Inmeli Hastalarda Öz Etkililik ve Yasam Kalitesinin Degerlendirilmesi

Abstract

Özet Giris: Öz etkililik ve yasam kalitesi birbirini olumlu yönde etkilemektedir.. Bununla birlikte, inme geçirmis olan bireylerde öz-etkililik ve yasam kalitesi seviyesinin hasta iyilesme sürecine etkisi belirsizdir. Yöntem: Arastirmanin evrenini, Mart-Kasim 2016 tarihleri arasinda akut inme merkezinde ayakta tedavi gören inme hastalari olusturmustur. Çalisma deney ve kontrol toplam 72 hasta ile yapilmistir. Deney grubundaki hastalara egitim kitapçigi ve 3 aylik takip girisimi uygulanmistir. Çalismanin verileri Anket Formu, Inmeli Hastalar Için Yasam Kalitesi Ölçegi, SSEQ ve Aylik Takip Formu kullanilarak toplanmistir. Bulgular: Egitim kitapçigi ve aylik izlem uygulanan deney grubundaki hastalarda öz yeterlik ve yasam kalitesi puanlarinin daha yüksek oldugu belirlendi. Deney grubunda, SSEQ ve SS-QOL'den alinan toplam puanlar arasindaki korelasyona bakildiginda, ilk görüsmeye kiyasla ikinci görüsmede artis oldugu görüldü. Öz-yeterlik, hareketlilik, üst ekstremite islevi ve öz bakim alanlari ile pozitif, dil alani ile negatif korelasyon gösterdi. Sonuç: Sonuç olarak inmeli hastalarda egitim ve aylik takibin, öz-yeterlilik ve yasam kalitesi üzerinde olumlu etkisi oldugu belirlendi.

Backgrounds: The study was designed as a methodological and randomized controlled experimental study to analyze self-efficacy and quality of life of stroke patients. Methods: The population of the study included stroke patients who received outpatient care at an acute stroke center between March –November, 2016. The study was performed with 72 patients. The patients in the experimental group received educational booklet and were included in a 3-month follow-up. The data for the study were collect using a Questionnaire Form, Quality of Life Scale for Stroke Patients, SSEQ and Monthly Follow-up Form. Results: It was determined that the experimental group given the educational booklet and monthly follow-up had higher scores in both self-efficacy and quality of life than the patients in control group. In the experimental group, the analysis between total scores from SSEQ and SS-QOL demonstrated increased correlation coefficient for the second visit compared with the first visit. Self-efficacy was positively correlated with the mobility, upper extremity function and self-care domains, and was negatively correlated with the language domain. Conclusion: As a result, it was determined that education and follow-up in stroke patients are effective and has positive impact on self-efficacy and quality of life.