The Effect of General Procrastination Behavior on Patient Activation and Self-Care Management in Patients with Chronic Diseases Treated in Surgical Clinics

Abstract

Background: Chronic diseases impact the success of surgery, patient outcomes and the burden on nurses’ patient care. 

Objectives: This study aimed to examine the effect of general procrastination behavior on patient activation and self-care management among individuals with chronic diseases undergoing surgical procedures.

Methods: This descriptive and cross-sectional study was conducted in the surgical clinics of a university hospital. The sampling included 213 patients aged 18 years and older, with at least one chronic disease and undergoing treatment in surgical clinics. The data were collected during the preoperative period using the sociodemographic and clinical characteristics form, Self-Care Management Process Scale in Chronic Illnesses (SCMP-G), Patient Activation Measure (PAM) and General Procrastination Scale (GPS). Descriptive statistics, Student’s t-test, one-way ANOVA and multiple linear regression analyses were applied in the analysis of the data.

Results: The Participants’ age mean was 63.76±9.26. The mean scores of the patients were as follows: SCMP-G score=110.7±5.1 (min:98-max:125), PAM score=59.6±15.6 (min:14-100), and GPS score=40.21±14.8 (min:18-max:88). Regression analysis (F=22.168, p<.001, R2=0.241, DW=.802) revealed that the patient’s activation level is related to general procrastination behavior, mean scores of SCMP-G, and educational status. Self-care management (R²:0.129, F:15.594, p<0.001, DW:2.052) was found to be associated with the mean score of the PAM and frequency of hospitalization, but not with general procrastination behavior.  

Conclusion: In this study, it was determined that patient activation and self-care management were above average, and general procrastination behavior was below average. Although the general procrastination behavior significantly affected patient activation, it did not impact on the level of self-care. Health professionals should consider the procrastinating behavior tendencies of patients when making attempts to improve patient self-care.

Keywords: Procrastination; Patient Activation; Self-Care; Chronic Disease; Surgical Clinics

 

 

Keywords

• Procrastination
• Patient Activation
• Self-Care
• Chronic Disease
• Surgical Clinics

Ethical Statement

The study was conducted in accordance with the Helsinki Declaration. Necessary permissions were obtained from the Pamukkale University Medical Faculty Non-Interventional Research Ethics Committee (Decision date and Decision number: 12.12.2023 and E-60116787-020-463079) and the Chief Medical Officer of Pamukkale University Hospital (Decision date and Decision number: 19.01.2024-E.478144). Written and verbal informed consents were obtained from the patients. Permission was obtained from the authors for the use of the “Self-Care Management Process Scale in Chronic Illnesses" and “Patient Activation Measure” as data collection tools in the study.

Cerrahi Kliniklerinde Tedavi Gören Kronik Hastalığı Olan Hastalarda Genel Erteleme Davranışının Hasta Aktifliği ve Öz Bakım Yönetimine Etkisi

Abstract

Giriş: Kronik hastalıklar yapılan cerrahinin başarısını, hasta sonuçlarını ve hemşirelerin hasta bakım yükünü etkilemektedir. 

Amaç: Bu çalışmada kronik hastalığı olan ve cerrahi girişim uygulanan hastalarda genel erteleme davranışının hasta aktifliği ve öz bakım yönetimine etkisini incelemek amaçlanmıştır.

Yöntem: Tanımlayıcı ve kesitsel nitelikteki bu çalışma bir üniversite hastanesinin cerrahi kliniklerinde yürütülmüştür. Örnekleme, 18 yaş ve üzeri, en az bir öz bakım gerektiren kronik hastalığı olan ve cerrahi kliniklerde tedavi gören 213 hasta dahil edilmiştir. Veriler, preoperatif süreçte; Sosyodemografik ve Klinik Özellikler Formu, Kronik Hastalıklarda Öz Bakım Yönetimi Ölçeği (KHÖBYÖ), Hasta Aktiflik Düzeyi Ölçüm Aracı (HADÖA) ve Genel Erteleme Ölçeği (GEÖ) kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, Student t testi, tek yönlü ANOVA ve çoklu lineer regresyon analizleri uygulanmıştır.

Bulgular: Katılımcıların ortalaması 63.76±9.26’dir. Hastaların KHÖBYÖ puan ortalaması 110.7±5.1 (min:98-max:125), HADÖA puan ortalaması 59.6±15.6 (min:14-100), GEÖ puan ortalaması 40.21±14.8 (18-88) olarak belirlenmiştir. Regresyon analizinde (F=22.168, p<.001, R²=0.241, DW:.802), hasta aktiflik düzeyinin genel erteleme davranışı, KHÖBYÖ puan ortalaması ve eğitim durumu ile ilişkili olduğu bulunmuştur. Öz bakım yönetiminin ise (R²:0.129, F:15.594, p<0.001, DW:2.052), HADÖA puan ortalaması ve hospitalizasyon sıklığı ile ilişkili olduğu, genel erteleme davranışı ile ilişkisinin bulunmadığı saptanmıştır.  

Sonuç: Bu çalışmada hasta aktifliği ve öz bakım yönetiminin ortalamanın üzerinde, genel erteleme davranışının ise ortalamanın altında olduğu belirlenmiştir. Genel erteleme davranışı hasta aktifliğini anlamlı şekilde etkilerken, öz bakım düzeyini etkilememiştir. Sağlık profesyonelleri, hasta öz bakımını geliştirmeye yönelik girişimlerde bulunurken, hastaların erteleme davranışı eğilimlerini dikkate almalıdır.

Anahtar Sözcükler: Erteleme; Hasta Aktifliği; Öz Bakım; Kronik Hastalık; Cerrahi Klinikler

 

Keywords

• Erteleme
• Hasta Aktifliği
• Öz Bakım
• Kronik Hastalıklar
• Cerrahi Klinikler

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