Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Ostomili Hastalarda Yaşam Kalitesi ile Psikolojik İyilik Hâli Arasındaki İlişkinin İncelenmesi
Examination of the Relationship Between Quality of Life and Psychological Welness in Patients with Ostomy
Ömer ŞAHİNa, Hatice KUMCAĞIZb
aKocaeli Üniversitesi Tıp Fakültesi, Eğitim ve Araştırma Hastanesi Kalp Damar Yoğun Bakım Ünitesi, Kocaeli, TÜRKİYE
bOndokuz Mayıs Üniversitesi Eğitim Bilimleri Fakültesi, Eğitim Bilimleri Bölümü Rehberlik ve Psikolojik Danışmanlık ABD, Samsun, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(2):396-405
doi: 10.5336/nurses.2020-76837
Article Language: TR
ÖZET
Amaç: Bu araştırmada, ostomili hastalarda yaşam kalitesiyle psikolojik iyilik hâli arasındaki ilişkinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Araştırma, tanımlayıcı, kesitsel ve ilişki arayıcı tiptedir. Araştırmanın örneklem büyüklüğü Minitab programıyla hesaplanmış ve çalışma 175 katılımcıyla gerçekleştirilmiştir. Araştırmanın verileri, 15 Ocak-15 Ağustos 2019 tarihleri arasında Marmara Bölgesi'ndeki bir devlet üniversite hastanesinde toplanmıştır. Araştırma kapsamına ostomi girişimi uygulanmış, araştırmaya katılmayı kabul eden hastalar alınmıştır. Araştırmanın verileri Kişisel Bilgi Formu, Umut Merkezi Ostomi Yaşam Kalitesi Ölçeği ve Psikolojik İyi Oluş Ölçeği kullanılarak toplanmıştır. Verilerin analizinde Mann-Whitney-U testi, Kruskal-Wallis testi ve Spearman korelasyon analizi kullanılmıştır. Bulgular: Araştırma sonuçlarına göre ostomi açılan hastaların yaşam kalitesi toplam puan ortalamaları ile psikolojik iyilik hâli arasında pozitif yönde, orta düzeyde anlamlı bir ilişki bulunmuştur. Elde edilen verilerden bekâr hastaların yaşam kalitesi manevi alt boyutu puan ortalamalarının yüksek olduğu, hastaların ameliyat sonrası ekonomik harcamalardaki artma durumuyla yaşam kalitesi ölçeği ve alt boyutları arasında anlamlı farklılık olduğu saptanmıştır. Hastaların kolostomi tipiyle yaşam kalitesi ölçeği, fiziksel ve sosyal alt boyut puan ortalamaları arasında anlamlı fark olduğu görülmüştür. Ayrıca hastaların eğitim durumu arttıkça, yaşam kalitesi ölçeği psikolojik alt boyutu puan ortalamalarının daha yüksek olduğu, aradaki farkın istatistiksel olarak anlamlı olduğu sonucu görülmüştür. Hastaların kolostomi tipine göre yaşam kaliteleri incelendiğinde, geçici kolostomisi olan hastaların yaşam kalitesi ölçeği fiziksel alt boyutu puan ortalamalarının yüksek olduğu belirlenmiştir. Sonuç: Araştırmadan elde edilen sonuçlara göre ostomili hastaların yaşam kaliteleri ile psikolojik iyilik hâli arasında anlamlı bir ilişki olduğu görülmektedir.

Anahtar Kelimeler: Ostomi; psikolojik iyilik hâli; yaşam kalitesi
ABSTRACT
Objective: In this research, it is aimed to investigate the relationship between quality of life and psychological well-being in patients with ostomy. Material and Methods: The research is descriptive, cross-sectional and relationship seeker. The sample size of the research was calculated with the MINITAB program and the research was carried out with 175 participants. The data of the research were collected in a state university hospital in the Marmara Region between 15 January and 15 August 2019. Ostomy intervention was applied to the scope of the research and the patients who agreed to participate in the research were included. The data of the research were collected by using the Personal Information Form, Hope Center Ostomy Quality of Life Scale and Psychological Well-being Scale. Mann Whitney-U test, Kruskal-Wallis test and Spearman correlation analysis were used to analyze the data. Results: According to the results of the research, a moderate-level positive correlation was found between the average score of life quality and psychological well-being of patients who underwent ostomy. From the data obtained, it was determined that the mean scores of the spiritual sub-dimension of life quality of single patients were high, and there was a significant difference between the patients' increased postoperative economic expenses and the quality of life scale and sub-dimensions. A significant difference was found between the colostomy type and the physical and social subscale mean scores of the quality of life scale. In addition, it was found that as the education level of the patients increased, the mean scores of the psychological sub-dimension of the quality of life scale were higher and the difference was statistically significant. When the quality of life of the patients was examined according to the type of colostomy, it was determined that the mean scores of the physical sub-dimension of the quality of life scale were high in patients with temporary colostomy. Conclusion: According to the results obtained from the research, there is a significant relationship between the quality of life and psychological well-being of patients with ostomy.

Keywords: Ostomy; psychologicalwell-being; quality of life
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