Care Dependency in Adults with Chronic Diseases
Abstract views: 416
/ 
PDF downloads: 200
DOI:
https://doi.org/10.5281/zenodo.10045674Keywords:
Care, Care Dependency, Chronic Disease, NurseAbstract
Aim: This study was conducted with the aim of determining the level of care dependency of individuals with chronic diseases.
Material and Method: The research was planned as a descriptive study and was conducted at two different hospitals. Data collection was performed by face-to-face interview between July and September 2022, using a “Participants’ Information Form” and “the Care Dependency Scale”. The research was completed with 127 participants. In the data analysis, descriptive statistics, One-Way Variance Analysis (ANOVA), Independent Samples T test and Pearson Correlation Analysis were used.
Results: The mean age of the participants was 59.74±14.75 years; a majority were female (56.7%), had primary school education (58.3%), and were married (79.5%). It was found that (64.6%) had planned to come to the hospital, and that (89.0%) had been admitted to hospital for medical treatment. The most common chronic disease seen in the participants were cardiovascular diseases (65.4%). The total care dependency score mean of the participants was 69.55±15.26. Care dependency score means were higher in participants who were working (p=0.00), those without children (p=0.04), those who came to the hospital in a planned way (p=0.00) or for examination (p=0.04), and those who did not have cancer (p=0.00) or a neurological illness (p=0.01). The level of care dependency did not differ according to gender, education level, marital status, economic status, the person lived with, the department of the hospital, or the chronic illness (p>0.05). A weak negative correlation was seen between care dependency level and age (r =- 0.30, p<0.01) and the total number of chronic diseases (r =-0.34, p<0.01).
Conclusion: Advanced age and a large number of chronic diseases may increase care dependency. It is recommended that nurses should assess the level of care dependency of individuals with cancer or neurological diseases when planning their care.
References
Bi̇lgin, Ö., Özdemi̇r, D., Saçkan, F., & Güney, İ. (2020). Nefroloji ve onkoloji kliniklerinde yatan hastaların bakım bağımlılığı düzeylerinin belirlenmesi. Genel Sağlık Bilimleri Dergisi, 2(1).
Cengiz, Z., Yıldırım, H., & Gürdap, Z. (2021). Kronik hastalığı olan bireylerde yaşamın anlamlandırılması ve ölüm kaygısı. Van Tıp Dergisi, 28(3), 348-353. doi:10.5505/vtd.2021. 43650
Çakıcı M. (2020). Kroni̇k obstrükti̇f akci̇ğer hastalığı olan geri̇atri̇k bi̇reylerde di̇spne, bakım bağımlılığı ve kırılganlık arasındaki i̇lişki. (Yüksek Lisans Tezi). https://tez.yok.gov.tr/ (633972)
Dijkstra, A., Buist, G., Moorer, P., & Dassen, T. (1999). Construct validity of the nursing care dependency scale. Journal of Clinical Nursing, 8(4), 380-388. doi: 10.1046/j.1365-2702.1999.00245.x
Dijkstra, A., Tıesınga, L. J., Plantınga, L., Veltman, G., & Dassen, T. W. N. (2005). Diagnostic accuracy of the care dependency scale. journal of advanced nursing, 50(4), 410–416. doi: 10.1111/j.1365-2648.2005.03406.x
Dixe, M. D. A. C. R., Frontini, R., Sousa, P. M. L., Peralta, T. J. A., Teixeira, L. F. D. C., & Querido, A. I F. (2020). Dependent person in self-care: analysis of care needs. Scand J Caring Sci, 34(3):727-735. doi: 10.1111/scs.12777
Dombestein, H., Norheim, A., & Husebø, A. M. L. (2019). Understanding informal caregivers’ motivation from the perspective of self-determination theory: an integrative review. Scand J Caring Sci, 1–13. doi: 10.1111/scs.12735
Eckerblad, J. (2015). Symptom burden among people with chronic disease. Linköping University Medical Dissertations (No. 1484).
Erdogan, S., Nahcıvan, N., Esin, M. N. Research in Nursing: Process, Practice, Critical. Istanbul: Nobel Tıp Kitabevleri; 2014:186.
Erdal, A. (2021). Yoğun bakımdaki̇ Covi̇d-19 tanısı ile yatan hasta semptomları, bakım bağımlılığı ve hemşi̇reli̇k tanılarının incelenmesi. (Yüksek Lisans Tezi). https://tez.yok.gov.tr (685079).
