Araştırma Makalesi
BibTex RIS Kaynak Göster

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

Yıl 2024, Cilt: 16 Sayı: Supplement 1, 152 - 161
https://doi.org/10.18863/pgy.1452404

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.

Etik Beyan

Çalışmaya başlamadan önce Atatürk Üniversitesi Hemşirelik Fakültesi Etik Kurulu'ndan 25.02.2022 tarihli ve 2022-2/2 numaralı etik kurul izni ve çalışmanın yapıldığı kurumdan izin alınmıştır.

Destekleyen Kurum

yoktur

Proje Numarası

2022-2/2

Teşekkür

yoktur

Kaynakça

  • Adeloye D, Chua S, Lee C, Basquill C, Papana A, Theodoratou E et al. (2015) Global and regional estimates of COPD prevalence: Systematic review and meta-analysis. J Glob Health, 5:020415.
  • Aldan G. Helvaci A. Ozdemir L. Satar S, Ergun P (2022) Multidimensional factors affecting medication adherence among patients with chronic obstructive pulmonary disease. J Clin Nurs, 31:1202-1215.
  • Alvarez JS, Goldraich LA, Nunes AH, Zandavalli MCB, Zandavalli RB, Belli KC et al. (2016) Association between spirituality and adherence to management in outpatients with heart failure. Arq Bras Cardiol, 106:491-502.
  • Ay S, Gündüz T, Özyurt B, Çoban A, Pişkin A (2018). The psychometric properties of the Turkish version of the Spiritual Well-Being Scale (FACIT-Sp-12) in older adults living in nursing homes. Anadolu Psikiyatri Derg, 19:22-28.
  • Balboni MJ, Sullivan A, Enzinger AC, Epstein-Peterson ZD, Tseng YD, Mitchell C et al. (2014) Nurse and physician barriers to spiritual care provision at the end of life. J Pain Symptom Manage, 48: 400-410.
  • Carvalho LCS, Trimer R, Arêas GPT, Caruso FCR, Zangrando KTL, Jürgensen S et al. (2018) COPD assessment test and FEV 1 : Do they predict oxygen uptake in COPD?. Int J Chron Obstruct Pulmon Dis, 13: 3149–3156.
  • Chen Z, Jiang Y, Chen M, Baiyila N, Nan J (2021) Resilience as a mediator of the association between spirituality and self-management among older people with chronic obstructive pulmonary disease. Healthcare, 9:1631.
  • Chouseinoglou B (2018) KOAH da psikolojik dayanıklılığın yaşam kalitesi üzerine etkisi (Tıpta uzmanlık tezi). Kocaeli, Kocaeli Üniversitesi.
  • Christensen VL, Holm AM, Cooper B, Paul SM, Miaskowski C, Rustøen T (2016) Differences in symptom burden among patients with moderate, severe, or very severe chronic obstructive pulmonary disease. J Pain Symptom Manage, 51:849–859.
  • da Silva GPF, Nascimento FAB, Macêdo TPM, Morano MT, Mesquita R, Pereira EDB (2018) Religious coping and religiosity in patients with COPD following pulmonary rehabilitation. Int J Chron Obstruct Pulmon Dis, 13:175-181.
  • da Silva MS, Kimura M, Stelmach R, Santos VLCG (2009) Quality of life and spiritual well-being in chronic obstructive pulmonary disease patients. Revista Da Escola de Enfermagem, 43: 1186-1191.
  • Delgado C (2007) Sense of coherence, spirituality, stress and quality of life in chronic illness. J Nurs Scholarsh, 39: 229-234.
  • Ding B, Judge D, Small M, Bent-Ennakhil N, Siddiqui S (2018) Functional performance in patients with COPD: Association with treatment regimen, GOLD group, lung function, and symptom burden in a cross-sectional study. Int J Chron Obstruct Pulmon Dis, 13:2785-2796.
  • Eckersley RM (2007) Culture, spirituality, religion and health: Looking at the big picture. Med J Aust, 186:54–56
  • George D, Mallery M (2010) SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 Update 10th ed. London, UK, Pearson.
  • Gergianaki I, Kampouraki M, Williams S, Tsiligianni I (2019) Assessing spirituality: Is there a beneficial role in the management of COPD? NPJ Prim Care Respir Med, 29:23.
  • Halding AG, Heggdal K, Wahl A (2011) Experiences of self-blame and stigmatisation for self-infliction among individuals living with COPD. Scand J Caring Sci. 25:100-107.
  • Hasegawa T, Kawai M, Kuzuya N, Futamura Y, Horiba A, Ishiguro T et al. (2017) Spiritual well-being and correlated factors in subjects with advanced COPD or lung cancer. Respir Care, 62:544-549.
  • Hawthorne DM, Gordon SC (2020) The ınvisibility of spiritual nursing care in clinical practice. J Holist Nurs, 38:147-155.
  • Helvaci A, Izgu N, Ozdemir L (2020) Relationship between symptom burden, medication adherence and spiritual well-being in patients with chronic obstructive pulmonary disease. J Clin Nurs, 29:2388-2396.
  • Henry JD, Crawford JR (2005) The short-form version of the Depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. Br J Clin Psychol, 44:227-239.
