DETERMINATION OF QUALITY OF LIFE IN PATIENTS ON HEMODIALYSIS AND EVALUATION OF RELATED FACTORS

Öz

Objective: To determine the quality of life in hemodialysis patients and to evaluate the associated factors. Method: This study was conducted with 74 hemodialysis patients (male: 29, female: 45). Individuals' sociodemographic characteristics, disease information, eating habits, frequency of food consumption, and quality of life were questioned using a questionnaire form, and anthropometric measurements were taken. The Kidney Disease Quality of Life Instrument (KDQOL-36,1.3) was used to evaluate the quality of life. Results: The mean score of KDQOL-36,1.3 was 57.07±18.98. Hemodialysis patients aged <65 years (62.41±16.43) had a higher quality of life than those aged ≥65 (51.44±20.06). Patients who had cardiovascular disease or hypertension had a lower quality of life than those who did not (respectively p=0.016, p=0.012). Patients who exercise (63.56±17.21) had a higher quality of life than those who did not exercise (49.84±18.44) (p=0.001). The KDQOL-36,1.3 score of those who skip the mid-morning meal was 59.42±18.52, which was higher than those who did not skip (p=0.034). There was a weak positive correlation between waist-hip ratio and KDQOL-36.1.3 score (r=0.280, p=0.016). Conclusion: It was determined that hemodialysis patients had a moderate quality of life. Quality of life was associated with age, chronic disease, exercising and skipping the mid-morning meal. The determination of a weak positive relationship with the waist-hip ratio showed the importance of anthropometric measurement follow-up in this patient group.

Anahtar Kelimeler

• Hemodialysis
• Quality of Life
• Nutritional Status

HEMODİYALİZE GİREN HASTALARDA YAŞAM KALİTESİNİN SAPTANMASI VE İLİŞKİLİ FAKTÖRLERİN DEĞERLENDİRİLMESİ

Öz

Amaç: Bu araştırmanın amacı, hemodiyalize giren hastalarda yaşam kalitesinin saptanması ve ilişkili faktörlerin değerlendirilmesiydi. Yöntem: Bu araştırma, hemodiyalize giren 74 hasta (erkek: 29, kadın: 45) ile yürütüldü. Bireylerin sosyodemografik özellikleri, hastalık bilgileri, beslenme alışkanlıkları, besin tüketim sıklıkları ve yaşam kaliteleri anket formu ile sorgulandı ve antropometrik ölçümleri alındı. Yaşam kalitesinin değerlendirilmesinde böbrek hastalığı yaşam kalitesi formu (KDQOL-36,1.3) kullanıldı. Bulgular: KDQOL-36,1.3 toplam puan ortalaması 57.07±18.98’di. Yaşı 65’ten küçük olanların yaşam kalitesi (62.41±16.43), ≥65 olanlara göre (51.44±20.06) daha yüksekti (p=0.012). Kardiyovasküler hastalığı ve hipertansiyonu olan bireylerin yaşam kaliteleri, olmayanlardan daha düşüktü (sırasıyla p=0.016, p=0.012). Egzersiz yapan bireylerin yaşam kalitesi (63.56±17.21) egzersiz yapmayanlardan (49.84±18.44) daha yüksekti (p=0.001). Kuşluk öğününü atlayanların KDQOL-36,1.3 puanları 59.42±18.52 olup, atlamayanlara göre daha yüksekti (p=0.034). Bel-kalça oranı ile KDQOL-36,1.3 puanı arasında pozitif yönlü zayıf bir ilişki bulunmaktaydı (r=0.280, p=0.016). Sonuç: Bu çalışmada, hemodiyalize giren hastaların orta düzeyde bir yaşam kalitesine sahip oldukları belirlendi. Yaşam kalitesinin yaş, kronik hastalık varlığı, egzersiz yapma ve kuşluk öğününü atlama durumu ile ilişkili olduğu saptandı. Bel-kalça oranı ile pozitif yönlü zayıf ilişki belirlenmesi, bu hasta grubunda antropometrik ölçüm takibinin önemini gösterdi

Anahtar Kelimeler

• Hemodiyaliz
• Yaşam Kalitesi
• Beslenme Durumu

Teşekkür

Hemodiyaliz hastalarının erişimine katkılarından dolayı Diyetisyen Ayşenur ÇANKAYA’ya teşekkür ederiz.

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