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Kronik Hastalıklarda Hastalık Algısı, Yaşam Kalitesi, Öz-Bakım Yönetimi

Yıl 2018, Cilt: 7 Sayı: 3, 33 - 40, 30.09.2018

Öz

Uzun süreli ve yavaş ilerleyen kronik hastalıklar
sağlık hizmetlerinde yükselen bir sorundur ve bir veya daha fazla kronik
hastalığı olan bireylerin sayısı her geçen gün artmaktadır. Bu kesitsel
çalışma, kronik hastalığı olan bireylerde hastalık algısı, öz bakım yönetimi ve
yaşam kalitesi arasındaki ilişkiyi saptamak amacıyla yapıldı. Çalışmanın
örneklemini iç hastalıkları ve cerrahi kliniklerinde yatan, en az bir kronik
hastalığı olan ve çalışmaya katılmayı kabul eden 127 hasta oluşturdu. Veriler
kişisel bilgi formu, hastalık algısı anketi (IPQ), kronik hastalıklarda öz
bakım yönetimi ölçeği (SCMP-G Anketi) ve yaşam kalitesi anketinin EQ-5D-5L
genel kalitesi ile toplanmıştır. 
İstatistiksel analiz sonucunda, öz bakım
yönetimi ölçeğinin kendi kendini koruyan alt ölçeği puanlarının kadınlarda
erkeklerden anlamlı düzeyde daha yüksek olduğu görülmüştür. Solunum sistemi
hastalığı olan hastaların öz bakım yönetimi, diyabetik hastalardan anlamlı
derecede yüksekti. Bu çalışmanın sonucunda, kadın hastaların erkek hastalara
göre daha iyi öz bakım yönetimine sahip oldukları görülmüştür. Ancak,
erkeklerin kadınlardan daha iyi bir yaşam kalitesine sahip oldukları
bulunmuştur. Solunum hastalığı olan hastalar, diyabetik hastalardan daha iyi
bir öz bakım yönetimine sahipti.

