Hemodiyaliz Tedavisi Gören Hastalarda Kserostomi Düzeyinin Değerlendirilmesi/Assessment of Xerostomia Levels in Patients Undergoing Hemodialysis Treatment

Öz

Amaç: Bu çalışmanın amacı, hemodiyaliz hastalarında kserostomiyi nefroloji hemşireliği bakış açısıyla değerlendirmek ve subjektif kserostomi semptomları ile objektif oral kuruluk göstergeleri arasındaki ilişkiyi incelemektir.
Gereç ve Yöntem: Tanımlayıcı ve kesitsel nitelikteki bu çalışmanın örneklemini, Sabuncuoğlu Şerefeddin Eğitim ve Araştırma Hastanesi Hemodiyaliz Biriminde tedavi gören 40 hemodiyaliz hastası oluşturmuştur. Veriler, yüz yüze görüşme yöntemiyle “Kişisel Bilgi Formu” ve 11 maddeden oluşan “Ağız Kuruluğu Subjektif Değerlendirme Formu” kullanılarak toplanmıştır. Tükürük pH'sı, pH indikatörü ile, objektif oral kuruluk ise Modifiye Schirmer Testi kullanılarak değerlendirilmiştir. Tükürük akış hızı doğrudan ölçülmemiştir.
Bulgular: Kserostomi semptom skoru 24,05±12,60 (olası puan aralığı: 0-110) olarak bulunmuş ve en sık bildirilen yakınma susuzluk olmuştur. Hemodiyaliz öncesi ve sonrası objektif oral kuruluk skorları arasında anlamlı bir fark saptanmamıştır. Tükürük pH değerlerinin fizyolojik sınırlar içinde olduğu belirlenmiştir. Kserostomi semptom skorları ile demografik özellikler, ilaç kullanımı, tükürük pH ve klinik ağız sağlığı göstergeleri arasında anlamlı bir ilişki bulunmamıştır. Kserostomi semptom skorları ile Modifiye Schirmer Testi kullanılarak değerlendirilen objektif oral kuruluk ölçümleri arasında anlamlı bir korelasyon saptanmamıştır.
Sonuç: Kserostomi semptomları ile Modifiye Schirmer Testi ile değerlendirilen objektif oral kuruluk göstergeleri arasında anlamlı korelasyon saptanmaması, bu göstergelerin her zaman paralellik göstermeyebileceğini düşündürmektedir. Bu nedenle hemodiyaliz hastalarında ağız kuruluğunun değerlendirilmesinde subjektif semptomların objektif bulgularla birlikte ele alınması ve rutin hemşirelik değerlendirmesine entegre edilmesi, bireysel gereksinimlerin erken belirlenmesini ve hedefe yönelik destekleyici bakımın planlanmasını sağlayabilir.

Anahtar Kelimeler

• Ağız Sağlığı
• Ağız Kuruluğu
• Hemodiyaliz
• Hiposalivasyon
• Kserostomi

Etik Beyan

Ethical approval was obtained from the Amasya University Non-Interventional Research Ethics Committee (no: E-30640013-050.04-231088) on 10 December 2024.

Assessment of Xerostomia Levels in Patients Undergoing Hemodialysis Treatment/Hemodiyaliz Tedavisi Gören Hastalarda Kserostomi Düzeyinin Değerlendirilmesi

Öz

Aim: The aim of this study was to evaluate xerostomia in patients undergoing haemodialysis from a nephrology nursing perspective and to examine the association between subjective xerostomia symptoms and objective indicators of oral dryness.
Materials and Methods: This descriptive, cross-sectional study included 40 patients undergoing haemodialysis at the Haemodialysis Unit of Sabuncuoğlu Şerefeddin Training and Research Hospital. Data were collected through face-to-face interviews using a Personal Information Form and the 11-item Subjective Oral Dryness Assessment Form. Salivary pH was assessed using a pH indicator, while objective oral dryness was evaluated using the Modified Schirmer Test. Salivary flow rate was not directly measured.
Results: The mean xerostomia symptom score was 24.05±12.60 (possible score range: 0-110), with thirst being the most frequently reported symptom. No statistically significant difference was observed between pre- and post-haemodialysis objective oral dryness scores. Salivary pH values were within the physiological range. No statistically significant associations were found between xerostomia symptom scores and demographic characteristics, medication use, salivary pH, or clinical oral health indicators. Furthermore, no significant correlation was identified between xerostomia symptom scores and objective oral dryness measurements obtained using the Modified Schirmer Test.
Conclusion: The absence of a significant correlation between xerostomia symptoms and objective oral dryness assessed using the Modified Schirmer Test suggests that subjective and objective indicators of oral dryness may not always correspond. Therefore, integrating the assessment of subjective symptoms with objective findings into routine nursing assessment may facilitate the early identification of individual needs and support the planning of targeted, individualised supportive care for patients undergoing haemodialysis

Anahtar Kelimeler

• Hemodialysis
• Hyposalivation
• Mouth Dryness
• Oral Health
• Xerostomia

Etik Beyan

Ethical approval was obtained from the Amasya University Non-Interventional Research Ethics Committee (no: E-30640013-050.04-231088) on 10 December 2024.

Teşekkür

We extend our gratitude to the patients who participated in the study.

Kaynakça

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