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Periton Diyaliz Hastalarında Fiziksel Aktivite Düzeyindeki Artışın Yaşam Kalitesi ve Fonksiyonel Duruma Etkileri

Effects of Improving Physical Activity Level on Quality of Life and Functional Status of Patients Receiving Peritoneal Dialysis

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DOI: 
10.5262/tndt.2014.1001.07
Abstract (2. Language): 
OBJECTIVE: The aim of this study was to determine whether patients receiving peritoneal dialysis (PD) experience an improvement in physical activity, quality of life and functional status as a result of exercise training at home by motivation about benefi ts of exercising. MATERIAL and METHODS: Twenty-one PD patients of 46.7±14.1 years participated in the study. Participants were encouraged by a physiotherapist to walk for 30 minutes, 3 days a week and motivated by explaining benefi ts of exercising. We assessed quality of life by Kidney Disease Quality of Life Questionnaire-Turkish Version (KDQOL-SF), functional status by Six Minute Walk Test (SMW), physical activity level by International Physical Activity Questionnaire – Long Form (IPAQ-LF). The antropometric measurements were performed with the bioelectrical impedance. Assessments were done at the beginning and 3 months later. RESULTS: Total physical activity score of IPAQ-LF increased signifi cantly 3 months later (p<0.05). There were no signifi cant differences in walking, moderate-intensity, vigorous intensity and sitting subscores of IPAQ-LF, SMW distance and anthropometric measurements (p>0.05). Improvements in pain and emotional score of KDQOL-SF were statistically signifi cant (p<0.05). CONCLUSION: Regular exercise should be allocated in the PD standard care. Participation of the patient into such a program could be possible by explaining the benefi ts of exercising at the beginning of the treatment.
Abstract (Original Language): 
AMAÇ: Bu çalışmanın amacı, periton diyaliz hastalarının, egzersizin yararlarıyla ilgili motive edilip evde egzersiz yapmalarının fi ziksel aktivite düzeylerini, yaşam kalitesi ve fonksiyonel durumlarını geliştirip geliştirmediğini belirlemektir. GEREÇ ve YÖNTEMLER: Çalışmaya yaş ortalaması 46.7±14.1 olan 21 periton diyaliz hastası katılmıştır. Katılımcılar bir fi zyoterapist tarafından haftanın 3 günü 30 dakika yürüyüş için cesaretlendirilmiş ve onlara egzersizin yararları açıklanmıştır. Yaşam kalitesi Kidney Disease Quality of Life Questionnaire-Türkçe versiyon (KDQOL-SF) ile, fonksiyonel durumları 6 Dakika Yürüme Testi (SMW) ile, fi ziksel aktivite düzeyleri International Physical Activity Questionnaire – Long Form (IPAQ-LF) Türkçe versiyon ile değerlendirilmiştir. Antropometrik ölçümler biyoelektriksel empedans ile yapılmıştır. Tüm değerlendirmeler başlangıçta ve 3 ay sonra tekrarlanmıştır. BULGULAR: IPAQ-LF total fi ziksel aktivite puanı 3 ay sonunda anlamlı şekilde artmıştır (p<0.05). IPAQ-LF yürüme, orta şiddet, yüksek şiddet ve oturma alt puanlarında, SMW mesafesinde ve antropometrik ölçümlerde belirgin fark bulunmamıştır (p>0.05). KDQOL-SF’nin ağrı ve emosyonel puanlarındaki gelişmeler istatistiksel olarak anlamlıdır (p<0.05). SONUÇ: Düzenli egzersiz, periton diyaliz standart tedavisinde yer almalıdır. Hastanın böyle bir programa katılımı, tedavi başlangıcında egzersizin yararlarının açıklanmasıyla mümkün olabilir.
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