Status of Self-Transcendence and Quality of Life in Patients Receiving Hemodialysis Treatment

Year 2023, Volume: 12 Issue: 3, 445 - 452, 28.09.2023

Canan Eraydın Münevver Sönmez Zeynep Erdoğan

https://doi.org/10.53424/balikesirsbd.1060234

Abstract

Aim: The aim of this study is to evaluate the status of self-transcendence and quality of life in patients receiving hemodialysis therapy. Materials and Methods: It is a descriptive and cross-sectional study. The universe of the study has consisted of all patients (n = 380) who received hemodialysis treatment in dialysis centers located in the city center of Zonguldak. Personal Information Form, Reed's self-transcendence scale, and European Health Impact Scale were used in data collection. Results: There was a highly positive relationship between the self-transcendence scale and the European Health Impact Scale (p, 0.000, r = 0.605). Also, it was found in this study that age and level of income of hemodialysis patients affected the quality of life and the self-transcendence. Conclusion: As a result, it was determined that the patients aged 60-74 years and those with low-income levels in hemodialysis patients had a poor self-transcendence status, while patients aged 75 and over, with low income and unemployed had poor quality of life.
Key Words: Quality of Life, Hemodialysis, Nursing Theory, Spiritual Healing

Keywords

Reed’s Theory, Self-Transcendence, Quality of Life, Hemodialysis

Hemodiyaliz Tedavisi Alan Hastalarda Öz-Aşkınlık Durumu ve Yaşam Kalitesi

Abstract

Amaç: Bu çalışmanın amacı, hemodiyaliz tedavisi alan hastalarda kendini aşma durumunu ve yaşam kalitesinin değerlendirilmesidir. Yöntem: Tanımlayıcı ve kesitsel bir çalışmadır. Araştırmanın evrenini Zonguldak il merkezinde bulunan diyaliz merkezlerinde hemodiyaliz tedavisi gören tüm hastalar (n=380) oluşturmuştur. Araştırma verilerinin toplanmasında “Kişisel Bilgi Formu”, “Reed’in öz-aşkınlık ölçeği” ve ‘’ EUROHIS-QOL (Avrupa Sağlık Etki Ölçeği) kullanılmıştır. Bulgular: Bulgular: Reed’in öz-aşkınlık ölçeği ile Avrupa Sağlık Etki Ölçeği arasında oldukça pozitif bir ilişki saptandı (p, 0,000, r = 0.605). Ayrıca, bu çalışmada hemodiyaliz hastalarının yaşı ve gelir düzeyinin yaşam kalitesini ve kendini aşmayı etkilediği bulundu. Sonuç: Yaşam kalitesini ve kendini aşmayı artırmak için daha büyük örneklemlerde yapılacak deneysel ve randomize kontrollü çalışmalara ihtiyaç vardır. Sonuç: Sonuç olarak hemodializ hastalarında 60-74 yaş grubu ve gelir düzeyi düşük olan hastaların öz-aşkınlık durumunun kötü olduğu, 75 yaş ve üstü, düşük gelir düzeyine sahip ve çalışmayan hastaların ise yaşam kalitelerinin kötü olduğu saptanmıştır.
Anahtar Kelimeler: Yaşam Kalitesi, Hemodializ, Hemşirelik Kuramı, Spiritüel İyileşme

