Hemodiyalize Giren Kronik Böbrek Hastalarının Yaşam Kalitelerinin Değerlendirilmesi

Öz

Bu çalışmada hemodiyalize giren kronik böbrek hastalarında yaşam kalitelerini değerlendirmeyi amaçladık. Araştırma tanımlayıcı tipte 2020-2021 yılları arasında yapıldı. Araştırmanın örneklemini, hemodiyalize giren 125 hasta birey oluşturdu. Araştırmada sosyo-demografik özellikler anket formu ve Yaşam Kalitesi (SF-36) ölçeği kullanıldı. Tüm veriler sayı, yüzde, ortalama ve regresyon analizi ile sunuldu ve istatistiksel anlamlılık düzeyi p<0,05 olarak kabul edildi. Araştırmaya katılan çoğu hasta altı yıldan daha kısa süredir hemodiyaliz tedavisi almakta ve çoğunluğu haftada üç gün dört saat hemodiyalize girmekteydi. Hastaların yaşam kalitesi fiziksel komponent özeti toplam puan ortalamaları 43,38±19,54 ve mental komponent özeti toplam puan ortalamaları ise 45,30±16,47 olarak belirlendi. Yapılan regresyon analizleri hastaların yaşam kalitesi fiziksel komponent ve mental komponentleri üzerinde cinsiyet, yaş, hastaneye yatış durumu, çalışma durumu ve anemi tedavisi görmenin istatistiksel açıdan önemli etkisi olduğunu ortaya koymaktadır (p<0,01). Hastaların, yaşam kalitesi alt bileşenleri olan fiziksel ve mental komponentleri genel olarak düşük bulundu. Hemodiyaliz hastalarının yaşam kaliteleri genel olarak fiziksel ve mental alanda düşüktür. Bu sonuçlar doğrultusunda, sağlık profesyonellerine hastaların yaşam kalitelerini artırmak için psiko-sosyal ve manevi destek sağlamaları önerilebilir.

Anahtar Kelimeler

• Kronik böbrek hastalığı
• hemodiyaliz
• sağlık profesyonelleri
• yaşam kalitesi

Hemodiyalize Giren Kronik Böbrek Hastalarının Yaşam Kalitelerinin Değerlendirilmesi

Öz

In this study, we aimed to evaluate the quality of life of patients with chronic kidney disease receiving hemodialysis. We performed this descriptive study between 2020 and 2021. We enrolled 125 patients receiving hemodialysis in the current study. A socio-demographic characteristics questionnaire and Quality of Life (SF-36) scale were used in the study. All data were presented as a number, percentage, mean and regression analysis and the statistical significance level was accepted as p<0.05. Most of the patients participating in the study have been receiving hemodialysis treatment for less than six years and were on hemodialysis for four hours, three days a week. The mean total score of the physical component summary of the quality of life of the patients was 43.38±19.54, and the mean total score of the mental component summary was determined as 45.30±16.47. The regression analyses revealed that gender, age, hospitalization status, employment status and anemia treatment had statistically significant effects on the physical and mental components of the patients' quality of life (p<0.01). Physical and mental health, which are subcomponents of quality of life, were frequently found to be low among the patients. In line with these results, health professionals can be recommended to provide psychosocial and spiritual support to patients to improve their quality of life.

