Araştırma Makalesi
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PERİTON DİYALİZ TEDAVİSİ GÖREN HASTALARDA TRAVMA SONRASI GELİŞİMİ ETKİLEYEN FAKTÖRLERİN İNCELENMESİ

Yıl 2025, Cilt: 8 Sayı: 1, 34 - 43, 30.04.2025

Hatice Yorulmaz , Sümeyra Koçyiğit

https://doi.org/10.54803/sauhsd.1603048

Öz

Çalışmada periton diyaliz tedavisi gören hastaların travma sonrası gelişim düzeyleri ve gelişime etkisi olduğu düşünülen değişkenlerin incelenmesi amaçlandı. Çalışmaya, beş eğitim araştırma hastanesinde periton diyalizi tedavisi alan 100 kronik böbrek yetmezliği hastası alındı. Araştırma verisi tanıtıcı bilgi formu ve “Travma Sonrası Gelişim Ölçeği” uygulanarak toplandı. Hastaların; %43’ünün 20-39 yaş arasında, % 61’inin kadın, % 34 ‘ünün ilkokul, %71’inin evli % 54 ünün çalıştığı, % 59’inin geliri giderine eşit, % 43’ünün 1-4 yıldır tanı konulduğu, % 52’sinin 1-4 yıldır tedavi gördüğü, % 51’inde ek hastalık olduğu, %52 sinin sürekli ayaktan periton diyalizi (SAPD) aldığı görüldü. Hastaların, % 90’ ı ruhsal, % 70 i aile, % 65 i sosyal, yaşamlarında hastalık süresince değişiklik olduğunu, % 73 nün halsizlik, % 76 sının yorgunluk, % 66 sının sinirlilik yaşadığı saptandı. Hastalar toplam puan, KD ve DD alt ölçeklerinden ortalamanın biraz üstünde YD alt ölçeğinden ise altında puan aldı. Orta yaş grubu ileri ve genç yaşlara, okuryazar olmayanların lise mezunlarına, çalışmayanların çalışanlara göre, geliri giderine eşit olanların geliri giderinden az olanlara göre ölçek toplam puan ve alt ölçek puanlarının daha yüksek olduğu görüldü (p<0.05). Hastalardan 1-4 yıldır tanı ve tedavi alan, ailesinde KBY hastası ve ek hastalığı olanların ölçek toplam puanın daha düşük olduğu saptandı (p<0.05). Daha az travma sonrası gelişim gösteren hasta gruplarında semptomları yönetme, yeni bir yaşam felsefesi edinme ve gelişime yönelik davranışların hastalara kazandırılmasına yönelik eğitimler travma sonrası büyümeyi ve gelişmeyi destekleyebilir.

