Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Relation of Adaptation Difficulty to Death Anxiety and Depression Among Individuals Living in a Nursing Home
Huzurevinde Yaşayan Bireyler Arasında Uyum Güçlüğü ile Ölüm Kaygısı ve Depresyon Arasındaki İlişki
Şükran ERTEKİN PINARa, Gülbahtiyar DEMİRELa
aSivas Cumhuriyet University Faculty of Health Sciences, Sivas, TURKEY
Turkiye Klinikleri J Nurs Sci. 2020;12(1):114-23
doi: 10.5336/nurses.2019-70417
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aims to investigate the relation of adaptation difficulty to death anxiety and depression among individuals living in a nursing home. Material and Methods: The study was conducted with 62 individuals living in a nursing home. Data were collected using the Personal Information Form, the Assessment Scale of Adaptation Difficulty for the Elderly (There were four sub dimensions of interest: role and self-actualisation, interdependence, physiological status, and self-concept), the Death Anxiety Scale, and the Death Depression Scale. Results: The mean Assessment Scale of Adaptation Difficulty for the Elderly, the Death Anxiety Scale and the Death Depression Scale scores were 0.83±0.41, 8.61±2.97 and 9.45±4.25, respectively. There was a weak negative correlation between physiological states and the self-concept scores of the Death Anxiety Scale and the Assessment Scale of Adaptation Difficulty for the Elderly subscales. There were statistically significant differences between the Death Anxiety Scale total scores by gender and educational status, between the Death Anxiety Scale total scores by age, and between the Assessment Scale of Adaptation Difficulty for the Elderly total scores based on gender, educational status, perception of health condition, and ability to perform daily activities (p<0.05). Conclusion: Adaptation in terms of role and self-actualisation were generally negative, while death anxiety and depression were moderate. Death anxiety was most associated with physiological states and self-concepts. Specifically, death anxiety was therefore higher in males and people educated up to high-school and above levels, whereas death depression was higher in those aged from 58 to 70 years.

Keywords: Aged; nursing homes; adaptation; death anxiety; death depression
ÖZET
 Amaç: Bu araştırmada huzurevinde yaşayan bireylerde uyum güçlüğünün, ölüm anksiyetesi ve ölüme ilişkin depresyon ile ilişkisinin incelenmesi amaçlandı. Gereç ve Yöntemler: Araştırma huzurevinde yaşayan 62 birey ile yürütülmüştür. Veriler Kişisel Bilgi Formu, Yaşlılarda Uyum Güçlüğünü Değerlendirme Ölçeği (Ölçeğin Rol ve Kendini Gerçekleştirme Biçimi, Karşılıklı Bağlanma, Fizyolojik Durum ve Benlik Tarzı olmak üzere dört alt boyutu bulunmaktadır), Ölüm Anksiyetesi Ölçeği ve Ölüme İlişkin Depresyon Ölçeği ile toplandı. Bulgular: Ölüm anksiyetesi puanı 8,61± 2,97, depresyon 9,45±4,25 ve uyum güçlüğü 0,83±0,41 olarak bulundu. Ölüm anksiyetesi puanları arttıkça fizyolojik durum ve benlik tarzı puanlarının istatistiksel olarak anlamlı düzeyde azaldığı saptandı. Bireylerin cinsiyetine ve eğitim durumuna göre Ölüm Anksitesi, yaşına göre Ölüme İlişkin Depresyon Ölçeği puanları arasında istatistiksel olarak anlamlı fark bulundu. Cinsiyete, eğitim durumuna, sağlık durumunu algılamasına ve günlük işlerini yapabilme durumuna göre Yaşlılarda Uyum Güçlüğünü Değerlendirme Ölçeği toplam puanları arasında istatistiksel olarak anlamlı fark saptandı (p<0,05). Sonuç: Bireylerin rol ve kendini gerçekleştirme biçimi yönünden uyumları olumsuz, ölüme ilişkin anksiyete ve depresyonları orta düzeydedir. Ölüme ilişkin anksiyete en çok fizyolojik durum ve benlik tarzları ile ilişkilidir. Cinsiyeti erkek, lise ve üzeri eğitimli olanlarda ölüm anksiyetesi, 58-70 yaş arasında olanlarda ise ölüme ilişkin depresyon daha yüksektir.

Anahtar Kelimeler: Yaşlı; huzurevi; adaptasyon; ölüm anksiyetesi; ölüm depresyonu
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