Keywords

Reed teori, Öz-aşkınlık, Yaşam kalitesi, Hemodializ

References

• Referans1 Abdelghany, M. A., Elgohary, E. E., & Nienaa, Y. A. (2016). Assessment of health-related quality of life in patients receiving regular hemodialysis. Journal of Nephrology and Therapeutics, 6, 6(246):959-2161. Doi:10.4172/2 161-0959.1000246
• Referans2 Alemdar, H., & Pakyüz, S. Ç. (2015). Evaluation of the effect of self-care abilities on quality of life in hemodialysis patients. Journal of Nephrology Nursing, 10(2), 19-30.
• Referans3 AliPour Ganjineh Ketab, M., Pishgooei, S. A. H., & Milani, M.J (2018). The effect of self-care education program on self-transcendence in patients under hemodialysis based on self-trandence theory. Iranian Journal of Nursing Research, 13(4), 60-71. Doi: 10.21859/ijnr-13049
• Referans4 Bayoumi, M., & Alwakeel, J. (2012). Hemodialysis patients need priorities according to Maslows’ hierarchy and quality of life. Journal of Palliative Care & Medicine, 2, 106. Doi: 10.4172/2165-7386.1000106
• Referans5 Durmaz Akyol, A. (2016). Investigation of factors affecting quality of life in hemodialysis patients. Journal of Nephrology Nursing, 11(1), 17-33.
• Referans6 Eser, E., Lağarlı, T., Baydur, H., Akkurt, V., Akkuş, H., Arslan, E., ... & Özkapu, T. (2010). Pschometric properties of The Turkish version of the EUROHIS-Tr (WHOQOL-8-Tr) in a Turkish population. Turkish Journal of Public Health,8(3),136-152.
• Referans7 Haugan, G., Moksnes, U. K., & Løhre, A. (2016). Intrapersonal self-transcendence, meaning–in–life and nurse-patient interaction: powerful assets for quality of life in cognitively intact nursing-home patients. Scandinavian Journal of Caring Sciences, 30(4), 790-801. https://doi.org/10.1111/scs.12307
• Referans8 Haugan, G., Kuven, B. M., Eide, W. M., Taasen, S. E., Rinnan, E., Xi Wu, V., ... & André, B. (2020). Nurse-patient interaction and self-transcendence: assets for a meaningful life in nursing home residents?. BMC Geriatrics, 20, 1-13. https://doi.org/10.1186/s12877-020-01555-2
• Referans9 IBM Corp. Released 2016. IBM SPSS Statistics for Windows, Version 24.0. Armonk, NY: IBM Corp.
• Referans10 Khahi A.M., Mohseny, M., Soleimany, F., Vejdani, M., Keshvardoost, A., & Amiri, P. (2017). Relationship between self-transcendence and physically-healthy patients under hemodialysis in participating in peer-support group; a randomized clinical trial. Journal of Renal Injury Prevention. 6(4), 253-258. doi:10.15171 /jrip.2017.48.
• Referans11 Kim, S. Y. (2015). The effect of self-transcendence and loneliness on quality of life of the elderly. Journal of The Korea Academia-Industrial Cooperation Society, 16(10), 6679-6687. https://doi.org/10.5762/KAIS.2015.16.10.66 79
• Referans12 Matlabi, H., & Ahmadzadeh, S. (2016). Evaluation of individual quality of life among hemodialysis patients: nominated themes using SEIQoL-adapted. Patient Preference and Adherence, 11, 1–9. https://doi.org/10. 2147/PPA.S117860
• Referans13 Mazandarani, H. K., Asadzandi, M., Saffari, M., & Khaghanizadeh, M. (2018). The effect of spiritual care based on sound heart model on quality of life in hemodialysis patients. Journa of Psychiatry and Behavioral Health Forecast, 1 (1), 1006.
• Referans14 McCarthy, V.L., Bowland, S, Hall, L.A., Connelly J. (2015a). Assessing the Psychoeducational Approach to Transcendence and Health Program: An intervention to foster self-transcendence and well-being in community-dwelling older adults. The International Journal of Aging and Human Development, 82(1):3-29. https://doi.org/10. 1177/0091415015623549
• Referans15 McCarthy V.L., Ling, J., Bowland, S., Hall, L.A., Connelly, J. (2015b). Promoting self-transcendence and well-being in community-dwelling older adults: A pilot study of a psychoeducational intervention. Geriatric Nursing,36(6):431-437. https://doi.org/10.1016/j.gerinur se.2015.06.007
