Hemşirelik Bakımında Hemodiyaliz Tedavisi Alan Hastaların Ruh Sağlığını Geliştirmede Manevi Müdahalelerin Etkinliği: Bir Meta Analiz Çalışması

Yıl 2024, Cilt: 27 Sayı: 3, 281 - 291, 27.09.2024

Mustafa Durmuş , Ömer Taşçı , Ayşe Okanlı , Mine Ekinci

https://doi.org/10.17049/jnursology.1416289

Öz

Amaç: Bu çalışmada hemodiyaliz tedavisi alan hastalarda ruhsal iyi oluş ile anksiyete ve depresyon arasındaki ilişkiyi meta-analiz yöntemiyle araştırma amacıyla yapılmıştır.

Yöntemler: Verilerin toplanmasında Pubmed, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, EBSCOhost ve ProQuest veritabanları kullanıldı. 5 Nisan 2022'de tüm veritabanları son kez incelendi ve toplam 5 çalışma bu meta analize dahil edildi. Etki büyüklüğü Cohen'in r korelasyon katsayısı etki genişliği sınıflandırmasına göre değerlendirilmiştir. Heterojenliği test etmek için I2 testleri hesaplandı.

Bulgular: Bu çalışmada ruhsal iyi oluşun depresyonu azaltmadaki etkisinin negatif ve geniş etki düzeyinde olduğu bulunmuştur. Ayrıca manevi iyi oluşun kaygıyı azaltma üzerindeki etkisinin negatif ve orta düzeyde olduğu araştırılmıştır. Her iki analizde de I2 > 50 olduğundan analiz sürecinin yürütülmesinde rastgele etkiler modeli kullanılmıştır.

Sonuç: Bu meta-analizde, hemodiyaliz tedavisi alan hastalarda ruhsal iyi oluşun depresyon üzerinde büyük, anksiyete üzerinde ise orta düzeyde etkisinin olduğu bulunmuştur. Yüksek düzeyde manevi iyilik, hemodiyaliz hastalarında anksiyete ve depresyon görülme sıklığını azaltabilir. Ayrıca hemodiyaliz tedavisi gören hastalara verilecek manevi bakımın anksiyete ve depresyon düzeylerini azaltacağı söylenebilir.

Anahtar Kelimeler

Kaygı, Depresyon, Meta-analiz, Hemşirelik, Maneviyat

The Effectiveness of Spiritual Interventions in Improving the Mental Health of Patients Receiving Hemodialysis Treatment in Nursing Care: A Meta-Analysis Study

Öz

Objective: The aim of this study is to investigate the relationship between spiritual well-being and anxiety and depression in patients receiving hemodialysis treatment through meta-analysis method.

Methods: Pubmed, the Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, EBSCOhost, and ProQuest databases were used to gather the data. All databases were reviewed for the last time on April 5, 2022, and a total of 5 studies were included in this meta-analysis. Effect size was evaluated according to Cohen's r correlation coefficient effect width classification. I2 tests were calculated to test heterogeneity.

Results: It was found that the effect of spirituality on reducing depression was negative and at a large effect level. Moreover, it was investigated that the effect of spiritual well-being on reducing anxiety was negative and moderate. Since I2 > 50 in both analyses, random effects model was used for carrying out the process of analysis.

Conclusion: It was found that spiritual well-being had a great effect on depression and moderate effect on anxiety in patients receiving hemodialysis treatment. High levels of spiritual well-being can reduce the incidence of anxiety and depression in hemodialysis patients. In addition, it can be indicated that spiritual care offered to patients receiving hemodialysis treatment would reduce the level of anxiety and depression.

Anahtar Kelimeler

Anxiety, Depression, Meta-analysis, Nursing, Spirituality

Kaynakça

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