Araştırma Makalesi
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KARACİĞER NAKLİ OLAN BİREYLERİN ANKSİYETE, DEPRESYON VE PSİKOLOJİK DAYANIKLILIKLARI ARASINDAKİ İLİŞKİ

Yıl 2021, Cilt: 9 Sayı: 2, 554 - 565, 25.06.2021
https://doi.org/10.33715/inonusaglik.834318

Öz

Karaciğer nakli hastalarında anksiyete, depresyon ve psikolojik dayanıklılık arasındaki ilişki hakkında hiçbir bilgi bulunmadığından bu konu daha fazla netlik kazanmalıdır. Bu nedenle, bu araştırma karaciğer nakli hastalarındaki anksiyete, depresyon ve psikolojik dayanıklılık arasındaki ilişkiyi belirlemek amacıyla yapıldı. Bu araştırma, Ekim 2020-Aralık 2020 tarihleri arasında karaciğer nakli hastalarıyla (N = 110) ilişkisel tanımlayıcı olarak yürütüldü. Veri toplama araçları "Tanıtıcı Özellikler Formu", "Hastane Anksiyete ve Depresyon Ölçeği" ve "Kısa Psikolojik Sağlamlık Ölçeği" olarak belirlendi. Veriler, tanımlayıcı istatistikler, korelasyon ve lojistik regresyon analizi kullanılarak analiz edildi. Katılımcıların ortalama anksiyete ve depresyon puanları sırasıyla 9.14±4.83 ve 8.94±5.69 idi. Hastaların %37.3'ünün anksiyete, %53.6'sının depresyon riski taşıdığı belirlendi. Hastaların ortalama psikolojik dayanıklılık puanı 16.41 ± 6.66 idi. Hastalardan alınan anksiyete ve depresyon puanları arasında pozitif yönde anlamlı bir ilişki belirlenirken, hem anksiyete hem de depresyon puanları ile psikolojik dayanıklılık puanları arasında istatistiksel olarak anlamlı negatif bir ilişki tespit edildi (p <0.01). Depresyon ve psikolojik dayanıklılık, kaygının %52'sini açıklamaktadır (p= 0.39). Anksiyete ve psikolojik dayanıklılık depresyonun %55'ini açıklamaktadır (p = 0.17). Bu araştırmada, karaciğer nakli hastalarının önemli bir kısmının anksiyete ve depresyon riski altında olduğu ve orta düzeyde psikolojik dayanıklılığa sahip olduğu ortaya çıkmıştır. Psikolojik dayanıklılıkları arttıkça bireylerin anksiyete ve depresyon yaşama risklerinin de azaldığı tespit edilmiştir.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Araştırmacılar, bu çalışmaya katkıları ve işbirlikleri için katılımcılara teşekkür eder.

