Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Multipl Sklerozlu Hastalarda Öz Yeterlilik ve Sağlık Kontrol Odağı Arasındaki İlişki
The Relationship Between Self-Efficacy and Health Control Focus in Patients with Multiple Sclerosis
Afife YURTTAŞa, Serpil ÖZMENb, Elif KANTc, Reva BALCI AKPINARa
aAtatürk Üniversitesi Hemşirelik Fakültesi, Hemşirelik Bölümü Hemşirelik Esasları ABD, Erzurum, TÜRKİYE
bAtatürk Üniversitesi Narman Meslek Yüksekokulu, Sağlık Programları Bölümü, Erzurum, TÜRKİYE
cAtatürk Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Yaşlı Bakımı ABD, Erzurum, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(2):310-7
doi: 10.5336/nurses.2020-77455
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, multipl sklerozlu hastalarda öz yeterlilik ve sağlık kontrol odağı arasındaki ilişkinin incelenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı-kesitsel tipte olan bu araştırmanın örneklemini Erzurum'da bulunan bir hastanede 15 Nisan-30 Temmuz 2018 tarihleri arasında multipl skleroz tedavisi gören 115 hasta oluşturmuştur. Araştırmada veriler 'Tanıtıcı Bilgi Formu', 'Öz Yeterlilik Ölçeği' ve 'Çok Boyutlu Sağlık Kontrol Odağı Ölçeği' kullanılarak toplanmıştır. Veriler SPSS 17.0 for Windows programında, frekans ve yüzde, ortalama, t-testi, tek yönlü varyans analizi, Pearson korelasyon analizi, Cronbach alfa güvenilirlik analizi ile değerlendirilmiştir. Bulgular: Çalışmaya katılan hastaların %47'sinin 30-39 yaş grubunda olduğu, %57,4'ünün kadın, %81,7'sinin evli, %48,7'sinin ilkokul mezunu olduğu, %54,8'nin çalışmadığı, %52,2'sinin gelirinin giderine eşit olduğu belirlenmiştir. Hastaların %43'nün 6-10 yıldır MS hastası olduğu ve %85'nin 1. ve 2. derece akrabalarında bu hastalığın olmadığı saptanmıştır. Hastaların, %74,6'sı hastalık süresince herhangi bir eğitim almadıklarını, %77,4'ü hastalığa özgü bir diyet uygulamadıklarını, %93'ü ilaçlarını düzenli bir şekilde kullandıklarını ve sağlık kontrollerini düzenli yaptırdıklarını ifade etmişlerdir. Multipl skleroz tedavisi gören hastaların Öz Yeterlilik Ölçeği puan ortalamaları 78,58±16,77, Çok Boyutlu Sağlık Kontrol Odağı Ölçeği (ÇBSKÖ) puan ortalamaları 75,07±12,85 olarak bulunmuştur. Sonuç: Çalışma sonucunda, ÇBSKÖ iç sağlık alt boyutu ve Öz Yeterlilik Ölçeği toplam puanı arasında pozitif yönde anlamlı bir ilişki olduğu ancak 2 ölçek ve diğer alt boyutlar arasında anlamlı bir ilişki olmadığı tespit edilmiştir. Hemşirelerin hasta bakımını planlarken, öz yeterlilik ve sağlık kontrol odağı arasındaki ilişkiyi dikkate alarak bütüncül bir bakım planlamaları önerilmektedir.

Anahtar Kelimeler: Multipl skleroz; öz yeterlilik; sağlık kontrol odağı; hemşirelik
ABSTRACT
 Objective: This research was conducted to investigate the relationship between self-efficacy and health control focus in patients with multiple sclerosis. Material and Methods: The sample of this descriptive-cross-sectional study consisted of 115 patients who received multiple sclerosis treatment between April 15 and July 30, 2018 in hospital in Erzurum. In the research, the data were collected using 'Introductory Information Form' 'Self-Efficacy Scale' and 'Multidimensional Health Locus of Control'. The data were evaluated using SPSS 17.0 for Windows program, frequency and percentage, mean, t test, one-way analysis of variance, Pearson correlation analysis, and Cronbach alpha reliability analysis. Results: It was determined that 47% of the patients participating in the study were in the 30-39 age group, 57.4% were women, 81.7% were married, 48.7% were primary school graduates, 54.8% did not work, and 52.2% income was equal to the expense. It has been found that 43% of the patients have had MS for 6 to 10 years and 85% of them do not have this disease in their first and second degree relatives. 74.6% of the patients stated that they did not receive any training during the disease, 77.4% did not follow a disease-specific diet, 93% used their medicines regularly, and had regular health checks. The self-efficacy scale mean scores of patients who received multiple sclerosis treatment were 78.58±16.77, and the Multidimensional Health Control Scale mean scores were 75.07±12.85. Conclusion: As a result of the study, it was found that there was a positive significant relationship between the internal health sub-dimension of the Multidimensional Health Locus of Control Scale and the total score of the self-efficacy scale, but there was no significant relationship between the two scales and the other sub-dimensions. It is recommended that nurses plan a holistic care taking into account the relationship between self-efficacy and health focus of control while planning patient care.

Keywords: Multiple sclerosis; self-efficacy; health locus control; nursing
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