  • Jones PW, Harding G, Berry P, Wiklund I, Chen WH, Kline Leidy N (2009) Development and first validation of the COPD Assessment Test. Eur Respir J, 34: 648-654.
  • Koç G (2023) KOAH hastalarının sağlık okuryazarlığı ile özbakım yönetimi arasındaki ilişkinin belirlenmesi (Yüksek lisans tezi) . Erzurum, Atatürk Üniversitesi.
  • Koenig HG (2015) Religion, spirituality, and health: A review and update. Adv Mind Body Med, 29:19–22.
  • Levine EG, Aviv C, Yoo G, Ewing C, Au A (2009) The benefits of prayer on mood and well-being of breast cancer survivors. Support Care Cancer, 17: 295–306.
  • Lou P, Zhu Y, Chen P, Zhang P, Yu J, Zhang N et al. (2012) Prevalence and correlations with depression, anxiety, and other features in outpatients with chronic obstructive pulmonary disease in China: a cross-sectional case control study. BMC Pulm Med, 12:53.
  • Lovibond PF, Lovibond SH (1995) The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther, 33:335-343.
  • Marvel J, Yu TC, Wood R, Small M, Higgins VS, Make BJ (2016) Health status of patients with chronic obstructive pulmonary disease by symptom level. Chronic Obstr Pulm Dis, 3:643-652.
  • Matte DL, Pizzichini MMM, Hoepers ATC, Diaz AP, Karloh M et al. (2016) Prevalence of depression in COPD: A systematic review and meta-analysis of controlled studies. Respir Med, 117:154-161.
  • Mendes NS, Malaguti C, dos Anjos Sena L, Lucchetti G, de Jesus LAS, Vitorino LM et al. (2022). Spirituality and religiosity are associated with physical and psychological status in patients with chronic obstructive pulmonary disease. J Clin Nurs, 31: 669-678.
  • Miller L, Balodis IM, McClintock CH, Xu J, Lacadie CM, Sinha R et al. (2019) Neural correlates of personalized spiritual experiences. Cereb Cortex, 29: 2331–2338.
  • Miravitlles M, Ribera A (2017) Understanding the impact of symptoms on the burden of COPD. Respir Res, 18:67.
  • Mourya J, Jadon HS, Yadav SS (2022) A study of clinical profile of patients with chronic obstructive pulmonary disease. Int J Health Sci, 6:3037–3043.
  • Peterman AH, Reeve CL, Winford EC, Cotton S, Salsman JM, Mcquellon R et al. (2014) Measuring meaning and peace with the facit-spiritual well-being scale: Distinction without a difference? Psychol Assess, 26:127–137.
  • Pumar MI, Gray CR Walsh JR, Yang IA, Rolls TA, Ward DL (2014) Anxiety and depression-important psychological comorbidities of COPD. J Thorac Dis, 6: 1615-1631.
  • Rababa M, Hayajneh AA, Bani-Iss W (2021) Association of death anxiety with spiritual well-being and religious coping in older adults during the COVID-19 pandemic. J Relig Health, 60:50-63.
  • Rosenberg SR, Kalhan R, Mannino DM (2015) Epidemiology of chronic obstructive pulmonary disease: Prevalence, morbidity, mortality, and risk factors. Semin Respir Crit Care Med, 36: 457-469.
  • Sarıcam H (2018) The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 7:19−30.
  • Sinha T, Nalli SK, Toppo A (2017) A study of clinical profile of patients with chronic obstructive pulmonary disease. Int J Community Med Public Health, 4:1000–1004.
  • Şahin Altun Ö, Özer D, Satılmış M, Şahin F (2022) Investigation of the relationship between the spiritual orientation and psychological well-being levels of inpatients with a diagnosis of COVID-19 in Türkiye: A cross-sectional study. J Relig Health, 61:4189–4204.
  • Trevino KM, McConnell TR (2015) Religiosity and spirituality during cardiac rehabilitation: A longitudinal evaluation of patient-reported outcomes and exercise capacity. J Cardiopulm Rehabil Prev, 35:246-254.
  • Vitorino LM, Soares RC, Santos AEO, Lucchetti ALG, Cruz JP, Cortez PJO et al. (2018) Two sides of the same coin: the positive and negative ımpact of spiritual religious coping on quality of life and depression in dialysis patients. J Holist Nurs, 36: 332-340.
  • Wong TS, Xiang YT, Tsoh J, Ungvari GS, Ko FWS, Hui DSC et al. (2014) Depressive disorders in older patients with chronic obstructive pulmonary disease (COPD) in Hong Kong: A controlled study. Aging Ment Health, 18: 588–592.
  • WHO (2023) Chronic obstructive pulmonary disease (COPD). https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)#:~:text=Chronic%20obstructive%20pulmonary%20disease %20(COPD)%20is%20the%20third%20 leading%20cause,%2Dincome%20countries%20(LMIC). (Accessed 21.09.2023).
  • Yorgancıoğlu A, Polatlı M, Aydemir Ö, Yılmaz Demirci N, Kırkıl G, Naycıatış S et al. (2012). KOAH değerlendirme testinin Türkçe geçerlilik ve güvenilirliği. Tuberk Toraks, 60: 314-320.

