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PENGARUH LAYANAN PESAN SINGKAT PENGINGAT TERHADAP KEPATUHAN KONSUMSI OBAT PASIEN DM TIPE 2 DI PUSKESMAS MELATI KABUPATEN KAPUAS Susanto, Yugo; Alfian, Riza; Riana, Rinidha; Rusmana, Ibna
Jurnal Ilmiah Manuntung Vol 3 No 1 (2017): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung akademi farmasi samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.279 KB) | DOI: 10.51352/jim.v3i1.88

Abstract

Diabetes mellitus is a chronic disease characterized by hyperglycemia and glucose intolerance. Patients with DM in Indonesia ranks 4th largest with a prevalence of 8.6 % of the total population. Patient compliance in the treatment greatly affect the success of the therapy. The purpose of this study was to determine the level of adherence before and after administration of short message reminders, as well as knowing the adherence changes that occur in patients with type 2 diabetes at the Puskesmas Melati Kabupaten Kapuas. This esearch was conducted by quasi experimental design, with prospective data collection during the period from May to June 2016. The intervention was giving short message service reminder. Subjects who met the inclusion criteria as many as 15 patients. The primary data collection is done by filling the questionnaire adherence MMAS and secondary data obtained from medical observation sheet. The results showed that in the pre intervention average value (mean) adherence by 5.8 or are in the low adherence rate, in post intervention average value of 7.4 or adherence are moderate adherence rates, with the rate of change (Δ) adherence towards better at 1.6. It can be concluded that the adherence were lower before than after giving short message service reminder. There was improvement in the adherence to taking medicine after giving short message service reminder. The giving short message service reminder increased the adherence to take medicine effectively
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUM OBAT PASIEN HIPERTENSI LANSIA DI WILAYAH KERJA PUSKESMAS SUNGAI CUKA KABUPATEN TANAH LAUT Susanto, Yugo
Jurnal Ilmiah Manuntung Vol 1 No 1 (2015): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung akademi farmasi samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.591 KB) | DOI: 10.51352/jim.v1i1.14

Abstract

One of communicable diseases become very serious health problem was hypertension. The purpose of hypertension therapy was to control blood pressure in range of normal blood pressure, it is needed the adherence for hypertension therapy. The family supportcould improved healthy status. Patient with family support  feel that people care, so it could directed patient to improve their healthy lifestyle.The purpose of this study was to determine elderly family support, medication adherence in elderly hypertensive patients, and analyzedthe correlation between the family support with the adherence ension in elderly hypertension patients in Puskesmas Sungai Cuka Tanah Laut.This study was conducted with the cross sectional design in December 2014 until January 2015. Population was280the elderly patient in the region of  primary public health Sungai Cuka and 164 of them were used for sample. Data was collected by completion questionnaires family support and Morisky Modification Adherence Scale (MMAS)questionnaires. Data analysis was performed by gamma test with 95% confidence level.Based on the results, that Elderly who have family support by category 23.8% lower category, middle category were 64%, high category were 11.6%, and 0.6% were very high category. The adherence degree of elderly hypertension patientwere 45,7% low adherence degree, moderate adherence degreewere 36%, and high adherence degree were 18.3%. There were a correlation between the family support andthe medication adherence in elderly hypertension patients at Puskesmas Sungai Cuka Tanah Laut. (γ =0.295).
Uji Validitas Dan Reliabilitas Kuesioner EQ-5D Bahasa Indonesia Untuk Pasien Hemodialisa Gagal Ginjal Kronik Susanto, Yugo; Alfian, Riza; Rahim, Zainur; Karani, Karani
Jurnal Ilmiah Manuntung Vol 4 No 1 (2018): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung akademi farmasi samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (447.136 KB)

