Deprem bölgesinde yaşayan hipertansiyon hastalarının depremden sonra tedaviye uyumlarının değerlendirilmesi
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Date
2024
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İnönü Üniversitesi
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info:eu-repo/semantics/openAccess
Abstract
Amaç: Bu araştırmanın amacı Şubat 2023 depremlerinden sonra hipertansiyon hastalarının tedavi uyum düzeyleri ve etkileyen faktörlerin değerlendirilmesidir. Materyal ve metot: Tanımlayıcı şekilde yapılan araştırmanın evrenini Malatya Battalgazi Devlet Hastanesi Dâhiliye polikliniği ve acil servisine 1 Mart-15 Nisan 2024 tarihlerinde başvuran hipertansiyon hastaları oluşturmuştur. Örnekleme araştırmaya dahil olma kriterlerini sağlayan 372 hasta alınmıştır. Veriler Hasta Bilgi Formu ve Hipertansif Bireylerin Tedaviye Uyumu ve Yaşam Değişikliği Başarısını Değerlendirme Ölçeği kullanılmış ve yüz yüze görüşmeyle toplanmıştır. Bilgilerin analiz edilmesinde SPSS 22.0 programı kullanılmıştır. Bulgular: Hastaların yaş ortalaması 62.36±10.03 olup %61.3'ü kadındır. Hastaların Medikal Tedaviye Uyum alt boyut puanı 25.67±3.50, Hipertansif Bireylerin Tedaviye Uyum ve Yaşam Değişikliği Başarısını Değerlendirme Ölçeği total sayı ortalaması 69.62±6.70 dir. Kadınların, çocuk sayısı fazla olanların, okuryazar olmayanların, ev hanımlarının, geliri giderinden az olanların, kontrollerini sadece yılda bir kez yaptıranların tedavi uyumu ve yaşam değişikliği başarısı puanları daha düşük bulunmuştur. Çocuk sayısı, beden kütle indeksi, sistolik kan basıncı, son 6 ay içinde HT nedeniyle acile başvuru sayısı ile uyum ve yaşam değişikliği başarısı puanları arasında negatif yönlü, hastalık süresi arasında pozitif yönlü düşük seviyeli ilişki bulunmuştur. Sonuç: Deprem sonrası tedaviye uyumu etkileyebilecek yaşam koşullarına ilişkin olumsuzlukların halen devam etmekte olduğu bölgede ikamet eden HT hastalarının tedaviye uyumları genel olarak iyi bulunmuştur. Bununla birlikte; kadınlar, çocuk sayısı fazla olanlar, okuryazar olmayanlar, ev hanımları, geliri giderinden az olanlar, kontrolleri düzenli olmayanların, uyum ve yaşam değişikliği başarısı puanları düşük bulunduğundan bu guruplar başta olmak üzere hipertansiyon hastalarında hem tedaviye uyumu hem de yaşam değişikliği başarısını artıracak çalışmalar planlanmalıdır. Araştırmacılar farkındalığı, uyumu, bilgi düzeyini, tutum ve davranış değişikliği oluşturacak sağlık inancını olumlu etkileyecek çalışmalar yaparak tedavi uyumu ve yaşam değişikliği başarısını yükseltebilir. Anahtar Kelimeler: Deprem, Hipertansiyon, Tedaviye uyum, Yaşam Değişikliği Başarısı
Objective: The aim of this study was to evaluate the level of treatment compliance of hypertension patients and the factors affecting it after the February 2023 earthquakes. Material and method: The population of this descriptive study consisted of hypertension patients who applied to Malatya Battalgazi State Hospital Internal Medicine outpatient clinic and emergency department between 1 March and 15 April 2024. 372 patients fulfilling the inclusion criteria into the sampling research were included. The data were collected by face-to-face interview using the Scale for Assessing Individuals' Treatment Adherence and Life Change Success. It was utilized from SPSS 22.0 package program ın the analysis of the data. Results: The mean age of the patients was 62.36±10.03 years and 61.3% were female. The mean score of the Compliance to Medical Treatment subscale was 25.67±3.50 and the mean total score of the Scale for the Evaluation of Hypertensive Individuals' Compliance to Treatment and Success of Life Changes was 69.62±6.70. The scores of treatment compliance and life change success were found to be lower in women, those with more children, illiterate, housewives, those whose income was less than their expenses, and those who had controls only once a year. A negative correlation was found between the number of children, body mass index, systolic blood pressure, number of emergency room visits due to HT in the last 6 months and the scores of adaptation and life change success, and a positive low-level correlation was found between the duration of the disease. Conclusion: Post-earthquake, the treatment compliance of HT patients residing region, where adverse conditions related to living conditions that may particularly affect treatment adherence are still mostly persisting, was found to be generally good. However, since compliance and life change success scores were found to be low in women, those with more children, illiterates, housewives, those with less income than expenses, and those with irregular follow-up visits, studies should be planned to increase both compliance to treatment and life change success in hypertension patients, especially in these groups. Researchers can increase treatment compliance and life change success by conducting studies that will positively affect awareness, compliance, level of knowledge, attitude and behaviour change and health beliefs. Keywords: Earthquake, Hypertension, Treatment adherence, Life Change Success
Objective: The aim of this study was to evaluate the level of treatment compliance of hypertension patients and the factors affecting it after the February 2023 earthquakes. Material and method: The population of this descriptive study consisted of hypertension patients who applied to Malatya Battalgazi State Hospital Internal Medicine outpatient clinic and emergency department between 1 March and 15 April 2024. 372 patients fulfilling the inclusion criteria into the sampling research were included. The data were collected by face-to-face interview using the Scale for Assessing Individuals' Treatment Adherence and Life Change Success. It was utilized from SPSS 22.0 package program ın the analysis of the data. Results: The mean age of the patients was 62.36±10.03 years and 61.3% were female. The mean score of the Compliance to Medical Treatment subscale was 25.67±3.50 and the mean total score of the Scale for the Evaluation of Hypertensive Individuals' Compliance to Treatment and Success of Life Changes was 69.62±6.70. The scores of treatment compliance and life change success were found to be lower in women, those with more children, illiterate, housewives, those whose income was less than their expenses, and those who had controls only once a year. A negative correlation was found between the number of children, body mass index, systolic blood pressure, number of emergency room visits due to HT in the last 6 months and the scores of adaptation and life change success, and a positive low-level correlation was found between the duration of the disease. Conclusion: Post-earthquake, the treatment compliance of HT patients residing region, where adverse conditions related to living conditions that may particularly affect treatment adherence are still mostly persisting, was found to be generally good. However, since compliance and life change success scores were found to be low in women, those with more children, illiterates, housewives, those with less income than expenses, and those with irregular follow-up visits, studies should be planned to increase both compliance to treatment and life change success in hypertension patients, especially in these groups. Researchers can increase treatment compliance and life change success by conducting studies that will positively affect awareness, compliance, level of knowledge, attitude and behaviour change and health beliefs. Keywords: Earthquake, Hypertension, Treatment adherence, Life Change Success
Description
Sağlık Bilimleri Enstitüsü, Hemşirelik Ana Bilim Dalı, İç Hastalıkları Hemşireliği Bilim Dalı
Keywords
Hemşirelik, Nursing
