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

Yıl 2022, Cilt: 4 Sayı: 3, 380 - 387, 22.09.2022
https://doi.org/10.37990/medr.1105320

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.

Kaynakça

  • Çelik N. The intensive care nurses’attitudes toward of death and principles about die with dignity. Mersin University Journal of Health Sciences. 2019;12(2):316–27.
  • Selvi Y. Nurses who care for patients in the terminal stage of attitudes toward death, perceptions spiritual support and investigation of the relationship between them. Nevşehir: Nevşehir Haci Bektaş Veli University, M.Sc. thesis. 2019.
  • Aslan H, Dündar M. Intensive care nurses’ attitudes toward the “dying with dignity” principles and affecting factors. Ann Med Res. 2020;27(11):2863-69.
  • Özçelik H. Palliative care and approach to dying patients. Turkiye Klinikleri J Anest Reanim-Special Topics. 2017;10(1):87-93.
  • Özer Z, Yıldırım D, Bölüktaş RP. Attitudes of nursing students towards death. Journal of Economics and Social Research. 2015;4(2):1-13.
  • Bal T. Attitudes of health professionals and caregivers to death perceptions and respectable death. Anakara: Gazi University, Master's thesis. 2018.
  • Üstündağ S, Babadağ Savaş B, Yıldırım Y, Usta Yeşilbalkan Ö. The investigation of nursing students’ attitudes towards death. Turkiye Klinikleri Journal of Medical Ethics. 2019;27(3):269-76.
  • Chen W, Ma H, Wang X, Chen J. Effects of a death education intervention for older people with chronic disease and family caregivers: A quasi-experimental study. Asian Nurs Res. 2020;14(4):257-66.
  • Schulz R, Boerner K, Klinger J, Rosen J. Preparedness for death and adjustment to bereavement among caregivers of recently placed nursing home residents. J Palliat Care. 2015;18(2):127-33.
  • Xu F, Huang K, Wang Y, et al. A questionnaire study on the attitude towards death of the nursing interns in eight teaching hospitals in Jiangsu, China. BioMed Res Int. 2019:1-8.
  • Yamaguchi T, Maeda I, Hatano Y, et al. Effects of end-of-life discussions on the mental health of bereaved family members and quality of patient death and care. J Pain Symptom Manage. 2017;54(1):17-26.
  • Köse S, İnal Tunalı B, Yıldırım G. Attitudes regarding respectable death principles among intensive care physicians and nurses. Journal of Intensive Care Nursing. 2019;23(1):9-17.
  • Sönmez Benli S, Yıldırım A. Relationship between nurses' life satisfaction and attitudes towards death. Gümüşhane University Journal of Health Sciences. 2017;6(4):167-79.
  • Alıcılar HE, Aylaz R, Güneş G, Çöl M. Nurses’ attitudes towards death and related factors: two different hospital examples. Journal of Ankara University Faculty of Medicine. 2021;74(2):149-55.
  • Dağ A, Badır A. The effects of certain characteristics of physicians and nurses on attitudes related to principles about dying with dignity. E-Journal of Dokuz Eylul University Nursing Faculty. 2017;10(4):186-92.
  • Gurung M, Timalsina R. Attitudes of Nepalese hospital nurses towards care of dying people. Journal of Aging Studies and Therapies. 2018;1(1):1-4.
  • Kim S-H, Kim E-Y. Effects of awareness of good death and end-of-life care attitudes on end-of-life care performance in long-term care hospital nurses. Journal of Hospice and Pallative Care. 2021;24(1):26-35.
  • Seven A, Sert H. How the nurses’ attitude for dying patients and their knowledge about palliative care? Bezmialem Sci. 2020;8(3):250-57.
  • Souza MCS, Sousa JM, Lago DMSK, et al. Evaluation of the death attitude profıle-revised: A study with health science undergraduate students. Texto & Contexto Enferm. 2017;26(4):1-8.
  • Zahran Z, Hamdan KM, Hamdan-Mansour AM, et al. Nursing students’ attitudes towards death and caring for dying patients. Nurs Open. 2021:1-10.
  • Beaty DD. Approaches to death and dying: A cultural comparison of Turkey and the United States. Omega (Westport). 2015;70(3):301–16.
  • Duyan V, Serpen AS, Duyan G, Yavuz S. Opinions of social workers in Turkey about the principles on die with dignity. J Relig Health. 2016;55(6):1938-53.
  • Wong P, Reker G, Gesser G. Death attitude profile– revised: a multidimensional measure of attitudes death. Neimeyer RA, editör. Death anxiety handbook. Washington, DC: Taylor &Francis. 1994.
  • Işık E, Fadıloğlu Ç, Demir Y. A study of the reliability and validity of the Turkish version of death attitude profile-revised (DAP-R) in the nurse population. HEMAR-G. 2009;2:28-43.
  • Duyan V. Reliability and validity study on the assessment scale of attitudes towards principles about die with dignity. Turkish J Family Med Prim Care. 2014;8(1):25-31.
  • Wang L, Li C, Zhang Q, Li YJ. Clinical nurses’ attitutes towards death and caring for dying patients in China. Int J Palliat Nurs. 2018;24(1):33-39.
  • Çetintaş İ, Akgun Kostak M, Semerci R, Kocaaslan EN. Relationship between nursing students’ death anxiety and attitudes toward dying with dignity. International Journal of Caring Science. 2021;14(2):1089- 97.
  • Bilgiç, Ş. The meaning of death for nursing students and their attitudes toward dignified death principles. Omega(Westport). 2021. https://doi.org/10.1177/00302228211009754.
  • Gurdogan EP, Kurt D, Aksoy B, et al. Nurses’ perceptions of spiritual care and attitudes toward the principles of dying with dignity: A sample from Turkey. Death Stud. 2017;41(3):180-87.
  • Ay F, Gençtürk N. Midwifery student’s opinions related to death, terminal period and palliative care: focus group study. F.N. Hem. Derg. 2013;21(3):164-71.
  • Cerit B. Influence of training on first-year nursing department students’ attitudes on death and caring for dying patients: A single-group pretest–posttest experimental study. Omega(Westport). 2019;78(4):335-47.
  • Jung Y, Yeom HE, Lee N-R. The effects of counseling about death and dying on perceptions, preparedness, and anxiety regarding death among family caregivers caring for hospice patients: A pilot study. Korean Journal of Hospice and Palliative Care. 2021;24(1):46-55.

