DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS

kesikburun, bilge; AKDAĞ, SEYİT İBRAHİM; Cakci, Aytul; eksioglu, emel

DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS

Emel EKŞİOĞLU, (1 Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Physical Medicine and Rehabilitation)

SEYİT İBRAHİM AKDAĞ, (Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Nephrology Ankara)

Aytül ÇAKCI, (1 Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Physical Medicine and Rehabilitation)

Bilge KESİKBURUN (Correspondance Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Physical Medicine and Rehabilitation, ANKARA)

Türk Geriatri Dergisi

1 1

Yıl: 2017 Cilt: 20 Sayı: 3 Sayfa Aralığı: 204 - 212 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS

Öz:

Giriş: Yaşlı hemodiyaliz hastalarında yaşam kalitesi hakkında çok sınırlı veri bulunmaktadır. Bu çalışmanın amacı yaşlı hemodiyaliz hastalarında yaşam kalitesini etkileyen demografik ve klinik belirleyicileri tanımlamaktır. Gereç ve Yöntem: Çalışmaya toplam 94 hemodiyaliz hastası katıldı. Katılımcılar yaşa göre iki gruba ayrıldı: yaşlı grubu (yaş >=60) ve genç grubu (yaş<60). Yaş, cinsiyet, medeni durum, eğitim düzeyi, hemodiyaliz süresi, komorbidite, serum hemoglobin, albumin, paratiroid hormon, aspartat transaminaz, alanin transaminaz, kalsiyum, fosfat, üre ve kreatinini içeren klinik ve demografik veriler kaydedildi. Sağlıkla ilişkili yaşam kalitesi Nottingham Sağlık Profili kullanılarak ölçüldü. Beck Depresyon Envanteri kullanılarak depresyon değerlendirildi. Gruplar arasında verilerin karşılaştırılması yapıldı. Yaşam kalitesi için belirleyiciler çoklu lojistik regresyon analizi kullanılarak belirlendi. Bulgular: Yaşlı hemodiyaliz hastaları (n=39) anlamlı olarak enerji, ağrı ve fiziksel aktivite alanlarında kontrol grubundan daha yüksek skorlara sahipti. (n=55; p=0.008, p=0.016, p=0.042, sırasıyla). Yaşlı hemodiyaliz hastalarında, Beck Depresyon Envanteri Nottingham Sağlık Profili'nin enerji alanı dışındaki altı alanıyla istatistiksel olarak anlamlı derecede ilişkili bulundu (p<0.05). Yaşam kalitesi serum hemoglobin, albumin ve fosfat düzeyinden, evli olmak ve komorbidite sayısını içeren faktörlerden anlamlı olarak etkilenmekteydi (p<0.05). Yaşlı hemodiyaliz hastalarında yaşam kalitesinin primer belirleyicisi depresyon olarak görünmektedir. Sonuç: Yaşlı hemodiyaliz hastalarında yaşam kalitesi, büyük oranda depresyon, bazı metabolik parametreler ve komorbidite sayısından etkilenmektedir.

Anahtar Kelime:

Konular: Cerrahi

YAŞLI HEMODİYALİZ HASTALARINDA SAĞLIKLA İLİŞKİLİ YAŞAM KALİTESİNİN BELİRLEYİCİLERİ

Öz:

Introduction: Very limited data about the quality of life in elderly hemodialysis patients are available. The aim of this study was to identify clinical and demographic determinants that influence health-related quality of life in elderly hemodialysis patients. Materials and Method: In total, 94 hemodialysis patients participated in the study. The participants were divided into two groups according to age: elder group (age of ≥60 years) and younger group (age of<60 years). Demographic and clinical data including age; gender; marital status; education period; duration of hemodialysis; comorbidity; and serum levels of hemoglobin, albumin, parathyroid hormone, aspartate transaminase, alanine transaminase, calcium, phosphate , urea, and creatinine were recorded. Health-related quality of life was measured using Nottingham Health Profile. Depression was evaluated using Beck Depression Inventory. Comparison of the data was performed between the groups. Determinants for quality of life were identified using multiple logistic regression analysis. Results: Elderly hemodialysis patients (n=39) had significantly higher scores in energy, pain, and physical activity domains than controls (n=55; p=0.008, p=0.016, p=0.042, respectively). In elderly hemodialysis patients, Beck Depression Inventory was significantly associated with the six domains of Nottingham Health Profile, excluding energy domain (p<0.05). Quality of life was significantly affected by factors including serum levels of hemoglobin, albumin and phosphate ; being married and number of comorbidities (p<0.05). The primary determinant of quality of life in elderly hemodialysis patients seems to be depression. Conclusion: Quality of life in elderly hemodialysis patients is largely influenced by depression, some metabolic parameters, and number of comorbidities.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	eksioglu e, AKDAĞ S, Cakci A, kesikburun b (2017). DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS. , 204 - 212.
Chicago	eksioglu emel,AKDAĞ SEYİT İBRAHİM,Cakci Aytul,kesikburun bilge DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS. (2017): 204 - 212.
MLA	eksioglu emel,AKDAĞ SEYİT İBRAHİM,Cakci Aytul,kesikburun bilge DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS. , 2017, ss.204 - 212.
AMA	eksioglu e,AKDAĞ S,Cakci A,kesikburun b DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS. . 2017; 204 - 212.
Vancouver	eksioglu e,AKDAĞ S,Cakci A,kesikburun b DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS. . 2017; 204 - 212.
IEEE	eksioglu e,AKDAĞ S,Cakci A,kesikburun b "DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS." , ss.204 - 212, 2017.
ISNAD	eksioglu, emel vd. "DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS". (2017), 204-212.

APA	eksioglu e, AKDAĞ S, Cakci A, kesikburun b (2017). DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS. Türk Geriatri Dergisi, 20(3), 204 - 212.
Chicago	eksioglu emel,AKDAĞ SEYİT İBRAHİM,Cakci Aytul,kesikburun bilge DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS. Türk Geriatri Dergisi 20, no.3 (2017): 204 - 212.
MLA	eksioglu emel,AKDAĞ SEYİT İBRAHİM,Cakci Aytul,kesikburun bilge DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS. Türk Geriatri Dergisi, vol.20, no.3, 2017, ss.204 - 212.
AMA	eksioglu e,AKDAĞ S,Cakci A,kesikburun b DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS. Türk Geriatri Dergisi. 2017; 20(3): 204 - 212.
Vancouver	eksioglu e,AKDAĞ S,Cakci A,kesikburun b DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS. Türk Geriatri Dergisi. 2017; 20(3): 204 - 212.
IEEE	eksioglu e,AKDAĞ S,Cakci A,kesikburun b "DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS." Türk Geriatri Dergisi, 20, ss.204 - 212, 2017.
ISNAD	eksioglu, emel vd. "DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE IN ELDERLY HEMODIALYSIS PATIENTS". Türk Geriatri Dergisi 20/3 (2017), 204-212.