Araştırma Makalesi
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HEMODİYALİZE GİREN HASTALARDA YAŞAM KALİTESİNİN SAPTANMASI VE İLİŞKİLİ FAKTÖRLERİN DEĞERLENDİRİLMESİ

Yıl 2023, Cilt: 4 Sayı: 1, 41 - 46, 30.04.2023
https://doi.org/10.52831/kjhs.1193747

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

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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

Kaynakça

  • Crews DC, Bello AK, Saadi G. 2019 World Kidney Day Editorial-burden, access, and disparities in kidney disease. J Bras Nefrol. 2019;41(1):1-9.
  • National Kidney Foundation. Hemodialysis. https://www.kidney.org/atoz/content/hemodialysis Erişim Tarihi: 10 Ekim 2022.
  • Liyanage T, Ninomiya T, Jha V, et al. Worldwide access to treatment for end-stage kidney disease: a systematic review. The Lancet. 2015;385(9981):1975-1982.
  • Higuita-Gutiérrez LF, Velasco-Castaño JJ, Quiceno JNJ. Health-related quality of life in patients with chronic kidney disease in hemodialysis in Medellín (Colombia). Patient Prefer Adherence. 2019;13:2061-2070.
  • Alhawatmeh H, Alshammari S, Rababah JA. Effects of mindfulness meditation on trait mindfulness, perceived stress, emotion regulation, and quality of life in hemodialysis patients: A randomized controlled trial. Int J Nurs Sci. 2022;9(2):139-146.
  • Moura A, Madureira J, Alija P. Predictors of health-related quality of life perceived by end-stage renal disease patients under online hemodiafiltration. Qual. Life Res. 2015;24(6):1327-1335.
  • Sapkota A, Sedhain A, Rai MK. Quality of life of adult clients on renal replacement therapies in Nepal. J Ren Care. 2013;39(4):228-235.
  • Ginieri-Coccossis M, Theofilou P, Synodinou C, Tomaras V, Soldatos C. Quality of life, mental health and health beliefs in haemodialysis and peritoneal dialysis patients: investigating differences in early and later years of current treatment. BMC Nephrol. 2008;9(1):1-9.
  • Theofilou P. Quality of life in patients undergoing hemodialysis or peritoneal dialysis treatment. J. Clin. Med. Res. 2011;3(3):132.
  • Daniel SC, Azuero A, Gutierrez OM, Heaton K. Examining the relationship between nutrition, quality of life, and depression in hemodialysis patients. Qual. Life Res. 2021;30(3):759-768.
  • Chen MF, Chang RE, Tsai HB, Hou YH. Effects of perceived autonomy support and basic need satisfaction on quality of life in hemodialysis patients. Qual. Life Res. 2018;27(3):765-773.
  • Giannaki CD, Hadjigavriel M, Lazarou A, et al. Restless legs syndrome is contributing to fatigue and low quality of life levels in hemodialysis patients. World J Nephrol. 2017;6(5):236.
  • Rhee CM, Chen Y, You AS, et al. Thyroid status, quality of life, and mental health in patients on hemodialysis. Clin J Am Soc Nephrol. 2017;12(8):1274-1283.
  • Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter WB. Development of the kidney disease quality of life (KDQOLTM) instrument. Qual. Life Res. 1994;3(5):329-338.
  • Kumar AS, Kumar KS. Cross-cultural adaptation and validation of kidney disease quality of life (KDQOL™-36)-malayalam version. SN Compr Clin Med. 2020;2(7):933-941.
  • Manju L, Joseph J, Beevi N. Validation of kidney disease quality of life short form 36 (KDQOL-SF™) in malayalam among patients undergoing haemodialysis in South Kerala. Indian J Nephrol. 2020;30(5):316.
  • Goh KKK, Lai PSM, Lim SK. Cross cultural adaptation and validation of the Malay Kidney Disease Quality of Life (KDQOL-36™). BMC Nephrol. 2019;20(1):1-9.
  • Yıldırım A, Ogutmen B, Bektas G, Isci E, Mete M, Tolgay HI. Translation, cultural adaptation, initial reliability, and validation of the Kidney Disease and Quality of Life–Short Form (KDQOL-SF 1.3) in Turkey. Transplant Proc. 2007;39(1):51-54.
  • Arslan DT, Ağırbaş İ. Sağlık çıktılarının ölçülmesi: QALY ve DALY. Sağ. Perf. Kal. Derg. 2017;13(1):99-126.
  • Aydın Z, Sevim Y, Döner B, et al. Hemodiyaliz hastalarında antropometrik ölçümler. Turk Neph Dial Transpl. 2015;24(1):61-67.
  • Feroze U, Noori N, Kovesdy CP, et al. Quality-of-life and mortality in hemodialysis patients: roles of race and nutritional status. Clin J Am Soc Nephrol. 2011;6(5):1100-1111.
  • Amer NA, Alkarani AS, Alenezi A, Elkalshy RA. Is there a relationship between quality of life, anxiety, physical activity and physical performance among maintenance haemodialysis patients?. J Clin Diagn Res. 2021;15(12):LC13-LC17.
  • Filipčič T, Bogataj Š, Pajek J, Pajek M. Physical activity and quality of life in hemodialysis patients and healthy controls: a cross-sectional study. IJERPH. 2021;18(4):1978.
  • Bayoumi M, Al Harbi A, Al Suwaida A, Al Ghonaim M, Al Wakeel J, Mishkiry A. Predictors of quality of life in hemodialysis patients. SJKDT. 2013;24(2):254-259.
  • Al-Mansouri A, Al-Ali FS, Hamad AI, et al. Assessment of treatment burden and its impact on quality of life in dialysis-dependent and pre-dialysis chronic kidney disease patients. Res Social Adm Pharm. 2021;17(11):1937-1944.
  • Lopes AA, Lantz B, Morgenstern H, et al. Associations of self-reported physical activity types and levels with quality of life, depression symptoms, and mortality in hemodialysis patients: the DOPPS. Clin J Am Soc Nephrol. 2014;9(10):1702-1712.
  • Zhang L, Luo H, Kang G, Wang W, Hu Y. The association between physical activity and mortality among patients undergoing maintenance hemodialysis. Int J Nurs Pract. 2017;23(1):e12505.
  • Ekenci KD, Türker PF, Ercan, A. Hemodiyaliz hastalarının demografik özelliklerine göre beslenme durumlarının değerlendirilmesi. Bes Diy Der. 2020;48(1):20-30.
  • Carrero JJ, Hecking M, Chesnaye NC, Jager KJ. Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease. Nat Rev Nephrol. 2018;14(3):151-164.
  • Ebrahimi H, Sadeghi M, Amanpour F, Dadgari A. Influence of nutritional education on hemodialysis patients' knowledge and quality of life. SJKDT. 2016;27(2):250-255.
  • Ng HM, Khor BH, Sahathevan S, et al. Is malnutrition a determining factor of health-related quality of life in hemodialysis patients? A cross-sectional design examining relationships with a comprehensive assessment of nutritional status. Qual. Life Res. 2022;31(5):1441-1459.

