The Relationship Between Dialysis Symptoms and Psychiatric Symptoms in Individuals Receiving Hemodialysis Treatment

Öz

ABSTRACT Purpose: This study was carried out descriptively in order to determine the effect of hemodialysis symptoms on psychiatric symptoms in individuals with hemodialysis (HD) treatment. Material and Methods: The research was conducted with 104 patients who were scanned in the dialysis service of a public hospital. Personal Information Form, Dialysis Symptom Index (DSI), Brief Symptom Inventory (BSI) were used for data acquisition. The data were analyzed via IBM SPSS 22 software. Results: Patients mean DSI score (63.086±22.65), BSI total score (57.115±27.67), BSI subscale scores Anxiety (10.903±7.84), Depression (19.452±9.86), Negative self (8.990±6.40), Somatization (10.144±5.44) was found as hostility (7.625±4.32). A positive and significant correlation was determined between the patients DSI score and BSI total score and their subscales Anxiety, Depression, Negative Self, Somatization and Hostility (p<0.05). Conclusion: As a result of the study, it was determined that as the dialysis symptoms of individuals receiving HD treatment increased, their psychiatric symptoms increased. The nurse can contribute to the development of the patient's coping skills by evaluating the physiological and psychiatric symptoms of the disease and making plans accordingly.

Anahtar Kelimeler

• Hemodialysis
• Dialysis Symptoms
• Psychiatric Symptoms

Hemodiyaliz Tedavisi Alan Bireylerde Diyaliz Belirtileri ile Psikiyatrik Belirtiler Arasındaki İlişki

Öz

Amaç: Bu araştırma, hemodiyaliz (HD) tedavisi gören bireylerde hemodiyaliz semptomlarının psikiyatrik semptomlara etkisini belirlemek amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntemler: Araştırma bir kamu hastanesinin diyaliz servisinde taranan 104 hasta ile yapılmıştır. Veri toplama için Kişisel Bilgi Formu, Diyaliz Belirti İndeksi (DSİ), Kısa Belirti Envanteri (KSİ) kullanıldı. Veriler IBM SPSS 22 yazılımı ile analiz edildi. Bulgular: Hastaların ortalama DSİ puanı (63.086±22.65), KKE toplam puanı (57.115±27.67), KSE alt ölçek puanları Anksiyete (10.903±7.84), Depresyon (19.452±9.86), Olumsuz benlik (8.990±6.40), Somatizasyon (10.144±) 5.44) düşmanlık (7.625±4.32) olarak bulundu. Hastaların DSİ puanı ile KSE toplam puanı ile Anksiyete, Depresyon, Olumsuz Benlik, Somatizasyon ve Düşmanlık alt ölçekleri arasında pozitif ve anlamlı bir ilişki saptandı (p<0.05). Sonuç: Araştırma sonucunda HD tedavisi alan bireylerin diyaliz belirtileri arttıkça psikiyatrik belirtilerinin arttığı belirlendi. Hemşire, hastalığın fizyolojik ve psikiyatrik belirtilerini değerlendirerek ve buna göre planlar yaparak hastanın baş etme becerilerinin gelişmesine katkıda bulunabilir.

Anahtar Kelimeler

• Hemodiyaliz
• Diyaliz semptompları
• Piskiyatrik Semptomlar

Kaynakça

1. REFERENCES Abdelkader, K., Unruh, M.L., Weisbord, S.D. (2009). Symptom burden, depression and quality of life in cronic end-stage renal disease. Cilnical Journal of American Society of Nefrology, 4,1057-1064.
2. Agarwal, A.K. (2015). Systemic effects of hemodialysis access. Adv Chronic Kidney Disease, Nov, 22(6), 459–65.
3. Akgoz, N., Arslan, S., (2017). Examination of symptoms experienced in patients receiving hemodialysis treatment. Journal of Nephrology Nursing ,1, 20–8. https://dergipark.org.tr/tr/download/article-file/360008
4. Cevik, A., Izmir, M., Kuzugudenlioglu, D. et al. ( 1996). Psychosomatic Disorders: Medicomat. Ankara, 55-63.
5. Baykan, H., Yargic, İ. (2012). Depression, anxiety disorders, quality of life and stres coping strategies in hemodialysis and continuous ambulatory peritoneal dialysis patients. Bulletin of Clinical Psychopharmacology, 22(2), 167-76.
6. Davison, S. N., Jhangri, G.S. (2005). Impact of pain and symptom burden on the health-related quality of life of hemodialysis patients. J Pain Symptom Manage, 39, 477–85.
7. Derogatis L.R. (1992). The brief symptom ınventory, administration,scoring and procedures manuel-II, New York: Clinical Pyschometric Research Inc.
8. Durmaz Akyol, A. (2016). Investigation of factors affecting quality of life in hemodialysis patients. Journal of Nephrology Nursing, 1: 21.

