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Kalp ameliyatı geçiren hastaların öz bakım gücü ve etkileyen faktörlerin belirlenmesi

Year 2025, Volume: 30 Issue: 2, 241 - 252, 29.05.2025

Zümrüt Balaban , Gizem Kubat Bakır

https://doi.org/10.21673/anadoluklin.1578327

Abstract

Amaç: Bu çalışmanın amacı kalp ameliyatı geçiren hastalarda öz bakım gücünü değerlendirmek ve kendi bakımlarını yönetme becerilerini etkileyen sosyo-demografik, klinik ve yaşam tarzı faktörlerini belirlemektir.

Yöntemler: Bu çalışma Nisan 2023 ile Eylül 2023 tarihleri arasında İstanbul’daki bir üniversiteye bağlı kardiyoloji enstitüsü ve aynı şehirdeki bir vakıf üniversitesine bağlı eğitim ve araştırma hastanesinde kalp ameliyatı geçiren 80 hasta üzerinde gerçekleştirilen tanımlayıcı bir araştırmadır. Veriler “Sosyodemografik Özellikler Formu” ve “Öz Bakım Gücü Ölçeği” kullanılarak toplandı. İstatistiksel analizler Kolmogorov-Smirnov Testi, Shapiro-Wilk Testi, Mann-Whitney U Testi, Kruskal-Wallis testini içerdi.

Bulgular: Çalışmada cinsiyet, sigara içme durumu ve alkol tüketiminin öz bakım gücünü önemli ölçüde etkilediği, kadınların, sigara içmeyenlerin ve alkol almayanların daha yüksek öz bakım puanları gösterdiği bulundu. Ek olarak, kronik hastalıkların varlığı, özellikle diyabet ve hipertansiyonun birleşimi, daha düşük öz bakım yetenekleriyle ilişkilendirilmiştir. Boy ve vücut ağırlığı gibi fiziksel özellikler de öz bakım gücü puanlarıyla negatif korelasyon göstermiştir; bu da daha fazla boy ve kilonun daha düşük öz bakım gücüyle bağlantılı olduğunu göstermektedir.

Sonuç: Sosyo-demografik faktörler, yaşam tarzı alışkanlıkları ve fiziksel özelliklerin birleşimi, kalp ameliyatı geçiren hastalarda öz bakım gücünü etkilemektedir. Yaşam tarzı değişikliği, kronik hastalık yönetimi ve hasta eğitimi odaklı stratejiler, bu hasta grubunda öz bakım becerilerinin geliştirilmesi için kritik öneme sahiptir.