Kaynakça

  • Annema, C., Roodbol, P. F., Stewart, R. E., Porte, R. J. ve Ranchor, A. V. (2015). Prevalence of psychological problems and associated transplant-related variables at different time periods after liver transplantation. Liver Transplantation, 21(4), 524-538.
  • Aydemir, Ö., Güvenilir, T., Küey, L. ve Kültür, S. (1997). Hastane anksiyete ve depresyon olcegi Turkce formunun gecerlilik ve guvenilirligi. Türk Psikiyatri Dergisi, 8(4), 280-287.
  • Baghernezhad, M., Mani, A., Ayoobzadehshirazi, A., Roozbeh, J., Zare, M., Nikeghbalian, S., …Bazargan-Hejazi, S. (2018). Psychologic Evaluation in Liver Transplantation: Assessment of Psychologic Profile of End-Stage Liver Disease Patients Before and After Transplant. Experimental and clinical transplantation: official journal of the Middle East Society for Organ Transplantation. doi:10.6002/ect.2017.0135
  • Bonanno, G. A. ve Mancini, A. D. (2008). The Human Capacity to Thrive in the Face of Potential Trauma. Pediatrics, 121(2), 369-375.
  • Chen, P.-X., Yan, L.-N. ve Wang, W.-T. (2012). Health-related quality of life of 256 recipients after liver transplantation. World journal of gastroenterology, 18(36), 5114-5121.
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences: Routledge.
  • Corbett, C., Armstrong, M. J., Parker, R., Webb, K., Neuberger, J. M. (2013). Mental Health Disorders and Solid-Organ Transplant Recipients. Transplantation, 96(7), 593-600.
  • Corruble, E., Barry, C., Varescon, I., Falissard, B., Castaing, D., Samuel, D. (2011). Depressive symptoms predict long-term mortality after liver transplantation. Journal of Psychosomatic Research, 71(1), 32-37.
  • Dane, E. ve Olgun, N. (2016). Hemodiyaliz hastalarının psikolojik dayanıklılık durumları ve etkileyen faktörlerin değerlendirilmesi. Nefroloji Hemşireliği Dergisi, 11(1), 43-54.
  • Dar, W. A., Sullivan, E., Bynon, J. S., Eltzschig, H., Ju, C. (2019). Ischaemia reperfusion injury in liver transplantation: Cellular and molecular mechanisms. Liver International, 39(5), 788-801.
  • Doğan, T. (2015). Kısa psikolojik sağlamlık ölçeği’nin Türkçe uyarlaması: Geçerlik ve güvenirlik çalışması. The Journal of Happiness & Well-Being, 3(1), 93-102.
  • Faul, F., Erdfelder, E., Buchner, A., Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.
  • Fernandez, A. C., Fehon, D. C., Treloar, H., Ng, R., Sledge, W. H. (2015). Resilience in Organ Transplantation: An Application of the Connor–Davidson Resilience Scale (CD–RISC) With Liver Transplant Candidates. Journal of Personality Assessment, 97(5), 487-493.
  • Global Observatory on Donatıon ve Transplantatıon. (2020). Data (Charts and Tables). 20 Haziran 2020 tarihinde http://www.transplant-observatory.org/data-charts-and-tables/ adresinden erişildi.
  • Grover, S. ve Sarkar, S. (2012). Liver Transplant-Psychiatric and Psychosocial Aspects. Journal of Clinical and Experimental Hepatology, 2(4), 382-392.
  • Gültekin, A., Kavak, F. ve Özdemir, A. (2019). The correlation between spiritual well-being and psychological resilience in patients with liver transplant. Medicine Science, 8(3), 531-536.
  • Heo, J., Noh, O. K., Oh, Y.-T., Chun, M., Kim, L. (2018). Psychiatric comorbidities among patients undergoing liver transplantation in South Korea: a nationwide population-based study. Hepatology International, 12(2), 174-180.
  • Huimin, G., Jiahui, W., Huiru, G., Xiangcai, M. (2018). High-temperature condition increases lignanoid biosynthesis of Schisandra chinensis seeds via reactive oxygen species. Journal of Cancer Research and Therapeutics, 14(1), 72-77.
  • Jover-Aguilar, M., Martínez-Alarcón, L., Ramis, G., Pons, J. A., Ríos, A., Febrero, B., …Ramírez, P. (2020). Resilience Related to Quality of Life Perceived in Elderly Patients With Orthotopic Liver Transplant for More Than 10 Years. Transplantation Proceedings, 52(5), 1511-1513.
  • Kanayama, G., Hudson, J. I., Pope, H. G. (2008). Long-term psychiatric and medical consequences of anabolic–androgenic steroid abuse: A looming public health concern? Drug and Alcohol Dependence, 98(1), 1-12.
  • Kılınç, G., Yıldız, E., Kavak, F. (2019). The relationship between psychological resilience and life satisfaction in COPD patients. J Psy Nurs, 10(2), 111-116.
  • Kobau, R., Seligman, M. E. P., Peterson, C., Diener, E., Zack, M. M., Chapman, D., Thompson, W. (2011). Mental Health Promotion in Public Health: Perspectives and Strategies From Positive Psychology. American Journal of Public Health, 101(8), e1-e9.
  • Mattei, G., Moscara, M., Balducci, J., Cavana, S., Cherubini, M., Piemonte, C., …Galeazzi, G. M. (2019). Stability of Psychiatric Diagnoses in Candidates to Liver Transplantation Referred to a Consultation-Liaison Psychiatry Service. Journal of Clinical Medicine, 8(6), 800.
  • O'Carroll, R. E., Couston, M., Cossar, J., Masterton, G., Hayes, P. C. (2003). Psychological outcome and quality of life following liver transplantation: A prospective, national, single-center study. Liver Transplantation, 9(7), 712-720.
  • Paglione, H. B., Oliveira, P. C. d., Mucci, S., Roza, B. d. A., Schirmer, J. (2019). Quality of life, religiosity, and anxiety and depressive symptoms in liver transplantation candidates. Revista da Escola de Enfermagem da USP, 53.
  • Rogal, S. S., Dew, M. A., Fontes, P., DiMartini, A. F. (2013). Early Treatment of Depressive Symptoms and Long-Term Survival After Liver Transplantation. American Journal of Transplantation, 13(4), 928-935.
  • Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., Bernard, J. (2008). The brief resilience scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194-200.
  • Tan, S.-Y. (2013). Resilience and posttraumatic growth: Empirical evidence and clinical applications from a Christian perspective. Journal of Psychology and Christianity, 32(4), 358-364.
  • Türkiye Sağlık Bakanlığı. (2019). Kan, Organ ve Doku Nakli Hizmetleri. 18 Şubat 2020 tarihinde https://organkds.saglik.gov.tr/dss/PUBLIC/Transplant_Liver.aspx. adresinden erişildi.
  • Ünay, M., Önder, A., Gizli Çoban, Ö., Atalay, A., Sürer Adanir, A., Artan, R., Özatalay, E. (2019). Psychopathology, quality of life, and related factors in pediatric liver transplantation candidates and recipients. Pediatric Transplantation, n/a(n/a), e13633.
  • Weiss, T. ve Berger, R. (2010). Posttraumatic growth and culturally competent practice: Lessons learned from around the globe: John Wiley & Sons.
  • Wrenn, G. L., Wingo, A. P., Moore, R., Pelletier, T., Gutman, A. R., Bradley, B., Ressler, K. J. (2011). The Effect of Resilience on Posttraumatic Stress Disorder in Trauma-Exposed Inner-City Primary Care Patients. Journal of the National Medical Association, 103(7), 560-566.
  • Wu, L.-M., Sheen, J.-M., Shu, H.-L., Chang, S.-C., Hsiao, C.-C. (2013). Predictors of anxiety and resilience in adolescents undergoing cancer treatment. Journal of Advanced Nursing, 69(1), 158-166.
  • Yıldız, E. (2020). The Relationship Between Anxiety and Intolerance of Uncertainty Levels in Individuals Who Received Liver Transplant: A Descriptive Cross-Sectional Study. Clinical Nursing Research, 0(0).
  • Yıldız, E. ve Kılınç, G. (2018). The relationship between anxiety-depression status and psychosocial adjustments in the patients undergoing liver transplantation. Perspectives in Psychiatric Care, 54(2), 221-229.
  • Zigmond, A. S. ve Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.

