Kronik Hastalığı Olan Bireylerin Algıladıkları Sosyal Destek ve Psikolojik İyi Oluş Düzeylerinin Belirlenmesi

Year 2023, Volume: 12 Issue: 1, 52 - 60, 15.03.2023

Dilek Yıldırım , Özlem Akman , Duygu Dokumacı

https://doi.org/10.53424/balikesirsbd.1202679

Cited By: 2

Abstract

Amaç: Bu çalışmanın amacı kronik hastalığı olan hastalarda algılanan sosyal destek ile psikolojik iyi oluş arasındaki ilişkiyi belirlemektir. Gereç ve Yöntem: Tanımlayıcı ve korelasyonel tipteki bu çalışma, Kasım 2020-Mayıs 2021 tarihleri arasında İstanbul’da bulunan bir toplum sağlığı merkezinde en az bir kronik hastalığı olan 203 hasta üzerinde yürütüldü. Bulgular: Katılımcıların psikolojik iyi oluşluk durumları ile algılanan sosyal destek düzeyleri arasında pozitif yönlü anlamlı bir ilişki vardı. Kronik hastalık süresi ve katılımcıların yaşı, algılanan sosyal destek ve psikolojik iyi oluşluk ile negatif ilişkiliydi. Algılanan sosyal desteğin katılımcıların psikolojik iyi oluşluk üzerindeki etkilerini analiz eden basit doğrusal regresyon modeli istatistiksel olarak anlamlıydı (p<0.001) ve algılanan sosyal desteğin kronik hastalığı olan katılımcıların psikolojik iyi olma halindeki değişimin yaklaşık %18’ini açıkladığını gösterdi (straight, R2=0.175). Modelin belirleme katsayısı 0.161'dir. MSPSS ve FS puanları arasında istatistiksel olarak anlamlı pozitif yönlü bir ilişki belirlendi. Sonuç: Bu çalışmanın sonuçları algılanan sosyal desteğin kronik hastalığı olan hastaların psikolojik iyi oluşluğu iyileştirdiğini göstermektedir. Bu nedenle, başta hemşireler olmak üzere sağlık profesyonelleri, kronik hastalığı olan hastaların algılanan sosyal destek ve psikolojik iyi oluşluk düzeylerini değerlendirebilir ve hemşirelik bakım planlarına manevi bakım müdahalelerini ve sosyal destek sistemlerini dahil edebilirler.

Keywords

Kronik hastalık, sosyal destek, psikoloji, sağlık, bakım, hemşirelik bakımı

Perceived Social Support and Psychological Well-Being in Patients with Chronic Diseases

Abstract

Objective: In the literature reported that perceived social support may have a positive impact on psychological well-being of patients with chronic diseases. However, a brief review of the literature also shows that the number of studies on the relationship between perceived social support and psychological well-being in patients with chronic diseases is limited. This study aims to determine the relationship between perceived social support and psychological well-being in patients with chronic diseases. Materials and Methods: This descriptive and correlational study was conducted on 203 inpatients with at least one chronic disease, who received treatment at a community health center between November 2020 and May 2021 in İstanbul. Results: Psychological well-being of the participants was positively correlated with perceived social support. Duration of chronic disease and age of participants were negatively correlated with perceived social support and psychological well-being. Simple linear regression model that analyzed the effects of perceived social support on psychological well-being of the participants was statistically significant (p<0.001) and showed that perceived social support explained about 18% of the change in the psychological well-being of participants with chronic diseases (straight, R2 = 0.175). The determination coefficient of the model was 0.161. A positive correlation was determined between MSPSS and FS scores. Conclusions: The findings implied that perceived social supported improved psychological well-being of patients with chronic diseases. Therefore, health professionals, primarily the nurses, may evaluate the levels of perceived social support and psychological well-being of patients with chronic diseases and incorporate spiritual care interventions and social support systems into nursing care plans.

