Hemodiyaliz Tedavisi Alan Bireylerde Diyaliz Belirtileri ile Psikiyatrik Belirtiler Arasındaki İlişki

Amaç: Bu araştırma, hemodiyaliz (HD) tedavisi gören bireylerde hemodiyaliz semptomlarının psikiyatrik semptomlara etkisini belirlemek amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntemler: Araştırma bir kamu hastanesinin diyaliz servisinde taranan 104 hasta ile yapılmıştır. Veri toplama için Kişisel Bilgi Formu, Diyaliz Belirti İndeksi (DSİ), Kısa Belirti Envanteri (KSİ) kullanıldı. Veriler IBM SPSS 22 yazılımı ile analiz edildi. Bulgular: Hastaların ortalama DSİ puanı (63.086±22.65), KKE toplam puanı (57.115±27.67), KSE alt ölçek puanları Anksiyete (10.903±7.84), Depresyon (19.452±9.86), Olumsuz benlik (8.990±6.40), Somatizasyon (10.144±) 5.44) düşmanlık (7.625±4.32) olarak bulundu. Hastaların DSİ puanı ile KSE toplam puanı ile Anksiyete, Depresyon, Olumsuz Benlik, Somatizasyon ve Düşmanlık alt ölçekleri arasında pozitif ve anlamlı bir ilişki saptandı (p<0.05). Sonuç: Araştırma sonucunda HD tedavisi alan bireylerin diyaliz belirtileri arttıkça psikiyatrik belirtilerinin arttığı belirlendi. Hemşire, hastalığın fizyolojik ve psikiyatrik belirtilerini değerlendirerek ve buna göre planlar yaparak hastanın baş etme becerilerinin gelişmesine katkıda bulunabilir.

The Relationship Between Dialysis Symptoms and Psychiatric Symptoms in Individuals Receiving Hemodialysis Treatment

ABSTRACT Purpose: This study was carried out descriptively in order to determine the effect of hemodialysis symptoms on psychiatric symptoms in individuals with hemodialysis (HD) treatment. Material and Methods: The research was conducted with 104 patients who were scanned in the dialysis service of a public hospital. Personal Information Form, Dialysis Symptom Index (DSI), Brief Symptom Inventory (BSI) were used for data acquisition. The data were analyzed via IBM SPSS 22 software. Results: Patients mean DSI score (63.086±22.65), BSI total score (57.115±27.67), BSI subscale scores Anxiety (10.903±7.84), Depression (19.452±9.86), Negative self (8.990±6.40), Somatization (10.144±5.44) was found as hostility (7.625±4.32). A positive and significant correlation was determined between the patients DSI score and BSI total score and their subscales Anxiety, Depression, Negative Self, Somatization and Hostility (p<0.05). Conclusion: As a result of the study, it was determined that as the dialysis symptoms of individuals receiving HD treatment increased, their psychiatric symptoms increased. The nurse can contribute to the development of the patient's coping skills by evaluating the physiological and psychiatric symptoms of the disease and making plans accordingly.

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