Keywords

Bakım cerrahi hemşireliği kalp ameliyatı özbakım

References

  • Lei X, Cai M. Self-care agency and influencing factors in chronic heart failure patients. Biomed Res. 2018;29(3):595–601.
  • Jaarsma T, Cameron J, Riegel B, Stromberg A. Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update. Curr Heart Fail Rep. 2017;14(2):71-7.
  • Amegbor PM, Kuuire VZ, Robertson H, Kuffuor OA. Predictors of basic self-care and intermediate self-care functional disabilities among older adults in Ghana. Arch Gerontol Geriatr. 2018;77:81-8.
  • Lovell J, Pham T, Noaman SQ, Davis MC, Johnson M, Ibrahim JE. Self-management of heart failure in dementia and cognitive impairment: a systematic review. BMC Cardiovasc Disord. 2019;19(1):99.
  • Currie K, Strachan PH, Spaling M, Harkness K, Barber D, Clark AM. The importance of interactions between patients and healthcare professionals for heart failure self-care: A systematic review of qualitative research into patient perspectives. Eur J Cardiovasc Nurs. 2015;14(6):525-35.
  • Vellone E, Pancani L, Greco A, Steca P, Riegel B. Self-care confidence may be more important than cognition to influence self-care behaviors in adults with heart failure: Testing a mediation model. Int J Nurs Stud. 2016;60:191-9.
  • Liu D. Analysis of influencing factors of the self-care behavior status quo in patients with heart failure. Chin J Mod Nurs. 2018;24:802–4.
  • Ausili D, Rebora P, Di Mauro S, et al. Clinical and socio-demographic determinants of self-care behaviours in patients with heart failure and diabetes mellitus: A multicentre cross-sectional study. Int J Nurs Stud. 2016;63:18-27.
  • Nahcivan NO. A Turkish language equivalence of the Exercise of Self-Care Agency Scale. West J Nurs Res. 2004;26(7):813-24.
  • Kearney BY, Fleischer BJ. Development of an instrument to measure exercise of self-care agency. Res Nurs Health. 1979;2(1):25-34.
  • Riegel B, Moser DK, Buck HG, et al. Self-Care for the Prevention and Management of Cardiovascular Disease and Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association. J Am Heart Assoc. 2017;6(9):e006997.
  • Kärner Köhler A, Tingström P, Jaarsma T, Nilsson S. Patient empowerment and general self-efficacy in patients with coronary heart disease: a cross-sectional study. BMC Fam Pract. 2018;19(1):76.
  • Shah VN, Wu M, Polsky S, et al. Gender differences in diabetes self-care in adults with type 1 diabetes: Findings from the T1D Exchange clinic registry. J Diabetes Complications. 2018;32(10):961-5.
  • Morris M, John M. Gender differences in self-care in type 2 diabetes in rural Kerala. J Biomed Sci. 2019;6(3):12.
  • Patel R, Chauhan S. Gender differential in health care utilisation in India. Clin Epidemiol Glob Health. 2020;8(2):526–30.
  • Yang H, Xie X, Song Y, Nie A, Chen H. Self-care agency in systemic lupus erythematosus and its associated factors: a cross-sectional study. Patient Prefer Adherence. 2018;12:607-13.
  • Gyasi RM, Phillips DR, David R. Explaining the gender gap in health services use among Ghanaian community-dwelling older cohorts. Women Health. 2019;59(10):1089-104.
  • Frintner MP, Sisk B, Byrne BJ, Freed GL, Starmer AJ, Olson LM. Gender Differences in Earnings of Early- and Midcareer Pediatricians. Pediatrics. 2019;144(4):e20183955.
  • Vallejo MC, Shapiro RE, Lilly CL, et al. Rural healthcare and gender-related differences. J Public Health. 2021;31(6):869–75.
  • Wang S, Ungvari GS, Forester BP, et al. Gender differences in general mental health, smoking, drinking and chronic diseases in older adults in Jilin province, China. Psychiatry Res. 2017;251:58-62.
  • Devito Dabbs A, Song MK, De Geest S, Davidson PM. Promoting patient and caregiver engagement in self-management of chronic illness. Nurs Res Pract. 2013;2013:180757.
  • Aga F, Dunbar SB, Kebede T, Gary RA. The role of concordant and discordant comorbidities on performance of self-care behaviors in adults with type 2 diabetes: a systematic review. Diabetes Metab Syndr Obes. 2019;12:333-56.
  • Powers MA, Bardsley J, Cypress M, et al. Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care. 2015;38(7):1372-82.
  • Hassan A. Self-care maintenance of heart failure patients in Babylon teaching hospitals. J Glob Pharm Technol Dev. 2018;9(5):157–74.
  • Jabbar JA, Al Masri AH, Oweidat FA, Al Ahmad MM, Ali OB, Oweidat ZA, Sreedharan J. Family history of diabetes, hypertension, obesity and cardiovascular diseases in relation to self health-care. Int J Community Med Public Health. 2023;10(3):919-23.
  • Dineen-Griffin S, Garcia-Cardenas V, Williams K, Benrimoj SI. Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PLoS One. 2019;14(8):e0220116.
  • Yoong SL, Carey ML, D’Este C, Sanson-Fisher RW. Agreement between self-reported and measured weight and height collected in general practice patients: a prospective study. BMC Med Res Methodol. 2013;13:38.
  • Fatjon N, Spahiu M, Ermal M, Kadri H. The role and association of body height and weight of the performance of motor abilities in soccer players. Eur J Phys Educ Sport Sci. 2017;3(11):1–9.
  • Pineda-García G, Serrano-Medina A, Cornejo-Bravo JM, Andrade-Soto VH, Armenta-Rojas E, González-Sánchez DL. Self-care model and body image in adults after a bariatric surgery. Modelo de autocuidado e imagem corporal em adultos pós cirurgia bariátrica. Rev Lat Am Enfermagem. 2022;30:e3586.
  • Kamody RC, Thurston IB, Decker KM, Kaufman CC, Sonneville KR, Richmond TK. Relating shape/weight based self-esteem, depression, and anxiety with weight and perceived physical health among young adults. Body Image. 2018;25:168-76.
  • Chen C, Chen Y, Huang Q, Yan S, Zhu J. Self-Care Ability of Patients With Severe Mental Disorders: Based on Community Patients Investigation in Beijing, China. Front Public Health. 2022;10:847098.
  • Ability for self-care in clients undergoing antineoplastic chemotherapy treatment. Biosci J. 2020;36(4):1446-53.
  • Morishita M, Hattori S, Miyai N. Agency for self-care among elderly patients with diabetes mellitus and its association with health locus of control and social support. Nihon Eiseigaku Zasshi. 2017;72(1):77–86.
  • Zimmermann T, Puschmann E, van den Bussche H, et al. Collaborative nurse-led self-management support for primary care patients with anxiety, depressive or somatic symptoms: Cluster-randomised controlled trial (findings of the SMADS study). Int J Nurs Stud. 2016;63:101-11.

