Öz
Aim: This study was conducted as a correlational and comparative pilot study to determine the relationship between emotional reactivity and death anxiety in dialysis patients.
Method: The study was conducted with a total of 140 people, including 70 hemodialysis (HD) and 70 peritoneal dialysis (PD) patients. A questionnaire form, Turkish Death Anxiety Scale (TDAS) and Emotion Reactivity Scale (ERS) were used for data collection.
Results: There was no difference between the mean ERS and TDAS scores of hemodialysis and peritoneal dialysis patients. A moderate positive correlation was found between the mean ERS and TDAS scores in HD and PD groups (p<0.05). It was determined that 15.3% of TDAS scores of hemodialysis patients and 26.2% of TDAS scores of PD patients are explained by ERS.
Conclusion: It was observed that death anxiety and emotional reactivity were at a moderate level in hemodialysis and peritoneal dialysis patients and there was a similarity between dialysis modalities.
Anahtar Kelimeler
Hemodialysis peritoneal dialysis death anxiety emotional reactivity.
Kaynakça
- Crews DC, Bello AK, Saadi G, World Kidney Day Steering Committee Burden, access, and disparities in kidney disease. Pediatric Nephrology 2019; 34(4): 541–548. https://doi.org/10.1007/s00467-019-4197-2
- Lv JC, Zhang LX. Prevalence and disease burden of chronic kidney disease. Renal Fibrosis: Mechanisms and Therapies 2019; 3-15. https://doi.org/10.1007/978-981-13-8871-2_1
- Republic of Turkey Ministry of Health. Turkish Public Health Institution. Turkish Kidney Disease Prevention and Control Program. Action Plan (2018-2023). Ankara.
- Süleymanlar G, Utaş C, Arinsoy T, Ateş K, Altun B, Altiparmak MR, Eker T, Yılmaz ME, Çamsarı T, Başcı A, Serdengeçti K. A population-based survey of Chronic REnal Disease In Turkey—the CREDIT study. Nephrology Dialysis Transplantation 2011; 26(6): 1862-1871. https://doi.org/10.1093/ndt/gfq656
- Thurlow JS, Joshi M, Yan G, Norris KC, Agodoa L., Yuan CM, Nee R. Global epidemiology of end-stage kidney disease and disparities in kidney replacement therapy. American Journal of Nephrology. 2021; 52(2): 98–107. https://doi.org/10.1159/000514550
- Duran S, Güngör E. Diyaliz Hastalarının Duygusal ve Sosyal Sorunlarının Belirlenmesi. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2015; 41(2): 59-63.
- Küçük L. Diyaliz hastalarında sık karşılaşılan ruhsal sorunlar. Türk Nefroloji Diyaliz ve Transplantansyon Dergisi 2005; 14: 166-70.
- Dönmez ÇF, Yılmaz M. Diyaliz hastaları ile nefroloji hemşireleri için ölüm kavramının anlamı ve ölümle baş etmede nefroloji hemşiresinin rolü. Journal of Psychiatric Nursing 2012; 3(3): 141-147.
- Dewina A, Emaliyawati E, Praptiwi A. Death anxiety level among patients with chronic renal failure undergoing hemodialysis. Journal of Nursing Care 2018; 1(1): 1-7.
- Ghiasi Z, Alidadi A, Payandeh A, Emami A, Lotfinia S. Health-related quality of life and death anxiety among hemodialysis patients. Zahedan Journal of Research in Medical Sciences 2021; 23(2). https://doi.org/10.5812/zjrms.98400.
- Jaberi M, Mohammadi TK, Adib M, Maroufizadeh S, Ashrafi S. The Relationship of Death Anxiety With Quality of Life and Social Support in Hemodialysis Patients. OMEGA-Journal of Death and Dying 2022; 00302228221129672. https://doi.org/10.1177/00302228221129672.
- Korkut S. Evaluation of psychopathological symptoms, death anxiety, coronavirus anxiety, suicide risk, and associated risk factors among hemodialysis patients in the COVID‐19 pandemic. Therapeutic Apheresis and Dialysis 2022; 26(5): 941-949.
