Kronik Böbrek Yetmezliği Hastası Çocuğa Sahip Ebeveynlerde Kaygı, Başetme ve Sosyal Destek

Year 2018, Volume: 10 Issue: 3, 311 - 317, 23.10.2018

Oğuzhan Zengin Ercüment Erbay Buğra Yıldırım

https://doi.org/10.18521/ktd.304201

Cited By: 2

Abstract

Amaç: Araştırma kronik böbrek yetmezliği hastası çocuğa sahip ebeveynlerin kaygı düzeylerini, başetme tutumlarını, sosyal destek sistemlerini ve bunlar arasındaki ilişkiyi incelemek amacıyla gerçekleştirilmiştir.

Gereç ve Yöntem: Çalışma Hacettepe Üniversitesi Çocuk Hastanesi Nefroloji Polikliniğine başvuruda bulunan 180 kronik böbrek yetmezliği hastası çocuğun ebeveynleri ile planlanmıştır. Veri toplama aracı olarak sosyodemografik bilgi formu, sürekli - durumluk kaygı envanteri ile başetme tutumlarını değerlendirme ölçeğinin kısa formu kullanılmıştır. 

Bulgular: Cinsiyet açısından annelerin zihni dağıtma, eğitim durumu açısından herhangi bir okul mezunu olmayanların inkâr odaklı başetme yolunu kullandıkları bulunmuştur. Hastalığın ikinci aşamasında olan çocukların ebeveynlerinin sürekli kaygı puanı en yüksektir. Tedavi sürecinde çevresinden sosyal destek alan ebeveynlerin başetme stratejileri incelendiğinde olumlu yeniden yorumlama, kabullenme, mizah ve duygusal destek kullanımı gibi sorun odaklı başetme stillerine daha fazla başvurdukları görülmektedir. Bunun yanında çevrelerinden bu desteği alamayan ebeveynlerin ise kendini suçlama, madde kullanımı ve durumluk kaygı puanları yüksek bulunmuştur.

Sonuç: Sosyal destek mekanizmalarını daha iyi kullanan kronik böbrek yetmezliği hastası çocuğa sahip ebeveynler bu süreçte diğer ebeveynlere göre daha başarılı olarak kabul edilen sorun odaklı başetme stratejilerini kullanmaktadır. 

Keywords

Ebeveyn, Kronik Böbrek Yetmezliği, Kaygı, Anksiyete, Başetme, Sosyal Destek

Anxiety, Coping and Social Support Among Parents Who Have Children with Chronic Kidney Disease

Abstract

Objective: Present study has been conducted to investigate anxiety levels, coping strategies, social support systems among parents who have children with chronic kidney disease and interrelations among the three indicators.

Methods: This study has been planned among parents of 180 children with a chronic kidney disease being admitted to Hacettepe University, Children's Hospital, Nephrology Polyclinic. Sociodemographic information form, state & trait anxiety inventory and short form of the assessment scale for coping strategies have been employed as data gathering tools.

Results: With respect to gender it was detected that mothers resorted to selfdistraction coping strategy and with respect to educational level, parents with no formal educational background resorted to denial. Trait anxiety score was the highest among parents whose children were in the second stage of disease. As the coping strategies among parents receiving social support in the treatment process was examined, it surfaced that positive reframing, acceptance, humor and use of emotional support and similar problem-focused coping strategies were more frequently opted for. Contrary to that, it was identified that among parents receiving no social support from their relatives, scores of self-blame, substance use and state anxiety were relatively higher.

Conclusion: At the end of this study it was concluded that parents having children with a chronic kidney disease were more effective in utilizing social support mechanisms as a problem-focused coping strategy when compared to the other group of parents.

Keywords

Parent, chronic kidney disease, anxiety, coping, social support

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