Hemodiyaliz hastalarında önemli bir sorun: Üremik kaşıntı ve etkileyen faktörler

An Important problem among hemodialysis patients: Uremic pruritus and affecting factors

Abstract

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

Özet

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