.: ORİJİNAL ARAŞTIRMA
Analysis of the Anxiety Sensitivity and Self-Management in Chronic Illness: Descriptive Research (Correlation Studies)
Kronik Hastalıklarda Anksiyete Duyarlılığı ve Öz Yönetimin Değerlendirilmesi: Tanımlayıcı Araştırma (Korelasyon Çalışmaları)
Turkiye Klinikleri J Nurs Sci. 2023;15(4):1182-9
doi: 10.5336/nurses.2023-96886
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: The current study was carried out to analyze the anxiety sensitivities and self-management levels of individuals diagnosed with chronic illness. Material and Methods: The population of this descriptive and correlational study consisted of individuals who were diagnosed with chronic illness by applying to a training and research hospital. The sample consisted of 160 patients who were diagnosed with chronic illness and met the inclusion criteria of the study. Data from the study was collected through face-to-face applied questionnaires and the personal information form, Anxiety Sensitivity Index-3 (ASI-3), and Chronic Illness Self-Management Scale (CISMS) were used. Results: A highly significant positive correlation was found between the ASI-3 mean score and all of its subscales (p<0.001). While there is a highly significant and positive correlation between the ASI3 mean score and the mean score of the CISMS's subscale of SelfStigma, there are statistically significant and negative correlations between the ASI-3 mean score and the mean scores of the CISMS's subscales of Coping with Stigma, Health Maintenance Efficacy, and Treatment Adherence (p<0.001). There is a statistically significant and negative correlation between the mean scores of the CISMS's subscales of Treatment Adherence and Self-Stigma. Additionally, there are statistically significant and positive correlations between the mean scores of the CISMS's subscales of Coping with Stigma and Health Maintenance Efficacy. Conclusion: In the present study, statistically significant correlations were determined between the mean scores of the ASI-3, the CISMS, and its subscales.
Keywords: Anxiety; nursing; chronic illness; self-management
Objective: The current study was carried out to analyze the anxiety sensitivities and self-management levels of individuals diagnosed with chronic illness. Material and Methods: The population of this descriptive and correlational study consisted of individuals who were diagnosed with chronic illness by applying to a training and research hospital. The sample consisted of 160 patients who were diagnosed with chronic illness and met the inclusion criteria of the study. Data from the study was collected through face-to-face applied questionnaires and the personal information form, Anxiety Sensitivity Index-3 (ASI-3), and Chronic Illness Self-Management Scale (CISMS) were used. Results: A highly significant positive correlation was found between the ASI-3 mean score and all of its subscales (p<0.001). While there is a highly significant and positive correlation between the ASI3 mean score and the mean score of the CISMS's subscale of SelfStigma, there are statistically significant and negative correlations between the ASI-3 mean score and the mean scores of the CISMS's subscales of Coping with Stigma, Health Maintenance Efficacy, and Treatment Adherence (p<0.001). There is a statistically significant and negative correlation between the mean scores of the CISMS's subscales of Treatment Adherence and Self-Stigma. Additionally, there are statistically significant and positive correlations between the mean scores of the CISMS's subscales of Coping with Stigma and Health Maintenance Efficacy. Conclusion: In the present study, statistically significant correlations were determined between the mean scores of the ASI-3, the CISMS, and its subscales.
Keywords: Anxiety; nursing; chronic illness; self-management
ÖZET
Amaç: Bu araştırma, kronik hastalık tanısı alan bireylerin anksiyete duyarlılığı ve öz yönetimlerinin değerlendirilmesi amacıyla gerçekleştirilmiştir. Gereç ve Yöntemler: Bu tanımlayıcı ve ilişki arayıcı desendeki araştırmanın evrenini, bir eğitim ve araştırma hastanesine başvurarak kronik hastalık tanışı almış bireyler oluşturmuştur. Örneklemi ise çalışmaya dâhil edilme kriterlerini karşılayan 160 kronik hasta oluşturmuştur. Veriler yüz yüze anket yolu ile toplanmış olup, kişisel bilgi formu, Anksiyete Duyarlılık İndeksi-3 (ADİ-3) ve Kronik Hastalık Öz Yönetim Ölçeği (KHÖYÖ) kullanılmıştır. Bulgular: ADİ-3 toplam puanı ile tüm alt boyutları arasında pozitif yönde ileri düzeyde anlamlı bir ilişki saptanmıştır (p<0,001). ADİ-3 toplam puanı ile kendini damgalama arasında pozitif yönde ileri düzeyde anlamlı bir ilişki var iken; baş etme, sağlık bakım etkinliği ve tedavi uyumu arasında negatif yönde anlamlı bir ilişki belirlenmiştir (p<0,001). KHÖYÖ alt boyutlarından tedavi uyumu ile kendini damgalama arasında negatif yönde; baş etme ve sağlık bakım etkinliği arasında pozitif yönde anlamlı bir ilişki saptanmıştır. Sonuç: Çalışmada, kronik hastalıklarda anksiyete duyarlılığı ile öz yönetimin bileşenleri arasında anlamlı ilişki bulunmuştur.
Anahtar Kelimeler: Anksiyete; hemşirelik; kronik hastalık; öz yönetim
Amaç: Bu araştırma, kronik hastalık tanısı alan bireylerin anksiyete duyarlılığı ve öz yönetimlerinin değerlendirilmesi amacıyla gerçekleştirilmiştir. Gereç ve Yöntemler: Bu tanımlayıcı ve ilişki arayıcı desendeki araştırmanın evrenini, bir eğitim ve araştırma hastanesine başvurarak kronik hastalık tanışı almış bireyler oluşturmuştur. Örneklemi ise çalışmaya dâhil edilme kriterlerini karşılayan 160 kronik hasta oluşturmuştur. Veriler yüz yüze anket yolu ile toplanmış olup, kişisel bilgi formu, Anksiyete Duyarlılık İndeksi-3 (ADİ-3) ve Kronik Hastalık Öz Yönetim Ölçeği (KHÖYÖ) kullanılmıştır. Bulgular: ADİ-3 toplam puanı ile tüm alt boyutları arasında pozitif yönde ileri düzeyde anlamlı bir ilişki saptanmıştır (p<0,001). ADİ-3 toplam puanı ile kendini damgalama arasında pozitif yönde ileri düzeyde anlamlı bir ilişki var iken; baş etme, sağlık bakım etkinliği ve tedavi uyumu arasında negatif yönde anlamlı bir ilişki belirlenmiştir (p<0,001). KHÖYÖ alt boyutlarından tedavi uyumu ile kendini damgalama arasında negatif yönde; baş etme ve sağlık bakım etkinliği arasında pozitif yönde anlamlı bir ilişki saptanmıştır. Sonuç: Çalışmada, kronik hastalıklarda anksiyete duyarlılığı ile öz yönetimin bileşenleri arasında anlamlı ilişki bulunmuştur.
Anahtar Kelimeler: Anksiyete; hemşirelik; kronik hastalık; öz yönetim
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