- Yurdakul A, Üner S. Sağlık yüksekokulu öğrencilerinin duygusal tepkisellik durumlarının değerlendirilmesi. TAF Preventive Medicine Bulletine 2015; 14(4): 300-307. https://doi.org/10.5455/ pmb.1-1422358166
- Aliche JC, Ifeagwazi CM, Eze JE. Emotional reactivity and surgical anxiety. The protective nature of perceived social support. Psychology, Health & Medicine 2020; 25(4): 434-445. https://doi.org/10.1080/13548506.2019.1668030.
- Parneix M, Péricaud M, Clément JP. Major depresif dönemler ile ilişkili kolay öfkelenme. Türk Psikiyatri Dergisi 2014; 25(2): 106-113.
- Kleiman EM, Ammerman B, Look AE, Berman ME, McCloskey MS. The role of emotion reactivity and gender in the relationship between psychopathology and self-injurious behavior. Personality and Individual Differences 2014; 69: 150-155.
- Okanlı A, Erdem N, Yılmaz EK. Hemodiyaliz hastalarında duygu kontrolü ve etkileyen faktörler. Anadolu Psikiyatri Dergisi 2008; 9(3): 156.
- Teare MD, Dimairo M, Shephard N, Hayman A, Whitehead A, Walters SJ. Sample size requirements to estimate key design parameters from external pilot randomised controlled trials: a simulation study. Trials 2014; 15(1): 1-13.
- Nock MK, Wedig MM, Holmberg EB, Hooley JM. The emotion reactivity scale: development, evaluation, and relation to self-injurious thoughts and behaviors. Behavior Therapy 2008; 39(2): 107-116.
- Seçer İ, Halmatov S, Gençdoğan B. Duygusal tepkisellik ölçeğinin Türkçeye uyarlanması: güvenirlik ve geçerlilik çalışması. Sakarya University Journal of Education 2013; 3(1): 77-89.
- Sarıkaya Y, Baloğlu M. The development and psychometric properties of the Turkish death anxiety scale (TDAS). Death studies 2016; 40(7): 419-431.
- Kim DS, Kim SW, Gil HW. Emotional and cognitive changes in chronic kidney disease. The Korean Journal of Internal Medicine 2022; 37(3): 489–501. https://doi.org/10.3904/kjim.2021.492.
- Topbaş E, Bingöl G. Psikososyal boyutu ile diyaliz tedavisi ve uyum sürecine yönelik hemşirelik girişimleri. Nefroloji Hemşireliği Dergisi 2017; 12(1): 36-42.
- Khodarahimi S, Veiskarami HA, Mazraeh N, Sheikhi S, Bougar MR. Mental health, social support, and death anxiety in patients with chronic kidney failure. The Journal of Nervous and Mental Disease 2021; 209(11): 809-813.
- Mushtaque I, Awais-E-Yazdan M, Zahra R, Anas M. quality of life and ıllness acceptance among End-Stage Renal Disease (ESRD) patients on hemodialysis: the moderating effect of death anxiety during COVID-19 pandemic. OMEGA - Journal of Death and Dying 2022; 0(0). https://doi.org/10.1177/00302228221075202
- García-Llana H, Remor E, Selgas R. Adherence to treatment, emotional state and quality of life in patients with end-stage renal disease undergoing dialysis. Psicothema 2013; 25(1): 79–86. https://doi.org/10.7334/psicothema2012.96
- Ng J.H, Hirsch JS, Wanchoo R, Sachdeva M, Sakhiya V, Hong S, Jhaveri KD, Fishbane S, Abate M, Andrade HP, Barnett RL, Bellucci A, Bhaskaran MC, Corona AG. Flores Chang BS, Finger M, Fishbane S, Gitman M, Halinski C, Hasan S. Outcomes of patients with end-stage kidney disease hospitalized with COVID-19. Kidney International 2020; 98(6): 1530–1539. https://doi.org/10.1016/j.kint.2020. 07.030.
- Uzdil N, Evli M, Tokgöz B. Covid-19 phobia and psychological well-being in peritoneal dialysis patients during the pandemic process. Black Sea Journal of Health Science 2022; 5(2): 245- 251.
