You are here

DÎYALÎZ HASTALARININ BİLGİLENDİRİLME GEREKSİNİMLERİ

Share
EDUCATIONAL NEEDS OF DIALYSIS PATIENTS

Journal Name:

FULL TEXT (PDF): 

Volume:

Publication Year:

Number:

Sayfa Aralığı:: 
125-130

Publication Language:

Abstract (Original Language): 
Amaç: Kronik Böbrek Yetmezliği (KBY) nedeniyle sık sık hemodiyalize giren ve böbrek transplantasyonu bekleyen hastaların çoğunun çeşitli düzeylerde psikolojik sorunlar yaşadıkları ve bunların bir kısmının yetersiz bilgilendirmeden kaynaklandığı düşünülmektedir. Çalışmamızın amacı KBY nedeniyle diyalize giren hastaların, hastalıkları ve tedavileri konusunda ne düzeyde bilgi sahibi olduklarının, en sık yaşadıkları sorunlarının ve bilgilendirme gereksinimlerinin saptanmasıdır. Yöntem: Çalışma İbni Sina Hastanesi Nefroloji Kliniğinde diyalize giren 131 KBY hastasıyla anket yöntemiyle yapılmıştır. Bulgular: Hastaların % 20 - 48'inin başta ilaç yan etkileri olmak üzere birçok alanda bilgi yetersizlikleri olduğu, % 88'inin mutlaka bilgilendirme istedikleri ve % 64'ünün bunu doktorları tarafından verilmesini istediği bulunmuştur. Hastalarda ayrıca öfke, alınganlık ve bıkkınlık duygularının hakim olduğu saptanmıştır. Sonuç: Diyalize giren KBY hastalarının birçok sorunları ve yoğun bir bilgilendirme gereksinimleri vardır. Sorunların azaltılması için bilgilendirme saatinin de eklendiği bir ekip çalışması uygun olabilir.
Abstract (2. Language): 
Purpose: Patients with Chronic Renal Insufficiency (CRI) often have various psychological problems and some of them are supposed to be the result of inadequate information. The aim of this study is to investigate the psychological problems and the need of information about their illness and its treatment on CRI patients. Their level of knowledge about the illness is also investigated. Method: We conducted the study in the Nephrology Clinic oflbni Sina Hospital with 131 hemodialysis patients and used questionnaires prepared by the investigators. Results: We found out that, between 20 - 48 % of the patients lack major information on their illness, particularly on medication side effects, and 88 % of them reported of receiving information on relevant subjects. Sixty four percent wanted this information from their primary clinician. We also found out that, patients were mostly experiencing feelings of anger, touchiness and burn¬out. Conclusion: CRI patients who are on dialysis have many psychological problems and "educational hunger" on their illness. These problems could be solved by a team work with an emphasis on education.

REFERENCES

References: 

1. Israel M. Depression in dialysis patients. Can J Psychiat. 1986; 31(5): 445-451
2. Petrie K. Psychological well-being and psychiatric disturbance in dialysis and renal transplant patients. Br J
Med Psychol. 1989; 61(1): 91-96
3. Haenel T, Brunner F, Battegay R. Renal dialysis and suicide. Comp Psychiat. 1980; 21: 140-145
4. Shulman R, Price JD, Spinelli J. Biopsychosocial aspects of long term survival end stage renal failure treatment.
Psychol Med. 1989; 19,(4): 945-954
5. Stoudemire A, Fogel BS. Principles of Medical Psychiatry. Orlando, Grune and Stratton Inc. 1987; p. 583-593
6. Trzepacz PT, Levenson JL, Tringali RA et al. Psychopharmacology and neuropsychiatric syndromes in organ transplantation. Gen Hosp Psychiat. 1991; 12: 233¬245
7. Levy NB. Psychological aspects of renal transplantation.
Psychosomatics. 1994; 35(5): 427-433.
8. Devins GM, Binik YM, Mandin H et al. The kidney disease questionnaire. J Clin Epid. 1990; 43(3): 297-307
9. Binik YM, Dervins GM, Barre PE et al. Live and learn: patient education delays the need to initiate renal replacement therapy in end stage renal disease. J Nerv
MentDis. 1993; 181(6): 371-376
10. Peterson RA, Kimmel PL, Sacks CR et al. Depression, perception of illness & mortality in patients with end stage renal disease. Int J Psychiat in Med. 1991; 21(4): 343-354
11. O'Brien ME. Compliance behavior and long term maintanace dialysis. Am J Kidney Dis. 1990; 15(3): 209¬214
12. Friend R, Singletay Y, Mendell NR et al. Group
participation and survival among patients with end stage
renal disease. Am J Pub Health. 1986; 76(6): 670-672
13. Williams A, Stephens R, McKnight T et al. Factors affecting adherence of end stage renal disease patients. Br
J Sports Med. 1991; 25(2): 90-93.
14. Gutman RA, Stead W, Robinson RR. Physical activity and employment status of patients on maintanence dialysis. New Eng J Med. 1981; 304: 309-313
15. Barrett BJ, Vavasour HM, Major A et al. Clinical and psychological correlates of somatic symptoms in patients
on dialysis. Nephron. 1990; 55(1): 10-15.
16. Levy NB. Use of psychotropics in patients with kidney
failure. Psychosomatics. 1985; 26: 669-709
17. Roberts JC, Kjellstrand CM. Choosing death-withdrawal from chronic dialysis without medical reason. Acta
MedicaScan. 1988; 223 (2): 181-186
18.
Özka
n S. Psikiyatrik Tıp. İstanbul Tıp Fak. Konsültasyon
Liyezon Birimi. 1994; s 187
19. Roberts JC, Snyder R, Kjellstrand CM. Withdrawing life
support - the survivors. Acta Medica Scan. 1988; 224(2): 141-148
20. Smith BC, Winslow EH. Cognitive changes in chronic renal patients during hemodialysis. Anna Journal. 1990;
17(4): 283-287

Thank you for copying data from http://www.arastirmax.com