Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

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Author: search.filters.author.Erdal, RenginSubject: search.filters.subject.Hemodialysis

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    Influence of Social, Economic, Familial, Marital Status, and Disease Adaptation on the Physical and Mental Health Dimensions of Patients Who Are Candidates for Renal Transplant
    (2018) Ozdemir, Aydan Akyuz; Sayin, Cihat Burak; Erdal, Rengin; Ozcan, Cihangir; Haberal, Mehmet; 0000-0002-7329-7576; 0000-0001-7220-7244; 0000-0001-8287-6572; 0000-0002-3462-7632; 29528005; ABH-7372-2020; AAK-2334-2021; AAK-1788-2021; AAJ-8097-2021
    Objectives: End-stage renal disease is a disease with a long duration, requiring patients to live with the limitations imposed by their condition. Stressors associated with this disease are demanding, with patients dependent on support from their social environment. Here, we aimed to show the influences of familial, social, economic, and marital status on quality of life in patients with end-stage renal disease. Materials and Methods: Patients (190 women/188 men) who were under hemodialysis treatment and on transplant wait lists were included in the study. To evaluate the quality of life, patients completed the Short Form 36 health survey questionnaire voluntarily while undergoing hemodialysis treatment. All Short Form 36 questionnaire components were analyzed separately, and all social, economic, and business life dimensions were examined with another questionnaire. Results: Significant differences were observed between single and married patients regarding physical and mental health dimensions (P < .001), with quality of life higher in single patients than in married. Patients who lived in villages had lower health quality than patients who resided in cities or towns (P < .01). Patients who were home owners and who had a job had higher degrees of health quality than those who did not (P < .01). The lowest Short Form 36 scores were in housewives and farmers (P < .001). Comparisons between patients who went home after hemodialysis versus those who went to work showed better Short Form 36 scores in working patients (P < .001). Patients with private insurance and family support had better Short Form 36 scores (P < .001). Patients who did not comply with their doctor and dietician showed the lowest health quality (P < .05). Regular or irregular drug use did not affect scores. Conclusions: Familial, social, economic, and marital statuses, in addition to the influence of disease adaptation, independently affected the well-being of patients with end-stage renal disease.
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    Factors Predisposing to the Use of Complementary Therapies in Patients With Chronic Renal Failulre
    (2018) Ozdemir, Aydan Akyuz; Erdal, Rengin; Haberal, Mehmet; 0000-0002-7329-7576; 0000-0002-3462-7632; ABH-7372-2020; AAK-2334-2021; AAJ-8097-2021
    Objectives: Our aim was to gather information about complementary medicine applications used by chronic renal failure patients and their relation to demographic factors. Materials and Methods: Of 1750 chronic renal disease patients who were undergoing hemodialysis, only 450 patients attended in the study. Among 450 patients, 388 gave consent and were interviewed using a previously tested questionnaire. Questions about complementary and alternative medicine use, a list of commonly used methods, and the sources of knowledge about these were asked of all patients. Results: We observed a significant difference in the patients who were using complementary and alternative medicines before and after diagnosis of chronic renal disease (P <.001). We noted that 87% of the patients used complementary and alternative medicines before diagnosis and 49.8% used these after diagnosis. Among the patients who used complementary and alternative medicines, 76% had faith in these therapies. Of patients who used complementary and alternative medicines, 95% believed that the remedies or processes used were beneficial to their health. Furthermore, 71% of users had great confidence in these therapies and had no belief that these could be harmful. Of those who used complementary and alternative therapies, 51% had no idea whether these therapies were harmful. The source of knowledge was mass media tools (47%), social life (friends, relatives, neighbors, colleagues; 45%), and other patients with chronic renal disease (8%). Conclusions: Complementary and alternative medicine therapies have a significant impact on patients with chronic renal disease. Doctors can warn patients about possible dangers of complementary and alternative medicine remedies and treatments.