The Relationship between Anxiety, Depression and Psychological Resilience of Liver Transplant Individuals

Yıl 2021, Cilt: 9 Sayı: 2, 554 - 565, 25.06.2021
https://doi.org/10.33715/inonusaglik.834318

Öz

This issue needs to be further clarified as there is no information about the relationship between anxiety, depression and psychological resilience in liver transplant patients. Therefore, this study was conducted to determine the relationship between anxiety, depression and psychological resilience in liver transplant patients. This study was conducted as a correlational descriptive with liver transplant patients (N = 110) between October 2020-December 2020. Data collection tools were identified as "Descriptive Characteristics Form", "Hospital Anxiety and Depression Scale", and "Brief Resilience Scale". The data were analyzed using descriptive statistics, correlation and logistics regression analysis. The mean anxiety and depression scores of the participants were 9.14 ± 4.83 and 8.94 ± 5.69, respectively. It was determined that 37.3% of the patients had anxiety risk and 53.6% had depression risk. The mean psychological resilience score of the patients was 16.41 ± 6.66. While a significant positive correlation was determined between the anxiety and depression scores obtained from the patients, a statistically significant negative relation was found between both anxiety and depression scores and psychological resilience scores (p<0.01). Depression and psychological resilience explain 52% of anxiety (p = 0.39). Anxiety and psychological resilience explain 55% of depression (p = 0.17). In this study, it was revealed that a significant proportion of liver transplant patients were at risk of anxiety and depression and had moderate levels of psychological resilience. It has been determined that individuals' risk of experiencing anxiety and depression decreases as their psychological resilience increases.

