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HEMODİYALİZ UYGULANAN HASTALARDA ÖZ YETERLİLİK VE ETKİLEYEN FAKTÖRLER

RELATED FACTORS AND THE SELF- EFFICACY IN PATIENTS UNDERGOING HEMODIALYSIS

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Abstract (2. Language): 
Objective: Individuals with high levels of self-efficacy are better able to manage their illness and treatment. The effect of emotional distress of the illness on the person may be decreased, and his/her quality of life may be improved. The purpose of this study is to assess patients’ self-efficacy and to investigate the factors affecting self-efficacy in people undergoing hemodialysis (HD). Materials and methods: This research was conducted as a descriptive survey study by 125 people with end-stage renal disease (ESRD) who were patients of HD units service in Sivas. The data were collected with a Personal Information Form, General Self-Efficacy Scale analyzed using percent, mean, Tukey test, significance test of two means, One-way variant analysis and Kruskal-Wallis test in the SPSS Programme. Results: The level of self-efficiacy experienced by the people with HD patients was low. 41.6% had been dialyzed for two to five years, 90.4% dialyzed three times a week, 68.8% had other chronic illnesses. Their self efficiacy was also affected by factors such as age, gender, education, employment status, income level and frequency of HD application. On the other hand, the marital status and place of residence did not have an effect on self efficacy (p>0.05). No significant differences were found for having a chronic illness other than chronic renal failure or for the dialysis center where the HD was done and total self efficacy scores (p>0.05). Also, statistically significant differences were not found between duration of illness and HD patients’ total self efficacy scores (p>0.05) Conclusions: Hemodialysis application affects patients’ self-efficacy levels. In view of this study’s results, it is recommended to organize education programs to increase self-care ability and self-efficacy levels of hemodialysis patients and prepare comprehensive plans including patients’ families. A self-efficacy training program may also need to include coping training to improve patients' confidence to carry out self-care behaviors.
Abstract (Original Language): 
ÖZET Amaç: Öz yeterlilik düzeyi yüksek olan bireyler hastal›k ve tedavilerini daha iyi yönetmektedirler. Öz yeterlilik düzeyinin yüksekli¤i, hastal›¤›n birey üzerindeki emosyonel s›k›nt›lar›n› azaltabilir ve yaflam kalitesini yükseltebilir. Bu çal›flman›n amac› hemodiyaliz (HD) uygulanan bireylerde öz yeterlili¤i de¤erlendirmek ve öz yeterlili¤i etkileyen faktörleri incelemektir. Gereç ve yöntem: Tan›mlay›c› nitelikte olan bu çal›flma Sivas’ta Son Dönem Böbrek Yetmezli¤i (SDBY) olan ve hemodiyaliz uygulanan 125 hasta üzerinde yap›lm›flt›r. Kiflisel Bilgi Formu ve Genel Öz Yeterlilik Ölçe¤i ile elde edilen verilerin istatistiksel analizi, SPSS program›nda yüzde hesaplama, ortalama, iki ortalama aras›ndaki fark›n önemlilik testi, tek yönlü varyans analizi, Tukey testi, Kruskal-Wallis testi kullan›larak yap›lm›flt›r. Bulgular: Çal›flmada yer alan hastalar›n öz yeterlilik düzeyi ortalama puan› düflük bulunmufltur. Örneklemin %41,6’s› 2–5 y›ld›r hemodiyaliz tedavisi almakta, % 90,4’ü haftada 3 kez hemodiyalize girmekte, %68,8’inin SDBY d›fl›nda baflka kronik hastal›¤› bulunmaktad›r. Hastalar›n Öz yeterlilik düzeyini; yafl, cinsiyet, e¤itim durumu, çal›flma durumu, gelir düzeyi ve hemodiyaliz uygulama s›kl›¤› etkilerken (p<0,05); medeni durum ve ikamet edilen yer etkilememifltir. Ayr›ca, hemodiyaliz uygulanan merkez, baflka kronik hastal›¤›n olmas› ve hastal›k süresi ile toplam öz yeterlilik puan› aras›nda da istatistiksel olarak anlaml› iliflki bulunmam›flt›r (p>0,05). Sonuç: Hemodiyaliz ifllemi, hastalar›n öz yeterlilik düzeyini etkilemektedir. Çal›flmadan elde edilen bu sonuçlar do¤rultusunda, hemodiyaliz uygulanan hastalar›n öz yeterlilik düzeylerini artt›racak e¤itim programlar›n›n düzenlenmesi önerilmektedir. Öz yeterlilik e¤itim program› öz-bak›m davran›fllar›n›n kazand›r›lmas›nda hastalar›n kendilerine güvenini artt›r›c› özellikte olmal›d›r.

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