Turkiye Klinikleri Journal of Nursing Sciences

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Kalp Yetersizliği Hastalarında Uyku Kalitesinin Psikososyal Uyuma Etkisi: Tanımlayıcı Araştırma
The Effect of Sleep Quality on Psychosocial Adjustment in Patients with Heart Failure : Descriptive Research
Mustafa AKYÜZa , Özlem ŞAHİN ALTUNb
aIğdır Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Sağlık Bakım Hizmetleri Bölümü, Iğdır, Türkiye
bAtatürk Üniversitesi Hemşirelik Fakültesi, Psikiyatri Hemşireliği AD, Erzurum, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(3):875-84
doi: 10.5336/nurses.2023-99696
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, kalp yetersizliği tanısı olan hastaların, uyku kalitelerinin psikososyal uyuma etkisini belirlemek amacıyla yapıldı. Gereç ve Yöntemler: Tanımlayıcı nitelikte olan bu araştırmanın evrenini, Nisan-Kasım 2021 tarihleri arasında Doğu Anadolu Bölgesindeki bir hastanede kalp yetersizliği tanılı 209 hasta oluşturmaktadır. Çalışma, araştırma kriterlerine uyan gönüllü 172 hastayla tamamlandı. Verilerin toplanmasında; Kişisel Bilgi Formu, Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ve Hastalığa Psikososyal Uyum-Öz Bildirim Ölçeği [Psychosocial Adjustment to Illness-Self-Report Scale (PAIS-SR)]; verilerin değerlendirilmesinde sayı, ortalama, yüzdelik dağılımlar, standart sapma, Cronbach alfa katsayısı, Pearson korelasyon analizi ve Simple Linear Regresyon analizi kullanıldı. Bulgular: Araştırma bulgularına göre PUKİ'de hastaların uyku kalitesinin kötü (12,80±3,86) olduğu, PUKİ'nin en fazla etkilenen alt boyutu uyku latensi (2,48±0,68), en az etkilenen alt boyutu ise uyku ilacı kullanımı (0,40±0,88) olarak bulundu. PAIS-SR'ye göre hastaların psikososyal uyumunun kötü (67,09±24,70) olduğu, PAIS-SR en fazla etkilenen alt boyutunun sosyal çevre (12,75±5,66) olduğu, en az etkilenen alt boyutunun ise geniş aile ilişkileri (5,69±3,85) olduğu saptandı. PAIS-SR ve PUKİ toplam puan ortalamaları arasındaki ilişki incelendiğinde; ölçeklerin tüm alt boyutları arasında ve toplam puan ortalamaları arasında pozitif yönde anlamlı düzeyde ilişki olduğu belirlendi (p<0,05). Katılımcıların PUKİ toplam puanı ile PAIS-SR alt boyutları ve ölçek puan ortalamaları arasındaki regresyon analizinde; PUKİ toplam puanının %63,6 oranında mesleki uyumuna etkisi olduğu belirlendi. Sonuç: Hastaların uyku kalitesinin ve psikososyal uyumlarının kötü düzeyde olduğu araştırma bulgulara göre saptandı. Kalp yetersizliği hastalarının uyku kalitesinin psikososyal uyumlarına etki ettiği tespit edildi.

Anahtar Kelimeler: Kalp yetersizliği; psikiyatri hemşireliği; psikososyal uyum; uyku kalitesi
ABSTRACT
 Objective: The study was conducted to determine the effect of sleep quality on psychosocial adjustment in patients diagnosed with heart failure. Material and Methods: The population of this descriptive research consists of 209 patients diagnosed with heart failure in a hospital in the Eastern Anatolia Region between April-November 2021. The study was completed with 172 voluntary patients who met the research criteria. Personal Information Form, Pittsburgh Sleep Quality Index (PSQI), and Illness Psychosocial Adjustment Self-Report Scale were used for data collection, while number, mean, percentage distributions, standard deviation, Cronbach's alpha coefficient, Pearson correlation analysis, and Simple Linear Regression analysis were used for data evaluation. Results: According to the research findings, based on the PSQI, the patients' sleep quality was poor (12.80±3.86). The PSQI subscale most affected was sleep latency (2.48±0.68), while the least affected subscale was sleep medication usage (0.40±0.88). According to the Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR), the patients' psychosocial adjustment was poor (67.09±24.70). The PAIS-SR subscale most affected was social environment (12.75±5.66), and the least affected subscale was extended family relationships (5.69±3.85). When the relationship between PAISSR and PSQI total mean scores was examined, it was determined that there was a positive significant relationship between all sub-dimensions of the scales and total mean scores (p<0.05). In the regression analysis between the PSQI total score of the participants and the PAIS-SR subdimensions and the mean scores of the scale, it was determined that the PSQI total score had an effect on their professional adaptation by 63.6%. Conclusion: Sleep quality and psychosocial adjustment of the patients were found to be at a poor level. Sleep quality of patients with heart failure was found to affect their psychosocial adjustment.

Keywords: Heart failure; psychiatric nursing; psychosocial adjustment; sleep quality
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