Evaluation of Adaptation to Diseases and Healthy Lifestyle Behaviors of Individuals with Chronic Disease During the COVID-19 Pandemic

Yıl 2025, Cilt: 8 Sayı: 1, 1 - 13, 05.04.2025

Anita Karaca , Gamze Temiz , Semiha Akın , Leyla Kaya , Zahide Kaya

https://doi.org/10.38108/ouhcd.1288484

Öz

Objective: This study evaluated the adaptation and healthy lifestyle behaviors of patients with a chronic disease during the COVID-19 pandemic.
Methods: It is a descriptive cross-sectional design. The research was conducted at the state hospital in Istanbul between February and May 2021. The research sample comprised 175 patients treated at internal medicine outpatient clinics and diagnosed with at least one chronic disease. Researchers collected the data from the Patient Information Survey, the Adaptation to Chronic Illness Scale, and the Healthy Lifestyle Behavior Scale-II to collect the data.
Results: The mean age of the group was 54.45±17.15 and mostly women (65.7%) who graduated from primary school (48.6%). Around sixty percent of the research sample (56.6%) did not follow the health check-ups regularly. The patients consumed a higher number of daily meals (19.4%) and consumed more carbohydrates (21.7%). The lowest score was obtained from the Social Adaptation sub-dimension (22.27±5.18) and the Exercise sub-dimension (15.50 ± 6.21). There was a statistically significant relationship between scores of healthy lifestyle behaviors and the adaptation scale (r=0.70, p < 0.05). Less educated, older, unemployed patients and those with lower economic status needed more support to fulfill their daily activities.
Conclusions: Patients with chronic conditions face alternations in performing healthy lifestyle behaviors. The adaptation of patients with chronic diseases during the COVID-19 was negatively affected. Patients with chronic conditions need support for improving healthy lifestyle behaviors to manage the illness effectively.

Anahtar Kelimeler

Chronic disease , COVID-19 pandemic , healthy lifestyle , quality of life , self-care

COVID-19 Pandemisi Sürecinde Kronik Hastalığı Olan Bireylerin Hastalıklara Uyumları ve Sağlıklı Yaşam Biçimi Davranışlarının Değerlendirilmesi

Öz

Amaç: Bu çalışmada, COVID-19 pandemisi sırasında kronik hastalığı olan bireylerde hastalığa uyum ve sağlıklı yaşam biçimi davranışları değerlendirildi.
Yöntem: Araştırma tanımlayıcı-kesitsel tasarımdadır. Çalışma, Şubat-Mayıs 2021 tarihleri arasında İstanbul'da bir devlet hastanesinde gerçekleştirildi. Araştırmanın örneklemini dahiliye polikliniğine başvuran ve en az bir kronik hastalık tanısı bulunan 175 hasta oluşturdu. Araştırmada veriler Hasta Bilgi Formu, Kronik Hastalıklara Uyum Ölçeği ve Sağlıklı Yaşam Biçimi Davranışları Ölçeği-II ile toplandı.
Bulgular: Örneklemin ortalama yaşı 54.45 ± 17.15 idi. Örneklem grubunun çoğunu kadınlar (%65.7) ve ilkokul mezunları (%48.6) oluşturdu. Örneklemin yarısından çoğunun (%56.6) düzenli olarak sağlık kontrollerine gitmedikleri belirlendi. COVID-19 salgını sırasında günlük öğün sayısının arttı (%19.4) ve hastalar daha fazla karbonhidrat tüketti (%21.7). Hastalar en düşük ortalama puanı sosyal uyum alt boyutu (22.27 ± 5.18) ve fiziksel aktivite alt boyutundan (15.50 ± 6.21) aldı. Sağlıklı yaşam biçimi davranışları ile kronik hastalıklara uyum puanları arasında istatistiksel olarak anlamlı ilişki belirlendi (r = 0.70, p < 0.05). Daha az eğitimli, daha yaşlı, işsiz ve düşük geliri olan hastaların günlük aktivitelerini gerçekleştirmek için daha fazla yardıma ihtiyaçları olduğu bulundu.
Sonuç: Kronik rahatsızlığı olan hastalar, sağlıklı yaşam biçimi davranışlarını gerçekleştirmede değişiklikler ile karşılaşmıştır. Kronik hastalıklara uyum düzeyi COVID-19 pandemisi sırasında etkilenmiştir. Hastaların hastalıklarını iyi yönetebilmeleri için sağlıklı yaşam biçimi davranışlarını yerine getirmeleri konusunda desteğe ihtiyaçları vardır.

