Turkiye Klinikleri Cardiovascular Sciences

.: ORIGINAL RESEARCH
Self-Care Agency and Associated Factors in Heart Transplant Patients
Kalp Nakli Olan Hastalarda Öz Bakım Gücü ve Etkileyen Faktörler
Nihal ÇELİKTÜRKa, Aylin DURMAZ EDEERb
aDepartment Surgical Nursing, Ege University Faculty of Nursing,
bDepartment Surgical Nursing, Dokuz Eylül University Faculty of Nursing, İzmir, TURKEY
Turkiye Klinikleri J Cardiovasc Sci. 2019;31(3):148-54
doi: 10.5336/cardiosci.2019-70586
Article Language: EN
Full Text
ABSTRACT
 Objective: Heart transplant patients must maintain their self-care at the highest level and take responsibility for their own treatment and care. The study determined the self-care agency of heart transplant patients and associated factors. Material and Methods: This is a descriptive and cross-sectional study. The study universe consisted of 117 patients over the age of 18 who underwent heart transplant surgery at a university hospital. The study sample included 50 patients. The research data were collected using the Self-Care Agency Scale. Results: Only 38% of the patients defined themselves as independent in their daily activities. Of them, 94% received support from one of their family members in their daily life activities. Their mean self-care agency score was 97.10±11.31. Age, marital status, education level, and people helping them to perform daily life activities did not affect the heart transplant patients' self-care agency. However, economic status did affect their self-care agency. Conclusion: The heart transplant patients had low self-care agency scores, which shows that patients' self-care responsibility and health protection behaviors were inadequate.

Keywords: Activities of daily living; heart transplantation; self-care
ÖZET
 Amaç: Kalp nakli hastaları öz bakımlarını en üst düzeyde tutmalı ve kendi bakımları ve tedavileri için sorumluluk almalıdır. Araştırma kalp nakli olmuş hastaların öz bakım güçleri ve bunu etkileyen faktörleri saptamak için yapılmıştır. Gereç ve Yöntemler: Çalışma tanımlayıcı ve kesitseldir. Çalışmanın evrenini bir üniversite hastanesinde kalp nakli olmuş 18 yaşından büyük 117 hasta oluşturmuştur. Örneklem grubuna 50 kişi alınmıştır. Veriler demografik özellikleri belirlemeye yönelik bir anket formu ve 'Öz-Bakım Gücü Ölçeği' kullanılarak elde edilmiştir. Bulgular: Hastaların sadece% 38'i günlük aktivitelerinde kendilerini bağımsız olarak tanımladı. Onların %94'ü günlük yaşam aktivitelerinde aile üyelerinden destek aldığını ifade etti. Kalp nakli olan hastaların öz bakım gücü puan ortalamaları 97,10±11,31 olarak belirlenmiştir. Yaş, cinsiyet, medeni durum, eğitim durumu, günlük yaşam aktivitelerini yerine getirmede yardım eden kişilerin varlığının, öz bakım gücünü etkilemediği fakat maddi durumun ise öz bakım gücünü etkilediği saptanmıştır. Sonuç: Kalp nakli olan hastaların öz bakım puanları düşük bulunmuştur. Bu da hastaların öz bakım sorumluluğunun ve sağlık koruma davranışlarının yetersiz olduğunu göstermektedir.