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

Yıl 2023, Cilt: 4 Sayı: 1, 41 - 46, 30.04.2023
https://doi.org/10.52831/kjhs.1193747

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.

Proje Numarası

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Kaynakça

  • Crews DC, Bello AK, Saadi G. 2019 World Kidney Day Editorial-burden, access, and disparities in kidney disease. J Bras Nefrol. 2019;41(1):1-9.
  • National Kidney Foundation. Hemodialysis. https://www.kidney.org/atoz/content/hemodialysis Erişim Tarihi: 10 Ekim 2022.
  • Liyanage T, Ninomiya T, Jha V, et al. Worldwide access to treatment for end-stage kidney disease: a systematic review. The Lancet. 2015;385(9981):1975-1982.
  • Higuita-Gutiérrez LF, Velasco-Castaño JJ, Quiceno JNJ. Health-related quality of life in patients with chronic kidney disease in hemodialysis in Medellín (Colombia). Patient Prefer Adherence. 2019;13:2061-2070.
  • Alhawatmeh H, Alshammari S, Rababah JA. Effects of mindfulness meditation on trait mindfulness, perceived stress, emotion regulation, and quality of life in hemodialysis patients: A randomized controlled trial. Int J Nurs Sci. 2022;9(2):139-146.
  • Moura A, Madureira J, Alija P. Predictors of health-related quality of life perceived by end-stage renal disease patients under online hemodiafiltration. Qual. Life Res. 2015;24(6):1327-1335.
  • Sapkota A, Sedhain A, Rai MK. Quality of life of adult clients on renal replacement therapies in Nepal. J Ren Care. 2013;39(4):228-235.
  • Ginieri-Coccossis M, Theofilou P, Synodinou C, Tomaras V, Soldatos C. Quality of life, mental health and health beliefs in haemodialysis and peritoneal dialysis patients: investigating differences in early and later years of current treatment. BMC Nephrol. 2008;9(1):1-9.
  • Theofilou P. Quality of life in patients undergoing hemodialysis or peritoneal dialysis treatment. J. Clin. Med. Res. 2011;3(3):132.
  • Daniel SC, Azuero A, Gutierrez OM, Heaton K. Examining the relationship between nutrition, quality of life, and depression in hemodialysis patients. Qual. Life Res. 2021;30(3):759-768.
  • Chen MF, Chang RE, Tsai HB, Hou YH. Effects of perceived autonomy support and basic need satisfaction on quality of life in hemodialysis patients. Qual. Life Res. 2018;27(3):765-773.
  • Giannaki CD, Hadjigavriel M, Lazarou A, et al. Restless legs syndrome is contributing to fatigue and low quality of life levels in hemodialysis patients. World J Nephrol. 2017;6(5):236.
  • Rhee CM, Chen Y, You AS, et al. Thyroid status, quality of life, and mental health in patients on hemodialysis. Clin J Am Soc Nephrol. 2017;12(8):1274-1283.
  • Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter WB. Development of the kidney disease quality of life (KDQOLTM) instrument. Qual. Life Res. 1994;3(5):329-338.
  • Kumar AS, Kumar KS. Cross-cultural adaptation and validation of kidney disease quality of life (KDQOL™-36)-malayalam version. SN Compr Clin Med. 2020;2(7):933-941.
  • Manju L, Joseph J, Beevi N. Validation of kidney disease quality of life short form 36 (KDQOL-SF™) in malayalam among patients undergoing haemodialysis in South Kerala. Indian J Nephrol. 2020;30(5):316.
