Turkiye Klinikleri Journal of Nursing Sciences

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Şizofreni Hastalarında Yeti Yitimi ile Öz Bakım Gücü Arasındaki İlişkinin İncelenmesi: Tanımlayıcı Çalışma
Investigation of the Relationship Between Disability and Self-Care Agency in Patients with Schizophrenia: Descriptive Study
Rabia AYDINa , Özlem ŞAHİN ALTUNb
aCizre Dr. Selahattin Cizrelioğlu Devlet Hastanesi, Ruh Sağlığı ve Hastalıkları Kliniği, Şırnak, Türkiye
bAtatürk Üniversitesi Hemşirelik Fakültesi, Psikiyatri Hemşireliği ABD, Erzurum, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(2):482-9
doi: 10.5336/nurses.2022-93727
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, şizofreni tanılı bireylerde yeti yitimi ile öz bakım gücü arasındaki ilişkiyi incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu araştırma, tanımlayıcı, kesitsel ve ilişki arayıcı niteliktedir. Araştırma, Nisan-Eylül 2021 tarihleri arasında Karadeniz Bölgesi'nde bir Toplum Ruh Sağlığı Merkezi tarafından takip edilen ve araştırmaya katılmaya gönüllü olan 154 şizofreni hastası ile yapılmıştır. Verilerin toplanmasında ''Sosyodemografik Veri Formu'', ''Kısa Yeti Yitimi Anketi (KYYA)'' ve ''Öz Bakım Gücü Ölçeği (ÖBGÖ)'' kullanılmıştır. Veriler SPSS 22 kullanılarak analiz edilmiştir. Verilerin değerlendirilmesinde sayı, ortalama, yüzdelik dağılımlar, standart sapma, Cronbach alfa katsayısı, Pearson korelasyon analizi ve doğrusal regresyon analizi kullanılmıştır. Bulgular: Araştırma bulgularına göre bireylerin KYYA puan ortalaması 11,14±4,18, ÖBGÖ puan ortalaması 75,16±16,69 olarak belirlendi. Bireylerin KYYA ile ÖBGÖ puan ortalamaları arasındaki ilişki incelendiğinde; ölçeklerin toplam puan ortalaması arasında negatif yönde anlamlı güçlü bir ilişki tespit edilmiştir. Şizofreni tanılı bireylerin yeti yitimi düzeylerinin, öz bakım gücü düzeyleri üzerine etkisinin incelendiği regresyon analizinde, %54,4 oranında negatif yönde bir ilişki saptanmıştr. Regresyon beta değerleri ise R2=0,544; ß=-0,738; p<0,05 olarak belirlenmiştir. Sonuç: Şizofreni tanılı bireylerin yeti yitimi puan ortalaması orta düzeyde, öz bakım gücü puan ortalaması orta düzeyde bulunmuştur. Şizofreni hastalarında yeti yitimi arttıkça öz bakım gücü azalmaktadır. Psikiyatri hemşiresinin, destekleyici, öğretici eğitimlere ve farklı beceri etkinliklere ağırlık vermesi önerilmektedir.

Anahtar Kelimeler: Hemşirelik; öz bakım gücü; şizofreni; yeti yitimi
ABSTRACT
 Objective: The study was conducted to investigate the relationship between disability and self-care agency in patients with schizophrenia. Material and Methods: The data of this descriptive, cross-sectional and correlational study were collected at Black Sea Region a Community Mental Health Center. The population of the study consisted of patients with schizophrenia who presented to community mental health center between April 2021-September 2021. Of the patients in the study population, 154 who met the inclusion criteria of the study and agreed to participate in the study comprised the study sample. The ''Socio-demographic Information Form'', ''Brief Disability Questionnaire (BDQ)'' and ''Exercise of Self-Care Agency Scale (ESCA)'' were used to collect data. The data were analyzed using the SPSS 22. In the analysis of the data, numbers, arithmetic mean, percentile distributions, standard deviation, Cronbach's alpha coefficient, Pearson correlation analysis and linear regression analysis were used. Results: According to the results of the study, the mean scores the patients obtained from the BDQ and ESCA were 11.14±4.18 and 75.16±16.69 respectively. The analysis of the relationship between the mean scores the patients obtained from the BDQ and ESCA demonstrated a strong negative correlation between them. In addition, it was determined that disability levels of schizophrenic patients had a negative effect on the self-care agency levels at a rate of 54.4%. Regression beta values are R2=0.544; ß=-0.738; p<0.05 was determined. Conclusion: The mean scores obtained from the BDQ and ESCA by the patients with schizophrenia were moderate. As their BDQ score increased, their ESCA score decreased. It is recommended that the psychiatric nurse should focus on supportive and instructive trainings and different skill activities.

Keywords: Nursing; self-care agency; schizophrenia; disability
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