George, D., & Mallery, M. (2010). SPSS for Windows step by step: A simple guide and reference, 17.0 update. Erişim tarihi: 12 Aralık 2022 https://wps.ablongman.com/wps/media/objects/385/394732/george4answers.pdf.
Hajek, A., Brettschneider, C., Lange, C., Posselt, T., Wiese, B., Steinmann, S., …………., König, H. H. (2016). Gender differences in the effect of social support on health-related quality of life: results of a population-based prospective cohort study in old age in Germany. Qual Life Res, 25(5):1159-68. doi: 10.1007/s11136-015-1166-5
Hakverdioğlu Yönt, G., Akın Korhan, E., Khorshid, L., Eşer, İ., & Dijkstra, A. (2010). Bakım bağımlılığı ölçeğinin (Care Dependency Scale) yaşlı bireylerde geçerlik ve güvenirliğinin incelenmesi. Turkish Journal Of Geriatrics, Özel Sayı, 13,12.
Juárez Vela, R., Durante, Á., Pellicer García, B., Cardoso Muñoz, A., Criado Gutiérrez, J.M., Antón Solanas, I., & Gea Caballero, V. (2020). Care Dependency in Patients with Heart Failure: A Cross-Sectional Study in Spain. Int. J. Environ. Res. Public Health, 17:7042. doi: 10.3390/ijerph17197042
Kılıç, H. F., Cevheroğlu, S., & Görgülü, R. S. (2017). Dahiliye ve cerrahi kliniklerinde yatan hastaların bakım bağımlılığı düzeylerinin belirlenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 10(1), 22-28.
Koç, K. (2020). KOAH ve Di̇yabetes Melli̇tus hastalığına sahi̇p bi̇reyleri̇n bakım bağımlılıklarının, yaşam doyumlarının ve mutluluk düzeyleri̇ni̇n karşılaştırılması. (Yüksek Lisans Tezi). https://tez.yok.gov.tr (617966).
Korhan, E. A., Yönt, G. H., Tokem, Y., Karadağ, Ö., Sarıoğlu, E., & Yıldız, K. (2013). Dahi̇li̇ye ve cerrahi̇ kli̇ni̇klerde yatan hastaların bakım bağımlılığı düzeyleri̇ni̇n beli̇rlenmesi̇. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 16(4).
Köberich, S., Lohrmann, C., & Dassen, T. (2013). Care dependency in patients with chronic obstructive pulmonary disease and heart failure – a secondary data analysis of german prevalence studies. Scand J Caring Sci, 28(4): 665-674. doi: 10.1111/scs.12091
Özbudak, E., & Şahi̇n, A. O. (2021). Hastanede yatan yaşlı bi̇reyleri̇n bakım bağımlılıkları, hemşi̇reli̇k bakımı ile ilgi̇li değerlendi̇rmeleri̇ ve arasındaki̇ ili̇şki̇. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 9(1), 307-322. doi: 10.33715/inonusaglik.835942
Özkan Tuncay, F., & Kars Fertelli, T. (2020). Kronik Böbrek Yetmezliği olan bireylerde bakım bağımlılığı ve ilişkili faktörler. Kocaeli Tıp Dergisi, 9(1), 32-40. doi: 10.5505/ktd.2020.78557
Puto, G., Sowińska, I., Ścisło, L., Walewska, E., Kamińska, A., & Muszalik M. (2021). Sociodemographic factors affecting older people's care dependency in their daily living environment according to Care Dependency Scale (CDS). Healthcare (Basel), 21;9(2):114. doi: 10.3390/healthcare9020114
Schnitzer, S., Blüher, S., Teti, A., Schaeffner, E., Ebert, N., Martus, P., Suhr, R., & Kuhlmey, A. (2020). Risk profiles for care dependency: Cross-sectional findings of a population-based Cohort Study in Germany. J Aging Health, 32(5-6):352-360. doi: 10.1177/0898264318822364
Türk, G., & Üstün, R. (2018). Kronik obstrüktif akciğer hastalığı (KOAH) olan bireylerin bakım bağımlılığının belirlenmesi. DEUHFED, 11(1): 19-25.
Van den Bussche, H., Heinen, I., Koller, D., Wiese, B., Hansen, H., Schäfer, I., …….., Schön G. (2014). The epidemiology of chronic diseases and long-term care: results of a claims data-based study. Z Gerontol Geriatr, 47(5):403-9. doi: 10.1007/s00391-013-0519-3
World Health Organization Noncommunicable diseases. Erişim: 16 Eylül 2022, https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The journal is licensed under a 