Abstract

Chronic renal failure is a decrease in irreversible progressive renal function when the kidneys are unable to maintain a metabolic equilibrium. Chronic renal failure may impair the quality of life of patients it is necessary to measure the quality of life of patients with chronic renal failure. Measuring the quality of life of patients with chronic renal failure require a measuring instrument. One measure used is the instrument EQ-5D. This study aimed to find out the results of the validity and reliability of the instrument EQ-5D in patients with chronic renal failure. This study is an observational study conducted prospectively. Data were collected by questionnaire EQ-5D by all patients with chronic renal failure. The subjects were patients with chronic renal failure undergoing outpatient treatment at Hospital Ulin Banjarmasin period May - June 2017. Instrument EQ-5D in the analysis of the test reliability and validity test using test content validity. Subjects in this study amounted to 69 patients with chronic renal failure. This instrument is declared invalid as a result of  content validity tested indicates the value of pearson correlation >0,23. While declared reliable because the Cronbach alpha values  > 0,60. Questionnaire EQ-5D version of Indonesia has a valid and reliable so that it can be used to measure the quality of life of chronic renal failure hemodialysis patients.
PERBAIKAN PERILAKU DAN TEKANAN DARAH PASIEN HIPERTENSI DI RSUD DR. H. MOCH. ANSARI SALEH BANJARMASIN SETELAH PEMBERIAN LEAFLET EDUKASI HIPERTENSI DAN TERAPINYA Susanto, Yugo; Alfian, Riza
Jurnal Ilmiah Manuntung Vol 1 No 2 (2015): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung akademi farmasi samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.177 KB) | DOI: 10.51352/jim.v1i2.26

Abstract

Hypertension is a condition of systolic blood pressure >140 mmHg and diastolic > 90 mmHg persistenly. Hypertension is as one of major risk factors for cardiovascular disease, kidney failure, and stroke. The prevalence of hypertension in South borneo is 30.8 %. The behavior is a key factor that inhibited blood pressure control that requires intervention to change patient behavior. The aim of this study were to investigate the influence of  pharmacists educational leaflet of hypertension and treatment given to behavior and blood pressure patient of ambulatory hypertension patients at Internal Disease Policlinic Dr. H. Moch Ansari Saleh Banjarmasin hospital. The study was conducted with quasi-experimental design. The ambulatory hypertension patients data were collected prospectively during the period of April until mei 2015. This study involved 45 patients who included in the inclusion and exclusion criteria. Data collection was conducted by to assess the level of the patient’s behavior questionnaires and the blood pressure data were taken from their medical record. The results showed that giving educational leaflet of hypertension and treatment could increased knowledge, attitude, and practice significantly (p<0,05). The average of knowledge and attitude scores in pre measurement 2,60 ± 0,71, 2,44 ± 0,65 increased in post measurement 2,95 ± 0,20, 2,77 ± 0,51 were statistically different p=0,00. The average of practice scores in pre measurement 2,15 ± 0,85 increased in post measurement 2,48 ± 0,75 were statistically different p=0,03. The systolic and diastolic blood pressure also decreased with an average reduction of 14,44 ± 9,18 mmHg for systolic and diastolic was 9,55 ± 10,21 mmHg. Over all it can be conculed that the giving educational leaflet of pharmacist can improve patient behavior. Furthermore, it can decrease the blood pressure (p<0,05). 
POLA PERESEPAN OBAT ANTIDIABETIK PADA PASIEN DIABETES MELITUS TIPE 2 DI POLI PENYAKIT DALAM RS “X” SIDOARJO PERIODE OKTOBER- DESEMBER 2019 Yugo Susanto; Sri Bangun Lestari; Elly Purwati
AFAMEDIS Vol. 1 No. 2 (2020): Jurnal Farmasi Indonesia Afamedis
Publisher : Akademi Farmasi Mitra Sehat Mandiri Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.275 KB)