Anahtar Kelimeler

Böbrek Yetmezliği Travma Sonrası Gelişim. diyaliz periton

Kaynakça

  • Li T, Wilcox CS, Lipkowitz MS, Gordon-Cappitelli J, Dragoi S. Rationale and Strategies for Preserving Residual Kidney Function in Dialysis Patients. Am J Nephrol 2019;50(6):411-421.
  • Basile C, Davenport A, Mitra S, Pal A, Stamatialis D, Chrysochou C, et al. Frontiers in hemodialysis: Innovations and technological advances. Artif Organs. 2021;45(2):175-182. doi:10.1111/aor.13798
  • Glickman JD, Teitelbaum I, Golper TA. Prescribing Home Hemodialysis. Adv Chronic Kidney Dis 2021;28(2):157-163. doi:10.1053/j.ackd.2020.09.002
  • Kalra S, Sharma S, Sahay M. Dialysis distress. J Pak Med Assoc 2024;74(5):1000-1002. doi:10.47391/JPMA.24-37
  • Dozier KC, Yeung LY, Miranda MA Jr, Miraflor EJ, Strumwasser AM, Victorino GP. Death or dialysis? The risk of dialysis-dependent chronic renal failure after trauma nephrectomy. Am Surg 2013;79(1):96-100. doi:10.1177/0003134813079001
  • Hercz G. The Trauma of dialysis initiation. J Am Soc Nephrol 2017;28(10):2835-2837. doi:10.1681/ASN.2017020212
  • Khoury R, Ghantous Z, Ibrahim R, Ghossoub E, Madaghjian P, Karam E, et al. Anxiety, depression and posttraumatic stress disorder in patients on hemodialysis in the setting of the pandemic, inflation, and the Beirut blast: A cross-sectional study. BMC Psychiatry. 2023;23(1):284. doi:10.1186/s12888-023-04798-6
  • Marki E, Moisoglou I, Aggelidou S, Malliarou M, Tsaras K, Papathanasiou IV. Body image, emotional intelligence and quality of life in peritoneal dialysis patients. AIMS Public Health. 2023;10(3):698-709. doi:10.3934/publichealth.2023048
  • Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: Measuring the positive legacy of trauma. J Trauma Stress 1996;9(3):455-471. doi:10.1007/BF02103658
  • Li X, Zhou X, Ma D, Salerno S, Qi M, Diao Y, et al. Status and factors related to posttraumatic growth in continuous ambulatory peritoneal dialysis: A multi-centre study. Nurs Open 2022;9(1):550-558. doi:10.1002/nop2.1096
  • Kamran F. Transitions in psychological well-being and life orientation: The phenomenon of post traumatic growth after renal transplantation. Pak J Psychol Res. 2016;31(2):419-440.
  • Yorulmaz H, Bayraktar S, Özdilli K, Posttraumatic growth in chronic kidney failure disease. Procedia - Social and Behavioral Sciences 2010;5:2313-2319. doi:10.1016/j.sbspro.2010.07.456
  • Kaǧan M, Güleç, M, Boysan, M, Çavuş, H. Hierarchical factor structure of the Turkish version of the posttraumatic growth inventory in a normal population. TAF Preventive Medicine Bulletin 2012;11(5), 617–624.
  • Chen J, Liu L, Chen J, Jiang W, Wu B, Zhu J, et al. Physical activity and posttraumatic growth in patients receiving maintenance hemodialysis: A prospective study. J Health Psychol 2021;26(14):2896-2907. doi:10.1177/1359105320937056
  • Tedeschi RG, Calhoun LG. Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry 2004;15(1):1-18. doi:10.1207/s15327965pli1501_01
  • Cui C, Wang K, An J, Jin C. Current status and influencing factors of posttraumatic growth in maintenance hemodialysis. Int J Nurs Sci 2017;4(4):362-366. doi:10.1016/j.ijnss.2017.09.008
  • Dınvar PE. (2011). Travma sonrası stres, dünyaya ilişkin varsayımlar ve tanrı algısı arasındaki ilişki. Yüksek Lisans Tezi. Ankara Üniversitesi Sosyal Bilimler Enstitüsü. Ankara.
  • Kömürcü C, Kuzu, A. Diyaliz Hastaları ve Bakım Verenlerinde Sosyal Destek ve Spiritüel İyi Oluşun Travma Sonrası Büyümeye Etkisi. Karya J Health Sci 2022; 3(2): 103-108.
  • Julian Mauro JC, Molinuevo Tobalina JA, Sánchez González JC. Employment in the patient with chronic kidney disease related to renal replacement therapy. Nefrologia 2012;32(4):439-445. doi:10.3265/Nefrologia.pre2012.Apr.11366
  • Li T, Liu T, Han J, Zhang M, Li Z, Zhu Q, Wang A. The relationship among resilience, rumination and posttraumatic growth in hemodialysis patients in North China. Psychol Health Med 2018;23(4):442-453. doi:10.1080/13548506.2017.1384553
  • Ho SMY, Cihan CLW, Ho RTH. Posttraumatic growth in Chinese cancer survivors. Psycho-Oncology 2004;13, 377-389. doi:10.1002/pon.758
  • Mok E, Tam B. Stressors and coping methods among chronic haemodialysis patients in Hong Kong. Journal of Clinal Nursing 2001;10(4): 503-511. doi:10.1046/j.1365-2702.2001.00500.x
  • Sitjar-Suñer M, Suñer-Soler R, Masià-Plana A, Chirveches-Pérez E, Bertran-Noguer C, Fuentes-Pumarola C. Quality of life and social support of people on peritoneal dialysis: Mixed methods research. Int J Environ Res Public Health 2020;17(12):4240. doi:10.3390/ijerph17124240
  • Karaca S, Çınar S, Bahçebaşı ZB. The perspective from the patients: The effects of peritoneal dialysis on life and mental symptoms. Clinical and Experimental Health Sciences 2014;2(4):169-174.
  • Satirapoj B, Limwannata P, Kleebchaiyaphum C, Prapakorn J, Yatinan U, Chotsriluecha S, et al. Nutritional status among peritoneal dialysis patients after oral supplement with ONCE dialyze formula. Int J Nephrol Renov Dis 2017;10:145–151. doi:10.2147/IJNRD.S138047
  • Almutary H, Bonner A, Douglas C. Which patients with chronic kidney disease have the greatest symptom burden? A comparative study of advanced CKD stage and dialysis modality. J Ren Care. 2016;42(2):73-82. doi:10.1111/jorc.12152
  • Weiss T, Berger R. Reliability and validity of a Spanish version of the Posttraumatic Growth Inventory. Res on Soc Work Pract. 2006;16(2):191–199. doi:10.1177/1049731505281374

