Klinikte yatan kalp yetersizliği hastalarına uygulanan sorun çözme eğitiminin, sorun çözme becerilerine, yaşam kalitesine ve depresyon düzeyine etkisi
Year 2020,
Volume: 45 Issue: 1, 306 - 315, 31.03.2020
Sibel Polat
,
Nuray Şimşek
Abstract
Amaç: Bu çalışma, kardiyoloji kliniğinde kalp yetersizliği nedeniyle yatan hastalara uygulanan sorun çözme eğitiminin; sorun çözme becerilerine, yaşam kalitesine ve depresyon düzeyine etkisini belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: Araştırma randomize kontrollü deneysel çalışma olarak; 27 deney, 26 kontrol grubunda olmak üzere 53 hasta ile yürütülmüştür. Çalısmada etik kurul onayı ile bireylerden yazılı bilgilendirilmiş gönüllü olur alınmıştır. Veriler; kişisel bilgi formu, Beck Depresyon Ölçeği (BDÖ), Macnew Kalp Hastalığı Sağlıkla İlgili Kaliteli Yaşam Anketi, Sosyal Problem Çözme Envanteri- kısa formu (SPÇE) kullanılarak toplandı. Sorun Çözme Eğitimi grubuna, 2 hafta haftada 2 seans olmak üzere 4 seans bireysel sorun çözme eğitimi verildi.
Bulgular: Eğitim sonrası, PSE grubunda BDÖ puan ortalamalarında istatistiksel olarak anlamlı bir azalma olduğu, SPÇE ve MacNew Kalp Hastalığı Sağlıkla İlgili Kaliteli Yaşam Anketi puan ortalamalarında ise istatistiksel olarak anlamlı bir artış olduğu, kontrol grubunda ise değişim olmadığı belirlenmiştir.
Sonuç: Sorun çözme eğitiminin kalp yetersizliği hastalarında sorun çözme becerilerine, yaşam kalitesine ve depresif belirtiler üzerine olumlu etkisi olduğu belirlenmiştir.
Supporting Institution
Erciyes Üniversitesi Bilimsel Araştırmalar Proje Birimi
Project Number
TDK-2016-6683
Thanks
Araştırmanın istatistiğini yapan sayın Dr. Ceyda Afacan’a ve İngilizce kontrolünü yapan sayın Dr. H. Mustafa Dönmez’e katkılarından dolayı teşekkür ederiz.
References
- 1. Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG at al. 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation. 2009;Apr 14;119(14):1977-2016.
- 2. Jiang W, Krishnan R, Kuchibhatla M, Cuffe MS, Martsberger C, Arias RM et al. Characteristics of depression remission and its relation with cardiovascular outcome among patients with chronic heart failure (from the SADHART-CHF Study). Am J Cardiol. 2011;107(4):545-551.
- 3. Moser DK, Arslanian-Engoren C, Biddle MJ, Chung ML, Dekker RL, Hammash MH et al. Psychological aspects of heart failure. Curr Cardiol Rep. 2016 Dec;18(12):119.
- 4. Bordoni B, Marelli F, Morabito B, Sacconi B. Depression and anxiety in patients with chronic heart failure. Future Cardiol. 2018;14(2):115–119.
- 5. Graven LJ, Grant JS, Vance DE, Pryor ER, Grubbs L, Karioth S et al. Factors associated with depressive symptoms in patients with heart failure. Home Healthc Nurse. 2014; 32(9): 550-555.
- 6. Eskin M. Sorun Çözme Terapisi. 2. Baskı. Ankara, HYB Basım Yayın, 2011.
- 7. Nezu AM. Efficacy of a social problem-solving therapy approach for unipolar depression. J Consult Clin Psychol. 1986;54(2):196-202.
- 8. Küçük L, Işıl Ö. Diyaliz olgularına uygulanan sorun çözme eğitiminin depresyon düzeylerine ve sorun çözme becerilerine etkisi. Türkiye Klinikleri J Med Sci. 2009;29(6): 1638-1649.
- 9. Savaşır I, Şahin NH. Bilişsel davranışçı terapilerde değerlendirme: sık kullanılan ölçekler. 1.Baskı. Ankara: Türk Psikologlar Derneği Yayınları; 1997: s 45-64.
- 10. Şahin NH, Durak Batıgül A, Uğurtaş S. Kısa Semptom Envanteri (KSE): Ergenler İçin Kullanımının Geçerlik, Güvenirlik ve Faktör Yapısı. Türk Psikiyatri Dergisi. 2002;13(2):125-135.
- 11. MacNew.org.(2017). MacNew Health related Quality of Life Instrument. http://www.macnew.org/wp/information. Accessed: 15.11.2017.
