KRONİK BÖBREK YETMEZLİĞİ HASTALARININ YAKINLARINDA YAŞAM KALİTESİ VE PSİKİYATRİK SEMPTOMLAR
Amaç: 20. yüzyılda uzayan insan ömrü beraberinde kronik hastalıklar ile geçen bir yaşamı birlikte getirmiştir. Kronik hastalıklar hastanın kendisi kadar yakınlarını da etkiler. Yöntem: Bu çalışmada diyalize giren ve henüz diyaliz aşamasına gelmemiş kronik böbrek hastalarının bakım veren yakınlarına ve demografik olarak eşleştirilmiş kontrol grubuna kısa semptom envanteri (KSE) ve yaşam kalitesi ölçeği kısa formu (WHOQOL-BREF) uygulanarak, karşılaştırmıştır. Bulgular: KSE nin alt ölçeklerinden kişiler arası duyarlılık diyaliz grubunda, paranoid düşüceler ise kontrol grubunda anlamlı şekilde yüksek çıkmıştır. WHOQOL-BREF in psikolojik sağlık alanı skoru diyaliz grubunda diyaliz yapılmayan hasta yakını grubuna göre anlamlı derecede düşük çıkmıştır. Kadınlar; somatizasyon, obsessif kompulsif bozukluk, kişiler arası duyarlılık açısından risk grubu olarak saptanmıştır. Yüksek eğitim grubu yaşam kalitesinin psikolojik sağlık ve çevre alanı açısından daha olumlu bir noktada bulunurken , düşük eğitimlilerin somatizasyon ve anksiyete semptomlarından yakındıkları saptanmıştır
Ouality of Life and Psychiatric Symptoms İn
The Caregivers of Chronic Renal
Insufficiency Patients
Object: İn the 20th century; lengthening human life expectancy results in a life of chronic diseases. Method: Chronic diseases influences both the patients and caregivers life. İn this study caregivers of dialysis patients and caregivers of early stage renal insufficiency patients who do not need dialysis with an age and education matched control group were assessed with the aid of Short Symptom Inventory and WHOQOL-BREF. Results: The mean interpersonal sensitivity subscale scores of dialysis group and mean paranoid subscales scores of control group were significantly higher than the other two. Dialysis groups WHOQOLBREF psychological health subscale scores were significantly lower than the other two groups. When ali the caregivers were assessed together vvomen vvere risk group for somatisation, obsessive compulsive disorder, interpersonal sensitivity. Higher educated caregivers rated higher in Psychological health and environment subscales compared to low educated caregivers. Low educated subjects also suffered somatisation and anxiety symptoms.
___
- Burton HJ, Kline SA, Lindsay RM (1988). The
role of support in influencing outcome of end-stage
renal disease. General Hospital Psychiatry, 10; 260-
266.
- Derogatis LR (1992). The Brief Symptom
Inventory (BSI), Administration, Scoring and
Procedures Manual II. Clinical Research Inc. aktaran
Şahin NH, Durak A (1994) Kısa Semptom Envanteri:
Türk gençleri için uyarlanması. Türk Psikoloji Dergisi.
- Fidaner H, Elbi H, Fidaner C (1999a).
WHOQOL Türkçe versiyonu çalışması odası grup görüşmeleri
ve ulusal sorunların değerlendirilmesi. 3P
Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 7, (ek
sayı 2); 48-54.
- Fidaner H, Elbi H, Fidaner C (1999b). Türkler
için sağlık ve sosyal bilimler araştırmalarında kullanılan
likert tipi yanıt ölçekleri: WHOQOL Türkçe versiyonu
yanıt skalalan sonuçları 3P Psikiyatri Psikoloji
Psikofarmakoloji Dergisi, 7 (ek sayı 2), 41 -47.
- Furr LA (1998). Psycho-social aspects of
serious renal disease and dialysis: Arevievv of the
literatüre. Social Work in Health Çare, 27(3): 97-118.
- Harrison's priciples of internal medicine. -14,h
ed./editors Anthony S. Fauci et al. The McGraw-Hill
Companies, Inc. 1998.
