Buradasınız

Anasayfa » Content

SAPD TEDAVİSİ ALAN KRONİK BÖBREK YETMEZLİKLİ HASTALARDA SOSYODEMOGRAFİK FAKTÖRLER VE DEPRESYON

SOCIODEMOGRAPHIC FACTORS AND DEPRESSION IN PATIENTS WITH CHRONIC RENAL FAILURE TREATED BY CONTINUOUS AMBULATORY PERITONEAL DIALYSIS

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2001

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In the present study, depression and sociodemographic factors were investigated in patients with chronic renal failure treated by continuous ambulatory peritoneal dialysis (CAPD). This descriptive study included 24 patients (13 male, 11 female) treated by CAPD in Hemodialysis Center of Dicle University. Patients were evaluated according to Hamilton's Depression Scale (HAM-D) and sociodemographic factors. Mean dialysis period of CAPDpatients was 20.1 ±10.4 months, the average age was 40.6+12.8years, and mean HAM-D score was 9+6. In general, the main complaints of patients were somatic anxiety (18patients, 75.0%), general somatic symptoms, agitation, psychic anxiety, and hypochondria (14 patients, 58.3%), depressive mood (13 patients, 54.2%), feeling himself/herself guilty and early morning waking (12 patients, 50%). Six patients (25%) had different degree of suicidal ideas. One of them committed suicide. There is a strong positive correlation between HAM-D score and suicidal idea (r=0.77, p<0.0001). We found also a strong positive correlation between HAM-D score and psychic anxiety (r=0.60, p=0.002). In conclusion, our findings suggest that the higher HAM-D score of patients undergoing CAPD treatment are associated with suicidal ideas, psychic anxiety and lack of activity.
Bookmark/Search this post with
Abstract (Original Language): 
Çalışmada, Sürekli Ayaktan Periton Diyalizi (SAPD) alan Kronik Böbrek Yetmezlikti (KBY) hastalarda sosyodemografik faktörler ve depresyon araştırıldı. Bu- tanımlayıcı çalışmaya, Dicle Üniversitesi Tıp Fakültesi, Hemodiyaliz Merkezinde tedavi edilen 24 SAPD hastası (13 erkek, 11 kadın) alındı. Hastalar, Hamilton Depresyon İndeksi (HAM-D) ve sosyodemografik faktörlerine göre değerlendirildi. Çalışma kapsamına alınan 24 SAPD hastasının ortalama SAPD süresi 20.110.4 ayken, yaş ortalaması 40.612.8 yıldı. HAM-D skor ortalaması ise 96 idi. Hastalarda daha ziyade somatik anksiyete (18 hastada, %75), genel somatik semptomlar, ajitasyon, psişik anksiyete, hipokondriyazis (14 hastada, %58.3), depress if ruh hali (13 hastada, %54.2) kendini suçlu hissetme ve sabahları erken kalkma (12 hastada, %50.0) şikayetleri ön plandaydı. 6 (%25) olguda değişik derecelerde intihar düşüncesi bulunuyordu. Bir olgu da intihara teşebbüs etmişti. HAM-D skoru ile intihar düşüncesi arasında güçlü pozitif korelasyon saptandı (r—O. 77, p<0.0001). İntihar düşüncesi ile iş ve aktivite kaybı ve ajitasyon arasında ise zayıf pozitif korelasyonlar mevcuttu (sırasıyla; r=0.44 ve r=0.41). Sonuç olarak; bizim bulgularımız, SAPD'li hastalarda yüksek HAM-D skorlarının intihar düşüncesi, psişik anksiyete ve fonksiyon kayıpları ile ilişkili olduğunu düşündürmektedir.
FULL TEXT (PDF): 
PDF icon pdf_tndt_336.pdf
  • 2
103-108
  • Turkish

REFERENCES

References: 

1. Özkan S (1993) Kronik böbrek hastalığı ve diyalizde psikiyatrik morbidite. Psikiyatrik Tıp: Konsültasyon-Liyezon psikiyatrisi [Turkish], (Psychiatric morbidity in chronic renal failure and dialysis. Psychiatric Medicine: Consultation-Liaison Psychiatry), Roche, Istanbul.
Sağduyu A, Erten Y
(1998) Hemodiyalize giren kronik böbrek hastalarında ruhsal bozukluklar [Turkish], (Psychiatric disorders in patients, who undergo hemodialysis. The Turkish Journal of Psychiatry). Türk Psikiyatri Dergisi; 9 (1): 13-22
Lye WC et al. (1997) Psychosocial and psychiatric morbidity in patients on CAPD. Adv Perit Dial 1997; 13:134-6.
Liu ZZ (1989) Depressive state complicated with chronic renal failure treated by continuous ambulatory peritoneal dialysis. Chung Hua Shen Ching Ching Shen Ko Tsa Chih 22 (3): 168-70
Hamilton M (1967) Development of a rating scale for primary depressive illness. Br j Sdc Clin Psychology 6: 278-96
6. O'Donnell K, Chung JY (1997) The diagnosis of major depression in end stage renal disease. Psychother
Psychosom66(l): 38-43
7. Craven L, et al. (1987) The diagnosis of major depression in renal dialysis patients. Psychosom Med
49: 482-92
8. Kimmel PL (1992) Depression as a mortality risk factor in hemodialysis patients. Int J artif Organs 15: 697
9. Schatzberg AF (1995) Fluoxetin in treatment of comorbid anxiety and depression. J Clin Psychiatry
Monograph 13(2): 2-12
10. Tolleson GD, et al. (1993) Comorbid anxious signs and symptoms in major depression: impact on functional work capacity and comparetive treatment outcomes. International Clinical Psychopharmacology 8: 281-293
108

Thank you for copying data from http://www.arastirmax.com