Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Hemodiyaliz Tedavisi Gören Hastaların Yakınlarının Bakım Yükü, Stres ve Algıladığı Sosyal Destek İlişkisi: Kesitsel Bir Çalışma
The Relationship of Care Burden, Stress and Perceived Social Support of Relatives of Patients Receiving Hemodialysis Treatment: A Cross-Sectional Research
Özden GÜDÜKa, Selda SELİMOĞLU NAMOĞLUb, Büşra Neva TEKİNc
aYüksek İhtisas Üniversitesi Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü, Ankara, Türkiye
bİstanbul Medipol Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, İstanbul, Türkiye
cHacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi, Sağlık Yönetimi Bölümü, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(2):544-53
doi: 10.5336/healthsci.2021-85223
Article Language: TR
Full Text
ÖZET
 Amaç: Hemodiyaliz tedavisi gören hastaların yakınlarının bakım yükü ile algıladıkları stres ve algıladıkları sosyal destek arasındaki ilişkiyi ortaya koymaktır. Gereç ve Yöntemler: 20 Şubat-20 Mart 2021 tarihleri arasında hemodiyaliz tedavisi gören 269 hastanın yakınına yüz yüze anket uygulanmıştır. Anket, sosyodemografik özelliklere yönelik 8 soru ve Zarit Bakım Verme Yükü Ölçeği, Algılanan Stres Ölçeği ve Çok Boyutlu Algılanan Sosyal Destek Ölçeği ile ilgili 48 olmak üzere toplam 56 sorudan oluşmaktadır. Mann-Whitney U ve Kruskal-Wallis testleri uygulanmıştır. Ölçekler arasındaki ilişki Spearman korelasyon testi ile ölçülmüş ve ilişkinin derecesini bulmak için lineer regresyon analizi yapılmıştır. İstatistiksel anlamlılık p<0,05 olarak kabul edilmiştir. Bulgular: Bakım yükü ortalaması 25,40'tır [standart sapma (SS)=12,71]. Bekârların, daha düşük eğitim ve gelir seviyesine sahip olanların bakım yükü daha fazla bulunmuştur. Daha kısa süredir hemodiyaliz tedavisi alan hastaların yakınlarında bakım yükü daha yüksektir. Algılanan sosyal desteğin en çok aile bireylerinden geldiği (ortalama=23,73, SS=6,88), tüm boyutları ile algılanan desteğin ortalamasının yüksek (ortalama=63,31, SS=20,12) olduğu görülmektedir. Algılanan Stres Ölçeği'nin ortalamasının 26,20 (SS=12,71) ile orta düzeyde yer aldığı bulunmuştur. Bakım verme yükü ile algılanan stres değişkeni arasında anlamlı ve pozitif yönde bir ilişki vardır (rspearman=0,25; p<0,001). Bakım verme yükü ve çok boyutlu algılanan sosyal destek aile alt boyutu arasında anlamlı ve negatif yönde bir ilişki vardır (rspearman=-0,20; p<0,001). Algılanan stres ile çok boyutlu algılanan desteğin tüm alt boyutları arasında negatif yönlü anlamlı bir ilişki bulunmuştur. Sonuç: Sağlık hizmetlerinin sunumunda, hastalar kadar hasta yakınları da dikkate alınmalıdır. Hasta yakınlarının eğitimi, bilgilendirilmesi, sosyal yönden desteklenmesi için çalışmaların planlanması ve uygulanması önerilmektedir.

Anahtar Kelimeler: Hemodiyaliz; hasta yakını; bakım yükü; algılanan sosyal destek; algılanan stres
ABSTRACT
 Objective: To reveal the relationship between the care burden and perceived stress and perceived social support of the patients relatives receiving hemodialysis treatment. Material and Methods: A face-to-face questionnaire was applied to 269 patients relatives between 20 February and 20 March, 2021. The questionnaire consists of 56 questions in total, 8 of which are about socio-demographic characteristics and 48 of which about Zarit Caregiver Burden Scale, Perceived Stress Scale and Multidimensional Perceived Social Support Scale. Mann-Whitney U and Kruskal-Wallis tests were applied. Spearman correlation test is utilised to measure the relation between scales and linear regression analysis was performed to find the degree of the relationship. Statistical significance was accepted as p<0.05. Results: The average care burden was 25.40 [standard deviation (SD)=12.71]. The care burden of singles and those with lower education and income levels was found higher. The care burden was higher for the patients relatives receiving hemodialysis treatment for a shorter period of time. It was seen that the perceived social support comes mostly from family members (mean=23.73, SD=6.88) and the mean of multidimensional perceived social support is high (mean=63.31, SD=620.12). The mean of the perceived stress scale was found to be at a moderate level with 26.20 (SD=12.71). There was a significant and positive relationship between caregiving burden and perceived stress variable (rspearman=0.25;p<0.001). There was a significant and negative correlation between caregiving burden and multidimensional perceived social support family subdimension (rspearman=-0.20; p<0.001). A negative significant relationship was found between perceived stress and all subdimensions of multidimensional perceived support. Conclusion: While delivering care services, patient relatives should be taken into consideration as well as patients. It is recommended to plan and implement studies for education, information and social support of patient relatives.

Keywords: Hemodialysis; the relatives of the patient; caregiving burden; perceived social support; perceived stress
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www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com