Proje Numarası

Yok

Kaynakça

  • Annema, C., Roodbol, P. F., Stewart, R. E., Porte, R. J. ve Ranchor, A. V. (2015). Prevalence of psychological problems and associated transplant-related variables at different time periods after liver transplantation. Liver Transplantation, 21(4), 524-538.
  • Aydemir, Ö., Güvenilir, T., Küey, L. ve Kültür, S. (1997). Hastane anksiyete ve depresyon olcegi Turkce formunun gecerlilik ve guvenilirligi. Türk Psikiyatri Dergisi, 8(4), 280-287.
  • Baghernezhad, M., Mani, A., Ayoobzadehshirazi, A., Roozbeh, J., Zare, M., Nikeghbalian, S., …Bazargan-Hejazi, S. (2018). Psychologic Evaluation in Liver Transplantation: Assessment of Psychologic Profile of End-Stage Liver Disease Patients Before and After Transplant. Experimental and clinical transplantation: official journal of the Middle East Society for Organ Transplantation. doi:10.6002/ect.2017.0135
  • Bonanno, G. A. ve Mancini, A. D. (2008). The Human Capacity to Thrive in the Face of Potential Trauma. Pediatrics, 121(2), 369-375.
  • Chen, P.-X., Yan, L.-N. ve Wang, W.-T. (2012). Health-related quality of life of 256 recipients after liver transplantation. World journal of gastroenterology, 18(36), 5114-5121.
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences: Routledge.
  • Corbett, C., Armstrong, M. J., Parker, R., Webb, K., Neuberger, J. M. (2013). Mental Health Disorders and Solid-Organ Transplant Recipients. Transplantation, 96(7), 593-600.
  • Corruble, E., Barry, C., Varescon, I., Falissard, B., Castaing, D., Samuel, D. (2011). Depressive symptoms predict long-term mortality after liver transplantation. Journal of Psychosomatic Research, 71(1), 32-37.
  • Dane, E. ve Olgun, N. (2016). Hemodiyaliz hastalarının psikolojik dayanıklılık durumları ve etkileyen faktörlerin değerlendirilmesi. Nefroloji Hemşireliği Dergisi, 11(1), 43-54.
  • Dar, W. A., Sullivan, E., Bynon, J. S., Eltzschig, H., Ju, C. (2019). Ischaemia reperfusion injury in liver transplantation: Cellular and molecular mechanisms. Liver International, 39(5), 788-801.
  • Doğan, T. (2015). Kısa psikolojik sağlamlık ölçeği’nin Türkçe uyarlaması: Geçerlik ve güvenirlik çalışması. The Journal of Happiness & Well-Being, 3(1), 93-102.
  • Faul, F., Erdfelder, E., Buchner, A., Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.
  • Fernandez, A. C., Fehon, D. C., Treloar, H., Ng, R., Sledge, W. H. (2015). Resilience in Organ Transplantation: An Application of the Connor–Davidson Resilience Scale (CD–RISC) With Liver Transplant Candidates. Journal of Personality Assessment, 97(5), 487-493.
  • Global Observatory on Donatıon ve Transplantatıon. (2020). Data (Charts and Tables). 20 Haziran 2020 tarihinde http://www.transplant-observatory.org/data-charts-and-tables/ adresinden erişildi.
  • Grover, S. ve Sarkar, S. (2012). Liver Transplant-Psychiatric and Psychosocial Aspects. Journal of Clinical and Experimental Hepatology, 2(4), 382-392.
  • Gültekin, A., Kavak, F. ve Özdemir, A. (2019). The correlation between spiritual well-being and psychological resilience in patients with liver transplant. Medicine Science, 8(3), 531-536.
  • Heo, J., Noh, O. K., Oh, Y.-T., Chun, M., Kim, L. (2018). Psychiatric comorbidities among patients undergoing liver transplantation in South Korea: a nationwide population-based study. Hepatology International, 12(2), 174-180.
  • Huimin, G., Jiahui, W., Huiru, G., Xiangcai, M. (2018). High-temperature condition increases lignanoid biosynthesis of Schisandra chinensis seeds via reactive oxygen species. Journal of Cancer Research and Therapeutics, 14(1), 72-77.
  • Jover-Aguilar, M., Martínez-Alarcón, L., Ramis, G., Pons, J. A., Ríos, A., Febrero, B., …Ramírez, P. (2020). Resilience Related to Quality of Life Perceived in Elderly Patients With Orthotopic Liver Transplant for More Than 10 Years. Transplantation Proceedings, 52(5), 1511-1513.
