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Hemodiyaliz Tedavisi Alan Bireylerde Stigmaya Neden Olan Semptomlar ve Yönetimi/ Symptoms That Cause Stigma in Individuals Receiving Hemodialysis Treatment and Their Management

Year 2024, Volume: 19 Issue: 2, 96 - 105, 31.05.2024
https://doi.org/10.47565/ndthdt.2024.86

Abstract

Son dönem böbrek hastalığı olan bireyler yaşamlarınısürdürebilmek için renal replasman tedavisine ihtiyaç duymaktadır. En sık uygulanan renal replasman tedavi yöntemi hemodiyalizdir. Bireyler, gerek hastalıktan gerekse uygulanan tedavi yöntemlerinden kaynaklı birçok komplikasyonla karşılaşmaktadır. Bunlardan bazıları; bulantı, kusma, kramp, ağrı, yorgunluk, kaşıntı, fistül komplikasyonları, tromboz, anevrizma, rüptür, renal osteodistrofi, endokrin bozukluklar ve uyku sorunlarıdır. Dış görünüşte meydana gelen değişiklikler, fiziksel fonksiyonda azalmalar, rol ya da statü kaybı, bir cihaza ve/veya sağlık personeline bağımlı olma, yaşanan duygusal ve terapötik rejimi yönetmeye ilişkin zorluklar bireylerin genel sağlık algısının bozulmasına, beden imajınının olumsuz etkilenmesine ve stigma algısı yaşamalarına neden olmaktadır. Stigma algısı nedeniyle bireyler sağlık hizmeti almada ve sosyal hayata katılmada sorunlarla karşılaşabilmektedir. Bu derlemede, hemodiyaliz tedavisi alan bireylerin stigma algılarına yer verilmektedir.

References

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Symptoms That Cause Stigma in Individuals Receiving Hemodialysis Treatment and Their Management

Year 2024, Volume: 19 Issue: 2, 96 - 105, 31.05.2024
https://doi.org/10.47565/ndthdt.2024.86

Abstract

Individuals with end-stage renal disease need renal replacement therapy to survive. The most commonly applied renal replacement treatment method is hemodialysis. These individuals encounter many complications arising from both the disease and the treatment methods applied. Some of these complications include nausea, vomiting, cramps, pain, fatigue, itching, fistula complications, thrombosis, aneurysm, rupture, renal osteodystrophy, endocrine disorders, and sleep problems. Changes in appearance, decreases in physical function, loss of role or status, dependence on a device and/or healthcare personnel, and difficulties in managing the emotional and therapeutic regimen cause individuals to perceive their general health as deteriorated, negatively affect their body image, and experience stigma. Due to the perception of stigma, individuals may encounter problems in receiving healthcare and participating in social life. This review addresses the stigma perceptions of individuals receiving hemodialysis treatment.

