Tuğba MENEKLİ, Sevim DOLU, Özlem COŞKUN, Merve TORUN

PALYATİF BAKIM HASTALARI, YAKINLARI VE HEMŞİRELERİNİN İYİ ÖLÜME İLİŞKİN GÖRÜŞLERİ

Amaç: Bu araştırmanın amacı; palyatif bakım hastaları, hasta yakınları ve hemşirelerinin iyi ölüme ilişkin görüşlerini belirlemektir.Yöntem: Araştırma, 01.07.2019-29.09.2019 tarihleri arasında Malatya il ve ilçe merkezlerinde bulunan Palyatif Bakım Kliniklerinde yapılmıştır. Araştırmanın örneklemini, çalışmaya katılmaya gönüllü olan 90 hasta, 90 hasta yakını ve 90 hemşire oluşturmuştur. Araştırmada veriler, literatürden yararlanılarak oluşturulan Hasta, Hasta Yakını, Hemşire Kişisel Bilgi Formu ve İyi Ölüm Ölçeği kullanılarak yüz yüze görüşme yöntemi ile toplanmıştır. İnönü Üniversitesi Sağlık Bilimleri Girişimsel Olmayan Klinik Araştırmalar ve Yayın Etik Kurulundan, Malatya il ve ilçe hastanelerinden, hastalar, hasta yakınları ve hemşirelerden yazılı izin alınmıştır.Bulgular: Hemşirelerin %65.6’sının 29-35 yaş grubunda, %85.6’sının kadın, %55.6’sının bekâr, %56.6’sının lisans mezunu, %64.4’ünün ilde yaşadığı saptanmıştır. Hastaların %55.6’sının 29-35 yaş grubunda, %61.1’inin kadın, %71.1’inin evli, %76.7’sinin lise/ön lisans mezunu, %60.0’ının ilde yaşadığı belirlenmiştir. Hasta yakınlarının %53.3’ünün 22-28 yaş grubunda, %84.4’ünün kadın, %60.0’ının evli, %62.2’sinin lisans mezunu, %68.9’un ilde yaşadığı belirlenmiştir. Araştırmaya katılanların iyi ölüm tanımlarına bakıldığında; hastaların %46.7’sinin “ağrı ve stres olmadan hayatın sonlanması”, hasta yakınlarının %61.1’inin “aile bireyleriyle birlikte süreci paylaşmak”, hemşirelerin ise % 57.8’inin “acı çekmeden süreci yaşamak” olarak tanımladıkları saptanmıştır. İyi Ölüm Ölçeği puan ortalamalarına bakıldığında; hastaların puan ortalamasının (58.77±6.50), hasta yakınlarının puan ortalamasının (58.04±6.71) ve hemşirelerin puan ortalamasının (55.80±7.94) olduğu saptanmıştır. Sonuç: Hastaların İyi Ölüm Ölçeği toplam puan ortalamasının hemşire ve hasta yakınından daha yüksek olduğu saptanmıştır.

OPINIONS OF PALLIATIVE CARE PATIENTS, RELATIVES AND NURSES ON GOOD DEATH

Aim: The aim of this research; to state the opinions of palliative care patients, patient relatives and nurses on good death.Methods: Research was carried out between 01.07.2019-29.09.2019 at Palliative Care Clinics in Malatya provincial and district centres. The sample of the research occurred 90 patients, 90 relatives and 90 nurses who volunteered to attend in the research. Data were gathered by face-to-face interviews using the Personal Information Form and Good Death Scale. Written permission was attained from Inonu University Health Sciences Non-Interventional Clinical Research and Publication Ethics Committee, Malatya provincial and district hospitals, patients, patient relatives and nurses.Results: It was found that 65.6% of the nurses were in the 29-35 age groups, 85.6% were female, 55.6% were single, 56.6% were undergraduate graduates and 64.4% lived in the province. It was stated that 55.6% of the patients were in the 29-35 age group, 61.1% were women, 71.1% were married, 76.7% were high school / associate degree graduates and 60.0% lived in the province. It was stated that 53.3% of the patients' relatives were in the 22-28 age group, 84.4% were women, 60.0% were married, 62.2% were undergraduate graduates and 68.9% lived in the province. Looking at the definitions of good death of the participants; it was discovered that 46.7% of the patients defined “ending life without pain and stress”, 61.1% of the patients' relatives “shared the process with their family members”, and 57.8% of the nurses defined “experiencing the process without suffering”. When the mean point of Good Death Scale; the mean point of the patients (58.77 ± 6.50), the mean point of patients' relatives (58.04 ± 6.71) and the mean point of nurses (55.80 ± 7.94) was found to be.Conclusion: It was stated that the mean total point of the good death scale of the patients was higher than the nurse and the patient's relatives.

Keywords:

Caregivers Patients, Nurses, Death, Palliative care,

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