Düzeltme
BibTex RIS Kaynak Göster

Düzeltme: PARAMEDiKLERİN HASTANE ÖNCESi DÖNEMDE KOAH’LI HASTA YÖNETİMİ VE ÖZ YETERLİK ALGILARI ARASINDAKİ İLİŞKİNİN İNCELENMESİ

Yıl 2023, Cilt: 8 Sayı: 3, 278 - 292, 03.01.2024

Öz

ÖZ
Amaç: Bu çalışmada hastane öncesi dönemde paramediklerin KOAH (Kronik Obstrüktif Akciğer Hastalığı) hasta yönetimi ile öz yeterlik algıları arasındaki ilişkinin incelenmesi amaçlandı.
Gereç ve Yöntemler: Araştırma tanımlayıcı-ilişkisel tipte Ekim-Kasım 2022 tarihleri arasında yapıldı. Araştırmanın örneklemini, iki üniversitenin Sağlık Hizmetleri Meslek Yüksekokulu İlk ve Acil Yardım Programı’nda okuyan 130 öğrenci oluşturdu. Araştırmada Sosyo-Demografik Bilgi Formu, KOAH bilgi düzeyi anket formu ve Genel Öz Yeterlik Ölçeği (GÖYÖ) kullanıldı.
Bulgular: Öğrencilerin yarısından fazlası kadın, yaklaşık %70'i ise kronik hastalıklarla ilgili eğitim almıştır. Öğrencilerin KOAH bilgi düzeyleri orta seviyede olup GÖYÖ toplam puan ortalaması ise düşüktü. KOAH bilgi düzeyi ve okul değişkenin GÖYÖ üzerinde pozitif yönde önemli bir etkisi olduğu saptandı (p<0.001).
Sonuç: Çalışmamızda öğrencilerin KOAH bilgisinin orta düzeyde ve öz yeterliklerinin düşük olduğu bulundu. Öğrencilerin KOAH bilgi düzeylerinin GÖYÖ üzerinde önemli bir yordayıcı olduğu saptandı
(p<0.001).
Anahtar Kelimeler: KOAH, Paramedikler, Hastane Öncesi, Öz Yeterlik, Öğrenci

