Miyokard ınfarktüsü geçireen hastalarda algılanan stresin yaşam kalitesine etkisi
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Date
2021
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Open Access Color
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Abstract
Bu çalışma, MI geçiren hastalarda algılanan stresin yaşam kalitesine etkisini tespit etmek amacıyla yapılmıştır. Tanımlayıcı ve ilişkilendirici nitelikteki bu çalışmanın evrenini, İstanbul Kartal Koşuyolu Kalp Hastanesi Ocak– Haziran 2021 tarihleri arasında yetişkin polikliniğine başvuran MI tanısı almış tüm hastalar(N=506) oluşturmuştur. Araştırmanın örneklemini çalışmanın yapıldığı tarihlerde polikliniğe muayeneye gelen 18 yaşından büyük, MI tanısı alan, herhangi bir iletişim sorunu olmayan, psikiyatrik tedavi almayan çalışmaya katılmayı kabul eden 300 hasta oluşturmuştur. Araştırmaya katılmak istemeyen, formları eksik dolduran, araştırmaya katılmaktan vazgeçen ve ulaşılamayan katılımcılar çalışma dışı bırakılmıştır. Veri toplama işlemine başlamadan önce İSTANBUL Okan Üniversitesi Sağlık Bilimleri Enstitüsünden etik kurul onayı ve sonrasında araştırmanın yürütüleceği hastaneden çalışma izni alınmıştır. Araştırma verileri, araştırmacılar tarafından oluşturulan anket formu, Algılanan Stres Ölçeği-14 ve TR MI Boyutsal Değerlendirme Ölçeği kullanılarak toplanmıştır. Araştırmaya başlamadan önce çalışmada kullanılan ölçekleri hazırlayanlardan ölçek kullanma izinleri alınmıştır. Araştırmaya katılan hastaların %69,7'si erkektir. Hastaların %61'i ilk kez MI geçirmiş olup, %39' u birden fazla MI geçirmiştir. İlk MI geçirdikten sonra hastaların %67,7'si stresli, %22'si endişeli, %3,3' ü öfkeli, %6,7'sinin depresif olduğu belirlendi. Çalışmaya katılan hastaların MİBDÖ ölçeği toplam puan ortalaması 26.70±16.59 bulundu. Araştırma kapsamına katılan hastalarda cinsiyet, yaş, eğitim düzeyi, meslek, gelir durumu, sigara ve alkol kullanma gibi bileşenler ile algılanan stres arasında anlamlı bir ilişki olduğu tespit edildi(p<0.05). Araştırmadan elde edilen veriler ışığında, algılanan stresin MI geçiren hastalarda yaşam kalitesi üzerinde olumsuz etkiye neden olduğu ve algılanan stres arttıkça hastaların yaşam kalitesinin azaldığı belirlendi.
This study was conducted to determine the effect of perceived stress on quality of life in patients with MI. The universe of this descriptive and comparative study consisted of all patients(N=506) diagnosed with MI who applied to the adult outpatient clinic of Istanbul Kartal Koşuyolu Heart Hospital between January and June 2021. The sample of the study consisted of patients (300) who came to the outpatient clinic at the time of the study, who were older than 18 years of age, who were diagnosed with MI, who did not have any communication problems and who accepted to participate in the study whose universe was determined according to a known sample account. Participants who did not want to participate in the study who filled the forms incompletely, gave up participating in the research and could not be reached were excluded from the study. Before starting the data collection process, ethics committee approval was obtained from the Institute of Health Sciences of ISTANBUL Okan University and then a work permit was obtained from the hospital where the study would be conducted. Research data were collected using a questionnaire form created by the researchers, Perceived Stress Scale-14 and TR MI Dimensional Assessment Scale. Before starting the research, permission to use the scale was obtained from those who prepared the scales used in the study. 69.7% of the patients participating in the study were male. 61% of patients had a first MI and 39% had more than one MI. After the first MI, 67.7% of the patients were stressed, 22% anxious, 3.3% angry and 6.7%depressed. The total mean score of the MIBDÖ scale of the patients participating in the study was found to be 26.7016.59.It was determined that there was a significant relationship between the components such as gender, age, education level, occupation, income status, smoking and alcohol use and perceived stress in the patients participating in the study(p<0.05). In the light of the data obtained from the study, it is stated that the perceived stress has a negative effect on the quality of life of patients with MI and the quality of life of the patients decreases as the perceived stress increases.
This study was conducted to determine the effect of perceived stress on quality of life in patients with MI. The universe of this descriptive and comparative study consisted of all patients(N=506) diagnosed with MI who applied to the adult outpatient clinic of Istanbul Kartal Koşuyolu Heart Hospital between January and June 2021. The sample of the study consisted of patients (300) who came to the outpatient clinic at the time of the study, who were older than 18 years of age, who were diagnosed with MI, who did not have any communication problems and who accepted to participate in the study whose universe was determined according to a known sample account. Participants who did not want to participate in the study who filled the forms incompletely, gave up participating in the research and could not be reached were excluded from the study. Before starting the data collection process, ethics committee approval was obtained from the Institute of Health Sciences of ISTANBUL Okan University and then a work permit was obtained from the hospital where the study would be conducted. Research data were collected using a questionnaire form created by the researchers, Perceived Stress Scale-14 and TR MI Dimensional Assessment Scale. Before starting the research, permission to use the scale was obtained from those who prepared the scales used in the study. 69.7% of the patients participating in the study were male. 61% of patients had a first MI and 39% had more than one MI. After the first MI, 67.7% of the patients were stressed, 22% anxious, 3.3% angry and 6.7%depressed. The total mean score of the MIBDÖ scale of the patients participating in the study was found to be 26.7016.59.It was determined that there was a significant relationship between the components such as gender, age, education level, occupation, income status, smoking and alcohol use and perceived stress in the patients participating in the study(p<0.05). In the light of the data obtained from the study, it is stated that the perceived stress has a negative effect on the quality of life of patients with MI and the quality of life of the patients decreases as the perceived stress increases.
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Hemşirelik, Kalp, Kalp hastalıkları, Nursing, Heart, Miyokard enfarktüsü, Heart diseases, Stres, Myocardial infarction, Stress, Yaşam kalitesi, Quality of life