Ouality of Life and Psychiatric Symptoms İn The Caregivers of Chronic Renal Insufficiency Patients

Year 2002, Volume: 10 Issue: 2, 29 - 39, 01.06.2002

Çiğdem Aydemir İsmail Kasım Sevsen Cebeci Erol Göka Verda Tüzer

https://doi.org/10.1501/Kriz_0000000183

Abstract

Object: İn the 20th century; lengthening
human life expectancy results in a life of
chronic diseases. Method: Chronic diseases
influences both the patients and caregivers life.
İn this study caregivers of dialysis patients and
caregivers of early stage renal insufficiency
patients who do not need dialysis with an age
and education matched control group were
assessed with the aid of Short Symptom
Inventory and WHOQOL-BREF. Results: The
mean interpersonal sensitivity subscale scores
of dialysis group and mean paranoid subscales
scores of control group were significantly higher
than the other two. Dialysis groups WHOQOLBREF
psychological health subscale scores
were significantly lower than the other two
groups. When ali the caregivers were
assessed together vvomen vvere risk group for
somatisation, obsessive compulsive disorder,
interpersonal sensitivity. Higher educated
caregivers rated higher in Psychological health
and environment subscales compared to low
educated caregivers. Low educated subjects
also suffered somatisation and anxiety
symptoms.

Keywords

Renal insufficiency, quality of life, psychiatric symptoms

KRONİK BÖBREK YETMEZLİĞİ HASTALARININ YAKINLARINDA YAŞAM KALİTESİ VE PSİKİYATRİK SEMPTOMLAR

Abstract

Amaç: 20. yüzyılda uzayan insan ömrü beraberinde
kronik hastalıklar ile geçen bir yaşamı
birlikte getirmiştir. Kronik hastalıklar hastanın
kendisi kadar yakınlarını da etkiler. Yöntem: Bu
çalışmada diyalize giren ve henüz diyaliz aşamasına
gelmemiş kronik böbrek hastalarının bakım
veren yakınlarına ve demografik olarak eşleştirilmiş
kontrol grubuna kısa semptom envanteri
(KSE) ve yaşam kalitesi ölçeği kısa formu
(WHOQOL-BREF) uygulanarak, karşılaştırmıştır.
Bulgular: KSE nin alt ölçeklerinden kişiler
arası duyarlılık diyaliz grubunda, paranoid
düşüceler ise kontrol grubunda anlamlı şekilde
yüksek çıkmıştır. WHOQOL-BREF in psikolojik
sağlık alanı skoru diyaliz grubunda diyaliz yapılmayan hasta yakını grubuna göre anlamlı derecede
düşük çıkmıştır. Kadınlar; somatizasyon,
obsessif kompulsif bozukluk, kişiler arası duyarlılık
açısından risk grubu olarak saptanmıştır.
Yüksek eğitim grubu yaşam kalitesinin psikolojik
sağlık ve çevre alanı açısından daha olumlu bir
noktada bulunurken , düşük eğitimlilerin somatizasyon
ve anksiyete semptomlarından yakındıkları
saptanmıştır