Anahtar Kelimeler

• Chronic kidney disease
• hemodialysis
• health professionals
• quality of life

Kaynakça

1. [1] E.A. Al-Shdaifat, M.R. Manaf, “The economic burden of hemodialysis in Jordan,” Indian J. Med. Sci., vol. 67, no. 5, pp. 103–116, 2013, doi: 10.4103/0019-5359.122734.
2. [2] E.K. Tannor, B.R. Norman, K.K. Adusei, F.S. Sarfo, M.R. Davids, G. Bedu-Addo, “Quality of life among patients with moderate to advanced chronic kidney disease in Ghana - A single centre study,” BMC Nephrol., vol. 20, no. 1, pp. 1–10, 2019, doi: 10.1186/s12882-019-1316-z.
3. [3] B. Kefale, M. Alebachew, Y. Tadesse, E. Engidawork, “Quality of life and its predictors among patients with chronic kidney disease: A hospital-based cross sectional study,” PLoS One, vol. 14, no. 2, pp. 1–16, 2019, doi: 10.1371/journal.pone.0212184.
4. [4] U. Joshi, R. Subedi, P. Poudel, P.R. Ghimire, S. Panta, M.R. Sigdel, “Assessment of quality of life in patients undergoing hemodialysis using WHOQOL-BREF questionnaire: A multicenter study,” Int. J. Nephrol. Renovasc. Dis., vol. 10, pp. 195–203, 2017, doi: 10.2147/IJNRD.S136522.
5. [5] S. Palmer, M. Vecchio, J.C. Craig, M. Tonelli, D. W. Johnson, A. Nicolucci, F. Pellegrini, V. Saglimbene, G. Logroscino, S. Fishbane, G. F. Strippoli, “Prevalence of depression in chronic kidney disease: systematic review and meta-analysis of observational studies,” Kidney International, vol. 84, no. 1, pp. 179-191, 2013, doi: 10.1038/ki.2013.77.
6. [6] E. Varol, S. Karaca Sivrikaya, “Kronik böbrek yetmezliğinde yaşam kalitesi ve hemşirelik,” Düzce Üniversitesi Sağlık Bilim. Enstitüsü Derg., vol. 8, no. 2, pp. 89–96, 2018.
7. [7] K. Visweswaran, M. Shaffi, P. Mathew, M. Abraham, J. Lordson, P. Rajeev, R. Thomas, R. Aravindakshan, G. Jayadaven, K.R. Nayar, M. Pillai, “Quality of life of end stage renal disease patients undergoing dialysis in southern part of Kerala, India: Financial stability and inter-dialysis weight gain as key determinants,” J. Epidemiol. Glob. Health, vol. 10, no. 4, pp. 344–350, 2020, doi: 10.2991/jegh.k.200716.001.
8. [8] S. Kim, Y. Nigatu, T. Araya, Z. Assefa, N. Dereje, “Health related quality of life (HRQOL) of patients with End Stage Kidney Disease (ESKD) on hemodialysis in Addis Ababa, Ethiopia: a cross-sectional study,” BMC Nephrol., vol. 22, no. 1, pp. 1–6, 2021, doi: 10.1186/s12882-021-02494-9.

