Öz bakım yönetimini güçlendirme: kalp yetersizliği hastalarında öz bakımı etkileyen faktörlerin incelenmesi

Yıl 2024, Cilt: 17 Sayı: 3, 456 - 467, 05.07.2024

Işık Tekin , İpek Büber

https://doi.org/10.31362/patd.1411566

Öz

Amaç: Kalp yetersizliği, ventriküler dolum ve atım fonksiyonlarının bozulduğu kompleks bir klinik sendromdur. Kalp yetersizliği aynı zamanda psikososyal ve ekonomik sorunlara da yol açarak yaşam kalitesini etkileyen önemli bir halk sağlığı sorunudur. Etkili kişisel bakım, tedaviye katkı sağlayan, hastanın yaşam kalitesini artıran, tekrarlayan hastaneye yatışları ve ekonomik yükleri azaltan, farmakolojik olmayan bir yöntemdir. Çalışmamızda kalp yetersizliği hastalarında öz bakımın değerlendirilmesi ve öz bakımı etkileyen faktörlerin belirlenmesi amaçlanmaktadır.
Gereç ve yöntem: Çalışmaya 36'sı kadın, 64'ü erkek olmak üzere toplam 100 kalp yetersizliği olan hasta dahil edildi. Veriler, uygun fiziksel koşullar altında hastalarla yapılan birebir görüşmelerde Tanımlayıcı Bilgi Formu ve Avrupa Kalp Yetersizliği Öz Bakım Davranış Ölçeği kullanılarak toplanmıştır.
Bulgular: Bulgularımız, yaş, hipertansiyon, eğitim durumu, komorbid hastalıkların toplam sayısı ve SGLT-2 inhibitörleri gibi bazı ilaçların kullanımının öz bakım davranışlarını farklı şekillerde etkilediğini göstermektedir. Öz bakım davranışları, çalışma popülasyonunda yeterli düzeyde bulunmuştur.
Sonuç: KY hastalarında öz bakımı etkileyen temel faktörleri belirledik. Yaş, eğitim durumu, hipertansiyon, komorbidite ve özellikle SGLT2 inhibitörlerinin kullanımı gibi kritik faktörleri, öz bakım uygulamalarının önemli etkileyicileri olarak belirledik. Bu nedenle, hasta merkezli sağlık bakım modelleri geliştirilmeli ve tıp uzmanları tarafından dikkate alınmalıdır.

Anahtar Kelimeler

Kalp yetersizliği, öz bakım davranışı, hasta eğitimi, SGLT2 inhibitörleri

Proje Numarası

E-60116787-020-226993,

Empowering self-management: exploring self-care practices in heart failure patients

Öz

Purpose: Heart failure is a complex clinical syndrome in which ventricular filling and beating functions are impaired. HF also causes psychosocial and economic problems and is a significant public health problem affecting the quality of life. Effective self-care is a non-pharmacological method that contributes to treatment, improves the patient's quality of life, and reduces repeated hospitalizations and economic burdens. Our study aimed to evaluate self-care in heart failure patients and to determine the factors affecting self-care.
Materials and methods: A total of 100 patients with heart failure, including 36 women and 64 men, were included in the study. Data were collected by using the Descriptive Information Form and the European Heart Failure Self-Care Behavior Scale in one-on-one interviews with patients under appropriate physical conditions.
Results: Our findings indicate that a range of factors, including age, hypertension, educational status, the total number of comorbid diseases, and the use of certain medications such as SGLT-2 inhibitors, differently impact self-care behaviors. Self-care behaviors were found to be adequate in the study population.
Conclusion: We identified essential factors that affect self-care in heart failure patients. We have identified critical factors such as age, educational status, hypertension, comorbidity, and particularly the use of SGLT2 inhibitors, as key influencers of self-care practices. For this reason patient-centered healthcare models should be developed and considered by medical practitioners.

Anahtar Kelimeler

Heart failure, self-care behavior, patient education, SGLT2 inhibitors

Etik Beyan

This research was approved by the Pamukkale University Faculty of Medicine Medical Ethics Committee on 07/06/2022, under the permission number E-60116787-020-226993, and adhered to the principles of the Declaration of Helsinki.

Destekleyen Kurum

Pamukkale University Faculty of Medicine Medical Ethics Committee

Proje Numarası

E-60116787-020-226993,

Teşekkür

Thanks for your concern

Kaynakça

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