[Life Style Education and Counseling Improved Quality of Life and Renal Function in Patients with Chronic Kidney Disease]

AMAÇ: Bu çalışmanın amacı kronik böbrek yetmezliği hastalarına verilen yaşam tarzı eğitimi ve danışmanlığının böbrek fonksiyonlarinı ve yaşam kalitesini nasıl etkilediğini belirlemektir. YÖNTEM: Çalışmaya kronik böbrek yetmezlikli (KBY) 84 hasta dâhil edilmiştir. Eğitim ve danışmanlığın öncesinde ve sonrasında Yaşam Kalitesi Kısa Form-36 (SF-36) uygulanmıştır. Eğitim ve danışmanlık programı; egzersiz, diyet konularının yanı sıra alkol ve sigaranın bırakılmasına odaklanmıştır. Bu programlar bir hemşire tarafından haftada 2 kez olmak üzere 8 hafta boyunca yürütülmüştür. Programın sonunda KBY hastalarına Yaşam Kalitesi Kısa Form-36 (SF-36) yeniden uygulanmıştır. Veriler SPSS paket programı yardımıyla analiz edilmiştir. BULGULAR: Yaşam Kalitesi Kısa Form-36'nın tüm boyutları eğitim ve danışmanlığın sonrasında anlamlı düzeyde daha iyidir. Ayrıca eğitim ve danışmanlığın sonrasında egzersiz süresi ortalamaları, diyetine uyan hasta yüzdesi, serum albumini anlamlı düzeyde artmış, serum kreatinini ve sistolik tansiyon ise azalmıştır. Bununla birlikte günlük sigara tüketimi, alkol tüketimi ve diyastolik tansiyon; eğitim ve danışmanlık sonrasında önceki duruma göre değişmemiştir. SONUÇ: Kronik böbrek yetmezlikli hastalara verilen eğitim ve danışmanlık hastaların sağlıkla ilgili yaşam kalitelerini ve bazı böbrek fonksiyonlarını olumlu etkilemektedir.

Yaşam Tarzı Eğitimi ve Danışmanlığı Kronik Böbrek Yetmezliği Hastalarında Böbrek Fonksiyonlarını ve Yaşam Kalitesini Geliştiriyor

AIM: The purpose of this study was to describe of life-style modifiying education and counseling to examine their effect on renal function and quality of life. METHOD: Eighty four patients with Chronic Kidney Disease (CKD) were enrolled in the study. Quality of life (QoL) was measured by means of Short Form-36 (SF-36) and subscale scores were calculated prior to the education and counseling . The education and counseling program focuses on behaviour style including excersize, diet, smoking and alcohol consumption has been conducted by a nurse twice in eight weeks. After this program, the patients have been evaluated by means of SF-36 and a questionary for CKD patients. RESULTS: All dimensions of QoL of patients were better after the education and counseling, as compared with that of prior to the intervention. The mean of exercize duration and the patients with well adjusted diet programme ratio were increased and serum albumin means were increased, serum urea and serum creatinine means were decreased after the education and counseling compared with that of prior to the education and counseling. Systolic tension arteriel means were lower after the education and counseling compared with that of prior to the education and counseling. However, the number of cigarette in a day, the glass of alcohol in a week and the diastolic tension arteriel means were not different after the education and counseling compared with that of prior to the intervention. CONCLUSION: The patients with chronic kidney disease positevely improved their health-related quality of life and some renal functions after the education and counseling.

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