Araştırma Makalesi
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Psikiyatri Hastalarının Kendini Toparlama Gücü ile Hemşirelik Bakım Algısı ve Algıladıkları Sosyal Destek Arasındaki İlişki: Kesitsel Bir Araştırma

Yıl 2023, Cilt: 33 Sayı: 2, 128 - 135, 30.04.2023
https://doi.org/10.54005/geneltip.1194942

Öz

Amaç: Bu araştırma, psikiyatri kliniklerinde yatan hastaların hemşirelik bakım algıları ile algıladıkları sosyal destek, kendini toparlama gücü arasındaki ilişkiyi ve bu ilişkiyi etkileyen faktörleri ortaya koymak amacıyla yapılmıştır.
Gereç ve Yöntem: Kesitsel, tanımlayıcı ve ilişki arayıcı nitelikteki bu çalışma, psikiyatri kliniklerinde yatan 172 hasta ile yürütülmüştür. Araştırma verileri "Hasta Bilgi Toplama Formu", "Hemşirelik Bakım Algısı Ölçeği", "Kendini İyileştirme Gücü Ölçeği" ve "Çok Boyutlu Algılanan Sosyal Destek Ölçeği" kullanılarak toplanmıştır.
Bulgular: Psikiyatri hastalarının iyileşme becerileri ile algıladıkları sosyal destek ve hemşirelik bakım algıları arasında oldukça anlamlı bir ilişki olduğu bulundu (p<0.01). MANOVA sonuçlarına göre, cinsiyet ve hastaneye yatış sayısının sırasıyla algılanan sosyal desteği ve hemşirelik bakımı algısını etkilediği bulundu (p<0.05). Regresyon katsayılarına göre hemşirelik bakımı algısının ve algılanan sosyal desteğin kendini iyileştirme gücü üzerinde oldukça anlamlı bir etkiye sahip olduğu belirlendi (p<0,001). SEM sonuçlarının uyum indeksleri değerlerine göre GFI, TLI ve IFI indeksleri tam olarak 1'dir; ve AGFI, GFI ve NFI endeksleri 0.90'dan büyüktür. RMSEA sıfıra yakındır ve SRMR oldukça düşüktür.
Sonuç: Araştırma sonucunda psikiyatri kliniklerinde tedavi gören hastaların hemşirelik bakım algılarının ve algılanan sosyal desteğin yüksek olmasının hastaların iyileşme yeteneğine olumlu katkı sağladığı belirlendi.

