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HEMODİYALİZ UYGULANAN HASTALARDA ÖZ YETERLİLİK VE ETKİLEYEN FAKTÖRLER

RELATED FACTORS AND THE SELF- EFFICACY IN PATIENTS UNDERGOING HEMODIALYSIS

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

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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.
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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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  • 2
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  • Turkish

REFERENCES

References: 

1. Ageborg M, Allenius BL, Cederfjall C. Quality of life, self-care
ability, and sense of coherence in hemodialysis patients. Hemodialysis
‹nt 2005; 9: 8-14.
2. Akda¤ ‹. Hemodiyalizde akut komplikasyonlar ve tedavisi. Turkiye
Klinikleri J Surg Med Sci 2006; 37:40-48.
3. Baines LS, Zawada ET, Jindal RM. Psychosocial profiling: a holistic
management tool for non-compliance. Clin Transplant
2005; 19: 38-44.
4. Bako¤lu E, Yetkin A. Hipertansiyonlu Hastalar›n Öz Bak›m Gücünün
De¤erlendirilmesi. CÜHYO Dergisi, 2000; 4:41-49.
5. Bandura A. Self efficacy mechanism in human agency. American
Psychology, 1982; 37: 122-147.
6. Bandura A. Self-Efficacy: Toward a unifying theory of behavioral
change. Psychological Review, 1977; 84:191-215.
7. Christensen AJ. Psychological factors in end-stage renal disease:
An emerging context for behavioral medicine research. J Cons
Clin Psych, 2002; 70: 712-724.
8. Coffman MJ, Shellman J, Bernal H. An ›nterative review of
american nurses perceived cultural self-efficacy. J Nurs Sch
2004; 36:180.
9. Collie K, Wong P, Tilston J, Butler LD, Turner-Cobb J, Kreshka
MA, Parsons R, Graddy K, Cheasty JD, Koopman C. Self-efficacy,
coping, and difficulties interacting with health care professionals
among women living with breast cancer in rural communities.
Psychooncology, 2005; 4:901-912.
10. Hollaway A, Watson HE. Role of self- efficacy and behav›or
change. Int J Nurs Prac 2002; 8: 106–115.
11. Jerusalem, M., & Schwarzer, R. Self-efficacy as a resource factor
in stress appraisal processes. In: Schwarzer R. (ed.). Thought
control of action. DC: Hemisphere. Washington, USA, 2.nd ed.,
1992; pp 195-213.
12. Killingworth A, Van Der Akker O. The quality of life of renal dialysis
patients: trying to find the missing measurement. Int J
Nurs Stud 1996; 33:107-120.
13. Kutner NG. Improving compliance in dialysis patients: does
anything work? Semin Dial 2001; 14:324-327.
14. Lukkarinen H, Hentinen M. Self care agency and factors related
to this agency among patients with coroner heart disease. Int J
Nurs Stud, 1997; 34;295-304.
15. Martin PD, McKnight T, Barbera B, Brantley PJ. Satisfaction
with the multidisciplinary treatment team: a predictor of hemodialysis
patient compliance. Dial Transplant 2005; 34: 12-18.
16. Meers C, Singer MA, Toffelmire EB . Self-delivery of hemodialysis
care: a terapy in itself. Am J Kidney Dis, 1996; 27:844-
847.
17. Mollao¤lu M. Hemodiyaliz Uygulanan Hastalarda Öz Bak›m
Gücü ve Depresyon, Nefr Hemfl Derg 2005; (Temmuz-Ekim):
55-60.
18. Oka M, Chaboyer W. Influence of self-efficacy and other factors
on dietary behaviours in Japanese haemodialysis patients. Int J
Nurs Prac 2002; 7:431-439.
19. Paydafl S. ‹ntegre Tedavi Yaklafl›m› ve Periton Diyalizi ve Hemodiyaliz
Kombinasyon Tedavisi. Turkiye Klinikleri J Int Med Sci
2007; 38:94-99.
20. Qiao J, Shiu A. Diabetes self-efficacy and self-care behaviour of
chinese patients living in shanghai. JClin Nurs 2004; 13: 771-
772.
21. Rapley P, Dona M, Fruin J. Self-efficacy in chronic illness: the
juxtaposition of general and regimen-specific efficacy. Int J Nurs
Prac 1999; 5:209-211.
22. Robertson, Ivan T. Managerial Self-efficacy and Managerial Performance.
British J Management 1993; 437-45.
23. Singan M, Sezer S Hemodiyalizin Reçetelendirilmesi.Turkiye
Klinikleri J Int Med Sci 2006; 2:6-12.
24. Sol GMB. Self efficacy in patients with clinical manifestations
of vascular disease. Patient Educt. Couns., 2005; 61; 443- 448.
25. Song MR, Kim MJ, Lee IB, Shu MR. Astudy of the correlation
between self-efficacy and self-care in hemodialysis. J Korean
Acad Nursing 1999; 29: 563–575.
Self-efficacy in hemodialysis
‹stanbul T›p Fakültesi Dergisi Cilt / Volume: 72 • Say› / Number: 2 • Y›l/Year: 2009
- 41 -
26. Takaki J, Yano E. Possible gender differences in the relationships
of self-efficacy and the internal locus of control with compliance
in hemodialysis patients. Behav Med 2006;32: 5-11.
27. Tanner J, Craig C , Bartolucci A. Allon M, Fox L , Geiger B,
Wilson B. The effect of a self-monitoring tool on self-efficacy,
health beliefs, and adherence in patients receiving hemodialysis
. J Renal Nutr 1998; 8: 203-211.
28. Tovbin D, Gidron Y, Jean T. Relative importance and interrelations
between psychosocial factors and individualized quality of
life of hemodialysis patients. Qual Life Res 2003; 12:709-717.
29. Tsay SL, Healstead M. Self-care, self-efficacy, depression, and
quality of life among patients receiving hemodialysis in Taiwan.
Int J Nurs Stud 2002;39:245–251.
30. Tsay SL. Self-efficacy training for patients with end-stage renal
disease. J Adv Nurs 2003; 43:370-375.
31. Walker LM. Relationship between ilness representation and selfefficacy.
J Adv Nurs 2004; 48: 216-225.
32. Wong KW, Wong FKY, Chan MF. Effects of nurse-initiated telephone
follow-up on self-efficacy among patients with chronic
obstructive pulmonary disease. J Adv Nurs 2005; 49: 210-222.
33. Yeflilbalkan Ö, Karadakovan A, Ünal B. Periton diyalizi hastalar›
n›n genel öz yeterlilikleri. Nefr Hemfl Derg 2005:39-44.
34. Zrinyi M, Juhasz M, Balla J, Katona E, Ben T, Kakuk G. Dietary
self-efficacy: Determinant of compliance behaviours and biochemical
outcomes in hemodialysis patients. NDT 2003; 18:
1869-1873.

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