Investigation of Care Requirements and Self-Esteem Levels of Patients Hospitalized in the Psychiatry Clinic

Abstract

Psikiyatri Kliniğinde Yatan Hastaların Bakım Gereksinimleri ve Özsaygı Düzeylerinin İncelenmesi

Abstract

Giriş ve Amaç: Çalışmanın amacı, psikiyatri kliniğinde tedavi gören hastaların bakım gereksinimleri ve özsaygı düzeylerinin incelenmesidir. Gereç ve Yöntemler: Kesitsel ve tanımlayıcı desene sahip çalışmaya 81 hasta dâhil edildi. Araştırma verileri kişisel bilgi formu, Rosenberg Özsaygı Ölçeği ve Bakım Gereksinimleri Belirleme Formu ile toplandı. Verilerin çözümlenmesinde tanımlayıcı istatistikler, tek yönlü ANOVA, bağımsız örneklem t testi ve çoklu regresyon analizi kullanıldı. Bulgular: Bireylerin %45,7’sinin özsaygı düzeyi düşük, %32,1’inin orta düzey olduğu; özsaygı düzeylerinin sağlık yönetimi, benlik kavramı, kendine bakım, fizyolojik fonksiyonlar, manevi boyut, rol ve ilişkiler ile başetme alanlarındaki bakım gereksinimlerine göre anlamlı farklılık gösterdiği bulundu. Ayrıca “çalışma durumu, genel görünüm, yorgunluk şiddeti, intihar riski ve beğenilen özellikler” değişkenleri özsaygı puanlarının anlamlı yordayıcılarıdır (R2=0,53, p<0,01). Sonuç: Psikiyatri kliniğinde tedavi gören hastaların yaklaşık yarısının özsaygı düzeyi düşüktü ve birçok alandaki bakım gereksinimleri özsaygı düzeyi ile ilişkili bulundu. Bireylerin özsaygı düzeylerini yükseltmek için planlanan hemşirelik girişimlerinde hastaların ilişkili gereksinim alanlarının özellikle değerlendirilmesi önerilmektedir.

Keywords

• Psikiyatri hastaları
• bakım gereksinimleri
• özsaygı

Thanks

Bu çalışmaya katılan gönüllülere teşekkür ederiz.

References

1. World Health Organization (WHO). Community mental health services will lessen social exclusion, says WHO; 2007. http://www.who.int/mediacentre/news/notes/2007/np25/en/.(accessed 13.11.2019).
2. Tuncer, G.Z, Duman, Z.Ç. Kronik ruhsal bozukluğu olan bireylerin gereksinimleri: sistematik derleme, needs of individuals with chronic mental disorders: a systematic review, Psikiyatride Güncel Yaklaşımlar, 2020, 12(2), 155-167.
3. Zúñiga, A, Navarro, J.B, Lago, P, Olivas, F, Muray, E, Crespo, M, Evaluation of needs among patients with severe mental illness, A community study, Actas Españolas de Psiquiatría, 2013, 41(2), 115-121.
4. Taş S, Buldukoğlu K, Early period self-care ability and care requirements of schizophrenia patients after discharge, Journal of Psychiatric Nursing, 2018, 9(1), 11-22.
5. Zeigler-Hill, V, The connections between self-esteem and psychopathology, Journal of Contemporary Psychotherapy, 2011, 41, 157-164.
6. Rosenberg, M, Rosenberg Self-Esteem Scale (RSE), 1965, 61. http://www.integrativehealthpartners.org/downloads/ACTmeasures.pdf#page=61, (accessed 10.07.2020).
7. Orth, U, Robins, RW, The development of self-esteem, Current Directions in Psychological Science, 2014, 23(5), 381-387.
8. Rizwan, M, Ahmad, R, Self-Esteem deficits among psychiatric patients, SAGE Open, 2015, 5(2).