Examination of Posttraumatic Growth in Patients Receiving Peritoneal Dialysis Treatment

Yıl 2025, Cilt: 8 Sayı: 1, 34 - 43, 30.04.2025

Hatice Yorulmaz , Sümeyra Koçyiğit

https://doi.org/10.54803/sauhsd.1603048

Öz

Objective: The study was aimed posttraumatic growth levels of patients treated with peritoneal dialysis.
Methods: The study included 100 patients receiving peritoneal dialysis treatment. The data was collected using the diagnostic information form and Posttraumatic Growth Scale.
Results: Patients scored less than average from the " Change in Philosophy of Life " subscale. It was observed that the scale total score and subscale scores were higher in the middle age group than in other age groups, in those who were illiterate compared to high school graduates, in those who were not working than in those who were employed, in those whose income was equal to their expenses compared to those whose income was less than their expenses (p<0.05). Patients who were diagnosed and treated for 1-4 years and had the same disease and additional disease in their family were found to have a lower overall scale score (p<0.05).
Conclusion: Training patients with less posttraumatic development groups to manage symptoms, acquire a new philosophy of life, and empower patients with developmental behaviors can support growth and development after the trauma.

Anahtar Kelimeler

Dialysis Growth Kidney Failure Peritoneal Posttrauma

Kaynakça

  • Li T, Wilcox CS, Lipkowitz MS, Gordon-Cappitelli J, Dragoi S. Rationale and Strategies for Preserving Residual Kidney Function in Dialysis Patients. Am J Nephrol 2019;50(6):411-421.
  • Basile C, Davenport A, Mitra S, Pal A, Stamatialis D, Chrysochou C, et al. Frontiers in hemodialysis: Innovations and technological advances. Artif Organs. 2021;45(2):175-182. doi:10.1111/aor.13798
  • Glickman JD, Teitelbaum I, Golper TA. Prescribing Home Hemodialysis. Adv Chronic Kidney Dis 2021;28(2):157-163. doi:10.1053/j.ackd.2020.09.002
  • Kalra S, Sharma S, Sahay M. Dialysis distress. J Pak Med Assoc 2024;74(5):1000-1002. doi:10.47391/JPMA.24-37
  • Dozier KC, Yeung LY, Miranda MA Jr, Miraflor EJ, Strumwasser AM, Victorino GP. Death or dialysis? The risk of dialysis-dependent chronic renal failure after trauma nephrectomy. Am Surg 2013;79(1):96-100. doi:10.1177/0003134813079001
  • Hercz G. The Trauma of dialysis initiation. J Am Soc Nephrol 2017;28(10):2835-2837. doi:10.1681/ASN.2017020212
  • Khoury R, Ghantous Z, Ibrahim R, Ghossoub E, Madaghjian P, Karam E, et al. Anxiety, depression and posttraumatic stress disorder in patients on hemodialysis in the setting of the pandemic, inflation, and the Beirut blast: A cross-sectional study. BMC Psychiatry. 2023;23(1):284. doi:10.1186/s12888-023-04798-6
  • Marki E, Moisoglou I, Aggelidou S, Malliarou M, Tsaras K, Papathanasiou IV. Body image, emotional intelligence and quality of life in peritoneal dialysis patients. AIMS Public Health. 2023;10(3):698-709. doi:10.3934/publichealth.2023048
  • Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: Measuring the positive legacy of trauma. J Trauma Stress 1996;9(3):455-471. doi:10.1007/BF02103658
  • Li X, Zhou X, Ma D, Salerno S, Qi M, Diao Y, et al. Status and factors related to posttraumatic growth in continuous ambulatory peritoneal dialysis: A multi-centre study. Nurs Open 2022;9(1):550-558. doi:10.1002/nop2.1096
  • Kamran F. Transitions in psychological well-being and life orientation: The phenomenon of post traumatic growth after renal transplantation. Pak J Psychol Res. 2016;31(2):419-440.