Kaynakça

  • Andell, P, James, S, Östlund, O, Yndigegn, T, Sparv, D, Pernow, J, Jernberg, Lindahl, B, Herlitz, J, Erlinge, D, Hofmann, R. (2020). Oxygen therapy in suspected acute myocardial infarction and concurrent normoxemic chronic obstructive pulmonary disease: a prespecified subgroup analysis from the DETO2X-AMI trial. European Heart Journal. Acute Cardiovascular Care, 9(8), 984–992.
  • Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122–147.
  • Beasley, R, Chien, J. Douglas, J, Eastlake, L, Farah, C, King, G, Moore, R, Pilcher, J, Richards, M, Smith, S, Walters, H. (2015). Thoracic Society of Australia and New Zealand oxygen guidelines for acute oxygen use in adults: 'Swimming between the flags'. Respirology, 20(8), 1182-91.
  • Bøtker, MT, Jacobsen, L, Rudolph, SS, Knudsen, L. (2018). The role of point of care ultrasound in prehospital critical care: A systematic review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 26(1), 51-58.
  • Brill, SE, Wedzicha, JA. (2014). Oxygen therapy in acute exacerbations of chronic obstructive pulmonary disease. International Journal of COPD, 7(9), 1241-1252.
  • Celikli, S. (2016). Standardization efforts and breaking points in paramedic education from the establishment to the present. Pre-Hospital Journal, 1(2), 39–54.
  • Corfield, AR, Clerihew, L, Stewart, E, Staines, H, Tough, D, Rooney, KD. (2020). The discrimination of quick paediatric early warning scores in the pre-hospital setting. Anaesthesia, 75(3), 353–358.
  • De Freitas, L, Goodacre, S, O’Hara, R, Thokala, P, Hariharan, S. (2018). Interventions to improve patient flow in emergency departments: an umbrella review. Emergency Medicine Journal, 35(10), 626–637.
  • Decker, R. (2018). Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for diagnosis, management, and prevention of chronic obstructive pulmonary disease. USA. http://www.goldcopd. org/uploads/users/files/GOLD_Report_2015_Apr2.pdf, 24.08.2022.
  • Eraydin, S. The effect of intern program on self-efficacy and professional readiness level of nursing students. Haliç University Journal of Health Sciences, 4(2), 145-157.
  • Ergin, C. (2019). Kronik Obstrüktif Akciğer Hastaliği (KOAH) tanisi almiş bireylere verilen inhaler ilaç eğitiminin öz-bakim gücü ve öz-yeterlilik düzeyine etkisi. Nevşehir Haci Bektaş Veli Üniversitesi Fen Bilimleri Enstitüsü. Nevşehir.
  • Garvey, C. (2016). Recent updates in chronic obstructive pulmonary disease. Postgraduate Medicine, 128(2), 231–238.
  • Göger, S, Cevirme, A. (2019). Effects on the educational stress of the self-efficacy level of nursing students. Journal of Education and Research in Nursing, 16(4), 306–312.
  • Günbatar, H, Sertoğulları, B, Ekin, S, Arısoy, A, Sünnetçioğlu, A. (2014). Evaluation of family physicians' knowledge of COPD. Van Medical Journal, 21(2), 77-80.
  • Hernández Bou, S, Trenchs, V, Vanegas, MI, Valls, AF, Luaces, C. (2017). Evaluation of the bedside Quikread go® CRP test in the management of febrile infants at the emergency department. European Journal of Clinical Microbiology & Infectious Diseases, 36(7), 1205-1211.
  • Heys, D, Swain, A, Knowles, S, Waugh, A, Bailey, M. (2018). An audit of change in clinical practice: from oxygen-driven to air-driven nebulisers for prehospital patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Internal Medicine Journal, 48(6), 668–673.
  • Iliman, EZ. (2015). Occupational diseases in Turkey. International Journal of Health Management and Strategies Research, 1(1), 21–36.
  • Karle, E, Patel, TP, Zweig, J, Krvavac, A. (2020). Understanding the knowledge gap and assessing comfort level among healthcare professionals who provide inhaler education. COPD: Journal of Chronic Obstructive Pulmonary Disease, 17(2), 197–204.
  • Kelly, AM, Holdgate, A, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, W, Sen, Jones, P, Lawoko, C, Laribi, S. (2018). Epidemiology, treatment, disposition and outcome of patients with acute exacerbation of COPD presenting to emergency departments in Australia and South East Asia: An AANZDEM study. Respirology, 23(7), 681–686.
  • Kılıç Aksoy, Ş. (2020). Çalışanların motivasyonunu etkileyen faktörler: Mehmet Akif Ersoy Üniversitesinde bir analiz. Akdeniz Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 1(7), 89-111.
