Hemodiyaliz Hastalarında Umutsuzluk İle Günlük Yaşam Aktivitesi Arasındaki İlişkinin Belirlenmesi

Abstract

Amaç: Bu araştırmanın amacı, hemodiyaliz hastalarında umutsuzluk ile günlük yaşam aktiviteleri arasındaki ilişkiyi belirlemektir. Yöntem: İlişkisel tanımlayıcı özellikteki araştırma; Üniversite Hastanesinin Nefroloji Kliniğine başvuru yapan ve hemodiyalize giren 301 hasta ile tamamlandı. Verilerin toplanmasında “Tanıtıcı Özellikler Formu, Beck Umutsuzluk Ölçeği ve Katz Günlük Yaşam Aktivitesi Ölçeği” kullanılmıştır. Bulgular: Katılımcı hastaların Beck Umutsuzluk Ölçeği puanlarının ortalaması 10,38 ± 5,92 olarak saptandı. BUÖ puan ortalamaları ile tanıtıcı özellikleri (yaş, medeni durum, eğitim durumu, çalışma durumu, gelir durumu, kronik hastalık varlığı, diyalize girme süresi) karşılaştırıldığında istatistiksel olarak anlamlı farklılıklar saptanmıştır (p<0.05). Katılımcı hastaların Katz Günlük Yaşam Aktiviteleri Ölçeği puanlarının ortalaması 15,06 ± 3,41 olarak saptandı. Katılımcı hastaların Katz Günlük Yaşam Aktivitelerinde Bağımsızlık puan ortalamaları ile yaş ve eğitim durumu arasında istatistiksel olarak anlamlı farklılık saptanmıştır (p<0,05). Sonuçlar ve Öneriler: Hemodiyaliz hastalarında umutsuzluk ile günlük yaşam aktivitesi arasındaki ilişkinin incelendiği bu araştırmada; hastaların umutsuzluk ve yaşam kalitesi düzeylerinin periyodik olarak takip edilmesi, bireylerin umutsuzluk ile baş etme, günlük yaşam aktivitesini yerine getirme yeteneklerini geliştirmeye yönelik uygulamaların oluşturulması, GYA’da kısıtlılığın derecesini arttıran tüm parametrelerin bütüncül değerlendirilip, bireyin bakımının tüm sorunları kapsayacak şekilde planlanması önerilmektedir.

Keywords

• Hemodiyaliz
• Günlük Yaşam Aktivitesi
• Umutsuzluk
• Nefroloji

THE IDENTIFICATION OF THE RELATIONSHIP BETWEEN HEMODIALYSIS PATIENTS’ HOPELESSNESS AND DAILY LIFE ACTIVITIES

Abstract

Aim: This research aims to identify the relationship between hemodialysis patients’ hopelessness and dependence on another person in daily life activities. Method: Relational descriptive research; 301 patients who applied to the Nephrology Clinic of the University Hospital and underwent hemodialysis were completed. "Descriptive Characteristics Form, Beck Hopelessness Scale and Katz Daily Living Activity Scale" were used to classify the data. Result: The average Beck Hopelessness Scale scores of the participating patients was 10.38 ± 5.92. When the BUS score averages and descriptive characteristics (age, marital status, educational status, employment status, income status, presence of chronic disease, duration of dialysis) were compared, statistically significant differences were detected (p <0.05). The average Katz Activities of Daily Living Scale scores of the participating patients was 15.06 ± 3.41. A statistically significant difference was found between the Katz Independence in Activities of Daily Living score averages of the participating patients and their age and educational status (p<0.05). Conclusions and Suggestions: In this study, the relationship between hopelessness and daily living activities in hemodialysis patients was examined; Regular monitoring of patients' hopelessness and life levels, starting with hopelessness, cutting parameters for the intervals of daily living parts, holistic evaluation of all parameters that increase the degree of limitation in ADL, and planning of all of these as required.

Keywords

• Hemodialysis
• Daily Life Activity
• Hopelessness
• Nephrology

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