Egzersiz ve Kronik Böbrek Yetmezliği

Dilek Taş; Asiye Akyol

Egzersiz ve Kronik Böbrek Yetmezliği

Abstract

Kronik böbrek yetmezliği glomerüler filtrasyon hızına göre beş evreye ayrılmaktadır.

Evre V, Son dönem böbrek yetmezliği (SDBY) olup, GFH 15ml/dk/1,73 m2 nin altına

indiği hayatı tehdit edici bir durumdur. SDBY hastalarının büyük çoğunluğu diyaliz ile

yaşamlarını sürdürse de, üremik kardiyomiyopati, kardiyovasküler hastalıklar, anemi,

diyabetes mellitus, kemik hastalıkları, dekondüsyon, yorgunluk, güçsüzlük, inaktivite

ve psikolojik problemlerin eşlik etmesi nedeniyle yaşam kaliteleri ve fonksiyonel

kapasiteleri azalmaktadır. Ayrıca SDBY hastaların çoğunluğunun sedanter yaşam

tarzına sahip olması fiziksel fonksiyonlarının bozulmasında önemli bir etken olmakla

birlikte, hastaların fiziksel açıdan hareketsiz olmaları kaslarda atrofi gelişmesine ve

kapiller yoğunluğun azalmasına buna bağlı olarak da kas gücünde azalmaya neden

olmaktadır. Son yıllarda egzersiz kronik hastalıkları önleme ve rehabilite etmede

önemli bir müdahale aracı olarak kabul edilmektedir. Egzersiz; “kas gruplarının

kontraksiyon ve relaksasyonu ile gerçekleşen kas direncini, eklem fonksiyonlarını

korumak ve sürdürmek amacı ile yapılan çalışmaların bütününe” verilen addır. Böbrek

hastalarında egzersiz yapılmaması ve sedanter yaşam tarzının sürdürülmesi bir dizi

problemlere yol açmaktadır ve fiziksel egzersizin bu problemleri düzeltmede veya

durdurmada önemli köprü görevi üstlendiği kabul edilmektedir. Bu alandaki

çalışmalar; fiziksel egzersizin, diyaliz tedavisi alan hastaların egzersiz kapasitesini,

fiziksel fonksiyonunu, kas gücünü, fonksiyonel kapasitesini ve yaşam kalitesini

geliştirdiğini, kan basıncı kontrolü sağladığını, diyabet gelişim riskini ve

kardiyovasküler hastalık riskini azalttığını, depresyon ve anksiyete semptomlarını

hafiflettiğini, sağ kalım ve diyaliz etkinliğini arttırdığını göstermiştir. Bu derlemede

egzersizin böbrek hastaları için önemi ve egzersizin tipleri anlatılmaktadır.

Keywords

Kronik Böbrek Yetmezliği,Diyaliz,Egzersiz

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Details

Primary Language

Turkish

Subjects

Nursing

Journal Section

Review

Authors

Dilek Taş This is me
EGE ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ ENSTİTÜSÜ, İÇ HASTALIKLARI HEMŞİRELİĞİ (DR)
Türkiye

Asiye Akyol This is me
Ege Üniversitesi, Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği ABD
Türkiye

Publication Date

January 31, 2017

Submission Date

November 7, 2016

Acceptance Date

December 6, 2016

Published in Issue

Year 2017 Volume: 12 Number: 1

IZ

https://izlik.org/JA68MA64JJ

Cite

RIS / Bibtex

APA

Taş, D., & Akyol, A. (2017). Egzersiz ve Kronik Böbrek Yetmezliği. Nefroloji Hemşireliği Dergisi, 12(1), 10-19. https://izlik.org/JA68MA64JJ

AMA

1.Taş D, Akyol A. Egzersiz ve Kronik Böbrek Yetmezliği. JoNN. 2017;12(1):10-19. https://izlik.org/JA68MA64JJ

Chicago

Taş, Dilek, and Asiye Akyol. 2017. “Egzersiz Ve Kronik Böbrek Yetmezliği”. Nefroloji Hemşireliği Dergisi 12 (1): 10-19. https://izlik.org/JA68MA64JJ.

EndNote

Taş D, Akyol A (January 1, 2017) Egzersiz ve Kronik Böbrek Yetmezliği. Nefroloji Hemşireliği Dergisi 12 1 10–19.

IEEE

[1]D. Taş and A. Akyol, “Egzersiz ve Kronik Böbrek Yetmezliği”, JoNN, vol. 12, no. 1, pp. 10–19, Jan. 2017, [Online]. Available: https://izlik.org/JA68MA64JJ

ISNAD

Taş, Dilek - Akyol, Asiye. “Egzersiz Ve Kronik Böbrek Yetmezliği”. Nefroloji Hemşireliği Dergisi 12/1 (January 1, 2017): 10-19. https://izlik.org/JA68MA64JJ.

JAMA

1.Taş D, Akyol A. Egzersiz ve Kronik Böbrek Yetmezliği. JoNN. 2017;12:10–19.

MLA

Taş, Dilek, and Asiye Akyol. “Egzersiz Ve Kronik Böbrek Yetmezliği”. Nefroloji Hemşireliği Dergisi, vol. 12, no. 1, Jan. 2017, pp. 10-19, https://izlik.org/JA68MA64JJ.

Vancouver

1.Dilek Taş, Asiye Akyol. Egzersiz ve Kronik Böbrek Yetmezliği. JoNN [Internet]. 2017 Jan. 1;12(1):10-9. Available from: https://izlik.org/JA68MA64JJ