Hipertansif Hastalarda Depresyon D�zeyi, �z Etkililik ve �z Bak�m G�c�n�n �ncelenmesi

Ba�ol, Ya�mur; �zer, Z�lf�naz

16/39Son 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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Hipertansif Hastalarda Depresyon D�zeyi, �z Etkililik ve �z Bak�m G�c�n�n �ncelenmesi [Turk J Card Nur]

Turk J Card Nur. 2025; 16(39): 40-48 | DOI: 10.5543/khd.2024.91885

Hipertansif Hastalarda Depresyon D�zeyi, �z Etkililik ve �z Bak�m G�c�n�n �ncelenmesi

Ya�mur Ba�ol¹, Z�lf�naz �zer²
¹Hem�irelik Anabilim Dal�, �stanbul Galata �niversitesi, �stanbul, T�rkiye
²Hem�irelik B�l�m�, �stanbul Sabahattin Zaim �niversitesi, Sa�l�k Bilimleri Fak�ltesi, �stanbul, T�rkiye

Ama�: Bu ara�t�rma hipertansif hastalarda depresyon d�zeyi, �z etkililik ve �z bak�m g�c�n�n incelenmesi amac�yla yap�ld�.

Y�ntem: Tan�mlay�c� ve kesitsel tipte olan bu �al��ma, �stanbul�da bir e�itim ve ara�t�rma hastanesinin dahiliye ve kardiyoloji polikliniklerine ba�vuran hipertansiyon tan�l� hastalar ile 1 Ekim 2022-1 Mart 2023 tarihleri aras�nda yap�ld�. Ara�t�rma verileri, Tan�t�c� Bilgi Formu, Hasta Sa�l�k Anketi-9 (HSA-9), Hipertansiyon �z Etkililik �l�e�i (H�E�) ve �z Bak�m G�c� �l�e�i (�BG�) ile y�z y�ze g�r��me yoluyla topland�.

Bulgular: Hastalar�n ya� ortalamas� 64,11 � 12,46 y�l, hipertansiyon tan� s�resi ortalama 10,54 � 8,55�tir. Hastalar�n %59,1�i erkek, %72,2�si evli, %55,6�s� ilkokul mezunu, %82,2�si �al��m�yor, %56,1�inin geliri giderine e�it, %85,2�si e� ve �ocuklar� ile birlikte ya�amaktad�r. Hastalar�n %42,9�unun beden kitle indeksi de�eri fazla kilolu, %85,5�i d�zenli ila� kullanmakta, %65,2�si egzersiz yapmakta, %62,9�unun ek kronik hastal�� bulunmakta, %54,9�unun genel sa�l�k durumu ortad�r. HSA-9 ortalama puan� 7,23 � 2,71; H�E� ortalama puan� 53,44 � 6,63; �BG� ortalama puan� 78,55 � 24,26 olarak bulundu. HSA-9 ile �BG� aras�nda negatif y�nde anlaml� bir ili�ki bulundu (r = -0,186, P < 0,01). H�E� ile �BG� aras�nda pozitif y�nde anlaml� bir ili�ki bulundu (r = 0,599, P < 0,01).

Sonu�: Hastalar�n depresyon riskinin hafif, hipertansiyonda �z etkililik d�zeyleri ve �z bak�m g��leri orta d�zeyde saptand�. Depresyon d�zeyleri artt�k�a �z bak�m d�zeyleri azalmakta; �z etkililik d�zeyleri artt�k�a �z bak�m d�zeyleri de artmaktad�r.

Anahtar Kelimeler: Depresyon, hasta, hipertansiyon, �z bak�m, �z etkililik

Investigation of Depression Levels, Self-Efficacy, and Self-Care Ability in Hypertensive Patients

Ya�mur Ba�ol¹, Z�lf�naz �zer²
¹Department of Nursing, Istanbul Galata University, Istanbul, T�rkiye
²Department of Nursing, Faculty of Health Sciences, Istanbul Sabahattin Zaim University, Istanbul, T�rkiye

Objective: This study aimed to examine depression levels, self-efficacy, and self-care ability among hypertensive patients.

Methods: A descriptive, cross-sectional, and exploratory design was used, involving patients diagnosed with hypertension who attended internal medicine and cardiology clinics at an educational and research hospital in Istanbul between October and December 2022. Data were collected through face-to-face interviews using the Introductory Information Form, Patient Health Questionnaire-9 (PHQ-9), Hypertension Self-Efficacy Scale (HSE Scale), and Self-Care Ability Scale (SCA Scale).

Results: The mean age of the patients was 64.11�12.46 years, and the average duration since diagnosis was 10.54�8.55 years. Among the participants, 59.1% were male, 72.2% were married, 55.6% were primary school graduates, 82.2% were unemployed, 56.1% reported income equal to expenses, and 85.2% lived with their spouse and children. Additionally, 42.9% of patients were overweight according to BMI, 85.5% took their medication regularly, 65.2% engaged in physical exercise, 62.9% had other chronic diseases, and 54.9% reported moderate general health status. The mean PHQ-9 score was 7.23�2.71, indicating mild depression risk. The mean scores for the HSE Scale and SCA Scale were 53.44�6.63 and 78.55�24.26, respectively. A significant negative correlation was observed between PHQ-9 and SCA Scale scores (r=-0.186, P < 0.01), while a significant positive correlation was found between the HSE Scale and SCA Scale scores (r=0.599, P < 0.01).

Conclusion: The findings indicate that hypertensive patients in this study had mild depression risk and moderate levels of both self-efficacy and self-care ability in managing their condition. Higher depression levels were associated with lower self-care ability, whereas greater self-efficacy was linked to improved self-care.

Keywords: Depression, patient, hypertension, self-care, self-efficacy

Sorumlu Yazar: Z�lf�naz �zer
Makale Dili: �ngilizce

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