Hemodiyaliz ve Periton Diyalizi Hastalarında Depresyon Belirtilerinin Değerlendirilmesi

Year 2024, Volume: 26 Issue: 3, 263 - 268, 24.12.2024

Derya Canlı , Seyhan Yılmaz

Abstract

Amaç: Kronik böbrek yetmezliği tedavisinde uygulanan tedaviler hemodiyaliz, periton diyalizi ve transplantasyondur. Depresyon bu hasta grubunda en sık görülen psikolojik rahatsızlıktır. Bu çalışmanın amacı hemodiyaliz ve periton diyalizi hastalarında depresyonun taranması, hasta gruplarının karşılaştırılması ve ilişkili sosyo-demografik özelliklerin değerlendirilmesidir.
Gereç ve Yöntemler: Çalışmaya 48'i hemodiyaliz, 15'i periton diyalizi olmak üzere 63 kronik böbrek yetmezliği hastası dâhil edildi. Hastaların sosyodemografik özellikleri, tıbbi öyküleri ve psikiyatrik öyküleri kaydedildi. Depresyon belirtilerini taramak amacıyla Beck Depresyon Envanteri formu kullanıldı. Verilerin analizinde student's t testi, Mann-Whitney U testi, ki-kare testi, değişkenler arasındaki ilişkinin değerlendirilmesinde Spearman korelasyonu kullanıldı ve anlamlılık düzeyi 0.05 olarak alındı.
Bulgular: Gruplar (hemodiyaliz grubu ve periton diyalizi grubu) arasında yaş, cinsiyet, medeni durum, eğitim durumu ve çalışma durumu açısından istatistiksel olarak anlamlı fark yoktu (p>0.05). Diyaliz süreleri açısından gruplar arasında anlamlı fark yoktu. Depresyon puanları açısından gruplar arasında istatistiksel olarak anlamlı fark saptandı (p<0.05). Hemodiyaliz grubunda depresyon skorlarının periton diyalizi grubuna göre anlamlı derecede yüksek olduğu görüldü.
Sonuç: Çalışmamızda hemodiyaliz grubunda depresyon düzeyi periton diyalizi grubuna göre daha yüksekti. Diyaliz hastalarında sıklıkla görülen başta depresyon olmak üzere psikolojik sorunlar hastaların işlevselliğini azaltmakta ve tedaviye uyumu bozmaktadır ki bu durum hemodiyaliz hastalarında daha belirgindir. Bu çalışma, hemodiyaliz hastalarının periton diyalizi geçiren hastalara göre depresyon gibi psikolojik sorunlara daha fazla yatkınlık gösterdiğini ortaya koydu.

Keywords

Son dönem böbrek yetmezliği, hemodiyaliz, periton diyalizi, depresyon

EVALUATION OF DEPRESSION SYMPTOMS IN HEMODIALYSIS AND PERITONEAL DIALYSIS PATIENTS

Abstract

Objective: The therapies implemented in the treatment of chronic kidney failure are Hemodialysis, Peritoneal dialysis and transplantation. Depression is the most commonly observed psychological disorder in this patient group. The purpose of this study is screening depression in hemodialysis and peritoneal dialysis patients, comparing the patient groups and the evaluation of associated socio-demographic characteristics.
Material and Methods: The study population involved 63 chronic kidney failure patients 48 of whom were on hemodialysis and 15 were on peritoneal dialysis. Sociodemographic characteristics, medical history, and psychiatric history of the patients were recorded. The Beck Depression Inventory form was used to screen for depression symptoms. Student’s t test, Mann-Whitney U test, chi-square test were used to analyze the data and Spearman correlation was used to evaluate the relationship between variables, and the significance level was taken as 0.05.
Results: There was no statistically significant difference between the groups (hemodialysis group and peritoneal dialysis group) in terms of age, gender, marital status, educational status, and employment status (p>0.05). There was not a significant difference between the groups in terms of dialysis durations. There was a statistically significant difference between the groups in terms of depression scores (p<0.05). The depression scores in hemodialysis group were found to be significantly higher compared to the peritoneal dialysis group.
Conclusion: In our study, the depression level was higher in the hemodialysis group than in the peritoneal dialysis group. Frequently seen psychological problems, especially depression, in dialysis patients decrease the functionality of the patients and disrupt the compliance with the treatment, which is more clear in hemodialysis patients. This study revealed that hemodialysis patients have a higher tendency to psychological problems such as depression compared to patients undergoing peritoneal dialysis.

Keywords

End-stage renal failure, hemodialysis, peritoneal dialysis, depression

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