Abstract

Penelitian ini dilakukan untuk mengetahui pola peresepan obat antidiabetik pada pasien diabetes melitus tipe 2 di poli penyakit dalam RS “X” Sidoarjo periode Oktober-Desember 2019 sesuai dengan pedoman terapi ADA (American Diabetes Association) 2020. Penelitian ini dilakukan secara deskriptif yang bertujuan untuk menyajikan gambaran lengkap mengenai suatu keadaan secara objektif dengan metode total sampling dan pengambilan data secara retrospektif. Sampel dalam penelitian ini mengambil sejumlah 50 lembar resep yang masuk kriteria inklusi dan tercatat di pengumpul data meliputi nama obat, dosis obat, dan aturan pemakaiaan yang telah dianalisis. Berdasarkan data penelitian, dapat disimpulkan 72% pasien DM tipe 2 menggunakan terapi pengobatan OAD (Obat Anti Diabetik). Terapi pengobatan OAD tunggal sebesar 36% menjadi pilihan utama, OAD dari golongan Biguanide sebesar 26% adalah lini pertama dan agen farmakologi awal yang disukai. Terapi pengobatan OAD+Insulin sebesar 28%, dan pemilihan insulin long- acting sebesar 18%, sedangkan terapi pengobatan OAD kombinasi sediaan dari golongan biguanide+sulfonilurea sebesar 16%.
PENGARUH DUKUNGAN KELUARGA TERHADAP TINGKAT KEPATUHAN MINUM OBAT PASIEN TUBERKULOSIS DI PUSKESMAS WILAYAH BANJARMASIN TENGAH Mochammad Maulidie Alfiannor Saputera; Yugo Susanto; Soraya Soraya
Jurnal Insan Farmasi Indonesia Vol 4 No 2 (2021): Jurnal Insan Farmasi Indonesia
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jifi.v4i2.812

Abstract

Patients suffering from tuberculosis often experience failure in therapy, due to non-adherence to taking medication. An important factor in improving medication adherence is the presence of family support. The purpose of this study was to determine the relationship between family support and medication adherence in pulmonary tuberculosis patients at the Public Health Center Central Banjarmasin area. The research method uses a cross sectional approach. The time of the study was carried out in May - July 2018. The sample of this study from January-April 2018 who treated pulmonary TB were 77 people. The sampling technique used was saturated sampling/total sampling, so the sample obtained was 33 people. The research instrument using a questionnaire was analyzed using correlation analysis using the Chi-Square test (a<0.05). Based on the results of the study showed that the results of the correlation test showed 0.000 <0.05. This shows that there is a strong relationship between family support and medication adherence in pulmonary tuberculosis patients at the Public Health Center Central Banjarmasin area.
Kualitas Hidup Pasien Hipertensi Dengan Penyakit Penyerta Di Poli Jantung RSUD Ratu Zalecha Martapura Riza Alfian; Yugo Susanto; Siti Khadizah
Jurnal Pharmascience Vol 4, No 1 (2017): Jurnal Pharmascience
Publisher : Program Studi Farmasi FMIPA Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jps.v4i1.5754

