Details

Duševno zdravje odraslih s kronično ledvično boleznijo in čezmerno telesno težo : magistrsko delo
ID Mališ, Dora (Author), ID Fekonja, Urška (Mentor) More about this mentor... This link opens in a new window, ID Kodrič, Jana (Comentor)

.pdfPDF - Presentation file, Download (1,23 MB)
MD5: 3BFADD19EC0FA15E88263BAD1329B13C

Abstract
Kronična ledvična bolezen (KLB) se je z napredkom zdravljenja iz življenjsko ogrožajoče bolezni spremenila v kronično bolezen, zato se vedno več pozornosti posveča raziskovanju psiholoških vidikov te bolezni. Pri bolnikih s KLB so pogoste težave zaradi anksioznosti in depresije, prav tako pa imajo okrnjeno kakovost življenja. Namen raziskave je bil preučiti duševno zdravje bolnikov z zgodnjimi stopnjami KLB in čezmerno telesno težo in debelostjo. V raziskavo smo vključili 40 odraslih s kronično ledvično boleznijo od druge do četrte stopnje in čezmerno telesno težo. Uporabili smo vprašalnike BDI-II, STAI in SF-36v2® ter podatke o številu diagnoz in številu zdravil, indeks telesne mase (ITM) in obseg pasu. Bolnikom smo zastavili tudi tri odprta vprašanja z namenom pridobivanja dodatnega vpogleda v njihovo doživljanje bolezni. Rezultati so pokazali nekoliko nižje ravni depresivne in anksiozne simptomatike ter okrnjenosti kakovosti življenja kot jih navajajo tuje raziskave. Prav tako so pokazali povezanost med višjo izraženostjo depresivnih in anksioznih simptomov ter nižjo kakovostjo življenja, pri čemer se je anksioznost izkazala kot bolj pomemben napovednik tako duševne kot telesne komponente kakovosti življenja. Starejši in upokojeni posamezniki so poročali o nižji anksioznosti in višji duševni kakovosti življenja, za ženske pa je bila značilna višja izraženost simptomov depresije in anksioznosti kot za moške. Med kazalniki obremenitve z boleznijo in duševnim zdravjem nismo ugotovili pomembnih povezav. Na podlagi kvalitativne analize odgovorov smo ugotovili, katere spremembe življenjskega sloga bolniki uvajajo, katere ovire pri tem izpostavljajo ter katere so njihove najpogostejše skrbi v zvezi z boleznijo. Dobljeni rezultati kažejo na velik pomen socialne opore za bolnike s KLB. Odgovori bolnikov so odprli tudi vprašanja o pomenu mesta nadzora in zanikanja bolezni. Magistrsko delo predstavlja prvo raziskavo te vrste v Sloveniji in nudi dragocen vpogled v duševno zdravje bolnikov s KLB pred začetkom nadomestnega zdravljenja ter odpira pomembna izhodišča za prihodnje raziskave.

Language:Slovenian
Keywords:kronična ledvična bolezen, čezmerna telesna teža, kakovost življenja, anksioznost, depresivnost
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:FF - Faculty of Arts
Place of publishing:Ljubljana
Publisher:[D. Mališ]
Year:2025
Number of pages:58 str.
PID:20.500.12556/RUL-174735 This link opens in a new window
UDC:615.851:616.61(043.2)
COBISS.SI-ID:259566851 This link opens in a new window
Publication date in RUL:09.10.2025
Views:272
Downloads:106
Metadata:XML DC-XML DC-RDF
:
Copy citation
Share:Bookmark and Share

Secondary language

Language:English
Title:Mental health in adults with chronic kidney disease and overweight
Abstract:
With advances in treatment, chronic kidney disease (CKD) has shifted from a life-threatening to a chronic condition, prompting increased attention to the psychological aspects of the disease. Patients with CKD often experience symptoms of anxiety and depression, along with reduced quality of life. The aim of this study was to examine the mental health of patients with early-stage CKD and overweight. The sample included 40 adults with stage 2 to 4 CKD and overweight or obesity. Participants completed the BDI-II, STAI, and SF-36v2® questionnaires, and data was collected on the number of diagnoses and medications, body mass index (BMI), and waist circumference. Additionally, three open-ended questions were posed to gain deeper insight into patients’ experiences of disease. The results showed somewhat lower levels of depressive and anxiety symptoms, and less impaired quality of life compared to findings reported in studies abroad. We found assotiation between higher levels of depressive and anxiety symptoms and lower quality of life, with anxiety emerging as a stronger predictor of both mental and physical components of quality of life. Older and retired individuals reported lower levels of anxiety and higher mental component of quality of life. Women reported higher levels of both depression and anxiety than men. No associations were found between indicators of burden of disease and mental health variables. The qualitative part of the study revealed which lifestyle changes patients had implemented, highlighted obstacles for lifestyle changee, and identified common worries. It also showed the importance of social support and raised questions about locus of control and the role of denial. This thesis represents the first study of its kind in Slovenia and, despite its limitations, provides valuable insight into mental health of patients with CKD before the onset of renal replacement therapy and offers a foundation for future research.

Keywords:chronic kidney disease, overweight, quality of life, anxiety, depression

Similar documents

Similar works from RUL:
Similar works from other Slovenian collections:

Back