Journal of Traditional Medical Complementary Therapies

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Palyatif Bakım Kliniğinde Tedavi Gören Kanser Hastalarının Hemşirelik Bakımından Memnuniyet Düzeylerinin Belirlenmesi
Determining Satisfaction Levels of Cancer Patients Who Receive Treatment in the Palliative Care Unit with Nursing Care
Leyla ZENGİNa, Zeliha BÜYÜKBAYRAMb
aHemşirelik Bölümü, Dicle Üniversitesi Atatürk Sağlık Yüksekokulu, Diyarbakır, TÜRKİYE
bHemşirelik Bölümü, Siirt Üniversitesi Sağlık Yüksekokulu, Siirt, TÜRKİYE
J Tradit Complem Med. 2019;2(1):17-24
doi: 10.5336/jtracom.2018-63748
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, palyatif bakım kliniğinde tedavi gören kanser hastalarının hemşirelik bakımı açısından memnuniyet düzeylerinin belirlenmesi amacıyla kesitsel, tanımlayıcı ve ilişki arayıcı olarak yapıldı. Gereç ve Yöntemler: Araştırmanın evrenini, Diyarbakır Gazi Yaşargil Eğitim ve Araştırma Hastanesi Palyatif Bakım Kliniğinde yatışı yapılan kanser hastaları oluşturdu. Araştırma, Nisan-Ekim 2018 tarihleri arasında yürütüldü. Araştırmada, örneklem seçimine gidilmeden araştırmaya katılmayı kabul eden 96 hasta ile çalışma tamamlandı. Veriler, araştırmacılar tarafından hazırlanan kişisel bilgi formu, Newcastle Hemşirelikten Memnuniyet Ölçekleri (NHMÖ), Hemşirelik Bakımından Memnuniyet Ölçeği (HBMÖ) ve Hemşirelik Bakımı ile İlgili Yaşananlar Ölçeği (HBYÖ) kullanılarak toplandı. Verilerin analizinde yüzdelik, minimum, maksimum, Shapiro Wilk testi, Spearman korelasyon testi, Mann-Whitney U testi ve Kruskal Wallis testi kullanıldı. Tüm bulgular 0,05 anlamlılık düzeyinde sınandı. Bulgular: Araştırma kapsamına alınan hastaların %47,9'unun 46 yaş ve üzeri olduğu; %58,3'ünün kadın, %67,7'sinin gelirinin giderinden az olduğu, %81,2'sinin yatış süresinin 3-7 gün olduğu, %26'sının akciğer-larenks kanseri olduğu belirlendi. Hastaların HBYÖ puan ortalaması 81,31 (47,80-98,35), HBMÖ puan ortalaması ise 51,12 (18,67-56,67) olarak belirlendi. Korelasyon analizi sonucunda, 0,01 düzeyinde HBYÖ ve HBMÖ arasında pozitif yüksek düzeyde anlamlı ilişki saptandı. Sonuç: Araştırmamızda, hastaların hemşirelik bakımından memnuniyetlerinin ortalamanın üzerinde olduğu bulundu. Hastaların hemşirelik bakımından memnuniyet düzeylerinin belirlenmesi ve memnuniyetin artırılması için gerekli girişimlerin yapılması önerilebilmektedir.

Anahtar Kelimeler: Palyatif; kanser; hasta; hemşirelik bakımı
ABSTRACT
 Objective: The study was conducted as a cross-sectional, descriptive and correlational study with the purpose of determining satisfaction levels of cancer patients who receive treatment in the palliative care unit in terms of nursing care. Material and Methods: The universe of the study consisted of cancer in-patients in the Diyarbakır Gazi Yaşargil Training and Research Hospital, Palliative Care Unit. The study was conducted between the dates of April-October 2018. The study was carried out with 96 patient who accepted to participate in the study without sample selection. The data were collected through the personal information form which was prepared by the researchers and Newcastle Satisfaction with Nursing Scale (NSNS), Nursing Care Satisfaction Scale (NCSS) and Nursing Care Related Experiences Scale (NCRSS). In the analysis of the data, percentage, minimum, maximum, Shapiro Wilk test, Spearman correlation test, Mann-Whitney U test and Kruskal Wallis test were employed. All of the findings were tested at the 0,05 significance level. Results: In the scope of the study, it was determined that 47.9% of the patients who participated in the study are 46 years old and over, 58.3% are female, 67.7% of them have a lower income than expenses, duration of hospital stay of 81.2% them is between 3-7 days, and 26% of them have lung larynx cancer. The HBYÖ scores of patients were determined as 81.31 (47.80-98.35), and HBMÖ scores were determined as 51.12 (18.67-56.67). As a result of the correlation analysis, a positive high-level correlation was identified between HBYÖ and HBMÖ at the 0.01 level. Conclusion: In our study, the satisfaction of the patients in terms of nursing was found to be above average. It can be suggested to evaluate patient satisfaction in with nursing care and take steps to increase satisfaction.

Keywords: Palliative; cancer; patient; nursing care
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