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EXAMINATION OF VARIABLES RELATED TO DISEASE ADAPTATION OF ADULTS DIAGNOSED WITH NON-COMMUNICABLE DISEASES

Year 2024, Volume: 18 Issue: 4, 485 - 493
https://doi.org/10.21763/tjfmpc.1461219

Abstract

Aim: This study aims to examine the level of adjustment to illness of adults with at least one non-communicable disease (NCD) in Antalya and some socio-demographic characteristics and health history-related factors that may be related to adjustment to illness.
Methods: This descriptive study included 329 individuals diagnosed with at least one NCD. Data were collected using the descriptive characteristics form and the Adaptation to Chronic Illness Scale (ACIS).
Results: The participants’ mean age was 58.76 ± 6.79 years; 62.6% were female, and 28.0% had a low-income level. Most participants had cardiovascular disease (71.7%) and diabetes (59.6%), while 26.1% had respiratory diseases and 3% had cancer. Their mean total ACIS score was 100.01 ± 11.08. The level of adjustment to illness of individuals with NCDs was significantly associated with having respiratory disease, regular health checks, regular drug use, and the general status (perceived health, quality of life) and psychological dimensions of the World Health Organization Quality of Life-BREF Turkish Version (WHOQOL-BREF-TR) (p <0.05).
Conclusions: The participants’ mean total ACIS score was above average. Healthcare professionals in family health centers should identify at-risk individuals with low adjustment to their NCD and train them according to their needs.