Determination of self-care agency and affecting factors in patients undergoing cardiac surgery

Year 2025, Volume: 30 Issue: 2, 241 - 252, 29.05.2025

Zümrüt Balaban , Gizem Kubat Bakır

https://doi.org/10.21673/anadoluklin.1578327

Abstract

Aim: The aim of this study is to assess the self-care agency in patients who have undergone heart surgery and to identify the socio-demographic, clinical, and lifestyle factors that influence their agency to manage their own care.

Methods: This is a descriptive study conducted on 80 patients who underwent cardiac surgery between April 2023 and September 2023 at a cardiology institute affiliated with a university in Istanbul and a training and research hospital affiliated with a foundation university in the same city. Data were collected using the “Sociodemographic Characteristics Form” and the “Self-Care Agency Scale”. Statistical analysis included the Kolmogorov-Smirnov Test, Shapiro-Wilk Test, Mann-Whitney U Test, and Kruskal-Wallis Test.

Results: The study found that gender, smoking status, and alcohol consumption significantly influenced self-care agency, with females, non-smokers, and non-drinkers demonstrating higher self-care scores. Additionally, the presence of chronic diseases, particularly a combination of diabetes and hypertension, was associated with lower self-care abilities. Physical attributes such as height and body weight were also negatively correlated with self-care agency scores, indicating that greater height and weight were linked to lower self-care agency.

Conclusion: A combination of socio-demographic factors, lifestyle habits, and physical characteristics influences self-care agency among heart surgery patients. Lifestyle modification, chronic disease management, and patient education-focused strategies are critically important for improving self-care abilities in this patient group.

