Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Behaviors and Levels of Well-Being of End-Period Renal Failure Patients Coping with the Changes Experienced with Peritoneal Dialysis: Descriptive Study
Son Dönem Böbrek Yetersizliği Hastalarının Periton Diyalizi ile Yaşadıkları Değişimlerle Başa Çıkma Davranışları ve İyi Oluşluk Düzeyleri: Tanımlayıcı Araştırma
Nurcan UZDİLa , Özlem CEYHANb , Nuray ŞİMŞEKa , Bülent TOKGÖZc
aErciyes University Faculty of Health Sciences, Department of Nursing, Division of Mental Health and Disease Nursing, Kayseri, Türkiye
bErciyes University Faculty of Health Sciences, Department of Nursing, Division of Internal Medicine Nursing, Kayseri, Türkiye
cErciyes University Faculty of Medicine, Department of Internal Diseases, Kayseri, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(2):524-33
doi: 10.5336/nurses.2023-98295
Article Language: EN
Full Text
ABSTRACT
 Objective: This research was carried out descriptively and correlational to determine the stress-coping behaviors and spiritual well-being levels of patients who received peritoneal dialysis as a result of end-stage renal failure. Material and Methods: The study was conducted with 92 peritoneal dialysis patients who were treated in the adult peritoneal dialysis unit of a university in Türkiye, met the inclusion criteria and agreed to participate in the study. The data of the study were collected using the Spiritual Well-Being Scale (SWBS), an information form created to determine some socio-demographic and disease-related characteristics of peritoneal dialysis patients. Results: In the study, the mean SWBS score of peritoneal dialysis patients was 99.95±16.16, and a statistically significant and positive correlation was found between age and SWBS total score, transcendence, harmony with nature sub-dimension mean scores. It was observed that individuals who said that they could not cope with stress had lower SWBS scores. It was determined that patients who showed positive coping behaviors with their current situations had higher total and sub-dimension mean scores of spiritual well-being than others. Conclusion: It was determined that the spiritual well-being levels of peritoneal dialysis patients within the scope of the study were high, and positive coping behaviors increase as spiritual well-being increases.

Keywords: Coping; renal failure; peritoneal dialysis; spiritual well-being
ÖZET
 Amaç: Bu araştırma, son dönem böbrek yetersizliği sonucu periton diyalizi alan hastaların yaşadıkları değişimlere karşı stresle başa çıkma davranışlarını ve spiritüel iyi oluşluk düzeylerini belirlemek amacıyla tanımlayıcı ve ilişkisel olarak yapılmıştır. Gereç ve Yöntemler: Çalışma bir üniversitenin erişkin periton diyalizi ünitesinde tedavi gören, araştırmaya dâhil edilme kriterlerine uyan ve çalışmaya katılmayı kabul eden 92 periton diyalizi hastası ile yürütülmüştür. Araştırmanın verileri; periton diyalizi hastalarının bazı sosyodemografik ve hastalıkla ilişkili özelliklerini belirlemeye yönelik oluşturulan bilgi formu, Spiritüel İyi Oluş Ölçeği (SİOÖ) kullanılarak toplanmıştır. Bulgular: Çalışmada, periton diyalizi hastalarının SİOÖ puan ortalaması 99,95±16,16 olup, yaş ile SİOÖ toplam puan, aşkınlık, doğayla uyum alt boyut puan ortalaması arasında istatistiksel olarak anlamlı ve pozitif yönlü bir ilişki olduğu saptanmıştır. Stresle baş edemediğini söyleyen bireylerin SİOÖ puanlarının daha düşük olduğu görülmüştür. Var olan durumları ile olumlu başa çıkma davranışları gösteren hastaların spiritüel iyi oluş toplam ve alt boyut puan ortalamalarının diğerlerinden yüksek olduğu belirlenmiştir. Sonuç: Çalışma kapsamındaki periton diyalizi hastalarının spiritüel iyi oluş düzeylerinin yüksek düzeyde olduğu, spiritüel iyi oluş arttıkça olumlu başa çıkma davranışlarının arttığı tespit edilmiştir.

Anahtar Kelimeler: Başa çıkma; böbrek yetersizliği; periton diyalizi; spiritüel iyi oluş
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