Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Palyatif Bakım Hastalarında Bakım Vericilerin Bakım Yüklerinin Belirlenmesi: Tanımlayıcı-Kesitsel Araştırma
Determination of Caregiver Burden in Palliative Care Patients: Descriptive and Cross-Sectional Research
Velat AKCANa , Rukuye AYLAZb
aKızıltepe Devlet Hastanesi, Hasta Hakları ve Çalışan Güvenliği Birimi, Mardin, Türkiye
bİnönü Üniversitesi Hemşirelik Fakültesi, Halk Sağlığı Hemşireliği AD, Malatya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(3):745-51
doi: 10.5336/nurses.2024-106892
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma; palyatif bakım hastalarına bakım veren bakım vericilerin bakım yüklerinin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel araştırma yöntemi ile yapılan araştırma Mardin Eğitim Araştırma Hastanesi, Kızıltepe Devlet Hastanesiyle Midyat Devlet Hastanelerinin palyatif bakım servislerinde yatan veya yatmış olan palyatif bakım hastalarının, iletişime açık olan bakım vericileri ile yapılmıştır. Araştırmanın örnekleme alınması gereken minimum örneklem sayısı, G*power analizi kullanılarak %95 güven aralığında 124 olarak hesaplanmıştır. Araştırmada, Tanıtıcı Bilgi Formu ve Zarit Bakım Verme Yükü Ölçeği kullanılmıştır. İstatistiksel anlamlılık, p<0,05 düzeyinde anlamlı kabul edilmiştir. Bulgular: Araştırmaya katılan bakım vericilerin %53,2'si erkek, %70,2'si 18-40 yaş aralığında, %69,4'ünün ise en az ilkokul mezunu olduğu belirlenmiştir. Bu araştırmada çalışmaya katılan bireylerin yaş ortalaması kadınlarda 40,46±13,37 erkeklerde ise 34,80±10,06 olarak bulunurken, bakım vericilerin ölçek puanları en düşük 6, en yüksek 71 ve ortalama 31,17±1,31 bulunmuştur. Palyatif hastalarının bakım vericilerinden, kadınların bakım yükleri puan ortalaması 33,48±14,02 olarak belirlenip erkeklerden 29,15±14,91 daha yüksek bulunmasına rağmen anlamlı bir farklılık saptanmamıştır. Bakım vericilerden en yüksek puan ortalaması %5,6'lık olan 61-68 yaş aralığında elde edilmiştir (38,85±3,54). Üniversite mezunu bakım vericilerin puan ortalamaları diğer eğitim seviyelerine göre daha yüksek elde edilirken (38,50±16,69), gelir durumu arttıkça bakım yükünün de arttığı belirlenmiştir (32,25±15,66). Araştırmanın hiçbir safhasında gruplar arasında anlamlı bir farklılık elde edilememiştir. Sonuç: Palyatif bakım hastalarına bakım veren bireylerin bakım yükünün incelendiği bu araştırmada bakım yükünün orta seviyede olduğu ve bakım verici üzerinde yüksek bir yük oluşturmadığı belirlenmiştir.

Anahtar Kelimeler: Palyatif bakım; hemşirelik; bakım yükü; bakım verici
ABSTRACT
 Objective: This research; It was conducted to determine the care burden of primary caregivers who care for palliative care patients. Material and Methods: The research, which was conducted with descriptive and cross-sectional research method, was conducted with the caregivers who were open to communication of palliative care patients who were or were hospitalized in the palliative care services of Mardin Training and Research Hospital, Kızıltepe State Hospital and Midyat State Hospitals. The minimum number of samples required to be included in the study was calculated as 124 with a 95% confidence interval using power analysis. In the research, Introductory Information Form and Zarit Caregiving Burden Scale were used. Statistical significance was considered significant at the p<0.05 level. Results: It was determined that 53.2% of the caregivers participating in the research were male, 70.2% were between the ages of 18-40, and 69.4% were at least primary school graduates. In this research, the average age of the individuals participating in the study was 40.46±13.37 for women and 34.80±10.06 for men, while the lowest scale scores of caregivers were 6, the highest was 71, and the average was 31.17±1.31. Among the caregivers of palliative patients, the average care burden score of women was determined as (33.48±14.02) and although it was found to be higher than that of men (29.15±14.91), no significant difference was detected. The highest mean score among caregivers was obtained in the 61-68 age range, which was 5.6% (38.85±3.54). While the mean score of university graduate caregivers was higher than other education levels (38.50±16.69), it was determined that the care burden increased as the income level increased (32.25±15.66). No significant difference was found between the groups at any stage of the research. Conclusion: In this study, which examined the care burden of individuals caring for palliative care patients, it was determined that the care burden was at a medium level and did not create a high burden on the caregiver.

Keywords: Palliative care; nursing; care burden; caregiver
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