Kronik Hastalıklarda Hasta Aktifliği: Kavram Analizi

Yıl 2015, Cilt: 8 Sayı: 1, 45 - 51, 01.02.2015

Cansu Koşar , Dilek Büyükkaya Besen

Öz

Kronik hastalıklar, dünyada ölüm nedenlerinin başında yer almakta ve sağlık harcamalarının büyük kısmı bu hastalıkların tedavisi için yapılmaktadır. Ölüm oranlarının azaltılması, kronik hastalığın etkili yönetimi ile mümkündür, ancak hastalar genellikle tıbbi bakımda yer almamakta, yer almayı da beklememektedirler. Araştırmalar hastalık yönetiminde aktif olarak yer alan bireylerin, daha fazla öz bakım davranışı gösterdiklerini ve daha iyi sağlık çıktıları ortaya koyduklarını göstermektedir. Hasta aktifliği özellikle kronik hastalığı olan bireylerde önemlidir, çünkü bireylerin, tedavi rejimlerini takip etmeleri, durumlarını gözlemlemeleri, yaşam şekli değişiklikleri yapmaları ve karar verici rolde olmaları gerekir. Kavram analizi rehberliğinde yazılan bu çalışmada kronik hastalıkların Türkiye ve dünyadaki durumu, kronik hastalık yönetiminde hasta aktifliği ve aktif hasta yönetiminin bakıma etkisini ele alan literatür taranmıştır. Sonuç olarak, bakım gereksinimlerini ve bakım çıktılarını belirlemede, en büyük rolün hastaya ait olduğu, bireylerin aktiflik düzeyinin - sağlık davranışını yapıp sürdürebileceğine dair inancının, bilgi ve beceri düzeyinin, motivasyonunun - bilinmesinin, bireye özgü girişimlerin planlanmasını destekleyeceği görülmüştür.

Anahtar Kelimeler

Hasta aktifliği, öz yönetim, öz bakım, sağlık davranışları, kronik hastalık yönetimi.

Patient Activation in Chronic Diseases: Concept Analyse

Öz

Chronic diseases are the most leading cause of death in the world and also most of the health expenditure is used for treatment of chronic
diseases. Reduction of the death rates is possible with the effective management of chronic disease, but patients generally don’t participate
and also don’t expect to participate in medical care. A number of researchers have found patient, who participate in ilness management
actively, perform more self care behaviours and present better health outcomes. Patient activation especially important for individuals who
have chronic disease; because they need to pursue their medical treatments, observe their conditions, do life style changes and be in a
decision making role. Concept analysis method is used in this study and literature about the situation of Chronic diseases in Turkey also in
the World, patient activation in chronic disease management and effect of active patient management on care is scanned and examined. As a
result, determining the care requirements and outcomes, the most important role is belong to patient. When patient’s activation level - belief
about doing and maintaining the health behaviour, informaton and skill level, motivation status - are known, individualized care plans can
be tailored

Anahtar Kelimeler

Patient activation, self management, self care, health behaviours, chronic disease management.

Kaynakça

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