Orem�in �z Bak�m Eksikli�i Teorisine Dayal� Kalp Yetersizli�i Olan Hastalarda Semptom Y�netimi, �z Bak�m G�c� ve Sa�l�k Davran��lar�na Planl� Hasta E�itiminin Etkisinin De�erlendirilmesi

Akdeniz, �eng�l; �zer, Zeynep

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

H�zl� Arama

�Yazar ve kurum i�inde

�Ba�l�k ve �zet i�inde

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Orem�in �z Bak�m Eksikli�i Teorisine Dayal� Kalp Yetersizli�i Olan Hastalarda Semptom Y�netimi, �z Bak�m G�c� ve Sa�l�k Davran��lar�na Planl� Hasta E�itiminin Etkisinin De�erlendirilmesi [Turk J Card Nur]

Turk J Card Nur. 2021; 12(28): 100-109 | DOI: 10.5543/khd.2021.21007

Orem�in �z Bak�m Eksikli�i Teorisine Dayal� Kalp Yetersizli�i Olan Hastalarda Semptom Y�netimi, �z Bak�m G�c� ve Sa�l�k Davran��lar�na Planl� Hasta E�itiminin Etkisinin De�erlendirilmesi

�eng�l Akdeniz¹, Zeynep �zer²
¹Akdeniz �niversitesi Sa�l�k Hizmetleri Meslek Y�ksekokulu, Sa�l�k Bak�m Hizmetleri Ya�l� Bak�m B�l�m�, Antalya, T�rkiye
²Akdeniz �niversitesi Hem�irelik Fak�ltesi �� Hastal�klar� Hem�ireli�i Anabilim Dal�, Antalya, T�rkiye

Ama�: �al��mada Orem�in �z bak�m modeline dayal� planl� hasta e�itiminin kalp yetersizli�i (KY) tan�s� alan hastalarda semptom y�netimi, �z bak�m g�c� ve sa�l�k davran��lar� �zerine etkisini de�erlendirmektir.
Y�ntemler: Deneysel tipte olan bu ara�t�rma 1 Mart-31 Aral�k 2012 tarihleri aras�nda bir �niversite hastanesinin kardiyoloji servisinde yatan 90 KY hastas� ile yap�ld�. Hastalar dahil etme kriterlerine uygun olarak m�dahale (n=45) ve kontrol grubuna (n=45) ayr�ld�. Veriler; Hasta Bilgi Formu, Kalp Yetersizli�i Memorial Semptom De�erlendirme �l�e�i, �z Bak�m G�c� �l�e�i, Kalp Yetersizli�i Sa�l�k Davran��lar� �l�e�i, Dispne ve Yorgunluk Borg Skalas� kullan�larak topland�. M�dahale grubuna, be� kez planl� hasta e�itimi uyguland�. M�dahale grubu, taburcu edilmeden �nce ihtiya�lar� do�rultusunda planlanan bireysel dan��manl�k ald� ve bu �al��ma i�in haz�rlanan KY e�itim kitap�� verildi. �al��mada kontrol grubu hastalar�na sadece standart taburculuk e�itimi verildi. Ara�t�rma verileri t-testi ve ki-kare analizi kullan�larak de�erlendirildi.
Bulgular: �al��ma sonucunda verilen hasta e�itimine g�re m�dahale ve kontrol grubu hastalar�n�n KY semptom y�netimi, �z bak�m g�c� ve KY sa�l�k davran��lar� aras�nda anlaml� fark oldu�u saptand� (p<0.05). E�itim sonras�, m�dahale grubunda KY semptom y�netimi, �z bak�m g�c� ve KY sa�l�k davran��lar� ile ilgili istatistiksel olarak olumlu y�nde anlaml� bir de�i�im oldu�u (p<0.05), kontrol grubunda ise de�i�imin olmad�� tespit edildi (p>0.05).
Sonu�: Planl� hasta e�itiminin; KY semptom y�netimi, �z bak�m g�c� ve KY sa�l�k davran��lar� �zerine olumlu etkisi oldu�u saptand�.

Anahtar Kelimeler: Kalp yetersizli�i, semptom y�netimi, hasta e�itimi, �z bak�m, sa�l�k davran��

Effect of Planned Education Based on Orem�s Self-Care Deficit Theory on Symptom Management, Self-Care Power, and Health Behaviors in the Patients Diagnosed with Heart Failure

Objective: In this study, we aimed to investigate the effect of planned patient education and telephone follow-up based on Orem�s self-care deficit theory on symptom management, self-care power, and health behaviors in patients diagnosed with heart failure (HF).
Methods: The study was conducted with 90 patients (45 interventions and 45 controls) who were eligible for the study on the basis of the inclusion criteria. The data were obtained using Patient Information Form, Heart Failure Memorial Symptom Assessment Scale, Self-Care Power Scale, Heart Failure Health Behaviors Scale, and the Dyspnea and Fatigue Borg Scale. The intervention group was trained using planned patient education. The education context used in the study was formed after individual interviews with patients with HF and literature review. The experimental group was given individual consultation planned according to their needs before discharge using a HF education tool prepared for this study and was also given educational booklets. This group was consulted by telephone once a month. The control group was followed with the routine hospital program. Both the groups were evaluated at first interview and in the third month. The data were analyzed using t-test and the chi-squared test.
Results: The study revealed that patient education resulted in significant differences between the intervention and the control groups of patients in HF symptom management, self-care power, and HF health behaviors (p<0.05). At the end of the training for planned patient education, HF symptom management, self-care power, and HF health behaviors changed statistically in a positive way in the intervention group (p<0.05). However, no changes were detected in the control group (p>0.05).
Conclusion: Planned patient education had positive effects on HF symptom management, self-care power, and HF health behaviors.

Keywords: Heart failure, symptom management, patient education, self-care, health behaviors

Sorumlu Yazar: �eng�l Akdeniz, T�rkiye
Makale Dili: T�rk�e

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H�zl� Arama

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