- Javed S, Bangash SS, Sharf N, Samman B, Alvi T. Death anxiety in hemodialysis patients before and during the outbreak of COVID-19: A Longitudinal Study. Life and Science 2021; 2(4): 4-4. http://doi.org/10.37185/LnS.1.1.140A
- Mroczek DK, Stawski RS, Turiano NA, Chan W, Almeida DM, Neupert SD, Spiro III A. Emotional reactivity and mortality: Longitudinal findings from the VA Normative Aging Study. Journals of Gerontology Series B: Psychological Sciences and Social Sciences 2015; 70(3): 398-406. https://doi.org/10.1093/geronb/gbt107.
- Firmansyah H, Widianti AT, Yualita P. The relationship between emotion regulation and anxiety on hemodialysis patient in the hemodialization room of rumah sakit al ıslam bandung. In 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 2020) 2021; 587-590.
- Ifeagwazi CM, Egberi HE, Chukwuorji JC. Emotional reactivity and blood pressure elevations: anxiety as a mediator. Psychology, Health & Medicine 2018; 23(5): 585-592.
- Ercengiz M, Safalı S, Kaya A, Turan ME. A hypothetic model for examining the relationship between happiness, forgiveness, emotional reactivity and emotional security. Current Psychology 2022; 1-15. https://doi.org/10.1007/s12144-022-02909-2
Öz
Amaç: Bu araştırma diyaliz hastalarında duygusal tepkisellik ile ölüm kaygısının ve arasındaki ilişkinin belirlenmesi amacı ile ilişkisel ve karşılaştırmalı bir pilot çalışma olarak yapılmıştır. Yöntem: Araştırma bir ilin diyaliz hastanesinde takip edilen araştırmaya dahil edilme kriterlerine uyan, çalışmaya katılmayı kabul eden, 70 hemodiyaliz (HD) ve 70 periton diyalizi (PD) hastası olmak üzere toplam 140 diyaliz hastası ile gerçekleştirilmiştir. Verilerin toplanmasında anket formu, Türkçe Ölüm Kaygısı Ölçeği (TÖKÖ) ve Duygusal Tepkisellik Ölçeği (DTÖ) kullanılmıştır.
Bulgular: Hemodiyaliz ve periton diyalizi hastalarının DTÖ ve TÖKÖ puan ortalamaları arasında fark bulunmamıştır. HD ve PD grubunda DTÖ puanı ile TÖKÖ puan ortalaması arasında orta düzeyde pozitif bir korelasyon saptanmıştır (p<0.05). Hemodiyaliz hastaların TÖKÖ puanlarının %15,3’lük kısmı, PD hastalarının ise TÖKÖ puanlarının %26,2’lik kısmı DTÖ ile açıklandığı bulunmuştur.
Sonuç: Çalışma sonucunda hemodiyaliz ve periton diyalizi hastalarında ölüm kaygısının ve duygusal tepkiselliğin orta düzeyde olduğu ve diyaliz modaliteleri arasında benzerlik olduğu, duygusal tepkisellik arttıkça ölüm anksiyetesinin arttığı ve duygusal tepkiselliğin ölüm anksiyetesi üzerinde anlamlı bir etkisinin olduğu bulunmuştur.
Anahtar Kelimeler
hemodiyaliz periton diyalizi ölüm kaygısı duygusal tepkisellik
Kaynakça
- Crews DC, Bello AK, Saadi G, World Kidney Day Steering Committee Burden, access, and disparities in kidney disease. Pediatric Nephrology 2019; 34(4): 541–548. https://doi.org/10.1007/s00467-019-4197-2
- Lv JC, Zhang LX. Prevalence and disease burden of chronic kidney disease. Renal Fibrosis: Mechanisms and Therapies 2019; 3-15. https://doi.org/10.1007/978-981-13-8871-2_1
- Republic of Turkey Ministry of Health. Turkish Public Health Institution. Turkish Kidney Disease Prevention and Control Program. Action Plan (2018-2023). Ankara.
