An Important problem among hemodialysis patients: Uremic pruritus and affecting factors
Yıl: 2014 Cilt: 23 Sayı: 3 Sayfa Aralığı: 210 - 216 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
An Important problem among hemodialysis patients: Uremic pruritus and affecting factors
Öz: AMAÇ: Bu çalışma, hemodiyaliz tedavisi alan bireylerin yaşadığı üremik kaşıntı ve kaşıntıyla ilişkili faktörleri belirlemek amacıyla yapılmıştır. GEREÇ ve YÖNTEMLER: Tanımlayıcı nitelikte yapılan bu çalışma, araştırmaya katılmayı kabul eden 204 kişi üzerinde yapılmıştır. Çalışmada, kurum izni ve bireylerden yazılı onam alınmıştır. Veriler araştırmacılar tarafından oluşturulan anket formu ve Visual Analog Skala (VAS) aracılığı ile toplanmıştır. Verilerin istatistiki değerlendirilmesinde, Student t, ANOVA testi ve lojistik regresyon analizi kullanılmış ve p<0.05 anlamlı olarak kabul edilmiştir. BULGULAR: Bireylerin %75,5inin hemodiyaliz tedavisine başladıktan sonra kaşıntısının olduğu, %64,2sinin ise çalışmanın yapıldığı anda ortalama 6,0±2,0 (2-10) düzeyde (şiddetli) kaşıntı yaşadıkları saptanmıştır. Bireylerin %37,4inin kaşıntı sonucu vücudunda yaralar olduğu ve %61,1inin kaşıntı nedeniyle uykusundan uyandığı belirlenmiştir. Diğer yaş gruplarıyla karşılaştırıldığında 65 yaş üstü hastaların 3,91 kat ve derisi kuru olan hastaların ise derisi normal olanlara göre 9,90 kat daha şiddetli kaşıntı yaşadığı tespit edilmiştir (p<0,05). SONUÇ: Bu sonuçlar doğrultusunda, üremik kaşıntı yaşayan bireylerin bireysel ve hastalık özellikleri dikkate alınarak eğitim ve bakım yapılması önerilebilir.
Anahtar Kelime: Konular:
Hemodiyaliz hastalarında önemli bir sorun: Üremik kaşıntı ve etkileyen faktörler
Öz: OBJECTIVE: This study was conducted in order to determine the incidence of uremic pruritus in hemodialysis patients and to explore the associated factors. MATERIAL and METHODS: This descriptive study included 204 patients. Official permissions from the institutions and informed consents of the patients were obtained. The data were gathered using a questionnaire form designed by the investigators and the Visual Analogue Scale (VAS). The t test, one-way ANOVA and logistic regression analysis were used for the statistical analyses of the data. RESULTS: We found that 75.5% of the patients suffered from pruritus after hemodialysis treatment was initiated and 64.2% of them had an average level of pruritus (6.0±2.0) at the time of the study. It was noted that 37.4% had wounds caused by pruritus and 61.1% woke up from their sleep due to pruritus. Patients who were aged ≥ 65 were 3.91 times more likely to suffer from very severe pruritus compared to other age groups and patients with dry skin were 9.90 times more likely to suffer from very severe pruritus as compared to those with normal skin (p<0.05) CONCLUSION: In light of these results, it may be recommended that patients who suffer from uremic pruritus should be provided with the necessary care and training programs, taking into account their individual and disease-related characteristics.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Narita I, Iguchi S, Omori K, Gejyo F: Uremic pruritus in chronic hemodialysis patients. J Nephrol 2008; 21: 161-165
- Narita I, Alchi B, Omori K, Sato F, Ajiro J, Saga D, Kondo D, Skatsume M, Maruyama S, Kazama JJ, Akazawa K, Gejyo F: Etiology and prognostic significance of severe uremic pruritus in chronic hemodialysis patients. Kidney Int 2006; 69: 1626-1632
- Aşcıoğlu E, Kahveci A, Koç M, Özener Ç: Uremic Pruritus: Still itching. Turk Neph Dial Transpl 2011; 20(1): 7-13
- Reamy B, Bunt C: A diagnostic approach to pruritus. Am Fam Physician 2011;84:195-202
- Arıcan Ö: Pathophysiology, Clinics and Treatment of Pruritus. TÜRKDERM 2005;39:88-97
- Lin TC, Lai YH, Guo SE, Liu CF, Tsai JC, Guo HR, Hsu HT: Baby oil therapy for uremic pruritus in hemodialysis patients. J Clin Nurs 2011;21:139-148
- Kılıç Akça N, Taşçı S: Uremic Pruritus and Acupressure Practice. Maltepe University. Journal of Nursing Science and Art 2011;4(1):190-196
- Huang SC, Lin CL, Lee HY, Yang SC, Ho T, Hung KY: Uremic pruritus: Associated factors and effect of present treatment. Journal of Taiwan Nephrology Nurses Association 2005; 4: 17-24
- Zucker I, Yosipovitch G, David M, Gafter U, Boner G: Prevalence and characterization of uremic pruritus in patients undergoing hemodialysis: Uremic pruritus is still a major problem for patientwith end-stage renal disease. J Am Acad Dermatol 2003; 49842-846
