ÖZET
Amaç:
Renal transplantasyon, alıcılar için zorlu bir süreçtir. Bu süreçteki önemli sorunlardan biri de istenmeyen kilo alımıdır. Bu çalışmada, böbrek nakli sonrası bir yıllık süreçte vücut kitle indeksindeki (VKİ) değişimin belirlenmesi ve alıcı özelliklerinin VKİ’ye etkisinin değerlendirilmesi amaçlanmıştır.
Yöntemler:
Makale retrospektif olarak yürütülmüştür. Çalışmada 2015-2016 yılları arasında böbrek nakli yapılan 170 hastanın dosyaları retrospektif olarak incelenmiştir. Verilerin analizinde t-testi, ANOVA ve korelasyon analizi kullanılmıştır.
Bulgular:
Hastaların nakil sonrası VKİ’de ilk üç ayda daha fazla artış eğilimi olduğu belirlenmiştir. VKİ artışı bekarlarda evlilere göre (p=0,01, p<0,05), erkeklerde kadınlara göre (p=0,01, p<0,05) daha yüksektir. Glomerüler filtrasyon hızındaki VKİ değişiklikleri ile kreatinin ölçümleri arasında anlamlı bir ilişki olmadığı saptanmıştır (p>0,05).
Sonuç:
Çalışmada böbrek nakli sonrası özellikle ilk üç ayda VKİ artışının daha fazla olduğu belirlenmiştir. Bu nedenle kilo yönetimi konusunda hasta ve yakınlarına danışmanlık ve desteğin erken dönemde verilmesi önemli bir gerekliliktir.
References
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