- Süleymanlar G, Utaş C, Arinsoy T, Ateş K, Altun B, Altiparmak MR, Eker T, Yılmaz ME, Çamsarı T, Başcı A, Serdengeçti K. A population-based survey of Chronic REnal Disease In Turkey—the CREDIT study. Nephrology Dialysis Transplantation 2011; 26(6): 1862-1871. https://doi.org/10.1093/ndt/gfq656
- Thurlow JS, Joshi M, Yan G, Norris KC, Agodoa L., Yuan CM, Nee R. Global epidemiology of end-stage kidney disease and disparities in kidney replacement therapy. American Journal of Nephrology. 2021; 52(2): 98–107. https://doi.org/10.1159/000514550
- Duran S, Güngör E. Diyaliz Hastalarının Duygusal ve Sosyal Sorunlarının Belirlenmesi. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2015; 41(2): 59-63.
- Küçük L. Diyaliz hastalarında sık karşılaşılan ruhsal sorunlar. Türk Nefroloji Diyaliz ve Transplantansyon Dergisi 2005; 14: 166-70.
- Dönmez ÇF, Yılmaz M. Diyaliz hastaları ile nefroloji hemşireleri için ölüm kavramının anlamı ve ölümle baş etmede nefroloji hemşiresinin rolü. Journal of Psychiatric Nursing 2012; 3(3): 141-147.
- Dewina A, Emaliyawati E, Praptiwi A. Death anxiety level among patients with chronic renal failure undergoing hemodialysis. Journal of Nursing Care 2018; 1(1): 1-7.
- Ghiasi Z, Alidadi A, Payandeh A, Emami A, Lotfinia S. Health-related quality of life and death anxiety among hemodialysis patients. Zahedan Journal of Research in Medical Sciences 2021; 23(2). https://doi.org/10.5812/zjrms.98400.
- Jaberi M, Mohammadi TK, Adib M, Maroufizadeh S, Ashrafi S. The Relationship of Death Anxiety With Quality of Life and Social Support in Hemodialysis Patients. OMEGA-Journal of Death and Dying 2022; 00302228221129672. https://doi.org/10.1177/00302228221129672.
- Korkut S. Evaluation of psychopathological symptoms, death anxiety, coronavirus anxiety, suicide risk, and associated risk factors among hemodialysis patients in the COVID‐19 pandemic. Therapeutic Apheresis and Dialysis 2022; 26(5): 941-949.
- Yurdakul A, Üner S. Sağlık yüksekokulu öğrencilerinin duygusal tepkisellik durumlarının değerlendirilmesi. TAF Preventive Medicine Bulletine 2015; 14(4): 300-307. https://doi.org/10.5455/ pmb.1-1422358166
- Aliche JC, Ifeagwazi CM, Eze JE. Emotional reactivity and surgical anxiety. The protective nature of perceived social support. Psychology, Health & Medicine 2020; 25(4): 434-445. https://doi.org/10.1080/13548506.2019.1668030.
- Parneix M, Péricaud M, Clément JP. Major depresif dönemler ile ilişkili kolay öfkelenme. Türk Psikiyatri Dergisi 2014; 25(2): 106-113.
- Kleiman EM, Ammerman B, Look AE, Berman ME, McCloskey MS. The role of emotion reactivity and gender in the relationship between psychopathology and self-injurious behavior. Personality and Individual Differences 2014; 69: 150-155.
- Okanlı A, Erdem N, Yılmaz EK. Hemodiyaliz hastalarında duygu kontrolü ve etkileyen faktörler. Anadolu Psikiyatri Dergisi 2008; 9(3): 156.
- Teare MD, Dimairo M, Shephard N, Hayman A, Whitehead A, Walters SJ. Sample size requirements to estimate key design parameters from external pilot randomised controlled trials: a simulation study. Trials 2014; 15(1): 1-13.
- Nock MK, Wedig MM, Holmberg EB, Hooley JM. The emotion reactivity scale: development, evaluation, and relation to self-injurious thoughts and behaviors. Behavior Therapy 2008; 39(2): 107-116.