  • Yorulmaz H, Bayraktar S, Özdilli K, Posttraumatic growth in chronic kidney failure disease. Procedia - Social and Behavioral Sciences 2010;5:2313-2319. doi:10.1016/j.sbspro.2010.07.456
  • Kaǧan M, Güleç, M, Boysan, M, Çavuş, H. Hierarchical factor structure of the Turkish version of the posttraumatic growth inventory in a normal population. TAF Preventive Medicine Bulletin 2012;11(5), 617–624.
  • Chen J, Liu L, Chen J, Jiang W, Wu B, Zhu J, et al. Physical activity and posttraumatic growth in patients receiving maintenance hemodialysis: A prospective study. J Health Psychol 2021;26(14):2896-2907. doi:10.1177/1359105320937056
  • Tedeschi RG, Calhoun LG. Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry 2004;15(1):1-18. doi:10.1207/s15327965pli1501_01
  • Cui C, Wang K, An J, Jin C. Current status and influencing factors of posttraumatic growth in maintenance hemodialysis. Int J Nurs Sci 2017;4(4):362-366. doi:10.1016/j.ijnss.2017.09.008
  • Dınvar PE. (2011). Travma sonrası stres, dünyaya ilişkin varsayımlar ve tanrı algısı arasındaki ilişki. Yüksek Lisans Tezi. Ankara Üniversitesi Sosyal Bilimler Enstitüsü. Ankara.
  • Kömürcü C, Kuzu, A. Diyaliz Hastaları ve Bakım Verenlerinde Sosyal Destek ve Spiritüel İyi Oluşun Travma Sonrası Büyümeye Etkisi. Karya J Health Sci 2022; 3(2): 103-108.
  • Julian Mauro JC, Molinuevo Tobalina JA, Sánchez González JC. Employment in the patient with chronic kidney disease related to renal replacement therapy. Nefrologia 2012;32(4):439-445. doi:10.3265/Nefrologia.pre2012.Apr.11366
  • Li T, Liu T, Han J, Zhang M, Li Z, Zhu Q, Wang A. The relationship among resilience, rumination and posttraumatic growth in hemodialysis patients in North China. Psychol Health Med 2018;23(4):442-453. doi:10.1080/13548506.2017.1384553
  • Ho SMY, Cihan CLW, Ho RTH. Posttraumatic growth in Chinese cancer survivors. Psycho-Oncology 2004;13, 377-389. doi:10.1002/pon.758
  • Mok E, Tam B. Stressors and coping methods among chronic haemodialysis patients in Hong Kong. Journal of Clinal Nursing 2001;10(4): 503-511. doi:10.1046/j.1365-2702.2001.00500.x
  • Sitjar-Suñer M, Suñer-Soler R, Masià-Plana A, Chirveches-Pérez E, Bertran-Noguer C, Fuentes-Pumarola C. Quality of life and social support of people on peritoneal dialysis: Mixed methods research. Int J Environ Res Public Health 2020;17(12):4240. doi:10.3390/ijerph17124240
  • Karaca S, Çınar S, Bahçebaşı ZB. The perspective from the patients: The effects of peritoneal dialysis on life and mental symptoms. Clinical and Experimental Health Sciences 2014;2(4):169-174.
  • Satirapoj B, Limwannata P, Kleebchaiyaphum C, Prapakorn J, Yatinan U, Chotsriluecha S, et al. Nutritional status among peritoneal dialysis patients after oral supplement with ONCE dialyze formula. Int J Nephrol Renov Dis 2017;10:145–151. doi:10.2147/IJNRD.S138047
  • Almutary H, Bonner A, Douglas C. Which patients with chronic kidney disease have the greatest symptom burden? A comparative study of advanced CKD stage and dialysis modality. J Ren Care. 2016;42(2):73-82. doi:10.1111/jorc.12152
  • Weiss T, Berger R. Reliability and validity of a Spanish version of the Posttraumatic Growth Inventory. Res on Soc Work Pract. 2006;16(2):191–199. doi:10.1177/1049731505281374
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Dahili Hastalıklar Hemşireliği, Ruh Sağlığı Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Hatice Yorulmaz 0000-0002-0550-9899

