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OBJECTIVE: This study aimed to investigate effect of salt and fluid restriction education for patients undergoing hemodialysis and nonadherent to fluid restriction treatment on blood pressure and weight gain.MATERIAL and METHODS: The study sample consisted of 100 patients, nonadherent to fluid restriction treatment, undergoing routine 3 times a week hemodialysis treatment at a hemodialysis center. Salt and fluid restriction education was given to patients once a week during two consecutive weeks. Pre and post-hemodialysis weight and means, interdialytic weight gain and means, predialysis systolic and diastolic blood pressures and means were measured.RESULTS: 67 male and 33 female patients were included. The average age was 56.2 ±13.5 years. Mean hemodialysis time was 54.7+-42.1 months. After education, there was a significant reduction in pre-dialysis weight means (p<0.001) and mean interdialytic weight gain (p:0.006). Also there was a decrease in pre-dialysis systolic blood pressure means (p:0.035) after the education. However, there was no reduction in pre-dialysis diastolic blood pressure means.CONLUSION: If patients undergoing hemodialysis are given sufficient education about salt and fluid restriction; they are eager to follow salt and fluid restriction treatment
ÖzAmaç: Bu çalışmamızda amacımız; Eskişehir Osmangazi Üniversitesi Aile Hekimliği Polikliniğine başvuran hastaların boy, kilo farkındalıklarını ve fiziksel egzersiz durumlarını değerlendirmektir. Materyal ve Metot: Eskişehir Osmangazi Üniversitesi Aile Hekimliği Polikliniğine başvuran 187 gönüllü dâhil edilmiştir. Hastaların boy, kilo farkındalıklarını ve fiziksel egzersiz durumlarını ölçmek amacıyla hazırladığımız ankette, kişilere boy ve kiloları sorularak kaydedilmiştir. Kişilerin bildirdikleri boy, kilo değerleri ile poliklinikte hekimlerin ölçtüğü boy, kilo değerleri arasında fark olup olmadığı, fark varsa bu farkın yaş, cinsiyet ve eğitim düzeyinden etkilenip etkilenmediği, en son boy, kilo ölçümlerini ne zaman yaptıkları, kilolarından memnun olup olmadıkları, spor faaliyetlerine olan ilgileri, hangi sıklıkla spor yaptıkları, spor yapanlara yaptıkları sporun türü ve sıklığı gibi sorular sorulmuştur. Bulgular: Çalışmamıza %44,40'ı kadın, %55,60'ı erkek olmak üzere 187 kişi dâhil edilmiştir. Hastalarımızın tahmin ettikleri boy ve kilolarına dikkate alınarak hesaplanan beden kitle endekslerine göre %4,30'u zayıf, %45,70'i normal kilolu, %34,90'ı yüksek kilolu, %15,10'u obez saptanmıştır. Boy ve kilo ölçümlerimizin sonunda hesaplanan beden kitle endekslerine göre ise %3,20'si zayıf, %46,50'si normal kilolu, %35,30'u yüksek kilolu, %15,00'ı obez olarak saptanmıştır. Düzenli spor yaptıklarını söyleyenlerin oranı %29,40 idi. Boy, kilo ve beden kitle indeksleri ölçüm öncesi ve sonrası anlamlı farklılık göstermedi. Sonuçlar: Hastalarımızın büyük çoğunluğunun boy ve kilolarını biliyor olmaları, boy kilo farkındalıklarının yüksek olduğunu göstermektedir. Düzenli spor yapma konusunda henüz istenen düzeye ulaşamadığımız görülmektedir ve bu konuda halkımızın bilinçlendirilmesi gerekir. Hekimler her hasta için BKİ hesaplamalıdırlar. Anahtar kelimeler: Obezite, boy kilo farkındalığı, hasta algısı, hekim algısı Abstract Objectives: In this study, our aim was to assess the height and weight of patients admitted to Eskişehir Osmangazi University Family Medicine outpatient clinics together with their physical exercise situations. Materials and Methods: Totally 187 volunteers admitted to Eskişehir Osmangazi University Family Medicine outpatient clinics were involved. Patients' heights and weights were recorded within the questionnaires prepared in order to measure their height and weight awareness together with their physical exercise status. Patients' declarations about their heights and lengths were compared by the physicians' measurements. If a difference was present, it was questioned whether this difference was affected by age, gender and level of education. They were also questioned about their last measurement of height and weight, about their satisfaction of their weights, about their sportive interests, the frequency and type of their sporting activities. Results: A total of 187 people, 44.40 % being woman and 55.60 % being man, were included in our study. According to the body mass indices calculated according to the...
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