Yaşlı hemodiyaliz hastalarında sıvı kontrolüne uyum, diyaliz yeterliliği ve kırılganlık düzeyi
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Tarih
2022
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Düzce Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırma, yaşlı hemodiyaliz hastalarında sıvı kontrolüne uyum, diyaliz yeterliliği ve kırılganlık düzeylerinin belirlenmesi amacıyla yapılmış tanımlayıcı bir araştırmadır. Araştırmanın örneklemini, evreni bilinen örneklem hesabına göre %5 örneklem hatası ve %5 anlamlılık düzeyinde Ekim 2019 -Ekim 2020 tarihleri arasında Özel Karatekin Diyaliz Ünitesi, Çankırı Devlet Hastanesi, Çerkeş Devlet Hastanesi, Ilgaz Devlet Hastanesi, Kurşunlu Devlet Hastanesi Diyaliz Ünitelerinde tedavi gören 105 hasta oluşturmuştur. Araştırmanın verileri 'Kişisel ve Tıbbi Özellikler Bilgi Formu', 'Edmonton Kırılganlık Ölçeği' ve 'Hemodiyaliz Hastalarında Sıvı Kontrol Ölçeği' kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistiksel metotlar, parametrik karşılaştırma testleri ve korelasyon testleri kullanılmıştır. Hemodiyaliz Hastalarında Sıvı Kontrol Ölçeği toplam puanı 50.00±6.39, bilgi alt boyut puanı 16.32 ± 2.31, davranış alt boyut puanı 20.38 ± 4.19, tutum alt boyut puanı 13.30 ± 3.08, ortalama Kt/V düzeyi 1.55 ± 0.27, Edmonton Kırılganlık Ölçeği puan ortalaması ise 7.64 ± 3.3 olarak belirlenmiştir. EKÖ toplam puanı ile Kt/V değeri arasında bir ilişki saptanmamasına rağmen(p>0.05), kırılganlık bilişsel durum alt boyut puanı yüksek hastalarda diyaliz sonrası kreatinin düzeyinin daha düşük olduğu (p<0,01), bilişsel durum puanı arttıkça Kt/V değerinin de arttığı belirlenmiştir (p<0,05). SKÖ toplam ortalama puanı ile Kt/V değeri arasında ise istatistiksel olarak anlamlı farklılık bulundu(p<0.05).Yaşlı hemodiyaliz hastalarının EKÖ toplam puanı ile SKÖ toplam ve alt boyut puanları arasında istatistiksel olarak anlamlı ilişki bulunmadığı saptanmıştır (p>0.05). Araştırma sonucunda hastaların sıvı kontrolüne uyumlarının orta düzeyde olduğu, sıvı kontrolüne uyum düzeyi arttıkça diyaliz yeterliliğinin arttığı, hastaların %64.8'inin çeşitli düzeylerde kırılgan oldukları saptanmıştır. Bu sonuçlar ışığında yaşlı hemodiyaliz hastalarının sıvı kontrolüne uyum, diyaliz yeterlilik ve kırılganlık düzeylerinin düzenli olarak değerlendirilmesi ve gereksinimleri doğrultusunda eğitimlerin planlanması önerilir. Anahtar Kelimeler: Hemşirelik, diyaliz yeterliliği, kırılganlık, sıvı kontrolü, yaşlı hemodiyaliz.
This descriptive study was conducted to determine compliance with fluid control, dialysis adequacy and frailty levels in elderly hemodialysis patients. The sample of the study was 105 patients who were treated at the Private Karatekin Dialysis Unit, Çankırı State Hospital, Çerkeş State Hospital, Ilgaz State Hospital, Kurşunlu State Hospital Dialysis Units between October 2019 and October 2020 at the 5% sampling error and 5% significance level according to the sample calculation of the known universe. The data of the study were collected using the 'Personal and Medical Characteristics Information Form', 'Edmonton Frailty Scale' and 'Fluid Control Scale" in hemodialysis patients. Descriptive statistical methods, parametric comparison tests and correlation tests were used in the analysis of the data. In hemodialysis patients, Fluid Control Scale total score was 50.00 ± 6.39, knowledge sub-dimension score was 16.32 ± 2.31, behavior sub-dimension score was 20.38 ± 4.19, attitude sub-dimension score was 13.30 ± 3.08, mean Kt/V level was 1.55 ± 0.27, Edmonton the mean score of the Edmonton Frailty Scale was found to be 7.64 ± 3. Although no correlation was found between the total EFS score and the Kt/V value (p>0.05), the creatinine level after dialysis was lower in patients with high frailty cognitive status sub-dimension score (p<0.01), and the Kt/V value increased as the cognitive status score increased. A statistically significant difference was found between the total mean SCS score and the Kt/V value (p<0.05). It was found that there was no statistically significant relationship between the total SCS total score and the SCS total and sub-dimension scores of the elderly hemodialysis patients (p>0.05). As a result of the research, it was determined that the compliance of the patients to fluid control was moderate, the proficiency of dialysis increased as the level of compliance to fluid control increased and 64.8% of the patients were frail at various levels. In the light of these results, it is recommended to regularly evaluate the compliance with fluid control, dialysis adequacy and fragility levels of elderly hemodialysis patients and to plan trainings in line with their needs. Keywords: Elderly hemodialysis, dialysis adequacy, frailty, fluid control, nursing.
This descriptive study was conducted to determine compliance with fluid control, dialysis adequacy and frailty levels in elderly hemodialysis patients. The sample of the study was 105 patients who were treated at the Private Karatekin Dialysis Unit, Çankırı State Hospital, Çerkeş State Hospital, Ilgaz State Hospital, Kurşunlu State Hospital Dialysis Units between October 2019 and October 2020 at the 5% sampling error and 5% significance level according to the sample calculation of the known universe. The data of the study were collected using the 'Personal and Medical Characteristics Information Form', 'Edmonton Frailty Scale' and 'Fluid Control Scale" in hemodialysis patients. Descriptive statistical methods, parametric comparison tests and correlation tests were used in the analysis of the data. In hemodialysis patients, Fluid Control Scale total score was 50.00 ± 6.39, knowledge sub-dimension score was 16.32 ± 2.31, behavior sub-dimension score was 20.38 ± 4.19, attitude sub-dimension score was 13.30 ± 3.08, mean Kt/V level was 1.55 ± 0.27, Edmonton the mean score of the Edmonton Frailty Scale was found to be 7.64 ± 3. Although no correlation was found between the total EFS score and the Kt/V value (p>0.05), the creatinine level after dialysis was lower in patients with high frailty cognitive status sub-dimension score (p<0.01), and the Kt/V value increased as the cognitive status score increased. A statistically significant difference was found between the total mean SCS score and the Kt/V value (p<0.05). It was found that there was no statistically significant relationship between the total SCS total score and the SCS total and sub-dimension scores of the elderly hemodialysis patients (p>0.05). As a result of the research, it was determined that the compliance of the patients to fluid control was moderate, the proficiency of dialysis increased as the level of compliance to fluid control increased and 64.8% of the patients were frail at various levels. In the light of these results, it is recommended to regularly evaluate the compliance with fluid control, dialysis adequacy and fragility levels of elderly hemodialysis patients and to plan trainings in line with their needs. Keywords: Elderly hemodialysis, dialysis adequacy, frailty, fluid control, nursing.
Açıklama
Anahtar Kelimeler
Hemşirelik, diyaliz yeterliliği, kırılganlık, sıvı kontrolü, yaşlı hemodiyaliz., Elderly hemodialysis, dialysis adequacy, frailty, fluid control, nursing., Hemşirelik, Nursing
