Obeziteli Bireylerde Yaşam Kalitesinin Özerklik İlkesi Açısından Değerlendirilmesi: Türkiye’den Bir Örnek

Year 2025, Volume: 15 Issue: 1, 252 - 263, 31.01.2025

Şenol Yıldız , Nurdan Kırımlıoğlu

https://doi.org/10.31020/mutftd.1549835

Abstract

Giriş: Bu çalışmada obezitenin özerklik (Ö), ÖSİ (Özerkliğe Saygı İlkesi) ve YK (Yaşam Kalitesi) üzerindeki etkisi, başka bir ifade ile obez hastalar ile obez olmayan bireylerin özerklik, ÖSİ ve YK bakımından farklılaşıp farklılaşmadığının araştırılması amaçlanmıştır.
Gereç ve Yöntem: Veriler Türkiye’nin bir ili olan Eskişehir’de kamu kurum ve kuruluşlarındaki Beslenme ve Diyet polikliniklerinden toplanmıştır. Çalışmaya 354’ü vaka, 354’ü kontrol grubundan olmak üzere 708 gönüllü katılmıştır. Katılımcılara sosyodemografik özelliklerin, özerklik ve ÖSİ’ne ilişkin soruların yer aldığı anket formu ve Obezlere Özgü Yaşam Kalitesi Ölçeği (OÖYKÖ) uygulanmıştır. Verilerin değerlendirilmesinde tanımlayıcı analizler yapılmış, Kruskal Wallis H, Mann Whitney U, ki-kare bağımsızlık testi kullanılmıştır.
Bulgular: Obezite ile OÖYKÖ skoru arasında istatistiksel olarak kontrol grubu lehine anlamlı farklılık bulunmuştur (p<0.001). OÖYKÖ skoru açısından görüş ve düşüncelerini rahatlıkla açıklayabildiğini ve açıklayamadığını ifade eden obez hastalar arasında açıklayabilenler lehine istatistiksel olarak anlamlı farklılık bulunmuştur (p<0.001).
Sonuç: Obez olmayan bireylerin daha iyi yaşam kalitesine sahip olduğu; obezitenin, hastaların özerk olmalarını, kendilerini özgür ve bağımsız hissetmelerini etkilemediği; özerk seçim yapmalarını, eylem özerkliklerini ve düşünce özerkliklerini olumsuz etkilediği; birey özerkliklerini, istek özerkliklerini ve ÖSİ’ni benimsemelerini olumlu etkilediği sonucuna varılmıştır.

Keywords

Özerklik, Obezlere özgü yaşam kalitesi, Obezite, Özerkliğe saygı, Türkiye.

Evaluation of Quality of Life in Obese Individuals in Terms of the Principle of Autonomy: An Example from Türkiye

Abstract

Aim: In this study, it was aimed to investigate the effect of obesity on autonomy, principle of respect for autonomy (PRA) and quality of life (QOL), in other words, whether obese patients and non-obese individuals differ in terms of autonomy, PRA and QOL.
Materyal Methods: The data were collected from Nutrition and Diet polyclinics in public institutions and organizations in Eskisehir /Türkiye. 708 volunteers participated in the study, of which 354 were from the case group and 354 from the control group. A survey including questions about sociodemographic characteristics, autonomy and PRA, as well as Obesity and Weight Loss Quality of Life Scale (OWLQOL) were administered to the participants. In the evaluation of the data, descriptive analyzes were made, Kruskal Wallis H, Mann Whitney U, chi-square independence tests were used.
Results: A statistically significant difference was found between obesity and OWLQOL score in favor of the control group (p<0.001). In terms of OWLQOL score, a statistically significant difference was found between the obese patients who stated that they could easily explain their opinions and thoughts or could not, in favor of those who could (p<0.001).
Conclusion: It was found that; non-obese individuals have better quality of life; obesity does not affect patients' autonomy, feeling free and independent; negatively affects their autonomous choice, autonomy of action and autonomy of thought; positively affects their individual autonomy, autonomy of desire and adoption of PRA.

Keywords

Autonomy, Obese-specific quality of life, Obesity, Respect for autonomy, Türkiye

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