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

Yıl 2022, Cilt: 4 Sayı: 3, 380 - 387, 22.09.2022
https://doi.org/10.37990/medr.1105320

Öz

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.

Kaynakça

  • Çelik N. The intensive care nurses’attitudes toward of death and principles about die with dignity. Mersin University Journal of Health Sciences. 2019;12(2):316–27.
  • Selvi Y. Nurses who care for patients in the terminal stage of attitudes toward death, perceptions spiritual support and investigation of the relationship between them. Nevşehir: Nevşehir Haci Bektaş Veli University, M.Sc. thesis. 2019.
  • Aslan H, Dündar M. Intensive care nurses’ attitudes toward the “dying with dignity” principles and affecting factors. Ann Med Res. 2020;27(11):2863-69.
  • Özçelik H. Palliative care and approach to dying patients. Turkiye Klinikleri J Anest Reanim-Special Topics. 2017;10(1):87-93.
  • Özer Z, Yıldırım D, Bölüktaş RP. Attitudes of nursing students towards death. Journal of Economics and Social Research. 2015;4(2):1-13.
  • Bal T. Attitudes of health professionals and caregivers to death perceptions and respectable death. Anakara: Gazi University, Master's thesis. 2018.
  • Üstündağ S, Babadağ Savaş B, Yıldırım Y, Usta Yeşilbalkan Ö. The investigation of nursing students’ attitudes towards death. Turkiye Klinikleri Journal of Medical Ethics. 2019;27(3):269-76.
  • Chen W, Ma H, Wang X, Chen J. Effects of a death education intervention for older people with chronic disease and family caregivers: A quasi-experimental study. Asian Nurs Res. 2020;14(4):257-66.
  • Schulz R, Boerner K, Klinger J, Rosen J. Preparedness for death and adjustment to bereavement among caregivers of recently placed nursing home residents. J Palliat Care. 2015;18(2):127-33.
  • Xu F, Huang K, Wang Y, et al. A questionnaire study on the attitude towards death of the nursing interns in eight teaching hospitals in Jiangsu, China. BioMed Res Int. 2019:1-8.
  • Yamaguchi T, Maeda I, Hatano Y, et al. Effects of end-of-life discussions on the mental health of bereaved family members and quality of patient death and care. J Pain Symptom Manage. 2017;54(1):17-26.
  • Köse S, İnal Tunalı B, Yıldırım G. Attitudes regarding respectable death principles among intensive care physicians and nurses. Journal of Intensive Care Nursing. 2019;23(1):9-17.
  • Sönmez Benli S, Yıldırım A. Relationship between nurses' life satisfaction and attitudes towards death. Gümüşhane University Journal of Health Sciences. 2017;6(4):167-79.
  • Alıcılar HE, Aylaz R, Güneş G, Çöl M. Nurses’ attitudes towards death and related factors: two different hospital examples. Journal of Ankara University Faculty of Medicine. 2021;74(2):149-55.
  • Dağ A, Badır A. The effects of certain characteristics of physicians and nurses on attitudes related to principles about dying with dignity. E-Journal of Dokuz Eylul University Nursing Faculty. 2017;10(4):186-92.
  • Gurung M, Timalsina R. Attitudes of Nepalese hospital nurses towards care of dying people. Journal of Aging Studies and Therapies. 2018;1(1):1-4.
  • Kim S-H, Kim E-Y. Effects of awareness of good death and end-of-life care attitudes on end-of-life care performance in long-term care hospital nurses. Journal of Hospice and Pallative Care. 2021;24(1):26-35.
