Kronik Obstrüktif Akciğer Hastalığı Olan Hastaların Fonksiyonel Performans ve Öz-Bakım Gücünün Belirlenmesi

Year 2023, Volume: 12 Issue: 2, 128 - 141, 14.12.2023

Ufuk Demirel , Hatice Tel Aydın

https://doi.org/10.46971/ausbid.1229932

Abstract

Amaç: Araştırma, KOAH’lı bireylerin fonksiyonel performans ve öz-bakım gücünü ve ilişkili faktörleri belirlemek amacıyla tanımlayıcı olarak yapılmıştır. Örneklem ve Yöntem: Araştırma örneklemini, bir araştırma hastanesinin göğüs hastalıkları polikliniğinde ayaktan tedavi ve izlemi yapılan 128 KOAH’lı birey oluşturmuştur. Bulgular: Hastaların fonksiyonel performans puan ortalaması düşük (1.33±0.60), öz-bakım gücü puan ortalaması orta (92.3±22.5) olarak belirlenmiştir. Günlük yaşam aktivitelerinde yardıma ihtiyaç duyan, komorbiditesi olan, son altı ayda KOAH nedeniyle acil servise başvuran ve hastaneye yatışı olan, evde uzun süreli oksijen tedavisi kullanan hastaların fonksiyonel performans ve öz-bakım gücü puanları istatistiksel olarak anlamlı şekilde düşük bulunmuştur (p<0.05). Hastaların fonksiyonel performansı ve öz-bakım gücü ile hastalık evreleri ve dispne şiddetleri arasında negatif yönlü güçlü bir korelasyon bulunurken, FEV1 değeri pozitif yönlü bir korelasyon göstermiştir. KOAH’lı hastalarda fonksiyonel performans ile öz-bakım gücü arasında anlamlı, pozitif korelasyon olduğu belirlenmiştir. Sonuç: KOAH fonksiyonel performans ve öz-bakım gücünde düşmeye neden olur. Hemşirelik bakımını KOAH’lı hastaların fonksiyonel performans ve öz-bakım gücünü etkileyen önemli faktörlerden olan dispne şiddeti ve hastalık evresini dikkate alarak planlamaları önerilmektedir.

Keywords

KOAH, fonksiyonel performans, hemşirelik, öz-bakım gücü

Project Number

SBF-027

Determination of Functional Performance and Self-Care Agency in Patients with Chronic Obstructive Pulmonary Disease

Abstract

Aim: This descriptive study was conducted to determine the functional performance and self-care agency levels of Chronic obstructive pulmonary disease (COPD) patients and associated factors. Subjects and Method: The sample of the study included 128 COPD patients who were being treated and followed up as outpatients at the pulmonology outpatient clinic of a research and training hospital. Results: The mean functional performance score of the patients was low (1.33±0.60), while their mean self-care agency score was moderate (92.3±22.5). Functional performance and self-care agency levels were found to be significantly lower among the patients who required help in their activities of daily living, those with comorbidities, those who presented to emergency services due to COPD in the last six months, those who were hospitalized, and those who were long-term users of oxygen treatment at home (p<0.05). While the functional performance and self-care agency levels of the patients were strongly and negatively correlated with their disease stages and dyspnea severity, these variables were positively correlated with their FEV1 values. A significant positive relationship was found between the functional performance and self-care agency levels of the patients. Conclusion: COPD causes a decrease in functional performance and self-care agency. It is also recommended that nursing care practices are planned by keeping in mind dyspnea severity and disease stage, which are among the significant factors that affect the functional performance and self-care agency of COPD patients.

Keywords

COPD, functional performance, nursing, self-care agency

Supporting Institution

Scientific Research Project Fund of Cumhuriyet University

Project Number

SBF-027

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