- 12. Daskapan A, Hofer S, Oldridge N, Alkan N, Muderrisoglu, H, Tuzun EH. The validity and reliability of the Turkish version of the MacNew Heart Disease Questionnaire in patients with angina. J Eval Clin Pract. 2008;14(2):209-213.
- 13. Hofer S, Lim L, Guyatt G, Oldridge N. The MacNew Heart Disease health-related quality of life instrument: a summary. Health Qual Life Outcomes. 2004;2:3
- 14. Eskin M, Aycan Z. Gözden Geçirilmiş Sosyal Sorun Çözme Envanteri’nin Türkçe’ye (TrSSÇE-G) uyarlanması güvenirlik ve geçerlik analizi. Türk Psikoloji Yazıları. 2008;12:1-10.
- 15. Enç N, Yiğit Z, Altıok M. Kalp Yetersizliği Hasta El Kitabı, İstanbul, Hayy Kitap, 2007.
- 16. Hegel MT, Arean PA. Problem Solving Treatment for Primary Care (PSE-PC) A Treatment Manual for Depression. 21-132 http://www.publichealth.uiowa.edu/icmha/outreach/documents/ProblemSolvingTreatmentforPrimaryCare.PDF. Accessed: 10. 01.2015.
- 17. Aggelopoulpou Z, Fotos NV, Chatziefstratiou AA, Giakoumidakis, K, Elefsiniotis I, Brokalaki H. The level of anxiety, depression and quality of life among patients with heart failure in Greece. Appl Nurs Res. 2017;34:52-56.
- 18. Erceg P, Despotovic N, Milosevic DP, Soldatovic I, Zdravkovic S, Tomic S et al. Health-related quality of life in elderly patients hospitalized with chronic heart failure. Clin Interv Aging. 2013:8;1539–1546.
- 19. D’ Zurilla, TJ, Nezu AM, Maydeu-Olivares A. Social Problem Solving: Theory and Assessment. In: Chang EC, D’ Zurilla TJ, Sana LJ. (Eds), Social Problem Solving: Theory, Research and Training. Washington DC: American Psychological Association, 2004: 3-27.
- 20. Bosea C N, Bjorling G, Elfstrom ML, Persson H, Saboonchi F. Assessment of coping strategies and their associations with health related quality of life in patients with chronic heart failure: The Brief COPE restructured. Cardiovasc. Res. 2015;6(2):239-248 .
- 21. Renn BN, Areán, PA. Psychosocial Treatment Options for Major Depressive Disorder in Older Adults. Current treatment options in psychiatry 2017; 4(1): 1-12.
- 22. Öztaban Ş, Adana F. Lise öğrencisi erkek ergenlerde problem çözme eğitiminin; problem çözme becerisi, kişilerarası ilişki tarzı ve öfke kontrolü üzerine etkisi. Hemşirelikte Araştırma Geliştirme Dergisi. 2015;17(1):21-36.
- 23. Akpınar H, Barlas GÜ. Yoğun Bakım Servislerinde Çalışan Hemşirelere Uygulanan Sorun Çözme Eğitiminin Hemşirelerin Sorun Çözme Becerilerine Etkisi. Medical Journal of Mugla Sitki Kocman University. 2015;2(3):12-17.
- 24. Gellis ZD, Bruce ML. Problem-solving therapy for subthreshold depression in home healthcare patients with cardiovascular disease. Am J Geriatr Psychiatry. 2010;18(6):464-474.
- 25. Sherwood A, Blumenthal JA, Hinderliter AL, Koch GG, Adams KF, Dupree CS. et al. Worsening depressive symptoms are associated with adverse clinicaloutcomes in patients with heart failure. J Am Coll Cardiol. 2011;57(4):418-23.
- 26. Jiang Y, Shorey S, Seah B, Chan, W, San Tam WW, Wang, W. The effectiveness of psychological interventions on self-care, psychological and health outcomes in patients with chronic heart failure-A systematic review and meta-analysis. International Journal of Nursing Studies (2017), http://dx.doi.org/10.1016/j.ijnurstu.2017.08.006. Accessed: 10.01.2016.
- 27. Zhang A, Park S, Sullivan JE, Jing S. The Effectiveness of Problem-Solving Therapy for Primary Care Patients' Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis. J Am Board Fam Med. 2018 Jan-Feb;31(1):139-150.
- 28. Kirkham JG, Choi N, Seitz DP. Meta-analysis of problem solving therapy for the treatment of major depressive disorder in older adults.. Int J Geriatr Psychiatry. 2016;31(5): 526-535.
- 29. Holvast F, Massoudi B, Voshaar RCO, Verhaak PF. Non-pharmacological treatment for depressed older patients in primary care: A systematic review and meta-analysis. PloS one 2017;12(9): e0184666.
