Turkiye Klinikleri Archives of Lung

.: ORIGINAL RESEARCH
Kronik Obstrüktif Akciğer Hastalığı Olan Bireylerde Kaygı Düzeyinin Yaşam Kalitesi Üzerine Etkisi
The Effect of Anxiety Level on the Quality of Life in Individuals with Chronic Obstructive Pulmonary Disease
Sebahat ATALIKOĞLU BAŞKANa, Demet GÜNEŞa, Necla KASIMOĞLUb
aErzincan Binali Yıldırım Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İç Hastalıkları Hemşireliği ABD, Erzincan, TÜRKİYE
bErzincan Binali Yıldırım Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Çocuk Sağlığı ve Hastalıkları Hemşireliği ABD, Erzincan, TÜRKİYE
Turkiye Klinikleri Arch Lung. 2021;20(2):35-47
doi: 10.5336/archlung.2021-82571
Article Language: TR
ÖZET
Amaç: Kronik Obstrüktif Akciğer Hastalığı (KOAH); sık görülen semptomlar, sürekli ilaç kullanımı, uzun süreli hastaneye yatış gibi nedenlerden dolayı bireylerin günlük yaşam aktivitelerini kısıtlamakta, kaygı düzeylerini artırmakta ve yaşam kalitelerini olumsuz etkilemektedir. Araştırma, KOAH tanılı bireylerde kaygı düzeyinin, yaşam kalitesi üzerine etkisini belirlemek amacıyla yapıldı. Gereç ve Yöntemler: Tanımlayıcı nitelikte olan araştırma, Ocak-Haziran 2018 tarihleri arasında yapıldı. Araştırmanın evrenini, belirtilen tarihler arasında Türkiye'de bir üniversite hastanesinin göğüs hastalıkları kliniğinde yatmakta olan bireyler, örneklemini ise araştırmaya atılmayı kabul eden, 18 yaş üzeri olan, iletişim sorunu olmayan, hastane bilgi sistemi ve hasta kayıt sisteminde KOAH tanılı olan 136 hasta oluşturdu. Veriler, sosyodemografik özelliklerini içeren hasta bilgi formu, Durumluk/ Sürekli Kaygı Ölçeği ve Kısa Form 36 [Short Form 36 (SF)] Yaşam Kalitesi Ölçeği kullanılarak yüz yüze görüşme tekniğiyle toplandı. Bulgular: Durumluk/Sürekli Kaygı Ölçeği'nden alınabilecek ortalama puan 20-80 arasında değişmekte olup, araştırmada bireylerin Durumluk/Sürekli Kaygı Ölçeği puan ortalaması sırasıyla 41,63±5,16, 48,22±5,99 olduğu bulundu. Katılımcıların SF 36 Yaşam Kalitesi Ölçeği'nden en yüksek puan ortalamasını ağrı alt boyutundan (46,81±25,83), en düşük puan ortalamasını ise fiziksel sorunlara bağlı rol kısıtlılıkları alt boyutundan (8,27±23,97) aldıkları ve yaşam kalitesinin olumsuz etkilendiği belirlendi. Yaşam kalitesinin, fiziksel sorunlara bağlı rol kısıtlılıkları hariç diğer alt boyutlarıyla sürekli kaygı arasında negatif yönde anlamlı ilişki saptandı (p<0,05). Sonuç: Bireylerin orta düzeyde kaygı yaşadıkları ve yaşam kalitelerinin olumsuz etkilendiği belirlendi. Katılımcıların kaygı düzeyi arttıkça yaşam kalitelerinin azaldığı saptandı.

Anahtar Kelimeler: Anksiyete; kronik obstrüktif akciğer hastalığı; yaşam kalitesi
ABSTRACT
Objective: Chronic Obstructive Pulmonary Disease (COPD) restricts the daily life activities of individuals, increases their anxiety levels and negatively affects their quality of life due to reasons such as frequent symptoms, continuous medication use, and long-term hospitalization. The study was conducted to determine the effect of anxiety level on quality of life in individuals with COPD. Material and Methods: The descriptive research was conducted between January and June 2018. Target population of the study consisted of the individuals who are hospitalized in the Chest Diseases clinic of a university hospital in Turkey between the dates specified; and the sample consisted of 136 patients who agreed to participate in the study, were over 18 years old, had no communication problems, and had a diagnosis of COPD in the hospital information system and patient registration system. The data were collected by face-to-face interview technique using the patient information form including socio-demographic characteristics, State/Trait Anxiety Scale, and Short Form (SF) 36 Quality of Life Scale. Results: The average score that can be obtained from the State/Trait Anxiety Scale varies between 20 and 80, and the average score of the State/Trait Anxiety Scale of the individuals in the study was found to be 41.63±5.16, 48.22±5.99, respectively. It was determined that the participants received the highest mean score from the SF 36 Quality of Life Scale from the pain sub-dimension (46.81±25.83), the lowest mean from the role limitations due to physical problems (8.27±23.97), and their quality of life was negatively affected. There was a significant negative correlation between trait anxiety and other sub-scales of quality of life, except for role limitations due to physical problems (p<0.05). Conclusion: It was determined that individuals experienced moderate anxiety and their quality of life was negatively affected. It was found that as the anxiety level of the participants incense, their quality of life decreased.

Keywords: Anxiety; chronic obstructive pulmonary disease; quality of life
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30.03.2014

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