.: ORİJİNAL ARAŞTIRMA
Frequency of Intradialytic Hypotension Seen in Nutritional Changes Due to the COVID-19 Pandemic in Chronic Hemodialysis Patients: A Retrospective Study
Kronik Hemodiyaliz Hastalarında COVID-19 Pandemisi Nedeniyle Beslenme Değişikliklerinde Görülen İntradiyalitik Hipotansiyon Sıklığı: Retrospektif Çalışma
Turkiye Klinikleri J Nurs Sci. 2025;17(3):830-7
doi: 10.5336/nurses.2024-107101
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: This study aimed to investigate the frequency of intradialytic hypotension (IDH) in chronic hemodialysis patients following changes made in the nutritional protocol during the coronavirus disease-2019 (COVID-19) epidemic. Material and Methods: This retrospective study was conducted with 30 patients who received hemodialysis treatment in a dialysis unit before and during the pandemic periods (2019-2020). The dates December 2019 before the pandemic and December 2020 after the pandemic were selected. Laboratory parameters recorded during patient follow-up were evaluated. Paired sample t-test, Wilcoxon and correlation test were used to evaluate the data. Results: The mean age of the patients participating in the study was 62.60±17.79, and 66.7% were male. There was a significant difference between the frequency of IDH in patients before the pandemic (3.24±2.93) and during the pandemic period (4.55±3.36) (p<0.05). There were significant differences in systolic, diastolic, and mean arterial pressure values, serum urea, creatinine, hemoglobin, and bicarbonate the pre-pandemic and pandemic one-month periods (p<0.05). Furthermore, there was a positive and significant correlation between the amount of ultrafiltration and the frequency of IDH during the COVID-19 pandemic (r=0.446, p<0.05). Conclusion: The increased frequency of IDH in patients receiving hemodialysis treatment during the COVID-19 pandemic was associated with non-adherence to their diets.
Keywords: COVID-19; hypotension; renal dialysis; nursing care; nutritional status
Objective: This study aimed to investigate the frequency of intradialytic hypotension (IDH) in chronic hemodialysis patients following changes made in the nutritional protocol during the coronavirus disease-2019 (COVID-19) epidemic. Material and Methods: This retrospective study was conducted with 30 patients who received hemodialysis treatment in a dialysis unit before and during the pandemic periods (2019-2020). The dates December 2019 before the pandemic and December 2020 after the pandemic were selected. Laboratory parameters recorded during patient follow-up were evaluated. Paired sample t-test, Wilcoxon and correlation test were used to evaluate the data. Results: The mean age of the patients participating in the study was 62.60±17.79, and 66.7% were male. There was a significant difference between the frequency of IDH in patients before the pandemic (3.24±2.93) and during the pandemic period (4.55±3.36) (p<0.05). There were significant differences in systolic, diastolic, and mean arterial pressure values, serum urea, creatinine, hemoglobin, and bicarbonate the pre-pandemic and pandemic one-month periods (p<0.05). Furthermore, there was a positive and significant correlation between the amount of ultrafiltration and the frequency of IDH during the COVID-19 pandemic (r=0.446, p<0.05). Conclusion: The increased frequency of IDH in patients receiving hemodialysis treatment during the COVID-19 pandemic was associated with non-adherence to their diets.
Keywords: COVID-19; hypotension; renal dialysis; nursing care; nutritional status
ÖZET
Amaç: Bu çalışmada, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] salgını sırasında beslenme protokolünde yapılan değişiklikler sonrasında kronik hemodiyaliz hastalarında intradiyalitik hipotansiyon (İDH) sıklığının araştırılması amaçlanmıştır. Gereç ve Yöntemler: Retrospektif olarak yapılan bu araştırma, pandemi öncesi ve pandemi dönemlerinde (2019-2020 yıllarında) bir diyaliz ünitesinde hemodiyaliz tedavisi gören 30 hasta ile yapıldı. Pandemi öncesinde Aralık 2019 pandemi sonrasında da Aralık 2020 tarihleri seçildi. Hasta takipleri sırasında kaydedilen laboratuvar parametreleri değerlendirildi. Verileri değerlendirmek için bağımlı örneklem t-testi, Wilcoxon ve korelasyon testi kullanıldı. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 62,60±17,79 olup, %66,7'si erkekti. Hastaların pandemi öncesi (3,24±2,93) ile pandemi döneminde (4,55±3,36) İDH sıklığı arasında anlamlı fark vardı (p<0,05). Pandemi öncesi ve pandemi döneminde sistolik, diyastolik ve ortalama arter basıncı değerlerinde, serum üre, kreatinin, hemoglobin ve bikarbonatta anlamlı farklılıklar vardı (p<0,05). Ayrıca, COVID19 pandemisi sırasında ultrafiltrasyon miktarı ile İDH sıklığı arasında pozitif ve anlamlı bir korelasyon vardı (r=0,446, p<0,05). Sonuç: COVID-19 pandemisi sırasında hemodiyaliz tedavisi gören hastalarda İDH sıklığının artması, hastaların diyetlerine uymamalarıyla ilişkili bulunmuştur.
Anahtar Kelimeler: COVID-19; hipotansiyon; böbrek diyalizi; hemşirelik bakımı; beslenme durumu
Amaç: Bu çalışmada, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] salgını sırasında beslenme protokolünde yapılan değişiklikler sonrasında kronik hemodiyaliz hastalarında intradiyalitik hipotansiyon (İDH) sıklığının araştırılması amaçlanmıştır. Gereç ve Yöntemler: Retrospektif olarak yapılan bu araştırma, pandemi öncesi ve pandemi dönemlerinde (2019-2020 yıllarında) bir diyaliz ünitesinde hemodiyaliz tedavisi gören 30 hasta ile yapıldı. Pandemi öncesinde Aralık 2019 pandemi sonrasında da Aralık 2020 tarihleri seçildi. Hasta takipleri sırasında kaydedilen laboratuvar parametreleri değerlendirildi. Verileri değerlendirmek için bağımlı örneklem t-testi, Wilcoxon ve korelasyon testi kullanıldı. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 62,60±17,79 olup, %66,7'si erkekti. Hastaların pandemi öncesi (3,24±2,93) ile pandemi döneminde (4,55±3,36) İDH sıklığı arasında anlamlı fark vardı (p<0,05). Pandemi öncesi ve pandemi döneminde sistolik, diyastolik ve ortalama arter basıncı değerlerinde, serum üre, kreatinin, hemoglobin ve bikarbonatta anlamlı farklılıklar vardı (p<0,05). Ayrıca, COVID19 pandemisi sırasında ultrafiltrasyon miktarı ile İDH sıklığı arasında pozitif ve anlamlı bir korelasyon vardı (r=0,446, p<0,05). Sonuç: COVID-19 pandemisi sırasında hemodiyaliz tedavisi gören hastalarda İDH sıklığının artması, hastaların diyetlerine uymamalarıyla ilişkili bulunmuştur.
Anahtar Kelimeler: COVID-19; hipotansiyon; böbrek diyalizi; hemşirelik bakımı; beslenme durumu
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