  • Goh KKK, Lai PSM, Lim SK. Cross cultural adaptation and validation of the Malay Kidney Disease Quality of Life (KDQOL-36™). BMC Nephrol. 2019;20(1):1-9.
  • Yıldırım A, Ogutmen B, Bektas G, Isci E, Mete M, Tolgay HI. Translation, cultural adaptation, initial reliability, and validation of the Kidney Disease and Quality of Life–Short Form (KDQOL-SF 1.3) in Turkey. Transplant Proc. 2007;39(1):51-54.
  • Arslan DT, Ağırbaş İ. Sağlık çıktılarının ölçülmesi: QALY ve DALY. Sağ. Perf. Kal. Derg. 2017;13(1):99-126.
  • Aydın Z, Sevim Y, Döner B, et al. Hemodiyaliz hastalarında antropometrik ölçümler. Turk Neph Dial Transpl. 2015;24(1):61-67.
  • Feroze U, Noori N, Kovesdy CP, et al. Quality-of-life and mortality in hemodialysis patients: roles of race and nutritional status. Clin J Am Soc Nephrol. 2011;6(5):1100-1111.
  • Amer NA, Alkarani AS, Alenezi A, Elkalshy RA. Is there a relationship between quality of life, anxiety, physical activity and physical performance among maintenance haemodialysis patients?. J Clin Diagn Res. 2021;15(12):LC13-LC17.
  • Filipčič T, Bogataj Š, Pajek J, Pajek M. Physical activity and quality of life in hemodialysis patients and healthy controls: a cross-sectional study. IJERPH. 2021;18(4):1978.
  • Bayoumi M, Al Harbi A, Al Suwaida A, Al Ghonaim M, Al Wakeel J, Mishkiry A. Predictors of quality of life in hemodialysis patients. SJKDT. 2013;24(2):254-259.
  • Al-Mansouri A, Al-Ali FS, Hamad AI, et al. Assessment of treatment burden and its impact on quality of life in dialysis-dependent and pre-dialysis chronic kidney disease patients. Res Social Adm Pharm. 2021;17(11):1937-1944.
  • Lopes AA, Lantz B, Morgenstern H, et al. Associations of self-reported physical activity types and levels with quality of life, depression symptoms, and mortality in hemodialysis patients: the DOPPS. Clin J Am Soc Nephrol. 2014;9(10):1702-1712.
  • Zhang L, Luo H, Kang G, Wang W, Hu Y. The association between physical activity and mortality among patients undergoing maintenance hemodialysis. Int J Nurs Pract. 2017;23(1):e12505.
  • Ekenci KD, Türker PF, Ercan, A. Hemodiyaliz hastalarının demografik özelliklerine göre beslenme durumlarının değerlendirilmesi. Bes Diy Der. 2020;48(1):20-30.
  • Carrero JJ, Hecking M, Chesnaye NC, Jager KJ. Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease. Nat Rev Nephrol. 2018;14(3):151-164.
  • Ebrahimi H, Sadeghi M, Amanpour F, Dadgari A. Influence of nutritional education on hemodialysis patients' knowledge and quality of life. SJKDT. 2016;27(2):250-255.
  • Ng HM, Khor BH, Sahathevan S, et al. Is malnutrition a determining factor of health-related quality of life in hemodialysis patients? A cross-sectional design examining relationships with a comprehensive assessment of nutritional status. Qual. Life Res. 2022;31(5):1441-1459.
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Gülşah Kaner 0000-0001-5882-6049

Çağla Ayer 0000-0001-6124-7339

Aysel Şahin Kaya 0000-0001-7234-4900

Proje Numarası -
Yayımlanma Tarihi 30 Nisan 2023
Gönderilme Tarihi 24 Ekim 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 4 Sayı: 1

Kaynak Göster

Vancouver Kaner G, Ayer Ç, Şahin Kaya A. HEMODİYALİZE GİREN HASTALARDA YAŞAM KALİTESİNİN SAPTANMASI VE İLİŞKİLİ FAKTÖRLERİN DEĞERLENDİRİLMESİ. Karya J Health Sci. 2023;4(1):41-6.