Investigation Of Nurse's Knowledge and Practices To Assess The Metabolic Syndrome Risks Of Patients Treated In Psychiatry Clinics

Year 2024, , 51 - 61, 28.03.2024

Elçin Babaoğlu , Yeşim Ayar

https://doi.org/10.35365/ctjpp.24.1.06

Abstract

Objectives: This descriptive, cross-sectional study was conducted to examine the knowledge and clinical practices of nurses working in psychiatry clinics to assess metabolic syndrome risks.
Methods: The study carried out with 164 nurses working in adult clinics in a public psychiatric hospital in Istanbul and agreeing to participate in the research. Data were collected with descriptive features, metabolic risk assessment information and implication forms created by the researchers by scanning the literature. For the internal validity studies of the forms, suggestions of 4 experts on the subject were received. Pre-application was carried out with 10 nurses working in the psychiatry service for the internal reliability studies of the reorganized forms after the suggestions. For the internal reliability study of the form, the cronbach's alpha values were calculated as 0.87 and 0.77. In the study, Kruskal Wallis test was used for comparisons with three or more variables, one of the non-parametric tests. Mann Whitney U test was applied between groups of two. The significance level was accepted as p<0.05 in all statistical calculations.
Results: The mean score of the nurses in the Metabolic Syndrome Information Form, with a maximum score of 30 for metabolic syndrome risk assessment, was 17.83 ± 6.36; In the Metabolic Syndrome Clinical Practices Form with a maximum score of 28, the mean score was found to be 18.70±5.67. It was determined that there were significant differences in the mean information scores of the nurses in terms of age, marital status, education level, professional experience, psychiatry clinic experience, the type of clinic they worked in, and the number of patients they care for (p<0.05). It was determined that there were differences in clinical practices related to metabolic syndrome in terms of educational status (p<0.05).
Conclusion: It is recommended to increase the information and clinical practices of nurses working in psychiatry clinics on metabolic syndrome risk assessments of patients. It is recommended to organize trainings to improve the metabolic health of patients receiving psychiatric treatment and to organize research to investigate the obstacles to metabolic risk assessment.

Keywords

Metabolic syndrome, Metabolic syndrome risk assesment, Nursing, Psychiatric patients, Psychtrop treatments.

Hemşirelerin Psikiyatri Kliniklerinde Tedavi Gören Hastaların Metabolik Sendrom Risklerini Değerlendirmeye Yönelik Bilgi ve Uygulamalarının İncelenmesi

Abstract

Amaç: Bu çalışma, psikiyatri kliniklerinde çalışan hemşirelerin metabolik sendrom risklerini değerlendirmeye yönelik bilgi ve klinik uygulamalarını incelemek amacıyla tanımlayıcı, kesitsel olarak olarak yapılmıştır.
Yöntem: Çalışma İstanbul’ da kamuya bağlı bir psikiyatri hastanesinde yetişkin kliniklerinde görev yapan ve araştırmaya katılmayı kabul eden 164 hemşire ile gerçekleştirilmiştir. Veriler, araştırmacılar tarafından literatür taranarak oluşturulmuş tanımlayıcı özellikler, metabolik risk değerlendirme bilgi ve uygulama formları ile toplanmıştır. Formların iç geçerlilik çalışmaları için konu ile ilgili 4 uzmanın önerileri alınmıştır. Öneriler sonrasında tekrar düzenlenen formların iç güvenirlik çalışmaları için psikiyatri servisinde çalışan 10 hemşire ile ön uygulama gerçekleştirilmiştir. Formun iç güvenirlik çalışması için cronbach alfa değeri 0,87 ve 0,77 olarak hesaplanmıştır. Çalışmada non-parametrik testlerden üç veya daha fazla değişkenli olan karşılaştırmalarda Kruskal Wallis testi kullanılmıştır. İkişerli gruplar arasında ise Mann Whitney U testi uygulanmıştır. Tüm istatistiksel hesaplamalarda anlamlılık düzeyi p<0,05 olarak kabul edilmiştir.
Bulgular: Metabolik sendrom riski değerlendirmeye ilişkin en fazla 30 puan alınan Metabolik Sendrom Bilgi Formu’da hemşirelerin puan ortalaması 17,83 ± 6,36; en fazla 28 puan alınan Metabolik Sendrom Klinik Uygulama Formunda ise puan ortalaması 18,70±5,67 olarak bulunmuştur. Hemşirelerin yaş, medeni durum, eğitim durumu, mesleki deneyim süresi, psikiyatri kliniği deneyimi süresi, çalıştığı klinik türü ve bakım verdiği hasta sayısı açısından bilgi puan ortalamalarında anlamlı farklılıklar olduğu belirlenmiştir (p<0,05). Eğitim durumu açısından metabolik sendroma ilişkin klinik uygulamalarında farklılıklar olduğu belirlenmiştir (p<0,05).
Sonuç: Psikiyatri kliniklerinde çalışan hemşirelerin hastaların metabolik sendrom risk değerlendirmelerine yönelik bilgi düzeylerinin ve klinik uygulamalarının arttırılması önerilmektedir. Özellikle psikiyatrik tedavi gören hastaların metabolik sağlığını geliştirmeye yönelik eğitimler düzenlenmesi ve metabolik risk değerlendirmesinin önündeki engellerin araştırılması için araştımaların düzenlenmesi önerilmektedir.

Keywords

Metabolic syndrome, Metabolic syndrome risk assesment, Nursing, Psychiatric patients, Psychtrop treatments.

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