BÖBREK NAKLİ ALICILARINDA ÖZ-YÖNETİM GÜCÜNÜ ETKİLEYEN PARAMETRELERİN ARAŞTIRILMASI

AMAÇ: Böbrek nakli son dönem böbrek yetmezliği olan hastalarda yapılabilen renal replasman tedavisi türlerinden birisidir. Hastanın yaşamını ve sağlığını idame ettirmeyi gerektiren aktiviteleri yapabilme gücüne öz-yönetim gücü denir. Öz-yönetim gücü yüksek olan hastalarda daha iyi sağlık sonuçları olması kaçınılmazdır. Bu çalışmamızda böbrek nakli alıcılarında öz-yönetim gücünü etkileyen parametreleri araştırmayı amaçladık.GEREÇ VE YÖNTEM: Nefroloji polikliniğinden takipli ve Temmuz 2022 - Eylül 2022 tarihleri arasında nefroloji polikliniğine başvuran tüm böbrek nakli alıcıları ile görüşüldü. Öz-yönetim gücü öz-bakım ajansı ölçeği kullanılarak değerlendirildi. Öz-yönetim gücü ile korele bulunan parametreler lineer regresyon analizi ile değerlendirildi.BULGULAR: Çalışma 128 böbrek nakli alıcısı ile yapıldı. Hastaların ortalama yaşı 44.63±13.5 yıldı. Ortalama öz-yönetim gücü skoru 112.86±14.6 idi. Öz-yönetim gücü ile yaş, kullanılan ilaç sayısı, nakilden sonra geçen süre ve kronik hastalık sayısı arasında bir korelasyon saptandı. Lineer regresyon modelinde öz-yönetim gücünü etkileyen en güçlü parametre yaş olarak bulundu.SONUÇ: Böbrek nakli alıcılarında öz-yönetim gücünü etkileyen faktörlerin iyi bilinmesi ile hem greft hem de hasta sağkalımı iyileştirilebilir. Demografik ve klinik bazı faktörler öz-yönetim gücünü etkileyebilir. Böbrek naklinde başarı daha çok nakil merkezine atfedilse de hastanın öz-yönetim gücünün de bu başarıya katkı sağlayabileceği akılda tutulmalı ve öz-yönetim gücünü geliştirebilecek yaklaşımlar sergilenmelidir.

Anahtar Kelimeler:

Böbrek nakli, Öz-yönetim, Yaş, Kidney transplantation, Self-management, Age Kocatepe Tıp Dergisi Kocatepe Medical Journal 24:112-117 / Ocak 2023 Sayısı Geliş Tarihi, Age

INVESTIGATION OF PARAMETERS AFFECTING SELF-MANAGEMENT POWER IN KIDNEY TRANSPLANT RECIPIENTS

OBJECTIVE: Kidney transplantation is one of the types of renal replacement therapy that can be performed in patients with end-stage renal disease. The power to perform activities that require the patient to maintain his life and health is called self-management power. Better health outcomes are inevitable in patients with high self-management power. In this study, we aimed to investigate the parameters affecting the self-management power in kidney transplant recipients.MATERIAL AND METHODS: All kidney transplant recipients who were followed up from the nephrology outpatient clinic and applied to the nephrology outpatient clinic between July 2022 and September 2022 were interviewed. Self-management power was assessed using the self-care agency scale. Parameters correlated with self-management power were evaluated by linear regression analysis.RESULTS: The study was conducted with 128 kidney transplant recipients. The mean age of the patients was 44.63±13.5 years. The mean self-management power score was 112.86±14.6. A correlation was found between self-management power and age, number of drugs used, time after transplantation, and number of chronic diseases. Age was found to be the strongest parameter affecting self-management power in the linear regression model.CONCLUSIONS: Both graft and patient survival can be improved with a good knowledge of the factors that affect self-management in kidney transplant recipients. Some demographic and clinical factors may affect the power of self-management. Although the success in kidney transplantation is mostly attributed to the transplantation center, it should be kept in mind that the self-management power of the patient can also contribute to this success, and approaches that can improve the sef-management power should be applied.

Keywords:

Böbrek nakli, Öz-yönetim, Yaş, Kidney transplantation, Self-management, Age,

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