Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Kronik Hastalığı Olan Bireylerde Öz Yönetim ve Sağlık Arama Davranışlarının Belirlenmesi: Tanımlayıcı Araştırma
Determination of Self-Management and Health Seeking Behaviors in Individuals with Chronic Disease: Descriptive Study
Güllü BEKTAŞa , Neşe UYSALb
aAtaşehir Acıbadem Hastanesi, İstanbul, Türkiye
bAmasya Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İç Hastalıkları Hemşireliği ABD, Amasya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(1):207-18
doi: 10.5336/nurses.2023-99287
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, kronik hastalığı olan bireylerde öz yönetim ve sağlık arama davranışlarının ve aralarındaki ilişkinin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma tanımlayıcı tipte yürütülmüştür. Araştırma verileri bir eğitim ve araştırma hastanesinin dahiliye, göğüs hastalıkları ve kardiyoloji kliniklerinde toplanmıştır. Tanı veya tedavi amacıyla dahili kliniklerde yatan, 18 yaş ve üzeri olan, en az bir kronik hastalık tanısı alan 220 birey çalışmaya dâhil edilmiştir. Araştırma verileri, Kişisel Bilgi Formu, Kronik Hastalık Öz Yönetim Ölçeği ve Sağlık Arama Davranışı Ölçeği kullanılarak toplanmıştır. Bulgular: Araştırma kapsamına alınan hastaların yaş ortalaması 64,14±11,99, kronik hastalık tanı süresi ortalamaları 11,77±8,60 yıldır. Kronik hastalık öz yönetiminin yaş, eğitim durumu, çalışma durumu, sosyoekonomik durum, tanı süresi ve sağlık durumunu algılama düzeyine göre anlamlı farklılık gösterdiği saptanmıştır (p<0,05). Sağlık arama davranışlarının yaş, cinsiyet, eğitim durumu, çalışma durumu, medeni durum, sosyoekonomik durum, tanı süresi ve sağlığı algılama durumuna göre anlamlı farklılık gösterdiği saptanmıştır (p<0,05). ''Damgalamayla baş etme'' ve ''sağlık bakım etkinliği'' ile ''online ve toplam sağlık arama davranışı'' puanları arasında pozitif yönde, düşük düzeyde; ''tedavi uyumu'' ile ''geleneksel sağlık arama davranışı'' arasında negatif yönde, düşük düzeyde; ''sağlık bakım etkinliği'' ile ''profesyonel sağlık arama davranışı'' arasında pozitif yönde, orta düzeyde anlamlı ilişki olduğu saptanmıştır (p<0,001). Sonuç: Kronik hastalığı olan bireylerin bakımlarında aktif rol almalarının önemi düşünüldüğünde, bireylerin öz yönetim davranışlarının desteklenmesi ve bu süreçte kullandığı sağlık arama davranışlarının belirlenmesi önemlidir.

Anahtar Kelimeler: Kronik hastalık; öz yönetim; sağlık arama davranışı
ABSTRACT
 Objective: The aim of this study is to determine selfmanagement and health-seeking behaviors and the relationship between them in individuals with chronic diseases. Material and Methods: The research was conducted in descriptive type. The data were conducted in the internal medicine, chest diseases and cardiology clinics of a training and research hospital. The study included 220 individuals who were hospitalized in internal clinics for diagnosis or treatment, were 18 years of age and older, were diagnosed with at least one chronic disease in the study. Data were collected using the Personal Information Form, the Chronic Disease Self-Management and the Health Seeking Behavior Scale. Results: The mean age of the patients included in the study was 64.14±11.99 years and the mean duration of chronic disease diagnosis was 11.77±8.60. Chronic disease self-management differs significantly according to age, education status, employment status, socioeconomic status, diagnosis period and level of perception of health status (p<0.05). Health-seeking behaviors differed significantly according to age, gender, educational status, employment status, marital status, socioeconomic status, diagnosis period and health perception status (p<0.05). There was a positive, low-level significant relationship between the total scores of with stigma and health care effectiveness and online health seeking and health seeking behaviors. There was a negative, low-level significant relationship between treatment adherence and traditional health seeking. There was a positive, moderately significant relationship between health care effectiveness and seeking professional health (p<0.001). Conclusion: Considering the importance of taking an active role in the care of individuals with chronic diseases, it is important to support individuals' self-management behaviors and to determine the health-seeking behaviors they use in this process.

Keywords: Chronic illness; self-management; health-seeking behavior
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30.03.2014

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