Keywords

Böbrek yetmezliği, yaşam kalitesi, psikiyatrik semptomlar

References

• Burton HJ, Kline SA, Lindsay RM (1988). The role of support in influencing outcome of end-stage renal disease. General Hospital Psychiatry, 10; 260- 266.
• Derogatis LR (1992). The Brief Symptom Inventory (BSI), Administration, Scoring and Procedures Manual II. Clinical Research Inc. aktaran Şahin NH, Durak A (1994) Kısa Semptom Envanteri: Türk gençleri için uyarlanması. Türk Psikoloji Dergisi.
• Fidaner H, Elbi H, Fidaner C (1999a). WHOQOL Türkçe versiyonu çalışması odası grup görüşmeleri ve ulusal sorunların değerlendirilmesi. 3P Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 7, (ek sayı 2); 48-54.
• Fidaner H, Elbi H, Fidaner C (1999b). Türkler için sağlık ve sosyal bilimler araştırmalarında kullanılan likert tipi yanıt ölçekleri: WHOQOL Türkçe versiyonu yanıt skalalan sonuçları 3P Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 7 (ek sayı 2), 41 -47.
• Furr LA (1998). Psycho-social aspects of serious renal disease and dialysis: Arevievv of the literatüre. Social Work in Health Çare, 27(3): 97-118.
• Harrison's priciples of internal medicine. -14,h ed./editors Anthony S. Fauci et al. The McGraw-Hill Companies, Inc. 1998.
• Hayward MB, Kish JP, Frey GM (1999). An instrument to identify stressors in transplant recipients. Am Mephrol Nurs Assoc J, 16: 81-84 aktaran Lindgvist R, Carlsson M, Sjöden P-O (2000). Coping strategios and health-related quality of life among spouses of continuous ampulatory peritoneal dialysis, haemodialysis, and transplant patients. J Adv Nursing, 3116:1398-1408.
• Hong B, Smith M, Valerius T, Robson A (1982). Pretreatement depression in end stage renal disease. Lancet, January 104-5.
• Kathleen A, Israel BA (1985). Social netvvork and social support: Living with chronic renal disease Patient Education and Counseling. Moos RH (Ed.) Coping with physical illness. New York: Plenum, 1985; 227-247.
• Lowry MR ve Atcherson E (1984). Spouseassistant's adjustment to home hemodialysis. Journal of Chronic Diseases; 37: 293-300, aktaran Rideout EM, Rodin GM, Littlefield CH. (1990) Stress, social support, and symptoms of depression in spouses of the medically ili. Int J Psychiatry in Medicine; 20(1); 37-48.
• Masting C (1982). Development and evaluation of a support program for renal patients and their partners. Dialysis Trans; 11:1101-1106 aktaran Rounds KA, Israel BA (1985): Social netvvorks and social support: Living with chronic renal disease (Revievv). Patient Education and Counseling, 7:227- 24.
• Moos RH (1984). Coping with medical illness vol 2 New perspectives. New York, Plenum Publishing. aktaran The impact of illness on the family John S Roland. Textbook of Family Practice RAKEL. (ed) 5th ed. Philadelphia WB Saunders 1995 80-100.
• Nevvby W (1996). Chronic illness and the family life cycle. J Adv Nurs, 23 :786-791. aktaran White Y, Grenyer BFS (1999) The biopsychosocial impact of end-stage renal disease: the experience of dialysis patients and their partners. J Adv Nurs, 30(6): 1312- 1320.
• Orley J, Saxena S (1998) Ûuality of Life and mental illness: Reflections from te perpective of the WHOQOL. Br J Psychiatry, 172, 291-293.
• Piening S (1984). Family stress in diabetic renal failure. Health soc work 1984; 9 :134-141. aktaran Rounds KA, Israel BA (1985): Social netvvorks and social support: Living with chronic renal disease (Revievv). Patient Education and Counseling, 7:227- 247.
• Rideout EM, Rodin GM (1990). Littlefield CH. Stress, social support, and symptoms of depression in spouses of the medically ili. Int J Psychiatry. 20(1); 37-48.
• Rocco MV, Gassman JJ, Wang S-R, Kaplan R (1997). And modification of diet in renal study group. Crosssectional study of life and symptoms in chronic renal disease patients: the modification of diet in renal disease study. Am J Kidney Dis. 29:888-896.
• Roland JS (1995). The impact of illness on the family Rakel (ed) Textbook of family practice 5th ed philadelphia; WB Saunders 80-100.
• Rounds KA.Israel BA (1985). Social netvvorks and social support: Livving with chronic renal disease. Patient education and counselling, 7: 227-247.
• Shidler NR, Peterson RA, Kimmel PL (1998). Quality of life and psychosocial relationships in patients with chronic renal insufficiency. Am J Kidney Dis, 32:557-566.
• Şahin NH, Durak A (1994). Kısa Semptom Envanteri: Türk gençleri için uyarlanması. Türk Psikoloji Dergisi, 9 (31): 44-56.
• Ünal S (1999). Yaşam kalitesinin ölçülmesi, WHOQOL-100 ve WHOQOL-BREF. Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 7 (ek sayı 2): 5-13.
• Wicks MN, Milstead EJ, Hathavvay DK (1997). Subjective burden and quality of life in family caregivers of patients with end-stage renal disease.; ANNAJ, 24 (5); 527-540.
• Wicks MN, Milstead EJ, Hathaway (1998). Family caregivers' burden, quality of life, and health follovving patients' renal transplantation. J Transpl Coord., 8 (3): 170-176.