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

Ba�ol, Ya�mur; �zer, Z�lf�naz

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

H�zl� Arama

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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. Bask�daki Makaleler: KVHD-91885 | 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�lm��t�r.
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�lm��t�r. 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��mamakta, %56,1�inin geliri giderine e�it ve %85,2�si e� ve �ocuklar ile ya�amaktad�r. Hastalar�n %42,9'unun BK� 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 bulundu. HSA-9 ile �BG� aras�nda negatif y�nde anlaml� bir ili�ki bulundu (r=-,186, p<0,01). H�E� ile �BG� aras�nda pozitif y�nde anlaml� bir ili�ki bulundu (r=,599, p<0,01).
Sonu�: Hastalar�n depresyon riskinin hafif, hipertansiyonda �z-etkililik d�zeyleri ve �z -bak�m g��leri orta d�zeyde oldu�u saptand�. Depresyon d�zeyleri art�k�a �z-bak�m d�zeyleri azalmakta; �z- etkililik d�zeyleri art�k�a �z- bak�m d�zeyleri de artmaktad�r.

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

Investigation of Depression Level, Self-Efficacy and Self-Care Power in Hypertensive Patients

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

Objective: This study was conducted to examine the levels of depression, self-efficacy, and self-care ability in hypertensive patients.
Methods: The study design employed a descriptive, cross-sectional, and exploratory approach, involving hypertensive patients diagnosed and attending the internal medicine and cardiology clinics of an educational and research hospital in Istanbul between October and December 2022. Data were collected through face-to-face interviews utilizing the Introductory Information Form, Patient Health Questionnaire-9 (PHQ-9), Hypertension Self-Efficacy Scale (HSE Scale), and Self-Care Ability Scale (SCA Scale).
Results: It was found that the mean age of the patients was 64.11�12.46 years, the mean time since diagnosis of hypertension was 10.54�8.55. Of the patients, 59.1% were male, 72.2% were married, 55.6% were primary school graduates, 82.2% were unemployed, 56.1% had income equal to their expense and 85.2% lived with their spouse and children. It was also found that BMI level of 42.9% of the patients was overweight, 85.5% used medication regularly, 65.2% exercised, 62.9% had additional chronic disease, 54.9% had a moderate level of general health status. The mean score for the PHQ-9 was determined as 7.23�2.71, while the HSE Scale yielded a mean score of 53.44�6.63 and the SCA Scale had a mean score of 78.55�24.26. A significant negative correlation was found between the PHQ-9 and SCA Scale (r=-0.186, p<0.01). Conversely, a significant positive correlation was identified between the HSE Scale and SCA Scale (r=0.599, p<0.01).
Conclusion: The findings revealed that the patients had a mild risk of depression, while their levels of self-efficacy and self-care ability in managing hypertension were moderate. Moreover, an increase in depression levels corresponded to a decrease in self-care ability, while higher levels of self- efficacy were associated with increased self-care.

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

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

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