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DIYALIZ HASTALARINDA UYKU KALITESI VE YASAM KALITESI ARASINDAKI ILISKI

Year 2004, Volume: 20 Issue: 1, 35 - 46, 01.06.2004

Abstract

Bu çalisma diyalize giren son dönem böbrek yetmezligi olan hastalarda, uyku kalitesi ve yasam kalitesi arasindaki iliskiyi incelemek amaciyla tanimlayici olarak yapilmistir. Arastirmaya 3 Nisan-10 Haziran 2003 tarihleri arasinda E.Ü. Tip Fakültesi Hastanesi Diyaliz Ünitesi ve Ege Bilim Özel Diyaliz Merkezi’nde kronik diyaliz tedavisi hemodiyaliz ve periton diyalizi gören 105 hasta alinmistir. Veri toplama araci olarak; Hasta tanitim Formu, Pittsburg Uyku Kalitesi Indeksi ve SF-36 Yasam Kalitesi Ölçegi kullanilmistir. Verilerin degerlendirilmesinde; “Student t” testi, “Tek yönlü varyans” analizi, “Kruskal Wallis” analizi ve “Spearman korelasyon” analizi kullanilmistir. Diyaliz tedavisi gören hastalarin %45’inin kötü uykuya sahip olduklari; yas ve medeni durumun uyku kalitesini etkiledigi saptanmistir. Hastalarin yasam kalitelerinin “orta düzey”de oldugu ve kötü uykuya sahip olanlarin yasam kalitesinin daha düsük oldugu saptanmistir. Sonuç olarak; bu çalismada kötü uykunun diyaliz hastalarinda sik oldugu ve uyku kalitesinin yasam kalitesini dogrudan ve olumsuz olarak etkiledigi belirlenmistir