Kaynakça

  • 1. Alzahrani AS, Alqahtani AM, Elmorsy SA, Mahdi HA, Alhazmi M, Albarakati B, Alkhiri A, Hakeem A. Prevalence of psychiatric disorders in Hajj pilgrims using MINI as a diagnostic tool. J Public Health. 2021;29:169–175. 2. Unite for sight (2020). Module 1: Introduction to Global Mental Health: Effects of Mental Health on Individuals and Populations. https://www.uniteforsight.org/mental-health/module1
  • 3. Shalev D, Fields L, Shapiro PA. End-of-Life Care in Individuals With Serious Mental Illness. Psychosomatics. 2020;61(5):428–435.
  • 4. Işık Ş. Examination of research in self-restoring force in Turkey. Turkish J Psychol Couns Guidance. 2016;6(45):65-76.
  • 5. Seligman MEP, Csikszentmihalyi M. Positive psychology: An Introduction. Am Psychol. 2000;55:5-14.
  • 6. Sheldon KM, King L. Why positive psychology is necessary. Am Psychol. 2001;56(3):216-217.
  • 7. Brown DL. African American resiliency: Examining racial socialization and social support as protective factors. J Black Psychol. 2008;34(1):32-48.
  • 8. Masten AS. Resilience in developing systems: Progress and promise as the fourth wave rises. Dev Psychopathol. 2007;19:921-930.
  • 9. Skodol AE. The resilient personality. Handbook of Adult Resilience. 2010;112-125.
  • 10. Kaplan JB, Bergman A, Christopher M, Bowen S, Hunsinger M. Role of Resilience in Mindfulness Training for First Responders. Mindfulness. 2017;8 (3):1373-1380.
  • 11. Vaingankara JA, Edimansyah A, Chong SA. Exploratory and confirmatory factor analyses of the Multidimensional Scale of Perceived Social Support in patients with schizophrenia. Compr Psychiatry. 2012;53:286-291.
  • 12. Mahmoud AS, Berma AE, Gabal SAAS. Relationship Between Social Support and the Quality of Life among Psychiatric Patients. J Psychiatry and Psychiatric Disorders. 2017;1(2),57-75.
  • 13. Kök H, Demir S. Internalized stigma, self-esteem, and perceived social support in patients with schizophrenia and bipolar disorder. Cukurova Medical Journal. 2018;43(1):99-106. https://doi.org/10.17826/cumj.340622
  • 14. Zarzycka D, Barton E, Mazur A, Turowski K. Socio-demographic and medical factors associated with patients’ satisfaction with nursing care and their perception of pain. AAEM. 2019; 26(2):298–303.
  • 15. Torgalsbøena A-K, Fu S, Czajkowskia N. Resilience trajectories to full recovery in first-episode schizophrenia. Eur Psychiatry. 2018;52:54–60.
  • 16. Rajabpour S, Rayyani M, Shahrbabaki PM. The relationship between Iranian patients’ perception of holistic care and satisfaction with nursing care. BMC Nurs. 2019;18:48.
  • 17. Jaramillo LX, Osorio SP, Salazar DA. Quality of Nursing Care: Perception of Parents of Newborns Hospitalized in Neonatal Units. Investigacion y Educ en Enferm. 2018;36(1):e08.
  • 18. Şişe Ş. Patient satisfaction with nursing services. Kocatepe Med J. 2013;14:69-75.
  • 19. Çapık C. (2014). Statistical Power Analysis and Its Use in Nursing Research: Basic Information. Anatolian J Nurs Health Sci. 2014;17(4):268-274
  • 20. Çoban İ, Kaşıkçı M. Validity and reliability study of the patient's perception of nursing care scale. Atatürk Universıty Health Scıences Institute, Master's Thesis, Erzurum, 2006
  • 21. Eker D, Arkar H, Yaldız H. The factor structure, validity, and reliability of the revised form of the multidimensional perceived social support scale. Turk J Psychiatry. 2001;12:17-25
  • 22. Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993;1:165-178.
  • 23. Terzi Ş. Adaptation of Self-Healing Power Scale: Validity and reliability studies. Turk J Psychol Couns Guidance. 2006;3(26):77-86
  • 24. Mulaik, S.A., James, L.R., Judith V.A., Nathan, B., Sherri, L., & Dean, S.C. (1989). "Evaluation of goodness-of-fit indices for structural equation models." Psychological Bulletin. 105, 3, 430.
  • 25. Şimşek Arslan B, Buldukoğlu K. The Association of Nursing Care Perceptıon With Coping Skills and Posttraumatıc Growth In Mental Disorders. J Psychiatric and Ment Health Nurs. 2018;25(4):228-235.