References

  • 1. World Health Organization. Noncommunicable diseases. [Internet]. [cited 2022 May 10]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
  • 2. Acar Vaizoğlu S. New Public Health. 3rd ed. Ankara: Palme Publishing; 2019. p.272-78.
  • 3. World Health Organization. Investing in noncommunicable disease control generates major financial and health gains. [Internet]. [cited: 2018 May 16]. Available from:https://www.who.int/news/item/16-05-2018-investing-in-noncommunicable-disease-control-generates-major-financial-and-health-gains
  • 4. World Health Organization. Total NCD deaths. [Internet]. [cited: 2020 Aug 3]. Available from: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/total-ncd-deaths-(in thousands)
  • 5. World Health Organization. Türkiye. [Internet]. [cited: 2023 Apr 12]. Available from:https://ncdportal.org/CountryProfile/GHE110/TUR
  • 6. Aydemir T, Şerife Ç. Chronic Diseases and Psychosocial Care, JAMER. 2019:109-115
  • 7. Akdemir N, Birol L. Internal Medicine and Nursing Care. İstanbul: Vehbi Koç Foundation; 2005. p.193-99.
  • 8. Durna Z. Chronic Diseases. In: Durna Z, editors. Chronic Diseases and Care. İstanbul: Nobel Medical Bookstores; 2012. p.1-9.
  • 9. Koşar C, Büyükkaya Besen D. Patient Activation in Chronic Diseases: Concept Analysis. E-Journal of Dokuz Eylul University Nursing Faculty. 2015;8(1):45-51.
  • 10. Özdemir Ü, Tascı S. Psychosocial Problems and Care of Chronic Diseases. ERÜ Sağlık Bilimleri Fakültesi Dergisi. 2013;57-72.
  • 11. Mollaoğlu M. Adaptation Process in Chronic Diseases. In: Durna Z, editors. Chronic Diseases and Care. İstanbul: Nobel Medical Bookstores; 2012. p.51-64.
  • 12. Özkan Tuncay F, Fertelli T, Mollaoğlu M. Effects of loneliness on illness perception in persons with a chronic disease. Journal of Clinical Nursing. 2018;(January):1-7. doi:10.1111/jocn.14273
  • 13. Hançerlioğlu S, Fadıloğlu Ç, Yıldırım Y, Şenuzun Aykar F. The Effect of Self-Care Management on Complıance with Chronic Disease. International Journal of Caring Sciences. 2019;12(2):877-892.
  • 14. Atik D, Karatepe H. Scale Development Study: Adaptation to Chronic Illness. Acta Medica Mediterranea. 2016;32(5):8.
  • 15. Sümbüloğlu K, Sümbüloğlu V. Sampling Methods and Sample Size in Clinical and Field Research. Ankara: Hatipoğlu Publishing; 2005. p.270.
  • 16. Vatansever Ö, Ünsar S. Determination of Medical Treatment Adherence, Self Efficacy Levels of Patients with Essential Hypertension and Affecting Factors. Turk Soc Cardiol Turkish Journal of Cardiovascular Nursing. 2014;5(8):66-74.
  • 17. Eryılmaz MA, Pekgör S, Aksoy N, Demirgül R, Karahan Ö. Effects of Sociodemographic Characteristics, Chronic Disease, and Surgery Frequency: Konya Sample. Southern Clinics of Istanbul Eurasia. 2017;(2):117-23.
  • 18. Fernandez-Lazaro CI, García-González JM, Adams DP, et al. Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study. BMC Family Practice. 2019;20:132.
  • 19. Hsieh Y, Lee F, Chen S, Tang J. Factors associated with the intention to use adult preventive health services in Taiwan. Public Health Nursing. 2019;36(5):631-637.
  • 20. Centers for Disease Control and Prevention [CDC]. Healthy Weight, Nutrition, and Physical Activity [Internet]. [cited: 2020 May 24]. Available from: https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html
  • 21. WHO STEPS Surveillance Manual. [Internet]. [cited: 2020 Jun 07] Available from:https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/steps/manuals
  • 22. The WHOQOL Group. Development of the World Health Organization WHOQOL- BREF quality of life assessment. Psychol. Med. 1998;28(3):551–558.
  • 23. Eser E, Fidaner H, Fidaner C, et al. Whoqol-100 and Psychometric Characteristics of WHOQOL-Bref. 3P Dergisi. 1999;7:23-41.
  • 24. Tabachnick BG, Fidell LS. Using Multivariate Statistics (Sixth ed.). Boston: Pearson; 2013. p.966.
  • 25. Aslan H, Çetkin T, Dikmen RD. Effects of chronic illness adaptation on the healthy lifestyle behaviours of patients in internal services. Çukurova Medical Journal. 2021;46(3):1140-1149.
  • 26. Karatepe H, Atik D, Özcan Yüce U. Adaptation with the Chronic Disease and Expectations from Nurses. Erciyes Med Journal. 2020;42(1):18-24.
  • 27. Manav Aİ, Atik D, Çapar A. Evaluation of Unconditional Self-acceptance and Adaptation to the Chronic Disease of Individuals with Diabetes Mellitus. Ordu University Nursing Studies Journal. 2021;4(2):153-162.
  • 28. Bryant J, Mcdonald VM, Boyes A, et al. Improving medication adherence in chronic obstructive pulmonary disease: a systematic review. Respiratory Research. 2013;14(109):1-8.
  • 29. Duarte-de-Araújo A, Teixeira P, Hespanhol V, Correia-de-sousa J. COPD: understanding patients’ adherence to inhaled medications. International Journal of COPD. 2018;(13):2767-2773.
  • 30. Mir SA, Muzamil F, Ud M, et al. Assessment of medication adherence among patients with chronic diseases: a descriptive cross-sectional study. International Journal of Basic & Clinical Pharmacology. 2019;8(1):115-119.
  • 31. Vural Doğru B, Karadakovan A. Evaluation of The Correlation Between Quality of Life and Psychosocial Adaptation in Elderly Patients with Heart Failure. Journal of Cardiovascular Nursing. 2016;4(August):88-104.
  • 32. Aydın Sayılan A, Yıldızeli Topçu S. The Relationship Between Using Complementary-Alternative Therapies and Quality of Life in Colorectal Cancer Patients. Journal of Health Sciences. 2020;29(2):106-113.
  • 33. Çeler HG, Özyurt CB, Elbi H, Özcan F. The Evaluation of Quality of Life and Caregiver Burden for the Relatives of Breast Cancer Patients. Ankara Med Journal. 2018;18(2)164-174
  • 34. Savcı C, Akıncı AC, Üşenmez SY, Keleş F. The effects of fear of COVID-19, loneliness, and resilience on the quality of life in older adults living in a nursing home. Geriatric Nursing. 2021;42(6):1422-1428.
  • 35. Hassan S, Zahra A, Parveen N, et al. Quality of Life and Adherence to Healthcare Services During the COVID-19 Pandemic: A Cross-Sectional Analysis. Patient Preference and Adherence. 2022;16:2533-2542.

Bulaşıcı Olmayan Hastalık Tanısı Alan Yetişkin Bireylerin Hastalığa Uyumla İlişkili Değişkenlerin İncelenmesi

Year 2024, Volume: 18 Issue: 4, 485 - 493
https://doi.org/10.21763/tjfmpc.1461219

