İnmeli Hastalarda Öz Etkililik ve Yaşam Kalitesinin Değerlendirilmesi

Öz

Özet Giriş: Öz etkililik ve yaşam kalitesi birbirini olumlu yönde etkilemektedir.. Bununla birlikte, inme geçirmiş olan bireylerde öz-etkililik ve yaşam kalitesi seviyesinin hasta iyileşme sürecine etkisi belirsizdir. Yöntem: Araştırmanın evrenini, Mart-Kasım 2016 tarihleri arasında akut inme merkezinde ayakta tedavi gören inme hastaları oluşturmuştur. Çalışma deney ve kontrol toplam 72 hasta ile yapılmıştır. Deney grubundaki hastalara eğitim kitapçığı ve 3 aylık takip girişimi uygulanmıştır. Çalışmanın verileri Anket Formu, İnmeli Hastalar İçin Yaşam Kalitesi Ölçeği, SSEQ ve Aylık Takip Formu kullanılarak toplanmıştır. Bulgular: Eğitim kitapçığı ve aylık izlem uygulanan deney grubundaki hastalarda öz yeterlik ve yaşam kalitesi puanlarının daha yüksek olduğu belirlendi. Deney grubunda, SSEQ ve SS-QOL'den alınan toplam puanlar arasındaki korelasyona bakıldığında, ilk görüşmeye kıyasla ikinci görüşmede artış olduğu görüldü. Öz-yeterlik, hareketlilik, üst ekstremite işlevi ve öz bakım alanları ile pozitif, dil alanı ile negatif korelasyon gösterdi. Sonuç: Sonuç olarak inmeli hastalarda eğitim ve aylık takibin, öz-yeterlilik ve yaşam kalitesi üzerinde olumlu etkisi olduğu belirlendi.

Anahtar Kelimeler

• hasta eğitimi
• hemşire müdahalesi
• inme
• öz etkililik
• yaşam kalitesi

Evaluation of Self Efficacy and Quality of Life of Stroke Patients

Öz

Backgrounds: The study was designed as a methodological and randomized controlled experimental study to analyze self-efficacy and quality of life of stroke patients. Methods: The population of the study included stroke patients who received outpatient care at an acute stroke center between March –November, 2016. The study was performed with 72 patients. The patients in the experimental group received educational booklet and were included in a 3-month follow-up. The data for the study were collect using a Questionnaire Form, Quality of Life Scale for Stroke Patients, SSEQ and Monthly Follow-up Form. Results: It was determined that the experimental group given the educational booklet and monthly follow-up had higher scores in both self-efficacy and quality of life than the patients in control group. In the experimental group, the analysis between total scores from SSEQ and SS-QOL demonstrated increased correlation coefficient for the second visit compared with the first visit. Self-efficacy was positively correlated with the mobility, upper extremity function and self-care domains, and was negatively correlated with the language domain. Conclusion: As a result, it was determined that education and follow-up in stroke patients are effective and has positive impact on self-efficacy and quality of life.

Anahtar Kelimeler

• nursing intervention
• quality of life
• patient education
• self-efficacy
• stroke

Kaynakça

1. Bandura, A. (1982). Self-efficacy mechanism in human agency. American psychologist, 37(2), 122.
2. Benjamin, E. J., Blaha, M. J., Chiuve, S. E., Cushman, M., Das, S. R., Deo, R., . . . Gillespie, C. (2017). American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics-2017 update: a report from the American Heart Association. Circulation, 135(10), e146-e603.
3. Cacchione, P. (2007). Nursing care of older adults with age related vision loss. In H. SC (Ed.), Vision Loss in Older Adults: Nursing Assessment and Care Management (pp. 131-145). New York: Springer Publishing Company.
4. Denny, M. C., Vahidy, F., Vu, K. Y., Sharrief, A. Z., & Savitz, S. I. (2017). Video-based educational intervention associated with improved stroke literacy, self-efficacy, and patient satisfaction. PloS one, 12(3), e0171952.
5. Glize, B., Villain, M., Richert, L., Vellay, M., Mazaux, J., Dehail, P., . . . Joseph, P. (2017). Language features in the acute phase of poststroke severe aphasia could predict the outcome. European journal of physical and rehabilitation medicine, 53(2), 249-255.
6. Hafsteinsdóttir, T. B., Vergunst, M., Lindeman, E., & Schuurmans, M. (2011). Educational needs of patients with a stroke and their caregivers: a systematic review of the literature. Patient education and counseling, 85(1), 14-25.
7. Harvey, R. L., Macko, R. F., Stein, J., Winstein, C. J., & Zorowitz, R. D. (2008). Stroke recovery and rehabilitation: Demos Medical Publishing.
8. Jones, F., Partridge, C., & Reid, F. (2008). The Stroke Self‐Efficacy Questionnaire: measuring individual confidence in functional performance after stroke. Journal of clinical nursing, 17(7b), 244-252.

