Uyku kalitesi ve kronik hastalık yönetimi için öz-etkililik: Edirne İlindeki yaşlı popülasyonu üzerine kesitsel bir çalışma

Öz

Amaç: Edirne ilinde evde yaşayan yaşlı bireylerde uyku kalitesi ile kronik hastalıkların yönetimine öz-etkililik arasındaki ilişkiyi incelemektir. Yöntemler: Kesitsel çalışmanın verileri, Mart-Aralık 2018 tarihleri arasında 60 yaş ve üzeri 244 bireyden basit rastgele örnekleme ve ev ziyaretleriyle toplandı. Pittsburgh Uyku Kalitesi İndeksi, Kronik Hastalık Yönetiminde 6-Maddelik Öz-Etkililik Ölçeği ve Görüşme Formu kullanılmıştır. Veriler tanımlayıcı analizler, t-testi, tek yönlü ANOVA, Pearson korelasyonu ve doğrusal regresyon analizi kullanılarak analiz edildi. Bulgular: Bireylerin çoğunun (%86,1) uyku kalitesi kötüydü ve Pittsburgh Uyku Kalitesi İndeksi toplam puan ortalaması 7,16±3,04 idi. Kronik Hastalık Yönetiminde 6-Maddelik Öz-Etkililik Ölçeği toplam puan ortalaması 4,82±1,79 idi. Kadın, bekar, emekli, sağlığını kötü algılayan ve ek hastalığı olanlarda uyku kalitesi daha kötüydü (p˂0,05). Korelasyon ve regresyon analizlerinde ölçekler arasında negatif ve anlamlı bir ilişki bulundu (p˂0,05). Sonuç: Kronik hastalık yönetiminde öz-etkililik, uyku kalitesini artırmada önemli bir faktördü. Sağlık çalışanlarının birinci basamakta öz-etkililiği artırıcı uygulamalar konusunda bilgili ve deneyimli olmaları oldukça önemlidir.

Anahtar Kelimeler

• Kronik hastalık
• hastalık yönetimi
• yaşlı
• öz-etkililik
• uyku hijyeni

Sleep quality and self-efficacy for managing chronic disease: A cross-sectional study in the elderly Population in Edirne Province

Öz

Objective: To examine the relationship between sleep quality and self-efficacy for managing chronic diseases in elderly individuals living at home in Edirne province. Methods: In this cross-sectional study, the data was collected through simple random sampling and home visits from 244 individuals aged 60 years and older between March and December 2018. The Pittsburgh Sleep Quality Index, the Self-Efficacy for Managing Chronic Disease 6-Item Scale, and the Interview Form were used in the study. The data was collected using descriptive analysis, t-test, one-way ANOVA, Pearson correlation, and linear regression analysis. Results: Most of the individuals (86.1%) had poor sleep quality and the mean Pittsburgh Sleep Quality Index total score was 7.16±3.04. The mean of Self-Efficacy for Managing Chronic Disease 6-Item Scale total score was 4.82±1.79. Sleep quality was worse in individuals who were women, single, retired, perceiving their health as bad, and with comorbidities (p˂0.05). There was a negative and significant relationship between the scales in correlation and regression analyses (p˂0.05). Conclusions: Self-efficacy in chronic disease management was an important factor in improving sleep quality. Healthcare professionals must be knowledgeable and experienced in practices that increase self-efficacy in primary care.

Anahtar Kelimeler

• Chronic disease
• disease management
• elderly
• self-efficacy
• sleep hygiene

Kaynakça

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