Assessment of Skin Manifestations in Patients Undergoing Hemodialysis

Year 2021, Volume: 16 Issue: 1, 1 - 9, 31.01.2021

Harun İn , Nazan Akça

https://doi.org/10.47565/ndthdt.2021.27

Abstract

Aim: Cutaneous alterations in patients with hemodialysis are frequently found but were variable. They present
with multiple skin problems that have a significant impact on the quality of life of patients. The article aims to
study the various cutaneous abnormalities and the factors affecting these manifestations in patients undergoing
hemodialysis.
Material and Methods: This study is descriptive and cross-sectional. The sample of the study consisted of 175
patients who met the inclusion criteria and were accepted to participate in the study. Patient information and
questionnaire forms were used in the data collection. The data were collected by the researchers with the face to
face interview.
Results: It was found 73.1% of cases had at least one cutaneous finding attributable to hemodialysis patients and
33.7% of the patients had five skin problems together. The most common skin problems experienced by patients:
Pruritus was observed in 65.1% of cases followed by xerosis (62.9%), pallor and hyperpigmentation (44%), skin
lesion (38.9%), nail change (36.6%), and hair change (48.0%).
Conclusion: Skin, hair and nail changes are common in hemodialysis patients. Dermatological manifestations
increase with increasing duration of hemodialysis. Our observations necessitate a joint effort between and
nephrologists, hemodialysis nurses, and dermatologists for the early recognition and management of these
dermatoses which may reduce the morbidity and significantly improve the quality of life of hemodialysis
patients.

Keywords

Xerozis, Pruritus, Cutaneous manifestations, Hemodialysis

Hemodiyaliz Hastalarında Cilt Sorunlarının Değerlendirilmesi/ Assessment of Skin Manifestations in Patients Undergoing Hemodialysis

Abstract

Amaç: 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.

Keywords

Kuruluk, Kaşıntı, Deri belirtileri, Hemodiyaliz

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