Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Şizofreni Tanılı Bireylerde Benlik Yitimi ve Bilişsel İçgörü İlişkisinin Değerlendirilmesi: Tanımlayıcı Bir Çalışma
Evaluation of the Relationship Between Loss of Self and Cognitive Insight in Individuals Diagnosed with Schizophrenia: A Descriptive Study
Atiye Nur CANDANa , Neslihan LÖKb
aKonya Şehir Hastanesi, Yenidoğan Yoğun Bakım Kliniği, Konya, Türkiye
bSelçuk Üniversitesi Hemşirelik Fakültesi, Psikiyatri Hemşireliği AD, Konya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(3):894-903
doi: 10.5336/nurses.2023-100204
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada, şizofreni tanılı bireylerde benlik yitimi ile bilişsel içgörü arasındaki ilişkiyi belirlemek amaçlanmıştır. Gereç ve Yöntemler: Araştırma Konya ilindeki bir hastanenin Psikiyatri Polikliniğine kayıtlı 18-65 yaş arasında remisyon dönemindeki 81 şizofreni hastasıyla, Ocak- Nisan 2023 tarihleri aralığında gerçekleştirilmiş tanımlayıcı ilişkisel bir araştırmadır. Veriler Kişisel Bilgi Formu, Benlik Yitimi ve Beck Bilişsel İçgörü Ölçeği kullanılarak toplanmıştır. Araştırmanın verileri SPSS for Windows 22.0 istatistik programı kullanılarak değerlendirilmiştir. Verilerin normal dağılımı Kolmogorov- Smirnov testi ve Q-Q grafiği ile değerlendirilmiştir. Veriler normal dağılım gösterdiği için bağımsız gruplarda t-testi ve tek yönlü varyans analizi kullanılmıştır. Bulgular: Erkeklerin Benlik Yitimi Ölçeği puan ortalamaları, kadınlardan daha yüksektir (p<0,05). Medeni durum ile Benlik Yitimi Ölçeği arasındaki fark anlamlıdır, fark eşi ölmüş olan bireylerden kaynaklanmaktadır (p<0,05). Eğitim durumu ile Benlik Yitimi Ölçeği arasındaki fark anlamlıdır fark ilkokul mezunu olan bireylerden kaynaklanmaktadır (p<0,05). Kadınların, Beck Bilişsel İçgörü Ölçeği puan ortalamaları erkeklerden daha yüksektir (p<0,05). Eğitim durumu ile Beck Bilişsel İçgörü Ölçeği arasındaki fark anlamlıdır, fark lise mezunu olan bireylerden kaynaklanmaktadır (p<0,05). Benlik yitimi ile bilişsel içgörü arasında negatif yönlü bir ilişki bulunmuştur (r: 0,846; p: 0,001). Sonuç: Çalışmamızda şizofreni tanılı bireylerin, benlik yitimleri azaldıkça bilişsel içgörüleri artmaktadır. Erkek olan, eş kaybı yaşayan ve düşük eğitim düzeyine sahip bireyler, benlik yitimi açısından; erkek, düşük eğitim düzeyine sahip bireyler ise bilişsel içgörü açısından risk grubundadır. Sonuçlar doğrultusunda; Şizofreni tanılı bireylere bakım veren hemşireler bakımında benlik yitimini azaltmaya ve bilişsel içgörülerini arttırmaya yönelik müdahale programlarını planlanmalıdır. Benlik yitimi ve bilişsel içgörüyü etkileyen faktörlerin ileri analizlerle ortaya konulduğu çalışmaların yapılması tavsiye edilmektedir.

Anahtar Kelimeler: Şizofreni; psikiyatri hemşireliği; benlik; içgörü
ABSTRACT
 Objective: This study aimed to determine the relationship between loss of self and cognitive insight in individuals diagnosed with schizophrenia. Material and Methods: The study is a descriptive relational study conducted between January and April 2023 with 81 schizophrenia patients aged 18-65 in remission registered in the Psychiatry Outpatient Clinic of a hospital in Konya province. Data were collected using the Personal Information Form, Loss of Self and Beck Cognitive Insight Scale. The data of the study were evaluated using the SPSS for Windows 22.0 statistical program. The normal distribution of the data was evaluated with the Kolmogorov-Smirnov test and Q-Q plot. Since the data showed a normal distribution, t-test and one-way analysis of variance were used in independent groups. Results: The mean scores of men on the Loss of Self Scale were higher than women (p<0.05). The difference between marital status and the Loss of Ego Scale is significant, the difference is due to individuals whose spouses have died (p<0.05). The difference between educational status and the Loss of Ego Scale is significant, the difference is due to individuals who are primary school graduates (p<0.05). Women have higher Beck Cognitive Insight Scale mean scores than men (p<0.05). The difference between educational status and the Beck Cognitive Insight Scale is significant, the difference is due to individuals who are high school graduates (p<0.05). A negative correlation was found between loss of self and cognitive insight (r: 0.846; p: 0.001). Conclusion: In our study, as the loss of self decreases in individuals diagnosed with schizophrenia, their cognitive insight increases. Individuals who are male, have lost their spouses and have a low level of education are in the risk group in terms of loss of self; whereas individuals who are male and have a low level of education are in the risk group in terms of cognitive insight. According to the results; Intervention programs aimed at reducing self-deprecation and increasing cognitive insight should be planned for nurses who provide care to individuals diagnosed with schizophrenia. It is recommended that studies be conducted to reveal the factors affecting self-deprecation and cognitive insight through advanced analyses.

Keywords: Schizophrenia; psychiatric nursing; ego; insight
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-To send press releases or notifications through e-mail

-To generate a list for an event or competition

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-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

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