  • 26. Kol E, Geçkil E, Arıkan C, İlter M, Özcan Ö, Şakırgün E, Dayan Ü, Uygun G, Kılıç D, Macit M, Uslular E, Sızlı A, Çakır N, Solak D, Kavgacı A, Sabancıoğulları S, Atay S. Investigation of Nursing Care perception in Turkey. ACU J Health Sci. 2017;3:163-172.
  • 27. Cerit B. Level of Patients' Satisfaction With Nursing Care. Hacettepe Univ Faculty Nurs J. 2016;3(1):27-36.
  • 28. Alp Yılmaz F, Şentürk S, Yalçın P, Sert Başoğlu P. Determination of Levels of Perceptions of Nursing Care of Patients. Lakes Region Monthly Refereed J Econ Cult Details. 2018;5(59):61-66.
  • 29. Şendir M, Büyükyılmaz F, Yazgan İ, Bakan N, Mutlu A, Tekin F. Evaluation of Experience and Satisfaction with Nursing Care in Orthopedic and Traumatology Patients Nursing Care of Orthopedics and Traumatology Patients. J Florence Nightingale Nurs. 2012;20(1):35-42.
  • 30. Arslan S, Nazik E, Tanrıverdi D, Gürdil S Determining Patients' Satisfaction with Health Services and Nursing. TAF Prev Med Bull. 2012;11 (6):717-722.
  • 31. Ercan F, Demir S. Problems, auditory hallucinations, and perceived social support in patients diagnosed with schizophrenia. Cukurova Med J 2019; 44(1):7-17.
  • 32. Arslantaş H, Adana F, Kaya F, Turan D. Hopelessness and social support level in hospitalızed patients and the factors affecting these. J Florence Nightingale. 2010;18(2):87-97
  • 33. Sarı D, Khorsid L, Eşer İ. Investıgatıon of the relatıonship between the social support and anxiety levels perceived by patients newly hospitalized. J Ege Univ Nurs School. 2011;27(2):1-9.
  • 34. Koç M, Yıldız Çeltek N, Tel H, Tel Aydın H. Determining Loneliness and Perceived Social Support Status among Cancer Patients. 1. International Cancer Days (Full-text Paper), 2019
  • 35. Koçak DY, Kaya İG, Aslan E. Perceived Level of Social Support by Women in Climacteric Period and Affecting Factors. J Acad Res Nurs. 2017;3 (2):66-72.
  • 36. Bener A, Alsulaiman R, Doodson L, Agathangelou T. Depression, Hopelessness and Social Support Among Breast Cancer Patients: in Highly Endogamous Population. APJCP. 2017;18(7):1889-1896.
  • 37. Aldosari MA, Tavares MA, Matta-Machado ATG, Abreu MHNG. Factors associated with patients' satisfaction in Brazilian dental primary health care. PLoS One. 2017;12(11):e0187993.
  • 38. Öztürk S. The therapeutic environment perceptions of healthcare professionals and patients in psychiatry clinics. Hacettepe University Institute of Health Sciences Master Thesis, Ankara, 2018
  • 39. Berkowitz B. “The Patient Experience and Patient Satisfaction: Measurement of a Complex Dynamic” OJIN: Online J Issues Nurs. 2016;21(1). https://doi.org/10.3912/ OJIN.Vol21No01Man01
  • 40. Gloria CT, Steinhardt MA.Relationships Among Positive Emotions, Coping, Resilience and Mental Health. Stress Health. 2016;32(2):145-56.
  • 41. Corrigan PW, Phelan SM.(2004 Social support and recovery in people with serious mental illnesses. Community Ment Health J. 2004;40:513–523.
  • 42. Rüesch P, Graf J, Meyer PC, Rössler W, Hell D. Occupation, social support, and quality of life of persons with schizophrenic or affective disorders. Soc Psychiatry Psychiatr Epidemiol. 2004;39:686–694.
  • 43. Hefner J, Eisenberg D. Social support and mental health among college students. Am J Orthopsychiatry. 2009;79(4):491-499.
  • 44. Cai WP, Pan Y, Zhang SM, Wei C, Dong W, Deng GH. Relationship between cognitive emotion regulation, social support, resilience and acute stress responses in Chinese soldiers: Exploring multiple mediation model. Psychiatry Res. 2017;256:71-78.
  • 45. Min JA, Yu JJ, Lee CU, Chae JH. Cognitive emotion regulation strategies contributing to resilience in patients with depression and/or anxiety disorders. Compr Psychiat. 2013;54(8):1190-1197.
  • 46. Burns N., Grove S. The practice of nursing research. Appraisal, synthesis and generation of evidence (6th ed).St. Louis. MO: Saunders Elsevier, 2009

