PREDİYALİZ KRONİK BÖBREK HASTALARINDA KESİTSEL BİR ÇALIŞMA: YAŞAM KALİTESİ VE ETKİLEYEN FAKTÖRLER

Year 2017, Volume: 18 Issue: 4, 130 - 135, 16.10.2017

Ayça İnci , Melahat Çoban Metin Sarıkaya Ümmühan Maden

https://doi.org/10.18229/kocatepetip.368668

Cited By: 1

Abstract

AMAÇ: Kronik Böbrek Hastalığı (KBH) insidansı ve prevalansı
tüm dünyada artmaktadır. KBH’da sıklıkla komplikasyonlar
fazladır ve kötü yaşam kalitesi ile birliktedir. Bu
çalışmanın amacı Kısa form-36 (SF-36) ölçeği ile KBH’da
yaşam kalitesinin değerlendirilmesi ve böbrek fonksiyonları,
yaş, cinsiyet, eğitim düzeyi, sosyo ekonomik durum,
hemoglobin, albumin, HBA1c, 25OHvitamin D düzeyinin
yaşam kalitesi üzerindeki etkisinin araştırılmasıdır.

GEREÇ VE YÖNTEM: Bu kesitsel çalışma Antalya Eğitim
ve Araştırma Hastanesinde takipli 211 KBH tanılı hastada
(ortalama yaş 56 ± 13 yıl), Ocak-Haziran 2016 tarihleri
arasında yapıldı. Hastaların yaşam kalitesini saptamak
için SF-36 ölçeği kullanıldı ve laboratuvar testleri, klinik
ve demografik verileri kayıt edildi.

BULGULAR: KBH-EPI formülü kullanılarak hastalar KBH
evrelerine ayrıldı. Hastaların %59,2’si Evre 1-3, %40,8’i
Evre 4-5 olarak saptandı. Evre 4-5 hastalarda fiziksel rol
güçlüğü skoru daha düşük saptandı. Yaşın yaşam kalitesini
negatif etkilediği görüldü. Hemoglobin, albumin ve 25
OH vitamin D düzeylerindeki artışın fiziksel fonksiyon ve
fiziksel rol güçlüğü skorlarında artışla birlikte olduğu saptandı.
Artmış HbA1C düzeylerinin kötü fiziksel fonksiyon
skoruyla ilişkili olduğu görüldü. Eğitim düzeyi ,sosyo ekonomik
durum ile yaşam kalitesi arasında ilişki saptandı.

SONUÇ: KBH tanılı hastada böbrek fonksiyonları, yaş, cinsiyet,
eğitim düzeyi ve sosyoekonomik durum yaşam kalitesini
etkilemektedir. KBH’da yaşam kalitesini artırmak
için; hemoglobin, albumin, HbA1c ve 25 OH vitamin D
düzeyleri gibi değiştirebileceğimiz faktörleri iyileştirmeliyiz.

Keywords

Kronik Böbrek Hastalığı, SF-36, yaşam kalitesi

A CROSS-SECTIONAL STUDY IN PATIENTS WITH PRE-DIALYSIS CHRONIC KIDNEY DISEASE: QUALITY OF LIFE AND RELATED FACTORS

Abstract

OBJECTIVE: The incidence and prevalence of patients
with chronic kidney disease (CKD) is increasing worldwide.
It is often associated with a high prevalence of complications
and worse quality of life. The main objective of
this study is to evaluate quality of life (QOL) using the
generic instrument short form-36 (SF-36) in patients with
CKD and identify the possible influence of the degree of
renal function, age, gender, education level, socioeconomic
status, hemoglobin, albumin, HbA1c and 25 hydroxy
vitamin D level on QOL.

MATERIALS AND METHODS: For this cross-sectional
study, we included 211 CKD patients ( median age 56 ±
13 years) admitted to the outpatient clinic of Antalya Research
and Training Hospital Nephrology Unit between
January and June 2016. Participants completed the short
form-36 health survey (SF-36). Laboratory tests and clinical
and demographic data were obtained.

RESULTS: The patients were classified into CKD stages
according to the CKD-EPI equation: 59,2% were in CKD
Stage 1-3 and 40,8% were in Stage 4-5. The patients in
Stage 4-5 had lower scores in physical aspects. Age influence
QOL negatively. CKD patients with higher hemoglobin,
albumin and 25 hydroxy vitamin D levels has better
functional capacity and physical aspects. High HbA1c levels
significantly associated with bad functional capacity.
Education level and socioeconomic status is associated
with QOL.

CONCLUSIONS: Renal function, age, gender, education
level and socioeconomic status influenced QOL. To imrove
QOL in CKD patients we need to focus on factors that
can be changed, such as improving the hemoglobin, albumin,
HbA1c and 25 hydroxy vitamin D levels. 

Keywords

Chronic Kidney Disease, SF-36, , quality of life

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