• Referans16 Milani, M. J., Amiri, P., Vejdani, M., Salehiniya, H., & Malek-Khahi, A. (2017). The effect of peer support group on self-transcendence in patients undergoing haemodialysis. Biomedical Research and Therapy, 4(3), 1198-1209. Doi: 10.15419/bmrat.v4i03.157.
• Referans17 Milani, M.J., Ashktorab, T., AbedSaeedi, Z., & AlaviMajd, H. (2015). The impact of self-transcendence on physical health status promotion in multiple sclerosis patients attending peer support groups. International Journal of Nursing Practice, 21(6), 725-732. doi: 10.1111/ijn.12186.
• Referans18 Ok, E., & Işıl, Ö. (2019). Assessment of the mental status of patients with chronic kidney disease. Journal of Psychiatric Nursing, 10(3),181-189. Doi:10.14744/phd.2 019.35119
• Referans19 Oliveira, A. P. B., Schmidt, D. B., Amatneeks, T. M., Santos, J. C. D., Cavallet, L. H. R., & Michel, R. B. (2016). Quality of life in hemodialysis patients and the relationship with mortality, hospitalizations and poor treatment adherence. Brazilian Journal of Nephrology, 38(4), 411-420. Doi: 10.5935/0101-2800.20160066
• Referans20 Pehlivan, F., Yüksel, Ş., Ahsen, A., Coşkun, K., Güzel, H., & Mayda, H. (2016). Character and temperament properties and life quality in patients with chronic kidney disease. Ordu University Journal of Medicine, 3(1), 13-16.
• Referans21 Reed, P.G. (2009). Demystifying self-transcendence for mental health nursing practice and research. Arch Psychiatr Nurs. 23(5), 397-400. https://doi.org/10.1016/j.apnu.2009.06.0 06
• Referans22 Reed, PG. (1991). Self-transcendence and mental health in oldest-old adults. Nursing Research. 40(1), 5–11. https:// doi.org/10.1097/00006199-199101000-00002
• Referans23 Sariçam, H. (2015). The psychometric properties of the Turkish version of self-transcendence scale. Eurasian Academy of Sciences Social Sciences Journal, 5(5), 25-34. https:// doi.org/10.17740/eas. soc.2015-V5-3.
• Referans24 Seraji, M., Shojaeezadeh, D., & Sadeghi, R. (2017). The quality of life in hemodialysis patients referring to hospitals of Zahedan University of Medical Sciences. Journal of Pharmacoeconomics and Pharmaceutical Management, 3(1/2), 1-4.
• Referans25 Tayyebi, A., Salimi, S. H., Mahmoudi, H., & Tadrisi, S. D. (2010). Comparison of quality of life in haemodialysis and renal transplantation pateints. Iranian Journal of Critical Care Nursing, 3(1), 19-22.
• Referans26 Thomas, N. F., & Dunn, K. S. (2014). Self-Transcendence and medication adherence in older adults with hypertension. Journal of Holistic Nursing, 32(4), 316-326.
• Referans27 Toulabi, T., Kalaveh, S. M., Ghasemi, F., & Anbari, K. (2016). The impact of multidisciplinary rehabilitation on the quality of life of hemodialysis patients in Iran. Journal of the Formosan Medical Association, 115(7), 553-559. https://doi.org/10.1016/j.jfma.2015.05.013
• Referans28 Vasilopoulou, C., Bourtsi, E., Giaple, S., Koutelekos, I., Theofilou, P., & Polikandrioti, M. (2016). The impact of anxiety and depression on the quality of life of hemodialysis patients. Global Journal of Health Science, 8(1), 45-55. doi: 10.5539/gjhs.v8n1p45
• Referans29 Zareban, I., Seraji, M., Shojaeezadeh, D., & Rakhshani, F. (2017). On the consideration of well-being and quality of life in hemodialysis patients. Journal of Pharmacoeconomics and Pharmaceutical Management, 3(1/2), 12-16.
• Referans30 Zyoud, S.H., Daraghmeh, D. N., Mezyed, D. O., Khdeir, R. L., Sawafta, M. N., Ayaseh, N. A., Tabeeb, G.H., Sweileh, W.M., Awang R., Samah W. & Al-Jabi, S. W. (2016). Factors affecting quality of life in patients on haemodialysis: a cross-sectional study from Palestine. BMC Nephrology, 17(1), 44. https://doi.org/10.1186/ s12882-016-0257-z