THE EFFECT OF VOLUME STATUS ON QUALITY OF LIFE, ANXIETY, DEPRESSION AND SLEEP QUALITY IN HEMODIALYSIS PATIENTS

Selma Özlem Çelikdelen

Makale detayları

THE EFFECT OF VOLUME STATUS ON QUALITY OF LIFE, ANXIETY, DEPRESSION AND SLEEP QUALITY IN HEMODIALYSIS PATIENTS

Yazarlar:

Selma Özlem Çelikdelen

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Nefroloji | Psychiatry

Dergi:

Medical Journal of Süleyman Demirel University Vol.31 Issue 1, pp.71-79

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001313411

pISSN:

1300-7416

Anahtar kelimeler:

Özet:

 Objectives To determine the volume status of patients undergoing hemodialysis using the bioimpedance method and to investigate the relationship of volume status with the patients quality of life, anxiety, depression, and sleep quality. Material and Method This cross-sectional study included a total of 100 patients undergoing hemodialysis at the Hemodialysis Unit in March 2016. The volume status of the patients was determined using bioelectrical impedance analysis BIA performed with a body composition monitor before their mid-week hemodialysis sessions. The quality of life was evaluated using the 36-item Short Form Survey, sleep quality was assessed using the Pittsburg Sleep Quality Index PSQI, depression screening was performed with the Beck Depression Inventory, and anxiety screening was undertaken with the Beck Anxiety Inventory. The patients were divided into three groups according to the extracellular fluid total body fluid ECFTBF ratio, which is one of the BIA parameters: Group 1, 25th percentile ECF TBF0.426 L, n24; Group 2, 25-50th percentile ECFTBF: 0.426-0.438 L, n37; and Group 3, 50- 75th percentile ECFTBF: 0.438-0.481 L, n39. Statistical analyses were performed for the three groups. Results The ECFTBF ratio was found to be higher in female patients, individuals who lived alone, and those with a low educational level. As the ECFTBF ratio increased, there was a deterioration in the physical and mental components of quality of life, including physical functioning p0.001, physical role difficulties p0.03, general health perceptions p0.03, mental component p0.02, mental health p0.01, social functioning p0.001, and vitality p0.01. The rate of depression was 40 in all patients, 25 in Group 1, 43 in Group 2, and 45 in Group 3. As the ECFTBF ratio increased, a statistically non-significant increase was observed in depression scores. The PSQI total score was found to be above 5 in all patients included in the study. Conclusion It was determined that as the ECFTBF ratio increased in hemodialysis patients, the quality of life decreased, depression and anxiety symptoms increased, sleep quality deteriorated, sleep efficiency decreased, and sleep duration was shortened. Considering the impact of all these factors on patients morbidity and survival, it is important to determine volume status and dry weight in patients undergoing hemodialysis.

 Objectives To determine the volume status of patients undergoing hemodialysis using the bioimpedance method and to investigate the relationship of volume status with the patients quality of life, anxiety, depression, and sleep quality. Material and Method This cross-sectional study included a total of 100 patients undergoing hemodialysis at the Hemodialysis Unit in March 2016. The volume status of the patients was determined using bioelectrical impedance analysis BIA performed with a body composition monitor before their mid-week hemodialysis sessions. The quality of life was evaluated using the 36-item Short Form Survey, sleep quality was assessed using the Pittsburg Sleep Quality Index PSQI, depression screening was performed with the Beck Depression Inventory, and anxiety screening was undertaken with the Beck Anxiety Inventory. The patients were divided into three groups according to the extracellular fluid total body fluid ECFTBF ratio, which is one of the BIA parameters: Group 1, 25th percentile ECF TBF0.426 L, n24; Group 2, 25-50th percentile ECFTBF: 0.426-0.438 L, n37; and Group 3, 50- 75th percentile ECFTBF: 0.438-0.481 L, n39. Statistical analyses were performed for the three groups. Results The ECFTBF ratio was found to be higher in female patients, individuals who lived alone, and those with a low educational level. As the ECFTBF ratio increased, there was a deterioration in the physical and mental components of quality of life, including physical functioning p0.001, physical role difficulties p0.03, general health perceptions p0.03, mental component p0.02, mental health p0.01, social functioning p0.001, and vitality p0.01. The rate of depression was 40 in all patients, 25 in Group 1, 43 in Group 2, and 45 in Group 3. As the ECFTBF ratio increased, a statistically non-significant increase was observed in depression scores. The PSQI total score was found to be above 5 in all patients included in the study. Conclusion It was determined that as the ECFTBF ratio increased in hemodialysis patients, the quality of life decreased, depression and anxiety symptoms increased, sleep quality deteriorated, sleep efficiency decreased, and sleep duration was shortened. Considering the impact of all these factors on patients morbidity and survival, it is important to determine volume status and dry weight in patients undergoing hemodialysis.

