Songül DEMİROĞLU, Elif BÜLBÜL

Hemodiyaliz Tedavisi Alan Hastaların Depresyon, Anksiyete, Stres Durumları ve Diyaliz Semptomlarıyla İlişkisi/The Relationship of Patients Receiving Hemodialysis with Depression, Anxiety, Stress Conditions and Dialysis Symptoms

Amaç: Bu araştırma, kronik hemodiyaliz tedavisi alan hastalarda anksiyete, depresyon, stres durumlarının belirlenmesi ve diyaliz semptomlarıyla ilişkisinin incelenmesi amacıyla yapılmıştır.Gereç ve Yöntemler: Tanımlayıcı ve ilişki arayıcı tipte olan bu araştırmanın verileri İstanbul ilinde bulunan özel bir diyaliz merkezinde Haziran ve Temmuz 2021 tarihleri arasında toplandı. Araştırmaya 128 hasta dahil edildi. Araştırma verileri Hasta Tanıtım Formu, Depresyon-Anksiyete-Stres Ölçeği-21 ve Diyaliz Semptom İndeksi kullanılarak toplandı. Bulgular: Araştırmaya dahil edilen hastaların yaş ortalaması 60,4815,01 yıl, hemodiyaliz tedavi süresi ortalaması 4,594,32 yıldır. Hastaların %45,3’ünün çok ileri derecede anksiyetesi ve %18’nin çok ileri düzeyde depresyonu bulunurken yarısından fazlasının (%59,4) stres düzeyi normaldir. Diyaliz Semptom İndeksi toplam puan ortalamasının 37,3218,12 olduğu belirlenmiştir. Hemodiyaliz tedavisi alan hastaların yaşı ile Diyaliz Semptom İndeksi ve anksiyete düzeyi arasında pozitif yönde istatistiksel anlamlılık olduğu saptanmıştır (p<0,05). Hemodiyaliz tedavisi süresi ile Diyaliz Semptom İndeksi ve depresyon düzeyi arasında pozitif yönde istatistiksel anlamlılık belirlenmiştir (p<0,05). Hastaların diyalize ilişkin semptomları ile anksiyete düzeyleri ve depresyon düzeyleri arasında pozitif yönde istatistiksel olarak anlamlı düzeyde ilişki saptanmıştır (p<0,05). Sonuç: Sonuç olarak, hemodiyaliz tedavisi alan hastaların anksiyete düzeylerinin yüksek, depresyon düzeylerinin orta ve stres düzeylerinin düşük olduğu belirlendi. Hastalar orta düzeyde diyalize ilişkin semptomlar yaşamakta ve bu semptomlar hastaların anksiyete ve depresyon düzeylerini etkilemektedir.

Anahtar Kelimeler:

Hemodiyaliz, semptom, depresyon, anksiyete, stres

The Relationship of Patients Receiving Hemodialysis with Depression, Anxiety, Stress Conditions and Dialysis Symptoms/

Objective: This study was carried out to determine anxiety, depression, and stress levels in patients receiving chronic hemodialysis treatment and to evaluate their relationship with dialysis symptoms. Material and Methods: The data of this descriptive and correlational study were collected in a private dialysis center in stanbul between June and July 2021. 128 patients wereincluded in the study. Research data were collected using the Patient Description Form, Depression-Anxiety-Stress Scale-21 and Dialysis Symptom Index. Results: The mean age of the patients included in the study was 60.4815.01 years, and the mean duration of hemodialysis treatment was 4.594.32 years. While 45.3% of the patients had very severe anxiety and 18% had very severe depression, more than half of them (59.4%) had normal stress levels. It was determined that the average total score of the Dialysis Symptom Index was 37.3218.12. A positive statistical significance was found between the age of the patients receiving hemodialysis treatment and the Dialysis Symptom Index and anxiety level (p<0.05). A positive statistical significance was determinedbetween the duration of hemodialysis treatment and Dialysis Symptom Index and depression level (p<0.05). A statistically significant positive correlation was found between the dialysisrelated symptoms of the patients and their anxiety levels and depression levels (p<0.05). Conclusion: As a result, it was determined that the patients receiving hemodialysis treatment had high anxiety levels,moderate depression levels, and low-stress levels. Patients were experienced moderate dialysis-related symptoms and these symptoms affected patients’ anxiety and depression levels.

Keywords:

Hemodialysis, symptom, depression, anxiety, stress,

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