Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Cerrahi Girişim Geçiren Hastaların Bakım Bağımlılığı Durumlarının Bakım Algısı, Sosyodemografik ve Klinik Özellikler Açısından İncelenmesi
Examination of Care Dependency of Patients Undergoing Surgical Intervention in Terms of Perception of Care, Sociodemographic and Clinical Characteristics
Altun BAKSİa, Hasan GENÇb
aSüleyman Demirel Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Cerrahi Hastalıkları Hemşireliği ABD, Isparta, TÜRKİYE
bDicle Üniversitesi Atatürk Sağlık Yüksekokulu, Hemşirelik Bölümü, Diyarbakır, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2020;12(4):465-72
doi: 10.5336/nurses.2020-75291
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırmanın amacı, cerrahi girişim geçiren hastaların bakım bağımlılığı durumlarının hemşirelik bakım algısı, sosyodemografik ve klinik özellikler açısından incelenmesidir. Gereç ve Yöntemler: Araştırma ilişkisel tipte tanımlayıcı bir araştırmadır. Türkiye'nin güneydoğu bölgesinde bir üniversite hastanesinin cerrahi kliniklerinde Kasım 2019- Ocak 2020 tarihleri arasında yürütülmüştür. Araştırma örneklemini cerrahi girişim geçiren 200 hasta oluşturmuştur. Araştırma verileri; sosyodemografik ve klinik özellikler formu, bakım bağımlılığı ölçeği ve hemşirelik bakımını algılayışı ölçeği kullanılarak toplanmıştır. Araştırma verilerinin değerlendirilmesinde; sayı, yüzde, ortalama, standart sapma, korelasyon analizi, student t testi ya da Mann-Whitney U testi ve One-Way Anova testi testi kullanıldı. Bulgular: Cerrahi girişim geçiren hastaların bakım bağımlılığı 64.07±12.53 ve hemşirelik bakım algısı 66.18±11.84 puan ortalamaları arasında istatistiksel olarak anlamlı bir ilişki saptanmamıştır (p>0.05). Bakım bağımlılığı puan ortalaması ile yaş, sağlık güvencesi, tedavi gördüğü klinik, toplam yatış süresi ve cerrahi girişim öncesi ASA düzeyi açısından istatistiksel olarak anlamlı fark olduğu saptanmıştır (p<0.05). Sonuç: Cerrahi girişim geçiren hastaların bakım bağımlılığı durumlarının iyi düzeyde olduğu görülmektedir. Cerrahi girişim geçiren hastaların bakım bağımlılığı ve hemşirelik bakım algısı arasında bir ilişki bulunmamıştır. Yaş ve toplam yatış süresi arttıkça hastaların daha bağımlı oldukları görülmektedir. Beyin cerrahi kliniğinde tedavi görenler bakım açısından daha bağımlı, sosyal güvencesi olan ve ASA düzeyi 1 olan hastaların daha bağımsız oldukları saptanmıştır. Bu doğrultuda bakım bağımlılığının değerlendirilmesinde bireysel faktörler göz önünde bulundurulmalıdır.

Anahtar Kelimeler: Bakım bağımlılığı; cerrahi; hasta; hemşirelik bakımı; hasta memnuniyeti; bakım algısı
ABSTRACT
 Objective: The aim of this study was to examine the care dependency of patients undergoing surgical intervention in terms of perception of nursing care, socio-demographic and clinical characteristics. Material and Methods: The study was a correlational descriptive study. It was conducted in the surgical clinics of a university hospital located in the southeast of Turkey between November 2019 and January 2020. The study sample consisted of 200 patients who had undergone a surgical intervention. The study data was collected using a socio-demographic and clinical characteristics form, a care dependency scale and a perception of nursing care scale. Number, percentage, mean, standard deviation, correlation analysis, student t-test or Mann-Whitney U test and One-Way Anova test were used for data assessment. Results: No statistically significant correlation was detected between the care dependency mean score (64.07±12.53) and the perception of nursing care (66.18±11.84) mean score of patients undergoing a surgical intervention (p>0.05). A statistically significant difference was found between care dependency mean scores and age, health insurance, clinic of treatment, total duration of hospitalization and ASA level prior to surgical intervention (p<0.05). Conclusion: It was observed that patients who had undergone a surgical intervention had good levels of care dependency. No correlation was detected between the care dependency and perception of nursing care of patients who had undergone surgical intervention. It was seen that patients were more dependent as their age and total duration of hospitalization increased. It was also determined that patients receiving treatment in a neurosurgery clinic had higher care dependency, while patients with health insurance and an ASA level of 1 had lower care dependency. Thus, individual factors should be taken into consideration in assessment of care dependency.

Keywords: Care dependency; surgical; patient; nursing care; patient satisfaction; care perception
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