Author :
Abstract
Giriş ve Amaç: Bu araştırma, palyatif bakım hastalarında dini başa çıkmanın semptom kontrolüne etkisinin belirlenmesi amacıyla yapılmıştır.
Yöntem: Araştırma, kesitsel ve ilişki arayıcı türde tasarlanmıştır. Araştırmanın evrenini, Türkiye’de kanser tanısı nedeniyle tedavi gören ve palyatif bakım alan hastalar oluşturmuştur. Araştırma 1-15 Eylül 2022 tarihleri arasında rastgele örnekleme yöntemi ile seçilen 110 hasta ile tamamlanmıştır. Araştırma verilerinin toplanmasında; “Dini Başa Çıkma Ölçeği”, “Edmonton Semptom Tanılama Ölçeği” ve araştırmacılar tarafından oluşturulan “Kişisel Bilgi Formu” kullanılmıştır. Verilerin analizinde SPSS programı kullanılmıştır.
Bulgular: Araştırmaya katılan hastaların yaş ortalamasının 54.29±10.59 (min.19, max.90), %61.8’inin kadın, %70.9’unun evli, %36.4’ünün okuryazar, %43.6’sının ev hanımı, %45.5’inin gelirinin giderine eşit olduğu, %41.8’inin il merkezinde yaşadığı ve %41.0’ ının gastrointestinal sistem ile ilgili kanser tanısı olduğu belirlendi. Edmonton Semptom Tanılama Ölçeği’ne göre hastaların yaşadıkları en şiddetli ilk üç semptomun, yorgunluk (6.11±2.45), nefes darlığı (5.76±2.05) ve endişe (5.49±2.87) olduğu saptandı. Dini Başa Çıkma Ölçeği toplam puan ortalamasının 29.36±6.22 olduğu bulundu. Palyatif bakım alan kanser hastalarında dini başa çıkma puan ortalamaları ile yaşadıkları üzüntü, endişe ve kendini iyi hissetmeme semptomlarının şiddeti arasında negatif yönde anlamlı bir ilişki olduğu, hastaların dini başa çıkma düzeyleri arttıkça yaşadıkları semptomların şiddetinin azaldığı bulundu (p<0.05).
Sonuç ve Öneriler: Araştırma sonucunda elde edilen veriler ışığında palyatif bakım hastalarında dini başa çıkmanın üzüntü, endişe ve kendini iyi hissetmeme semptomlarının şiddetini azalttığı belirlenmiştir.
Keywords
Abstract
Introduction and Aim: This study was conducted to determine the effect of religious coping on symptom control in palliative care patients.
Method: The research was designed as cross-sectional and correlational. The population of the study consisted of patients who were treated for cancer diagnosis and received palliative care in Türkiye. The study was completed with 110 patients selected by random sampling method between 1-15 September 2022. In the collection of research data the "Personal Information Form" created by the researchers was used. In addition, the “Religious Coping Scale” and the “Edmonton Symptom Determination Scale” were used.
Results: The mean age of the patients participating in the study was 54.29±10.59 (min.19, max.90), 61.8% were female, 70.9% were married, 36.4% were literate, 43.6% were housewives, and 45.5% had a lower income. It was determined that it was equal to the cost of living, 41.8% lived in the city center and 41.0% was diagnosed with cancer related to the gastrointestinal system. According to the Edmonton Symptom Diagnosis Scale, the first three most severe symptoms experienced by the patients were fatigue (6.11±2.45), shortness of breath (5.76±2.05) and anxiety (5.49±2.87). The mean score of the Religious Coping Scale was found to be 29.36±6.22. In cancer patients receiving palliative care, it was found that there was a negative significant relationship between the mean scores of religious coping and the severity of the symptoms of sadness, anxiety and feeling unwell, and the severity of the symptoms they experienced decreased as the religious coping levels of the patients increased (p<0.05).
Conclusions and Recommendations: In the light of the data obtained as a result of the research, it was determined that religious coping decreased the severity of the symptoms of sadness, anxiety and feeling unwell in palliative care patients.
Keywords
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