- 30. Reinhardt JP, Horowitz A, Cimarolli VR, Eimicke JP, Teresi JA. Addressing depression in a long-term care setting: a phase II pilot of problem-solving treatment. Clinical therapeuticsi 2014;36(11):1531-1537.
- 31. Tsuchihashi-Makaya M, Matsuo H, Kakinoki S, Takechi S, Kinugawa S, Tsutsui H et al. Home-based disease management program to improve psychological status in patients with heart failure in Japan. Circulation Journal. 2013;77(4):926-933.
The effect of problem solving training on problem solving skills, quality of life and depression level of inpatients with heart failure
Year 2020,
Volume: 45 Issue: 1, 306 - 315, 31.03.2020
Sibel Polat
,
Nuray Şimşek
Abstract
Purpose: This study was carried out to investigate the effect of problem-solving education given to heart failure patients hospitalized in a cardiology unit on their problem-solving skills, quality of life and depression level.
Materials and Methods: This randomized controlled experimental study was carried out with a total of 53 patients: 27 patients in the experimental group and 26 patients in the control group. A written informed consent was obtained from the patients with ethics committee approval. Data were collected using a personal information form, the Beck Depression Inventory (BDI), the MacNew Heart Disease Health-Related Quality of Life Questionnaire, and the Social Problem Solving Inventory-Revised Short Form (SPSI-R:S). The PSE group was given four sessions of individual problem-solving education in two sessions per week for two weeks.
Results: It was determined that, after the education, there was a statistically significant decrease in the mean BDI scores of the PSE group and a statistically significant increase in the mean scores of the SPSI and MacNew Heart Disease Health Related Life Survey Questionnaire but there were not any changes in the control group .
Conclusion: It was determined that problem-solving education positively affected problem-solving skills, quality of life, and depressive symptoms in the patients with heart failure.
Project Number
TDK-2016-6683
References
- 1. Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG at al. 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation. 2009;Apr 14;119(14):1977-2016.
- 2. Jiang W, Krishnan R, Kuchibhatla M, Cuffe MS, Martsberger C, Arias RM et al. Characteristics of depression remission and its relation with cardiovascular outcome among patients with chronic heart failure (from the SADHART-CHF Study). Am J Cardiol. 2011;107(4):545-551.
- 3. Moser DK, Arslanian-Engoren C, Biddle MJ, Chung ML, Dekker RL, Hammash MH et al. Psychological aspects of heart failure. Curr Cardiol Rep. 2016 Dec;18(12):119.
- 4. Bordoni B, Marelli F, Morabito B, Sacconi B. Depression and anxiety in patients with chronic heart failure. Future Cardiol. 2018;14(2):115–119.
- 5. Graven LJ, Grant JS, Vance DE, Pryor ER, Grubbs L, Karioth S et al. Factors associated with depressive symptoms in patients with heart failure. Home Healthc Nurse. 2014; 32(9): 550-555.
- 6. Eskin M. Sorun Çözme Terapisi. 2. Baskı. Ankara, HYB Basım Yayın, 2011.
- 7. Nezu AM. Efficacy of a social problem-solving therapy approach for unipolar depression. J Consult Clin Psychol. 1986;54(2):196-202.
- 8. Küçük L, Işıl Ö. Diyaliz olgularına uygulanan sorun çözme eğitiminin depresyon düzeylerine ve sorun çözme becerilerine etkisi. Türkiye Klinikleri J Med Sci. 2009;29(6): 1638-1649.
- 9. Savaşır I, Şahin NH. Bilişsel davranışçı terapilerde değerlendirme: sık kullanılan ölçekler. 1.Baskı. Ankara: Türk Psikologlar Derneği Yayınları; 1997: s 45-64.
- 10. Şahin NH, Durak Batıgül A, Uğurtaş S. Kısa Semptom Envanteri (KSE): Ergenler İçin Kullanımının Geçerlik, Güvenirlik ve Faktör Yapısı. Türk Psikiyatri Dergisi. 2002;13(2):125-135.
- 11. MacNew.org.(2017). MacNew Health related Quality of Life Instrument. http://www.macnew.org/wp/information. Accessed: 15.11.2017.
- 12. Daskapan A, Hofer S, Oldridge N, Alkan N, Muderrisoglu, H, Tuzun EH. The validity and reliability of the Turkish version of the MacNew Heart Disease Questionnaire in patients with angina. J Eval Clin Pract. 2008;14(2):209-213.
- 13. Hofer S, Lim L, Guyatt G, Oldridge N. The MacNew Heart Disease health-related quality of life instrument: a summary. Health Qual Life Outcomes. 2004;2:3
- 14. Eskin M, Aycan Z. Gözden Geçirilmiş Sosyal Sorun Çözme Envanteri’nin Türkçe’ye (TrSSÇE-G) uyarlanması güvenirlik ve geçerlik analizi. Türk Psikoloji Yazıları. 2008;12:1-10.
