Araştırma Makalesi
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The Relationship Between Anxiety, Coping Strategies and Characteristics of Patients with Hypertension

Yıl 2018, Cilt: 9 Sayı: 34, 68 - 80, 01.09.2018
https://doi.org/10.17944/mkutfd.481119

Öz

Objective:The aim of this study was to explore and define the trait anxiety levels of hypertension patients, their coping strategies, socio-demographic characteristics, and the relationship between anxiety and coping strategies.

Materials and Methods: In the study, 20-item Trait Anxiety Scale (STAI TX-2) was used to measure the level of anxiety and a 28-item Brief Cope which scale developed by Carver et al. (1989) was used to measure coping strategies. 

Results:The sample of the study consisted of 147 people diagnosed with hypertension who were treated in Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital. The mean age was 61.16 (SD = 10.52), with a range from 34 to 89 years. The majority of the participants were female (57.1%). In the research, 95.9% of the participants (n = 141) exceeded the 42 points with trait anxiety threshold. Acceptance and religion, were the most frequently used problem-focused coping strategies. On the other side, self-distraction and self-blame were the most frequently used emotion-focused coping strategies. 

Conclusion:Significant correlations were found between socio-demographic and health characteristics, anxiety and coping strategies. The findings point to the importance of considering individual coping strategies when evaluating the impact of hypertension on psychosocial well-being. 