Abstract

ABSTRAK Hipertensi dengan penyakit penyerta adalah salah satu penyebab kematian nomor satu di dunia. Hal tersebut pasti akan membahayakan jiwa pasien dan menurunkan kualitas hidup pasien. Kualitas hidup merupakan indikator penting untuk menilai keberhasilan intervensi pelayanan kesehatan, baik dari segi pencegahan maupun pengobatan. Tujuan penelitian ini adalah untuk mengetahui gambaran kualitas hidup pasien hipertensi dengan penyakit penyerta gagal jantung dan hipertensi dengan penyakit penyerta diabetes melitus di poli jantung RSUD Ratu Zalecha Martapura. Penelitian ini merupakan penelitian deskriptif. Pengambilan data dilakukan secara prosfektif pada pasien rawat jalan di poli jantung selama periode Desember 2015 – Januari 2016. Subjek penelitian yang memenuhi kriteria inklusi sejumlah 71 orang yang terbagi atas 58 orang (82,36 %) pasien hipertensi dengan penyakit penyerta gagal jantung dan 13 orang (17,64 %) pasien hipertensi dengan penyakit penyerta diabetes melitus. Pengumpulan data dilakukan dengan melakukan wawancara mengunakan kuesioner Short Form 36 (SF 36). Hasil penelitian menunjukkan untuk 58 orang pasien hipertensi dengan penyakit penyerta gagal jantung 15 orang (25,86%) kualitas hidup baik, dan 43 orang (74,14%) kualitas hidup kurang baik, total skor kualitas hidup rata-rata yaitu 46,21 dengan nilai skor tiap dimensi yaitu fungsi fisik 48,71, fungsi emosi 64,9, fungsi sosial 50,25, kesehatan umum 44,11, keadaan fisik 31,9, keadaan emosi 36,23, dimensi nyeri 36,85, dan fatique 58,72. Sedangkan untuk 13 orang pasien hipertensi dengan penyakit penyerta diabetes melitus 9 orang (69,23 %) kualitas hidup baik dan 4 orang (30,77 %) kualitas hidup kurang baik, total skor kualitas hidup rata-rata yaitu 67,93 dengan nilai skor tiap dimensi yaitu fungsi fisik 69,54, fungsi emosi 86,00, fungsi sosial 75,96, kesehatan umum 49,68, keadaan fisik 63,46, keadaan emosi 66,67, dimensi nyeri 61,92, dan fatique 70,19. Berdasarkan hasil penelitian di poli jantung RSUD Ratu Zalecha Martapura dapat disimpulkan bahwa pasien hipertensi dengan penyakit penyerta gagal jantung mayoritas memiliki gambaran kualitas hidup yang kurang baik dan pasien hipertensi dengan penyakit penyerta diabetes melitus mayoritas memiliki gambaran kualitas hidup baik. Kata Kunci— Kualitas Hidup, Hipertensi dengan penyakit penyerta, ABSTRACT Hypertension with the followers disease is one of the main causes of death in the world. This problem certainly will endanger patients’ life and decrease their life quality. Life quality is an important indicator to measure the successful of health service intervention, either from prevention aspect or medical treatment aspect. The purpose of this research is to know the description of hypertension patient’s life quality with the followers disease heart failure and hypertension with the followers disease diabetes mellitus at polyclinic cardiology of Ratu Zalecha Hospital Martapura. This research is a descriptive research. Collecting data was conducted prosfectively on outpatient at poly cardiology from December 2015 until January 2016. The research subject who fulfilled the inclusive criteria is 71 patients. 58 patients (82.36%) have hypertension with the followers disease heart failure and 13 patients (17.64%) have and hypertension with the followers disease diabetes mellitus. Collecting data was done by doing interview using Short Form questioner (SF36). The result shows that from 58 hypertension patient with the followers disease heart failure, 15 patients of them (25.86%) have a good quality of life and 43 patients (74.14%) have a poor quality of life. The total average score of life quality is 46,21 with each detail aspect score like, physical function 48,71 emotional function 64.9, social function 50.25, general health 44.11, physical condition 31.9, emotional condition 36.23, painful aspect 36.85 and fatigue 58.72. Whereas for 13 hypertension patients with the followers disease diabetes mellitus, 9 (69.23%) of them have a good quality of life and 4 patients (30.77%) have a poor quality of life. The total average score of life quality is 67.93 with each detail aspect like; physical function 69.54, emotional function 86.00, social function 75.96, general health 49.68, physical condition 63.46, emotional condition 66.67, painful aspect 61,92 and fatigue 70,19. Based on the research at polyclinic cardiology of Ratu Zalecha Hospital Martapura it can be concluded that hypertension with the followers disease heart failure majority have poor quality of life and hypertension with the followers disease diabetes mellitus majority have good life of quality Keywords— Quality of life, Hypertension with complication, polyclinic cardiology.
Aktivitas Antibakteri Minyak Atsiri Kulit Jeruk Siam Banjar (Citrus reticulata) Terhadap Pertumbuhan Pseudomonas aeruginosa Dwi Rizki Febrianti; Yugo Susanto; Rakhmadhan Niah; Siti Latifah
Jurnal Pharmascience Vol 6, No 1 (2019): Jurnal Pharmascience
Publisher : Program Studi Farmasi FMIPA Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jps.v6i1.6070

