ΕΡΕΥΝΗΤΙΚΗ ΕΡΓΑΣΙΑ -...

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[30] ΕΛΛΗΝΙΚΟ ΠΕΡΙΟΔΙΚΟ ΤΗΣ ΝΟΣΗΛΕΥΤΙΚΗΣ ΕΠΙΣΤΗΜΗΣ ΕΡΕΥΝΗΤΙΚΗ ΕΡΓΑΣΙΑ ΠΕΡΙΛΗΨΗ Εισαγωγή: Ο Σακχαρώδης Διαβήτης (ΣΔ) είναι ένα συχνό χρόνιο νόσημα που συνοδεύεται από σοβαρές επιπλοκές. Αποτελεί την κύρια αιτία Τελικού Σταδίου Χρόνιας Νεφρικής Ανεπάρκειας (ΤΣΧΝΑ) που απαιτεί αντιμετώπιση είτε με αιμοκάθαρση (ΑΚ) είτε με περιτοναϊκή κάθαρση (ΠΚ). Η χρονιότητα της νόσου, αλλά και οι επιπτώσεις της, επηρε- άζουν το ψυχολογικό, οικογενειακό και κοινωνικό πεδίο και κατ΄ επέκταση την Ποιότητα Ζωής (ΠΖ) των ασθενών. Σκοπός: Η εκτίμηση φορτίου νόσου των ασθενών με Διαβητική Νεφροπάθεια (ΔΝ) προ τελικού και τελικού σταδίου. Μεθοδολογία: Δείγμα της μελέτης αποτέλεσαν 103 ασθενείς με Διαβητική Νεφροπάθεια (ΔΝ) που αντιμετωπιζόταν στο Γενικό Νοσοκομείο Βέροιας κατά τους μήνες Μάιο και Ιούνιο 2016. Η έρευνα πραγματοποιήθηκε με τη χρήση του ερωτηματολογίου Dialysis Symptoms Index (DSI) για την εκτίμηση του φορτίου συμπτωμάτων της Χρόνιας Νεφρικής Νόσου (ΧΝΝ). Επίσης χρησιμοποιήθηκε το ερωτηματολόγιο European Quality of Life (EuroQol) για την εκτίμηση της ΠΖ ασθενών του Νεφρολογικού Εξωτερικού Ιατρείου, της Μονάδας Τεχνητού Νεφρού και Περιτοναϊκής Κάθαρσης. Αποτελέσματα: Βρέθηκε ότι η μέθοδος υποκατάστασης νεφρικής λειτουργίας (ΑΚ ή ΠΚ), η παρουσία ΣΔ, καθώς και το στάδιο της ΧΝΝ επηρεάζουν σε σημαντικό βαθμό την αυτοαξιολόγηση των ασθενών στα επώδυνα συμπτώματα της ΔΝ. Επίσης οι παραπάνω παράγοντες επηρεάζουν σημαντικά παραμέτρους της ΠΖ των ασθενών όπως κινητικότητα και αυτοεξυπηρέτηση. Συμπεράσματα: Οι ασθενείς προ τελικού σταδίου βιώνουν πιο έντονα τα επώδυνα συμπτώματα της ΔΝ σε σχέση με τους ασθενείς τελικού σταδίου. Λέξεις - Κλειδιά: Σακχαρώδης Διαβήτης, Φορτίο Νόσου, Ποιότητα Ζωής, Διαβητική Νεφροπάθεια, Χρόνια Νεφρική Νόσος Μελέτη της επίδρασης του φορτίου συμπτωμάτων στην ποιότητα ζωής ατόμων με Νεφρική Νόσο προ- τελικού και τελικού σταδίου Ελένη Γεωργιάδου 1 , Θεοδώρα Καυκιά 2 , Ευγενία Μηνασίδου 3 , Κυριάκος Καζάκος 4 , Αλεξάνδρα Δημητριάδου 5 1. Νοσηλεύτρια, MSc, Γενικό Νοσοκομείο Ημαθίας-Μονάδα Βέροιας 2. Καθηγήτρια Εφαρμογών, Τ μήμα Νοσηλευτικής, Αλεξάνδρειο Τεχνολογικό Εκπαιδευτικό Ίδρυμα Θεσσαλονίκης 3. Επίκουρη Καθηγήτρια, Τ μήμα Νοσηλευτικής, Αλεξάνδρειο Τεχνολογικό Εκπαιδευτικό Ίδρυμα Θεσσαλονίκης 4. Αναπληρωτής/τρια Καθηγητής/τρια, Τ μήμα Νοσηλευτικής, Αλεξάνδρειο Τεχνολογικό Εκπαιδευτικό Ίδρυμα Θεσσαλονίκης Υπεύθυνη αλληλογραφίας: Θεοδώρα Καυκιά Τ μήμα Νοσηλευτικής ΑΤΕΙ Θεσσαλονίκης ΤΘ 141 57400 Σίνδος, Θεσσαλονίκη e-mail: [email protected] Ημερομηνία υποβολής: 10/05/2017 Ημερομηνία Δημοσίευσης: 10ος 2017 2017, 10(3): 30-42

Transcript of ΕΡΕΥΝΗΤΙΚΗ ΕΡΓΑΣΙΑ -...

