Araştırma Makalesi
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Evaluation of The Effect of The God Perception on Psychosocial Adjustment in Coronary Artery Patients

Yıl 2022, Cilt: 38 Sayı: 2, 118 - 126, 31.08.2022
https://doi.org/10.53490/egehemsire.1075850

Öz

Objective: This study was conducted to determine the effect of God perception on psychosocial adjustment in coronary artery disease patients.
Methods: The descriptive study was conducted with 138 inpatients in the Cardiology clinics of a state hospital. In data collection, ″Descriptive Characteristics Form″, ″Perception of God Scale″ and ″Psychosocial Adjustment Self-Report Scale″ were used. The data were analyzed with the SPSS 21 Package program.
Results: The patients included in the study was determined that the mean score of God perception was 100.2±6.7, the mean score of psychosocial adjustment-self-report to the disease was 35.3±18.1, and 52.2% of them showed "good" psychosocial adjustment to the disease. Extended family relationships, family environment and psychological distress sub-dimension mean scores in the psychosocial adjustment-self-report scale were found to be lower. There was no statistically significant relationship between God Perception Scale and Psychosocial Adjustment Self-Report Scale scores (p>0.05).
Conclusion: In this study, it was found that coronary artery patients had a loving/love-oriented God perception and had moderate psychosocial adjustment to the disease, psychosocial adjustment to the disease was higher in the areas of extended family relations, family environment and psychological distress, and the perception of God did not affect the psychosocial adjustment to the disease.

