Hemodiyaliz Hastalarında Görülen Semptom Kümelerinin Cinsel İşlev ile İlişkisi

Yıl 2020, , 79 - 88, 31.05.2020

Seçil Taylan , İlknur Özkan

https://doi.org/10.47565/ndthdt.2020.9

Öz

Amaç: Bu çalışma, hemodiyaliz hastalarında görülen semptom kümelerinin cinsel
işlev ile ilişkisini değerlendirmek amacıyla yapılmıştır.
Gereç ve Yöntem: Aynı ildeki iki devlet hastanesinin diyaliz merkezlerinde
hemodiyaliz tedavisi alan 116 hasta ile yapılan çalışma, tanımlayıcı-ilişkisel
tiptedir. Araştırmanın verileri, Tanıtıcı Bilgi Formu, Diyaliz Semptom İndeksi ve
Arizona Cinsel Yaşantılar Ölçeği ile elde edilmiştir. Hemodiyaliz hastalarının
cinsel işlev bozukluğunu etkileyen belirleyicilerin ilişkisini değerlendirmek için
tanımlayıcı istatistikler, faktör analizi ve Lineer regresyon analizi yapılmıştır.
Bulgular: Hastaların %95’inde cinsel işlev bozukluğu olduğu belirlenmiştir.
Hastalarda görülen semptom kümelerinin belirlenmesi için yapılan faktör
analizinde semptomlar sekiz küme altında toplanmıştır. İkinci semptom kümesi
(uykuya dalmada zorluk, uykuyu sürdürmede zorlanma, rahatsız hissetme, nefes
darlığı) semptomlarını yaşama ve hala sigara kullanma ile cinsel işlev
yetersizliğinin ilişkisi olduğu belirlenmiştir.
Sonuç: Hastaların tamamına yakınında cinsel işlev bozukluğu olduğu ve semptom
yönetiminde destekleyici yöntemlere gereksinimleri olduğu belirlenmiştir. Ayrıca,
uykusuzluk, nefes darlığı, rahatsızlık hissi semptomlarının cinsel işlev bozukluğu
ile ilişkili olduğu sonucuna ulaşılmıştır.

Anahtar Kelimeler

Hemodiyaliz, Cinsel İşlev Bozukluğu, Semptom Kümesi

Relationship Between Symptom Clusters and Sexual Function in Hemodialysis Patients

Öz

Objective: This study was conducted to evaluate the relationship between
symptom clusters and sexual function seen in hemodialysis patients.
Material and Method: The study conducted with 117 patients who received
hemodialysis treatment in the dialysis center of two state hospitals is descriptive-
relational. The data of the study were obtained through the Descriptive
Characteristic Form, Dialysis Symptom Index, and Arizona Sexual Experience
Scale (ACYÖ). Descriptive statistics, factor analysis, and Linear regression
analysis were performed to evaluate the relationship of the determinants affecting
sexual dysfunction in hemodialysis patients.
Results: It was determined that 95.1% of the patients had sexual dysfunction. In
the factor analysis performed to determine the symptom clusters seen in the
patients, the symptoms were collected under 8 clusters. II. It has been determined
that there is a relationship between the symptoms cluster (difficulty falling asleep,
difficulty in maintaining sleep, feeling uncomfortable, shortness of breath) and
still smoking and sexual dysfunction
Conclusion: It was determined that almost all of the patients had sexual
dysfunction and they needed supportive methods in symptom management. Also,
it was concluded that the symptoms of insomnia, shortness of breath, discomfort
are associated with sexual dysfunction.

Anahtar Kelimeler

Hemodialysis, Symptom, Symptom Cluster, Sexual Dysfunction

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