Keywords

Chronic disease, social support, psychology, health, care, nursing care

References

• REFERENCES Akpınar, N. B., Ceran, M. A., Şafak, Ş., & Özkalp, B. (2019). The level of self-efficacy, care needs and daily living activities of hemodialysis patients. Journal of Nursing Sciences, 2(1), 5-10.
• Aşiret, G. D., & Okatan, C. (2019). Determination of the relationship between drug compliance levels and spiritual wellbeing of hypertension patients. Turk Journal of Cardiovascular Nursing, 10(23), 122-128. https://doi.org/10.5543/khd.2019.66376.
• Bryson, B. A., & Bogart, K. R. (2020). Social support, stress, and life satisfaction among adults with rare diseases. Health Psychology, 39(10), 912-920. https://doi.org/10.1037/hea0000905.
• Borges, C. C., Dos Santos, P. R., Alves, P. M., Borges, R. C. M., Lucchetti, G., Barbosa, M. A.,& Fernandes, M. R. (2021). Association between spirituality/religiousness and quality of life among healthy adults: a systematic review. Health and Quality of Life Outcomes, 19(1), 1-13. https://doi.org/10.1186/s12955-021-01878-7.
• Cochran, W.G. (1977) Sampling techniques. 3rd ed. New York: John Wiley & Sons. Dai, H., Mei, Z., An, A., & Wu, J. (2019). Association between sleep problems and health-related quality of life in Canadian adults with chronic diseases. Sleep Medicine, 61(1), 26-30. https://doi.org/10.1016/j.sleep.2019.04.015.
• Dane, E. & Olgun, N. (2016). Psychological resilience status of hemodialysis patients and evaluation of affecting factors. Journal of Nephrology Nursing, 11(1), 43-54.
• Diener, E., Wirtz, D., Tov, W., Kim-Prieto, C., Choi, D., Oishi, S., & Biswas-Diener, R. (2010). New well-being measures: Short scales to assess flourishing and positive and negative feelings. Social Indicators Research, 97, 143–156. DOI 10.1007/s11205-009-9493-y.
• Doğan, E., Arkar, H. & Yaldız, H. (2001). Factor structure of the revised form of the multidimensional scale of perceived social support. validity and reliability. Turkish Journal of Psychiatry, 12(1). 17-25.
• Ekşi, H., & Kardaş, S. (2017). Spiritual well-being: Scale development and validation. Spiritual Psychology and Counseling, 2, 73-88. https://doi.org/10.12738/ spc.2017.1.0022.
• Fernández-Peña, R., Molina, J. L., & Valero, O. (2020). Satisfaction with social support received from social relationships in cases of chronic pain: The influence of personal network characteristics in terms of structure, composition and functional content. International Journal of Environmental Research and Public Health, 17(8), 2706. https://doi.org/ 10.3390/ijerph17082706.
• Harasemiw, O., Newall, N., Mackenzie, C. S., Shooshtari, S., & Menec, V. (2019). Is the association between social network types, depressive symptoms and life satisfaction mediated by the perceived availability of social support? A cross-sectional analysis using the Canadian Longitudinal Study on Aging. Aging & Mental Health, 23(10), 1413-1422. https://doi.org/ 10.1080/13607863.2018.1495176.
• Ji, L. L., Tsai, W., Sun, X. L., Lu, Q., Wang, H. D., Wang, L. J., & Lu, G. H. (2019). The detrimental effects of ambivalence over emotional expression on well‐being among Mainland Chinese breast cancer patients: Mediating role of perceived social support. Psycho‐oncology, 28(5), 1142-1148. https://doi.org/10.1002/pon.5069.
• Karataş, T., & Bostanoğlu, H. (2017). Perceived social support and psychosocial adjustment in patients with coronary heart disease. International Journal of Nursing Practice, 23(4), e12558. https://doi.org/10.1111/ijn.12558.
