PREDİYALİZ KRONİK BÖBREK HASTALARINDA KESİTSEL BİR ÇALIŞMA: YAŞAM KALİTESİ VE ETKİLEYEN FAKTÖRLER

Öz

AMAÇ: Kronik Böbrek Hastalığı (KBH) insidansı ve prevalansı tüm dünyada artmaktadır. KBH’da sıklıkla komplikasyonlar fazladır ve kötü yaşam kalitesi ile birliktedir. Bu çalışmanın amacı Kısa form-36 (SF-36) ölçeği ile KBH’da yaşam kalitesinin değerlendirilmesi ve böbrek fonksiyonları, yaş, cinsiyet, eğitim düzeyi, sosyo ekonomik durum, hemoglobin, albumin, HBA1c, 25OHvitamin D düzeyinin yaşam kalitesi üzerindeki etkisinin araştırılmasıdır.

GEREÇ VE YÖNTEM: Bu kesitsel çalışma Antalya Eğitim ve Araştırma Hastanesinde takipli 211 KBH tanılı hastada (ortalama yaş 56 ± 13 yıl), Ocak-Haziran 2016 tarihleri arasında yapıldı. Hastaların yaşam kalitesini saptamak için SF-36 ölçeği kullanıldı ve laboratuvar testleri, klinik ve demografik verileri kayıt edildi.

BULGULAR: KBH-EPI formülü kullanılarak hastalar KBH evrelerine ayrıldı. Hastaların %59,2’si Evre 1-3, %40,8’i Evre 4-5 olarak saptandı. Evre 4-5 hastalarda fiziksel rol güçlüğü skoru daha düşük saptandı. Yaşın yaşam kalitesini negatif etkilediği görüldü. Hemoglobin, albumin ve 25 OH vitamin D düzeylerindeki artışın fiziksel fonksiyon ve fiziksel rol güçlüğü skorlarında artışla birlikte olduğu saptandı. Artmış HbA1C düzeylerinin kötü fiziksel fonksiyon skoruyla ilişkili olduğu görüldü. Eğitim düzeyi ,sosyo ekonomik durum ile yaşam kalitesi arasında ilişki saptandı.

SONUÇ: KBH tanılı hastada böbrek fonksiyonları, yaş, cinsiyet, eğitim düzeyi ve sosyoekonomik durum yaşam kalitesini etkilemektedir. KBH’da yaşam kalitesini artırmak için; hemoglobin, albumin, HbA1c ve 25 OH vitamin D düzeyleri gibi değiştirebileceğimiz faktörleri iyileştirmeliyiz.

Anahtar Kelimeler

• Kronik Böbrek Hastalığı,SF-36,yaşam kalitesi

A CROSS-SECTIONAL STUDY IN PATIENTS WITH PRE-DIALYSIS CHRONIC KIDNEY DISEASE: QUALITY OF LIFE AND RELATED FACTORS

Öz

OBJECTIVE: The incidence and prevalence of patients with chronic kidney disease (CKD) is increasing worldwide. It is often associated with a high prevalence of complications and worse quality of life. The main objective of this study is to evaluate quality of life (QOL) using the generic instrument short form-36 (SF-36) in patients with CKD and identify the possible influence of the degree of renal function, age, gender, education level, socioeconomic status, hemoglobin, albumin, HbA1c and 25 hydroxy vitamin D level on QOL.

MATERIALS AND METHODS: For this cross-sectional study, we included 211 CKD patients ( median age 56 ± 13 years) admitted to the outpatient clinic of Antalya Research and Training Hospital Nephrology Unit between January and June 2016. Participants completed the short form-36 health survey (SF-36). Laboratory tests and clinical and demographic data were obtained.

RESULTS: The patients were classified into CKD stages according to the CKD-EPI equation: 59,2% were in CKD Stage 1-3 and 40,8% were in Stage 4-5. The patients in Stage 4-5 had lower scores in physical aspects. Age influence QOL negatively. CKD patients with higher hemoglobin, albumin and 25 hydroxy vitamin D levels has better functional capacity and physical aspects. High HbA1c levels significantly associated with bad functional capacity. Education level and socioeconomic status is associated with QOL.

CONCLUSIONS: Renal function, age, gender, education level and socioeconomic status influenced QOL. To imrove QOL in CKD patients we need to focus on factors that can be changed, such as improving the hemoglobin, albumin, HbA1c and 25 hydroxy vitamin D levels. 

Anahtar Kelimeler

• Chronic Kidney Disease,SF-36,,quality of life

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