Diyaliz ve renal transplantasyon hastalarında beden imaj algısının kişilerarası ilişkiler açısından incelenmesi / A research about the effects of the body image perception on the interpersonal relationships of the dialysis and kidney transplant patients
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Dosyalar
Tarih
2008
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi, Sosyal Bilimler Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Arastırmanın amacı, diyaliz ve renal transplantasyon hastalarıyla erken evre kronik böbrek yetmezligi olan hasta kontrol grubunun karsılastırılarak tedaviye baglı olusan beden imaj algısının hastaların kisilerarası iliskileri ile iliskisinin olup olmadıgını tespit etmektir. Arastırmanın örneklemini stanbul Göztepe Egitim ve Arastırma Hastanesi Nefroloji ve Diyaliz Merkezi’nde nefroloji, renal transplantasyon polikliniklerine basvuran ve periton diyalizi ve hemodiyaliz ünitelerinden takipli toplam 120 hasta olusturmustur. Arastırmanın verileri “Hasta Bilgi Formu”, “Kısa Semptom Envanteri”, “Vücut Algı Ölçegi” ve “Sosyal Fizik Kaygı Ölçegi” aracılıgıyla toplanmıstır. Verilerin analizinde, yüzde, ortalama ve standart sapma hesaplamaları, korelasyon ve regresyon analizi, tek yönlü ve çok yönlü varyans analizi kullanılmıstır. Arastırma sonucunda hastaların çogunlugunun hastalık sonrasında beden görünümünde degisiklik oldugu ve bu yeni beden görünümlerinden rahatsız oldugu; diyaliz ve renal transplantasyon hastalarının beden görünümlerinde gerçeklesen degisikliklerin, kontrol grubuna nazaran daha fazla oldugu; hastaların beden görünümlerindeki degisiklikleri en çok arkadaslarının ve eslerinin görmesini istemedigi ve renal transplantasyon hastalarının diger hasta gruplarına göre daha fazla beden görünümünden rahatsız oldugu tespit edilmistir. Ayrıca, kadınların beden imaj algısının erkeklerden daha zayıf oldugu; beden imaj algısı en zayıf olan grubun SAPD (Sürekli Ayaktan Periton Diyalizi), en güçlü olan grubun ise renal transplantasyon hastaları oldugu sonucuna ulasılmıstır. Fiziksel görünümünü en fazla begenen grubun SAPD hastaları oldugu; hemodiyaliz hastalarının kollarının görünümünden, renal transplantasyon ve SAPD hastalarının kıl dagılımlarından memnun olmadıkları saptanmıstır. Hemodiyaliz hastalarının kisilerarası duyarlılık semptomu en fazla görülen grup oldugu; psikopatolojik semptomlar arttıkça beden imaj algısının zayıfladıgı ve rahatsızlık ciddiyeti ile beden imaj algısının sosyal fizik kaygıya etki ettigi tespit edilmistir. Sosyal fizik kaygı arttıkça beden görünümünden rahatsızlıgın artıp beden imaj algısının zayıfladıgı ve sosyal fizik kaygısı en az olan grubun hemodiyaliz hastaları oldugu tespit edilmistir. Yapılan bütün degerlendirmeler sonucunda diyaliz ve renal transplantasyon hastalarının beden imaj algısının kisilerarası iliskilerini etkiledigi tespit edilmistir. Arastırmadan elde edilen bu sonuçlar dogrultusunda hastalara tedaviye alınmadan önce olası beden imaj degisiklikleri hakkında bilgilendirici bir egitim verilmesi ve iv sürekli olarak psikolog ve psikiyatrist kontrolünde tutularak hastanın kendisi ve çevresiyle olan iliskilerindeki olası bozulmalarda destekleyici psikoterapiler planlanması önerilmistir.