- Seçer İ, Halmatov S, Gençdoğan B. Duygusal tepkisellik ölçeğinin Türkçeye uyarlanması: güvenirlik ve geçerlilik çalışması. Sakarya University Journal of Education 2013; 3(1): 77-89.
- Sarıkaya Y, Baloğlu M. The development and psychometric properties of the Turkish death anxiety scale (TDAS). Death studies 2016; 40(7): 419-431.
- Kim DS, Kim SW, Gil HW. Emotional and cognitive changes in chronic kidney disease. The Korean Journal of Internal Medicine 2022; 37(3): 489–501. https://doi.org/10.3904/kjim.2021.492.
- Topbaş E, Bingöl G. Psikososyal boyutu ile diyaliz tedavisi ve uyum sürecine yönelik hemşirelik girişimleri. Nefroloji Hemşireliği Dergisi 2017; 12(1): 36-42.
- Khodarahimi S, Veiskarami HA, Mazraeh N, Sheikhi S, Bougar MR. Mental health, social support, and death anxiety in patients with chronic kidney failure. The Journal of Nervous and Mental Disease 2021; 209(11): 809-813.
- Mushtaque I, Awais-E-Yazdan M, Zahra R, Anas M. quality of life and ıllness acceptance among End-Stage Renal Disease (ESRD) patients on hemodialysis: the moderating effect of death anxiety during COVID-19 pandemic. OMEGA - Journal of Death and Dying 2022; 0(0). https://doi.org/10.1177/00302228221075202
- García-Llana H, Remor E, Selgas R. Adherence to treatment, emotional state and quality of life in patients with end-stage renal disease undergoing dialysis. Psicothema 2013; 25(1): 79–86. https://doi.org/10.7334/psicothema2012.96
- Ng J.H, Hirsch JS, Wanchoo R, Sachdeva M, Sakhiya V, Hong S, Jhaveri KD, Fishbane S, Abate M, Andrade HP, Barnett RL, Bellucci A, Bhaskaran MC, Corona AG. Flores Chang BS, Finger M, Fishbane S, Gitman M, Halinski C, Hasan S. Outcomes of patients with end-stage kidney disease hospitalized with COVID-19. Kidney International 2020; 98(6): 1530–1539. https://doi.org/10.1016/j.kint.2020. 07.030.
- Uzdil N, Evli M, Tokgöz B. Covid-19 phobia and psychological well-being in peritoneal dialysis patients during the pandemic process. Black Sea Journal of Health Science 2022; 5(2): 245- 251.
- Javed S, Bangash SS, Sharf N, Samman B, Alvi T. Death anxiety in hemodialysis patients before and during the outbreak of COVID-19: A Longitudinal Study. Life and Science 2021; 2(4): 4-4. http://doi.org/10.37185/LnS.1.1.140A
- Mroczek DK, Stawski RS, Turiano NA, Chan W, Almeida DM, Neupert SD, Spiro III A. Emotional reactivity and mortality: Longitudinal findings from the VA Normative Aging Study. Journals of Gerontology Series B: Psychological Sciences and Social Sciences 2015; 70(3): 398-406. https://doi.org/10.1093/geronb/gbt107.
- Firmansyah H, Widianti AT, Yualita P. The relationship between emotion regulation and anxiety on hemodialysis patient in the hemodialization room of rumah sakit al ıslam bandung. In 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 2020) 2021; 587-590.
- Ifeagwazi CM, Egberi HE, Chukwuorji JC. Emotional reactivity and blood pressure elevations: anxiety as a mediator. Psychology, Health & Medicine 2018; 23(5): 585-592.
- Ercengiz M, Safalı S, Kaya A, Turan ME. A hypothetic model for examining the relationship between happiness, forgiveness, emotional reactivity and emotional security. Current Psychology 2022; 1-15. https://doi.org/10.1007/s12144-022-02909-2
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Original Article |
| Yazarlar | |
| Erken Görünüm Tarihi | 29 Aralık 2023 |
| Yayımlanma Tarihi | 31 Aralık 2023 |
| Gönderilme Tarihi | 18 Mayıs 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 33 Sayı: 6 |
Genel Tıp Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.