Kaynakça

  • Beilin LJ. The fifth Sir George Pickering memorial lecture Epitaph to essential hypertension–a preventable disorder of known aetiology? Journal of hypertension. 1988;6(2):85-94.
  • Dünya Sağlık Örgütü. Causes of Death Geneva,; 2008a.
  • Dünya Sağlık Örgütü. Global status report on noncommunicable diseases 2010. Geneva,; 2011.
  • Türk Kardiyoloji Derneği. 17 Mayıs Dünya Hipertansiyon Günü Basın Açıklaması. 2018.
  • Türkiye İstatistik Kurumu. Türkiye Sağlık Araştırması 2016.
  • Rueda B, Perez-Garcia A. Coping strategies, depressive symptoms and quality of life in hypertensive patients: mediational and prospective relations. Psychology & health. 2013;28(10):1152-70.
  • Terpening C, Gums JG, Grauer K. Management of essential hypertension. Expert opinion on pharmacotherapy. 1999;1(1):71-80.
  • Yıldırım B. Bir Tıbbi Sosyal Hizmet Uygulaması: Hemodiyaliz Hastaları Üzerine Etkileşim Grubu Planlama. Sosyal Çalışma Dergisi. 2017a;1(2):64-73.
  • Johnson EH, Gentry WD. Personality, elevated blood pressure, and essential hypertension: A research agenda: Hemisphere Publishing Corp; 1992.
  • Markovitz JH, Matthews KA, Kannel WB, Cobb JL, D'agostino RB. Psychological predictors of hypertension in the Framingham study: is there tension in hypertension? Jama. 1993;270(20):2439-43.
  • Steptoe A. Psychosocial factors in the development of hypertension. Annals of medicine. 2000;32(5):371-5.
  • Lazarus R, Folkman S. Stress, appraisal and coping1984.
  • Baker JP, Berenbaum H. Emotional approach and problem-focused coping: A comparison of potentially adaptive strategies. Cognition and Emotion. 2007;21(1):95-118.
  • DeCoster VA, Cummings S. Coping with type 2 diabetes: do race and gender matter? Social Work in Health Care. 2005;40(2):37-53.
  • Bennett KK, Boothby JL. Coping and Heart Disease: Implications for prevention and treatment. Coping with chronic illness and disability: Springer; 2007. p. 267-87.
  • Endler NS, Parker JD, Summerfeldt LJ. Coping with health problems: Conceptual and methodological issues. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement. 1993;25(3):384.
  • Lindquist TL, Beilin LJ, Knuiman MW. Influence of lifestyle, coping, and job stress on blood pressure in men and women. Hypertension. 1997;29(1):1-7.
  • Ural A, Kılıç İ. Bilimsel Araştırma Süreci ve SPSS ile Veri Analizi. Ankara: Detay Yayıncılık; 2005.
  • Büyüköztürk Ş. Sosyal Bilimler için Veri Analizi El Kitabı İstatistik, Araştırma Deseni SPSS Uygulamaları ve Yorum. Genişletilmiş 18 ed. Ankara: Pegem Yayıncılık; 2013.
  • Spielberger CD. Understanding stress and anxiety: Harper & Row; 1979.
  • Öner N. Türkiyede Kullanılan Psikolojik Testler: Bir Başvuru Kaynağı, Boğaziçi Üniversitesi Yayınları, 3. Basım, İstanbul YÖK, 2006a Yükseköğretim Kanunu (Kanun No: 2547 Kabul tarihi: 411 1981). 1997.
  • Öner N, Le Compte A. Handbook of state-trait anxiety. Istanbul, Turkey, Bogazici University Publication. 1983.
  • Carver CS. You want to measure coping but your protocol’too long: Consider the brief cope. International journal of behavioral medicine. 1997;4(1):92.
  • Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. Journal of personality and social psychology. 1989;56(2):267.
  • Tuna ME. Cross-cultural differences in coping strategies as predictors of university adjustment of Turkish and US students: METU; 2003.
  • George D. SPSS for windows step by step: A simple study guide and reference, 17.0 update, 10/e: Pearson Education India; 2011.
  • Tabachnick BG, Fidell LS. Using multivariate statistics: Allyn & Bacon/Pearson Education; 2013.
  • Yıldırım B. Hastane Sosyal Hizmetinin Ailevi ve Bakım Veren Ebevenylerde Pediatrik Astım Yönetimi. Toplum ve Sosyal Hizmet. 2018;29(2):364-85.
  • Yıldırım B. Onkolojik Sosyal Hizmet Uygulaması. In: Attepe Özen S, Özcan E, editors. Tıbbi Sosyal Hizmet: Ankara, Nobel Yayınevi 2017b. p. 215-24.
  • Koenig HG, Pargament KI, Nielsen J. Religious coping and health status in medically ill hospitalized older adults. The Journal of nervous and mental disease. 1998;186(9):513-21.
  • Koenig HG, Weiner DK, Peterson BL, Meador KG, Keefe FJ. Religious coping in the nursing home: A biopsychosocial model. The International Journal of Psychiatry in Medicine. 1997;27(4):365-76.
  • Abraído‐Lanza AF, Revenson TA. Coping and social support resources among Latinas with arthritis. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 1996;9(6):501-8.
  • Alferi SM, Culver JL, Carver CS, Arena PL, Antoni MH. Religiosity, religious coping, and distress: A prospective study of Catholic and Evangelical Hispanic women in treatment for early-stage breast cancer. Journal of Health Psychology. 1999;4(3):343-56.
  • Baldree KS, Murphy SP, Powers MJ. Stress identification and coping patterns in patients on hemodialysis. Nursing Research. 1982;31(2):107-12.
  • Tix AP, Frazier PA. The use of religious coping during stressful life events: main effects, moderation, and mediation. Journal of consulting and clinical psychology. 1998;66(2):411.
  • Rubin RR, Peyrot M. Psychological issues and treatments for people with diabetes. Journal of clinical psychology. 2001;57(4):457-78.
  • Walton J. Spirituality of patients recovering from an acute myocardial infarction: A grounded theory study. Journal of Holistic Nursing. 1999;17(1):34-53.
  • Helm HM, Hays JC, Flint EP, Koenig HG, Blazer DG. Does private religious activity prolong survival? A six-year follow-up study of 3,851 older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2000;55(7):M400-M5.
  • Van Ness PH, Kasl SV, Jones BA. Religion, race, and breast cancer survival. The International Journal of Psychiatry in Medicine. 2003;33(4):357-75.
  • Van Elderen T, Maes S, Dusseldorp E. Coping with coronary heart disease: a longitudinal study. J Psychosom Res. 1999;47(2):175-83.
  • Fritzsche K, Forster F, Schweickhardt A, Kanwischer H, Drinkmann A, Rabung S, et al. Depressive coping is a predictor for emotional distress and poor quality of life in a German–Austrian sample of cardioverter-defibrillator implant recipients at 3 months and 1 year after implantation. General hospital psychiatry. 2007;29(6):526-36.
  • Kuiper A, Martin R. Is Sense Of Humor A Positive Personality Characteristic? The sense of humor: Exploration of a Personaality Charac-teristic Edited by Willibald Ruch. Berlin; 1998.
  • Lefcourt HM, Davidson K, Shepherd R, Phillips M, Prkachin K, Mills D. Perspective-taking humor: Accounting for stress moderation. Journal of Social and Clinical Psychology. 1995;14(4):373-91.
  • Moran CC. Short-term mood change, perceived funniness, and the effect of humor stimuli. Behavioral Medicine. 1996;22(1):32-8.
  • Moran CC, Massam MM. Differential influences of coping humor and humor bias on mood. Behavioral Medicine. 1999;25(1):36-42.
  • Yovetich NA, Dale JA, Hudak MA. Benefits of humor in reduction of threat-induced anxiety. Psychological Reports. 1990;66(1):51-8.
  • Gillis JS. Stress, anxiety, and cognitive buffering. Behavioral medicine. 1992;18(2):79-83.
  • Abel MH. Interaction of humor and gender in moderating relationships between stress and outcomes. The Journal of Psychology. 1998;132(3):267-76.
  • Labott SM, Ahleman S, Wolever ME, Martin RB. The physiological and psychological effects of the expression and inhibition of emotion. Behavioral Medicine. 1990;16(4):182-9.
  • Brink E, Karlson B, Hallberg L-M. Health experiences of first-time myocardial infarction: Factors influencing women's and men's health-related quality of life after five months. Psychology, Health & Medicine. 2002;7(1):5-16.
  • Terry DJ. Stress, coping and coping resources as correlates of adaptation in myocardial infarction patients. British Journal of Clinical Psychology. 1992;31(2):215-25.
  • Wadsworth ME, Gudmundsen GR, Raviv T, Ahlkvist JA, McIntosh DN, Kline GH, et al. Coping with terrorism: Age and gender differences in effortful and involuntary responses to September 11th. Applied Developmental Science. 2004;8(3):143-57.