- 15. Enç N, Yiğit Z, Altıok M. Kalp Yetersizliği Hasta El Kitabı, İstanbul, Hayy Kitap, 2007.
- 16. Hegel MT, Arean PA. Problem Solving Treatment for Primary Care (PSE-PC) A Treatment Manual for Depression. 21-132 http://www.publichealth.uiowa.edu/icmha/outreach/documents/ProblemSolvingTreatmentforPrimaryCare.PDF. Accessed: 10. 01.2015.
- 17. Aggelopoulpou Z, Fotos NV, Chatziefstratiou AA, Giakoumidakis, K, Elefsiniotis I, Brokalaki H. The level of anxiety, depression and quality of life among patients with heart failure in Greece. Appl Nurs Res. 2017;34:52-56.
- 18. Erceg P, Despotovic N, Milosevic DP, Soldatovic I, Zdravkovic S, Tomic S et al. Health-related quality of life in elderly patients hospitalized with chronic heart failure. Clin Interv Aging. 2013:8;1539–1546.
- 19. D’ Zurilla, TJ, Nezu AM, Maydeu-Olivares A. Social Problem Solving: Theory and Assessment. In: Chang EC, D’ Zurilla TJ, Sana LJ. (Eds), Social Problem Solving: Theory, Research and Training. Washington DC: American Psychological Association, 2004: 3-27.
- 20. Bosea C N, Bjorling G, Elfstrom ML, Persson H, Saboonchi F. Assessment of coping strategies and their associations with health related quality of life in patients with chronic heart failure: The Brief COPE restructured. Cardiovasc. Res. 2015;6(2):239-248 .
- 21. Renn BN, Areán, PA. Psychosocial Treatment Options for Major Depressive Disorder in Older Adults. Current treatment options in psychiatry 2017; 4(1): 1-12.
- 22. Öztaban Ş, Adana F. Lise öğrencisi erkek ergenlerde problem çözme eğitiminin; problem çözme becerisi, kişilerarası ilişki tarzı ve öfke kontrolü üzerine etkisi. Hemşirelikte Araştırma Geliştirme Dergisi. 2015;17(1):21-36.
- 23. Akpınar H, Barlas GÜ. Yoğun Bakım Servislerinde Çalışan Hemşirelere Uygulanan Sorun Çözme Eğitiminin Hemşirelerin Sorun Çözme Becerilerine Etkisi. Medical Journal of Mugla Sitki Kocman University. 2015;2(3):12-17.
- 24. Gellis ZD, Bruce ML. Problem-solving therapy for subthreshold depression in home healthcare patients with cardiovascular disease. Am J Geriatr Psychiatry. 2010;18(6):464-474.
- 25. Sherwood A, Blumenthal JA, Hinderliter AL, Koch GG, Adams KF, Dupree CS. et al. Worsening depressive symptoms are associated with adverse clinicaloutcomes in patients with heart failure. J Am Coll Cardiol. 2011;57(4):418-23.
- 26. Jiang Y, Shorey S, Seah B, Chan, W, San Tam WW, Wang, W. The effectiveness of psychological interventions on self-care, psychological and health outcomes in patients with chronic heart failure-A systematic review and meta-analysis. International Journal of Nursing Studies (2017), http://dx.doi.org/10.1016/j.ijnurstu.2017.08.006. Accessed: 10.01.2016.
- 27. Zhang A, Park S, Sullivan JE, Jing S. The Effectiveness of Problem-Solving Therapy for Primary Care Patients' Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis. J Am Board Fam Med. 2018 Jan-Feb;31(1):139-150.
- 28. Kirkham JG, Choi N, Seitz DP. Meta-analysis of problem solving therapy for the treatment of major depressive disorder in older adults.. Int J Geriatr Psychiatry. 2016;31(5): 526-535.
- 29. Holvast F, Massoudi B, Voshaar RCO, Verhaak PF. Non-pharmacological treatment for depressed older patients in primary care: A systematic review and meta-analysis. PloS one 2017;12(9): e0184666.
- 30. Reinhardt JP, Horowitz A, Cimarolli VR, Eimicke JP, Teresi JA. Addressing depression in a long-term care setting: a phase II pilot of problem-solving treatment. Clinical therapeuticsi 2014;36(11):1531-1537.
- 31. Tsuchihashi-Makaya M, Matsuo H, Kakinoki S, Takechi S, Kinugawa S, Tsutsui H et al. Home-based disease management program to improve psychological status in patients with heart failure in Japan. Circulation Journal. 2013;77(4):926-933.