Sümeyra Koçyiğit 0009-0007-4339-6542

Erken Görünüm Tarihi 30 Nisan 2025
Yayımlanma Tarihi 30 Nisan 2025
Gönderilme Tarihi 17 Aralık 2024
Kabul Tarihi 28 Nisan 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 8 Sayı: 1

Kaynak Göster

APA Yorulmaz, H., & Koçyiğit, S. (2025). Examination of Posttraumatic Growth in Patients Receiving Peritoneal Dialysis Treatment. Sakarya University Journal of Holistic Health, 8(1), 34-43. https://doi.org/10.54803/sauhsd.1603048
AMA Yorulmaz H, Koçyiğit S. Examination of Posttraumatic Growth in Patients Receiving Peritoneal Dialysis Treatment. SAUHSD. Nisan 2025;8(1):34-43. doi:10.54803/sauhsd.1603048
Chicago Yorulmaz, Hatice, ve Sümeyra Koçyiğit. “Examination of Posttraumatic Growth in Patients Receiving Peritoneal Dialysis Treatment”. Sakarya University Journal of Holistic Health 8, sy. 1 (Nisan 2025): 34-43. https://doi.org/10.54803/sauhsd.1603048.
EndNote Yorulmaz H, Koçyiğit S (01 Nisan 2025) Examination of Posttraumatic Growth in Patients Receiving Peritoneal Dialysis Treatment. Sakarya University Journal of Holistic Health 8 1 34–43.
IEEE H. Yorulmaz ve S. Koçyiğit, “Examination of Posttraumatic Growth in Patients Receiving Peritoneal Dialysis Treatment”, SAUHSD, c. 8, sy. 1, ss. 34–43, 2025, doi: 10.54803/sauhsd.1603048.
ISNAD Yorulmaz, Hatice - Koçyiğit, Sümeyra. “Examination of Posttraumatic Growth in Patients Receiving Peritoneal Dialysis Treatment”. Sakarya University Journal of Holistic Health 8/1 (Nisan 2025), 34-43. https://doi.org/10.54803/sauhsd.1603048.
JAMA Yorulmaz H, Koçyiğit S. Examination of Posttraumatic Growth in Patients Receiving Peritoneal Dialysis Treatment. SAUHSD. 2025;8:34–43.
MLA Yorulmaz, Hatice ve Sümeyra Koçyiğit. “Examination of Posttraumatic Growth in Patients Receiving Peritoneal Dialysis Treatment”. Sakarya University Journal of Holistic Health, c. 8, sy. 1, 2025, ss. 34-43, doi:10.54803/sauhsd.1603048.
Vancouver Yorulmaz H, Koçyiğit S. Examination of Posttraumatic Growth in Patients Receiving Peritoneal Dialysis Treatment. SAUHSD. 2025;8(1):34-43.
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