Kalp Yetersizli�i Hastalar� ve Bak�m Veren Aile �yelerinde Ya�am Kalitesi, Depresyon, Anksiyete, Stres ve Spirit�el �yilik Hali Aras�ndaki �li�ki

G�k Metin, Zehra; Helvac�, Aylin

15/37Son Say� Erken Bask� Ar�iv Pop�ler Makaleler

H�zl� Arama

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Kalp Yetersizli�i Hastalar� ve Bak�m Veren Aile �yelerinde Ya�am Kalitesi, Depresyon, Anksiyete, Stres ve Spirit�el �yilik Hali Aras�ndaki �li�ki [Turk J Card Nur]

Turk J Card Nur. 2020; 11(25): 60-70 | DOI: 10.5543/khd.2020.93898

Kalp Yetersizli�i Hastalar� ve Bak�m Veren Aile �yelerinde Ya�am Kalitesi, Depresyon, Anksiyete, Stres ve Spirit�el �yilik Hali Aras�ndaki �li�ki

Zehra G�k Metin, Aylin Helvac�
Hacettepe �niversitesi Hem�irelik Fak�ltesi, �� Hastal�klar� Hem�ireli�i Anabilim Dal�, Ankara, T�rkiye

Ama�: Bu ara�t�rman�n amac�, kalp yetersizli�i hastalar� ve bu hastalara bak�m veren aile �yelerinde ya�am kalitesi, depresyon, anksiyete, stres ve spirit�el iyilik hali durumlar� aras�ndaki ili�kiyi belirlemekti.
Y�ntemler: Bu tan�mlay�c�, korelasyonel ara�t�rma, Ankara'da bir koroner bak�m �nitesinde Mart-Ekim 2018 tarihleri aras�nda y�r�t�ld�. �al��maya, 60 kalp yetersizli�i olan hasta ve bu hastalara bak�m veren 60 aile �yesi olmak �zere toplam 120 ki�i dahil edildi. Ara�t�rma verilerinin toplanmas�nda Kansas City Kardiyomiyopati Anketi, Depresyon, Anksiyete, Stres �l�e�i, D�nya Sa�l�k �rg�t� Ya�am Kalitesi �l�e�i-K�sa Formu ve Spirit�el �yilik Hali �l�e�i kullan�ld�. Ara�t�rma verileri tan�mlay�c� ve korelasyonel istatistikler ile analiz edildi. Kansas City Kardiyomiyopati Anketi, Depresyon, Anksiyete, Stres �l�e�i, D�nya Sa�l�k �rg�t� Ya�am Kalitesi �l�e�i-K�sa Formu ve Spirit�el �yilik Hali �l�e�i puanlar� aras�ndaki ili�kinin belirlenmesinde Pearson korelasyon testi kullan�ld�.
Bulgular: Hastalar�n ya�am kalite puanlar� azald�k�a depresyon, anksiyete, stres puanlar�n�n artt�� bulundu (p<0.05). �te yandan, hastalar�n ya�am kalitesi puanlar� artt�k�a, spirit�el iyilik halinin de y�kseldi�i belirlendi (p<0.05). Bak�m verenler ele al�nd��nda, benzer �ekilde ya�am kalitesi puanlar� azald�k�a depresyon, anksiyete, stres puanlar�n�n artt�� ve spirit�el iyilik halinin azald�� bulundu (p<0.05). Ayr�ca, hastalar�n ya�am kalitesi ve spirit�el iyilik hali puanlar� azald�k�a bak�m verenlerin de depresyon, anksiyete, stres puanlar�n�n artt�� tespit edildi (p<0.05).
Sonu�: Bu �al��ma, hem kalp yetersizli�i hastalar�nda hem de bak�m verenlerde ya�am kalitesi azald�k�a depresyon, anksiyete, stres durumunun artt��n� ve spirit�el iyilik halinin azald��n� ortaya ��kard�. �leride kalp yetersizli�i hastalar� ve bu hastalara bak�m veren aile �yeleri i�in d�zenlenen e�itim ve dan��manl�k programlar�n�n hem hastalar�n hem de bak�m veren aile �yelerinin psikososyal durumlar�n� ve spirit�el iyilik hallerini de�erlendirmesi �nerildi.

Anahtar Kelimeler: Bak�m veren, depresyon; kalp yetersizli�i; spirit�alite; ya�am kalitesi.

The Correlation Between Quality of Life, Depression, Anxiety, Stress, and Spiritual Well-Being in Patients with Heart Failure and Family Caregivers

Zehra G�k Metin, Aylin Helvac�
Department of Medical Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey

Objective: This study aimed to examine the correlation between quality of life, depression, anxiety, stress, and spiritual well-being in patients with heart failure and their family caregivers.
Methods: his descriptive, correlational study was carried out in a coronary outpatient clinic, located in Ankara between March-October 2018. Sixty patients with heart failure, and 60 family caregivers who providing care for these individuals, a total of 120 participants were included in the study. The Kansas City Cardiomyopathy Questionnaire, the Depression Anxiety Stress Scale, the World Health Organization Quality of Life Short Form, and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale were utilized for data collection. The data were analyzed using descriptive and correlational statistics. The Pearson correlation test was used to determine the association between the Kansas City Cardiomyopathy Questionnaire, the Depression Anxiety Stress Scale, the World Health Organization Quality of Life Short Form, and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale scores.
Results: As quality of life scores increased in patients with heart failure, depression, anxiety, stress scores increased (p<0.05). On the other hand, as quality of life scores increased in patients with heart failure, spiritual well-being scores increased (p<0.05). With regard to family caregivers, as quality of life scores decreased, depression, anxiety, stress scores increased, and spiritual well-being scores decreased (p<0.05). Moreover, as quality of life and spiritual well-being scores of patients with heart failure decreased, depression, anxiety, stress scores of family caregivers increased (p<0.05).
Conclusion: This study revealed that as quality of life and spiritual well-being scores decreased, depression, anxiety, stress scores of both patients with heart failure and family caregivers increased. Further education and counseling programs targeting patients with heart failure and their family caregivers are recommended to assess both patients' and family caregivers' psychological health and spiritual well-being.

Keywords: Caregiver, depression; heart failure; quality of life; spirituality.

Sorumlu Yazar: Zehra G�k Metin, T�rkiye
Makale Dili: �ngilizce

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