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Periton Diyalizi Hastalarında Demografi k Özellikler ve Sosyal Durumun Hasta Sağ Kalımına Etkisi

The Effect of Demographical and Social Parameters on Patient Survey in Peritoneal Dialysis Patients

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2010
DOI: 
doi: 10.5262/tndt.2010.1002.68

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
The effect of demographical and social parameters on patient survival in peritoneal dialysis patients. OBJECTIVE: Peritoneal dialysis is a renal replacement therapy in patients with end stage renal disease and the characteristics of patients may affect their survival. The aim of this study was to investigate the effect of age, gender, education level and fi nancial status on patient survival in patients undergoing peritoneal dialysis at the our nephology clinic. MATERIAL and METHODS: The medical fi les of a total of 313 peritoneal dialysis patients were retrospectively evaluated. Age, gender, education level and fi nancial status were reported. The effect of these parameters on patient survival was tested was analyzed using the chi-square test and Mann-Whitney U test. RESULTS: The mean age at the start of dialysis was 51.9 ± 17.6 years and the mean dialysis duration was 27.5 ± 27.1 (median: 20, range: 3-166) months. A total of 58 (18.5%) patients had died. Total 194 (62%) patients were male and 119 (38%) were female. A total of 106 patients were not literate, 163 patients had graduated from primary school, 39 patients from middle school, and 5 patients from higher school. The mortality rates in these patients were 17.9%, 22%, 7.7% and 0%, respectively. The fi nancial status was good in 58 (18.6%) patients, moderate in 187 (59.7%) patients and poor in 68 (21.7%) patients. A total of 163 (52.1%) patients were living at rural areas and 150 (47.9%) were living at urban areas. The mortality rate decreased with young age (p=0.002) and high education level (p=0.045). There was no relationship between mortality and gender, living in rural or urban areas, or fi nancial status (p>0.05). CONCLUSION: Our results suggest that increasing the education level of patients may improve their survival
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Abstract (Original Language): 
AMAÇ: Periton diyalizi son dönem böbrek yetmezliği hastalarında renal replasman tedavi seçeneklerinden birisi olup bu tedaviyi alan hastaların bazı özellikleri hasta sağ kalımını etkileyebilmektedir. Bu çalışmada hastanemiz Nefroloji kliniğinde takip edilen sürekli ayaktan periton diyaliz hastalarında hasta sağ kalımına yaş, cinsiyet, eğitim düzeyi, ekonomik durumun etkisi araştırıldı. GEREÇ ve YÖNTEMLER: 313 hastanın kayıtları incelenerek yaş, cinsiyet, eğitim düzeyi, ekonomik durum retrospektif olarak değerlendirildi. Bu parametrelerin hasta sağ kalımına etkisi logistik regresyon analizi, ki-kare ve Mann-Whitney U testleri kullanılarak test edildi. BULGULAR: Ortalama diyalize başlama yaşı 51,9 ± 17,6 yıl, ortalama diyaliz süresi 27,5 ± 27,1 (ortanca: 20, aralık:3-166) ay olarak bulundu. Takip süresince hastaların 58’i (%18,5) öldü. Hastaların 194’ü erkek (%62), 119’u kadın (%38) idi. 106 hasta okur yazar değil, 163 hasta ilkokul mezunu, 39 hasta ortaokul mezunu, 5 hasta üniversite mezunu idi. Bu hastalarda mortalite sıklığı sırasıyla %17,9, %22, %7,7, % 0 olarak saptandı. 58 hastanın (%18,6) ekonomik durumu iyi, 187 hastanın (%59,7) orta, 68 hastanın (%21,7) kötü idi. 163 (%52,1) hasta kırsal, 150 hasta (%47,9) kentsel bölgede yaşamaktaydı. 92 hasta yeşil kartlı (%29,4) idi. Genç hastalarda (p=0,002) ve yüksek eğitim düzeyine sahip hastalarda mortalite riski azalmaktaydı (p=0.045). Cinsiyet, kırsal ya da kentsel bölgede yaşam, ekonomik durum ile hasta mortalitesi arasında ilişki bulunmadı (p>0.05). SONUÇ: Bizim çalışmamızın sonuçları periton diyaliz hastalarında eğitim düzeyinin iyileştirilmesiyle hasta sağ kalımının iyileştirilebileceğini göstermiştir.
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  • 2
121-123
  • Turkish

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