The Relationship Between the Self-Recovery Power and the Nursing Care Perception and the Perceived Social Support of Psychiatric Patients: A Cross-Sectional Study

Yıl 2023, Cilt: 33 Sayı: 2, 128 - 135, 30.04.2023
https://doi.org/10.54005/geneltip.1194942

Öz

Objective: This research has been conducted to reveal the relationship between nursing care perceptions, self-recovery power and perceived social support on the self-recovery power of inpatients in psychiatry clinics and the factors affecting this relationship.
Materials and Methods: This cross-sectional, descriptive, and relationship-seeking study was conducted with 172 patients hospitalized in psychiatry clinics. Research data were collected using the "Patient Information Collection Form", "Patient's Perception of Nursing Care Scale", "Self-Recovery Power Scale" and "Multidimensional Scale of Perceived Social Support".
Results: It was found that there is a highly significant relationship between psychiatric patients’ ability to recover and the perceived social support and the nursing care perception (p <0.01). According to MANOVA results, gender and the number of hospitalizations were found to affect the perceived social support and the perception of nursing care, respectively (p <0.05). According to the regression coefficients, it was determined that the perception of nursing care and the perceived social support have a highly significant effect on the self-recovery power (p <0.001). According to the fit indices values of SEM results, GFI, TLI, and IFI indices are exactly 1; and AGFI, GFI, and NFI indices are greater than 0.90. RMSEA is near-zero and SRMR is considerably low.
Conclusions: As a result of the study, it was determined that the high level of nursing care perceptions and the perceived social support of patients receiving treatment in psychiatry clinics contribute positively to the ability of patients to recover.