  • Kanayama, G., Hudson, J. I., Pope, H. G. (2008). Long-term psychiatric and medical consequences of anabolic–androgenic steroid abuse: A looming public health concern? Drug and Alcohol Dependence, 98(1), 1-12.
  • Kılınç, G., Yıldız, E., Kavak, F. (2019). The relationship between psychological resilience and life satisfaction in COPD patients. J Psy Nurs, 10(2), 111-116.
  • Kobau, R., Seligman, M. E. P., Peterson, C., Diener, E., Zack, M. M., Chapman, D., Thompson, W. (2011). Mental Health Promotion in Public Health: Perspectives and Strategies From Positive Psychology. American Journal of Public Health, 101(8), e1-e9.
  • Mattei, G., Moscara, M., Balducci, J., Cavana, S., Cherubini, M., Piemonte, C., …Galeazzi, G. M. (2019). Stability of Psychiatric Diagnoses in Candidates to Liver Transplantation Referred to a Consultation-Liaison Psychiatry Service. Journal of Clinical Medicine, 8(6), 800.
  • O'Carroll, R. E., Couston, M., Cossar, J., Masterton, G., Hayes, P. C. (2003). Psychological outcome and quality of life following liver transplantation: A prospective, national, single-center study. Liver Transplantation, 9(7), 712-720.
  • Paglione, H. B., Oliveira, P. C. d., Mucci, S., Roza, B. d. A., Schirmer, J. (2019). Quality of life, religiosity, and anxiety and depressive symptoms in liver transplantation candidates. Revista da Escola de Enfermagem da USP, 53.
  • Rogal, S. S., Dew, M. A., Fontes, P., DiMartini, A. F. (2013). Early Treatment of Depressive Symptoms and Long-Term Survival After Liver Transplantation. American Journal of Transplantation, 13(4), 928-935.
  • Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., Bernard, J. (2008). The brief resilience scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194-200.
  • Tan, S.-Y. (2013). Resilience and posttraumatic growth: Empirical evidence and clinical applications from a Christian perspective. Journal of Psychology and Christianity, 32(4), 358-364.
  • Türkiye Sağlık Bakanlığı. (2019). Kan, Organ ve Doku Nakli Hizmetleri. 18 Şubat 2020 tarihinde https://organkds.saglik.gov.tr/dss/PUBLIC/Transplant_Liver.aspx. adresinden erişildi.
  • Ünay, M., Önder, A., Gizli Çoban, Ö., Atalay, A., Sürer Adanir, A., Artan, R., Özatalay, E. (2019). Psychopathology, quality of life, and related factors in pediatric liver transplantation candidates and recipients. Pediatric Transplantation, n/a(n/a), e13633.
  • Weiss, T. ve Berger, R. (2010). Posttraumatic growth and culturally competent practice: Lessons learned from around the globe: John Wiley & Sons.
  • Wrenn, G. L., Wingo, A. P., Moore, R., Pelletier, T., Gutman, A. R., Bradley, B., Ressler, K. J. (2011). The Effect of Resilience on Posttraumatic Stress Disorder in Trauma-Exposed Inner-City Primary Care Patients. Journal of the National Medical Association, 103(7), 560-566.
  • Wu, L.-M., Sheen, J.-M., Shu, H.-L., Chang, S.-C., Hsiao, C.-C. (2013). Predictors of anxiety and resilience in adolescents undergoing cancer treatment. Journal of Advanced Nursing, 69(1), 158-166.
  • Yıldız, E. (2020). The Relationship Between Anxiety and Intolerance of Uncertainty Levels in Individuals Who Received Liver Transplant: A Descriptive Cross-Sectional Study. Clinical Nursing Research, 0(0).
  • Yıldız, E. ve Kılınç, G. (2018). The relationship between anxiety-depression status and psychosocial adjustments in the patients undergoing liver transplantation. Perspectives in Psychiatric Care, 54(2), 221-229.
  • Zigmond, A. S. ve Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Erman Yıldız 0000-0002-6544-4847

Gülsen Kılınç 0000-0002-3870-7090

Proje Numarası Yok
Yayımlanma Tarihi 25 Haziran 2021
Gönderilme Tarihi 4 Aralık 2020
Kabul Tarihi 29 Mart 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 9 Sayı: 2

Kaynak Göster

APA Yıldız, E., & Kılınç, G. (2021). KARACİĞER NAKLİ OLAN BİREYLERİN ANKSİYETE, DEPRESYON VE PSİKOLOJİK DAYANIKLILIKLARI ARASINDAKİ İLİŞKİ. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 9(2), 554-565. https://doi.org/10.33715/inonusaglik.834318