Hipertansiyon Hastalarının Özellikleri ile Sürekli Kaygı ve Baş Etme Becerileri Arasındaki İlişki

Yıl 2018, Cilt: 9 Sayı: 34, 68 - 80, 01.09.2018
https://doi.org/10.17944/mkutfd.481119

Öz

Amaç: Bu çalışmanın amacı hipertansiyon hastalarının sürekli kaygı düzeylerini, kullandıkları başa çıkma stratejilerini, sosyo-demografik özelliklerini, kaygı ve başa çıkma stratejileri arasındaki ilişkileri araştırmak ve tanımlamaktır. 

Gereç ve Yöntem:Çalışmada kaygı düzeyini ölçmek için 20 maddeden oluşan Sürekli Kaygı Ölçeği (STAI TX-2) ve başa çıkma stratejilerini ölçmek için (Carver ve ark. 1989) tarafından geliştirilen ve 28 maddeden oluşan Baş Etme (KF) ölçeğinden yararlanılmıştır. Bu çalışma, kesitsel tasarım ve kolayda örnekleme yöntemlerinin kullanıldığı bir tarama çalışmasıdır.

Bulgular:Çalışmanın örneklemi Ankara Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi’nde hizmet alan hipertansiyon tanısı almış 147 kişi oluşturmaktadır. Çalışmaya katılan katılımcıların %57.1’i kadın katılımcıdır. Katılımcıların yaş ortalamaları 61.16±10.52 (ortalama±s.sapma) olarak elde edilmiştir. Katılımcıların %95.9’ u (n= 141) sürekli kaygı eşiği olan 42 puanı aşmıştır. Katılımcıların en çok kullandıkları problem odaklı başa çıkma stratejileri; din ve kabullenme stratejileriyken en çok kullanılan duygu odaklı başa çıkma stratejileri ise; dikkatini başka yöne yöneltme ve kendini suçlama stratejileridir.

Sonuç:Sosyo-demografik ve sağlığa ilişkin özellikler, anksiyete ve başa çıkma stratejileri arasında önemli korelasyonlar bulunmuştur. Bulgular, hipertansiyonun psikososyal refah üzerindeki etkisini değerlendirirken bireysel baş etme stratejilerini dikkate almanın önemine işaret etmektedir