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

Yıl 2024, Cilt: 16 Sayı: Supplement 1, 152 - 161
https://doi.org/10.18863/pgy.1452404

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.

Proje Numarası

2022-2/2

Kaynakça

  • Adeloye D, Chua S, Lee C, Basquill C, Papana A, Theodoratou E et al. (2015) Global and regional estimates of COPD prevalence: Systematic review and meta-analysis. J Glob Health, 5:020415.
  • Aldan G. Helvaci A. Ozdemir L. Satar S, Ergun P (2022) Multidimensional factors affecting medication adherence among patients with chronic obstructive pulmonary disease. J Clin Nurs, 31:1202-1215.
  • Alvarez JS, Goldraich LA, Nunes AH, Zandavalli MCB, Zandavalli RB, Belli KC et al. (2016) Association between spirituality and adherence to management in outpatients with heart failure. Arq Bras Cardiol, 106:491-502.
  • Ay S, Gündüz T, Özyurt B, Çoban A, Pişkin A (2018). The psychometric properties of the Turkish version of the Spiritual Well-Being Scale (FACIT-Sp-12) in older adults living in nursing homes. Anadolu Psikiyatri Derg, 19:22-28.
  • Balboni MJ, Sullivan A, Enzinger AC, Epstein-Peterson ZD, Tseng YD, Mitchell C et al. (2014) Nurse and physician barriers to spiritual care provision at the end of life. J Pain Symptom Manage, 48: 400-410.
  • Carvalho LCS, Trimer R, Arêas GPT, Caruso FCR, Zangrando KTL, Jürgensen S et al. (2018) COPD assessment test and FEV 1 : Do they predict oxygen uptake in COPD?. Int J Chron Obstruct Pulmon Dis, 13: 3149–3156.
  • Chen Z, Jiang Y, Chen M, Baiyila N, Nan J (2021) Resilience as a mediator of the association between spirituality and self-management among older people with chronic obstructive pulmonary disease. Healthcare, 9:1631.
  • Chouseinoglou B (2018) KOAH da psikolojik dayanıklılığın yaşam kalitesi üzerine etkisi (Tıpta uzmanlık tezi). Kocaeli, Kocaeli Üniversitesi.
  • Christensen VL, Holm AM, Cooper B, Paul SM, Miaskowski C, Rustøen T (2016) Differences in symptom burden among patients with moderate, severe, or very severe chronic obstructive pulmonary disease. J Pain Symptom Manage, 51:849–859.
  • da Silva GPF, Nascimento FAB, Macêdo TPM, Morano MT, Mesquita R, Pereira EDB (2018) Religious coping and religiosity in patients with COPD following pulmonary rehabilitation. Int J Chron Obstruct Pulmon Dis, 13:175-181.
  • da Silva MS, Kimura M, Stelmach R, Santos VLCG (2009) Quality of life and spiritual well-being in chronic obstructive pulmonary disease patients. Revista Da Escola de Enfermagem, 43: 1186-1191.
  • Delgado C (2007) Sense of coherence, spirituality, stress and quality of life in chronic illness. J Nurs Scholarsh, 39: 229-234.
  • Ding B, Judge D, Small M, Bent-Ennakhil N, Siddiqui S (2018) Functional performance in patients with COPD: Association with treatment regimen, GOLD group, lung function, and symptom burden in a cross-sectional study. Int J Chron Obstruct Pulmon Dis, 13:2785-2796.
  • Eckersley RM (2007) Culture, spirituality, religion and health: Looking at the big picture. Med J Aust, 186:54–56
  • George D, Mallery M (2010) SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 Update 10th ed. London, UK, Pearson.