Kaynakça

  • 1. Mathers CD, Loncar D. (2006). Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med, 3, e442
  • İncirkuş K, Nahcivan NÖ. (2011). Kronik hastalık bakımını değerlendirme ölçeği-hasta formu’nun Türkçe versiyonunun geçerlik ve güvenirliği. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 4 (1), 102-109.
  • World Health Organization . Global Status Report on Noncommunicable Diseases 2014. Erişim: 11.12.2017, http://apps.who.int/iris/bitstream/10665/148114/1/9789241564854_eng.pdf?ua=1
  • Erkoç Y, Yardım N. (2011). Türkiye’de Bulaşıcı Olmayan Hastalıklar ve Risk Faktörleri ile Mücadele Politikaları T.C. Sağlık Bakanlığı Yayınları, Anıl Matbaası, 50-119.
  • World Health Organization [WHO]. Preventing chronic diseases: A vital investment: WHO Global Report. Geneva, 2005.
  • Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. (2002). Self-management approaches for people with chronic conditions: a review. Patient Educ Couns, 48, 177–187.
  • Glasgow R, David C, Funnell M, Beck A. (2003). Implementing practical interventions to support chronic illness self-management. Joint Comm J Qual Safety, 29,563-574.
  • Redman B. (2005). The ethics of self-management preparation for chronic illness. Nursing Ethics, 12, 360-369.
  • Jerant AF, Friederichs-Fitzwater MMV, Moore M. (2005). Patients’ perceived barriers to active self-management of chronic conditions. Patient Education and Counseling, 57, 300-307.
  • Hançerlioğlu S. Kronik Hastalıklarda Öz-Bakım Yönetimi Ölçeği Ve Uyum Soru Formu’nun Türkçe’ye Uyarlanması, Geçerlik Ve Güvenirliği (Adapting Self-Care Management Questionnaire And Compliance Questionnaire In Chronic Diseases To Turkish, Validity And Reliability). Ege University Institute of Health Sciences. Unpublished masters thesis.2014
  • Jansen D, Grootendorst D, Rijken M, et al. (2010). Predialysis patients’ perceives autonomy, self-esteem and labour participation: associations with illness perceptions and treatment perceptions. A crosssectional study. BMC Nephrol, 11.
  • Kaptein A, Hughes B, Scharloo M, et al. (2008). Illness perceptions about asthma are determinants of outcome. J Asthma, 45, 459-464.
  • Botha-Scheepers S, Riyazi N, Kroon HM, et al. (2006). Activity limitations in the lower extremities in patients with osteoarthritis: the modifying effects of illness perceptions and mental health. Osteoarthritis Cartilage, 14(11), 1104-10.
  • Scharloo M, Kaptein AA, Weinman J, et al. (2000). Patients‘ illness perceptions and coping as predictors of functional status in psoriasis: a 1-year follow-up. Br J Dermatol, 142, 899–907.
  • Scharloo M, Kaptein AA, Weinman JA, et al. (1999). Predicting functional status in patients with rheumatoid arthritis. J Rheumatol, 26, 1686–1693.
  • Petrie KJ, Weinman J. (2006). Why illness perceptions matter. Clin Med, 6, 536–539.
  • Donkin L, Ellis C J, Powell R, et al. (2006). Illness perceptions predict reassurance following negative exercise testing result. Psychol Health, 21, 421–430.
  • Weinman J, Petrie KJ, Moss-Morris R, Horne R. (1996). The Illness Perception Questionnaire: A new method for assessing the cognitive representation of illness. Psychol Health, 11, 431-445.
  • Moss-Morris R, Weinman J, Petrie KJ, Horne R, Cameron LD, Buick L. (2002). The revised illness perception questionnaire (IPQ-R). Psychol Health, 17, 1-16.
  • Kocaman N, Özkan M, Armay Z, Özkan S. (2007). Hastalık Algısı Ölçeğinin Türkçe uyarlamasının geçerlilik ve güvenilirlik çalışması. Anatolian Journal of Psychiatry, 8, 271-280.
  • Jones LC. (2001). Measuring guarding as a self-care management process in chronic illness: The SCMP-G. Strickland OL, Dilorio C. Editorial. Measurement of nursing outcomes. New York:Springer Publishing Company, 150-158
  • EuroQol (2013). EQ-5D-5L scale. http://www.euroqol.org/home.html (12.05.2013).
  • Balcık PY. Türkiye’de İleri Evre Küçük Hücreli Dışı Akciğer Kanserinde Pemetrexed Ve Gemcitabine Tedavilerinin Maliyet Etkililik Analizi (Cost-Effectiveness Analysis of Advanced Stage Non-Small Cell Lung Cancer Treatment Gemcitabine and pemetrexed in Turkey). Hacettepe University Institute of Social Sciences, Department of Health Management, Unpublished Doctoral Thesis. 2013.
  • Herdman M, Gudex C, Lloyd A, Janssen MF, Kind P, Parkin D, Bonsel G, Badia X. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res, 20, 1727–1736.
  • Euroqol - A New Facility For The Measurement Of Health-Related Quality Of Life. Health Policy 1990; 3(16):199–208.
  • Schoen C, et al. (2010). How Health Insurance Design Affects Access to Care and Costs, by Income, in Eleven Countries. Health Aff, 29, 2323-34.
  • Alwan A. World Health Organization (2011) Global status report on noncommunicable diseases 2010.
  • Jovicic A, Holroyd-Leduc JM, Straus SE. (2006). Effects of self-management intervention on health outcomes of patients with heart failure: a systematic review of randomized controlled trials. BMC Cardiovasc Disord, 6, 43.
  • Effing T, Monninkhof EM, van der Valk PDLPM, van der Palen J, van Herwaarden CL, Partidge MR, et al. (2007). Self-management education for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev, CD002990.
  • Deakin T, McShane CE, Cade JE, Williams RD. (2005). Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev, CD003417.
  • van Houtum L, Rijken M, Heijmans M, Groenewegen P. (2015). Patient-Perceived Self-Management Tasks and Support Needs of People with Chronic Illness: Generic or Disease Specific? Ann Behav Med, 49, 221–229.
  • Cameron J, Worrall-Carter L, Riegel B, Lo SK, Stewart S. (2009). Testing a model of patient characteristics, psychologic status, and cognitive function as predictors of self-care in persons with chronic heart failure. Heart Lung, 38, 410–418.
  • Bos-Touwen I, Schuurmans M, Monninkhof EM, Korpershoek Y, Spruit-Bentvelzen L, Ertugrul-van der Graaf I, et al. (2015). Patient and Disease Characteristics Associated with Activation for Self-Management in Patients with Diabetes, Chronic Obstructive Pulmonary Disease, Chronic Heart Failure and Chronic Renal Disease: A Cross-Sectional Survey Study. PLoS ONE, 10(5), e0126400.
  • Davies L, Wilkinson M, Bonner S, et al. (2000). "Hospital at home" versus hospital care in patients with exacerbations of chronic obstructive pulmonary disease: prospective randomized controlled trial. BMJ journal, 321, 1265–1268.
  • Connelly CE. (1993). An empirical study of a model of self-care in chronic illness. Clin Nurse Spec, 7, 247–253.
  • Telatar TG, Özcebe H. (2004). Yaşlı nüfus ve yaşam kalitelerinin yükseltilmesi. Turkish Journal of Geriatrics, 7, 162-5.
  • Thommasen HV, Zhang W. (2006). Impact of chronic disease on quality of life in Bella Coola Valley. Rural Remote Health, 6, 1-18.

Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness

Yıl 2018, Cilt: 7 Sayı: 3, 33 - 40, 30.09.2018

Öz

Chronic illnesses with prolonged and slow progression are a rising problem in health care and the number of individuals with one or more chronic illnesses is increasing day by day. This cross-sectional study was conducted to determine the relationship between the perception of disease, self-care management, and quality of life in individuals with chronic illness. The sample of the study consisted of 127 patients who were hospitalized in Internal Medicine and Surgical clinics, had at least one chronic illness and agreed to participate in the study. The data were collected with personal information form, illness perception questionnaire (IPQ), self-care management scale in chronic illnesses (SCMP-G Questionnaire), and EQ-5D-5L general quality of life questionnaire. As a result of the statistical analysis, scores of the self-guarding subscale of self-care management scale were seen to be significantly higher in women than men. Self-care management of the patients with respiratory disease was significantly higher than diabetic patients. As a result of the present study, it was observed that the female patients had better selfcare management compared to the male patients. However, the men were found to have a better quality of life than the women. Patients with respiratory disease had a better self-care management than diabetic patients. 

Kaynakça

  • 1. Mathers CD, Loncar D. (2006). Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med, 3, e442
  • İncirkuş K, Nahcivan NÖ. (2011). Kronik hastalık bakımını değerlendirme ölçeği-hasta formu’nun Türkçe versiyonunun geçerlik ve güvenirliği. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 4 (1), 102-109.
  • World Health Organization . Global Status Report on Noncommunicable Diseases 2014. Erişim: 11.12.2017, http://apps.who.int/iris/bitstream/10665/148114/1/9789241564854_eng.pdf?ua=1
  • Erkoç Y, Yardım N. (2011). Türkiye’de Bulaşıcı Olmayan Hastalıklar ve Risk Faktörleri ile Mücadele Politikaları T.C. Sağlık Bakanlığı Yayınları, Anıl Matbaası, 50-119.
  • World Health Organization [WHO]. Preventing chronic diseases: A vital investment: WHO Global Report. Geneva, 2005.
  • Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. (2002). Self-management approaches for people with chronic conditions: a review. Patient Educ Couns, 48, 177–187.
  • Glasgow R, David C, Funnell M, Beck A. (2003). Implementing practical interventions to support chronic illness self-management. Joint Comm J Qual Safety, 29,563-574.
  • Redman B. (2005). The ethics of self-management preparation for chronic illness. Nursing Ethics, 12, 360-369.
  • Jerant AF, Friederichs-Fitzwater MMV, Moore M. (2005). Patients’ perceived barriers to active self-management of chronic conditions. Patient Education and Counseling, 57, 300-307.
  • Hançerlioğlu S. Kronik Hastalıklarda Öz-Bakım Yönetimi Ölçeği Ve Uyum Soru Formu’nun Türkçe’ye Uyarlanması, Geçerlik Ve Güvenirliği (Adapting Self-Care Management Questionnaire And Compliance Questionnaire In Chronic Diseases To Turkish, Validity And Reliability). Ege University Institute of Health Sciences. Unpublished masters thesis.2014
  • Jansen D, Grootendorst D, Rijken M, et al. (2010). Predialysis patients’ perceives autonomy, self-esteem and labour participation: associations with illness perceptions and treatment perceptions. A crosssectional study. BMC Nephrol, 11.
  • Kaptein A, Hughes B, Scharloo M, et al. (2008). Illness perceptions about asthma are determinants of outcome. J Asthma, 45, 459-464.
  • Botha-Scheepers S, Riyazi N, Kroon HM, et al. (2006). Activity limitations in the lower extremities in patients with osteoarthritis: the modifying effects of illness perceptions and mental health. Osteoarthritis Cartilage, 14(11), 1104-10.
  • Scharloo M, Kaptein AA, Weinman J, et al. (2000). Patients‘ illness perceptions and coping as predictors of functional status in psoriasis: a 1-year follow-up. Br J Dermatol, 142, 899–907.
  • Scharloo M, Kaptein AA, Weinman JA, et al. (1999). Predicting functional status in patients with rheumatoid arthritis. J Rheumatol, 26, 1686–1693.