Anahtar Kelimeler

Kronik hastalık , COVID-19 pandemisi , sağlıklı yaşam tarzı , yaşam kalitesi , öz- bakım

Kaynakça

• Alammari F, Al-Sowayan BS, Albdah B, Alsubait AA. (2023). The impact of COVID-19 infection on patients with chronic diseases admitted to ICU: A cohort retrospective study. Journal of Epidemiology and Global Health, 13(2), 313-321.
• Ajebli M, Amssayef A, Akdad M, Algharrass Y, Babakhouya A, Ghanimi D, Eddouks M. (2021). Chronic diseases and COVID-19: A review. Endocrine, Metabolic & Immune Disorders Drug Targets, 21(10), 1781-1803.
• Altuntas M, Yilmaz H, Guner AE. (2021). Evaluation of patients with COVID-19 diagnosis for chronic diseases. Virology Journal, 18(57), 1-6.
• Armitage R, Nellums LB. (2020). COVID-19 and the consequences of isolating the elderly. The Lancet Public Health, 5(5), e256.
• Atik D, Karatepe H. (2016). Scale Development study: Adaptation to Chronic Illness. Acta Medica Mediterranea, 32(1), 135-142.
• Bahar Z, Beşer A, Gördes N, Ersin F, Kıssal A. (2008). Healthy Lifestyle Behavior Scale-II: A reliability and validity study. Journal of Cumhuriyet University School of Nursing, 12(1), 1-13.
• Bilgiç Ş, Pehlivan E. (2023). The relationship between quality of life and adaptation of individuals with chronic disease. Samsun Journal of Health Sciences, 8(1), 63-76.
• Budak F, Korkmaz Ş. (2020). An overall evaluation for the COVID-19 pandemic process: The case of Turkey. Journal of Social Research and Management, 1, 62-79.
• Centers for Disease Control and Prevention [CDC] (March 15, 2023). COVID-19 and Chronic Disease Prevention and Interventions. Accessed 02.03.2024, https://www.cdc.gov/chronicdisease/programs-impact/pop/covid-19.htm
• Ciddi PK, Yazgan E. (2020). COVID-19 The effect of physical activity status on quality of life during social isolation in the COVID-19 epidemic. Istanbul Commerce University Journal of Social Sciences, 19(37), 262-279.
• Chudasama YV, Gillies CL, Zaccardi F, Coles B, Davies MJ, Seidu S, et al. (2020). Impact of COVID-19 on routine care for chronic diseases: A global survey of views from healthcare professionals. Diabetes & Metabolic Syndrome, 14(5), 965-967.
• Çalikuşu HR, Usluer İN, Tanriverdi, M. (2023). Preventive rehabilitation approaches and physical activity in chronic diseases. Anatolian Clinic the Journal of Medical Sciences, 28(2), 225-234.
• Demirtaş A, Akbayrak N. (2017). Development of an assessment scale for treatment compliance in type 2 Diabetes Mellitus in the Turkish population: Psychometric evaluation. International Journal of Nursing Sciences, 4(3), 244-251.
• Erci B, Elibol M, Aktürk Ü. (2018). Evaluation of correlation between adherence to the treatment of hypertensive patients and their life quality. Florence Nightingale Journal of Nursing, 26(2), 79-92.
• Erikmen E, Keskin G. (2022). Family factor in adaptation to treatment of individuals with chronic diseases: Review in terms of effects of motivational interview. Gümüşhane University Journal of Health Sciences, 11(4), 1392 – 1400.
• Güney A, Basit G. (2023). Relationship between disease adaptation and self-efficacy for disease management in individuals with multiple chronic diseases. Gevher Nesibe Journal of Medical & Health Sciences, 8(4), 1191-1201.
• Hacker KA, Briss PA, Richardson L, Wright J, Petersen R. (2021). COVID-19 and chronic disease: The impact now and in the future. Preventing Chronic Disease, 18, 210086.
• Jopp D, Rott C, Oswald F. (2008). Valuation of life in old and very old age: The role of sociodemographic, social, and health resources for positive adaptation. Gerontologist, 48(5), 646-658.