9. Jones, F., & Riazi, A. (2011). Self-efficacy and self-management after stroke: a systematic review. Disability and rehabilitation, 33(10), 797-810.
10. Kang, J. (2006). Effects of constraint-induced movement using self-efficacy enhancing strategies on the upper extremity function of chronic hemiplegic patients. Journal of Korean Academy of Nursing, 36(2), 403-414.
11. Kapucu, S., Türkan, S., & Fesci, H. (2009). Yatağa bağımlı inmeli hastalara bakım veren hasta yakınlarının yaşadıkları güçlükler. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 16(3), 017-031.
12. Kendall, E., Catalano, T., Kuipers, P., Posner, N., Buys, N., & Charker, J. (2007). Recovery following stroke: the role of self-management education. Social Science & Medicine, 64(3), 735-746.
13. Kirkevold, M. (2010). The role of nursing in the rehabilitation of stroke survivors: an extended theoretical account. Advances in Nursing Science, 33(1), E27-E40.
14. Korpershoek, C., van der Bijl, J., & Hafsteinsdóttir, T. B. (2011). Self‐efficacy and its influence on recovery of patients with stroke: a systematic review. Journal of Advanced Nursing, 67(9), 1876-1894.
15. Langhorne, P., Bernhardt, J., & Kwakkel, G. (2011). Stroke rehabilitation. The Lancet, 377(9778), 1693-1702. https://doi.org/10.1016/S0140-6736.
16. Lev, E. L., Daley, K. M., Conner, N. E., Reith, M., Fernandez, C., & Owen, S. V. (2001). An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patients. Research and Theory for Nursing Practice, 15(3), 277-294. Lii, Y. C., Tsay, S. L., & Wang, T. J. (2007). Group intervention to improve quality of life in haemodialysis patients. Journal of clinical nursing, 16(11c), 268-275.
17. Mauk, K. L. (2012). Rehabilitation nursing: A contemporary approach to practice: Jones & Bartlett Learning.
18. Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., . . . Fullerton, H. J. (2015). Heart disease and stroke statistics—2016 update: a report from the American Heart Association. Circulation, CIR. 0000000000000350.
19. Nir, Z., Zolotogorsky, Z., & Sugarman, H. (2004). Structured nursing intervention versus routine rehabilitation after stroke. American journal of physical medicine & rehabilitation, 83(7), 522-529.
20. Orem, D. E., Taylor, S. G., & Renpenning, K. M. (1995). Nursing: Concepts of practice.
21. Robinson-Smith, G., Johnston, M. V., & Allen, J. (2000). Self-care self-efficacy, quality of life, and depression after stroke. Archives of physical medicine and rehabilitation, 81(4), 460-464.
22. Robinson‐Smith, G., & Pizzi, E. R. (2003). Maximizing stroke recovery using patient self‐care self‐efficacy. Rehabilitation Nursing, 28(2), 48-51.
23. Roy, C., & Andrews, H. A. (1999). The Roy adaptation model (Vol. 2): Appleton & Lange Stamford, CT.
24. Topçu, S., & Oğuz, S. (2017). Self-efficacy and quality of life after stroke İnme sonrası öz etkililik ve yaşam kalitesi. Journal of Human Sciences, 14(2), 1388-1396.
25. Topçu, S., & Oğuz, S. (2018). Translation and validation study for the stroke self‐efficacy questionnaire in stroke survivors. International journal of nursing practice, e12646.
26. Wang, L., Chen, C. M., Liao, W. C., & Hsiao, C. Y. (2013). Evaluating a community‐based stroke nursing education and rehabilitation programme for patients with mild stroke. International journal of nursing practice, 19(3), 249-256.
27. Westergren, A., Hallberg, I. R., & Ohlsson, O. (1999). Nursing assessment of dysphagia among patients with stroke. Scandinavian journal of caring sciences, 13(4), 274-282.
28. Williams, L. S., Weinberger, M., Harris, L. E., Clark, D. O., & Biller, J. (1999). Development of a stroke-specific quality of life scale. Stroke, 30(7), 1362-1369.