• Kütmeç Yilmaz, C. & Kara, F. Ş. (2021). The effect of spiritual well-being on adaptation to chronic illness among people with chronic illnesses. Perspectives in Psychiatric Care, 57(1), 318-325. https://doi.org/10.1111/ppc.12566.
• Leow, K., Lynch, M. F., & Lee, J. (2021). Social support, basic psychological needs, and social well-being among older cancer survivors. The International Journal of Aging and Human Development, 92(1), 100-114. https://doi.org/10.1177/0091415019887688.
• Liu, R. T., Hernandez, E. M., Trout, Z. M., Kleiman, E. M., & Bozzay, M. L. (2017). Depression, social support, and long-term risk for coronary heart disease in a 13-year longitudinal epidemiological study. Psychiatry Research, 251, 36-40. https://doi.org/10.1016/j.psychres.2017.02.010
• López, J., Perez-Rojo, G., Noriega, C., Carretero, I., Velasco, C., Martinez-Huertas, J. A., & Galarraga, L. (2020). Psychological well-being among older adults during the COVID-19 outbreak: A comparative study of the young–old and the old–old adults. International Psychogeriatrics, 32(11), 1365-1370. https://doi.org/10.1017/S1041610220000964.
• Maresova, P., Javanmardi, E., Barakovic, S., Husic, J. B., Tomsone, S., Krejcar, O., & Kuca, K. (2019). Consequences of chronic diseases and other limitations associated with old age–a scoping review. BioMed Central Public Health, 19(1), 1-17. https://doi.org/10.1186/s12889-019-7762-5.
• Ocsovszky, Z., Rafael, B., Martos, T., Csabai, M., Bagyura, Z., Sallay, V., & Merkely, B. (2020). Correlation of social support and healthy lifestyle. Orvosi Hetilap, 161(4), 129-138. https://doi.org/10.1556/650.2020.31625.
• Park, C. L., & Lee, S. Y. (2019). Unique effects of religiousness/spirituality and social support on mental and physical well-being in people living with congestive heart failure. The Journal of Behavioral Medicine, 43(4), 630-637. https://doi.org/10.1007/s10865-019-00101-9 Ransome, Y. (2020). Religion, spirituality, and health: new considerations for epidemiology. American Journal of Epidemiology, 189(8), 755-758. https://doi.org/10.1093/aje/kwaa022.
• Richardson, C. R., Franklin, B., Moy, M. L., & Jackson, E. A. (2019). Advances in rehabilitation for chronic diseases: improving health outcomes and function. British Medical Journal, 17, 365, l2191. https://doi.org/10.1136/bmj.l2191.
• Telef, B.B. (2013). Psychological well-being scale: adaptation to Turkish, validity and reliability study. Hacettepe University Journal of Education, 28(28-3), 374-384.
• Vitorino, L. M., Lucchetti, G., Leão, F. C., Vallada, H., & Peres, M. F. P. (2018). The association between spirituality and religiousness and mental health. Scientific Reports, 8(1), 1-9. https://doi.org/10.1038/s41598-018-35380-w
• Von Cheong, E., Sinnott, C., Dahly, D., & Kearney, P. M. (2017). Adverse childhood experiences (ACEs) and later-life depression: perceived social support as a potential protective factor. British Medical Journal Open, 7(9), e013228. https://doi.org/10.1136/bmjopen-2016-013228. Wang, J., Mann, F., Lloyd-Evans, B., Ma, R., & Johnson, S. (2018). Associations between loneliness and perceived social support and outcomes of mental health problems: A systematic review. BioMed Central Psychiatry, 18(1), 1-16. https://doi.org/10.1186/s12888-018-1736-5.
• World Health Organization (WHO) Integrated Chronic Disease Prevention and Control (2017). (http://www.who.int/chp/about/integrated_cd/en/). Accessed date: December 31, 2020.
• Xiao, Z., Li, X., Qiao, S., Zhou, Y., & Shen, Z. (2017). Social support, depression, and quality of life among people living with HIV in Guangxi, China. AIDS Care, 29(3), 319-325. https://doi.org/10.1080/09540121.2016.1224298.
• Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41.