Kaynakça

  • Abu, H. O., Ulbricht, C., Ding, E., Allison, J. J., Salmoirago-Blotcher, E., Goldberg, R. J., & Kiefe, C. I. (2018). Association of religiosity and spirituality with quality of life in patients with cardiovascular disease: a systematic review. Quality of Life Research, 27(11), 2777-2797. doi:10.1007/s11136-018-1906-4
  • Akın, S., Durna, Z. (2006). Kalp yetersizliği hastalarının psikososyal uyumu. C.Ü. Hemşirelik Yüksekokulu Dergisi, 10(2), 1-8.
  • Bağcıvan, G., Tanrıver, E., & Kılıç, B. Kronik kalp damar hastalığı olan bireylerin hastalık algısının incelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 21(2):89-96.
  • Besharat, M. A., Ramesh, S., & Moghimi, E. (2018). Spiritual health mediates the relationship between ego-strength and adjustment to heart disease. Health Psychology Open, 5(1), 205510291878217. doi:10.1177/2055102918782176
  • Bradshaw, M., Ellison, C. G., & Marcum, J. P. (2010). Attachment to God, Images of God, and Psychological Distress in a Nationwide Sample of Presbyterians. International Journal for the Psychology of Religion, 20(2), 130-147. doi:10.1080/10508611003608049
  • Celano, C. M., Millstein, R. A., Bedoya, C. A., Healy, B. C., Roest, A. M., & Huffman, J. C. (2015). Association between anxiety and mortality in patients with coronary artery disease: A meta-analysis. American Heart Journal, 170(6), 1105-1115. doi:10.1016/j.ahj.2015.09.013
  • Çakmak, S., & Nural, N. (2019). Is The spirituality effective on psychosocial adjustment in patients with chronic disease? IJETHS, 3(1), 29-33. doi:10.18844/ijeths.v3i1.4209
  • Derogatis, L. R. (1986). The psychosocial adjustment to illness scale (PAIS). Journal of Psychosomatic Research, 30(1), 77-91. doi:https://doi.org/10.1016/0022-3999(86)90069-3
  • Deter, H.-C., Weber, C., Herrmann-Lingen, C., Albus, C., Juenger, J., Ladwig, K.-H., Soellner, W., de Zwaan, M., Hellmich, M., Grün, A.-S. (2018). Gender differences in psychosocial outcomes of psychotherapy trial in patients with depression and coronary artery disease. J Psychosom Res., 113:89-99.
  • Ellison, C. G., Fang, Q., Flannelly, K. J., & Steckler, R. A. (2013). Spiritual struggles and mental health: exploring the moderating effects of religious identity. International Journal for the Psychology of Religion, 23(3), 214-229. doi:10.1080/10508619.2012.759868
  • Erşan, E. E., Kelleci, M., & Baysal, B. (2013). An overview on psychosocial adaptation, depression, anxiety and stress levels in patients with heart disease. 16(4), 214-224.
  • Fradelos, E. C. (2021). Spiritual well-being and associated factors in end-stage renal disease. The Scientific World Journal, 2021, 1-9. doi:10.1155/2021/6636854
  • Gök Metin, Z., & Helvacı, A. (2020). The correlation between quality of life, depression, anxiety, stress, and spiritual well-being in patients with heart failure and family caregivers. Turk J Card Nur., 11(25):60-70. doi:10.5543/khd.2020.93898
  • Hare, D. L., Toukhsati, S. R., Johansson, P., & Jaarsma, T. (2014). Depression and cardiovascular disease: a clinical review. Eur Heart J., 35(21):1365-72. https://www.openepi.com/SampleSize/SSCohort.htm. Erişim tarihi: 02 Ekim 2017.
  • Jahani, A., Rejeh, N., Heravi-Karimooi, M., Hadavi, A., Zayeri, F., & Khatooni, A. R. (2013). The relationship between spiritual health and quality of life in patients with coronary artery disease. Islamic Life Center Health, 1(2):17-21.
  • Karimi-Moonaghi, H., Mojalli, M., & Khosravan, S. (2014). Psychosocial Complications of Coronary Artery Disease. Iranian Red Crescent Medical Journal, 16(6). doi:10.5812/ircmj.18162
  • Koenig, H. G. (2009). Research on Religion, Spirituality, and Mental Health: A Review. The Canadian Journal of Psychiatry, 54(5), 283-291. doi:10.1177/070674370905400502
  • Lurie, I., Myers, V., Goldbourt, U., & Gerber, Y. (2015). Perceived social support following myocardial infarction and long-term development of frailty. Eur. J. Prev. Cardiol., 22(10), 1346-1353. doi:10.1177/2047487314544575.
  • Mahmure, A. (1995). Kronik hastalığı olan bireylerin hastalıktaki tutum, adaptasyon, algı ve öz-bakım yönelimleri. İ.Ü. Sağlık Bilimleri Enstitüsü, Doktora Tezi.
  • Malakar, A. K., Choudhury, D., Halder, B., Paul, P., Uddin, A., & Chakraborty, S. (2019). A review on coronary artery disease, its risk factors, and therapeutics. Journal of Cellular Physiology, 234(10), 16812-16823. doi:10.1002/jcp.28350
  • Martínez, B. B., & Custódio, R. P. (2014). Relationship between mental health and spiritual wellbeing among hemodialysis patients: a correlation study. Sao Paulo Med J, 132(1), 23-27. doi:10.1590/1516-3180.2014.1321606.
  • Olcay, Ç., Nehir, S. (2011). Miyokard infarktüsü geçirmiş hastaların psikososyal uyumları ile depresyon ve anksiyete düzeyleri arasındaki ilişkinin incelenmesi. EGEHFD, 27(2), 47-59.
  • Özlem, G. (2007). Tanrı Algısı Ölçeği (TA): Geçerlik ve güvenirlik çalışması. Ankara Üniversitesi İlahiyat Fakültesi Dergisi, 48(1), 123-133. doi:10.1501/ilhfak_0000000932.
  • Palacios, J. E., Khondoker, M., Achilla, E., Tylee, A., & Hotopf, M. (2016). A single, one-off measure of depression and anxiety predicts future symptoms, higher healthcare costs, and lower quality of life in coronary heart disease patients: analysis from a multi-wave, primary care cohort study. PLoS One, 11(7): e0158163. doi:10.1371/journal.pone.0158163
  • Polikandrioti, M., & Olympios, C. (2014). Anxiety and coronary artery disease. Archives of Hellenic Medicine/Arheia Ellenikes Iatrikes, 31(4):403-11.
  • Rafiei, H., Senmar, M., Yousefi, F., & Nemati, Z. (2021). Psychosocial Adjustment to Cardiovascular Diseases and Spiritual Well-Being in Iranian Patients. Turk J Cardiovasc Nurs., 12(28):75-80.
  • Rego, F., Gonçalves, F., Moutinho, S., Castro, L., & Nunes, R. (2020). The influence of spirituality on decision-making in palliative care outpatients: a cross-sectional study. BMC Palliative Care, 19(1), 22. doi:10.1186/s12904-020-0525-3
  • Savaşan, A., Ayten, M., & Ergene. (2013). Koroner arter hastalarında sağlıklı yaşam biçimi davranışları ve umutsuzluk. Psikiyatr. Hemşire. Derg., 4(1):1-6.
  • Ski, C. F., Taylor, R. S., McGuigan, K., Lambert, J. D., Richards, S. H., & Thompson, D. R. (2019). Psychological interventions for depression and anxiety in patients with coronary heart disease, heart failure or atrial fibrillation. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd013508
  • Sunbul, M., Zincir, S. B., Durmus, E., Sunbul, E. A., Cengiz, F. F., Kıvrak, T., Fuad Samadov, F., Sarı, İ. (2013). Anxiety and depression in patients with coronary artery disease. Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 23(4), 345-352. doi:10.5455/bcp.20130421014758
  • Turan Kavradım, S., & Özer, Z. (2018). Koroner kalp hastalıklarının yönetiminde uyum ve öz yeterlik. Psikiyatr. Guncel Yaklasimlar, 10(3):324-35.
  • Vicdan, A. K., Birgili, F. (2018). The validity and reliability study for developing an assessment scale for adaptation to chronic diseases. Journal of Current Researches on Health Sector, 8(2).
  • Vural Doğru, B., & Karadakovan, A. (2016). Evaluation of the correlation between quality of life and psychosocial adaptation in elderly patients with heart failure. Turk J Card Nur., 7(13), 88-104. doi:10.5543/khd.2016.02886.
  • Weber, S. R., & Pargament, K. I. (2014). The role of religion and spirituality in mental health. Current Opinion in Psychiatry, 27(5).
  • Yıldırım, N. K., & Öztürk, S. (2016). Kardiyovasküler hastalıklarda güncel psikososyal yaklaşımlar. Turk J Cardiovasc Nurs., 7(2), 60-68.
  • Yodchai, K., Dunning, T., Hutchinson, A. M., Oumtanee, A., & Savage, S. (2011). How do Thai patients with end stage renal disease adapt to being dependent on haemodialysis?: a pilot study. J Ren Care, 37(4), 216-223. doi:10.1111/j.1755-6686.2011.00232.x