Anahtar Kelimeler: Günlük yaşam aktiviteleri; kalp nakli; özbakım
REFERENCES:
  1. Alraies MC, Eckman P. Adult heart transplant: indications and outcomes. J Thorac Dis. 2014;6(8):1120-8.
  2. The International Society for Heart & Lung Transplant. Overall Heart Transplantation Statistics. Available from URL: https://ishltregistries.org/registries/slides.asp?year=2017. Access date: 14.09.2018.
  3. T.C. Saglik Bakanligi Saglik Hizmetleri Genel Mudurlugu, Kan, Organ ve Doku Nakli Hizmetleri Daire Baskanligi. Nakil Sayilari. Available from URL: https://organ.saglik.gov.tr/0TR/70Istatistik/ORGAN_010103.aspx, 2019. Access date: 05.07.2019
  4. Karayurt O, Sarigol Ordin Y, Pekin Iseri O. [Organ and tissue transplantation]. Eti Aslan F, editor. Cerrahi Bakim Vaka Analizleri ile Birlikte. 1. Baski. Ankara: Akademisyen Tip Kitabevi; 2016. p.911-49.
  5. Mangini S, Alves BR, Silvestre OM, Pires PV, Pires LJ, Curiati MN, et al. Heart transplantation: review. Einstein (Sao Paulo). 2015;13(2):310-8. [Crossref]  [PubMed]  [PMC] 
  6. Gul A, Ustundag H, Zengin N. The evaluation of self-care agency in renal transplant patients. Genel Tip Derg. 2010;20(1):7-11.
  7. Jindal RM, Joseph JT, Morris MC, Santella RN, Baines LS. Noncompliance after kidney transplantation: a systematic review. Transplant Proc. 2003;35(8):2868-72. [Crossref]  [PubMed] 
  8. DeVito Dabbs A, Dew MA, Myers B, Begey A, Hawkins R, Ren D, et al. Evaluation a hand-held, computer-based intervention to promote early self-care behaviours after lung transplant. Clin Transplant. 2009;23(4):537-45. [Crossref]  [PubMed]  [PMC] 
  9. Gordon EJ, Prohaska TR, Gallant M, Siminoff LA. Self-care strategies and barriers among kidney transplant recipients: a qualitative study. Chronic Illn. 2009;5(2):75-91. [Crossref]  [PubMed]  [PMC] 
  10. De Vito Dabbs A, Dew MA, Terhorst L, Song MK, Aubrecht J, Zomak R, et al. Self-care agency and its predictors among lung transplant recipients. J Heart Lung Transp Suppl. 2011;130(4):165. [Crossref] 
  11. DeVito Dabbs A, Terhorst L, Song MK, Shellmer DA, Aubrecht J, Connolly M, et al. Quality of recipient-caregiver relationship and psychological distress are correlates of self-care agency after lung transplantation. Clin Transplant. 2013;27(1):113-20. [Crossref]  [PubMed]  [PMC] 
  12. Weng LC, Dai YT, Huang HT, Chiang YJ. Self-efficacy, self-care behaviors and quality of life of kidney transplant recipients. J Adv Nurs. 2010;66(4):828-38. [Crossref]  [PubMed] 
  13. Kearney BY, Fleischer BJ. Development of an instrument to measure exercise of self-care agency. Res Nurs Health. 1979;2(1):25-34. [Crossref]  [PubMed] 
  14. Nahcivan NO. A Turkish language equivalence of the exercise of self-care agency scale. West J Nurs Res. 2004;26(7):813-24. [Crossref]  [PubMed] 
  15. Khush KK, Cherikh WS, Chambers DC, Goldfarb S, Hayes D Jr, Kucheryavaya AY, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Thirty-fifth adult heart transplantation report-2018; focus theme: multiorgan transplantation. J Heart Lung Transplant. 2018;37(10):1155-68. [Crossref]  [PubMed] 
  16. World Health Organization (WHO). Various definitions of self-care. Self-Care in the Context of Primary Health Care. Bangkok, Thailand: WHO; 2009. p.30-2. Retrieved from http://apps.searo.who.int/PDS_DOCS/B4301.pdf on 04 March 2019.
  17. Direk F, Celik SS. Postoperative problems experienced by patients undergoing coronary artery bypass graft surgery and their self-care ability after discharge. Turk Gogus Kalp Damar Cer Derg. 2012;20(3):530-5. [Crossref] 
  18. Akay B, Akyol AD. Investigation of the effect of tele monitoring on the self care agency in patients with chronic heart failure. Turk Soc Cardiol Turkish Journal of Cardiovascular Nursing. 2014;5(8):75-88. [Crossref] 
  19. Athilingam P, D'aoust R, Zambroski C, McMillan SC, Sahebzemani F. Predictive validity of NYHA and ACC/AHA classifications of physical and cognitive functioning in heart failure. Int J Nurs Sci. 2013;3(1):22-32.
  20. Almgren M, Lennerling A, Lundmark M, Forsberg A. Self-efficacy in the context of heart transplantation-a new perspective. J Clin Nurs. 2016;26(19-20):3007-17. [Crossref]  [PubMed] 
  21. Kim J, Kim K, Jang I. Symptom experience, self-care adherence, and quality of life among heart transplant recipients in South Korea. Clin Nurs Res. 2019;28(2):182-201. [Crossref]  [PubMed] 
  22. Abootalebi G, Vosooghi N, Mohammad Nejad E, Namadi M, Akbari Kaji M. Study of the self-care agency in patients with heart failure. IJCCN. 2012;4(4):203-8.
  23. Wang LY, Chang PC, Shih FJ, Sun CC, Jeng C. Sef-care behaviour, hope, and social support in Taiwanese patients awaiting heart transplant. J Psychosom Res. 2006;61(4):485-91. [Crossref]  [PubMed] 
  24. Custodio IL, Lima FET, Lopes MVO, Matias EO, Cavalcante LM, De Oliveira TDA, et al. Influence of the conditioning factors of cardiac transplant patients to the self-care engagement profile. Int Arch Med. 2017;10(87):1-9. [Crossref] 
  25. De Vasconcelos AG, Pessoa VLMP, Menezes FWP, Florencio RS, Frota MXF. Repercussions on the daily living of post-heart transplantation patients. Acta Paul Enferm. 2015;28(6):573-9. [Crossref] 
  26. Gallagher R, Luttik ML, Jaarsma T. Social Support and self-care in heart failure. J Cardiovasc Nurs. 2011;26(6):439-45. [Crossref]  [PubMed] 
  27. Yunus HD, Sharoni SKA. Social support and self-care management among patients with chronic heart failure. Malaysian J Public Health Med. 2016;16(1):92-8.

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