Özet:

The number of chronic patients is observed increasing due to the growth of the population over the past year, poor health living conditions and other causes. Due to chronic diseases, body loss occurs with the end of tissue loss and tissue loss in an organ. The death rate due to organ loss is high. One of the chronic diseases with high mortality rates is chronic kidney failure. Chronic renal insufficiency consists of five stages, and when the disease reaches the final stage, organ loss occurs. Patients in this stage are required to take RRT (renal replacement therapy). The most common causes of recent renal insufficiency include diabetes, glomerulnefritis and hypertension. The reason that chronic kidney failure is considered a major health problem worldwide is that the death rate is high. It is known that a million people around the world are suffering from chronic kidney failure, which accounts for approximately 10-16% of the world’s population. In our country, according to 2018 data, the number of patients with SDBY (Last Period Kidney Insufficiency) in RRT is 81055 and the incidence is 149.2, and the prevalence is 988.4. 60643 of these patients received hemodialysis treatment, 3,192 peritonal dialytic treatment, and 17,220 transplantation treatment. In 2018, the number of patients who began continuous RRT, including children's patients, was 12,232. Depending on chronic kidney failure or dialytic treatment, physical, social, psychological and mental problems may develop in patients. In these patients, pain, convulsions, changes in blood pressure values, the development of various diseases associated with KBY (Chronic kidney failure), sleep disorders, forgetfulness, dementia, sexual problems, treatment adjustment problems, depression, anxiety and panic disorders and socialization are among the most common problems. Some studies have found that both anxiety disorder and depression have a relationship with an uncertain linking style. From these data, it can be said that the developing styles of connectivity related to close relationships affect the psychological state of individuals. Children who develop positive relationships with the connection figure and are safe linked to the connection figure perceive themselves as loved and valuable individuals. They also see other individuals as reliable, supporting and responsible individuals. The children who develop negative relationships with the connection figure and who are uncertainly connected to it do not see themselves as one worth loving and also perceive others as unreliable, unconform personalities. Kirkpatrick explains that the connection to God and the interpersonal connection structure are similar to each other. Kirkpatrick emphasizes four situations in the interpersonal connection relationship. (1) When the individual is afraid, in trouble situations or in danger, he wants to be close to the contact figure immediately. (2) The connection figure is reliable because it provides protection to the connector. (3) The link figure is consistent in their behavior. (4) The existence of the connection figure indicates continuity. Kirkpatrick also explains the fact of bonding with God through these four situations. Some studies on connection and life satisfaction have found that there is a relationship between connection and life satisfaction. Angry-linked individuals experience the fear of being rejected and abandoned by others intensely and have negative emotions. Individuals who are avoided are avoided from close relationships, need to act more independently, and their self-confidence is high. Safe-linked individuals are more likely to build close relationships because they have positive and feelings and thoughts towards themselves and others. A study on adaptive and maladaptive perfectionism as a means of adult connectivity styles, depression, desperation and life satisfaction has found that there is a positive relationship between adaptive perfectionism and life satisfaction, adaptive perfectionism and the negative relationship between depression, desperation and uncertain (thinking and avoiding) connectivity. There is a negative relationship between maladaptive perfectionism and life satisfaction; there is a positive relationship between maladaptive perfectionism and the forms of depression, disappointment and uncertainty. Another study found that individuals who struggle with stressful emotions and are secure to God have fewer psychological problems and higher satisfaction in life. It can be said that there is a relationship between the emotional state of chronic patients and the styles of connection and the satisfaction of life. The study we conducted found that dialytic patients with positive emotions developed more secure connectivity styles and had higher satisfaction in life.

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