Diyalize Girmeyen Kronik Böbrek Hastalarında Miyojenik Temporomandibular Hastalıkların Depresyon Ve Sağlıkla İlgili Yaşam Kalitesi İle İlişkisi

Yıl 2021, Cilt: 7 Sayı: 3, 407 - 414, 01.09.2021

Fatih Yılmaz Sevcihan Günen Yılmaz Hasan Sözel

https://doi.org/10.53394/akd.980743

Öz

Giriş/Amaç:Bu çalışmada diyalize girmeyen kronik böbrek hastalarında(NDCKD) miyojenik temporomandibular hastalıklar(mTMH) ile depresyon ve yaşam kalitesi arasındaki ilişkinin araştırılması amaçlanmıştır.
Gereç ve Yöntemler:Bu çalışma 214 diyalize girmeyen kronik böbrek hastasını içermekteydi. Miyojenik temporomandibular hastalık(mTMH) tanısı Fonseca Anamnestic Index'e (FAI) göre konuldu. Sağlıkla ilişkili yaşam kalitesi (HRQOL) kısa form-36 (SF-36) kullanılarak belirlendi. Depresyon, Beck Depresyon Envanteri (BDI) kullanılarak değerlendirildi.
Bulgular:İkiyüz ondört hastanın % 40.6'sına miyojenik TMH tanısı konuldu. Evre 3,4 ve 5 NDCKD hastalarında mTMH prevalansı sırasıyla % 33.6, % 46.8 ve % 57.1 idi. Hastaların % 32,2'si depresyon tanısı aldı. NDCKD evre 3,4 ve 5'te depresyon prevalansı sırasıyla % 27.8, % 32.8 ve % 50 idi. Depresyon mTMH olan hastaların % 42.5'inde ve TMH 'si olmayanların % 25.1'inde saptandı (p=0.004). mTMH şiddeti, BDI skoru ve C-reaktif protein ile pozitif olarak ve SF-36'nın albümin, Fiziksel Bileşen Özet Skoru ve Mental Bileşen Özet skorları ile negatif olarak ilişkiliydi. SF-36 skoru, FAI ve BDI skorları ile istatistiksel olarak anlamlı negatif bir korelasyon gösterdi (p <0.05).
Sonuç:Miyojenik TMH, diyalize girmeyen kronik böbrek hastaları arasında çok yaygındır ve depresyon ve sağlıkla ilgili yaşam kalitesi ile ilişkilidir.

Anahtar Kelimeler

Kronik böbrek hastalığı, Temporomandibular hastalıklar, Depresyon, Yaşam kalitesi

The Relationship Of Myogenic Temporomandibular Disorders With Depression And Health-Related Quality Of Life In Non-Dialysis Chronic Kidney Disease

Öz

Objective:In this study it was aimed to investigate the relationship between myogenic temporomandibular disorders (mTMD) and depression and quality of life in non-dialysis chronic kidney disease (NDCKD).
Methods:This study included 214 with NDCKD patients. The diagnosis of mTMD was based on the Fonseca Anamnestic Index (FAI). Health-related quality of life (HRQOL) was determined using the Short Form-36 (SF-36). Depression was assessed using the Beck Depression Inventory (BDI).
Results:40.6% of 214 patients were diagnosed with mTMD. mTMD prevalence in stage-3, -4, and -5 NDCKD patients were 33.6%, 46.8%, and 57.1% respectively. 32.2% of the patients were diagnosed with depression. The prevalence of depression in NDCKD stage-3, -4 and 5 was 27.8%, 32.8% and 50%, respectively. Depression was detected in 42.5% of the patients presenting with mTMD and 25.1% with no TMD (p=0.004). mTMD severity was positively associated with the BDI score and C-reactive protein, and negatively with albumin, the Physical Component Summary Score, and Mental Component Summary scores of SF-36. SF-36 score showed a statistically significant negative correlation with FAI and BDI scores (p <0.05).
Conclusion:Myogenic TMD is very common among patients with NDCKD patients and is related to depression and HRQOL.

Anahtar Kelimeler

Chronic kidney disease, Temporomandibular disorders, Depression, Quality of life

Kaynakça

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