Zonguldak'ta Yaşayan Romanların Sağlıkla İlişkili Yaşam Kalitesi ve Kronik Hastalık Durumu

Yıl 2018, Cilt: 5 Sayı: 2, 210 - 216, 10.06.2018

Zeynep Erdogan , Mehmet Ali Kurcer , Meltem Kurtuncu , Hicran Yıldız

https://doi.org/10.17681/hsp.374898

Öz

Amaç:Romanlar genel popülasyona kıyasla kronik
hastalık gibi sağlık sorunları, engellilik, iş ve günlük faaliyetlerle ilgili
sınırlamalar ile karşı karşıyadırlar. Bu çalışma Romanların kronik hastalık
durumlarını ve sağlıkla ilişkili yaşam kalitesini (HQOL) etkileyen
sosyodemografik özelliklerini incelemek amacıyla planlanmıştır.Gereç ve Yöntem: Kesitsel tipteki bu çalışma 1 Şubat-30 Nisan
2015 tarihleri arasında Zonguldak ilinde Karaelmas Aile Sağlığı Merkezi’ne
başvuran 317 Roman üzerinde yapılmıştır. 18 yaş ve üstü olan, iletişim engeli
olmayan ve çalışmaya katılmaya istekli Romanlar araştırmaya dahil edilmiştir.
Veriler araştırmacılar tarafından
hazırlanan, sosyodemografik özellikleri ve hastalık varlığını sorgulayan 11
maddeden oluşan anket formu ve SF-36 yaşam kalitesi ölçeği ile toplanmıştır. Bulgular ve Sonuç: Romanlarda en yaygın görülen kronik
hastalık hipertansiyondur. Yanı sıra % 19,4’ünde eşlik eden kronik bir hastalık
vardır. Kronik hastalığı olanların yaşam kalitesinin
daha düşük olduğu, sosyodemografik özelliklerinden yaş, eğitim, ekonomik ve
çalışma durumunun yaşam kalitesini etkilediği bulunmuştur(p<0.05).Yaşam
kalitesinin en düşük puanı canlılık, en yüksek puanı sosyal fonksiyon
alanındandır. Yaşam kalitesi değerlendirilmesinde kronik hastalık durumunun ön
planda tutulması, ancak sosyodemografik özelliklerden gelir ve öğrenim
durumunun da göz ardı edilmemesi, Romanların yaşam kalitesini etkileyen
faktörler hakkında düzenli eğitimler yapılması önerilebilir

Anahtar Kelimeler

Romanlar, Sağlıkla İlişkili Yaşam Kalitesi, Kronik Hastalık

Health-Related Quality of Life and Chronic Disease Status of Roman People in Zonguldak

Öz

Objective: Roman People are faced with health problems such
as chronic disease, disabilities and limitations with work and daily
activities, compared to general population. This study was planned to examine
chronic disease and sociodemographic characteristics affecting their
health-related quality of life (HQOL) status of Roman People. Materials and Methods: Cross-sectional typed this study was carried out with 317 Roman People who selected randomly
in Karaelmas Family Health Center in Zonguldak city between February 1-April
30, 2015. There are many Roman people living in the Karaelmas region. They were
18 years old and above, who had no communication problems and who were willing
to participate were included in the study. Data were collected with a questionnaire
which was prepared by the researchers and including 11 items questioning
sociodemographics and the presence of any disease, and SF-36
health-related quality of life (SF-36 HQOL questionnaire. Data were
evaluated by SPSS 20.0 program. Means, standard deviations, percentages, Mann
Whitney U and Kruskal Wallis tests, Spearman correlation tests were used for
the evaluation of data. Results and Conclusion: The most common chronic
disease in Roman People is hypertension (23.9%). Besides,
there was an additional disease (comorbidity) in 19.4% of the Roman People.  It was found that HQOL was lower in the ones having
a chronic disease and sociodemographic characteristics as age, education,
and employment status significantly affected health-related quality of life.
Quality of scores of the individuals whose education level was high and who
were employed were found to be significantly high. A negative and significantly
high relationship was found between age and HQOL. The lowest score was from vitality and the highest
score was from social function domains. Keeping chronic disease status in the
forefront but not ruling out income and educational status might be recommended
for the evaluation of HQOL and it is suggested to organize trainings about the
factors affecting of HQOL of the Roman People.

Anahtar Kelimeler

Romani people, health-related quality of life, chronic disease, nursing

Kaynakça

• 1. Skodova Z, Van Dijk JP, Nagyova I, Rosenberger J, Ondusova D, Studencan M, et al. Psychosocial factors of coronary heart disease and quality of life among Roma coronary patients: a study matched by socioeconomic position. Int J Public Health. 2010;55: 373-80. 2.Parekh N, Rose T. Health inequalities of the Roma in Europe: A literature review. Cent Eur J Public Health 2011;19:139–142. 3. Francis G. Developing the cultural competence of health professionals working with gypsy travellers. Journal of Psychological Issues in Organizational Culture 2013; 3:64-77.