Spiritual care needs and influencing factors among inflammatory bowel disease patients

Abstract

Aims: This study aimed to determine the spiritual care needs of individuals diagnosed with inflammatory bowel disease (IBD) and to examine the relationship with some sociodemographic and clinical characteristics. Methods: This descriptive and correlational study was conducted with individuals diagnosed with IBD (n=203). Data were collected using the "Descriptive Information Form," "Spiritual Care Needs Inventory," "Simple Clinical Colitis Activity Index," and " Harvey-Bradshaw Index." Descriptive statistics, t-test for independent groups, one-way analysis of variance, and Pearson correlation analysis were used to analyze the data. Results: The mean total spiritual care need score of the participants was found to be 59.38±20.00. According to the sub-dimensions, the mean score of the "meaning and hope" sub-dimension was 35.56±13.45, and the mean score of the "caring and respecting" sub-dimension was 23.82±8.17. The "meaning and hope" sub-dimension scores of single and employed individuals were significantly higher than those of married and unemployed individuals (p<0.05). In addition, total spiritual care needs scores of individuals who did not use medication for IBD were found to be higher than those who used medication (p<0.05). A significant positive correlation was found between the Harvey-Bradshaw Index and the "caring and respecting" sub-dimension (p<0.05). Conclusion: It was determined that the spiritual care needs of individuals diagnosed with IBD were generally above average. The increase in disease activity especially increases individuals' expectations forattention, being valued, and meaning in life. These findings suggest that nurses should be physically, spiritually, and psychosocially sensitive.

Keywords

• Inflammatory bowel disease
• spiritual care
• spiritual need
• chronic disease
• nursing

İnflamatuvar bağırsak hastalığı olan bireylerde spiritüel bakım gereksinimleri ve etkileyen faktörler

Abstract

Amaç: Bu çalışma, inflamatuvar bağırsak hastalığı (İBH) tanısı almış bireylerin spiritüel bakım gereksinimlerini belirlemek ve bu gereksinimlerin bazı sosyodemografik ve klinik özelliklerle ilişkisini incelemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı ve ilişkisel türdeki bu çalışma, İBH tanısı almış 203 bireyle yürütülmüştür. Veriler “Tanıtıcı Bilgi Formu”, “Spiritüel Bakım Gereksinimleri Envanteri”, “Basit Klinik Kolit Aktivite İndeksi” ve “Harvey-Bradshaw İndeksi” kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, bağımsız gruplar için t-testi, tek yönlü varyans analizi (ANOVA) ve Pearson korelasyon analizi kullanılmıştır. Bulgular: Katılımcıların toplam spiritüel bakım gereksinimi puan ortalaması 59,38 ± 20,00 olarak bulunmuştur. Alt boyutlara göre “Anlam ve Umut” alt boyutunun ortalama puanı 35,56 ± 13,45, “İlgi ve Saygı” alt boyutunun ortalama puanı ise 23,82 ± 8,17’dir. Bekâr ve çalışan bireylerin “Anlam ve Umut” alt boyutu puanları, evli ve çalışmayan bireylere kıyasla anlamlı düzeyde daha yüksek bulunmuştur (p < 0,05). Ayrıca, İBH için ilaç kullanmayan bireylerin toplam spiritüel bakım gereksinimi puanları, ilaç kullanan bireylere göre anlamlı düzeyde daha yüksek bulunmuştur (p < 0,05). Harvey-Bradshaw İndeksi ile “İlgi ve Saygı” alt boyutu arasında anlamlı pozitif bir ilişki saptanmıştır (p < 0,05). Sonuç: İBH tanısı almış bireylerin spiritüel bakım gereksinimlerinin genel olarak ortalamanın üzerinde olduğu belirlenmiştir. Hastalık aktivitesindeki artış, bireylerin anlam arayışı, ilgi görme ve değerli hissetme beklentilerini artırmaktadır. Bu bulgular, hemşirelerin bakım süreçlerinde fiziksel, spiritüel ve psiko-sosyal boyutlara duyarlı olmalarının önemini vurgulamaktadır.

Keywords

• İnflamatuvar bağırsak hastalığı
• spiritüel bakım
• spiritüel gereksinim
• kronik hastalık
• hemşirelik

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