  • Koyun, A, Kacaroglu Vicdan, A. (2020). The study of adapting the nursing profession self-efficacy scale to Turkish. Acibadem University Journal of Health Sciences, 10(3), 504-510.
  • Kurland, RM, Siegel, HI. (2016). Attachment and academic classroom behavior: Self-efficacy and procrastination as moderators on the influence of attachment on academic success. Psychology, 7(8), 1061–1074.
  • Lindvig, KP, Brøchner, AC, Lassen, AT, Mikkelsen, S. (2017). Prehospital prognosis is difficult in patients with acute exacerbation of chronic obstructive pulmonary disease. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 25(1), 1-7.
  • Maepa, HM, Wong, ML, Menezes, CN. (2019). Evaluation of the knowledge and correct use of metered-dose inhalers by healthcare professionals and medical students in Gauteng Province. African Journal of Thoracic and Critical Care Medicine, 25(3), 111–115.
  • McAuley, H, Hadley, K, Elneima, O, Brightling, CE, Evans, RA, Steiner, MC, Greening, NJ. (2021). COPD in the time of COVID-19: an analysis of acute exacerbations and reported behavioural changes in patients with COPD. ERJ Open Research, 7(1), 00718–02020.
  • Molin, KR, Søndergaard, J, Lange, P, Egerod, I, Langberg, H, Lykkegaard, J. (2020). Danish general practitioners’ management of patients with COPD: a nationwide survey. Scandinavian Journal of Primary Health Care, 38(4), 391–398.
  • Nazir, MA, Izhar, F, Akhtar, K, Almas, K. (2019). Dentists’ awareness about the link between oral and systemic health. Journal of Family and Community Medicine, 26(3), 206–212.
  • Putland, M, McKenzie, B. (2015). Teaching medical students in the emergency department: A matter of survival. EMA - Emergency Medicine Australasia, 27(3), 274–275.
  • Reis, AJ, Alves, C, Furtado, S, Ferreira, J, Drummond, M, Robalo Cordeiro, C. (2018). COPD exacerbations: management and hospital discharge. Pulmonology, 24(6), 345–350.
  • Rishipathak, P, Hinduja, A, Shrimathy, V, Sengupta, N. (2020). A study to assess the knowledge, attitude and practice about management of acute exacerbation of chronic obstructive pulmonary disease amongst EMS professionals in Pune, India. Indian Journal of Forensic Medicine and Toxicology, 14(4), 7184–7188.
  • Rochwerg, B, Brochard, L, Elliott, MW, Hess, D, Hill, NS, Nava, S, Navalesi, P, Antonelli, M, Brozek, J, Conti, G, Ferrer, M, Guntupalli, K, Jaber, S, Keenan, S, Mancebo, J, Mehta, S, Raoof, S. (2017). Official ERS/ATS clinical practice guidelines: Noninvasive ventilation for acute respiratory failure. European Respiratory Journal, 31;50(2):1602426.
  • Seyedi Andi, SJ, Bakouei, F, Rad, HA, Khafri, S, Salavati, A. (2019). The relationship between self-efficacy and some demographic and socioeconomic variables among iranian medical sciences students. Advances in Medical Education and Practice, 10, 645–651.
  • Swami, V, Cho, JG, Smith, T, Wheatley, J, Roberts, M. (2021). Confidence of nurses with inhaler device education and competency of device use in a specialised respiratory inpatient unit. Chronic Respiratory Disease, 18, 14799731211002241.
  • Tekir, O, Cevik, C, Arık, S, Ceylan, G. (2016). Investigation of Burnout, Job Satisfaction Levels and Life Satisfaction of Healthcare Professionals. Kirikkale University Medical Faculty Journal, 18(2), 51–63. Wedzicha, JA, Singh, R, Mackay, AJ. (2014). Acute COPD exacerbations. Clinics in Chest Medicine, 35(1), 157–163.
  • World Health Organization. WHO. (2015). Chronic respiratory diseases: burden of COPD [Internet]. http://www.who.int/respiratory/copd/burden/en, 24.08.2022.
  • World Health Organization.WHO. (2020). https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death, 24.07.2022.
  • Yang, H, Wang, H, Du, L, Wang, Y, Wang, X, Zhang, R. (2019). Disease knowledge and self-management behavior of COPD patients in China. Medicine (United States), 98(8), 10–14.
  • Yaşar Can, S, Dilmen Bayar, B. (2020). Determination of education level and efficiency perceptions of last year first and emergency aid program Students. Journal of Celal Bayar University Institute of Health Sciences, 7(4), 437–442.
  • Yildirim, F, Ilhan, I. (2010). The validity and reliability study of the Turkish form of the general self-efficacy scale. Turkish Journal of Psychiatry, 21(4), 301-308.

