Esansiyel Hipertansiyonlu Hastalar�n �la� Tedavisine Uyum/�z Etkililik D�zeylerinin Ve Etkileyen Fakt�rlerin Belirlenmesi

Vatansever, �zge; �nsar, Serap

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Esansiyel Hipertansiyonlu Hastalar�n �la� Tedavisine Uyum/�z Etkililik D�zeylerinin Ve Etkileyen Fakt�rlerin Belirlenmesi [Turk J Card Nur]

Turk J Card Nur. 2014; 5(8): 66-74 | DOI: 10.5543/khd.2014.008

Esansiyel Hipertansiyonlu Hastalar�n �la� Tedavisine Uyum/�z Etkililik D�zeylerinin Ve Etkileyen Fakt�rlerin Belirlenmesi

�zge Vatansever¹, Serap �nsar²
¹Trakya �niversitesi T�p Fak�ltesi Hastanesi, Kalp-damar Cerrahi Klini�i, Edirne
²Trakya �niversitesi Sa�l�k Bilimleri Fak�ltesi, �� Hastal�klar� Hem�ireli�i AD, Edirne

G�R�� ve AMA�: Bu ara�t�rma, esansiyel hipertansiyon tan�s� alan hastalar�n ila� tedavisine uyum/ �z�etkililik d�zeylerini ve etkileyen fakt�rleri de�erlendirmek amac�yla tan�mlay�c� olarak yap�ld�.
Y�NTEM ve GERE�LER: �al��ma, Eyl�l 2009- Mart 2010 tarihleri aras�nda Trakya �niversitesi T�p Fak�ltesi E�itim ve Ara�t�rma Hastanesi �� Hastal�klar� Anabilim Dal� Hipertansiyon Poliklini�i�ne ba�vuran 94 esansiyel hipertansiyonlu hasta ile y�r�t�ld�. Veri toplama ara�lar� olarak; hasta bilgi formu ve �la� Tedavisine Ba�l�l�k/Uyum �z-Etkililik �l�e�i kullan�ld�. Verilerin istatistiksel analizinde y�zde hesaplama, ortalama, student-t test, tek y�nl� ANOVA testleri ve de�i�kenler aras� ili�kilerin incelenmesinde Spearman korelasyon analizi kullan�ld�. p<0.05 de�eri istatistiksel olarak anlaml� kabul edildi.
BULGULAR: Esansiyel hipertansiyonlu hastalar�n ya� ortalamas� 57.7�10.2 oldu�u, kat�l�mc�lar�n %53.2�sinin kad�n, %94.7�sinin evli oldu�u belirlendi. Ara�t�rmaya kat�lan grubun ilaca ba�l�l�k/uyum �z-etkililik puan ortalamas� 71.9�3.6 olarak belirlendi. �al��ma grubunun ilaca ba�l�l�k/uyum �z-etkililik puan ortalamalar� iyi d�zeydeydi. Hipertansif hastalar�n ki�isel �zellikleri (cinsiyet, e�itim durumu v.b) ve hastal��a ili�kin �zellikleri (e�lik eden hastal�k, hastanede yatma durumu v.b) ile ilaca ba�l�l�k/�z-etkililik puan ortalamalar� aras�nda anlaml� bir fark olmad�� belirlendi (p>0.05). Diyete uyum sa�layan esansiyel hipertansiyonlu hastalar�n ila� tedavisine ba�l�l�k/uyum �z-etkililik d�zeyleri diyete uyum sa�lamayanlara g�re daha y�ksek bulundu (p<0.05).
TARTI�MA ve SONU�: Hem�ireler esansiyel hipertansiyonlu hastalar�n diyete uyumunu sa�lamada diyetisyen ve v.b di�er sa�l�k ekibi �yeleriyle i�birli�i i�inde hastal��a �zel/uygun diyet programlar� haz�rlanmas�, �z-etkililik d�zeylerini artt�rmaya, desteklemeye y�nelik hem�irelik bak�m� planlamas� �nerilir.

Anahtar Kelimeler: Esansiyel hipertansiyon, ilaca ba�l�l�k, uyum, �z-etkililik, hem�irelik bak�m.

Determination Of Medical Treatment Adherence, Self-Efficacy Levels Of Patients With Essential Hypertension And Affecting Factors

�zge Vatansever¹, Serap �nsar²
¹Trakya University, Cardiovascular Surgery Clinic, Edirne, Turkey
²Trakya University Faculty Of Health Sciences, Medical Nursing Department, Edirne, Turkey

INTRODUCTION: This decriptive study was planned in order to evaluate also to self efficacy levels of the patients with essential hypertension and the affecting factors.
METHODS: This study was carried out with 94 patients with essential-hypertension who consulted to Trakya University Medical Faculty Training and Research Hospital Department of Internal Diseases Outpatient Clinic of Hypertension between 2009 September and 2011 March. Data were collected by using patient information form and Self-Efficacy Scale for Adherence/Adaptation to Medical Treatment. Data were analysed by percentage, mean, student t test, one way ANOVA test and Spearman correlation analysis was used to examine the relations between variables. P<0.05 value was consiedered as statistically significant.
RESULTS: The mean age of the patients with essential hypertension was 57.7�10.2, it was determined that %53.2 of the study group was female, %94.7 was married. It was determined that the adherence to medication/Adaptation self-efficacy mean point of the study group was 71.9�3.6. The adherence to medication/ Adaptation self-efficacy mean point of the study group is on a good level. This study determined that there is no significant statistical difference between personal characteristics of the hypertensive patients and adherence to medication/self-efficacy (p> 0.05). This study found that Adherence/Adaptation and Self- Efficacy levels of the patients with essential-hypertension who complied with adapted their diet are higher compared to the patients who were did not comply with their diet. (p< 0.05)
DISCUSSION AND CONCLUSION: Nurses should prepare with dieticians and other health professions appropriate diet program for patients with essential hypertension, implement nursing care plan to increase their self-efficacy levels of patients with essential hypertension.

Keywords: Essential hypertension, adherence to medication, adaptation, self-efficacy, nursing care.

Sorumlu Yazar: Serap �nsar, T�rkiye
Makale Dili: T�rk�e

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