- Mistik S, Utas S, Ferahbas A, Tokgoz B, Unsal G, Sahan H, Ozturk A, Utas C: An epidemiology study of patients with uremic pruritusJ Eur Acad Dermatol Venereol 2006; 20: 672-678
- Mathur VS, Lindberg J, Germain M, Block G, Tumlin J, Smith MGrewal M, McGuire D; ITCH National Registry Investigators: A longitudinal study of uremic pruritus in hemodialysis patients. Clin J Am Soc Nephrol 2010; 5: 1410-1419
- Akhyani M, Ganji MR, Samadi N, Khamesan B, Daneshpazhooh M: Pruritus in hemodialysis patients. BMC Dermatol 2005; 5: 7
- Melo NC, Elias RM, Castro MC, Romao JE Jr, Abensur H: Prurituin hemodialysis patients: The problem remains. Hemodial Int 200913(1): 38-42
- Yosipovitch G, Zucker I, Boner G, Gafter U, Shapira Y, David MA questionnaire for the assessment of pruritus: Validation in uremic patients. Acta Dermatol Venereol 2001; 81:108-111
- Akar A, Gür AR: Uremic pruritus. TURKDERM 2000; 34(4)211-215
- Lugon JR: Uremic pruritus: A review. Hemodial Int 2005;9:180-188
- Yosipovitch G, Tur E, Morduchowicz G, Boner G: Skin surface pH, moisture, and pruritus in hemodialysis patients. Nephrol Dial Transplant 1993;8:1129-1132
- Davies A: Nursing care and management of patients with pruritus. Nursing Standard 2007;21:51-57
- Cohen KR, Frank J, Salbu RL, Israel I: Pruritus in the elderly: clinical approaches to the improvement of quality of life. P T 2012;37(4):227-239
- Kılıç Akça N, Karataş N, Taşcı S: The Effect of acupressure upon pruritus status among the patients who received hemodialysis treatment. Altern Ther Health Med 2013;19(5):12-18
- Aucella F, Vigilante M, Gesuete A, Maruccio G, Specchio A, Gesualdo L: Uremic itching: Do polymethylmethacrylate dialysis membranes play a role? Nephrol Dial Transplant 2007; 22 (5): 8-12
- Kılıç Akça N, Taşçı S: Kaşıntı kontrolünde kullanılan nonfar- makolojik yöntemler. TAF Prev Med Bull 2013; 12(3):359-364
- Atasü T, Şahmay S: Jinekoloji, İstanbul: Nobel Tıp Kitapevi, 2001; 657-674
- Che-yi C, Wen CY, Min-Tsung K, Chiu-Ching H: Acupuncture in haemodialysis patients at the Quchi (LI11) acupoint for refractory uraemic pruritus. Nephrol Dial Transplant 2005; 20: 1912-1915
| APA | KILIÇ AKÇA N, TAŞÇI S (2014). An Important problem among hemodialysis patients: Uremic pruritus and affecting factors. , 210 - 216. |
| Chicago | KILIÇ AKÇA NAZAN,TAŞÇI Sultan An Important problem among hemodialysis patients: Uremic pruritus and affecting factors. (2014): 210 - 216. |
| MLA | KILIÇ AKÇA NAZAN,TAŞÇI Sultan An Important problem among hemodialysis patients: Uremic pruritus and affecting factors. , 2014, ss.210 - 216. |
| AMA | KILIÇ AKÇA N,TAŞÇI S An Important problem among hemodialysis patients: Uremic pruritus and affecting factors. . 2014; 210 - 216. |
| Vancouver | KILIÇ AKÇA N,TAŞÇI S An Important problem among hemodialysis patients: Uremic pruritus and affecting factors. . 2014; 210 - 216. |
| IEEE | KILIÇ AKÇA N,TAŞÇI S "An Important problem among hemodialysis patients: Uremic pruritus and affecting factors." , ss.210 - 216, 2014. |
| ISNAD | KILIÇ AKÇA, NAZAN - TAŞÇI, Sultan. "An Important problem among hemodialysis patients: Uremic pruritus and affecting factors". (2014), 210-216. |
| APA | KILIÇ AKÇA N, TAŞÇI S (2014). An Important problem among hemodialysis patients: Uremic pruritus and affecting factors. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, 23(3), 210 - 216. |
| Chicago | KILIÇ AKÇA NAZAN,TAŞÇI Sultan An Important problem among hemodialysis patients: Uremic pruritus and affecting factors. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 23, no.3 (2014): 210 - 216. |
| MLA | KILIÇ AKÇA NAZAN,TAŞÇI Sultan An Important problem among hemodialysis patients: Uremic pruritus and affecting factors. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, vol.23, no.3, 2014, ss.210 - 216. |
| AMA | KILIÇ AKÇA N,TAŞÇI S An Important problem among hemodialysis patients: Uremic pruritus and affecting factors. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 2014; 23(3): 210 - 216. |
| Vancouver | KILIÇ AKÇA N,TAŞÇI S An Important problem among hemodialysis patients: Uremic pruritus and affecting factors. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 2014; 23(3): 210 - 216. |
| IEEE | KILIÇ AKÇA N,TAŞÇI S "An Important problem among hemodialysis patients: Uremic pruritus and affecting factors." Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, 23, ss.210 - 216, 2014. |
| ISNAD | KILIÇ AKÇA, NAZAN - TAŞÇI, Sultan. "An Important problem among hemodialysis patients: Uremic pruritus and affecting factors". Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 23/3 (2014), 210-216. |