Abstract

Amaç: Bu çalışmada Antalya’da bir aile sağlığı merkezine (ASM) kayıtlı en az bir bulaşıcı olmayan hastalık (BOH) tanısı olan yetişkin bireylerin hastalığa uyum düzeyi ve hastalığa uyumla ilişkili olabilecek bazı sosyodemografik özellikler ve sağlık öyküsü ile ilişkili faktörleri incelemek hedeflenmiştir.
Yöntem: Tanımlayıcı tipte olan çalışmaya en az bir BOH tanısı olan 329 birey alınmıştır. Veriler; demografik özellikler, sağlık öyküsü formu ve Kronik Hastalığa Uyum Ölçeği (KHUÖ) ile toplandı.
Bulgular: Katılımcıların yaş ortalaması 58,76±6,79 olup, %62,6'sı kadın, %53,8 'i ilkokul mezunu ve %28’inin gelir düzeyi düşüktür. Katılımcıların çoğunda kalp-damar hastalığı (%71,7) ve diyabet (%59,6) bulunurken, %26,1'inde solunum yolu hastalıkları ve %3'ünde kanser vardı. Çalışmamızda KHUÖ toplam puan ortalaması 100,01±11,08’dır. BOH’lu bireylerin hastalığa uyum düzeyi ile solunum yolu hastalığına sahip olma, sağlık kontrollerini düzenli yaptırma, sürekli ilaç kullanıma ve Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği Türkçe Formu (WHOQOL-BREF-TR)’nun genel durum (algılanan sağlık, yaşam kalitesi) ve psikolojik boyutu düzeyleri anlamlı şekilde ilişkilidir (p<0,05).
Sonuç: Katılımcıların hastalığa uyum toplam puan ortalaması ortalamanın üzerindedir. ASM’de görevli sağlık çalışanları tarafından BOH’a uyum düzeyi düşük olan riskli bireylerin belirlenerek, gereksinimlerine uygun eğitim verilmesi önerilmektedir.

