Terminal Dönem Hasta Yakınlarının Ölüme ve Saygın Ölüm İlkelerine İlişkin Tutumları Arasındaki İlişki

Öz

Amaç: Bu çalışmanın amacı, terminal dönem hasta yakınlarının ölüme ve saygın ölüm ilkelerine ilişkin tutumları arasındaki ilişkinin belirlenmesidir. Materyal ve Metot: Tanımlayıcı ve kesitsel olarak yapılan bu çalışma,20 Aralık 2021- 21 Mart 2022 tarihleri arasında 308 hasta yakını ile tamamlandı. Veriler, Kişisel Bilgi Formu, Ölüme Karşı Tutum Ölçeği (ÖKTÖ) ve Saygın Ölüm İlkelerine İlişkin Tutumları Değerlendirme Ölçeği (SÖİİTDÖ) kullanılarak toplandı. Verilerin analizinde tanımlayıcı istatistikler, Student t testi, One-Way ANOVA testi, Kruskal Wallis testi, Mann Whitney-U testi, Pearson korelasyon ve regresyon analizi kullanıldı. Bulgular: Araştırmaya katılan hasta yakınlarının yaş ortalaması 34,88±2,32 olup %86,0’ı kadındır. Hasta yakınlarının %38,6’sı yoğun bakımdaki hastasının anne/babası olduğunu ve %44,1’i 3-7 gündür hastasının yoğun bakımda kaldığını belirtmiştir. Hasta yakınlarının ÖKTÖ toplam puan ortalaması 107,30±25,1, SÖİİTDÖ toplam puan ortalaması 30,62±10,70 idi. ÖKTÖ ile SÖİİTDÖ arasında pozitif yönde ve yüksek düzeyde anlamlı bir ilişki saptandı. Sonuç: Hasta yakınlarının ölüme ilişkin tutumları negatifleştikçe saygın ölüm ilkelerini benimseme düzeylerinin arttığı saptanmıştır. Sağlık profesyonellerinin terminal dönemdeki hastaların yaşam kalitesini arttırmak için hasta yakınlarına ölüm danışmanlığı yapması gerekmektedir.

Anahtar Kelimeler

• Yoğun bakım
• hasta yakını
• ölüm
• saygın ölüm
• tutum

The Relationship between Attitudes of Relatives of Terminal Stage Patients towards Death and Principles about Dying with Dignity

Abstract

Aim: The aim of this study is to determine the relationship between the attitudes of the relatives of terminal stage patients towards death and principles about dying with dignity. Material and Method: This descriptive cross-sectional study was carried out with 308 patient relatives between 20 December 2021 and 21 March 2022. The data were collected using a “Patient Information Form”, ‘Death Attitude Profile-Revised (DAP-R)’ and ‘Assessment Scale of Attitudes towards Principles about Dying with Dignity’ (ASAPDD). Descriptive statistics, Student t test, One-Way ANOVA test, Kruskal Wallis test, Mann Whitney-U test, Pearson correlation and regression analysis were used to analyze the data. Results: The mean age of the relatives of the patients participating in the study was 34.88±2.32, 86.0% were female. 38.6% of the relatives of the patients stated that the patient in the intensive care unit was their mother/father, and 44.1% stated that the patient stayed in the intensive care unit for 3-7 days. The mean DAP-R total score was 107.30±25.1 and the ASAPDD total score was 30.62±10.70. A positive and highly significant relationship was found between DAP-R and ASAPDD. Conclusions: It was determined that as the attitudes of the relatives of the patients towards death became negative, the level of adopting the principles about die with dignity increased. Health professionals should provide death counseling to the relatives of patients in order to increase the quality of life of patients in the terminal period.

Keywords

• Intensive care
• Patient
• Death
• Dying with dignity
• Attitude

Kaynakça

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