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Hipertansiyon Hastalarında Öz Bakım Davranış Profili ve Öz Bakım Yönetiminin İncelenmesi

Year 2024, Volume: 6 Issue: 1, 81 - 88, 08.04.2024
https://doi.org/10.48071/sbuhemsirelik.1409462

Abstract

Giriş: Kronik bir hastalık olan hipertansiyonda hastalık yönetiminin temel amacı tedavi ve bakım davranışı ile yönetimin
sağlanmasıdır.
Amaç: Çalışmanın amacı hipertansiyonlu hastaların öz bakım davranış profillerinin öz bakım yönetimi üzerindeki etkisini ve ilişkisini araştırmaktı.
Yöntem: Tanımlayıcı tipte olan bu çalışma, Eylül 2022 ile Mart 2023 tarihleri arasında Ankara’da bir üniversite hastanesinin kardiyoloji polikliniğine başvuran 268 hipertansiyon hastası ile yapıldı.
Bulgular: Kronik hastalıklarda öz bakım yönetimi genel puanı ortalaması 115,220 ± 23,745, Hipertansiyon Öz Bakım Profili Davranış Ölçeği puanı ise 46,246 ± 9,599 idi. Hastaların Hipertansiyon Öz Bakım Profili Davranış Ölçeği ile Kronik Hastalıklarda Öz Bakım Yönetimi Ölçeğinden aldıkları genel puanlar karşılaştırıldığında pozitif düzeyde yüksek düzeyde korelasyon (r = 0,702; p < 0,05) tespit edildi. Regresyon analizine göre kronik hastalıklarda öz bakım davranışı ile öz bakım yönetimi arasında güçlü bir ilişki vardı (F = 258,123; p < 0,05). Öz bakım davranış düzeyindeki toplam değişim, kronik hastalıklarda öz bakım yönetimi ile %49,1 (R2 = 0,491) oranında açıklandı. Kronik hastalıklarda öz bakım yönetimi öz bakım davranışının toplam düzeyini arttırdı (ß = 0,702).
Sonuç: Araştırma sonucunda öz bakım davranışı iyi olan hipertansiyon hastalarının durumlarını daha iyi kontrol edebildikleri ve hastalığı yönetmede daha az zorluk yaşadıkları ortaya çıktı. Bu nedenle hipertansiyonun yönetiminde hastaların öz bakım davranışlarının güçlendirilmesi hemşirelerin odaklanması gereken önemli bir konudur.

