Bulaşıcı Olmayan Hastalık Tanısı Alan Yetişkin Bireylerin Hastalığa Uyumla İlişkili Değişkenlerin İncelenmesi

Öz

Amaç: Bu çalışmada Antalya’da bir aile sağlığı merkezine (ASM) kayıtlı en az bir bulaşıcı olmayan hastalık (BOH) tanısı olan yetişkin bireylerin hastalığa uyum düzeyi ve hastalığa uyumla ilişkili olabilecek bazı sosyodemografik özellikler ve sağlık öyküsü ile ilişkili faktörleri incelemek hedeflenmiştir. Yöntem: Tanımlayıcı tipte olan çalışmaya en az bir BOH tanısı olan 329 birey alınmıştır. Veriler; demografik özellikler, sağlık öyküsü formu ve Kronik Hastalığa Uyum Ölçeği (KHUÖ) ile toplandı. Bulgular: Katılımcıların yaş ortalaması 58,76±6,79 olup, %62,6'sı kadın, %53,8 'i ilkokul mezunu ve %28’inin gelir düzeyi düşüktür. Katılımcıların çoğunda kalp-damar hastalığı (%71,7) ve diyabet (%59,6) bulunurken, %26,1'inde solunum yolu hastalıkları ve %3'ünde kanser vardı. Çalışmamızda KHUÖ toplam puan ortalaması 100,01±11,08’dır. BOH’lu bireylerin hastalığa uyum düzeyi ile solunum yolu hastalığına sahip olma, sağlık kontrollerini düzenli yaptırma, sürekli ilaç kullanıma ve Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği Türkçe Formu (WHOQOL-BREF-TR)’nun genel durum (algılanan sağlık, yaşam kalitesi) ve psikolojik boyutu düzeyleri anlamlı şekilde ilişkilidir (p<0,05). Sonuç: Katılımcıların hastalığa uyum toplam puan ortalaması ortalamanın üzerindedir. ASM’de görevli sağlık çalışanları tarafından BOH’a uyum düzeyi düşük olan riskli bireylerin belirlenerek, gereksinimlerine uygun eğitim verilmesi önerilmektedir.

Anahtar Kelimeler

• Uyum
• Bulaşıcı olmayan hastalıklar
• hasta
• birinci basamak sağlık

EXAMINATION OF VARIABLES RELATED TO DISEASE ADAPTATION OF ADULTS DIAGNOSED WITH NON-COMMUNICABLE DISEASES

Öz

Aim: This study aims to examine the level of adjustment to illness of adults with at least one non-communicable disease (NCD) in Antalya and some socio-demographic characteristics and health history-related factors that may be related to adjustment to illness. Methods: This descriptive study included 329 individuals diagnosed with at least one NCD. Data were collected using the descriptive characteristics form and the Adaptation to Chronic Illness Scale (ACIS). Results: The participants’ mean age was 58.76 ± 6.79 years; 62.6% were female, and 28.0% had a low-income level. Most participants had cardiovascular disease (71.7%) and diabetes (59.6%), while 26.1% had respiratory diseases and 3% had cancer. Their mean total ACIS score was 100.01 ± 11.08. The level of adjustment to illness of individuals with NCDs was significantly associated with having respiratory disease, regular health checks, regular drug use, and the general status (perceived health, quality of life) and psychological dimensions of the World Health Organization Quality of Life-BREF Turkish Version (WHOQOL-BREF-TR) (p <0.05). Conclusions: The participants’ mean total ACIS score was above average. Healthcare professionals in family health centers should identify at-risk individuals with low adjustment to their NCD and train them according to their needs.

Anahtar Kelimeler

• Adaptation
• noncommunicable diseases
• patient
• primary health care

Kaynakça

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