Koroner Arter Hastalarında Tanrı Algısının Psikososyal Uyum Üzerine Etkisinin Değerlendirilmesi

Yıl 2022, Cilt: 38 Sayı: 2, 118 - 126, 31.08.2022
https://doi.org/10.53490/egehemsire.1075850

Öz

Amaç: Bu araştırma, koroner arter hastalarında Tanrı algısının psikososyal uyum üzerine etkisini belirlemek amacıyla yapılmıştır.
Yöntem: Tanımlayıcı olarak yapılan araştırma, bir devlet hastanesinin Kardiyoloji kliniklerinde yatarak tedavi gören 138 hasta ile yürütülmüştür. Verilerin toplanmasında, ″Tanıtıcı Özelikler Formu″, ″Tanrı Algısı Ölçeği″ ve ″Psikososyal Uyum Öz-Bildirim Ölçeği″ kullanılmıştır. Veriler SPSS 21 paket programı ile analiz edilmiştir.
Bulgular: Araştırmaya alınan hastaların Tanrı algısı puan ortalamasının 100.2±6.7, hastalığa psikososyal uyum-öz bildirim puan ortalamasının 35.3±18.1 olduğu ve %52.2’sinin hastalığa “iyi” düzeyde psikososyal uyum gösterdiği tespit edilmiştir. Hastalığa psikososyal uyum-öz bildirim ölçeğinin geniş aile ilişkileri, aile çevresi ve psikolojik distress alt boyut puan ortalamaları daha düşük bulunmuştur. Tanrı Algısı Ölçeği ve Psikososyal Uyum Öz-Bildirim Ölçeği puanları arasında istatistiksel açıdan anlamlı bir ilişki bulunmadığı saptanmıştır (p>0.05).
Sonuç: Bu çalışmada, koroner arter hastalarının seven/sevgi yönelimli Tanrı algısına sahip oldukları ve hastalığa orta düzeyde psikososyal uyum sağladıkları, hastalığa psikososyal uyumun geniş aile ilişkileri, aile çevresi ve psikolojik distress alanlarında daha yüksek olduğu ve Tanrı algısının hastalığa psikososyal uyumu etkilemediği bulunmuştur.

