- SDÜ Tıp Fakültesi Dergisi
- Cilt: 31 Sayı: 1
- THE EFFECT OF VOLUME STATUS ON QUALITY OF LIFE, ANXIETY, DEPRESSION AND SLEEP QUALITY IN HEMODIALYSI...
THE EFFECT OF VOLUME STATUS ON QUALITY OF LIFE, ANXIETY, DEPRESSION AND SLEEP QUALITY IN HEMODIALYSIS PATIENTS
Authors : Selma Özlem Çelikdelen
Pages : 71-79
Doi:10.17343/sdutfd.1401138
View : 88 | Download : 81
Publication Date : 2024-03-18
Article Type : Research
Abstract :Objectives To determine the volume status of patients undergoing hemodialysis using the bioimpedance method and to investigate the relationship of volume status with the patients’ quality of life, anxiety, depression, and sleep quality. Material and Method This cross-sectional study included a total of 100 patients undergoing hemodialysis at the Hemodialysis Unit in March 2016. The volume status of the patients was determined using bioelectrical impedance analysis (BIA) performed with a body composition monitor before their mid-week hemodialysis sessions. The quality of life was evaluated using the 36-item Short Form Survey, sleep quality was assessed using the Pittsburg Sleep Quality Index (PSQI), depression screening was performed with the Beck Depression Inventory, and anxiety screening was undertaken with the Beck Anxiety Inventory. The patients were divided into three groups according to the extracellular fluid/ total body fluid (ECF/TBF) ratio, which is one of the BIA parameters: Group 1, <25th percentile (ECF/ TBF<0.426 L, n=24); Group 2, 25-50th percentile (ECF/TBF: 0.426-0.438 L, n=37); and Group 3, 50- 75th percentile (ECF/TBF: 0.438-0.481 L, n=39). Statistical analyses were performed for the three groups. Results The ECF/TBF ratio was found to be higher in female patients, individuals who lived alone, and those with a low educational level. As the ECF/TBF ratio increased, there was a deterioration in the physical and mental components of quality of life, including physical functioning (p<0.001), physical role difficulties (p=0.03), general health perceptions (p=0.03), mental component (p=0.02), mental health (p=0.01), social functioning (p<0.001), and vitality (p=0.01). The rate of depression was 40% in all patients, 25% in Group 1, 43% in Group 2, and 45% in Group 3. As the ECF/TBF ratio increased, a statistically non-significant increase was observed in depression scores. The PSQI total score was found to be above 5 in all patients included in the study. Conclusion It was determined that as the ECF/TBF ratio increased in hemodialysis patients, the quality of life decreased, depression and anxiety symptoms increased, sleep quality deteriorated, sleep efficiency decreased, and sleep duration was shortened. Considering the impact of all these factors on patients’ morbidity and survival, it is important to determine volume status and dry weight in patients undergoing hemodialysis.Keywords : hemodiyaliz, biyoimpedans, yaşam kalitesi, uyku kalitesi, depresyon