The Relationship Between Quality of Life and Nutritional Status in Hemodialysis Patients

Abstract

Purpose: Malnutrition in hemodialysis patients may negatively affect the quality of life and worsen the prognosis of the disease. This study aimed to evaluate the relationship between malnutrition and quality of life in hemodialysis patients. Materials and Methods: This study was conducted at the Hemodialysis Unit of Ankara Training and Research Hospital, involv-ing 41 patients. The hospital's automation system obtained routine blood biochemical parameters. The questionnaire, which collected general information about the participants, included the Malnutrition-Inflammation Score (MIS) to assess malnutrition and the Quality of Life Scale SF-36 (SF-36) to evaluate quality of life. Results: The mean MIS of hemodialysis patients was 8.3±2.9, and the MIS of male patients (9.0±2.9) was statistically higher than the MIS of female patients (7.1±2.6) (p=0.042). The mean SF-36 score of hemodialysis patients was 48.3±17.3, and there was no signifcant difference according to gender (p>0.05). There was no significant difference between total quality of life, physical health summary score, and mental health summary score according to MIS categories (p>0.05), but physical function score was statistically higher in those with low MIS (68.9±24.0; 45.9±33.5 p=0.018). A significant negative correlation was found between social function and MIS (r=-0.368, p=0.018). There is a negative correlation between Body Mass Index, mid-upper arm circum-ference, calf circumference, and MIS (r=-0.558, p<0.000; r=-0.650, p<0.000; r=-0.390, p=0.012). Conclusions: In hemodialysis patients, the MIS can be assessed as an indicator of physical and social functioning in particular. Improving the nutritional status of hemodialysis patients may contribute to a significant improvement in quality of life.

Keywords

• endstage renal disease
• hemodialysis patients
• malnutrition
• malnutrition-inflammation score
• quality of life

Hemodiyaliz Hastalarında Yaşam Kalitesi ve Beslenme Durumu Arasındaki İlişki

Abstract

Amaç: Hemodiyaliz hastalarında malnütrisyon, yaşam kalitesini olumsuz etkileyerek hastalığın prognozunu kötüleştirebilir. Bu çalışmada hemodiyaliz hastalarında malnütrisyon ile yaşam kalitesi arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. Araçlar ve Yöntem: Bu kesitsel ve tanımlayıcı çalışma, Temmuz - Ekim 2019 tarihleri arasında Ankara Eğitim ve Araştırma Hastanesi Hemodiyaliz Ünitesinde, en az altı aydır haftada iki veya üç kez diyalize giren 41 hasta üzerinde yürütülmüştür. He-modiyaliz hastalarının rutin kan biyokimyasal parametreleri hastane otomasyon sisteminden temin edilmiştir. Bireylerin genel bilgilerini sorgulayan anket, yetersiz beslenmeyi belirlemek için Malnütrisyon-İnflamasyon Skoru (MIS), yaşam kalitesini belir-lemek için Yaşam Kalitesi Ölçeği SF-36 (SF-36) araştırmacı tarafından uygulanmış ve antropometrik ölçümler standartlara uygun olarak alınmıştır. İstatistiksel analiz SPSS 21.0 kullanılarak yapılmış ve istatistiksel anlamlılık p<0.05 olarak belirlenmiştir. Bulgular: Hemodiyaliz hastalarının MIS ortalaması 8.3±2.9 olup, erkek hastaların MIS'i (9.0±2.9) kadın hastaların MIS'inden (7.1±2.6) istatistiksel olarak daha yüksektir (p=0.042). Hemodiyaliz hastalarının ortalama SF-36 skoru 48.3±17.3'dir ve cinsiyete göre anlamlı fark yoktur (p>0.05). MIS kategorilerine göre toplam yaşam kalitesi, fiziksel sağlık özet puanı ve mental sağlık özet puanı arasında anlamlı fark yoktur (p>0.05), ancak MIS düşük olanlarda fiziksel fonksiyon puanı istatistiksel olarak daha yüksektir (68.9±24.0; 45.9±33.5 p=0.018). Sosyal işlev ile MIS arasında anlamlı bir negatif korelasyon bulunmuştur (r=-0.368, p=0.018). Beden kütle İndeksi, üst orta kol çevresi, baldır çevresi ve MIS arasında negatif korelasyon vardır (r=-0.558, p<0.000; r=-0.650, p<0.000; r=-0.390, p=0.012). Sonuç: Hemodiyaliz hastalarında, Malnütrisyon-İnflamasyon Skoru, özellikle fiziksel ve sosyal işlevin bir göstergesi olarak değerlendirilebilir. Hemodiyaliz hastalarının beslenme durumunun iyileştirilmesi, yaşam kalitesinin önemli ölçüde gelişmesine katkı sağlayabilir.

Keywords

• hemodiyaliz hastaları
• malnutrisyon
• malnutrisyon-inflamasyon skoru
• son dönem böbrek yetmezliği
• yaşam kalitesi

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