Kronik Hemodiyaliz Hastalarının Psikolojik Sıkıntı ve Algıladıkları Sosyal Destek Düzeyleri

Year 2023, Volume: 6 Issue: 1, 32 - 43, 28.04.2023

Nihan Altan Sarıkaya , Mevlüde Kartal , Merve Akçam

https://doi.org/10.54803/sauhsd.1228791

Abstract

Amaç: Kronik böbrek yetmezliği olan hastalar sağ kalım için hemodiyaliz tedavisi almaktadır. Bununla birlikte yaşam kalitelerinde bir değişiklik yaşarlar ve hastalarda ruhsal belirti ve bozukluklar görülmektedir. Bu çalışmada, hemodiyaliz hastalarının psikolojik sıkıntı ve algıladıkları sosyal destek düzeylerini incelemek amaçlanmıştır.
Yöntem: Çalışma bir devlet hastanesinin Hemodiyaliz Ünitesi’nde kesitsel ve ilişki arayıcı tasarım tipinde
gerçekleştirildi. Çalışmanın örneklemini araştırmaya dahil edilme kriterlerini taşıyan ve çalışmaya katılmayı kabul
eden 29 hasta oluşturdu. Araştırmanın verileri, kişisel bilgi formu, Kessler Psikolojik Sıkıntı Ölçeği ve Çok
Boyutlu Algılanan Sosyal Destek Ölçeği kullanılarak toplandı. Veriler, yüzde dağılımları, ortalamalar, standart
sapma, ortanca değerler, Spearman korelasyon Analizi, Mann Whitney U testi ve Kruskal-Wallis H Testi
kullanılarak analiz edildi.
Bulgular: Katılımcıların yaş ortalaması 60,66±10,66 yıldı. Çalışmada kronik hemodiyaliz hastalarının psikolojik
sıkıntı düzeyleri (42,65±7,39) ve algılanan sosyal destek düzeyleri (57,06±22,24) yüksek olarak bulundu. Kessler
Psikolojik Sıkıntı Ölçeği toplamı ile Çok Boyutlu Algılanan Sosyal Destek Ölçeği toplam ve alt ölçek puanları
arasında negatif korelasyon vardı (p<0,05). Hastaların psikolojik sıkıntı düzeyleri cinsiyete göre anlamlı farklılık
oluştururken, algılanan sosyal destek düzeyleri ise medeni duruma göre anlamlı farklılık oluşturdu.
Sonuç: Kronik hemodiyaliz hastalarının sosyal destek düzeyleri azaldıkça psikolojik sıkıntılarının arttığı
saptanmıştır.

Keywords

Hemodiyaliz, psikolojik sıkıntı, sosyal destek

Psychological Distress and Perceived Social Support Levels of Patients with Chronic Hemodialysis

Abstract

Objective: Patients with chronic kidney failure receive hemodialysis treatment for survival. However, they
experience a change in their quality of life and suffer from mental symptoms and disorders. This study had the
objective of determining the psychological distress and perceived social support levels in patients undergoing
hemodialysis.
Method(s): This was a cross-sectional study conducted at the hemodialysis unit of a public hospital. The sample
consisted of 29 patients who met the inclusion criteria and agreed to participate. Data were collected using a
personal information form, the Kessler Psychological Distress Scale, and the Multidimensional Scale of Perceived
Social Support Scale. The data were analyzed using percentage distributions, means, standard deviation, median
values, Spearman correlation analysis, Mann-Whitney U test, and Kruskal-Wallis H Test.
Results: The mean age of the participants was 60.66±10.66 years. Participants had high psychological distress
levels (42.65±7.39) and perceived social support levels (57.06±22.24). There was a negative correlation between
the Kessler Psychological Distress Scale total and the Multidimensional Scale of Perceived Social Support Scale
total and subscale scores (p<0.05). While psychological distress levels of the patients created a significant
difference according to gender, perceived social support levels created a significant difference according to marital
status.
Conclusion: The lower the social support, the higher the psychological distress in patients undergoing
hemodialysis.