Düzeltme: INVESTIGATION OF THE RELATIONSHIP BETWEEN PARAMEDICS' PERCEPTIONS OF SELF-EFFICACY AND MANAGEMENT OF PATIENTS WITH COPD IN THE PRE-HOSPITAL PERIOD

Yıl 2023, Cilt: 8 Sayı: 3, 278 - 292, 03.01.2024

Öz

Objective: In this study, it was aimed to examine the relationship between paramedics' COPD (Chronic Obstructive Pulmonary Disease) patient management and their self-efficacy perceptions in the prehospital period.
Materials and Methods: The research was conducted between October and November 2022 in descriptive-relational type. The sample of the research consisted of 120 students studying in the First and
Emergency Aid Program of the Vocational School of Health Services of two universities. SocioDemographic Information Form, COPD knowledge level questionnaire and General Self-Efficacy Scale
(GSE) were used in the study.
Results: More than half of the students are women, and approximately 70% have received training on chronic diseases. The COPD knowledge levels of the students were at a medium level and the GSE total
score average was low. It was determined that the COPD knowledge level and the school variables had a significant positive effect on GSE (p<0.001).
Conclusion: In our study, it was found that the COPD knowledge of the students was moderate and their self-efficacy was low. It was determined that the COPD knowledge level of the students was an important
predictor of the GSE (p<0.001).
Keywords: COPD, Paramedics, Pre-Hospital, Self-Efficacy, Student