Kaynakça

  • Abu, H. O., Ulbricht, C., Ding, E., Allison, J. J., Salmoirago-Blotcher, E., Goldberg, R. J., & Kiefe, C. I. (2018). Association of religiosity and spirituality with quality of life in patients with cardiovascular disease: a systematic review. Quality of Life Research, 27(11), 2777-2797. doi:10.1007/s11136-018-1906-4
  • Akın, S., Durna, Z. (2006). Kalp yetersizliği hastalarının psikososyal uyumu. C.Ü. Hemşirelik Yüksekokulu Dergisi, 10(2), 1-8.
  • Bağcıvan, G., Tanrıver, E., & Kılıç, B. Kronik kalp damar hastalığı olan bireylerin hastalık algısının incelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 21(2):89-96.
  • Besharat, M. A., Ramesh, S., & Moghimi, E. (2018). Spiritual health mediates the relationship between ego-strength and adjustment to heart disease. Health Psychology Open, 5(1), 205510291878217. doi:10.1177/2055102918782176
  • Bradshaw, M., Ellison, C. G., & Marcum, J. P. (2010). Attachment to God, Images of God, and Psychological Distress in a Nationwide Sample of Presbyterians. International Journal for the Psychology of Religion, 20(2), 130-147. doi:10.1080/10508611003608049
  • Celano, C. M., Millstein, R. A., Bedoya, C. A., Healy, B. C., Roest, A. M., & Huffman, J. C. (2015). Association between anxiety and mortality in patients with coronary artery disease: A meta-analysis. American Heart Journal, 170(6), 1105-1115. doi:10.1016/j.ahj.2015.09.013
  • Çakmak, S., & Nural, N. (2019). Is The spirituality effective on psychosocial adjustment in patients with chronic disease? IJETHS, 3(1), 29-33. doi:10.18844/ijeths.v3i1.4209
  • Derogatis, L. R. (1986). The psychosocial adjustment to illness scale (PAIS). Journal of Psychosomatic Research, 30(1), 77-91. doi:https://doi.org/10.1016/0022-3999(86)90069-3
  • Deter, H.-C., Weber, C., Herrmann-Lingen, C., Albus, C., Juenger, J., Ladwig, K.-H., Soellner, W., de Zwaan, M., Hellmich, M., Grün, A.-S. (2018). Gender differences in psychosocial outcomes of psychotherapy trial in patients with depression and coronary artery disease. J Psychosom Res., 113:89-99.
  • Ellison, C. G., Fang, Q., Flannelly, K. J., & Steckler, R. A. (2013). Spiritual struggles and mental health: exploring the moderating effects of religious identity. International Journal for the Psychology of Religion, 23(3), 214-229. doi:10.1080/10508619.2012.759868
  • Erşan, E. E., Kelleci, M., & Baysal, B. (2013). An overview on psychosocial adaptation, depression, anxiety and stress levels in patients with heart disease. 16(4), 214-224.
  • Fradelos, E. C. (2021). Spiritual well-being and associated factors in end-stage renal disease. The Scientific World Journal, 2021, 1-9. doi:10.1155/2021/6636854
  • Gök Metin, Z., & Helvacı, A. (2020). The correlation between quality of life, depression, anxiety, stress, and spiritual well-being in patients with heart failure and family caregivers. Turk J Card Nur., 11(25):60-70. doi:10.5543/khd.2020.93898
  • Hare, D. L., Toukhsati, S. R., Johansson, P., & Jaarsma, T. (2014). Depression and cardiovascular disease: a clinical review. Eur Heart J., 35(21):1365-72. https://www.openepi.com/SampleSize/SSCohort.htm. Erişim tarihi: 02 Ekim 2017.
  • Jahani, A., Rejeh, N., Heravi-Karimooi, M., Hadavi, A., Zayeri, F., & Khatooni, A. R. (2013). The relationship between spiritual health and quality of life in patients with coronary artery disease. Islamic Life Center Health, 1(2):17-21.
  • Karimi-Moonaghi, H., Mojalli, M., & Khosravan, S. (2014). Psychosocial Complications of Coronary Artery Disease. Iranian Red Crescent Medical Journal, 16(6). doi:10.5812/ircmj.18162
  • Koenig, H. G. (2009). Research on Religion, Spirituality, and Mental Health: A Review. The Canadian Journal of Psychiatry, 54(5), 283-291. doi:10.1177/070674370905400502
  • Lurie, I., Myers, V., Goldbourt, U., & Gerber, Y. (2015). Perceived social support following myocardial infarction and long-term development of frailty. Eur. J. Prev. Cardiol., 22(10), 1346-1353. doi:10.1177/2047487314544575.
  • Mahmure, A. (1995). Kronik hastalığı olan bireylerin hastalıktaki tutum, adaptasyon, algı ve öz-bakım yönelimleri. İ.Ü. Sağlık Bilimleri Enstitüsü, Doktora Tezi.
