HEMODİYALİZ TEDAVİSİ GÖREN KRONİK BÖBREK YETMEZLİĞİ OLAN HASTALARDA EL KAVRAMA GÜCÜ İLE FİZİKSEL AKTİVİTE ENGELLERİ ARASINDAKİ İLİŞKİ

Öz

Amaç: Bu çalışma, hemodiyaliz alan kronik böbrek hastalığı (KBH) olan hastalarda el kavrama kuvveti (EKK) ile fiziksel aktivite engelleri arasındaki ilişkiyi araştırmayı amaçladı. Yöntem: Kesitsel ve tanımlayıcı tipteki bu çalışma, Türkiye’nin güneyindeki bir hastanenin hemodiyaliz ünitesinde tedavi gören 78 KBH hastası ile yürütüldü. Veri toplamak için bireysel bilgi formu, fiziksel aktivite engelleri ölçeği ve dijital el dinamometresinden elde edilen EKK sonuçları kullanıldı. Bulgular: Katılımcıların yaş ortalaması 56,85±12,17 olup, kadın ve erkek sayısı eşittir. Erkeklerin ve çalışan hastaların EKK diğerlerine göre daha yüksekti (p<0,05). Evli, kadın, okuryazar/ilkokul mezunu, geliri giderinden az olan ve çalışmayan bireylerde fiziksel aktivite engellerinin daha yüksek olduğu belirlendi (p<0,05). Ayrıca katılımcıların EKK ile fiziksel aktivite engelleri ilişkiliydi (r=-0,246, p<0,05). Sonuç: Bu çalışma, hemodiyaliz alan KBH hastalarında düşük EKK ile yüksek fiziksel aktivite engelleri arasında zayıf bir ilişki olduğunu ortaya koymuştur. Özellikle kadınların, evli bireylerin, düşük eğitim veya gelir düzeyine sahip olanların daha fazla fiziksel aktivite engeliyle karşılaştığı görüldü. Artan yaş ve vücut kütle indeksi, engellerin yükselmesiyle ilişkilendirilirken, çalışan hastalar daha iyi EKK sergiledi. Bu bulgular, bu popülasyonda fiziksel aktiviteyi iyileştirmek için sosyo-ekonomik ve klinik faktörlere yönelik hedefli müdahalelerin gerekliliğini vurgulamaktadır.

Anahtar Kelimeler

• Kronik böbrek hastalığı
• Kas gücü
• Hemodiyaliz
• Fiziksel aktivite engelleri

THE RELATIONSHIP BETWEEN HANDGRIP STRENGTH AND PHYSICAL ACTIVITY BARRIERS IN PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS

Abstract

Purpose: The aim of this study is to investigate the relationship between handgrip strength (HGS) and physical activity barriers in patients with chronic kidney disease (CKD) undergoing hemodialysis. Methods: This cross-sectional and descriptive study was conducted with 78 patients with CKD receiving treatment in the hemodialysis unit of a hospital located in southern Türkiye. An individual information form, the Physical Activity Barriers Questionnaire and HGS results obtained from a digital hand dynamometer were used to collect data. Results: The participants had a mean age of 56.85±12.17 years, with an equal distribution of males and females. The HGS values of male and employed patients were higher than the values of the others (p<0.05). The physical activity barriers were higher in those who were married, female, literate/primary school graduate, unemployed and had an income less than their expenses (p<0.05). Moreover, participants’ HGS was associated with their physical activity barriers (r=-0.246, p<0.05). Conclusion: This study revealed weak correlations between lower HGS and higher physical activity barriers in CKD patients undergoing hemodialysis. CKD patients who were female, married, and had a lower education or income level in particular faced greater physical activity barriers. Higher age and body mass index were associated with increased barriers, while employed patients had better HGS. These findings highlight the need for targeted interventions addressing socio-economic and clinical factors to improve physical activity in this population.

Keywords

• Chronic kidney disease
• Handgrip strength
• Hemodialysis
• Physical activity barriers

Kaynakça

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