Turkiye Klinikleri Journal of Medical Ethics-Law and History

.: RESEARCH
Hastaların Sosyotropik-Otonomik Kişilik Özelliklerinin Hasta Haklarını Kullanma Tutumlarına Etkisi: Tanımlayıcı Araştırma
The Effect of Sociotropic-Autonomic Personality Traits of Patients on Attitudes of Using Patients' Rights: Descriptive Research
Hanım Duru YÜCE BAŞARANa, Arzu KARABAĞ AYDINb
aIğdır Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Tıbbi Hizmetler ve Teknikler Bölümü, Odyometri Programı, Iğdır, Türkiye
bKafkas Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Hemşirelik Esasları ABD, Kars, Türkiye
Turkiye Klinikleri J Med Ethics. 2022;30(2):132-42
doi: 10.5336/mdethic.2021-87320
Article Language: TR
Full Text
ÖZET
 Bu çalışmada, hastaların sosyotropik-otonomik kişilik özelliklerinin hasta haklarını kullanma tutumlarına etkisinin belirlenmesi amaçlandı. Çalışma, kesitsel ve ilişki arayıcı olarak yapıldı. Araştırma Türkiye'nin Kuzeydoğu Anadolu Bölgesi'nde bulunan bir üniversite hastanesinde yapıldı. Araştırmaya 353 gönüllü hasta katıldı. Veri toplama aracı olarak tanıtıcı bilgiler formu, Sosyotropi-Otonomi Ölçeği ve Hasta Haklarını Kullanma Tutumu Ölçeği kullanıldı. Verilerin değerlendirilmesinde, tanımlayıcı özelliklerin sayı ve yüzdeleri alındı. Ölçek ve alt boyutların toplam puan ortalamaları hesaplandı. Verilerin analizinde ise tek yönlü ANOVA, t-testi, Pearson korelasyon katsayısı analizleri, Kruskal-Wallis H testi, Mann-Whitney U testi ve lineer regresyon analizi kullanıldı. Hasta Haklarını Kullanma Tutumu Ölçeği'nin toplam puan ortalaması 116,75±18,99; Sosyotropi Ölçeği toplam puan ortalaması 68,59±20,70 ve Otonomi Ölçeği toplam puan ortalaması ise 71,09±21,77 olarak saptandı. Hastaların Sosyotropi-Otonomi Ölçeği alt boyutları ile Hasta Haklarını Kullanma Tutumu Ölçeği ve alt boyut puanları arasında pozitif yönde ve anlamlı ilişki bulundu (p<0,05). Yapılan regresyon analizinde ise hastaların hasta haklarını kullanma tutumunda sosyotropik kişilik özelliklerinin %11, otonomik kişilik özelliklerinin ise %14 oranında etkili olduğu belirlendi. Çalışmada, yüksek sosyotropik-otonomik kişilik özelliği olan hastaların hasta haklarını kullanma tutumlarının da arttığı saptandı. Sosyotropi kişilik özelliğinin, 'personelden tıbbi gereklere uygun hizmet alma ve yasaklara uymasını isteme hakkı' alt boyutu üzerinde negatif yönde anlamlı bir yordayıcı etkisi olduğu belirlendi.

Anahtar Kelimeler: Hasta hakları; hasta savunuculuğu; hemşirelik; insan özellikleri; tutum
ABSTRACT
 The research was carried out to determine the effect of sociotropic- autonomic personality traits of patients on their attitudes towards using their patients rights. The study was carried out in cross-section and correlational. The research was made in a university hospital in the Northeastern Anatolia in Türkiye. The research was conducted with 353 volunteer patients. Data were collected using by a descriptive information form, the Sociotropy-Autonomy Scale, and the Scale of Attitudes towards Using Patients' Rights. In the evaluation of the data, the numbers and percentages of the descriptive features were taken. Scale and sub-dimension total score mean were calculated. Data were analyzed using by the one-way ANOVA, t-test, Pearson correlation coefficient, Kruskal-Wallis H and Mann-Whitney U tests and linear regression analysis. Participants had a total mean Scale of Attitudes towards Using Patients' Rights, Sociotropy Scale, and Autonomy Scale score of 116.75±18.99, 68.59±20.70, and 71.09±21.77, respectively. Participants' Sociotropy-Autonomy Scale subscale scores were positively correlated with their Scale of Attitudes towards Using Patients' Rights and subscale scores (p<0.05). The regression analysis showed that sociotropic personality traits (11%) and autonomic personality traits (14%) had an effect on participants' attitudes towards using their rights. In the study, it was determined that the patients with high sociotropic-autonomic personality characteristics also had attitudes towards using their rights. It was determined that the sociotropic personality trait had a negative predictive effect on the sub-dimension of 'the right of staff to receive services in accordance with medical requirements and to comply with prohibitions'.

Keywords: Patient rights; patient advocacy; nursing; human characteristics; attitude
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