 Objectives To determine the volume status of patients undergoing hemodialysis using the bioimpedance method and to investigate the relationship of volume status with the patients quality of life, anxiety, depression, and sleep quality. Material and Method This cross-sectional study included a total of 100 patients undergoing hemodialysis at the Hemodialysis Unit in March 2016. The volume status of the patients was determined using bioelectrical impedance analysis BIA performed with a body composition monitor before their mid-week hemodialysis sessions. The quality of life was evaluated using the 36-item Short Form Survey, sleep quality was assessed using the Pittsburg Sleep Quality Index PSQI, depression screening was performed with the Beck Depression Inventory, and anxiety screening was undertaken with the Beck Anxiety Inventory. The patients were divided into three groups according to the extracellular fluid total body fluid ECFTBF ratio, which is one of the BIA parameters: Group 1, 25th percentile ECF TBF0.426 L, n24; Group 2, 25-50th percentile ECFTBF: 0.426-0.438 L, n37; and Group 3, 50- 75th percentile ECFTBF: 0.438-0.481 L, n39. Statistical analyses were performed for the three groups. Results The ECFTBF ratio was found to be higher in female patients, individuals who lived alone, and those with a low educational level. As the ECFTBF ratio increased, there was a deterioration in the physical and mental components of quality of life, including physical functioning p0.001, physical role difficulties p0.03, general health perceptions p0.03, mental component p0.02, mental health p0.01, social functioning p0.001, and vitality p0.01. The rate of depression was 40 in all patients, 25 in Group 1, 43 in Group 2, and 45 in Group 3. As the ECFTBF ratio increased, a statistically non-significant increase was observed in depression scores. The PSQI total score was found to be above 5 in all patients included in the study. Conclusion It was determined that as the ECFTBF ratio increased in hemodialysis patients, the quality of life decreased, depression and anxiety symptoms increased, sleep quality deteriorated, sleep efficiency decreased, and sleep duration was shortened. Considering the impact of all these factors on patients morbidity and survival, it is important to determine volume status and dry weight in patients undergoing hemodialysis.

 Amaç Çalışmada hemodiyalize girmekte olan hastaların biyoimpedans yöntemi ile volüm durumlarının belirlenmesi ve volüm durumunun hastaların yaşam kalitesi, anksiyete, depresyon ve uyku kalitesi ile ilişkisinin araştırılması amaçlandı. Gereç ve Yöntem Kesitsel olarak planlanan çalışmaya 2016 Yılı Mart Ayında Hemodiyaliz Ünitesinde hemodiyalize girmekte olan toplam 100 hasta alındı. Hastaların volüm durumunu belirlemek için, hafta ortası hemodiyaliz seansları öncesinde vücut kompozisyon monitörü ile biyoelektriksel impedans analizi BİA yapıldı. Hastaların yaşam kaliteleri SF-36 yaşam kalitesi ölçeği ile, uyku kalitesi Pittsburg Uyku Kalitesi İndeksi PUKİ kullanılarak, depresyon taramaları Beck Depresyon Ölçeği BDÖ, anksiyete taramaları Beck Anksiyete Ölçeği ile değerlendirildi. Hastalar BİA parametrelerinden hücre dışı sıvı total vücut sıvısı HDSTVS oranlarına göre üç gruba ayrıldı. Grup1; 25 persentil HDSTVS0,426 Lt, n24, grup 2; 25-50 persentil HDSTVS: 0,426-0,438 Lt, n37, grup 3; 50-75 persentil HDSTVS: 0,438-0,481 Lt, n39. İstatiksel analizler üç grup üzerinden yapıldı. Bulgular Kadın cinsiyette, yalnız yaşayan ve eğitim seviyesi düşük olan hastalarda HDSTVS oranları yüksek bulundu. HDSTVS oranı arttıkça, yaşam kalitesi komponentlerinden; fiziksel komponent p0,01 ve mental komponentte p0,02 bozulma olduğu; fiziksel komponent bileşenlerinden; fiziksel fonksiyon p0,001, fiziksel rol güçlüğü p0,03, genel sağlık algısında p0,03 azalma, mental komponent bileşenlerinden; mental sağlık p0,01, sosyal fonksiyon p0,001 ve vitalite p0,01 alanlarında bozulma olduğu görüldü. Tüm hastalarda depresyon oranı 40, gruplar kendi içinde değerlendirildiğinde depresyon oranı grup 1de 25, grup 2de 43 ve grup 3de 45 olarak tespit edildi. HDSTVS oranı arttıkça, depresyon skorlarında istatiksel anlamlı olmayan bir artış izlendi. Çalışmaya alınan hastaların tamamında PUKİ total skoru 5in üstünde saptandı. Sonuç Çalışma sonucunda, HD hastalarında HDSTVS oranı arttıkça, yaşam kalitesinin azaldığı, depresyon ve anksiyete bulgularının arttığı, uyku kalitesinin bozulduğu, uyku veriminin azaldığı ve uyku süresinin kısaldığını saptadık. Tüm bu faktörlerin, hastaların morbidite ve sağkalımına etkisi göz önüne alındığında, HD hastalarında volüm kontrolü ve kuru ağırlık tespiti önemlidir.

Makale detayları

THE EFFECT OF VOLUME STATUS ON QUALITY OF LIFE, ANXIETY, DEPRESSION AND SLEEP QUALITY IN HEMODIALYSIS PATIENTS

Yazarlar:

Selma Özlem Çelikdelen

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Nefroloji | Psychiatry

Dergi:

Medical Journal of Süleyman Demirel University Vol.31 Issue 1, pp.71-79

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001313411

pISSN:

1300-7416

hemodialysis

bioimpedance

quality of life

sleep quality

depressionhemodiyaliz

biyoimpedans

yaşam kalitesi

uyku kalitesi

depresyon

Sayı

Makale detayları

Yazarlar: Selma Özlem Çelikdelen

Yayıncı: Süleyman Demirel University

Ana Başlıklar: Nefroloji | Psychiatry

Dergi: Medical Journal of Süleyman Demirel University Vol.31 Issue 1, pp.71-79

Belge Tipi: Makale

Yayın Tarihi: 3/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001313411

pISSN: 1300-7416

Sayı

Yazarlar:

Selma Özlem Çelikdelen

Yayıncı:

Süleyman Demirel University

Ana Başlıklar:

Nefroloji | Psychiatry

Dergi:

Medical Journal of Süleyman Demirel University Vol.31 Issue 1, pp.71-79

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001313411

pISSN:

1300-7416