Kaynakça

  • 1. Alzahrani AS, Alqahtani AM, Elmorsy SA, Mahdi HA, Alhazmi M, Albarakati B, Alkhiri A, Hakeem A. Prevalence of psychiatric disorders in Hajj pilgrims using MINI as a diagnostic tool. J Public Health. 2021;29:169–175. 2. Unite for sight (2020). Module 1: Introduction to Global Mental Health: Effects of Mental Health on Individuals and Populations. https://www.uniteforsight.org/mental-health/module1
  • 3. Shalev D, Fields L, Shapiro PA. End-of-Life Care in Individuals With Serious Mental Illness. Psychosomatics. 2020;61(5):428–435.
  • 4. Işık Ş. Examination of research in self-restoring force in Turkey. Turkish J Psychol Couns Guidance. 2016;6(45):65-76.
  • 5. Seligman MEP, Csikszentmihalyi M. Positive psychology: An Introduction. Am Psychol. 2000;55:5-14.
  • 6. Sheldon KM, King L. Why positive psychology is necessary. Am Psychol. 2001;56(3):216-217.
  • 7. Brown DL. African American resiliency: Examining racial socialization and social support as protective factors. J Black Psychol. 2008;34(1):32-48.
  • 8. Masten AS. Resilience in developing systems: Progress and promise as the fourth wave rises. Dev Psychopathol. 2007;19:921-930.
  • 9. Skodol AE. The resilient personality. Handbook of Adult Resilience. 2010;112-125.
  • 10. Kaplan JB, Bergman A, Christopher M, Bowen S, Hunsinger M. Role of Resilience in Mindfulness Training for First Responders. Mindfulness. 2017;8 (3):1373-1380.
  • 11. Vaingankara JA, Edimansyah A, Chong SA. Exploratory and confirmatory factor analyses of the Multidimensional Scale of Perceived Social Support in patients with schizophrenia. Compr Psychiatry. 2012;53:286-291.
  • 12. Mahmoud AS, Berma AE, Gabal SAAS. Relationship Between Social Support and the Quality of Life among Psychiatric Patients. J Psychiatry and Psychiatric Disorders. 2017;1(2),57-75.
  • 13. Kök H, Demir S. Internalized stigma, self-esteem, and perceived social support in patients with schizophrenia and bipolar disorder. Cukurova Medical Journal. 2018;43(1):99-106. https://doi.org/10.17826/cumj.340622
  • 14. Zarzycka D, Barton E, Mazur A, Turowski K. Socio-demographic and medical factors associated with patients’ satisfaction with nursing care and their perception of pain. AAEM. 2019; 26(2):298–303.
  • 15. Torgalsbøena A-K, Fu S, Czajkowskia N. Resilience trajectories to full recovery in first-episode schizophrenia. Eur Psychiatry. 2018;52:54–60.
  • 16. Rajabpour S, Rayyani M, Shahrbabaki PM. The relationship between Iranian patients’ perception of holistic care and satisfaction with nursing care. BMC Nurs. 2019;18:48.
  • 17. Jaramillo LX, Osorio SP, Salazar DA. Quality of Nursing Care: Perception of Parents of Newborns Hospitalized in Neonatal Units. Investigacion y Educ en Enferm. 2018;36(1):e08.
  • 18. Şişe Ş. Patient satisfaction with nursing services. Kocatepe Med J. 2013;14:69-75.
  • 19. Çapık C. (2014). Statistical Power Analysis and Its Use in Nursing Research: Basic Information. Anatolian J Nurs Health Sci. 2014;17(4):268-274
  • 20. Çoban İ, Kaşıkçı M. Validity and reliability study of the patient's perception of nursing care scale. Atatürk Universıty Health Scıences Institute, Master's Thesis, Erzurum, 2006
  • 21. Eker D, Arkar H, Yaldız H. The factor structure, validity, and reliability of the revised form of the multidimensional perceived social support scale. Turk J Psychiatry. 2001;12:17-25
  • 22. Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993;1:165-178.
  • 23. Terzi Ş. Adaptation of Self-Healing Power Scale: Validity and reliability studies. Turk J Psychol Couns Guidance. 2006;3(26):77-86
  • 24. Mulaik, S.A., James, L.R., Judith V.A., Nathan, B., Sherri, L., & Dean, S.C. (1989). "Evaluation of goodness-of-fit indices for structural equation models." Psychological Bulletin. 105, 3, 430.
  • 25. Şimşek Arslan B, Buldukoğlu K. The Association of Nursing Care Perceptıon With Coping Skills and Posttraumatıc Growth In Mental Disorders. J Psychiatric and Ment Health Nurs. 2018;25(4):228-235.
  • 26. Kol E, Geçkil E, Arıkan C, İlter M, Özcan Ö, Şakırgün E, Dayan Ü, Uygun G, Kılıç D, Macit M, Uslular E, Sızlı A, Çakır N, Solak D, Kavgacı A, Sabancıoğulları S, Atay S. Investigation of Nursing Care perception in Turkey. ACU J Health Sci. 2017;3:163-172.