Keywords

Care heart surgery self-care surgical nursing

References

  • Lei X, Cai M. Self-care agency and influencing factors in chronic heart failure patients. Biomed Res. 2018;29(3):595–601.
  • Jaarsma T, Cameron J, Riegel B, Stromberg A. Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update. Curr Heart Fail Rep. 2017;14(2):71-7.
  • Amegbor PM, Kuuire VZ, Robertson H, Kuffuor OA. Predictors of basic self-care and intermediate self-care functional disabilities among older adults in Ghana. Arch Gerontol Geriatr. 2018;77:81-8.
  • Lovell J, Pham T, Noaman SQ, Davis MC, Johnson M, Ibrahim JE. Self-management of heart failure in dementia and cognitive impairment: a systematic review. BMC Cardiovasc Disord. 2019;19(1):99.
  • Currie K, Strachan PH, Spaling M, Harkness K, Barber D, Clark AM. The importance of interactions between patients and healthcare professionals for heart failure self-care: A systematic review of qualitative research into patient perspectives. Eur J Cardiovasc Nurs. 2015;14(6):525-35.
  • Vellone E, Pancani L, Greco A, Steca P, Riegel B. Self-care confidence may be more important than cognition to influence self-care behaviors in adults with heart failure: Testing a mediation model. Int J Nurs Stud. 2016;60:191-9.
  • Liu D. Analysis of influencing factors of the self-care behavior status quo in patients with heart failure. Chin J Mod Nurs. 2018;24:802–4.
  • Ausili D, Rebora P, Di Mauro S, et al. Clinical and socio-demographic determinants of self-care behaviours in patients with heart failure and diabetes mellitus: A multicentre cross-sectional study. Int J Nurs Stud. 2016;63:18-27.
  • Nahcivan NO. A Turkish language equivalence of the Exercise of Self-Care Agency Scale. West J Nurs Res. 2004;26(7):813-24.
  • Kearney BY, Fleischer BJ. Development of an instrument to measure exercise of self-care agency. Res Nurs Health. 1979;2(1):25-34.
  • Riegel B, Moser DK, Buck HG, et al. Self-Care for the Prevention and Management of Cardiovascular Disease and Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association. J Am Heart Assoc. 2017;6(9):e006997.
  • Kärner Köhler A, Tingström P, Jaarsma T, Nilsson S. Patient empowerment and general self-efficacy in patients with coronary heart disease: a cross-sectional study. BMC Fam Pract. 2018;19(1):76.
  • Shah VN, Wu M, Polsky S, et al. Gender differences in diabetes self-care in adults with type 1 diabetes: Findings from the T1D Exchange clinic registry. J Diabetes Complications. 2018;32(10):961-5.
  • Morris M, John M. Gender differences in self-care in type 2 diabetes in rural Kerala. J Biomed Sci. 2019;6(3):12.
  • Patel R, Chauhan S. Gender differential in health care utilisation in India. Clin Epidemiol Glob Health. 2020;8(2):526–30.
  • Yang H, Xie X, Song Y, Nie A, Chen H. Self-care agency in systemic lupus erythematosus and its associated factors: a cross-sectional study. Patient Prefer Adherence. 2018;12:607-13.
  • Gyasi RM, Phillips DR, David R. Explaining the gender gap in health services use among Ghanaian community-dwelling older cohorts. Women Health. 2019;59(10):1089-104.
  • Frintner MP, Sisk B, Byrne BJ, Freed GL, Starmer AJ, Olson LM. Gender Differences in Earnings of Early- and Midcareer Pediatricians. Pediatrics. 2019;144(4):e20183955.
  • Vallejo MC, Shapiro RE, Lilly CL, et al. Rural healthcare and gender-related differences. J Public Health. 2021;31(6):869–75.
  • Wang S, Ungvari GS, Forester BP, et al. Gender differences in general mental health, smoking, drinking and chronic diseases in older adults in Jilin province, China. Psychiatry Res. 2017;251:58-62.
  • Devito Dabbs A, Song MK, De Geest S, Davidson PM. Promoting patient and caregiver engagement in self-management of chronic illness. Nurs Res Pract. 2013;2013:180757.
  • Aga F, Dunbar SB, Kebede T, Gary RA. The role of concordant and discordant comorbidities on performance of self-care behaviors in adults with type 2 diabetes: a systematic review. Diabetes Metab Syndr Obes. 2019;12:333-56.
  • Powers MA, Bardsley J, Cypress M, et al. Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care. 2015;38(7):1372-82.
  • Hassan A. Self-care maintenance of heart failure patients in Babylon teaching hospitals. J Glob Pharm Technol Dev. 2018;9(5):157–74.
  • Jabbar JA, Al Masri AH, Oweidat FA, Al Ahmad MM, Ali OB, Oweidat ZA, Sreedharan J. Family history of diabetes, hypertension, obesity and cardiovascular diseases in relation to self health-care. Int J Community Med Public Health. 2023;10(3):919-23.
  • Dineen-Griffin S, Garcia-Cardenas V, Williams K, Benrimoj SI. Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PLoS One. 2019;14(8):e0220116.
  • Yoong SL, Carey ML, D’Este C, Sanson-Fisher RW. Agreement between self-reported and measured weight and height collected in general practice patients: a prospective study. BMC Med Res Methodol. 2013;13:38.
  • Fatjon N, Spahiu M, Ermal M, Kadri H. The role and association of body height and weight of the performance of motor abilities in soccer players. Eur J Phys Educ Sport Sci. 2017;3(11):1–9.
  • Pineda-García G, Serrano-Medina A, Cornejo-Bravo JM, Andrade-Soto VH, Armenta-Rojas E, González-Sánchez DL. Self-care model and body image in adults after a bariatric surgery. Modelo de autocuidado e imagem corporal em adultos pós cirurgia bariátrica. Rev Lat Am Enfermagem. 2022;30:e3586.
  • Kamody RC, Thurston IB, Decker KM, Kaufman CC, Sonneville KR, Richmond TK. Relating shape/weight based self-esteem, depression, and anxiety with weight and perceived physical health among young adults. Body Image. 2018;25:168-76.
  • Chen C, Chen Y, Huang Q, Yan S, Zhu J. Self-Care Ability of Patients With Severe Mental Disorders: Based on Community Patients Investigation in Beijing, China. Front Public Health. 2022;10:847098.
  • Ability for self-care in clients undergoing antineoplastic chemotherapy treatment. Biosci J. 2020;36(4):1446-53.
  • Morishita M, Hattori S, Miyai N. Agency for self-care among elderly patients with diabetes mellitus and its association with health locus of control and social support. Nihon Eiseigaku Zasshi. 2017;72(1):77–86.
  • Zimmermann T, Puschmann E, van den Bussche H, et al. Collaborative nurse-led self-management support for primary care patients with anxiety, depressive or somatic symptoms: Cluster-randomised controlled trial (findings of the SMADS study). Int J Nurs Stud. 2016;63:101-11.
There are 34 citations in total.

Details

Primary Language English
Subjects Surgical Diseases Nursing​​
Journal Section ORIGINAL ARTICLE
Authors

Zümrüt Balaban 0000-0002-3864-9732

Gizem Kubat Bakır 0000-0003-4294-0669

Publication Date May 29, 2025
Submission Date November 3, 2024
Acceptance Date February 2, 2025
Published in Issue Year 2025 Volume: 30 Issue: 2

Cite

Vancouver Balaban Z, Kubat Bakır G. Determination of self-care agency and affecting factors in patients undergoing cardiac surgery. Anatolian Clin. 2025;30(2):241-52.
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