  • Malakar, A. K., Choudhury, D., Halder, B., Paul, P., Uddin, A., & Chakraborty, S. (2019). A review on coronary artery disease, its risk factors, and therapeutics. Journal of Cellular Physiology, 234(10), 16812-16823. doi:10.1002/jcp.28350
  • Martínez, B. B., & Custódio, R. P. (2014). Relationship between mental health and spiritual wellbeing among hemodialysis patients: a correlation study. Sao Paulo Med J, 132(1), 23-27. doi:10.1590/1516-3180.2014.1321606.
  • Olcay, Ç., Nehir, S. (2011). Miyokard infarktüsü geçirmiş hastaların psikososyal uyumları ile depresyon ve anksiyete düzeyleri arasındaki ilişkinin incelenmesi. EGEHFD, 27(2), 47-59.
  • Özlem, G. (2007). Tanrı Algısı Ölçeği (TA): Geçerlik ve güvenirlik çalışması. Ankara Üniversitesi İlahiyat Fakültesi Dergisi, 48(1), 123-133. doi:10.1501/ilhfak_0000000932.
  • Palacios, J. E., Khondoker, M., Achilla, E., Tylee, A., & Hotopf, M. (2016). A single, one-off measure of depression and anxiety predicts future symptoms, higher healthcare costs, and lower quality of life in coronary heart disease patients: analysis from a multi-wave, primary care cohort study. PLoS One, 11(7): e0158163. doi:10.1371/journal.pone.0158163
  • Polikandrioti, M., & Olympios, C. (2014). Anxiety and coronary artery disease. Archives of Hellenic Medicine/Arheia Ellenikes Iatrikes, 31(4):403-11.
  • Rafiei, H., Senmar, M., Yousefi, F., & Nemati, Z. (2021). Psychosocial Adjustment to Cardiovascular Diseases and Spiritual Well-Being in Iranian Patients. Turk J Cardiovasc Nurs., 12(28):75-80.
  • Rego, F., Gonçalves, F., Moutinho, S., Castro, L., & Nunes, R. (2020). The influence of spirituality on decision-making in palliative care outpatients: a cross-sectional study. BMC Palliative Care, 19(1), 22. doi:10.1186/s12904-020-0525-3
  • Savaşan, A., Ayten, M., & Ergene. (2013). Koroner arter hastalarında sağlıklı yaşam biçimi davranışları ve umutsuzluk. Psikiyatr. Hemşire. Derg., 4(1):1-6.
  • Ski, C. F., Taylor, R. S., McGuigan, K., Lambert, J. D., Richards, S. H., & Thompson, D. R. (2019). Psychological interventions for depression and anxiety in patients with coronary heart disease, heart failure or atrial fibrillation. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd013508
  • Sunbul, M., Zincir, S. B., Durmus, E., Sunbul, E. A., Cengiz, F. F., Kıvrak, T., Fuad Samadov, F., Sarı, İ. (2013). Anxiety and depression in patients with coronary artery disease. Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 23(4), 345-352. doi:10.5455/bcp.20130421014758
  • Turan Kavradım, S., & Özer, Z. (2018). Koroner kalp hastalıklarının yönetiminde uyum ve öz yeterlik. Psikiyatr. Guncel Yaklasimlar, 10(3):324-35.
  • Vicdan, A. K., Birgili, F. (2018). The validity and reliability study for developing an assessment scale for adaptation to chronic diseases. Journal of Current Researches on Health Sector, 8(2).
  • Vural Doğru, B., & Karadakovan, A. (2016). Evaluation of the correlation between quality of life and psychosocial adaptation in elderly patients with heart failure. Turk J Card Nur., 7(13), 88-104. doi:10.5543/khd.2016.02886.
  • Weber, S. R., & Pargament, K. I. (2014). The role of religion and spirituality in mental health. Current Opinion in Psychiatry, 27(5).
  • Yıldırım, N. K., & Öztürk, S. (2016). Kardiyovasküler hastalıklarda güncel psikososyal yaklaşımlar. Turk J Cardiovasc Nurs., 7(2), 60-68.
  • Yodchai, K., Dunning, T., Hutchinson, A. M., Oumtanee, A., & Savage, S. (2011). How do Thai patients with end stage renal disease adapt to being dependent on haemodialysis?: a pilot study. J Ren Care, 37(4), 216-223. doi:10.1111/j.1755-6686.2011.00232.x
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Özgün Araştırma
Yazarlar

Seher Çakmak 0000-0003-4684-8333

Nesrin Nural 0000-0003-2100-7386

Songül Gürses 0000-0001-9466-5043

Yayımlanma Tarihi 31 Ağustos 2022
Gönderilme Tarihi 18 Şubat 2022
Kabul Tarihi 5 Temmuz 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 38 Sayı: 2

Kaynak Göster

APA Çakmak, S., Nural, N., & Gürses, S. (2022). Koroner Arter Hastalarında Tanrı Algısının Psikososyal Uyum Üzerine Etkisinin Değerlendirilmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 38(2), 118-126. https://doi.org/10.53490/egehemsire.1075850