- Hayward MB, Kish JP, Frey GM (1999). An
instrument to identify stressors in transplant
recipients. Am Mephrol Nurs Assoc J, 16: 81-84
aktaran Lindgvist R, Carlsson M, Sjöden P-O (2000).
Coping strategios and health-related quality of
life among spouses of continuous ampulatory
peritoneal dialysis, haemodialysis, and transplant
patients. J Adv Nursing, 3116:1398-1408.
- Hong B, Smith M, Valerius T, Robson A (1982).
Pretreatement depression in end stage renal disease.
Lancet, January 104-5.
- Kathleen A, Israel BA (1985). Social netvvork
and social support: Living with chronic renal disease
Patient Education and Counseling. Moos RH (Ed.)
Coping with physical illness. New York: Plenum,
1985; 227-247.
- Lowry MR ve Atcherson E (1984). Spouseassistant's
adjustment to home hemodialysis. Journal
of Chronic Diseases; 37: 293-300, aktaran Rideout
EM, Rodin GM, Littlefield CH. (1990) Stress, social
support, and symptoms of depression in spouses of
the medically ili. Int J Psychiatry in Medicine; 20(1);
37-48.
- Masting C (1982). Development and evaluation
of a support program for renal patients and their
partners. Dialysis Trans; 11:1101-1106 aktaran
Rounds KA, Israel BA (1985): Social netvvorks and
social support: Living with chronic renal disease
(Revievv). Patient Education and Counseling, 7:227-
24.
- Moos RH (1984). Coping with medical illness
vol 2 New perspectives. New York, Plenum
Publishing. aktaran The impact of illness on the
family John S Roland. Textbook of Family Practice
RAKEL. (ed) 5th ed. Philadelphia WB Saunders 1995
80-100.
- Nevvby W (1996). Chronic illness and the family
life cycle. J Adv Nurs, 23 :786-791. aktaran White Y,
Grenyer BFS (1999) The biopsychosocial impact of
end-stage renal disease: the experience of dialysis
patients and their partners. J Adv Nurs, 30(6): 1312-
1320.
- Orley J, Saxena S (1998) Ûuality of Life and
mental illness: Reflections from te perpective of the
WHOQOL. Br J Psychiatry, 172, 291-293.
- Piening S (1984). Family stress in diabetic renal
failure. Health soc work 1984; 9 :134-141. aktaran
Rounds KA, Israel BA (1985): Social netvvorks and
social support: Living with chronic renal disease
(Revievv). Patient Education and Counseling, 7:227-
247.
- Rideout EM, Rodin GM (1990). Littlefield CH.
Stress, social support, and symptoms of depression
in spouses of the medically ili. Int J Psychiatry. 20(1);
37-48.
- Rocco MV, Gassman JJ, Wang S-R, Kaplan R
(1997). And modification of diet in renal study group.
Crosssectional study of life and symptoms in chronic
renal disease patients: the modification of diet in
renal disease study. Am J Kidney Dis. 29:888-896.
- Roland JS (1995). The impact of illness on the
family Rakel (ed) Textbook of family practice 5th ed
philadelphia; WB Saunders 80-100.
- Rounds KA.Israel BA (1985). Social netvvorks
and social support: Livving with chronic renal disease.
Patient education and counselling, 7: 227-247.
- Shidler NR, Peterson RA, Kimmel PL (1998).
Quality of life and psychosocial relationships in
patients with chronic renal insufficiency. Am J Kidney
Dis, 32:557-566.
- Şahin NH, Durak A (1994). Kısa Semptom Envanteri:
Türk gençleri için uyarlanması. Türk Psikoloji
Dergisi, 9 (31): 44-56.
- Ünal S (1999). Yaşam kalitesinin ölçülmesi,
WHOQOL-100 ve WHOQOL-BREF. Psikiyatri Psikoloji
Psikofarmakoloji Dergisi, 7 (ek sayı 2): 5-13.
- Wicks MN, Milstead EJ, Hathavvay DK (1997).
Subjective burden and quality of life in family
caregivers of patients with end-stage renal disease.;
ANNAJ, 24 (5); 527-540.
- Wicks MN, Milstead EJ, Hathaway (1998).
Family caregivers' burden, quality of life, and health
follovving patients' renal transplantation. J Transpl
Coord., 8 (3): 170-176.