  • Seven A, Sert H. How the nurses’ attitude for dying patients and their knowledge about palliative care? Bezmialem Sci. 2020;8(3):250-57.
  • Souza MCS, Sousa JM, Lago DMSK, et al. Evaluation of the death attitude profıle-revised: A study with health science undergraduate students. Texto & Contexto Enferm. 2017;26(4):1-8.
  • Zahran Z, Hamdan KM, Hamdan-Mansour AM, et al. Nursing students’ attitudes towards death and caring for dying patients. Nurs Open. 2021:1-10.
  • Beaty DD. Approaches to death and dying: A cultural comparison of Turkey and the United States. Omega (Westport). 2015;70(3):301–16.
  • Duyan V, Serpen AS, Duyan G, Yavuz S. Opinions of social workers in Turkey about the principles on die with dignity. J Relig Health. 2016;55(6):1938-53.
  • Wong P, Reker G, Gesser G. Death attitude profile– revised: a multidimensional measure of attitudes death. Neimeyer RA, editör. Death anxiety handbook. Washington, DC: Taylor &Francis. 1994.
  • Işık E, Fadıloğlu Ç, Demir Y. A study of the reliability and validity of the Turkish version of death attitude profile-revised (DAP-R) in the nurse population. HEMAR-G. 2009;2:28-43.
  • Duyan V. Reliability and validity study on the assessment scale of attitudes towards principles about die with dignity. Turkish J Family Med Prim Care. 2014;8(1):25-31.
  • Wang L, Li C, Zhang Q, Li YJ. Clinical nurses’ attitutes towards death and caring for dying patients in China. Int J Palliat Nurs. 2018;24(1):33-39.
  • Çetintaş İ, Akgun Kostak M, Semerci R, Kocaaslan EN. Relationship between nursing students’ death anxiety and attitudes toward dying with dignity. International Journal of Caring Science. 2021;14(2):1089- 97.
  • Bilgiç, Ş. The meaning of death for nursing students and their attitudes toward dignified death principles. Omega(Westport). 2021. https://doi.org/10.1177/00302228211009754.
  • Gurdogan EP, Kurt D, Aksoy B, et al. Nurses’ perceptions of spiritual care and attitudes toward the principles of dying with dignity: A sample from Turkey. Death Stud. 2017;41(3):180-87.
  • Ay F, Gençtürk N. Midwifery student’s opinions related to death, terminal period and palliative care: focus group study. F.N. Hem. Derg. 2013;21(3):164-71.
  • Cerit B. Influence of training on first-year nursing department students’ attitudes on death and caring for dying patients: A single-group pretest–posttest experimental study. Omega(Westport). 2019;78(4):335-47.
  • Jung Y, Yeom HE, Lee N-R. The effects of counseling about death and dying on perceptions, preparedness, and anxiety regarding death among family caregivers caring for hospice patients: A pilot study. Korean Journal of Hospice and Palliative Care. 2021;24(1):46-55.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik
Bölüm Özgün Makaleler
Yazarlar

Tuğba Menekli 0000-0002-8291-8274

Sibel Şentürk 0000-0002-5634-174X

Yayımlanma Tarihi 22 Eylül 2022
Kabul Tarihi 13 Mayıs 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 4 Sayı: 3

Kaynak Göster

AMA Menekli T, Şentürk S. The Relationship between Attitudes of Relatives of Terminal Stage Patients towards Death and Principles about Dying with Dignity. Med Records. Eylül 2022;4(3):380-387. doi:10.37990/medr.1105320

 Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey

E-mail: medrecsjournal@gmail.com

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