The Relationship Between Illness Perception and Disability in Hemodialysis Patients

Abstract

A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : End-stage renal disease is a chronic situation requiring life-long dialysis or kidney transplantation. The objective of this study is to determine the relationship between illness perception and disability in hemodialysis due to chronic kidney failure. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This is a descriptive study. The sample group is comprised of 86 hemodialysis patients who were in compliance with the study criteria and who could be reached throughout the duration of the study. Study data were collected using Questionnaire on Sociodemographic and Illness Characteristics, Illness Perception Questionnaire and Brief Disability Questionnaire. Necessary permissions were obtained beforehand. Data collection was carried out between September, 2 -November, 29, 2013. The data were analyzed by using percentage, t test, Kruskall Wallis Variance analysis, Mann Whitney-U test, and pearson correlation analysis. R Re es su ul lt ts s: : According to the results of the study, it was found that 53.5% of the patients were female, 77.9% were married. As for other demographic data, 73.2% of the patients had primary education or were illiterate, 86.0% were covered under social insurance. Participants with a high level of disability also had high perceptions of consequences (r=0.425, p=0.000), timeline (r=0.145, p=0.184), emotional representations (r=0.312, p=0.003), and psychological references (r=0.297, p=0.006); they cannot explain (r=-0.210, p=0.022) or control the illness (r=-0.288, p=0.007) and they also had a high illness identity perception (r=0.339, p=0.001). C Co on nc cl lu us si io on n: : Relationship was identified between the patients' negative perception of illness and disability.K Ke ey y W Wo or rd ds s: : Hemodialysis units, hospital; outpatients Ö ÖZ ZE ET T A Am ma aç ç: : Kronik bir hastalık olan son dönem böbrek hastalığı, tedavi seçenekleri yaşam boyu diyaliz ya da böbrek transplantasyonu olan bir hastalıktır. Çalışmanın amacı kronik böbrek yetmezliği nedeniyle hemodiyaliz uygulanan hastaların hastalık algısı düzeyi ile yeti yitimi arasın-daki ilişkinin belirlenmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışma tanımlayıcı niteliktedir. Çalışmaya dahil edilme kriterlerine uyan ve çalışma süresince ulaşılabilen 86 hemodiyaliz hastası çalışmanın örneklemini oluşturmuştur. Veriler Sosyo-demografik ve Hastalık Özelliklerine İlişkin Anket Formu, Hastalık Algısı Ölçeği ve Kısa Yeti Yitimi Anketi kullanılarak gerekli izinler alındıktan sonra 2 Eylül-29 Kasım 2013 tarihleri arasında toplanmıştır. Verilerin analizinde yüzdelik, t testi, Kruskall Wallis Varyans analizi, Mann Whitney-U testi, pearson korelasyon analizi kullanılmıştır. B Bu ul lg gu ul la ar r: : Araştırma kapsamına alınan hastaların %53,5'i kadın ve %77,9'u evliydi. Hastaların %30,2'si okur yazar değil, %43,0'ı ilkokul mezunu olup, %86,0'ının sosyal güvencesi vardı. Yeti yitimi derecesi yüksek olan hastaların, sonuçlar (r=0,425, p=0,000), süre (akut/kro...

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