İmplante Edilebilen Kardiyoverter Defi brilatörlü Hastaların Bakımında Sosyal Bilişsel Teori'nin Kullanımı

İmplante edilebilen kardiyoverter defi brilatörler (ICD) yaşamı tehdit eden aritmilerin önlenmesi ve tedavisinde etkili olmasına karşın hastaların ICDye uyumları, normal yaşam şekline dönmeleri güç olmakta ve hastalar çok fazla psikososyal sorun yaşamaktadır. Banduranın Sosyal Bilişsel Teorisi (SBT) sağlık davranışlarını etkileyen psikososyal yapılar ile davranışta değişime yol açan yöntemleri birlikte ele alması ve değerlendirmesi nedeniyle yararlı bir teoridir. Ayrıca bu teori insan motivasyonu, düşünceleri ve davranışlarını sosyal bilişsel perspektiften analiz etmek için bir çerçeve oluşturmaktadır. SBT davranışın, bireysel faktörlerin ve çevrenin etkileşiminin tek boyutlu olmadığını, birbirini etkileyen sinerjik bir yapıya sahip olduğunu savunur. Bu özelliklerinden dolayı ICDli hastaların yaşadıkları sorunların azaltılması için uygulanacak girişimlerin planlanmasında SBTnin kullanılması, davranışı etkileyebilecek faktörleri bir bütün şeklinde görmeyi ve sistematik yaklaşım sağlayabilir. Bu nedenle, bu makalede Sosyal Bilişsel Teorinin kavramları ICDsi olan hastalar ile ilişkilendirilerek açıklanacaktır.

Using the Social Cognitive Theory in the Treatment of Patients with Implantable Cardioverter Defi brillators

Even though implantable cardioverter defi brillators (ICD) are effective for preventing and curing life-threatening arrhythmia, patients have diffi culty adapting to ICDs and returning to their normal lifestyles, so they experience a number of psychosocial problems. Bandura s Social Cognitive Theory (SCT) is a useful theory as it contextualizes and evaluates the psychosocial structures affecting the health behaviors and methods which cause changes in behaviors. At the same time, this theory forms a framework for analyzing human motivation, thoughts and behaviors from a social cognitive perspective. SCT asserts that behavior, individual factors, and environmental interaction are not unidimensional; they have a synergic structure affecting one another. Considering these features, the use of SCT in planning care interventions aimed at decreasing the problems experienced by patients with ICD may enable us to see the factors that might affect the behavior as a whole and have a systematic approach. Thus, this article will explain the concepts of the Social Cognitive Theory in association with patients with ICD.

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