The aim of our study is to show a relationship between the body image perception dependent to the therapy and the interpersonal relationships of patients by comparing the dialysis and renal replacement modality and early stage chronic renal failure patients. The sample of the research is collected from the 120 patients who applied to the nephrology, hemodialysis and peritoneal dialysis outpatient clinics of Istanbul Goztepe Training and Research Hospital Dialysis Center. The data of the research is collected by “Patient Information Form”, “Short Symptom Inventory”, “Body Perception Inventory” and “Social Physical Anxiety Inventory”. The percentage, mean and standard deviation calculations, correlation and regression analysis, one way and two way anova are used to analyze the data. The results indicated that patients have differences in their body images after the disease and patients feel indisposed from their new body image. The differences that occurred on the body of the dialysis and renal transplantation patients are more than the differences that occurred on the body of the control group. Patients have called that they don’t want especially their friends and spouses to see their body image changes and renal transplantation patients are indisposed from their body image more than the other groups indisposed. In terms of the body image perception of women is poorer than men. And the CAPD patients have the poorest body image perception while kidney transplant recipients have the most powerful body image perception. According to the body image perception, the most satisfied group from its body image is the CAPD group. Hemodialysis patients are not pleased with the image of their arms and the kidney transplant recipients and CAPD patients are not pleased with the dispersion of their hair. The interpersonal sensitivity symptom is mostly seen in the hemodialysis patients’ group. It is indicated that when the psychopathological symptoms increase body image perception gets poor and seriousness of illness and body image perception has an impact on the social physical anxiety. When the social physical anxiety increase body image discomfort increase and the more body image perception gets poor. Hemodialysis patients are the group that has the least social physical anxiety average. At the end of the analysis, it is indicated that the body image perception affects the interpersonal relationships of dialysis and kidney transplant recipients. In the direction of these results, it is proposed that an informational education about the probable body image changes must be given to the patients before the therapy vi and it has to be planned to give supportive therapies for the deformation of the relationships with the patients’ his/herself and surroundings with continuous controlling by psychologist and psychiatrist.
The aim of our study is to show a relationship between the body image perception dependent to the therapy and the interpersonal relationships of patients by comparing the dialysis and renal replacement modality and early stage chronic renal failure patients. The sample of the research is collected from the 120 patients who applied to the nephrology, hemodialysis and peritoneal dialysis outpatient clinics of Istanbul Goztepe Training and Research Hospital Dialysis Center. The data of the research is collected by “Patient Information Form”, “Short Symptom Inventory”, “Body Perception Inventory” and “Social Physical Anxiety Inventory”. The percentage, mean and standard deviation calculations, correlation and regression analysis, one way and two way anova are used to analyze the data. The results indicated that patients have differences in their body images after the disease and patients feel indisposed from their new body image. The differences that occurred on the body of the dialysis and renal transplantation patients are more than the differences that occurred on the body of the control group. Patients have called that they don’t want especially their friends and spouses to see their body image changes and renal transplantation patients are indisposed from their body image more than the other groups indisposed. In terms of the body image perception of women is poorer than men. And the CAPD patients have the poorest body image perception while kidney transplant recipients have the most powerful body image perception. According to the body image perception, the most satisfied group from its body image is the CAPD group. Hemodialysis patients are not pleased with the image of their arms and the kidney transplant recipients and CAPD patients are not pleased with the dispersion of their hair. The interpersonal sensitivity symptom is mostly seen in the hemodialysis patients’ group. It is indicated that when the psychopathological symptoms increase body image perception gets poor and seriousness of illness and body image perception has an impact on the social physical anxiety. When the social physical anxiety increase body image discomfort increase and the more body image perception gets poor. Hemodialysis patients are the group that has the least social physical anxiety average. At the end of the analysis, it is indicated that the body image perception affects the interpersonal relationships of dialysis and kidney transplant recipients. In the direction of these results, it is proposed that an informational education about the probable body image changes must be given to the patients before the therapy vi and it has to be planned to give supportive therapies for the deformation of the relationships with the patients’ his/herself and surroundings with continuous controlling by psychologist and psychiatrist.
Açıklama
Anahtar Kelimeler
Diyaliz, Renal Transplantasyon, Beden imajı, Sosyal Fizik Kaygı, Kişilerarası ilişkiler, Dialysis, Kidney Transplantation, Body Image, Social Physical Anxiety, Interpersonal Relationships
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Kıvrak, B. (2008). Diyaliz ve renal transplantasyon hastalarında beden imaj algısının kişilerarası ilişkiler açısından incelenmesi / A research about the effects of the body image perception on the interpersonal relationships of the dialysis and kidney transplant patients (Yayımlanmamış Yüksek Lisans Tezi). Maltepe Üniversitesi, Sosyal Bilimleri Enstitüsü, İstanbul.