• Kalaycı M, Bayazıt E, Mamacan T, Tosun N, Olgun N. (2023). Evaluation of the symptoms, problems and opinions of COVID-19 patients with chronic diseases during the pandemic period. Journal of Necmettin Erbakan University Faculty of Health Sciences, 6(2), 1-6.
• Kaya S, Dost A, Baz S. (2022). Health problems and physical activity levels of individuals with chronic diseases during COVID-19 lockdown. Acıbadem University Health Sciences Journal, 13(4), 672-679.
• Koç M, Bayar K. (2020). The importance of physical activity and exercise in the COVID-19 pandemic. Karya Journal of Health Science, 1(2), 19-21.
• Legese YM, Gebru SB, Gebremariam AG, Tesfay ZA. (2023). Knowledge, attitude, and practice towards COVID-19 among chronic disease patients visiting public hospitals. Heliyon, 9(7), e17734.
• Liu H, Chen S, Liu M, Nie H, Lu H. (2020). Comorbid chronic diseases are strongly correlated with disease severity among COVID-19 patients: A systematic review and meta-analysis. Aging and Disease, 11(3), 668-678.
• Mete S, Özdil K. (2023). Scales for rational drug use in Turkey. Journal of Health Sciences. 32(3), 424-432.
• Okuyan CB, Karasu F. (2021). Health risk of older adults with the chronic disease COVID-19 pandemic and suggestions. Health Academy Kastamonu, 6(3), 195-202.
• Özdelikara A, Taştan A, Atasayar BŞ. (2020). Assessment of self-care management and compliance in chronic diseases. Journal of Samsun Health Sciences, 5(1), 42-49.
• Özkan A. (2021). The role of a healthy lifestyle, physical activity, and exercise during the COVID-19 epidemic. Baskent University Faculty of Health Sciences Journal, 6(Special Issue), 56-72.
• Parkinson A, Matenge S, Desborough J, Hall Dykgraaf S, Ball L, Wright M, et al. The impact of COVID-19 on chronic disease management in primary care: Lessons for Australia from the international experience. The Medical Journal of Australia,16, 216(9), 445-448.
• Sogut SC, Dalyan AÇ. (2023). The role of the nurse in chronic disease management in the COVID-19 pandemic. Journal of Public Health Nursing, 5(2), 204-213.
• Sofulu F, Uran BÖ, Ünsal Avdal E, Tokem Y. (2020). Nursing management in chronic diseases in the COVID-19 epidemic. İzmir Kâtip Çelebi University Faculty of Health Sciences Journal, 5(2), 147-151.
• Şişman FN, Kutlu Y. (2016). Development of an Assessment Scale of Adaptation Difficulty for the Elderly (ASADE) and its psychometric properties. Journal of Psychiatric Nursing, 7(1), 25-33.
• Tengilimoğlu D, Gönüllü U, Işık O, Tosun N, Zekioğlu A, Tengilimoğlu O, et al. (2022). The problems experienced by employees with chronic disease during the COVID-19 pandemic. Environmental Research and Public Health, 19, 578.
• Walker SN, Sechrist KR, Pender NJ. (1987). The Health-Promoting Lifestyle Profile: Development and psychometric characteristics. Nursing Research, 36(2), 76-81.
• Wang B, Li R, Lu Z, Huang Y. (2020). Does comorbidity increase the risk of patients with COVID-19? Evidence from a meta-analysis. Aging (Albany NY), 12, 6049-6057.
• Ye X, Wang Y, Zou Y, Tu J, Tang W, Yu R, et al. (2023). Associations of socioeconomic status with infectious diseases mediated by lifestyle, environmental pollution and chronic comorbidities: a comprehensive evaluation based on UK Biobank. Infectious Diseases of Poverty, 12(01), 1-23.
• Yüce GE, Muz G. (2023). Investigation of the relationship between health literacy level and adjustment to chronic disease in individuals with chronic disease: A cross-sectional study. Gümüşhane University Journal of Health Sciences, 12(3), 1115-1123.
• Zehirlioglu L, Mert H. (2019). The new approach for chronic diseases: Lifestyle medicine. Mersin University Journal of Health Sciences, 12(2), 341-350.