References

  • 1. World Health Organization. Noncommunicable diseases. [Internet]. [cited 2022 May 10]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
  • 2. Acar Vaizoğlu S. New Public Health. 3rd ed. Ankara: Palme Publishing; 2019. p.272-78.
  • 3. World Health Organization. Investing in noncommunicable disease control generates major financial and health gains. [Internet]. [cited: 2018 May 16]. Available from:https://www.who.int/news/item/16-05-2018-investing-in-noncommunicable-disease-control-generates-major-financial-and-health-gains
  • 4. World Health Organization. Total NCD deaths. [Internet]. [cited: 2020 Aug 3]. Available from: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/total-ncd-deaths-(in thousands)
  • 5. World Health Organization. Türkiye. [Internet]. [cited: 2023 Apr 12]. Available from:https://ncdportal.org/CountryProfile/GHE110/TUR
  • 6. Aydemir T, Şerife Ç. Chronic Diseases and Psychosocial Care, JAMER. 2019:109-115
  • 7. Akdemir N, Birol L. Internal Medicine and Nursing Care. İstanbul: Vehbi Koç Foundation; 2005. p.193-99.
  • 8. Durna Z. Chronic Diseases. In: Durna Z, editors. Chronic Diseases and Care. İstanbul: Nobel Medical Bookstores; 2012. p.1-9.
  • 9. Koşar C, Büyükkaya Besen D. Patient Activation in Chronic Diseases: Concept Analysis. E-Journal of Dokuz Eylul University Nursing Faculty. 2015;8(1):45-51.
  • 10. Özdemir Ü, Tascı S. Psychosocial Problems and Care of Chronic Diseases. ERÜ Sağlık Bilimleri Fakültesi Dergisi. 2013;57-72.
  • 11. Mollaoğlu M. Adaptation Process in Chronic Diseases. In: Durna Z, editors. Chronic Diseases and Care. İstanbul: Nobel Medical Bookstores; 2012. p.51-64.
  • 12. Özkan Tuncay F, Fertelli T, Mollaoğlu M. Effects of loneliness on illness perception in persons with a chronic disease. Journal of Clinical Nursing. 2018;(January):1-7. doi:10.1111/jocn.14273
  • 13. Hançerlioğlu S, Fadıloğlu Ç, Yıldırım Y, Şenuzun Aykar F. The Effect of Self-Care Management on Complıance with Chronic Disease. International Journal of Caring Sciences. 2019;12(2):877-892.
  • 14. Atik D, Karatepe H. Scale Development Study: Adaptation to Chronic Illness. Acta Medica Mediterranea. 2016;32(5):8.
  • 15. Sümbüloğlu K, Sümbüloğlu V. Sampling Methods and Sample Size in Clinical and Field Research. Ankara: Hatipoğlu Publishing; 2005. p.270.
  • 16. Vatansever Ö, Ünsar S. Determination of Medical Treatment Adherence, Self Efficacy Levels of Patients with Essential Hypertension and Affecting Factors. Turk Soc Cardiol Turkish Journal of Cardiovascular Nursing. 2014;5(8):66-74.
  • 17. Eryılmaz MA, Pekgör S, Aksoy N, Demirgül R, Karahan Ö. Effects of Sociodemographic Characteristics, Chronic Disease, and Surgery Frequency: Konya Sample. Southern Clinics of Istanbul Eurasia. 2017;(2):117-23.
  • 18. Fernandez-Lazaro CI, García-González JM, Adams DP, et al. Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study. BMC Family Practice. 2019;20:132.
  • 19. Hsieh Y, Lee F, Chen S, Tang J. Factors associated with the intention to use adult preventive health services in Taiwan. Public Health Nursing. 2019;36(5):631-637.
  • 20. Centers for Disease Control and Prevention [CDC]. Healthy Weight, Nutrition, and Physical Activity [Internet]. [cited: 2020 May 24]. Available from: https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html
  • 21. WHO STEPS Surveillance Manual. [Internet]. [cited: 2020 Jun 07] Available from:https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/steps/manuals
  • 22. The WHOQOL Group. Development of the World Health Organization WHOQOL- BREF quality of life assessment. Psychol. Med. 1998;28(3):551–558.
  • 23. Eser E, Fidaner H, Fidaner C, et al. Whoqol-100 and Psychometric Characteristics of WHOQOL-Bref. 3P Dergisi. 1999;7:23-41.
  • 24. Tabachnick BG, Fidell LS. Using Multivariate Statistics (Sixth ed.). Boston: Pearson; 2013. p.966.
  • 25. Aslan H, Çetkin T, Dikmen RD. Effects of chronic illness adaptation on the healthy lifestyle behaviours of patients in internal services. Çukurova Medical Journal. 2021;46(3):1140-1149.
  • 26. Karatepe H, Atik D, Özcan Yüce U. Adaptation with the Chronic Disease and Expectations from Nurses. Erciyes Med Journal. 2020;42(1):18-24.
  • 27. Manav Aİ, Atik D, Çapar A. Evaluation of Unconditional Self-acceptance and Adaptation to the Chronic Disease of Individuals with Diabetes Mellitus. Ordu University Nursing Studies Journal. 2021;4(2):153-162.
  • 28. Bryant J, Mcdonald VM, Boyes A, et al. Improving medication adherence in chronic obstructive pulmonary disease: a systematic review. Respiratory Research. 2013;14(109):1-8.
  • 29. Duarte-de-Araújo A, Teixeira P, Hespanhol V, Correia-de-sousa J. COPD: understanding patients’ adherence to inhaled medications. International Journal of COPD. 2018;(13):2767-2773.
  • 30. Mir SA, Muzamil F, Ud M, et al. Assessment of medication adherence among patients with chronic diseases: a descriptive cross-sectional study. International Journal of Basic & Clinical Pharmacology. 2019;8(1):115-119.
  • 31. Vural Doğru B, Karadakovan A. Evaluation of The Correlation Between Quality of Life and Psychosocial Adaptation in Elderly Patients with Heart Failure. Journal of Cardiovascular Nursing. 2016;4(August):88-104.
  • 32. Aydın Sayılan A, Yıldızeli Topçu S. The Relationship Between Using Complementary-Alternative Therapies and Quality of Life in Colorectal Cancer Patients. Journal of Health Sciences. 2020;29(2):106-113.
  • 33. Çeler HG, Özyurt CB, Elbi H, Özcan F. The Evaluation of Quality of Life and Caregiver Burden for the Relatives of Breast Cancer Patients. Ankara Med Journal. 2018;18(2)164-174
  • 34. Savcı C, Akıncı AC, Üşenmez SY, Keleş F. The effects of fear of COVID-19, loneliness, and resilience on the quality of life in older adults living in a nursing home. Geriatric Nursing. 2021;42(6):1422-1428.
  • 35. Hassan S, Zahra A, Parveen N, et al. Quality of Life and Adherence to Healthcare Services During the COVID-19 Pandemic: A Cross-Sectional Analysis. Patient Preference and Adherence. 2022;16:2533-2542.
There are 35 citations in total.

Details

Primary Language English
Subjects Public Health (Other), Family Medicine
Journal Section Orijinal Articles
Authors

Betül Bektaş 0009-0004-4604-4065

Ayla Tuzcu İnce 0000-0002-1291-7970

Early Pub Date December 1, 2024
Publication Date
Submission Date March 29, 2024
Acceptance Date September 29, 2024
Published in Issue Year 2024 Volume: 18 Issue: 4

Cite

Vancouver Bektaş B, Tuzcu İnce A. EXAMINATION OF VARIABLES RELATED TO DISEASE ADAPTATION OF ADULTS DIAGNOSED WITH NON-COMMUNICABLE DISEASES. TJFMPC. 2024;18(4):485-93.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.