Keywords

psychological distress, social support, Hemodialysis

References

• Sanyaolu A, Okorie C, Annan R, et al. Epidemiology and management of chronic renal failure: A global public health problem. Biostatistics Epidemiol Int J. 2018;1(1):11-16. doi:10.30881/beij.00005
• Oktarina Y, Sulistiawan A. The self-efficacy in hemodialysis patients. In: Proceedings of the 2nd Sriwijaya International Conference of Public Health. Palembang, Indonesia; 2019.
• Kulikowski JD, Payne SC, Hategan A. Common psychiatric disorders in the renal patient. In: Hategan A, Bourgeois JA, Gangji AS, Woo TK. (eds) Psychonephrology. Springer, Cham; 2022. doi:10.1007/978-3-030-84740-1_10
• Zamanian H, Poorolajal J, Taheri-Kharameh Z. Relationship between stress coping strategies, psychological distress, and quality of life among hemodialysis patients. Perspect Psychiatr Care. 2018;54(3):410-415. doi:10.1111/ppc.12284
• Goh ZS. Griva K. Anxiety and depression in patients with end-stage renal disease: Impact and management challenges–a narrative review. Int J Nephrol Renovasc Dis. 2018;11-93. doi:10.2147/IJNRD.S126615
• Nadort E. Depression and anxiety in dialysis patients. Vrije Universiteit, PhD thesis. Amsterdam, The Netherlands. 2022.
• Uchino BN, Bowen K, Kent de Grey R, Mikel J, Fisher EB. Social support and physical health: models, mechanisms, and opportunities. In Fisher EB, Cameron LD, Christensen AJ, Ehlert U, Guo Y, Oldenburg B, Snoek FJ. (eds) Principles and Concepts of Behavioral Medicine: A Global Handbook. Springer, New York; 2018.
• Pan KC, Hung SY, Chen CI, Lu CY, Shih ML, Huang CY. Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis. PLoS One. 2019;14(4):e0216045. doi:10.1371/journal.pone.0216045
• Sarno L, Ratti MM, Spotti D, Delli Zotti GB, Rossi A. Social support, psychological distress and depression in hemodialysis patients. Psicologia della Salute. 2017;112-122.
• Hettiarachchi R, Abeysena C. Association of poor social support and financial insecurity with psychological distress of chronic kidney disease patients attending national nephrology unit in Sri Lanka. International Journal of Nephrology. 2018;1-6. doi:10.1155/2018/5678781
• Wang Q, Liu H, Ren Z, et al. Gender difference in the association of coping styles and social support with psychological distress among patients with end-stage renal disease. Peer J. 2020;8:e8713. doi:10.7717/peerj.8713
• Davaridolatabadi E, Abdeyazdan G. The relation between perceived social support and anxiety in patients under hemodialysis. Electronic physician. 2016;8(3), 2144–2149. doi: 10.19082/2144
• Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32:959-976. doi:10.1017/S0033291702006074
• Altun Y, Özen M, Kuloğlu, MM. Turkish adaptation of Kessler Psychological Distress Scale: Validity and reliability study. Anatolian Journal of Psychiatry. 2019;20(1):23-31. doi:10.5455/apd.12801
• Zimet GD, Dahlem NW, Zimet SG, Farley, GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30-41.
• Eker D, Arkar H, Yaldız H. Çok Boyutlu Algılanan Sosyal Destek Ölçeği'nin gözden geçirilmiş formunun faktör yapısı, geçerlik ve güvenirliği. Turk Psikiyatri Derg. 2001;12(1):17-25.
• Tulloch TG, King JP, Pellizzari JR, McNeely HE. Overview of psychotherapy principles for patients with kidney disease. In: Hategan A, Bourgeois JA, Gangji AS, Woo TK. (eds) Psychonephrology. Springer, Cham; 2022.
• Güner YO. Diyaliz hastalarında sosyal bütünleşme ihtiyacı. IBAD Journal of Social Sciences. 2019;(5):175-184. doi:10.21733/ibad.618596
• Hagita D, Bayhakki, Woferst R. Studi fenomenologi kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisis Di RSUD arifin achmad pekanbaru. JOM. 2015;2(2):1032-1040.
• Al-Ghabeesh SH, Rayan A, Hattab F, Jarrar Y. Mindfulness and psychological distress among hemodialysis patients. Psychol Health Med. 2022;27(4):917-924. doi:10.1080/13548506.2021.1960395
• Senanayake S, Gunawardena N, Palihawadana P, Suraweera C, Karunarathna R, Kumara P. Depression and psychological distress in patients with chronic renal failure: Prevalence and associated factors in a rural district in Sri Lanka. J Psychosom Res. 2018;112:25-31. doi:10.1016/j.jpsychores.2018.06.009
• Petrie KJ, Jones, ASK. Coping with chronic illness. Clinical Psychology. 2019;57:349-357. doi:10.1017/CBO9780511543579.011
• Deepak K, Annalakshmi N. Social support as predictors of resilience among single women. IAHRW International Journal of Social Sciences Review. 2021;9(4):349-359.
• Theodoritsi A, Aravantinou ME, Gravani V, Bourtsi E, Vasilopoulou C, Theofilou P. Factors associated with the social support of hemodialysis patients. Iranian Journal of Public Health. 2016;45(10):1261–1269.
• Kim B, Kim J. Influence of uncertainty, depression, and social support on self-care compliance in hemodialysis patients. Therapeutics and Clinical Risk Management. 2019;15: 1243–1251. doi: 10.2147/TCRM.S218934
• Karadag E, Ozlem U, Hatice M, Erunal M. The relationship between psychological resilience and social support levels in hemodialysis patients. Journal of Basic and Clinical Health Sciences. 2019; 3(1):9-15. doi: 10.30621/jbachs.2019.469
• Lilympaki I, Makri A, Vlantousi K, Koutelekos I, Babatsikou F, Polikandrioti M. Effect of perceived social support on the levels of anxiety and depression of hemodialysis patients. Materia Socio-Medica. 2016;28(5):361. doi:10.5455/msm.2016.28.361-365
• Gorji MAH, Mahdavi A, Janati Y, Illayi E, Yazdani J, Setareh J. Physiological and psychosocial stressors among hemodialysis patients in educational hospitals of northern Iran. Indian Journal of Palliative Care. 2013;19(3):166-169. doi: 10.4103/0973-1075.121533
• Gerogianni G, Lianos E, Kouzoupis A, Polikandrioti M, Grapsa E. The role of socio-demographic factors in depression and anxiety of patients on hemodialysis: an observational cross-sectional study. International Urology and Nephrology. 2018;50(1):143-154. doi: 10.1007/s11255-017-1738-0
• Vaingankar JA, Abdin E, Chong SA, Shafie S, Sambasivam R, Zhan YJ. The association of mental disorders with perceived social support, and the role of marital status: Results from a national cross-sectional survey. Archives of Public Health. 2020;78(1):1-11. doi:10.1186/s13690-020-00476-1