Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Yapılan Ev Ziyaretlerinin Yaşlı Bireylerin Bakım Vericilerinin Depresyon, Stresle Baş Etme, Yaşam Kalitesi ve Bakım Yüküne Etkisi: Yarı Deneysel Çalışma
The Effect of Home Visits on Depression, Coping with Stress, Quality of Life and Care Burden in Elderly Caregivers: Quasi-Experimental Research
Firdevs KUZUa , Nuran GÜLERa
aSivas Cumhuriyet Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Halk Sağlığı Hemşireliği ABD, Sivas, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(1):129-38
doi: 10.5336/nurses.2023-98955
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, evde sağlık hizmeti alan 65 yaş ve üzeri bireylerin bakım vericilerine yapılan ev ziyaretlerinin depresyon, stresle baş etme, yaşam kalitesi ve bakım yüküne etkisinin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Ön-test-son-test düzeninde yarı deneysel türde yapılan bu araştırmaya bir ilin merkez hastanelerin evde sağlık birimlerine kayıtlı ve evde sağlık hizmeti alan 65 yaş ve üzeri 44 yaşlı bireyin bakım verenleri dâhil edilmiştir. Örneklem büyüklüğü için güç analizi kullanılmıştır. Çalışmada, ''Bakım Verici Tanıtım Formu, SF-36 Yaşam Kalitesi Ölçeği, Beck Depresyon Ölçeği, Bakım Yükü Envanteri, Stresle Başa Çıkma Tarzları Ölçeği'' kullanılmıştır. Çalışma eğitim, danışmanlık odaklı ev ziyaretleri şeklinde gerçekleştirilmiştir. Bakım vericilerin gereksinimleri doğrultusunda ev ziyaretleri gerçekleştirilmiş, eğitim ve danışmanlık hizmetleri verilmiştir. Veriler IBM SPSS Statistics 22.0 (Armonk, New York, ABD) programına aktarılarak, kategorik değişkenler için frekans dağılımları, sayısal değişkenler için tanımlayıcı istatistikler (X̄±SS) verilmiştir. Tekrarlı ölçümlerin değişimleri bağımlı gruplar t-testi ile analiz edilmiştir. Bulgular: Gereksinimler doğrultusunda gerçekleştirilmiş ev ziyaretlerinde sunulan eğitim ve danışmanlık hizmetleri girişimi sonrası bakım vericilerin Beck Depresyon Ölçeği; Bakım Yükü Envanteri son-test puan ortalamasının, ön-test puan ortalamasından anlamlı derecede düşük, Stresle Başa Çıkma Tarzları Ölçeği alt boyutlarından Kendine Güvenli Yaklaşım, İyimser Yaklaşım ve Sosyal Destek Arama; SF-36 son-test puan ortalamalarının, ön-test puan ortalamalarından anlamlı derecede yüksek olduğu belirlenmiştir. Sonuç: Yapılan ev ziyaretlerinin bakım vericilerin depresyon, stresle baş etme, yaşam kalitesi ve bakım yüküne olumlu yönde etkisi olduğu saptanmıştır. Ev ziyaretleri ile bakım vericilerde yapılan uygulamaların etkinliğini ölçen randomize kontrollü çalışmaların yapılması önerilebilir.

Anahtar Kelimeler: Bakıcılar; depresyon; stres; yaşam kalitesi; bakım yükü
ABSTRACT
 Objective: The present study was conducted with caregivers of individuals who were aged 65 and over who received home healthcare services to determine the effects of home visits on depression, coping with stress, quality of life, and care burden. Material and Methods: In this quasiexperimental study, which was conducted with the pretest-posttest design, the caregivers of 44 elderly individuals, who were aged 65 and over, who were registered to the home healthcare units of central hospitals of a city and received home healthcare services were included. Power analysis was used for sample size. The ''Introductory Caregiver Form, SF-36 Quality of Life Scale, Beck Depression Scale, Care Burden Inventory, Coping with Stress Styles Scale'' were used in the study. The study was conducted in the form of training and consultancy-focused house visits. Home visits were made and training and consultancy services were provided in line with the needs of the caregivers. The data were transferred to the IBM SPSS Statistics 22.0 program and frequency distributions were used for categorical variables and descriptive statistics (X̄±SD) were used for numerical variables. The changes in the repeated measurements were analyzed with dependent groups t-test. Results: After the training and consultancy services initiative provided during home visits in line with the requirements, the following were determined: The mean post-test score of the caregivers' Care Burden Inventory in the Beck Depression Scale was found to be significantly lower compared to the pre-test mean score. It was also found that the SF-36 posttest score averages in the Self-Confident Approach, Optimistic Approach and Social Support Seeking sub-dimensions of the Stress Coping Styles Scale were significantly higher compared to the pre-test score averages. Conclusion: It was found that house visits had positive effects on the caregivers' depression, coping with stress, quality of life, and caregiving burden. It may be recommended to conduct randomized controlled studies to measure the effectiveness of home visits and practices performed on caregivers.

Keywords: Caregivers; depression; stress; quality of life; caregiver burden
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-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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