Spiritual Well-Being Levels, Severity of Disease and Mental Health Status of Individuals with Chronic Obstructive Pulmonary Disease

Abstract

Objective: The aim of this study was to examine the effect of spiritual well-being levels on disease severity, depression, anxiety and stress levels of individuals diagnosed with Chronic Obstructive Pulmonary Disease (COPD). Method: This descriptive study was carried out with 192 individuals diagnosed with COPD who were treated in the chest disease service of a training and research hospital between April and December 2022. Data was obtained using the Spiritual Well-Being Scale (FACIT-Sp-12), COPD Assessment Test (CAT) and the Depression Anxiety Stress Scale (DASS-21). Results: Among all patients, 82.3% of the individuals experienced depression, 57.3% anxiety and 79.2% stress symptoms. There was a very weakly negative correlation between the mean FACIT-Sp-12 total score and the mean CAT total score, a moderately negative correlation between the mean FACIT-Sp-12 total score and the mean DASS-21 total score, and a weakly positive correlation between the mean CAT total score and the mean DASS-21 total score. Spiritual well-being was found to predict severity of illness by 0.48%, depression levels by 41.2%, anxiety levels by 0.56% and stress levels by 20.4%. Conclusion: Holistic care should be provided to COPD patients, considering the positive effect of spirituality on disease severity and mental states during the treatment and care process of the patient.

Keywords

• chronic obstructive pulmonary disease
• spirituality
• mental health
• symptom

Kronik Obstrüktif Akciğer Hastalığı Olan Bireylerin Manevi İyi Oluş Düzeyleri, Hastalık Şiddeti ve Ruhsal Durumları

Öz

Amaç: Bu çalışmanın amacı Kronik Obstrüktif Akciğer Hastalığı (KOAH) tanılı bireylerin manevi iyi oluş düzeylerinin hastalık şiddeti, depresyon, anksiyete ve stres belirtileri düzeyleri üzerindeki etkisini incelemektir. Yöntem: Tanımlayıcı tipteki bu çalışma, Nisan-Aralık 2022 tarihleri arasında bir eğitim ve araştırma hastanesinin göğüs hastalıkları servisinde tedavi gören KOAH tanılı 192 birey ile gerçekleştirildi. Veriler Manevi İyi Oluş Ölçeği (FACIT-Sp-12), KOAH Değerlendirme Testi (CAT) ve Depresyon Anksiyete Stres Ölçeği (DASS-21) kullanılarak elde edildi. Bulgular: Bireylerin %82,3'ünde depresyon, %57,3'ünde anksiyete ve %79,2'sinde stres belirtileri yaşandığı belirlendi. FACIT-Sp-12 toplam puanı ile CAT toplam puanı arasında çok zayıf düzeyde negatif yönlü korelasyon, FACIT-Sp-12 toplam puanı ile ortalama DASS-21 toplam puanı arasında orta derecede negatif yönlü korelasyon, CAT toplam puanı ile ortalama DASS-21 toplam puanı arasında zayıf düzeyde pozitif yönlü korelasyon olduğu bulundu. Manevi iyi oluşun hastalık şiddetini %0,48, depresyon düzeylerini %41,2, anksiyete düzeylerini %0,56 ve stres düzeylerini %20,4 oranında yordayıcı etkisi olduğu belirlendi. Sonuç: KOAH tanılı bireylere, tedavi ve bakım sürecinde maneviyatın hastalık şiddeti ve ruhsal durumları üzerindeki olumlu etkisi göz önünde bulundurularak bütüncül bakım sağlanmalıdır.

Anahtar Kelimeler

• kronik obstrüktif akciğer hastalığı
• maneviyat
• ruh sağlığı
• semptom

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