Abstract

ABSTRAK Jeruk siam yang berkembang di Kalimantan Selatan telah dikukuhkan menjadi varietas unggul nasional dengan nama jeruk siam Banjar. Kulit jeruk belum dimanfaatkan secara optimal hanya dibuang sebagai limbah. Kulit jeruk mengandung beberapa senyawa salah satunya mengandung senyawa aktif minyak atsiri. Tujuan penelitian ini adalah untuk mengetahui adanya aktivitas antibakteri minyak atsiri kulit jeruk siam Banjar (Citrus reticulata) terhadap pertumbuhan Pseudomonas aeruginosa. metode penarikan minyak atsiri kulit jeruk siam Banjar menggunakan metode destilasi air. Uji aktivitas antibakteri dilakukan dengan menggunakan metode difusi cakram terhadap bakteri Pseudomonas aeruginosa. Hasil penelitian menunjukkan bahwa  minyak atsiri kulit jeruk siam Banjar diperoleh sebanyak 10 mL (0,58%), berwarna kuning, aroma khas jeruk, bentuk cair, rasa getir dan tidak ada noda transparan. Hasil penelitian uji aktivitas menunjukkan minyak atsiri kulit jeruk siam Banjar dapat menghambat pertumbuhan bakteri Pseudomonas aeruginosa. Pada volume 50 µL, 75 µL, dan 100 µL minyak atsiri kontrol positif (ciprofloxacin) sedangkan kontrol negatif (aqua pro injection). diameter zona bening disekitar cakam  dengan rata-rata diameter zona hambat yang dihasilkan beturut-turut 3,55 mm, 4,54 mm, 5,14 mm, 22,38 mm, dan 0 mm. Kata kunci: Kulit jeruk siam Banjar (Citrus reticulata), Minyak atsiri,  Pseudomonas aeruginosa. ABSTRACT Jeruk siam that develop in South Kalimantan have been confirmed as national superior varieties by the name of jeruk siam banjars. Citrus skin has not been used optimally only as waste. Orange peel contains several compounds, one of which contains active compounds of essential oils. The purpose of this study was to determine the antibacterial activity of essential oils of jerk siam banjars skin (Citrus reticulata) to the growth of Pseudomonas aeruginosa. method of withdrawal of jeruk siam banjars essential oil using a water distillation method. Antibacterial activity test was carried out using the disc diffusion method against the bacterium Pseudomonas aeruginosa. The results showed that 10 mL (0.58%) of essential oil from the jeruk siam banjars, yellow, orange aroma, liquid form, bitter taste, and no transparent stains. The results of the activity test showed that the essential oil of the skin of the jeruk siam banjars could inhibit the growth of the bacterium Pseudomonas aeruginosa. At the volume of 50 µL, 75 µL, and 100 µL of essential oil control positive (ciprofloxacin) while the negative control (aqua pro injection). the diameter of the clear zone around the paper disk with the average diameter of the inhibition zone produced was 3.55 mm, 4.54 mm, 5.14 mm, 22.38 mm and 0 mm respectively.Keywords: jeruk siam banjar (Citrus reticulata), essential oil, Pseudomonas aeruginosa.
Kualitas Hidup Pasien Hipertensi Dengan Penyakit Penyerta Di Poli Jantung RSUD Ratu Zalecha Martapura Riza Alfian; Yugo Susanto; Siti Khadizah
Jurnal Pharmascience Vol 4, No 2 (2017): Jurnal Pharmascience
Publisher : Program Studi Farmasi FMIPA Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jps.v4i2.5774