References

  • ................. 1993. Yaslilarda uyku ve uyku sorunlari, Literatür, 18, 678-681.
  • ................. Sleep disorders in the elderly. http://www.mayo.edu/geriatrics- rst/sleep.htm Erisim Haziran 2002.
  • Agargün YM, Kara H, Anlar Ö, (1996). Pitsburg Uyku Kalitesi Indeksi’nin geçerliligi ve güvenirligi. Türk Psikiyatri Dergisi, 7:2, 107-11.
  • Akyol A, Karadakovan A, (2002). Hemodiyalize giren hastalarin yasam kalitesi ve öz bakim güçleri ile bunlar üzerine etkili degiskenlerin incelenmesi. Ege Tip Dergisi, 41, 2, 97-102.
  • Asplund R, (1999). Sleep disorders in he elderly. Drugs Aging, Feb, 14(2):91-103.
  • Barrett BJ, Vavasour HM, Major A et al, (1990). Clinical and psychological correlates of somatic symptoms in patients on dialysis. Nephron, 55, 10-15.
  • Bixler EO, Kales A, Vela-Bueno A et al, (1982). Nokturnal myoklonus and nokturnal myoclonic activity in a normal population. Research Communications in Chemical Pathology and Pharmacology, 36(1), 129-140.
  • Burmann-Urbanek M, Sanner B, Laschewskl F et al, (1995). Sleep disorders in end- stage renal disease. Pneumologie, 49, 158-60.
  • Dilek K, Renal Replasman Tedavileri, htttp://www.iletisimmerkezi.org/aktualite/ saglik/ Renal Replasman Tedavileri.htm Erisim Tarihi 2003.
  • Evans RW, Manninen DL, Garrison LP Jr et al, (1985). The quality of life of patients with end-stage renal disease. N Eng J Med, 28; 312 (9), Feb, 553-9.
  • Feste C, (1991). Self-image affects quality of life, today and tomorrow. Diabetes In The News, December, 36-37.
  • Foley DJ, Monjan AA, Brown SL et al, (1995). Sleep complaints among elderly patients: an epidemiological study of three communities. Sleep, 18, 425-432.
  • Guillaume J, Danial P, Bernard F et al, (1995). Sleep apnea incidence in maintenance hemodialysis patients: influence of dialysis buffer. Nephron, 71, 138-142.
  • Gudex CM, (1995). Health-related quality of life in end-stage renal failure. Quality of Life Research, 4- 359-366.
  • Hanly PJ, Pierratos A, (2001). Improvement of sleep apnea in patients with chronic renal failure who undergo nocturnal hemodialysis. New England Journal of Medicine, 344, 102-107.
  • Hanly P, (2004). Sleep apnea and daytime sleepiness in end-stage renal disease. Semin Dial. Mar-Apr;17:2, 109-14.
  • Herrera CO, (1995). Sleep disorders. (içinde) Abrams WB, Beers MH, Berkow R (ed). The Merck Manual of Geriatrics. Second Edition, Merk&Co., Inc., USA, 110-112.
  • Holley JL, Nespor S, Raulth R, (1992). A comparision of reported sleep disorders in patients on chronic hemodialysis and continous peritoneal dialysis. Am J Kidney Dis, 19, 156-61.
  • Iliescu EA, Coo H, McMurray MH, Meers CL, Quinn MM, Singer MA, Hopman WM, (2003). Quality of sleep and health-related quality of life in haemodialysiss patients. Nephrol Dial Transplant, 18:126-132.
  • Iliescu EA, Yeates KE, Holland DC, (2004). Quality of sleep in patients with chronic kidney disease. Nephrol Dial Transplant. Jan, 19: 1, 95-9.
  • Lok P, (1996). Stressors, coping mechanisms and quality of life among dialysis patients in australia. Journal of Advanced Nursing, 23, 873-881.
  • Mentes (Çinar) S, Sezerli M, Dinçer F, Yesilbilek A, (1998). Kronik hemodiyaliz hastalarinda uyku sorunlari. Hemsirelik Forumu, Transplantasyon ve Diyaliz Özel Sayisi, 1: 4, 166-172.
  • Parker K, (1996). Dream content and subjective sleep quality in stable patients on chronic dialysis. ANNA Journal, 23, 201-213.
  • Parker KP, Kutner NG, Bliwise DL, et al, (2003). Nocturnal sleep, daytime sleepiness, and quality of life in stable patients on hemodialysis. Health Qual Life Outcomes. Nov 21: 1(1), 68.
  • Pinar R, (1996). Saglik arastirmalarinda yasam kalitesi. Sendrom. 1:10, 109-113.
  • Puntriano M, (1999). The relationship between dialysis adequacies and sleep problems in hemodialysis patients. ANNA Journal, 26: 4, 405-407.
  • Silverberg DS, Iaina A, Osksenberg A, (1997). Sleep-related breathing disturbance: their pathogenesis and potential interest to the nephrologist. Nephrology Dialysis Transplantation, 12, 680-683.
  • Smyth C, (1999). The Pittsburg Sleep Quality Index (PSQI). http://www.hartfordign. org/publications/trythis/issue06.pdf
  • Türk Nefroloji Dernegi, (2001). Türkiye’de Nefroloji-Dializ ve Transplantasyon Registry 2000, Türk Nefroloji Dernegi Yayinlari, Istanbul, 12.
  • Valderrabano F, Jofre R, Lopez-Gomez JM, (2001). Quality of life in end-stage renal disease patients. Am J Kidney Dis, 38, 443-464.
  • Veiga J, Gonçalves N, Gomes F, et al, (1997). Sleep disturbances in end-stage renal disease patients on hemodialysis. Dialysis&Transplantation, June, 26: 6, 380-384.
  • Venmans BJW, van Kralingen KW, Chandi DD et al, (1999). Sleep complaints and sleep disordered breathing in hemodialysis patients. The Netherlands Journal of Medicine, 54, 207-212.
  • Walker S, Fine A, Kryger MH, (1995). Sleep complaints are common in a dialysis unit. Am J Kidney Dis, 26, 751-756.
  • Williams SW, Tell GS, Zheng B et al, (2002). Correlates of sleep behavior among hemodialysis patients. Am J Nerhrol, 22, 18-28.
  • Yildirim (Kuzeyli) Y, (2002). Diyaliz Hastalarinda Progresif Gevseme Egzersizlerinin Kyagi Düzeyi ve Yasam Kalitesine Olan Etkisinin Incelenmesi. Ayyinlanmamis Yüksek lisans Tezi, Izmir: Ege Üniversitesi Saglik Blimleri Enstitüsü.
  • Yoahioka M, Ishii T, Fukunishi I, (1993). Sleep disturbance of end-stagerenal disease. Jpn J Psychiatry Neurol. 47: 4, 847.

