Spiritual Well-Being Levels, Severity of Disease and Mental Health Status of Individuals with Chronic Obstructive Pulmonary Disease

Öz

Objective: The aim of this study was to examine the effect of spiritual well-being levels on disease severity, depression, anxiety and stress levels of individuals diagnosed with Chronic Obstructive Pulmonary Disease (COPD). Method: This descriptive study was carried out with 192 individuals diagnosed with COPD who were treated in the chest disease service of a training and research hospital between April and December 2022. Data was obtained using the Spiritual Well-Being Scale (FACIT-Sp-12), COPD Assessment Test (CAT) and the Depression Anxiety Stress Scale (DASS-21). Results: Among all patients, 82.3% of the individuals experienced depression, 57.3% anxiety and 79.2% stress symptoms. There was a very weakly negative correlation between the mean FACIT-Sp-12 total score and the mean CAT total score, a moderately negative correlation between the mean FACIT-Sp-12 total score and the mean DASS-21 total score, and a weakly positive correlation between the mean CAT total score and the mean DASS-21 total score. Spiritual well-being was found to predict severity of illness by 0.48%, depression levels by 41.2%, anxiety levels by 0.56% and stress levels by 20.4%. Conclusion: Holistic care should be provided to COPD patients, considering the positive effect of spirituality on disease severity and mental states during the treatment and care process of the patient.

Anahtar Kelimeler

• chronic obstructive pulmonary disease
• spirituality
• mental health
• symptom

Kronik Obstrüktif Akciğer Hastalığı Olan Bireylerin Manevi İyi Oluş Düzeyleri, Hastalık Şiddeti ve Ruhsal Durumları

Öz

Amaç: Bu çalışmanın amacı Kronik Obstrüktif Akciğer Hastalığı (KOAH) tanılı bireylerin manevi iyi oluş düzeylerinin hastalık şiddeti, depresyon, anksiyete ve stres belirtileri düzeyleri üzerindeki etkisini incelemektir. Yöntem: Tanımlayıcı tipteki bu çalışma, Nisan-Aralık 2022 tarihleri arasında bir eğitim ve araştırma hastanesinin göğüs hastalıkları servisinde tedavi gören KOAH tanılı 192 birey ile gerçekleştirildi. Veriler Manevi İyi Oluş Ölçeği (FACIT-Sp-12), KOAH Değerlendirme Testi (CAT) ve Depresyon Anksiyete Stres Ölçeği (DASS-21) kullanılarak elde edildi. Bulgular: Bireylerin %82,3'ünde depresyon, %57,3'ünde anksiyete ve %79,2'sinde stres belirtileri yaşandığı belirlendi. FACIT-Sp-12 toplam puanı ile CAT toplam puanı arasında çok zayıf düzeyde negatif yönlü korelasyon, FACIT-Sp-12 toplam puanı ile ortalama DASS-21 toplam puanı arasında orta derecede negatif yönlü korelasyon, CAT toplam puanı ile ortalama DASS-21 toplam puanı arasında zayıf düzeyde pozitif yönlü korelasyon olduğu bulundu. Manevi iyi oluşun hastalık şiddetini %0,48, depresyon düzeylerini %41,2, anksiyete düzeylerini %0,56 ve stres düzeylerini %20,4 oranında yordayıcı etkisi olduğu belirlendi. Sonuç: KOAH tanılı bireylere, tedavi ve bakım sürecinde maneviyatın hastalık şiddeti ve ruhsal durumları üzerindeki olumlu etkisi göz önünde bulundurularak bütüncül bakım sağlanmalıdır.

Anahtar Kelimeler

• kronik obstrüktif akciğer hastalığı
• maneviyat
• ruh sağlığı
• semptom

Kaynakça

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