Kaynakça

  • Andell, P, James, S, Östlund, O, Yndigegn, T, Sparv, D, Pernow, J, Jernberg, Lindahl, B, Herlitz, J, Erlinge, D, Hofmann, R. (2020). Oxygen therapy in suspected acute myocardial infarction and concurrent normoxemic chronic obstructive pulmonary disease: a prespecified subgroup analysis from the DETO2X-AMI trial. European Heart Journal. Acute Cardiovascular Care, 9(8), 984–992.
  • Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122–147.
  • Beasley, R, Chien, J. Douglas, J, Eastlake, L, Farah, C, King, G, Moore, R, Pilcher, J, Richards, M, Smith, S, Walters, H. (2015). Thoracic Society of Australia and New Zealand oxygen guidelines for acute oxygen use in adults: 'Swimming between the flags'. Respirology, 20(8), 1182-91.
  • Bøtker, MT, Jacobsen, L, Rudolph, SS, Knudsen, L. (2018). The role of point of care ultrasound in prehospital critical care: A systematic review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 26(1), 51-58.
  • Brill, SE, Wedzicha, JA. (2014). Oxygen therapy in acute exacerbations of chronic obstructive pulmonary disease. International Journal of COPD, 7(9), 1241-1252.
  • Celikli, S. (2016). Standardization efforts and breaking points in paramedic education from the establishment to the present. Pre-Hospital Journal, 1(2), 39–54.
  • Corfield, AR, Clerihew, L, Stewart, E, Staines, H, Tough, D, Rooney, KD. (2020). The discrimination of quick paediatric early warning scores in the pre-hospital setting. Anaesthesia, 75(3), 353–358.
  • De Freitas, L, Goodacre, S, O’Hara, R, Thokala, P, Hariharan, S. (2018). Interventions to improve patient flow in emergency departments: an umbrella review. Emergency Medicine Journal, 35(10), 626–637.
  • Decker, R. (2018). Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for diagnosis, management, and prevention of chronic obstructive pulmonary disease. USA. http://www.goldcopd. org/uploads/users/files/GOLD_Report_2015_Apr2.pdf, 24.08.2022.
  • Eraydin, S. The effect of intern program on self-efficacy and professional readiness level of nursing students. Haliç University Journal of Health Sciences, 4(2), 145-157.
  • Ergin, C. (2019). Kronik Obstrüktif Akciğer Hastaliği (KOAH) tanisi almiş bireylere verilen inhaler ilaç eğitiminin öz-bakim gücü ve öz-yeterlilik düzeyine etkisi. Nevşehir Haci Bektaş Veli Üniversitesi Fen Bilimleri Enstitüsü. Nevşehir.
  • Garvey, C. (2016). Recent updates in chronic obstructive pulmonary disease. Postgraduate Medicine, 128(2), 231–238.
  • Göger, S, Cevirme, A. (2019). Effects on the educational stress of the self-efficacy level of nursing students. Journal of Education and Research in Nursing, 16(4), 306–312.
  • Günbatar, H, Sertoğulları, B, Ekin, S, Arısoy, A, Sünnetçioğlu, A. (2014). Evaluation of family physicians' knowledge of COPD. Van Medical Journal, 21(2), 77-80.
  • Hernández Bou, S, Trenchs, V, Vanegas, MI, Valls, AF, Luaces, C. (2017). Evaluation of the bedside Quikread go® CRP test in the management of febrile infants at the emergency department. European Journal of Clinical Microbiology & Infectious Diseases, 36(7), 1205-1211.
  • Heys, D, Swain, A, Knowles, S, Waugh, A, Bailey, M. (2018). An audit of change in clinical practice: from oxygen-driven to air-driven nebulisers for prehospital patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Internal Medicine Journal, 48(6), 668–673.
  • Iliman, EZ. (2015). Occupational diseases in Turkey. International Journal of Health Management and Strategies Research, 1(1), 21–36.
  • Karle, E, Patel, TP, Zweig, J, Krvavac, A. (2020). Understanding the knowledge gap and assessing comfort level among healthcare professionals who provide inhaler education. COPD: Journal of Chronic Obstructive Pulmonary Disease, 17(2), 197–204.
  • Kelly, AM, Holdgate, A, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, W, Sen, Jones, P, Lawoko, C, Laribi, S. (2018). Epidemiology, treatment, disposition and outcome of patients with acute exacerbation of COPD presenting to emergency departments in Australia and South East Asia: An AANZDEM study. Respirology, 23(7), 681–686.
  • Kılıç Aksoy, Ş. (2020). Çalışanların motivasyonunu etkileyen faktörler: Mehmet Akif Ersoy Üniversitesinde bir analiz. Akdeniz Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 1(7), 89-111.
  • Koyun, A, Kacaroglu Vicdan, A. (2020). The study of adapting the nursing profession self-efficacy scale to Turkish. Acibadem University Journal of Health Sciences, 10(3), 504-510.