References

  • Acharya, R., Chaudhary, A., Pandey, J., & Pandey, C. (2022). Self-care management and its associated factors among patient with hypertension in Nepal. Journal of Chitwan Medical College, 12(40), 91-96. doi: 10.54530/jcmc.637
  • AlHadlaq, R.K., Swarelzahab, M.M., AlSaad, S.Z., AlHadlaq, A.K., Almasari, S.M., Alsuwayt, S.S., & Alomari, N.A. (2019). Factors affecting self-management of hypertensive patients attending family medicine clinics in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 8(12), 4003-4009. doi: 10.4103/jfmpc.jfmpc_752_19
  • Bengtson, A., & Drevenhorn, E. (2003). The nurse’s role and skills in hypertension care: a review. Clinical Nurse Specialist, 17(5), 260-268. doi: 10.1097/00002800-200309000-00011
  • Büyüköztürk, Ş., Çokluk, Ö. ve Köklü, N. (2018). Sosyal bilimler için istatistik. Ankara: Pegem Akademi.
  • Dickinson, H.O., Mason, J.M., Nicolson, D.J., Campbell, F., Beyer, F.R., Cook, J.V., … Ford, G.A. (2006). Lifestyle interventions to reduce raised blood pressure: a systematic review of randomized control trials. Journal of Hypertension, 24(2), 215-233. doi: 10.1097/01.hjh.0000199800.72563.26.
  • Faul, F., Erdfelder, E., Buchner, A., & Lang, A.G. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. doi: 10.3758/BRM.41.4.1149 George, D., & Mallery, M. (2010). SPSS for windows step by step: a simple guide and reference, 17.0 update (10a ed.). Boston: Pearson.
  • Han, H.R., Lee, H., Commodore-Mensah, Y., & Kim, M. (2014). Development and validation of the Hypertension Self-care Profile: a practical tool to measure hypertension self-care. The Journal of Cardiovascular Nursing, 29(3), E11–E20. doi: 10.1097/JCN.0b013e3182a3fd46 Hançerlioğlu, S., & Şenuzun Aykar, F. (2018). Kronik Hastalıklarda Öz-Bakım Yönetimi Ölçeği’nin Türkçe’ye uyarlanması, geçerlik ve güvenirliği. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 7(1), 175-183. Hartweg, D.L. (1990). Health promotion self-care within Orem's general theory of nursing. Journal of Advanced Nursing, 15(1), 35–41. doi: 10.1111/j.1365-2648.1990.tb01670.x
  • Hu, H., Li, G., & Arao, T. (2013). Prevalence rates of self-care behaviors and related factors in a rural hypertension population: a questionnaire survey. International Journal of Hypertension, Epub:526949. doi: 10.1155/2013/526949
  • İlhan, N., Gencer, S., Özdemir, Ö., & Maviyildiz, S. (2020). The relationship between health literacy and illness self-care management in Turkish patients with cancer. Oncology Nursing Forum, 47(3), E73-E85. doi: 10.1188/20.ONF.E73-E85
  • James, P.A., Oparil, S., Carter, B.L., Cushman, W.C., Dennison-Himmelfarb, C., Handler, J., … Ortiz, E. (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Journal of the American Medical Association, 311(5), 507-520. doi: 10.1001/jama.2013.284427
  • Joseph, N., Chiranjeevi, M., Sen, S., Singh, P., Saini, M., & Beg, S. (2016). Awareness on hypertension and its self-management practices among hypertensive patients attending outreach clinics of a medical college in South India. Kathmandu University Medical Journal, 14(55), 202-209.
  • Kalaycı, Ş. (2006). SPSS uygulamalı çok değişkenli istatistik teknikleri. Ankara: Asil Yayın Dağıtım Ltd. Şti.
  • Kaur, P., Rao, S.R., Radhakrishnan, E., Rajasekar, D., & Gupte, M.D. (2012). Prevalence, awareness, treatment, control and risk factors for hypertension in a rural population in South India. International Journal of Public Health, 57(1), 87-94. doi: 10.1007/s00038-011-0303-3
  • Kes, D., & Gökdoğan, F. (2020). Reliability and validity of a Turkish version of the hypertension self-care profile. Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing, 38(3), 149-155. doi: 10.1016/j.jvn.2020.05.001
  • Maginga, J., Guerrero, M., Koh, E., Holm Hansen, C., Shedafa, R., Kalokola, F., … Peck, R.N. (2016). Hypertension control and its correlates among adults attending a hypertension clinic in Tanzania. Journal of Clinical Hypertension (Greenwich), 18(3), 207-216. doi: 10.1111/jch.12646
  • Niriayo, Y.L., Ibrahim, S., Kassa, T.D., Asgedom, S.W., Atey, T.M., Gidey, K., … Kahsay, D. (2019). Practice and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia. Plos One, 14(6), e0218947. doi: 10.1371/journal.pone.0218947
  • Roth, G.A., Mensah, G.A., Johnson, C.O., Addolorato, G., Ammirati, E., Baddour, L.M., … Fuster, V. Global Burden of Cardiovascular Diseases Writing Group (2020). Global burden of cardiovascular diseases and risk factors, 1990-2019: update from the GBD 2019 study. Journal of the American College of Cardiology, 76(25), 2982-3021. doi: 10.1016/j.jacc.2020.11.010
  • Salim, H., Lee, P.Y., Sazlina, S.G., Ching, S.M., Mawardi, M., Shamsuddin, N.H., …Tan, N.C. (2019). The self-care profiles and its determinants among adults with hypertension in primary health care clinics in Selangor, Malaysia. Plos One, 14(11), e0224649. doi: 10.1371/journal.pone.0224649
  • Świątoniowska-Lonc, N., Polański, J., Tański, W., & Jankowska-Polańska, B. (2020). Impact of satisfaction with physician-patient communication on self-care and adherence in patients with hypertension: cross-sectional study. BMC Health Services Research, 20(1), 1046. doi:10.1186/s12913-020-05912-0
  • Şengül, S., Akpolat, T., Erdem, Y., Derici, U., Arici, M., Sindel, S., … Erturk, S. (2016). Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012. Journal of Hypertension, 34(6), 1208-1217. doi: 10.1097/HJH.0000000000000901
  • Tabachnick, B.G., Fidell, L.S., & Ullman, J.B. (2013). Using multivariate statistics (Vol. 6, pp. 497-516). Boston, MA: pearson.
  • Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M., … Desormais, I. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension. European Heart Journal, 39(33), 3021–3104. doi:10.1093/eurheartj/ehy339
  • World Health Organization. (2022). Guideline for the pharmacological treatment of hypertension in adults: summary. https://www.who.int/publications/i/item/9789240050969.

Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients

Year 2024, Volume: 6 Issue: 1, 81 - 88, 08.04.2024
https://doi.org/10.48071/sbuhemsirelik.1409462

Abstract

Introduction: The main purpose of disease management in hypertension, which is a chronic disease, is to ensure management through treatment and care behavior.
Aim: The aim of study was to investigate the effct and relationship between self-care behavior profies of patients with
hypertension on their self-care management. Method: This descriptive study was conducted on 268 hypertension patients who applied to the cardiology outpatient
clinic of a university hospital in Ankara between September 2022 and March 2023.
Results: The mean overall score of Self-Care Management in Chronic Diseases was 115.220 ± 23.745, while the mean of Hypertension Self-Care Profie Behavior Scale score was 46.246 ± 9.599. When the overall scores of the patients for the Hypertension Self-Care Profie Behavior Scale and the Self-Care Management in Chronic Diseases Scale were compared, a positive high-level correlation (r = 0.702; p < 0.05) was discovered. There was a strong correlation between self-care behavior and management in chronic diseases, according to regression analysis (F = 258.123; p < 0.05). The total change in self-care behavior level was explained by self-care management in chronic diseases by 49.1% (R2 = 0.491). Self-care management in chronic diseases increased the total level of self-care behavior (ß = 0.702).
Conclusion: As a result of the research, it was revealed that hypertension patients with good self-care behavior were able to control their condition better and had less diffilty in managing the disease. Therefore, strengthening patients' self-care behaviors in the management of hypertension is an important issue that nurses should focus on.

References

  • Acharya, R., Chaudhary, A., Pandey, J., & Pandey, C. (2022). Self-care management and its associated factors among patient with hypertension in Nepal. Journal of Chitwan Medical College, 12(40), 91-96. doi: 10.54530/jcmc.637
  • AlHadlaq, R.K., Swarelzahab, M.M., AlSaad, S.Z., AlHadlaq, A.K., Almasari, S.M., Alsuwayt, S.S., & Alomari, N.A. (2019). Factors affecting self-management of hypertensive patients attending family medicine clinics in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 8(12), 4003-4009. doi: 10.4103/jfmpc.jfmpc_752_19
  • Bengtson, A., & Drevenhorn, E. (2003). The nurse’s role and skills in hypertension care: a review. Clinical Nurse Specialist, 17(5), 260-268. doi: 10.1097/00002800-200309000-00011
  • Büyüköztürk, Ş., Çokluk, Ö. ve Köklü, N. (2018). Sosyal bilimler için istatistik. Ankara: Pegem Akademi.
  • Dickinson, H.O., Mason, J.M., Nicolson, D.J., Campbell, F., Beyer, F.R., Cook, J.V., … Ford, G.A. (2006). Lifestyle interventions to reduce raised blood pressure: a systematic review of randomized control trials. Journal of Hypertension, 24(2), 215-233. doi: 10.1097/01.hjh.0000199800.72563.26.
  • Faul, F., Erdfelder, E., Buchner, A., & Lang, A.G. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. doi: 10.3758/BRM.41.4.1149 George, D., & Mallery, M. (2010). SPSS for windows step by step: a simple guide and reference, 17.0 update (10a ed.). Boston: Pearson.
  • Han, H.R., Lee, H., Commodore-Mensah, Y., & Kim, M. (2014). Development and validation of the Hypertension Self-care Profile: a practical tool to measure hypertension self-care. The Journal of Cardiovascular Nursing, 29(3), E11–E20. doi: 10.1097/JCN.0b013e3182a3fd46 Hançerlioğlu, S., & Şenuzun Aykar, F. (2018). Kronik Hastalıklarda Öz-Bakım Yönetimi Ölçeği’nin Türkçe’ye uyarlanması, geçerlik ve güvenirliği. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 7(1), 175-183. Hartweg, D.L. (1990). Health promotion self-care within Orem's general theory of nursing. Journal of Advanced Nursing, 15(1), 35–41. doi: 10.1111/j.1365-2648.1990.tb01670.x
  • Hu, H., Li, G., & Arao, T. (2013). Prevalence rates of self-care behaviors and related factors in a rural hypertension population: a questionnaire survey. International Journal of Hypertension, Epub:526949. doi: 10.1155/2013/526949
  • İlhan, N., Gencer, S., Özdemir, Ö., & Maviyildiz, S. (2020). The relationship between health literacy and illness self-care management in Turkish patients with cancer. Oncology Nursing Forum, 47(3), E73-E85. doi: 10.1188/20.ONF.E73-E85
  • James, P.A., Oparil, S., Carter, B.L., Cushman, W.C., Dennison-Himmelfarb, C., Handler, J., … Ortiz, E. (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Journal of the American Medical Association, 311(5), 507-520. doi: 10.1001/jama.2013.284427
  • Joseph, N., Chiranjeevi, M., Sen, S., Singh, P., Saini, M., & Beg, S. (2016). Awareness on hypertension and its self-management practices among hypertensive patients attending outreach clinics of a medical college in South India. Kathmandu University Medical Journal, 14(55), 202-209.
  • Kalaycı, Ş. (2006). SPSS uygulamalı çok değişkenli istatistik teknikleri. Ankara: Asil Yayın Dağıtım Ltd. Şti.
  • Kaur, P., Rao, S.R., Radhakrishnan, E., Rajasekar, D., & Gupte, M.D. (2012). Prevalence, awareness, treatment, control and risk factors for hypertension in a rural population in South India. International Journal of Public Health, 57(1), 87-94. doi: 10.1007/s00038-011-0303-3
  • Kes, D., & Gökdoğan, F. (2020). Reliability and validity of a Turkish version of the hypertension self-care profile. Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing, 38(3), 149-155. doi: 10.1016/j.jvn.2020.05.001
  • Maginga, J., Guerrero, M., Koh, E., Holm Hansen, C., Shedafa, R., Kalokola, F., … Peck, R.N. (2016). Hypertension control and its correlates among adults attending a hypertension clinic in Tanzania. Journal of Clinical Hypertension (Greenwich), 18(3), 207-216. doi: 10.1111/jch.12646
  • Niriayo, Y.L., Ibrahim, S., Kassa, T.D., Asgedom, S.W., Atey, T.M., Gidey, K., … Kahsay, D. (2019). Practice and predictors of self-care behaviors among ambulatory patients with hypertension in Ethiopia. Plos One, 14(6), e0218947. doi: 10.1371/journal.pone.0218947
  • Roth, G.A., Mensah, G.A., Johnson, C.O., Addolorato, G., Ammirati, E., Baddour, L.M., … Fuster, V. Global Burden of Cardiovascular Diseases Writing Group (2020). Global burden of cardiovascular diseases and risk factors, 1990-2019: update from the GBD 2019 study. Journal of the American College of Cardiology, 76(25), 2982-3021. doi: 10.1016/j.jacc.2020.11.010
  • Salim, H., Lee, P.Y., Sazlina, S.G., Ching, S.M., Mawardi, M., Shamsuddin, N.H., …Tan, N.C. (2019). The self-care profiles and its determinants among adults with hypertension in primary health care clinics in Selangor, Malaysia. Plos One, 14(11), e0224649. doi: 10.1371/journal.pone.0224649
  • Świątoniowska-Lonc, N., Polański, J., Tański, W., & Jankowska-Polańska, B. (2020). Impact of satisfaction with physician-patient communication on self-care and adherence in patients with hypertension: cross-sectional study. BMC Health Services Research, 20(1), 1046. doi:10.1186/s12913-020-05912-0
  • Şengül, S., Akpolat, T., Erdem, Y., Derici, U., Arici, M., Sindel, S., … Erturk, S. (2016). Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012. Journal of Hypertension, 34(6), 1208-1217. doi: 10.1097/HJH.0000000000000901
  • Tabachnick, B.G., Fidell, L.S., & Ullman, J.B. (2013). Using multivariate statistics (Vol. 6, pp. 497-516). Boston, MA: pearson.
  • Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M., … Desormais, I. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension. European Heart Journal, 39(33), 3021–3104. doi:10.1093/eurheartj/ehy339
  • World Health Organization. (2022). Guideline for the pharmacological treatment of hypertension in adults: summary. https://www.who.int/publications/i/item/9789240050969.
There are 23 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases Nursing​
Journal Section Araştırma Makaleleri
Authors

