Işın CANTEKİN, Sibel ARGUVANLI ÇOBAN, Esra KÖPRÜLÜ

Illness Perception of Turkish Patients Undergoing Hemodialysis and Peritoneal Dialysis: Similarities and Differences

Objective: The aim of this study was to determine the illness perception of Hemodialysis (HD) and Peritoneal Dialysis (PD) patients having endstagerenal failure.Methods: This cross-sectional study was carried out in Organ Transplantation and Dialysis Hospital. Data were collected between January-June2016. The study was conducted with a total of 93 individuals including 45 patients undergoing PD and 48 patients undergoing HD betweenthe indicated dates. An information form and Illness Perception Questionnaire-Revised (IPQ-R) were used as data collection instruments.Independent samples t test, one way anova and pearson correlation analysis were used to assess data.Results: Among the patients, mean duration of disease was 81.4±77.7 (HD: 82.7±93.5, PD: 80.1+60.1) months, mean duration of dialysis was57.7±58.3 (HD: 58.6±67.0, PD: 56.8±49.4) months and mean number of comorbid diseases was 1.4±0.6 (min: 1.0, max: 4.0). 93.5% of thepatients had familial support (HD: 91.1%, PD: 95.8) and 69.9% (HD: 37.8%, PD: 100.0%) had taken a training about the disease and its treatmentfrom healthcare professionals. It was also found that mean scores of PD patients from IPQ-R subscales including personal control, illnesscoherence and timeline acute/chronic were found to be significantly higher than HD patients (p<0.05).Conclusion: As a result of this study, it was determined that HD patients perceived their illnesses as more challenging compared to PD patients.Therefore, especially HD patients may be given disease-related trainings with the onset of their treatment process and a psychological supportmay be recommended to accept their chronic diseases.

Keywords:

hemodialysis, peritoneal dialysis, illness perception,

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1- Süleymanlar G, Seyahi N, Altıparmak MR: Serdengeçti K.Current Status of Renal Replacement Therapy in Turkey: Turkish Nephrology Society Registration System Summary Report 2018
2- Ibrahim N, Desa A, Tong NK: Illness perception and depression in patients with end-stage renal disease on chronic haemodialysis. The Social Science 2011;6(3): 221-226
3- Li YN, Shapiro B, Kim JC, Zhang M, Porszasz J, Bross R, et al.: Association between quality of life and anxiety, depression, physical activity and physical performance in maintenance hemodialysis patients. Chronic Dis Transl Med 2016;2:110 9.
4- Jansen DL, Grootendorst DC, Rijken M, Heijmans M, Kaptein AA, Boesschoten EW et al.: Pre-Dialysis patients’ perceived autonomy, selfesteem and labor participation: associations with illness perceptions and treatment perceptions. A cross-sectional study. BMC Nephrology 2010;11: 35-45
5- Kocaman N, Özkan M, Özkan S,Armay, Z: Validity and reliability of the Turkish version of the disease perception scale. Anatolian Journal of Psychiatry 2007;8:271-280
6- Sak J, Dryl Rydzyńska T, Książek A: Relationships between perception of illness, social support and hemodialysis adequacy. Polish J Pub Health 2014;124:174 7.
7- Moss-Morris R, Weinman J, Petrie K, Horne R, Cameron L, Buick D: The revised illness perception questionnaire (IPQ-R). Psychology and health 2002;17(1): 1-16
8- Iskandarsyah A, de Klerk C, Suardi DR, Sadarjoen SS, Passchier J: Consulting a traditional healer and negative illness perceptions are associated with non-adherence to treatment in Indonesian women with breast cancer. Psychooncology 2014;23 (10): 1118-24
9- Karabulutlu Yılmaz E, Oklanlı A: Evaluation of Disease Perception in Hemodialysis Patients.Anatolian Journal of Nursing and Health Sciences 2011; 14: 4
10- Krespi MR, Bone M, Ahmad R Worthington B, Salmon P: Hemodialysis patients' evaluation of their lives. Turk Psikiyatri Derg 2008;19(4):365-372
11- Rosen SL: The trauma of life- threatining illness: end-stage renal disease. Dialysis & Transplantation 2002; 31(5):295-300
12- Cetinkaya S, Nur N, Ayvaz A, Ozdemir D: Depression, anxiety levels and coping strategies with stress in continuous ambulatory peritoneal dialysis (CAPD) and hemodialysis (HD) patients in a university hospital. Archives of Neuropsychiatry 2008;45: 78-84
13- Timmers L, Thong M, Dekker FW, Boeschoten EW, Heijmans M, Rijken M, Weinman J, Kaptein A: Illness perceptions in dialysis patients and their association with quality of life. Psychol Health 2008;23(6):679-690
14- Covic A, Seica A, Gusbeth-Tatomir P, Gavrilovici O, Goldsmith DJA: Illness representations and quality of life scores in haemodialysis patients. Nephrol Dial Transplant 2004;19:2078-2083
15- Jansen DL, Rijken M, Heijmans M, Boeschoten EW: Perceived autonomyand self-esteem in Dutch dialysis patients: the importance of illness and treatment perceptions. Psychol Health 2010;25(6):733-749
16- Abdulhameed A. Alharbi, Rajaa M. Alraddadi, Alwaleed A. Alharbi & Yazeed A. Alharbi: Comparison of Saudi Arabian hemodialysis and peritoneal dialysis patients’ illness perceptions. Renal Failure 2017;39 (1): 187-192
17- Griva K, Jatasena D, Davenport A, Harrison M, Newman SP: An evaluation of illness, treatment perceptions, and depression in hospital-vs home-based dialysis modalities. Journal of Psychosomatic Research 2010;69: 363-370
18- Cvengros JA, Christensen AJ, Lawton WJ: The role of perceived control and preference for control in adherence to a chronic medical regimen. Annals Behavioral Medicine 2004;27(3):155-161