  • Kurland, RM, Siegel, HI. (2016). Attachment and academic classroom behavior: Self-efficacy and procrastination as moderators on the influence of attachment on academic success. Psychology, 7(8), 1061–1074.
  • Lindvig, KP, Brøchner, AC, Lassen, AT, Mikkelsen, S. (2017). Prehospital prognosis is difficult in patients with acute exacerbation of chronic obstructive pulmonary disease. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 25(1), 1-7.
  • Maepa, HM, Wong, ML, Menezes, CN. (2019). Evaluation of the knowledge and correct use of metered-dose inhalers by healthcare professionals and medical students in Gauteng Province. African Journal of Thoracic and Critical Care Medicine, 25(3), 111–115.
  • McAuley, H, Hadley, K, Elneima, O, Brightling, CE, Evans, RA, Steiner, MC, Greening, NJ. (2021). COPD in the time of COVID-19: an analysis of acute exacerbations and reported behavioural changes in patients with COPD. ERJ Open Research, 7(1), 00718–02020.
  • Molin, KR, Søndergaard, J, Lange, P, Egerod, I, Langberg, H, Lykkegaard, J. (2020). Danish general practitioners’ management of patients with COPD: a nationwide survey. Scandinavian Journal of Primary Health Care, 38(4), 391–398.
  • Nazir, MA, Izhar, F, Akhtar, K, Almas, K. (2019). Dentists’ awareness about the link between oral and systemic health. Journal of Family and Community Medicine, 26(3), 206–212.
  • Putland, M, McKenzie, B. (2015). Teaching medical students in the emergency department: A matter of survival. EMA - Emergency Medicine Australasia, 27(3), 274–275.
  • Reis, AJ, Alves, C, Furtado, S, Ferreira, J, Drummond, M, Robalo Cordeiro, C. (2018). COPD exacerbations: management and hospital discharge. Pulmonology, 24(6), 345–350.
  • Rishipathak, P, Hinduja, A, Shrimathy, V, Sengupta, N. (2020). A study to assess the knowledge, attitude and practice about management of acute exacerbation of chronic obstructive pulmonary disease amongst EMS professionals in Pune, India. Indian Journal of Forensic Medicine and Toxicology, 14(4), 7184–7188.
  • Rochwerg, B, Brochard, L, Elliott, MW, Hess, D, Hill, NS, Nava, S, Navalesi, P, Antonelli, M, Brozek, J, Conti, G, Ferrer, M, Guntupalli, K, Jaber, S, Keenan, S, Mancebo, J, Mehta, S, Raoof, S. (2017). Official ERS/ATS clinical practice guidelines: Noninvasive ventilation for acute respiratory failure. European Respiratory Journal, 31;50(2):1602426.
  • Seyedi Andi, SJ, Bakouei, F, Rad, HA, Khafri, S, Salavati, A. (2019). The relationship between self-efficacy and some demographic and socioeconomic variables among iranian medical sciences students. Advances in Medical Education and Practice, 10, 645–651.
  • Swami, V, Cho, JG, Smith, T, Wheatley, J, Roberts, M. (2021). Confidence of nurses with inhaler device education and competency of device use in a specialised respiratory inpatient unit. Chronic Respiratory Disease, 18, 14799731211002241.
  • Tekir, O, Cevik, C, Arık, S, Ceylan, G. (2016). Investigation of Burnout, Job Satisfaction Levels and Life Satisfaction of Healthcare Professionals. Kirikkale University Medical Faculty Journal, 18(2), 51–63. Wedzicha, JA, Singh, R, Mackay, AJ. (2014). Acute COPD exacerbations. Clinics in Chest Medicine, 35(1), 157–163.
  • World Health Organization. WHO. (2015). Chronic respiratory diseases: burden of COPD [Internet]. http://www.who.int/respiratory/copd/burden/en, 24.08.2022.
  • World Health Organization.WHO. (2020). https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death, 24.07.2022.
  • Yang, H, Wang, H, Du, L, Wang, Y, Wang, X, Zhang, R. (2019). Disease knowledge and self-management behavior of COPD patients in China. Medicine (United States), 98(8), 10–14.
  • Yaşar Can, S, Dilmen Bayar, B. (2020). Determination of education level and efficiency perceptions of last year first and emergency aid program Students. Journal of Celal Bayar University Institute of Health Sciences, 7(4), 437–442.
  • Yildirim, F, Ilhan, I. (2010). The validity and reliability study of the Turkish form of the general self-efficacy scale. Turkish Journal of Psychiatry, 21(4), 301-308.
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Müjde Kerkez 0000-0002-6968-9454

Mehmet Hayrullah Öztürk 0000-0001-7178-6723

Yayımlanma Tarihi 3 Ocak 2024
Gönderilme Tarihi 3 Ocak 2024
Yayımlandığı Sayı Yıl 2023 Cilt: 8 Sayı: 3

Kaynak Göster

APA Kerkez, M., & Öztürk, M. H. (2024). INVESTIGATION OF THE RELATIONSHIP BETWEEN PARAMEDICS’ PERCEPTIONS OF SELF-EFFICACY AND MANAGEMENT OF PATIENTS WITH COPD IN THE PRE-HOSPITAL PERIOD. Hastane Öncesi Dergisi, 8(3), 278-292.