No Clue… No Signs… Unpredictable and Bizarre: The Burden of Impaired Awareness of Hypoglycemia Among Patients on Hemodialysis—Findings of a Sequential Explanatory Mixed-Methods Study from South India
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https://doi.org/10.59455/jomes.62Keywords:
impaired awareness of hypoglycemia, hemodialysis, mixed-methods, Clark’s scoreAbstract
Hipoglisemi farkındalığının bozulması (IAH), kan şekeri seviyelerinde önemli bir düşüşü algılayamama veya hissedememe durumunu ifade eder. Bu açıklayıcı ardışık karma yöntemli çalışma, hemodiyaliz uygulanan hastalarda IAH prevalansını belirlemeyi ve etkilenen hastaların ve yakınlarının deneyimlerini araştırmayı amaçlamıştır. Nicel aşamada, 86 hemodiyaliz hastasında Clark anketi kullanılarak IAH değerlendirilmiş, ardından 16 katılımcıyla yapılan görüşmeleri içeren derinlemesine nitel bir aşama gerçekleştirilmiştir. Nicel veriler tanımlayıcı istatistikler ve ilişki testleri kullanılarak analiz edilirken, nitel veriler tematik analiz yoluyla incelenmiştir. Bulgular, IAH'yi düşündüren ≥4'lük bir Clark puanının ortalama 5,01 (±1,2) puan verdiğini, katılımcıların %28,7'sinin (±2,7) şiddetli IAH yaşadığını ve %40,4'ünün hipoglisemi korkusu bildirdiğini göstermiştir. Niteliksel analiz üç ana temayı ortaya çıkardı: farkındalığın büyük önemi, hipoglisemi farkındalığının (IAH) deneyimleri ve günlük yaşam üzerindeki etkisi ile IAH'yi ele almak için çözümler ve stratejiler. Genel olarak, sonuçlar hemodiyaliz popülasyonunda hipoglisemi farkındalığının önemli ölçüde yüksek oranda olduğunu göstermekte ve bu yüksek riskli grup için kapsamlı ve bireyselleştirilmiş klinik stratejiler geliştirmede sağlık profesyonellerini desteklemek amacıyla IAH düzeylerinin belirlenmesinin önemini vurgulamaktadır.
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