Background Patients receiving haemodialysis suffer from oral problems, pain, deteriorated nutrition, and decreased self‐confidence and quality of life. Nurses have a critical role in the evaluation and care of oral health. Objectives The aim was to investigate the associations between socio‐demographic characteristics, medication use, and biochemical blood levels and oral health in adult patients receiving haemodialysis treatment. Design This study was conducted as a descriptive study. Participants The sample study was made up of one hundred and fifty individuals treated with haemodialysis between March and June 2018. Measurements Patient diagnosis and Bedside Oral Exam guide was the tool used to examine oral health. Results It was seen that patients' oral health worsened as the number of dental caries increased. It was found that low level of education, those with nonregular oral care and brushing teeth, those using parathyroid hormone‐lowering agents and who stated they complied with the drug and diet therapy had higher mean Bedside Oral Exam guide scores, meaning their oral health was statistically significantly worse (p < 0.05). Bedside Oral Exam guide scores were weakly negatively correlated with predialysis serum potassium levels (r = −0.213; p = 0.009), weakly positively correlated with the daily fluid amount consumed (r = −0.185; p = 0.024), and decayed teeth (r = −0.224; p = 0.006). Conclusions Use of parathyroid hormone‐lowering agents, low level of education, insufficient oral care, decayed teeth, compliance with diet and medication, daily liquid consumption, and low potassium levels could lead to an increased severity of poor oral health in patients receiving haemodialysis. Oral and dental health protocols should be developed for all haemodialysis units.
Hemodiyaliz hastalarında cilt problemleri sıklıkla ve değişik biçimlerde görülmektedir. Hastaların yaşam kalitesi üzerinde önemli etkisi olan çok sayıda cilt değişiklikleri ile kendini göstermektedir. Bu çalışma hemodiyaliz hastalarında çeşitli cilt problemlerinin sıklığını ve etkileyen faktörleri belirlemek amacıyla yapıldı.Gereç ve Yöntemler: Araştırma tanımlayıcı ve kesitsel tiptedir. Araştırmanın örneklemini, dâhil edilme kriterlerine uyan ve araştırmaya katılmayı kabul eden 175 hasta oluşturdu. Araştırmanın verilerinin toplanmasında hasta tanıtım ve anket formu kullanıldı. Veriler araştırmacılar tarafından yüz yüze görüşme tekniği ve fiziksel muayene yapılarak toplandı.Bulgular: Hastaların %73.1'inin hemodiyaliz tedavisine başladıktan sonra cilt sorunları yaşadığı ve %33.7'sinde ise beş cilt sorununun birlikte olduğu saptandı. Hastaların en sık yaşadığı cilt sorunlarına bakıldığında ise; sırasıyla %65.1 ile kaşıntı, %62.9 cilt kuruluğu, %44 pigment değişikliği ve solukluk olarak saptandı.Sonuç: Hemodiyaliz hastalarında cilt, saç ve tırnak değişikliklerinin yaygın olduğu saptandı. Hemodiyalizin süresi uzadıkça cilt problemleri artmaktadır. Sonuçlarımız, hemodiyaliz hastalarının morbiditesini azaltabilecek ve yaşam kalitesini önemli ölçüde artırabilecek bu dermatozların erken tanınması ve tedavisi için nefrologlar ve hemodiyaliz hemşiresi arasında ortak bir çaba gerektirmektedir.
This study aims to determine the correlation of nurses empathic tendency and ageism attitudes towards older adults Material and Method: A descriptive and correlational with a convenience sample of 132 Turkey nurses was conducted in April-June 2017. Structured question form, Scale of Empathic Tendency and Fraboni Scale of Ageism (FSA) were applied to nurses. Results:The regression model used in the study explains 16% of the factors affecting ageism in nurses. In this model, factors that remained negative attitude toward the elderly were female, obtaining information about the elderly from the media and willingness to care for the elderly (p<0.05). Conclusion:This study found that ageism and empathic tendencies of nurses were at moderate level. It is important to develop the empathic tendencies of nurses in preventing ageism. Accordingly, it can be suggested that nurses' knowledge on this subject should be improved with evidence-based practices.
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