THE RELATIONSHIP BETWEEN QUALITY OF SLEEP AND QUALITY OF LIFE IN DIALYSIS PATIENTS

Year 2004, Volume: 20 Issue: 1, 35 - 46, 01.06.2004

Abstract

This study was planned descriptively in order to determine the relationship between sleep quality and health-related quality of life in dialysis patients. This study included 105 patients receiving dialysis at Ege University Hospital Dialysis and Ege Bilim Dialylis center between 03 April-10 June 2003. Patients Recognition Form, Pittsburg Sleep Quality Index, and SF-36 Quality of Life Scale were used to collect data. In the evaluation of data “Student’s t” test, “one way variance” analysis, “Kruskall Wallis” analysis and “Spearmen correlation analysis” were used. Fourty-five percent of patients who has been treated with dialysis reported that they had a poor sleep; also that age and maritual status affect on the sleep quality. It was found that quality of life patients had “mild level” and those who had poor sleep received lower quality of life. In consequence; in this study it was determined that poor sleep had common in dialysis patients and sleep quality had a direct and adversily affects on the quality of life

References

  • ................. 1993. Yaslilarda uyku ve uyku sorunlari, Literatür, 18, 678-681.
  • ................. Sleep disorders in the elderly. http://www.mayo.edu/geriatrics- rst/sleep.htm Erisim Haziran 2002.
  • Agargün YM, Kara H, Anlar Ö, (1996). Pitsburg Uyku Kalitesi Indeksi’nin geçerliligi ve güvenirligi. Türk Psikiyatri Dergisi, 7:2, 107-11.
  • Akyol A, Karadakovan A, (2002). Hemodiyalize giren hastalarin yasam kalitesi ve öz bakim güçleri ile bunlar üzerine etkili degiskenlerin incelenmesi. Ege Tip Dergisi, 41, 2, 97-102.
  • Asplund R, (1999). Sleep disorders in he elderly. Drugs Aging, Feb, 14(2):91-103.
  • Barrett BJ, Vavasour HM, Major A et al, (1990). Clinical and psychological correlates of somatic symptoms in patients on dialysis. Nephron, 55, 10-15.
  • Bixler EO, Kales A, Vela-Bueno A et al, (1982). Nokturnal myoklonus and nokturnal myoclonic activity in a normal population. Research Communications in Chemical Pathology and Pharmacology, 36(1), 129-140.
  • Burmann-Urbanek M, Sanner B, Laschewskl F et al, (1995). Sleep disorders in end- stage renal disease. Pneumologie, 49, 158-60.
  • Dilek K, Renal Replasman Tedavileri, htttp://www.iletisimmerkezi.org/aktualite/ saglik/ Renal Replasman Tedavileri.htm Erisim Tarihi 2003.
  • Evans RW, Manninen DL, Garrison LP Jr et al, (1985). The quality of life of patients with end-stage renal disease. N Eng J Med, 28; 312 (9), Feb, 553-9.
  • Feste C, (1991). Self-image affects quality of life, today and tomorrow. Diabetes In The News, December, 36-37.
  • Foley DJ, Monjan AA, Brown SL et al, (1995). Sleep complaints among elderly patients: an epidemiological study of three communities. Sleep, 18, 425-432.
  • Guillaume J, Danial P, Bernard F et al, (1995). Sleep apnea incidence in maintenance hemodialysis patients: influence of dialysis buffer. Nephron, 71, 138-142.
  • Gudex CM, (1995). Health-related quality of life in end-stage renal failure. Quality of Life Research, 4- 359-366.
  • Hanly PJ, Pierratos A, (2001). Improvement of sleep apnea in patients with chronic renal failure who undergo nocturnal hemodialysis. New England Journal of Medicine, 344, 102-107.
  • Hanly P, (2004). Sleep apnea and daytime sleepiness in end-stage renal disease. Semin Dial. Mar-Apr;17:2, 109-14.