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>1.,: 8%!;91%$.<: !0A+5+2: 1! 0,µ-1Cµ!1! -., $!1!/7#49$!5 B: 01!1%01%$# 09µ!51%$# ?1!5 . =µ+1.: (p=0,03), .% !%µB82+: 1B5 $#1B #$7B5 (p=0,03), . -.-5.$=4!".: (p=0,03), 9 8,0$."2! 0,/$=517B09: (p=0,04) $!AC: $!% 9 8,0$."2! !51!-3$7%09: 01! 0+E.,!"%$# +7+-A20µ!1! (p<0,01). D 5!,12! $!% . =µ+1.: !-.1+".<5 0,*5# 0,µ-1Cµ!1! 19: /!017.-#7+09:, µ%!: !-3 1%: +-%-".$=: 1., >I (Cherian & Parkman 2012). & >I -7.0;#""+% 09µ!51%$# 1! 5+<7! 1B5 $#1B #$7B5 (8%!;91%$? 5+,7.--#A+%! #$7B5), µ+ !-.1="+0µ! 5! µ95 #/.51!% 0B01# 1! +7+A20µ!1! -., +25!% ,-+<A,5! /%! 19 4,0%."./%$? !2-0A909 (Mehra et al 2008). & -.5.$=4!".:, -., !5!4=7-A9$+ !-3 1.,: 0,µµ+1=*.51+:, =*+% ;7+A+2 31% 0*+126+1!% A+1%$# µ+ 1. >I (Aamodt et al 2007).>,/$+$7%µ=5!, 9 A+1%$? !,1? 0,0*=1%09 !-.828+1!% 01%: !"".%C0+%: -., -7.$!"+2 . >I 01! 1.%*Cµ!1! 1B5 !//+2B5 $!% 195 !/B-/%µ3191! 1B5 5+<7B5, 1! .-.2! !-.1+".<5 1. ,-3017Bµ! 19: 9µ%$7!52!: (Aamodt et al 2007).G5!4.7%$# µ+ 19 8,-0$."2! 0,/$=517B09: -., !5=4+7!5 .% !0A+5+2:, !-.1+-"+2 0,*53 4!%53µ+5. 1B5 8%!;91%$C5 !0A+5C5 -., 0*+-126+1!% $,72B: µ+ 1! ,-./",$!%µ%$# +-+%038%! $!AC: $!%

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ABSTRACT Introduction: Diabetes Mellitus (DM) is a common chronic disease accompanied by severe complications. It is the leading cause of End-Stage Renal Disease (ESRD) requiring management either by haemodialysis (HD) or peritoneal dialysis (PD). The chronicity of the disease, and its complications, affects the psychological, family and social life of the patients and their Quality of Life (QoL). Aim: of the present study was to estimate the disease burden of patients with diabetic nephropathy (DN) during pre-ESRD and during End-Stage Renal Disease. Methods: A sample of 103 patients with DN treated at the General Hospital of Veria were studied during May and June 2016. The study was conducted using the Dialysis Symptoms Index (DSI) for the assessment of Chronic Kidney Disease (CKD) symptom load and the European Quality of Life (EuroQol) questionnaire for assessing the QoL of patients in the Renal Outpatient Clinic, Haemodialysis and Peritoneal Dialysis Unit. Results: It was found that the Renal Replacement Method (HD or PD), the presence of DM and CKD’s stage affect significantly the patients’ self-assessment regarding painful symptoms of DN. Furthermore, the above factors have major impact on some aspects of patients’ QoL, such as mobility and self-care.Conclusions: Pre-End Stage patients experience more severe painful symptoms of DN compared to patients on Renal Replacement Therapies.

Key - words: Diabetes Mellitus, Disease Burden, Quality of Life, Diabetic Nephropathy, Chronic Kidney Disease

A study of the impact of disease burden in quality of life of people with pre-End-Stage and

End-Stage Renal Disease

Helen Georgiadou1, Theodora Kafkia2, Eugenia Minasidou3, Kyriakos Kazakos4,Alexandra Dimitriadou4

1. Nurse, MSc, General Hospital of Imathia-Veroia2. Clinical Lecturer, Department of Nursing, Alexander Technological Educational Institute of Thessaloniki

3. Assistant Professor, Department of Nursing, Alexander Technological Educational Institute of Thessaloniki4. Associate Professor, Department of Nursing, Alexander Technological Educational Institute of Thessaloniki

Correspondence author:Theodora KafkiaDepartment of NursingATEI of ThessalonikiPO box 14157400 Sindos, Thessalonikie-mail: [email protected]

Submission Date: 10/05/2017Publication Date: October 2017

RESEARCH STUDY

HELLENIC JOURNAL OF NURSING SCIENCE 2017, 10(3): 30-42