BIRINCI BASAMAK SAĞLIK HIZMETLERINDE ÇALIŞAN HEMŞIRELERIN VE HEMŞIRELERIN RUH SAĞLIĞI VE YAŞAM KALITELERI

Amaç: Bu araştırmanın amacı, Sivas il merkezinde birinci basamak sağlık hizmetlerinde çalışan ebe ve hemşirelerin ruhsal sağlık durumlarını ve yaşam kalitelerini belirlemektir. Yöntem: Bu araştırma kesitsel tipte yapılmıştır. Araştırmanın evrenini Sivas il merkezinde bulunan birinci basamak sağlık kuruluşunda çalışan 187 ebe ve hemşire oluşturmuştur. Araştırmada örneklem seçimine gidilmemiştir. Araştırmayı kabul eden 133 %71 ebe ve hemşire araştırmanın örneklemini oluşturmuştur. Veri toplama aracı olarak, Kişisel Bilgi Formu, Genel Sağlık Anketi-28 GSA-28 ve Türkçe Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği-Kısa Formu kullanılmıştır. Verilerin istatistiksel değerlendirmesinde iki ortalama arasındaki farkın önemlilik testi, varyans analizi, Tukey Testi ve Ki-kare Testi kullanılmış ve yanılma düzeyi 0,05 olarak alınmıştır. Bulgular: Ebe ve hemşirelerin yaş ortalaması 32,54±5,55’dir. Genel Sağlık Anketine GSA-28 göre çalışanların %21,1’inin ruhsal sorunlar yönünden riskli olduğu saptanmıştır. Çalışanların yaşam kalitesi alan puanları bedensel alan için 16,53±2,16, ruhsal alan için 14,42±1,71, sosyal alan için 14,51±2,03, çevresel alan için 14,27±1,69 ve ulusal alan için 12,36±0,95 olarak belirlenmiştir. Sonuç: Bu bulgulara göre ebe ve hemşirelerin genel olarak yaşam kalitesi orta düzeyde ve bedensel alan puan ortalaması en yüksek, ulusal alan puan ortalaması en düşük olarak saptanmıştır. GSA-28 göre ruh sağlığı açısından riskli kabul edilen çalışanların yaşam kalitelerinin daha düşük olduğu istatistiksel yönden anlamlı bulunmuştur. Sonuç olarak, ebe ve hemşirelerin ruh sağlığı durumu ile yaşam kalitesi arasında anlamlı bir pozitif ilişki vardı. Ruhsal sağlığı iyi olan çalışanların, yaşam kaliteleri de daha yüksektir.

The Mental Health Status and Quality of Life of Midwives and Nurses Working In Primary Health Care Services

Purpose: The aim of this research was to determine the mental health status and quality of life of midwives and nurses working in primary health care services in Sivas city center.Methods: This research was done as a cross-sectional type. The universe of the research consists of a total of 187 nurses and midwives working in primary health care services in Sivas city center. In this study, no sample selection was made from the total population. In this study, we reached to 133 71% midwives and nurses who accepted to participate in the study. As data collection methods: Personal Information Form, the General Health Questionnaire-28 GHQ-28 and the Turkish World Health Organization Quality of Life Questionnaire-Short Form were used. In the assessment, statistical tests including the significance test between the difference of two averages, analysis of variance, Tukey’s test and chi-square test have been used and the margin of error was taken as 0.05.Results: The average age of midwives and nurses was 32.54±5.55. According to the General Health Questionnaire GHQ-28 , 21.1% of the employees were found to be at a high risk of having psychological problems. Employees’ quality of life domain scores were found to be 16.53±2.16 for the physical area, 14.42±1.71 for the psychological area, 14.51±2.03 for the social area, 14.27±1.69 for the environmental area and 12.36±0.95 for the national area.Conclusion: According to these findings, general quality of life of the employees was found in the middle level, the average score for physical area at the highest level, and the average score for the national area at the lowest level. According to GSA-28, it is statistically significant that the life quality of employees who are considered as risky in terms of mental health. As a result, there was a significant positive relationship between mental health status, and quality of life of midwives and nurses. Employees who are mentally healthy, their quality of life was found to be better than the others

Keywords:

Primary health care, midwife, nurse mental health, quality of life,

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