  • Herrera CO, (1995). Sleep disorders. (içinde) Abrams WB, Beers MH, Berkow R (ed). The Merck Manual of Geriatrics. Second Edition, Merk&Co., Inc., USA, 110-112.
  • Holley JL, Nespor S, Raulth R, (1992). A comparision of reported sleep disorders in patients on chronic hemodialysis and continous peritoneal dialysis. Am J Kidney Dis, 19, 156-61.
  • Iliescu EA, Coo H, McMurray MH, Meers CL, Quinn MM, Singer MA, Hopman WM, (2003). Quality of sleep and health-related quality of life in haemodialysiss patients. Nephrol Dial Transplant, 18:126-132.
  • Iliescu EA, Yeates KE, Holland DC, (2004). Quality of sleep in patients with chronic kidney disease. Nephrol Dial Transplant. Jan, 19: 1, 95-9.
  • Lok P, (1996). Stressors, coping mechanisms and quality of life among dialysis patients in australia. Journal of Advanced Nursing, 23, 873-881.
  • Mentes (Çinar) S, Sezerli M, Dinçer F, Yesilbilek A, (1998). Kronik hemodiyaliz hastalarinda uyku sorunlari. Hemsirelik Forumu, Transplantasyon ve Diyaliz Özel Sayisi, 1: 4, 166-172.
  • Parker K, (1996). Dream content and subjective sleep quality in stable patients on chronic dialysis. ANNA Journal, 23, 201-213.
  • Parker KP, Kutner NG, Bliwise DL, et al, (2003). Nocturnal sleep, daytime sleepiness, and quality of life in stable patients on hemodialysis. Health Qual Life Outcomes. Nov 21: 1(1), 68.
  • Pinar R, (1996). Saglik arastirmalarinda yasam kalitesi. Sendrom. 1:10, 109-113.
  • Puntriano M, (1999). The relationship between dialysis adequacies and sleep problems in hemodialysis patients. ANNA Journal, 26: 4, 405-407.
  • Silverberg DS, Iaina A, Osksenberg A, (1997). Sleep-related breathing disturbance: their pathogenesis and potential interest to the nephrologist. Nephrology Dialysis Transplantation, 12, 680-683.
  • Smyth C, (1999). The Pittsburg Sleep Quality Index (PSQI). http://www.hartfordign. org/publications/trythis/issue06.pdf
  • Türk Nefroloji Dernegi, (2001). Türkiye’de Nefroloji-Dializ ve Transplantasyon Registry 2000, Türk Nefroloji Dernegi Yayinlari, Istanbul, 12.
  • Valderrabano F, Jofre R, Lopez-Gomez JM, (2001). Quality of life in end-stage renal disease patients. Am J Kidney Dis, 38, 443-464.
  • Veiga J, Gonçalves N, Gomes F, et al, (1997). Sleep disturbances in end-stage renal disease patients on hemodialysis. Dialysis&Transplantation, June, 26: 6, 380-384.
  • Venmans BJW, van Kralingen KW, Chandi DD et al, (1999). Sleep complaints and sleep disordered breathing in hemodialysis patients. The Netherlands Journal of Medicine, 54, 207-212.
  • Walker S, Fine A, Kryger MH, (1995). Sleep complaints are common in a dialysis unit. Am J Kidney Dis, 26, 751-756.
  • Williams SW, Tell GS, Zheng B et al, (2002). Correlates of sleep behavior among hemodialysis patients. Am J Nerhrol, 22, 18-28.
  • Yildirim (Kuzeyli) Y, (2002). Diyaliz Hastalarinda Progresif Gevseme Egzersizlerinin Kyagi Düzeyi ve Yasam Kalitesine Olan Etkisinin Incelenmesi. Ayyinlanmamis Yüksek lisans Tezi, Izmir: Ege Üniversitesi Saglik Blimleri Enstitüsü.
  • Yoahioka M, Ishii T, Fukunishi I, (1993). Sleep disturbance of end-stagerenal disease. Jpn J Psychiatry Neurol. 47: 4, 847.
There are 36 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Asiye Durmaz Akyol This is me

Betül Ünal This is me

Publication Date June 1, 2004
Published in Issue Year 2004 Volume: 20 Issue: 1

Cite

APA Akyol, A. D., & Ünal, B. (2004). DIYALIZ HASTALARINDA UYKU KALITESI VE YASAM KALITESI ARASINDAKI ILISKI. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 20(1), 35-46.