and comorbidity.Keyword: biopsychosocial determinants, type 2 DM, depressionCorrespondence: Esty Budiarti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email:estybudiarti21@gmail.com.Journal of Epidemiology and Public Health (2018), 3(1): 1-14https://doi.org/10.26911/jepublichealth.2018.03.01.01 
HUBUNGAN RIWAYAT PEMBERIAN ASI DAN POLA ASUH IBU DENGAN KEJADIAN GIZI KURANG PADA ANAK BALITA DI KECAMATAN WONGSOREJO BANYUWANGI Yuanta, Yohan; Tamtomo, Didik Gunawan; Hanim, Diffah
Jurnal Kesehatan Kusuma Husada Vol. 9 No. 1, Januari 2018
Publisher : STIKes Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v9i1.259

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Kondisi riwayat ASI di Indonesia saat ini cukup memprihatinkan. Rendahnya pemberian ASI secara Eksklusif dipengaruhi oleh beberapa faktor, yakni ketidaktahuan ibu tentang pentingnya ASI, cara menyusui dengan benar, serta pemasaran susu formula. Pola asuh pada tahun pertama kehidupan sangatlah penting untuk perkembangan anak. Pola asuh balita yang kurang baik di Indonesia salah satunya ditunjukkan dengan masih rendahnya dukungan ibu dalam memonitor pertumbuhan dan perkembangan anak balita. Penelitian bertujuan untuk menganalisis hubungan riwayat pemberian ASI dan pola asuh terhadap kejadian gizi kurang. Penelitian dilaksanakan di Kecamatan Wongsorejo, kabupaten Banyuwangi Jawa Timur. Penelitian ini menggunakan metode kuantitatif dengan rancangan kasus kontrol. Variabel dependen gizi kurang dan variabel independen riwayat pemberian ASI dan pola asuh Ibu. Jumlah subjek sebanyak 174 balita yang diambil secara Fixed Disease Sampling, melalui wawancara langsung dan observasi. Analisis bivariate menggunakan uji C-Square dan analisis multivariat menggunakan uji regresi logistic biner. Hasil penelitian menunjukkan sebagian besar riwayat pemberian ASI pada balita adalah ASI eksklusif pada kasus (83.9%) dan kontrol (97.7%). Hasil analisis menunjukkan bahwa riwayat pemberian ASI (OR=0.123; p&lt;0.05), pola asuh pemberian makan (p&lt;0.05) dan pola asuh kesehatan (p&lt;0.05) berhubungan secara signifikan dengan kejadian gizi kurang. Terdapat hubungan antara riwayat pemberian ASI dan pola asuh ibu dengan kejadian gizi kurang. The current history of breast milk in Indonesia was quite alarming. The lack of exclusive breastfeeding was influenced by several factors, namely mother’s ignorance about the importance of breastfeeding, how to breastfeed properly, and the marketing of formula milk. The pattern of care in the first year of life was very important for the development of children. Poor toddler pattern in Indonesia was one of them shown by the low support of mother in monitoring growth and development of children under five. This study aimed to analyze association of breastfeeding history and parenting mother to the incidence of malnutrition and was conducted in Wongsorejo, Banyuwangi, East java. This study used the quantitative case-control design. Dependent variable in this study was malnutrition and independent variable were history of breastfeeding and parenting mother. The number of samples were 174 under five children taken by a Fixed Disease Sampling. The data was gained through in-depth interview and observation. History of Breast Feeding and Parenting Mother was taken by interview and used a quesstionarry. Bivariate analysis used chi-square analysis and multivariate analysis used binarry regression. Most of the breastfeeding history among under five children was exclusive breastfeeding with case (83.9%) and control (97.7%). Correlation analysis showed that history brestfeeding (OR=0.123; p&lt;0.05), feeding practices of parenting mother (p&lt;0.05) and health parenting mother (p&lt;0.05) were related positively to malnutrition. There is a relationship of breastfeeding history and parenting mother to malnutrition among under five children.
Determinants of the Quality of Life for Hemodialysis Patients Pratiwi, Danies Tunjung; Tamtomo, Didik Gunawan; Suryono, Arief
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Chronic kidney disease (CKD) is a major cause of changes in activity, psychology and life. Analysis of the use of hemodialysis on quality of life was carried out as a treatment eva­lu­a­tion to maintain the survival of CKD patients. This study aimed to determine the determinants qu­a­­lity of life among he­modialysis patients.Subjects and Method: This was a cross-sectional study conducted at the Hospital Hemodialysis Unit Dr. Hardjono, Ponorogo, East Java, in April 2019. A total sample of 200 hemodialysis patients we­­re selected using simple random sampling. The dependent variable was the quality of life of he­mo­­dialysis patients. The independent variables were age, gender, education, type of financing, fa­mi­ly­ income, stress, frequency of hemodialysis, level of physical dependence, comorbidity, and so­cial group. The data of life quality were collected using the Kidney Disease Quality of Life (KDQoL) SF-36 questionnaire and analyzed using multiple logistic regressions.Results: The quality of life of hemodialysis patients was affected by age ≥ 50 years (b = -1.40; CI 95% = -2.42 to -0.36; p = 0.008), severe stress (b = -1.73; CI 95% = -2.91 to -0.54; p = 0.004), had co­­­morbidity (b = -1.25; CI 95% = -2.29 to -0.23; p = 0.017), male sex (b = 1.48; CI 95% = 0.41 to 2.54; p = 0.007), education high (b = 1.46; 95% CI = 0.43 to 2.50; p = 0.006), family income ≥ mi­ni­­mum wage (b = 1.98; 95% CI = 0.75 to 3.20; p = 0.002), PBI financing type (b = 1.69; 95% CI = 0.40 to 2.98; p = 0.010), frequency of hemodialysis often (b = 1.21; 95% CI = 0.20 to 2.22; p = 0.019), independent physical dependence level (b = 1.41; 95% CI = 0.33 to 2.49 ; p = 0.011), and has a social group (b = 3.28; 95% CI = 1.12 to 9.65; p = 0.031).Conclusions: Age, gender, education, type of financing, family income, stress, frequency of he­mo­di­a­lysis, level of physical dependence, comorbidity, and social group affect the quality of life of he­mo­­dialysis patients.Keywords: Chronic kidney disease, quality of life, hemodialysis, social group.Correspondence: Danies Tunjung Pratiwi. STIKES Buana Husada, Jl. Gabah Sinawur 9A, Ponorogo 63411, Jawa Timur. Email: daniestunjung@gmail.com. Mobile: +6285229-209108Indonesian Journal of Medicine (2019), 4(2): 145-154https://doi.org/10.26911/theijmed.2019.04.02.08