Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Determining the Relationship Between Earthquake Trauma Level and Self-Care Behaviors in Heart Failure Patients Living in the Earthquake Region Study: A Descriptive Study
Deprem Bölgesinde Yaşayan Kalp Yetmezliği Hastalarında Deprem Travma Düzeyi ile Öz Bakım Davranışları Arasındaki İlişkinin Belirlenmesi: Tanımlayıcı Çalışma
Reva GÜNDOĞANa , Sümeyra Mihrap İLTERb , Ercan BAKIRa , Mustafa KARAAĞAÇc
aAdıyaman University Faculty of Health Sciences, Department of Nursing, Department of Internal Medicine Nursing, Adıyaman, Türkiye
bOsmaniye Korkut Ata University Faculty of Health Sciences, Department of Gerontology, Osmaniye, Türkiye
cHarran University Health Services Vocational School Health Care Services, Department Elderly Care Program, Şanlıurfa, Türkiye
Turkiye Klinikleri J Health Sci. 2025;10(3):747-56
doi: 10.5336/healthsci.2024-107338
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted descriptively to determine the relationship between earthquake trauma level and self-care behaviors in heart failure (HF) patients living in an earthquake zone. Material and Methods: The study included 126 heart failure patients who applied to the cardiology clinic of Adıyaman University Training and Research Hospital between August 20 and December 27, 2023, who were not in stage 4 according to the New York Heart Association classification, were receiving outpatient treatment, and volunteered for the study. The data were collected using the ''Person Identification Form'', ''Post-Earthquake Trauma Level Determination Scale (PETLDS)'', and ''European HF Self-Care Behavior Scale-9''. In the statistical analysis of the data, number, percentage and mean, Kolmogorov-Smirnov normality test result, student t-test in independent groups, one-way analysis of variance, Mann-Whitney U, KruskalWallis and Spearman correlation tests were used. In addition, multiple regression analysis was applied in the analysis. Results: It was determined that there was a weak positive significant relationship between the postearthquake trauma score and the Self-Care Scale score (p<0.05). It was found that as the mean post-earthquake trauma score increased, the Mean Self-Care Scale score also increased (p<0.05). As a result of the regression analysis, it was determined that earthquake-related situations had a 28.7% effect on PETLDS mean scores (R2 =0.287, p<0.001). Current residence the earthquake was found to have a positive effect on the PETLDS mean scores (B=0,290; p<0.001). Conclusion: It is recommended to provide psychosocial support to reduce the trauma levels of HF patients who survived the earthquake, to increase the self-awareness of individuals so that they can use self-care behaviors positively, and to provide training in this direction.

Keywords: Earthquake; psychological trauma; heart failure; self care
ÖZET
 Amaç: Bu araştırma, deprem bölgesinde yaşayan kalp yetmezliği hastalarında deprem travma düzeyi ile öz bakım davranışları arasındaki ilişkinin belirlenmesi amacıyla tanımlayıcı olarak yapıldı. Gereç ve Yöntemler: Araştırmaya, 20 Ağustos-27 Aralık 2023 tarihleri arasında Adıyaman Üniversitesi Eğitim ve Araştırma Hastanesi kardiyoloji kliniğine başvuran, New York Kalp Derneği (the New York Heart Association) sınıflamasına göre 4. evrede olmayan, ayaktan tedavi gören ve araştırmaya gönüllü olan 126 kalp yetersizliği hastası dâhil edildi. Araştırmanın verileri; ''Kişi Tanımlama Formu'', ''Deprem Sonrası Travma Düzeyi Belirleme Ölçeği [Post-Earthquake Trauma Level Determination Scale (PETLDS)]'' ve ''Avrupa Kalp Yetmezliği Öz Bakım Davranış Ölçeği-9'' kullanılarak toplandı. Verilerin istatistiksel analizinde sayı, yüzde ve ortalama, Kolmogorov-Smirnov normallik testi sonucu bağımsız gruplarda öğrenci t-testi, tek yönlü varyans analizi, Mann-Whitney U, Kruskal-Wallis ve Spearman korelasyon testleri kullanıldı. Ayrıca analizde çoklu regresyon analizi uygulandı. Bulgular: Deprem sonrası travma puanı ortalaması ile Öz Bakım Ölçeği puanı ortalaması arasında zayıf pozitif anlamlı ilişki olduğu belirlendi (p<0,05). Deprem sonrası travma puanı ortalaması arttıkça Öz Bakım Ölçeği puanı ortalamasının da arttığı bulundu (p<0,05). Regresyon analizi sonucunda depremle ilişkili durumların PETLDS ortalama puanları üzerinde %28,7'lik bir etkiye sahip olduğu belirlendi (R2 =0,287, p<0,001). Depremin yaşandığı mevcut ikametgâhın PETLDS ortalama puanları üzerinde olumlu bir etkiye sahip olduğu bulundu (B=0,290; p<0,001). Sonuç: Depremden sağ kurtulan kalp yetmezliği hastalarının travma düzeylerini azaltmak için psikososyal destek sağlamak, bireylerin öz bakım davranışlarını olumlu yönde kullanabilmeleri için öz farkındalıklarını artırmak ve bu yönde eğitim verilmesi önerilir.

Anahtar Kelimeler: Deprem; psikolojik travma; kalp yetmezliği; öz bakım
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