Esra Türker 0000-0003-3323-6880

Early Pub Date April 2, 2024
Publication Date April 8, 2024
Submission Date December 25, 2023
Acceptance Date February 28, 2024
Published in Issue Year 2024 Volume: 6 Issue: 1

Cite

APA Türker, E. (2024). Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 6(1), 81-88. https://doi.org/10.48071/sbuhemsirelik.1409462
AMA Türker E. Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients. UHSJN. April 2024;6(1):81-88. doi:10.48071/sbuhemsirelik.1409462
Chicago Türker, Esra. “Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 6, no. 1 (April 2024): 81-88. https://doi.org/10.48071/sbuhemsirelik.1409462.
EndNote Türker E (April 1, 2024) Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 6 1 81–88.
IEEE E. Türker, “Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients”, UHSJN, vol. 6, no. 1, pp. 81–88, 2024, doi: 10.48071/sbuhemsirelik.1409462.
ISNAD Türker, Esra. “Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 6/1 (April 2024), 81-88. https://doi.org/10.48071/sbuhemsirelik.1409462.
JAMA Türker E. Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients. UHSJN. 2024;6:81–88.
MLA Türker, Esra. “Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, vol. 6, no. 1, 2024, pp. 81-88, doi:10.48071/sbuhemsirelik.1409462.
Vancouver Türker E. Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients. UHSJN. 2024;6(1):81-8.

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