  • 27. Cerit B. Level of Patients' Satisfaction With Nursing Care. Hacettepe Univ Faculty Nurs J. 2016;3(1):27-36.
  • 28. Alp Yılmaz F, Şentürk S, Yalçın P, Sert Başoğlu P. Determination of Levels of Perceptions of Nursing Care of Patients. Lakes Region Monthly Refereed J Econ Cult Details. 2018;5(59):61-66.
  • 29. Şendir M, Büyükyılmaz F, Yazgan İ, Bakan N, Mutlu A, Tekin F. Evaluation of Experience and Satisfaction with Nursing Care in Orthopedic and Traumatology Patients Nursing Care of Orthopedics and Traumatology Patients. J Florence Nightingale Nurs. 2012;20(1):35-42.
  • 30. Arslan S, Nazik E, Tanrıverdi D, Gürdil S Determining Patients' Satisfaction with Health Services and Nursing. TAF Prev Med Bull. 2012;11 (6):717-722.
  • 31. Ercan F, Demir S. Problems, auditory hallucinations, and perceived social support in patients diagnosed with schizophrenia. Cukurova Med J 2019; 44(1):7-17.
  • 32. Arslantaş H, Adana F, Kaya F, Turan D. Hopelessness and social support level in hospitalızed patients and the factors affecting these. J Florence Nightingale. 2010;18(2):87-97
  • 33. Sarı D, Khorsid L, Eşer İ. Investıgatıon of the relatıonship between the social support and anxiety levels perceived by patients newly hospitalized. J Ege Univ Nurs School. 2011;27(2):1-9.
  • 34. Koç M, Yıldız Çeltek N, Tel H, Tel Aydın H. Determining Loneliness and Perceived Social Support Status among Cancer Patients. 1. International Cancer Days (Full-text Paper), 2019
  • 35. Koçak DY, Kaya İG, Aslan E. Perceived Level of Social Support by Women in Climacteric Period and Affecting Factors. J Acad Res Nurs. 2017;3 (2):66-72.
  • 36. Bener A, Alsulaiman R, Doodson L, Agathangelou T. Depression, Hopelessness and Social Support Among Breast Cancer Patients: in Highly Endogamous Population. APJCP. 2017;18(7):1889-1896.
  • 37. Aldosari MA, Tavares MA, Matta-Machado ATG, Abreu MHNG. Factors associated with patients' satisfaction in Brazilian dental primary health care. PLoS One. 2017;12(11):e0187993.
  • 38. Öztürk S. The therapeutic environment perceptions of healthcare professionals and patients in psychiatry clinics. Hacettepe University Institute of Health Sciences Master Thesis, Ankara, 2018
  • 39. Berkowitz B. “The Patient Experience and Patient Satisfaction: Measurement of a Complex Dynamic” OJIN: Online J Issues Nurs. 2016;21(1). https://doi.org/10.3912/ OJIN.Vol21No01Man01
  • 40. Gloria CT, Steinhardt MA.Relationships Among Positive Emotions, Coping, Resilience and Mental Health. Stress Health. 2016;32(2):145-56.
  • 41. Corrigan PW, Phelan SM.(2004 Social support and recovery in people with serious mental illnesses. Community Ment Health J. 2004;40:513–523.
  • 42. Rüesch P, Graf J, Meyer PC, Rössler W, Hell D. Occupation, social support, and quality of life of persons with schizophrenic or affective disorders. Soc Psychiatry Psychiatr Epidemiol. 2004;39:686–694.
  • 43. Hefner J, Eisenberg D. Social support and mental health among college students. Am J Orthopsychiatry. 2009;79(4):491-499.
  • 44. Cai WP, Pan Y, Zhang SM, Wei C, Dong W, Deng GH. Relationship between cognitive emotion regulation, social support, resilience and acute stress responses in Chinese soldiers: Exploring multiple mediation model. Psychiatry Res. 2017;256:71-78.
  • 45. Min JA, Yu JJ, Lee CU, Chae JH. Cognitive emotion regulation strategies contributing to resilience in patients with depression and/or anxiety disorders. Compr Psychiat. 2013;54(8):1190-1197.
  • 46. Burns N., Grove S. The practice of nursing research. Appraisal, synthesis and generation of evidence (6th ed).St. Louis. MO: Saunders Elsevier, 2009
Toplam 45 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Nevin Günaydın 0000-0002-5382-6354

Medine Koç 0000-0001-9298-8885

Erken Görünüm Tarihi 30 Nisan 2023
Yayımlanma Tarihi 30 Nisan 2023
Gönderilme Tarihi 26 Ekim 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 33 Sayı: 2

Kaynak Göster

Vancouver Günaydın N, Koç M. The Relationship Between the Self-Recovery Power and the Nursing Care Perception and the Perceived Social Support of Psychiatric Patients: A Cross-Sectional Study. Genel Tıp Derg. 2023;33(2):128-35.