  • Petrie KJ, Weinman J. (2006). Why illness perceptions matter. Clin Med, 6, 536–539.
  • Donkin L, Ellis C J, Powell R, et al. (2006). Illness perceptions predict reassurance following negative exercise testing result. Psychol Health, 21, 421–430.
  • Weinman J, Petrie KJ, Moss-Morris R, Horne R. (1996). The Illness Perception Questionnaire: A new method for assessing the cognitive representation of illness. Psychol Health, 11, 431-445.
  • Moss-Morris R, Weinman J, Petrie KJ, Horne R, Cameron LD, Buick L. (2002). The revised illness perception questionnaire (IPQ-R). Psychol Health, 17, 1-16.
  • Kocaman N, Özkan M, Armay Z, Özkan S. (2007). Hastalık Algısı Ölçeğinin Türkçe uyarlamasının geçerlilik ve güvenilirlik çalışması. Anatolian Journal of Psychiatry, 8, 271-280.
  • Jones LC. (2001). Measuring guarding as a self-care management process in chronic illness: The SCMP-G. Strickland OL, Dilorio C. Editorial. Measurement of nursing outcomes. New York:Springer Publishing Company, 150-158
  • EuroQol (2013). EQ-5D-5L scale. http://www.euroqol.org/home.html (12.05.2013).
  • Balcık PY. Türkiye’de İleri Evre Küçük Hücreli Dışı Akciğer Kanserinde Pemetrexed Ve Gemcitabine Tedavilerinin Maliyet Etkililik Analizi (Cost-Effectiveness Analysis of Advanced Stage Non-Small Cell Lung Cancer Treatment Gemcitabine and pemetrexed in Turkey). Hacettepe University Institute of Social Sciences, Department of Health Management, Unpublished Doctoral Thesis. 2013.
  • Herdman M, Gudex C, Lloyd A, Janssen MF, Kind P, Parkin D, Bonsel G, Badia X. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res, 20, 1727–1736.
  • Euroqol - A New Facility For The Measurement Of Health-Related Quality Of Life. Health Policy 1990; 3(16):199–208.
  • Schoen C, et al. (2010). How Health Insurance Design Affects Access to Care and Costs, by Income, in Eleven Countries. Health Aff, 29, 2323-34.
  • Alwan A. World Health Organization (2011) Global status report on noncommunicable diseases 2010.
  • Jovicic A, Holroyd-Leduc JM, Straus SE. (2006). Effects of self-management intervention on health outcomes of patients with heart failure: a systematic review of randomized controlled trials. BMC Cardiovasc Disord, 6, 43.
  • Effing T, Monninkhof EM, van der Valk PDLPM, van der Palen J, van Herwaarden CL, Partidge MR, et al. (2007). Self-management education for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev, CD002990.
  • Deakin T, McShane CE, Cade JE, Williams RD. (2005). Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev, CD003417.
  • van Houtum L, Rijken M, Heijmans M, Groenewegen P. (2015). Patient-Perceived Self-Management Tasks and Support Needs of People with Chronic Illness: Generic or Disease Specific? Ann Behav Med, 49, 221–229.
  • Cameron J, Worrall-Carter L, Riegel B, Lo SK, Stewart S. (2009). Testing a model of patient characteristics, psychologic status, and cognitive function as predictors of self-care in persons with chronic heart failure. Heart Lung, 38, 410–418.
  • Bos-Touwen I, Schuurmans M, Monninkhof EM, Korpershoek Y, Spruit-Bentvelzen L, Ertugrul-van der Graaf I, et al. (2015). Patient and Disease Characteristics Associated with Activation for Self-Management in Patients with Diabetes, Chronic Obstructive Pulmonary Disease, Chronic Heart Failure and Chronic Renal Disease: A Cross-Sectional Survey Study. PLoS ONE, 10(5), e0126400.
  • Davies L, Wilkinson M, Bonner S, et al. (2000). "Hospital at home" versus hospital care in patients with exacerbations of chronic obstructive pulmonary disease: prospective randomized controlled trial. BMJ journal, 321, 1265–1268.
  • Connelly CE. (1993). An empirical study of a model of self-care in chronic illness. Clin Nurse Spec, 7, 247–253.
  • Telatar TG, Özcebe H. (2004). Yaşlı nüfus ve yaşam kalitelerinin yükseltilmesi. Turkish Journal of Geriatrics, 7, 162-5.
  • Thommasen HV, Zhang W. (2006). Impact of chronic disease on quality of life in Bella Coola Valley. Rural Remote Health, 6, 1-18.
Toplam 37 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Melike Demir Doğan 0000-0001-7051-2202

