THE EFFECT OF PSYCHOLOGICAL RESILIENCE ON ADAPTATION TO OSTOMY IN INDIVIDUALS WITH OSTOMY
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DOI:
https://doi.org/10.55433/gsbd.223Anahtar Kelimeler:
Ostomy, psychological resilience, Adaptation, NursingÖzet
Bu araştırma, ostomili bireylerde psikolojik sağlamlık düzeyinin ostomiye uyuma etkisini belirlemek amacıyla, tanımlayıcı tipte yapıldı. Araştırmanın örneklemini 1 Aralık 2021- 30 Eylül 2022 tarihlerinde Afyon’da bir Hastanenin Genel Cerrahi klinik ve polikliniklerine başvuran, 134 ostomili hasta oluşturdu. Veriler ‘‘Yılmazlık Ölçeği’’ ve ‘’Ostomi Uyum Ölçeği’’ ile toplandı. Verilerin değerlendirilmesinde, Mann Whitney U Testi, Kruskal Wallis H Testi, korelasyon ve basit doğrusal regresyon analizleri kullanıldı. Araştırmaya katılan hastaların %72,4’üne kolorektal kanser nedeniyle ostomi açılmıştı ve %60,4’ünün kolostomisi vardı. Hastaların ostomi uyum ölçeği puanları, ostomi tipi, ostomi türü, kemoterapi/radyoterapi gibi tedavi alma durumu, ameliyat öncesi ostomi hakkında bilgi alma durumu, ostomi yeri işaretlemesi yapılması ve ostomi bakımını kendi yapması durumuna göre farklılık göstermekteydi. (p0,05). Hastaların yılmazlık ölçeği puan ortalamaları ile ostomi uyum ölçeği puan ortalamaları arasında pozitif yönlü, güçlü ve anlamlı bir ilişki olduğu, yılmazlık ölçeği puanlarındaki her bir birimlik artışın, ostomi uyum ölçeği puanlarını 0,419 birim arttırmasıyla ilişkili olduğu, bireylerin yılmazlık ölçeği puanının, ostomi uyum ölçeği puanındaki değişimin %91,6’sını açıkladığı (R2=0,916) belirlendi. Bu bulgular doğrultusunda, ostomili bireylerin psikolojik sağlamlık düzeyinin ostomiye uyumunu önemli ölçüde etkilediği bulundu.
Anahtar kelimeler: Ostomi, Psikolojik Sağlamlık, Uyum, Hemşirelik
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