9. Fukunishi, I., Kitaoka, T., Shirai,T., et al. (2002). Psychiatric disorders among patients undergoing hemodialysis therapy. Nephron, 91 (2), 344. PMID: 12053079.
10. Gorıs, S., Ceyhan, Ö., Taşçı, S., Dogan, N. (2016). Do symptoms related to hemodialysis affect marital adjustment? Sexuality and Disability, 34, 63–73.
11. Hintistan, S., Deniz, A. (2018). Symptom evaluation in patients receiving hemodialysis treatment . Bezmialem Science, 6, 112-8 DOI: 10.14235/bs.2018.1530.
12. Kimmel, P.L., Thamer, M., Richard, C.M. et al. (1998). Psychiatric illness in patients with end-stage renal disease. Am J Med, Sep, 105(3), 214-221.
13. Köse Genc, B. (2018). Psychiatric symptoms and affecting factors in hemodialysis patients. Recep Tayyip Erdogan Universtiy Journal of Social Sciences, 7, 207-222.
14. Melo, G.A.A., Silva, R.A., Silva, M.F.C et al.(2016). Religiosity and hope in patients with chronic renal failure: Coping Strategies. Int Arch Med;9:1–9. [CrossRef ]
15. Onsoz, H.B., Usta Yesilbalkan, O.(2013). Reliability and validity of the turkish version of the dialysis symptom index in chronic hemodialysis patients: Turkish Nephrology. Dialysis and Transplantation Journal, 22(1), 60-67.
16. Ozcan, Y., Basturk, M., Aslan, S.S. et al.(2000). Psychiatric morbidity and quality of life in patients undergoing hemodialysis and continuous ambulatory peritoneal dialysis. Journal of Turgut Ozal Medical Center,7(4),332-337.
17. Park, G.Y., Yoo, E.K. (2016). A study on hope in hemodialysis patients. Adv Sci Technol Lett (Healthcare and Nursing), 128, 244–6.
18. Rahimipour, M., Shahgholian, N., Yazdani, M. (2015). Effect of hope therapy on depression, anxiety, and stress among the patients undergoing hemodialysis. Iranian Journal Nursing Midwifery Resh, 20, 694–99.
19. Rimes-Stigare, C., Frumento, P., Bottai, M. et al. (2015). Long-term mortality and risk factors for development of end-stage renal disease in critically ill patients with and without chronic kidney disease. Critical Care, 19. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630837/.
20. Süleymanlar, G., Utas, C., Arinsoy, T. et al. (2011). A population based survey of chronic renal disease ın Turkey the chredıt study: Nephrology Dialysis Transplantation, 6(6), 1862-71.
21. Sahin, N. H., Durak A. (1994). Brief symptom inventory (BSI): Adaptation for Turkish youth. Turkish Journal of Psychology, 9 (31), 44-56.
22. Taylan, S., Ozkan, I. (2020). The Relationship of Symptom Clusters in Hemodialysis Patients with Sexual Function.Journal of Nephrology Nursing, 15(2), 79-88.
23. Theofilou, P. (2011). Depression and anxiety in patients with chronic renal failure: the effect of sociodemographic characteristics. International Journal of Nephrology , Article ID 514070, 6 pages.
24. Topbas, E., Bingol, G. (2017). Nursing Interventions for Dialysis Treatment and Adaptation Process with its Psychosocial Dimension. Journal of Nephrology Nursing, 1, 36-42. Unal, G., Bilge, A. (2005) Evaluation of the mental status and quality of life of patients with end-stage renal disease in hemodialysis treatment. Aegean Medical Journal, 44, 35-8.
25. Weisbord, S.D., Fried, L.F., Arnold, R.M.et al. (2004). Development of a symptom assessment instrument for chronic hemodialysis patients: The Dialysis Symptom Index. Jounal of Pain Symptom Manage, 27 (3), 226-240.
26. Weisbord, S.D., Fried, L.F., Arnold, R.M. et al. (2005). Prevalence, severity, and ımportance of physical and emotional symptoms in chronic hemodialysis patients. Journal of the American Society of Nephrology, 16, 2487- 2494.
27. Yurtsever, S., Beduk, T. (2003). Evaluation of fatigue in hemodialysis patients. HEMAR-GE, 2, 3-12.
28. Zamanian, H., Kharameh, Z.T.( 2015). Translation and psychometric properties of the persian version of the dialysis symptom index in hemodialysis patients. Nephrourol Mon., 7,e23152.