Öz
Amaç
Bu araştırma, ayaktan hemodiyaliz tedavisi alan hastaların susama sıkıntısı ve susama şiddetinin sıvı kontrol uyumu ve interdiyalitik kilo alımı (IDWG) ile ilişkisini incelemek amacıyla yapıldı.
Yöntemler
Bu iki merkezli tanımlayıcı ve kesitsel çalışma, ayaktan hemodiyaliz tedavisi gören 148 hasta ile tamamlandı. Veriler “hasta tanıtım formu”, “hemodiyaliz hastalarında susama sıkıntısı ölçeği (HHSSÖ)”, “hemodiyaliz hastalarında sıvı kontrol ölçeği (HHSKÖ)”, vizüel analog skala (VAS)” kullanılarak toplandı. IDWG, hemodiyaliz öncesi ağırlık ile önceki seanstan sonra kaydedilen ağırlık arasındaki fark olarak hesaplandı; 3 aylık interdiyalitik kilo alımının ortalaması kaydedildi. Verilerin değerlendirilmesinde, Independent sample t-testi ve one-way ANOVA testi, Mann-Whitney U ve Kruskall-Wallis testleri kullanıldı. Ölçekler arasındaki ilişkiyi belirlemek için Pearson korelasyon analizi kullanıldı.
Bulgular
Elde edilen sonuçlara göre HHSSÖ puan ortalaması 21,67±5,02, VAS susuzluk puan ortalaması 4,62±1,68, HHSKÖ toplam ölçek puan ortalaması 44,86±6,80, HHSKÖ davranış alt boyutu puan ortalaması 22,14±5,74, HHSKÖ bilgi alt boyutu puan ortalaması 12,54±2,79 ve HHSKÖ tutum alt boyutu puan ortalaması 10,17±2,76 olarak belirlendi. Susama sıkıntısı ölçek puanları ile HHSKÖ toplam puanları, HHSKÖ alt boyut bilgi puanları ile HHSKÖ alt boyut tutum puanları, IDWG ile HHSKÖ alt boyut tutum puanları arasında negatif bir korelasyon tespit edildi. VAS susuzluk puanı ile IDWG arasında pozitif bir ilişki tespit edildi.
Sonuç
Çalışmamızda, hemodiyaliz hastalarında susama sıkıntısı orta düzeyden yüksek ve susama şiddeti (VAS susuzluk puanı) arttıkça interdiyalitik kilo alımının arttığı saptandı.
Anahtar Kelimeler: Sıvı tüketimi, hemodiyaliz, susama, kilo alımı, ağız kuruluğu
Kaynakça
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