Chronic Kidney Disease (CKD) or chronic kidney failure is a condition that occurs due to a decrease in the kidney's ability to maintain balance in the body so that hemodialysis therapy is needed to replace the kidney function. Hemodialysis therapy can cause various physical effects and mental conditions of patients so that it can affect the patient's quality of life. Objective : to determine the relationship between anxiety levels and quality of life of CKD patients undergoing hemodialysis at Lakipada Hospital. Research Method : the research design used is quantitative research with a Cross Sectional approach, using a " saturated sampling" sampling technique with a sample size of 40 respondents. The independent variable is the level of anxiety and the dependent variable is the quality of life. Data were analyzed using the Chi-Square statistical test at a significance level of ? <0.05. Research Results : it was found that there was a relationship between anxiety levels and quality of life in CKD patients undergoing hemodialysis with a p-value = 0.000. Conclusion : there is a relationship between anxiety levels and quality of life in CKD patients undergoing hemodialysis.

Adolescence is very important to pay attention to because it is a transition period between children and adults, where physically they will experience specific changes. Adolescents must receive balanced nutritional intake according to their needs in order to achieve optimal growth and development and avoid nutritional problems. Nutritional problems that can occur in adolescents are malnutrition, chronic lack of energy (KEK), obesity and anemia (Sandra, Ahmad, & Arinda, 2017). An imbalance between the intake of food consumed causes problems of undernutrition and overnutrition. Malnutrition in adolescents results in decreased body resistance to disease, increased disease rates, abnormal growth, low intelligence levels, low productivity and stunted growth of reproductive organs in adolescents (Nurfiriani & Ratih, 2023). The aim of this service activity is to increase teenagers' knowledge about the importance of nutrition for teenagers, to support the growth and development of teenagers, to prevent the risk of nutritional problems and non-communicable diseases, so it is necessary to carry out health promotion efforts in the form of providing health education and evaluations to increase knowledge about nutrition so that it can increase adolescent awareness in maintaining health.