9. [9] E. Topbaş, “Kronik böbrek hastalığının önemi, evreleri ve evrelere özgü bakımı,” Nefroloji Hemşireliği Derg., vol. 10, no.1 , pp. 53–59, 2015.
10. [10] S. Mansouri, A. Jalali, M. Rahmati, N. Salari, “Educational supportive group therapy and the quality of life of hemodialysis patients,” Biopsychosoc. Med., vol. 14, no. 1, pp. 1–10, 2020, doi: 10.1186/s13030-020-00200-z.
11. [11] H. Koçyiğit, Ö. Aydemir, N. Ölmez, A. Memiş, “Kısa form-36 (KF36)’nın Türkçe versiyonunun güvenirliliği ve geçerliliği,” İlaç ve Tedavi Dergisi., vol.12, no:2, pp. 102-116, 1999.
12. [12] S.H. Zyoud, D.N. Daraghmeh, D.O.Mezyed, R.L. Khdeir, M.N. Sawafta, N.A. Ayaseh, G.H. Tabeeb, W.M. Sweileh, R. Awang, S.W. Al-Jabi, “Factors affecting quality of life in patients on haemodialysis: A cross-sectional study from Palestine,” BMC Nephrol., vol. 17, no. 1, pp. 1–12, 2016, doi: 10.1186/s12882-016-0257-z.
13. [13] A. Yonata, N. Islamy, A. Taruna, L. Pura, “Factors Affecting Quality of Life in Hemodialysis Patients,” Int. J. Gen. Med., vol. 15, no. September, pp. 7173–7178, 2022, doi: 10.2147/IJGM.S375994.
14. [14] N. Aini, L. Setyowati, E.W. Mashfufa, M. Setyawati, O.F.D. Marta, “Gender differences in determinant of quality of life among patients undergoing hemodialysis,” Malaysian J. Med. Heal. Sci., vol. 18, pp. 89–95, 2022, doi: 10.47836//mjmhs18.4.13.
15. [15] D.E. Cohen, A. Lee, S. Sibbel, D. Benner, S. M. Brunelli, F. Tentori, “Correction to: Use of the KDQOL-36TM for assessment of health-related quality of life among dialysis patients in the United States (BMC Nephrology,” BMC Nephrol., vol. 20, no. 1, pp. 1–9, 2019, doi: 10.1186/s12882-019-1630-5.
16. [16] S. M. Jalal, M.R.M. Beth, Z.M. Bo Khamseen, “Impact of hospitalization on the quality of life of patients with chronic kidney disease in Saudi Arabia,” Int. J. Environ. Res. Public Health, vol. 19, no. 15, pp.9718, 2022, doi: 10.3390/ijerph19159718.
17. [17] S. Sethi, A. Menon, H.P.S. Dhooria, V. Makkar, G.S. Dhooria, R. Chaudhary, “Evaluation of health-related quality of life in adult patients on hemodialysis,” Int J Appl Basic Med Res, vol.11, no.15, pp.221-225, 2021, doi: 10.4103/ijabmr.ijabmr_237_21.
18. [18] K. Gerasimoula, L. Lefkothea, L. Maria, A. Victoria, T. Paraskevi, P. Maria, “Quality of life in hemodialysis patients,”Mater Sociomed, vol.27, no. 5, pp. 305–309, 2015, doi: 10.5455/msm.2015.27.305-309.
19. [19] M. Anees, M. R. Malik, T. Abbasi, Z. Nasir, Y. Hussain and M. Ibrahim, “Demographic factors affecting quality of life of hemodialysis patients – Lahore, Pakistan,” Pak J Med Sci, vol.30, no. 5, pp. 1123–1127, 2014, doi: 10.12669/pjms.305.5239.
20. [20] I. Floria, I. Kontele, M.G. Grammatikopoulou, T.N. Sergentanis, T. Vassilakou, “Quality of life of hemodialysis patients in Greece: Associations with socio-economic, anthropometric and nutritional factors,” Int. J. Environ. Res. Public Health, vol. 19, no. 22, pp. 15389. 2022, doi: 10.3390/ijerph192215389.
21. [21] H. Barzegar, H. Jafari, J. Y. Charati, R. Esmaeili, “Relationship between duration of dialysis and quality of life in hemodialysis patients,” Iran. J. Psychiatry Behav. Sci., vol. 11, no. 4, 2017, pp. e6409, doi: 10.5812/ijpbs.6409.
22. [22] L. A. Gemmell, L. Terhorst, M. Jhamb, M. Unruh, L. Myaskovsky, L. Kester, J.L. Steel, “Gender and racial differences in stress, coping, and health-related quality of life in chronic kidney disease,” J Pain Symptom Manage, vol. 52, no. 6, pp. 806–812, 2016, doi: 10.1016/j.jpainsymman.2016.05.029.
23. [23] B.Ene-Iordache, N. Perico, B. Bikbov, S. Carminati,A. Remuzzi, A. Perna, N. Islam, R.F Bravo, M. Aleckovic-Halilovic, H. Zou, L.Zhang, Z. Gouda, I. Tchokhonelidze, G. Abraham, M. Mahdavi-Mazdeh, M. Gallieni, I. Codreanu,A. Togtokh, S. K. Sharma, P. Koirala, S. Uprety, I. Ulasi, G. Remuzzi, “Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): a crosssectional study,” Lancet Glob Health, vol. 4, no. 5, e307–e319,2016, doi: 10.1016/S2214-109X(16)00071-1.