  • Gergianaki I, Kampouraki M, Williams S, Tsiligianni I (2019) Assessing spirituality: Is there a beneficial role in the management of COPD? NPJ Prim Care Respir Med, 29:23.
  • Halding AG, Heggdal K, Wahl A (2011) Experiences of self-blame and stigmatisation for self-infliction among individuals living with COPD. Scand J Caring Sci. 25:100-107.
  • Hasegawa T, Kawai M, Kuzuya N, Futamura Y, Horiba A, Ishiguro T et al. (2017) Spiritual well-being and correlated factors in subjects with advanced COPD or lung cancer. Respir Care, 62:544-549.
  • Hawthorne DM, Gordon SC (2020) The ınvisibility of spiritual nursing care in clinical practice. J Holist Nurs, 38:147-155.
  • Helvaci A, Izgu N, Ozdemir L (2020) Relationship between symptom burden, medication adherence and spiritual well-being in patients with chronic obstructive pulmonary disease. J Clin Nurs, 29:2388-2396.
  • Henry JD, Crawford JR (2005) The short-form version of the Depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. Br J Clin Psychol, 44:227-239.
  • Jones PW, Harding G, Berry P, Wiklund I, Chen WH, Kline Leidy N (2009) Development and first validation of the COPD Assessment Test. Eur Respir J, 34: 648-654.
  • Koç G (2023) KOAH hastalarının sağlık okuryazarlığı ile özbakım yönetimi arasındaki ilişkinin belirlenmesi (Yüksek lisans tezi) . Erzurum, Atatürk Üniversitesi.
  • Koenig HG (2015) Religion, spirituality, and health: A review and update. Adv Mind Body Med, 29:19–22.
  • Levine EG, Aviv C, Yoo G, Ewing C, Au A (2009) The benefits of prayer on mood and well-being of breast cancer survivors. Support Care Cancer, 17: 295–306.
  • Lou P, Zhu Y, Chen P, Zhang P, Yu J, Zhang N et al. (2012) Prevalence and correlations with depression, anxiety, and other features in outpatients with chronic obstructive pulmonary disease in China: a cross-sectional case control study. BMC Pulm Med, 12:53.
  • Lovibond PF, Lovibond SH (1995) The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther, 33:335-343.
  • Marvel J, Yu TC, Wood R, Small M, Higgins VS, Make BJ (2016) Health status of patients with chronic obstructive pulmonary disease by symptom level. Chronic Obstr Pulm Dis, 3:643-652.
  • Matte DL, Pizzichini MMM, Hoepers ATC, Diaz AP, Karloh M et al. (2016) Prevalence of depression in COPD: A systematic review and meta-analysis of controlled studies. Respir Med, 117:154-161.
  • Mendes NS, Malaguti C, dos Anjos Sena L, Lucchetti G, de Jesus LAS, Vitorino LM et al. (2022). Spirituality and religiosity are associated with physical and psychological status in patients with chronic obstructive pulmonary disease. J Clin Nurs, 31: 669-678.
  • Miller L, Balodis IM, McClintock CH, Xu J, Lacadie CM, Sinha R et al. (2019) Neural correlates of personalized spiritual experiences. Cereb Cortex, 29: 2331–2338.
  • Miravitlles M, Ribera A (2017) Understanding the impact of symptoms on the burden of COPD. Respir Res, 18:67.
  • Mourya J, Jadon HS, Yadav SS (2022) A study of clinical profile of patients with chronic obstructive pulmonary disease. Int J Health Sci, 6:3037–3043.
  • Peterman AH, Reeve CL, Winford EC, Cotton S, Salsman JM, Mcquellon R et al. (2014) Measuring meaning and peace with the facit-spiritual well-being scale: Distinction without a difference? Psychol Assess, 26:127–137.