Abstract

Hipertensi dengan penyakit penyerta adalah salah satu penyebab kematian nomor satu di dunia. Hal tersebut pasti akan membahayakan jiwa pasien dan menurunkan kualitas hidup pasien. Kualitas hidup merupakan indikator penting untuk menilai keberhasilan intervensi pelayanan kesehatan, baik dari segi pencegahan maupun pengobatan. Tujuan penelitian ini adalah untuk mengetahui gambaran kualitas hidup pasien hipertensi dengan penyakit penyerta gagal jantung dan hipertensi dengan penyakit penyerta diabetes melitus di poli jantung RSUD Ratu Zalecha Martapura. Penelitian ini merupakan penelitian deskriptif. Pengambilan data dilakukan secara prosfektif pada pasien rawat jalan di poli jantung selama periode Desember 2015 – Januari 2016. Subjek penelitian yang memenuhi kriteria inklusi sejumlah 71 orang yang terbagi atas 58 orang (82,36 %) pasien hipertensi dengan penyakit penyerta gagal jantung dan 13 orang (17,64 %) pasien hipertensi dengan penyakit penyerta diabetes melitus. Pengumpulan data dilakukan dengan melakukan wawancara mengunakan kuesioner Short Form 36 (SF 36). Hasil penelitian menunjukkan untuk 58 orang pasien hipertensi dengan penyakit penyerta gagal jantung 15 orang (25,86%) kualitas hidup baik, dan 43 orang (74,14%) kualitas hidup kurang baik, total skor kualitas hidup rata-rata yaitu 46,21 dengan nilai skor tiap dimensi yaitu fungsi fisik 48,71, fungsi emosi 64,9, fungsi sosial 50,25, kesehatan umum 44,11, keadaan fisik 31,9, keadaan emosi 36,23, dimensi nyeri 36,85, dan fatique 58,72. Sedangkan untuk 13 orang pasien hipertensi dengan penyakit penyerta diabetes melitus 9 orang (69,23 %) kualitas hidup baik dan 4 orang (30,77 %) kualitas hidup kurang baik, total skor kualitas hidup rata-rata yaitu 67,93 dengan nilai skor tiap dimensi yaitu fungsi fisik 69,54, fungsi emosi 86,00, fungsi sosial 75,96, kesehatan umum 49,68, keadaan fisik 63,46, keadaan emosi 66,67, dimensi nyeri 61,92, dan fatique 70,19. Berdasarkan hasil penelitian di Poli Jantung RSUD Ratu Zalecha Martapura dapat disimpulkan bahwa pasien hipertensi dengan penyakit penyerta gagal jantung mayoritas memiliki gambaran kualitas hidup yang kurang baik dan pasien hipertensi dengan penyakit penyerta diabetes melitus mayoritas memiliki gambaran kualitas hidup baik. Kata Kunci: Kualitas Hidup, Hipertensi dengan penyakit penyerta
PENGUKURAN KUALITAS HIDUP PASIEN HEMODIALISIS GAGAL GINJAL KRONIK DI RSUD ULIN BANJARMASIN MENGGUNAKAN INSTRUMEN EQ5D Saftia Aryzki; Maudy Namirah Raudatullis Wanda; Yugo Susanto; Mochammad Maulidie Alfiannor Saputera; Aditya Maulana Perdana Putra; Karani Karani
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 4 No 1 (2019): JIIS
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.29 KB) | DOI: 10.36387/jiis.v4i1.230

Abstract

Chronic renal failure is a progressive and irreversible renal function disorder in which the body's ability to fail to maintain metabolism, fluid and electrolyte balance. Chronic kidney failure can interfere with the quality of life of patients, it is necessary to measure the quality of life of patients with chronic renal failure. Measuring the quality of life of patients with chronic renal failure using the Indonesian version of the EQ5D questionnaire. The purpose of this study was to determine the quality of life of chronic renal failure hemodialysis patients in RSUD Ulin Banjarmasin using the EQ5D instrument. This study is an observational study conducted prospectively. Data was collected by filling out the EQ5D questionnaire by all patients with chronic renal failure. The population of this study were chronic renal failure patients who underwent hemodialysis in Hemodialysis Outpatient Services at Ulin Banjarmasin Hospital in June-July 2018 as many as 360 patients and a sample of 207 patients who met the inclusion and exclusion criteria using non random sampling / non-probability sampling techniques accidental sampling. Based on the research that has been done in the Hemodialysis Outpatient Hospital Ulin Banjarmasin, it was found that the average quality of life was 0.792, with a quality of life ≥ 0.792 of 69 patients (33.33%) in the category of good quality of life and quality of life ≤ 0.792 138 patients (66.66%) in the poor quality of life category.