Klinikte yatan kalp yetersizliği hastalarına uygulanan sorun çözme eğitiminin, sorun çözme becerilerine, yaşam kalitesine ve depresyon düzeyine etkisi

Amaç: Bu çalışma, kardiyoloji kliniğinde kalp yetersizliği nedeniyle yatan hastalara uygulanan sorun çözme eğitiminin; sorun çözme becerilerine, yaşam kalitesine ve depresyon düzeyine etkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Araştırma randomize kontrollü deneysel çalışma olarak; 27 deney, 26 kontrol grubunda olmak üzere 53 hasta ile yürütülmüştür. Çalısmada etik kurul onayı ile bireylerden yazılı bilgilendirilmiş gönüllü olur alınmıştır. Veriler; kişisel bilgi formu, Beck Depresyon Ölçeği (BDÖ), Macnew Kalp Hastalığı Sağlıkla İlgili Kaliteli Yaşam Anketi, Sosyal Problem Çözme Envanteri- kısa formu (SPÇE) kullanılarak toplandı. Sorun Çözme Eğitimi grubuna, 2 hafta haftada 2 seans olmak üzere 4 seans bireysel sorun çözme eğitimi verildi. Bulgular: Eğitim sonrası, PSE grubunda BDÖ puan ortalamalarında istatistiksel olarak anlamlı bir azalma olduğu, SPÇE ve MacNew Kalp Hastalığı Sağlıkla İlgili Kaliteli Yaşam Anketi puan ortalamalarında ise istatistiksel olarak anlamlı bir artış olduğu, kontrol grubunda ise değişim olmadığı belirlenmiştir. Sonuç: Sorun çözme eğitiminin kalp yetersizliği hastalarında sorun çözme becerilerine, yaşam kalitesine ve depresif belirtiler üzerine olumlu etkisi olduğu belirlenmiştir.

Anahtar Kelimeler:

Kalp yetersizliği, hemşirelik, sorun çözme eğitimi, depresyon

The effect of problem solving training on problem solving skills, quality of life and depression level of inpatients with heart failure

Purpose: This study was carried out to investigate the effect of problem-solving education given to heart failure patients hospitalized in a cardiology unit on their problem-solving skills, quality of life and depression level. Materials and Methods: This randomized controlled experimental study was carried out with a total of 53 patients: 27 patients in the experimental group and 26 patients in the control group. A written informed consent was obtained from the patients with ethics committee approval. Data were collected using a personal information form, the Beck Depression Inventory (BDI), the MacNew Heart Disease Health-Related Quality of Life Questionnaire, and the Social Problem Solving Inventory-Revised Short Form (SPSI-R:S). The PSE group was given four sessions of individual problem-solving education in two sessions per week for two weeks. Results: It was determined that, after the education, there was a statistically significant decrease in the mean BDI scores of the PSE group and a statistically significant increase in the mean scores of the SPSI and MacNew Heart Disease Health Related Life Survey Questionnaire but there were not any changes in the control group .Conclusion: It was determined that problem-solving education positively affected problem-solving skills, quality of life, and depressive symptoms in the patients with heart failure.

Keywords:

Heart failure, nursing, problem-solving education,

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