Esen Tosun Bu kişi benim 0000-0001-7051-2202

Ahmet Duran Tek Bu kişi benim 0000-0001-7051-2202

Yayımlanma Tarihi 30 Eylül 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 7 Sayı: 3

Kaynak Göster

APA Demir Doğan, M., Tosun, E., & Tek, A. D. (2018). Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 7(3), 33-40.
AMA Demir Doğan M, Tosun E, Tek AD. Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness. Gümüşhane Sağlık Bilimleri Dergisi. Eylül 2018;7(3):33-40.
Chicago Demir Doğan, Melike, Esen Tosun, ve Ahmet Duran Tek. “Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 7, sy. 3 (Eylül 2018): 33-40.
EndNote Demir Doğan M, Tosun E, Tek AD (01 Eylül 2018) Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 7 3 33–40.
IEEE M. Demir Doğan, E. Tosun, ve A. D. Tek, “Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness”, Gümüşhane Sağlık Bilimleri Dergisi, c. 7, sy. 3, ss. 33–40, 2018.
ISNAD Demir Doğan, Melike vd. “Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 7/3 (Eylül 2018), 33-40.
JAMA Demir Doğan M, Tosun E, Tek AD. Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness. Gümüşhane Sağlık Bilimleri Dergisi. 2018;7:33–40.
MLA Demir Doğan, Melike vd. “Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 7, sy. 3, 2018, ss. 33-40.
Vancouver Demir Doğan M, Tosun E, Tek AD. Perception Of Disease, Quality Of Life, Self-Care Management In Chronic Illness. Gümüşhane Sağlık Bilimleri Dergisi. 2018;7(3):33-40.