Kaynakça

  • Beilin LJ. The fifth Sir George Pickering memorial lecture Epitaph to essential hypertension–a preventable disorder of known aetiology? Journal of hypertension. 1988;6(2):85-94.
  • Dünya Sağlık Örgütü. Causes of Death Geneva,; 2008a.
  • Dünya Sağlık Örgütü. Global status report on noncommunicable diseases 2010. Geneva,; 2011.
  • Türk Kardiyoloji Derneği. 17 Mayıs Dünya Hipertansiyon Günü Basın Açıklaması. 2018.
  • Türkiye İstatistik Kurumu. Türkiye Sağlık Araştırması 2016.
  • Rueda B, Perez-Garcia A. Coping strategies, depressive symptoms and quality of life in hypertensive patients: mediational and prospective relations. Psychology & health. 2013;28(10):1152-70.
  • Terpening C, Gums JG, Grauer K. Management of essential hypertension. Expert opinion on pharmacotherapy. 1999;1(1):71-80.
  • Yıldırım B. Bir Tıbbi Sosyal Hizmet Uygulaması: Hemodiyaliz Hastaları Üzerine Etkileşim Grubu Planlama. Sosyal Çalışma Dergisi. 2017a;1(2):64-73.
  • Johnson EH, Gentry WD. Personality, elevated blood pressure, and essential hypertension: A research agenda: Hemisphere Publishing Corp; 1992.
  • Markovitz JH, Matthews KA, Kannel WB, Cobb JL, D'agostino RB. Psychological predictors of hypertension in the Framingham study: is there tension in hypertension? Jama. 1993;270(20):2439-43.
  • Steptoe A. Psychosocial factors in the development of hypertension. Annals of medicine. 2000;32(5):371-5.
  • Lazarus R, Folkman S. Stress, appraisal and coping1984.
  • Baker JP, Berenbaum H. Emotional approach and problem-focused coping: A comparison of potentially adaptive strategies. Cognition and Emotion. 2007;21(1):95-118.
  • DeCoster VA, Cummings S. Coping with type 2 diabetes: do race and gender matter? Social Work in Health Care. 2005;40(2):37-53.
  • Bennett KK, Boothby JL. Coping and Heart Disease: Implications for prevention and treatment. Coping with chronic illness and disability: Springer; 2007. p. 267-87.
  • Endler NS, Parker JD, Summerfeldt LJ. Coping with health problems: Conceptual and methodological issues. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement. 1993;25(3):384.
  • Lindquist TL, Beilin LJ, Knuiman MW. Influence of lifestyle, coping, and job stress on blood pressure in men and women. Hypertension. 1997;29(1):1-7.
  • Ural A, Kılıç İ. Bilimsel Araştırma Süreci ve SPSS ile Veri Analizi. Ankara: Detay Yayıncılık; 2005.
  • Büyüköztürk Ş. Sosyal Bilimler için Veri Analizi El Kitabı İstatistik, Araştırma Deseni SPSS Uygulamaları ve Yorum. Genişletilmiş 18 ed. Ankara: Pegem Yayıncılık; 2013.
  • Spielberger CD. Understanding stress and anxiety: Harper & Row; 1979.
  • Öner N. Türkiyede Kullanılan Psikolojik Testler: Bir Başvuru Kaynağı, Boğaziçi Üniversitesi Yayınları, 3. Basım, İstanbul YÖK, 2006a Yükseköğretim Kanunu (Kanun No: 2547 Kabul tarihi: 411 1981). 1997.
  • Öner N, Le Compte A. Handbook of state-trait anxiety. Istanbul, Turkey, Bogazici University Publication. 1983.
  • Carver CS. You want to measure coping but your protocol’too long: Consider the brief cope. International journal of behavioral medicine. 1997;4(1):92.
  • Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. Journal of personality and social psychology. 1989;56(2):267.
  • Tuna ME. Cross-cultural differences in coping strategies as predictors of university adjustment of Turkish and US students: METU; 2003.
  • George D. SPSS for windows step by step: A simple study guide and reference, 17.0 update, 10/e: Pearson Education India; 2011.
  • Tabachnick BG, Fidell LS. Using multivariate statistics: Allyn & Bacon/Pearson Education; 2013.
  • Yıldırım B. Hastane Sosyal Hizmetinin Ailevi ve Bakım Veren Ebevenylerde Pediatrik Astım Yönetimi. Toplum ve Sosyal Hizmet. 2018;29(2):364-85.
  • Yıldırım B. Onkolojik Sosyal Hizmet Uygulaması. In: Attepe Özen S, Özcan E, editors. Tıbbi Sosyal Hizmet: Ankara, Nobel Yayınevi 2017b. p. 215-24.
  • Koenig HG, Pargament KI, Nielsen J. Religious coping and health status in medically ill hospitalized older adults. The Journal of nervous and mental disease. 1998;186(9):513-21.
  • Koenig HG, Weiner DK, Peterson BL, Meador KG, Keefe FJ. Religious coping in the nursing home: A biopsychosocial model. The International Journal of Psychiatry in Medicine. 1997;27(4):365-76.