  • Pumar MI, Gray CR Walsh JR, Yang IA, Rolls TA, Ward DL (2014) Anxiety and depression-important psychological comorbidities of COPD. J Thorac Dis, 6: 1615-1631.
  • Rababa M, Hayajneh AA, Bani-Iss W (2021) Association of death anxiety with spiritual well-being and religious coping in older adults during the COVID-19 pandemic. J Relig Health, 60:50-63.
  • Rosenberg SR, Kalhan R, Mannino DM (2015) Epidemiology of chronic obstructive pulmonary disease: Prevalence, morbidity, mortality, and risk factors. Semin Respir Crit Care Med, 36: 457-469.
  • Sarıcam H (2018) The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 7:19−30.
  • Sinha T, Nalli SK, Toppo A (2017) A study of clinical profile of patients with chronic obstructive pulmonary disease. Int J Community Med Public Health, 4:1000–1004.
  • Şahin Altun Ö, Özer D, Satılmış M, Şahin F (2022) Investigation of the relationship between the spiritual orientation and psychological well-being levels of inpatients with a diagnosis of COVID-19 in Türkiye: A cross-sectional study. J Relig Health, 61:4189–4204.
  • Trevino KM, McConnell TR (2015) Religiosity and spirituality during cardiac rehabilitation: A longitudinal evaluation of patient-reported outcomes and exercise capacity. J Cardiopulm Rehabil Prev, 35:246-254.
  • Vitorino LM, Soares RC, Santos AEO, Lucchetti ALG, Cruz JP, Cortez PJO et al. (2018) Two sides of the same coin: the positive and negative ımpact of spiritual religious coping on quality of life and depression in dialysis patients. J Holist Nurs, 36: 332-340.
  • Wong TS, Xiang YT, Tsoh J, Ungvari GS, Ko FWS, Hui DSC et al. (2014) Depressive disorders in older patients with chronic obstructive pulmonary disease (COPD) in Hong Kong: A controlled study. Aging Ment Health, 18: 588–592.
  • WHO (2023) Chronic obstructive pulmonary disease (COPD). https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)#:~:text=Chronic%20obstructive%20pulmonary%20disease %20(COPD)%20is%20the%20third%20 leading%20cause,%2Dincome%20countries%20(LMIC). (Accessed 21.09.2023).
  • Yorgancıoğlu A, Polatlı M, Aydemir Ö, Yılmaz Demirci N, Kırkıl G, Naycıatış S et al. (2012). KOAH değerlendirme testinin Türkçe geçerlilik ve güvenilirliği. Tuberk Toraks, 60: 314-320.
Toplam 45 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ruh Sağlığı Hemşireliği
Bölüm Araştırma
Yazarlar

Özlem Şahin Altun 0000-0001-6727-6480

Duygu Özer 0000-0001-5800-5099

Muhammed Furkan Parlak 0000-0001-7671-0488

Proje Numarası 2022-2/2
Erken Görünüm Tarihi 1 Aralık 2024
Yayımlanma Tarihi
Gönderilme Tarihi 15 Mart 2024
Kabul Tarihi 4 Temmuz 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 16 Sayı: Supplement 1

Kaynak Göster

AMA Şahin Altun Ö, Özer D, Parlak MF. Spiritual Well-Being Levels, Severity of Disease and Mental Health Status of Individuals with Chronic Obstructive Pulmonary Disease. Psikiyatride Güncel Yaklaşımlar. Aralık 2024;16(Supplement 1):152-161. doi:10.18863/pgy.1452404

Creative Commons Lisansı
Psikiyatride Güncel Yaklaşımlar Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.