9. Link, B.G, Phelan, J.C, Labeling and stigma, In: Aneshensel C.S, Phelan, J.C B.A, ed,Handbook of the Sociology of Mental Health, 2nd ed, Springer, Dordrecht, 2013, 525-541.
10. Sowislo, J.F, Orth, U, Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies, Psychological Bulletin, 2013, 139(1), 213-240.
11. Silverstone, P.H, Salsali, M, Low self-esteem and psychiatric patients: Part I - The relationship between low self-esteem and psychiatric diagnosis, Annals of General Hospital Psychiatry, 2003, 2.
12. Salsali, M, Silverstone, P.H, Low self-esteem and psychiatric patients: Part II - The relationship between self-esteem and demographic factors and psychosocial stressors in psychiatric patients, Annals of General Hospital Psychiatry, 2003, 2, 3.
13. Parker, T.J, Page, A.C, Hooke, G.R, The influence of individual, group, and relative self-esteem on outcome for patients undergoing group cognitive-behavioural therapy treatment, British Journal of Clinical Psychology, 2013, 52(4), 450-463.
14. Carpenito-Moyet, L, Hemşirelik tanıları el kitabı, (FE, ed.), İstanbul, Nobel Tıp Kitabevleri, 2015.
15. Çuhadaroğlu, F, Adolesanlarda benlik saygısı. Yayınlanmamış uzmanlık tezi, Hacettepe Üniversitesi, Ankara, 1986, 70-75.
16. S͆witaj, P, Grygiel, P, Anczewska, M, Wciórka, J, Experiences of discrimination and the feelings of loneliness in people with psychotic disorders: The mediating effects of self-esteem and support seeking, Comprehensive Psychiatry, 2015, 59, 73-79.
17. Xu, Z.Y, Zu, S, Xiang, Y.T, et al, Associations of self-esteem, dysfunctional beliefs and coping style with depression in patients with schizophrenia: A preliminary survey, Psychiatry Research, 2013, 209(3), 340-345.
18. Lysaker, P.H, Davis, L.W, Tsai, J, Suspiciousness and low self-esteem as predictors of misattributions of anger in schizophrenia spectrum disorders, Psychiatry Research, 2009, 166(2-3), 125-131.
19. Oh, E.J, Song, E.J, Shin, J.E, Individual factors affecting self-esteem, and relationships among self-esteem, body mass index, and body image in patients with schizophrenia, Archives of Psychiatric Nursing, 2017, 31(6), 588-595.
20. Hacioglu Yildirim, M, Alantar, Z, Yildirim, E.A, The relationship between working status and symptoms, quality of life and self-esteem in patients with schizophrenia in Turkey, International Journal of Social Psychiatry, 2014, 60(7), 646-655.
21. Kumar, S, Mohanty, S. Factors associated with self-esteem in patients with chronic schizophrenia, SIS Journal of Projective Psychology and Mental Health, 2016, 23, 56-60.
22. Kök, H, Demir, S, Şizofreni ve bipolar bozukluğu olan hastalarda içselleştirilmiş damgalanma, benlik saygısı ve algılanan sosyal destek, Cukurova Medical Journal, 2017, 43(1), 1-1.
23. Amerikan Psikiyatri Birliği (APA). Ruhsal bozuklukların tanısal ve sayımsal elkitabı, Beşinci Baskı (DSM-5), Tanı Ölçütleri Başvuru Elkitabı, 5th ed, (Köroğlu E, ed.), Ankara, Hekimler Yayın Birliği, 2013.
24. Orth, U, Erol, R.Y, Luciano, E.C, Development of self-esteem from age 4 to 94 Years: A meta-analysis of longitudinal studies, Psychological Bulletin, 2018, 144(10), 1045-80.
25. Rizwan, M, Ahmad, R, Self-esteem as a predictor of suicide risk among psychiatric patients, Journal of Alternative Perspectives in the Social Sciences, 2010, 2(2), 577-592.
26. Varcarolis, E, Halter, M.J, Varcarolis’ foundations of psychiatric mental health nursing: a clinical approach, 7th ed, Missouri: Elsevier Saunders, 2014.
27. Bitter, N.A, Roeg, D.P.K, van Nieuwenhuizen. C, van Weeghel. J, Identifying profiles of service users in housing services and exploring their quality of life and care needs, BMC Psychiatry, 2016, 16(1), 419.
28. Cialkowska-Kuzminska, M, Misiak, B, Kiejna, A, Patients’ and carers’ perception of needs in a Polish sample, The International journal of social psychiatry, 2014, 60(2), 178-184.
29. Townsend, M.C, Morgan, K.I, Promoting self-esteem. In: Townsend, M.C, Morgan, K.I, eds, Psychiatric mental health nursing: concepts of care in evidence-based practice, 9th ed., Philadelphia, FA Davis Company, 2017, 266-277.
30. Abdel-Khalek, A.M, Introduction to the psychology of self-esteem, In, Franklin Holloway, ed., self-esteem perspectives, ınfluences and ımprovement strategies, New York, Nova Science Publishers, Inc., 2016, 1-17.
31. Świtaj, P, Grygiel, P, Chrostek, A, Nowak, I, Wciórka, J, Anczewska, M, The relationship between internalized stigma and quality of life among people with mental illness: are self-esteem and sense of coherence sequential mediators? Quality of Life Research, 2017, 26(9), 2471-2478.
32. Mashiach-Eizenberg, M, Hasson-Ohayon, I, Yanos, P.T, Lysaker P.H, Roe, D. Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope, Psychiatry Research, 2013, 208(1), 15-20.
33. Kim, E.Y, Jang, M.H, The Mediating effects of self-esteem and resilience on the relationship between ınternalized stigma and quality of life in people with schizophreniai Asian Nursing Research, 2019, 13(4), 257-263.
34. Maharjan, S, Panthee, B, Prevalence of self-stigma and its association with self-esteem among psychiatric patients in a Nepalese teaching hospital, A cross-sectional study, BMC Psychiatry, 2019, 19(1), 347.
35. Picco, L, Pang, S, Lau, Y.W, et al., Internalized stigma among psychiatric outpatients: Associations with quality of life, functioning, hope and self-esteem, Psychiatry Research, 2016, 246, 500-506.
36. Kao, Y-C, Lien, Y-J, Chang, H-A, Tzeng, N-S, Yeh, C-B, Loh, C-H, Stigma resistance in stable schizophrenia: the relative contributions of stereotype endorsement, self-reflection, self-esteem, and coping styles, The Canadian Journal of Psychiatry / La Revue Canadienne de Psychiatrie, 2017, 62(10), 735-744.