  • Abraído‐Lanza AF, Revenson TA. Coping and social support resources among Latinas with arthritis. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 1996;9(6):501-8.
  • Alferi SM, Culver JL, Carver CS, Arena PL, Antoni MH. Religiosity, religious coping, and distress: A prospective study of Catholic and Evangelical Hispanic women in treatment for early-stage breast cancer. Journal of Health Psychology. 1999;4(3):343-56.
  • Baldree KS, Murphy SP, Powers MJ. Stress identification and coping patterns in patients on hemodialysis. Nursing Research. 1982;31(2):107-12.
  • Tix AP, Frazier PA. The use of religious coping during stressful life events: main effects, moderation, and mediation. Journal of consulting and clinical psychology. 1998;66(2):411.
  • Rubin RR, Peyrot M. Psychological issues and treatments for people with diabetes. Journal of clinical psychology. 2001;57(4):457-78.
  • Walton J. Spirituality of patients recovering from an acute myocardial infarction: A grounded theory study. Journal of Holistic Nursing. 1999;17(1):34-53.
  • Helm HM, Hays JC, Flint EP, Koenig HG, Blazer DG. Does private religious activity prolong survival? A six-year follow-up study of 3,851 older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2000;55(7):M400-M5.
  • Van Ness PH, Kasl SV, Jones BA. Religion, race, and breast cancer survival. The International Journal of Psychiatry in Medicine. 2003;33(4):357-75.
  • Van Elderen T, Maes S, Dusseldorp E. Coping with coronary heart disease: a longitudinal study. J Psychosom Res. 1999;47(2):175-83.
  • Fritzsche K, Forster F, Schweickhardt A, Kanwischer H, Drinkmann A, Rabung S, et al. Depressive coping is a predictor for emotional distress and poor quality of life in a German–Austrian sample of cardioverter-defibrillator implant recipients at 3 months and 1 year after implantation. General hospital psychiatry. 2007;29(6):526-36.
  • Kuiper A, Martin R. Is Sense Of Humor A Positive Personality Characteristic? The sense of humor: Exploration of a Personaality Charac-teristic Edited by Willibald Ruch. Berlin; 1998.
  • Lefcourt HM, Davidson K, Shepherd R, Phillips M, Prkachin K, Mills D. Perspective-taking humor: Accounting for stress moderation. Journal of Social and Clinical Psychology. 1995;14(4):373-91.
  • Moran CC. Short-term mood change, perceived funniness, and the effect of humor stimuli. Behavioral Medicine. 1996;22(1):32-8.
  • Moran CC, Massam MM. Differential influences of coping humor and humor bias on mood. Behavioral Medicine. 1999;25(1):36-42.
  • Yovetich NA, Dale JA, Hudak MA. Benefits of humor in reduction of threat-induced anxiety. Psychological Reports. 1990;66(1):51-8.
  • Gillis JS. Stress, anxiety, and cognitive buffering. Behavioral medicine. 1992;18(2):79-83.
  • Abel MH. Interaction of humor and gender in moderating relationships between stress and outcomes. The Journal of Psychology. 1998;132(3):267-76.
  • Labott SM, Ahleman S, Wolever ME, Martin RB. The physiological and psychological effects of the expression and inhibition of emotion. Behavioral Medicine. 1990;16(4):182-9.
  • Brink E, Karlson B, Hallberg L-M. Health experiences of first-time myocardial infarction: Factors influencing women's and men's health-related quality of life after five months. Psychology, Health & Medicine. 2002;7(1):5-16.
  • Terry DJ. Stress, coping and coping resources as correlates of adaptation in myocardial infarction patients. British Journal of Clinical Psychology. 1992;31(2):215-25.
  • Wadsworth ME, Gudmundsen GR, Raviv T, Ahlkvist JA, McIntosh DN, Kline GH, et al. Coping with terrorism: Age and gender differences in effortful and involuntary responses to September 11th. Applied Developmental Science. 2004;8(3):143-57.
Toplam 52 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Original Articles
Yazarlar

Zekai Uysal

Harun Aslan 0000-0001-9830-1765

Yayımlanma Tarihi 1 Eylül 2018
Gönderilme Tarihi 9 Kasım 2018
Kabul Tarihi 14 Aralık 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 9 Sayı: 34

Kaynak Göster

Vancouver Uysal Z, Aslan H. Hipertansiyon Hastalarının Özellikleri ile Sürekli Kaygı ve Baş Etme Becerileri Arasındaki İlişki. mkutfd. 2018;9(34):68-80.