References

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  • 3. Chan CT, Blankestijin PJ, Dember LM, Gallieni M, Harris DCH, Lok CE, et al. Dialysis initiation, modality choice, Access, and prescription: conclusions from a kidney disease: improving global outcomes (kdigo) controversies conference. Kidney Int. 2019;96:37-47. Doi: 10.1016/j.kint.2019.01.017
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  • 5. Yu I, Huang J, Tsai Y. Symptom cluster among hemodialysis patients in Taiwan. Appl Nurs Res. 2012;25:190–6. https://doi.org/10.1016/j.apnr.2010.11.002
  • 6. Muringai T, Noble H, McGowan A, Channey M. Dialysis access and the impacton body image: role of the nephrology nurse. Br J Nurs. 2008;17(6):362−6. https://doi.org/10.12968/bjon.2008.17.6.28900
  • 7. Shahgholian N, Tajdari S, Nasiri M. Reviewing and comparing self-concept in patients undergoing hemodialysis and peritoneal dialysis. Iran J Nurs and Midwifery Res. 2012[cited 2024 Jan 29];17(2): 85-90. Available from: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC3696965/pdf/IJNMR-17-85.pdf
  • 8. Lev-Wiesel R, Sasson L, Scharf N, Abu Saleh Y, Glikman A, Hazan D, Shacham Y, et al. “Losing faith in my body”: body image in individuals diagnosed with end-stage renal disease as reflected in drawings and narratives. Int. J. Environ. Res. Public Health. 2022;19(10777):1-15. doi: 10.3390/ijerph191710777
  • 9. Tünerir E. (2019). Kronik hastalıklarda beklenen stigma ölçeği’nin türkçe geçerlilik ve güvenilirlik çalışması [Tıpta Uzmanlık Tezi]. Sağlık Bilimleri Üniversitesi Nöroloji Anabilim Dalı; 2019.
  • 10. Özaslan Çalışkan BÖ, Akca M. Damgalanma algısı ve sapma davranışı ilişkisinde kişilik özelliklerinin düzenleyici rolü. JAVSTUDIES. 2017;3(13):357-69. Doi: 10.23929/javs.437
  • 11. Brohan E, Slade M, Clement S, Thornicroft G. Experiences of mental illness stigma, prejudice and discrimination: a review of measures. BMC Health Serv Res. 2010;10(1): 1-11. https://doi.org/10.1186/1472-6963-10-80
  • 12. Dickerson FB, Sommerville J, Origoni AE, Ringel NB, Parente F. Experiences of stigma among outpatients with schizophrenia. Schizophr Bull. 2002;28(1):143-55. doi: 10.1093/oxfordjournals.schbul.a006917.
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  • 16. Novick TK, Gadegbeku CA, Crews DC. Dialysis for patients with endstage renal disease who are homeless. JAMA Intern Med. 2018;178(12):1581-2. doi: 10.1001/jamainternmed.2018.5470
  • 17. Prabhakar Singh RG, Singh S, Rathore SS, Choudhary TA. Spectrum of ıntradialytic complications during hemodialysis and ıts management: A single-center experience. Saudi J Kidney Dis Transpl. 2015;26(1):168-72. doi: 10.4103/1319-2442.148771
  • 18. Shahdadi H, Badakhsh M, Moein AA, Shahreki A. Comparison on nausea & vomiting between supine and semi fowler position during hemodialysis. J Mazandaran Univ Med Sci [Internet]. 2009 [cited 2023 June 27];18: 58-63. Available from: https://jmums.mazums.ac.ir/browse.php?a_id=522&sid=1&slc_lang=en
  • 19. Barth C, Boer W, Garzoni D, Kuenzi T, Ries W, Schaefer R, Schneditz D. Characteristics of hypotension-prone haemodialysis patients: is there a critical relative blood volume. Nephrol Dial Transplant. 2003;18(7):1353-60. https://doi.org/10.1093/ndt/gfg171
  • 20. Asgari MR, Asghari F, Ghods A, Ghorbani R, Motlagh N, Rahaei F. Incidence and severity of nausea and vomiting in a group of maintenance hemodialysis patients. J Renal Inj Prev. 2017;6(1):49-55. DOI: 10.15171/jrip.2017.09
  • 21. Gökdoğan F. Diyaliz hastalarında semptom yönetimi. Nefroloji Hemşireliği Dergisi [Internet]. 2009 [cited 2024 Jun 6];6(1):4- 10. Available from: https://dergipark.org.tr/tr/download/article-file/423053
  • 22. Grandinetti A, Hilliard-Boone TS, Wilund KR, Logan D, St. Peter WL, Wingard R, Tentori F, et al. Patient perspectives of skeletal muscle cramping in dialysis: a focus group study. Kidney360. 2023;4(6):734-43. doi: 10.34067/KID.0000000000000121
  • 23. Cox KJ, Parshall MB, Hernandez SHA, Parvez SZ, Unruh ML. Symptoms among patients receiving in-center hemodialysis: a qualitative study. Hemodial İnt. 2017;21(4):524-33. doi:10.1111/hdi.12521
  • 24. Álvarez-Villarreal M, Velarde-García J, Chocarro-Gonzalez L, Pérez-Corrales J, Gueita-Rodriguez J, Palacios-Ceña D. Body changes and decreased sexual drive after dialysis: a qualitative study on the experiences of women at an ambulatory dialysis unit in Spain. Int J Environ Res Public Health. 2019;16(17):1-12. doi: 10.3390/ijerph16173086
  • 25. Lev-Wiesel R, Sasson L, Scharf N, Abu Saleh Y, Glikman A, Hazan D, Shacham Y, et al. “Losing faith in my body”: body image in individuals diagnosed with end-stage renal disease as reflected in drawings and narratives. Int J Environ Res Public Health. 2022;19(10777):1-15. doi: 10.3390/ijerph191710777
  • 26. Onelmis H, Sener S, Sasmaz S, Ozer A. Cutaneous changes in patients with chronic renal failure on hemodialysis. Cutan Ocul Toxicol. 2012;31(4):286–91. https://doi.org/10.3109/15569527.2012.657726
  • 27. Sartika D, Putra IB, Yosi A. Profile of skin manifestations in chronic kidney failure patients with hemodialysis and nonhemodialysis in universitas Sumatera Utara Hospital Medan. IJSRP. 2019;9(10):497-500. http://dx.doi.org/10.29322/IJSRP.9. 10.2019.p9465
  • 28. Verduzco HA, Shirazian S. CKD-associated pruritus: new insights into diagnosis, pathogenesis, and management. Kidney Int Rep. 2020;5(9):1387–402. https://doi.org/10.1016/j.ekir.2020.04.027
  • 29. Sukul N, Karaboyas A, Csomor PA, Schaufler T, Wen W, Menzaghi F, Rayner HC, et al. Self-reported pruritus and clinical, dialysis-related, and patient-reported outcomes in hemodialysis patients. Kidney Med. 2021;3(1):42–53. doi: 10.1016/j.xkme.2020.08.011
  • 30. Van Der Willik EM, Lengton R, Hemmelder MH, Hoogeveen EK, Bart HAJ, Van Ittersum FJ, Ten Dam MAGJ, et al. Itching in dialysis patients: impact on health-related quality of life and interactions with sleep problems and psychological symptomsresults from the renıne/proms registry. Nephrol Dial Transplant. 2022;37(9):1731-41. https://doi.org/10.1093/ndt/gfac022
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There are 50 citations in total.

Details

Primary Language Turkish
Subjects ​Internal Diseases Nursing​
Journal Section Article
Authors

Sude Nur Ölmez 0000-0001-9828-9313

Gülay Turgay 0000-0003-2790-1426

Banu Çevik 0000-0003-1396-854X

Publication Date May 31, 2024
Submission Date January 26, 2024
Acceptance Date May 6, 2024
Published in Issue Year 2024 Volume: 19 Issue: 2

Cite

Vancouver Ölmez SN, Turgay G, Çevik B. Hemodiyaliz Tedavisi Alan Bireylerde Stigmaya Neden Olan Semptomlar ve Yönetimi/ Symptoms That Cause Stigma in Individuals Receiving Hemodialysis Treatment and Their Management. JoNN. 2024;19(2):96-105.

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