Koroner Kalp Hastalıklarının Yönetiminde Uyum ve Öz Yeterlik

Koroner kalp hastalığı mortalite ve prevalansının yüksek olması nedeniyle tüm dünyada önemli bir sağlık sorunu olarak görülmektedir. Fiziksel, sosyal, psikolojik ve mesleki kısıtlılıklar bireylerin yaşam kaliteleri ve öz yeterlik algılarını olumsuz yönde etkilemekte, tedaviye uyumu güçleştirmektedir. Günümüzde koroner kalp hastalığında risk faktörlerinin kontrol edilmesine yönelik yaşam tarzı değişikliklerinin önemi vurgulanmaktadır. Yaşam tarzı değişikliklerini gerçekleştirme ve uyumu sağlamada “öz yeterlik kavramı” önemli bir yere sahiptir. Öz yeterlik "kişinin çevresinde olup bitenler üzerinde etkili olabilecek biçimde bir edimi başlatıp sonuç alıncaya kadar sürdürebileceğine olan inanç olarak" tanımlanmaktadır. Sağlık personeli tarafından uygulanan kanıta dayalı girişimlerin taburculuk sonrası komplikasyonları azaltma, yaşam kalitesi ve öz yeterlik düzeylerini artırma ve yaşam tarzı değişikliğine uyumu sağlamada etkili olduğu görülmektedir. 
Anahtar Kelimeler:

Öz yeterlik, uyum, yaşam tarzı

Adaptation and Self-Efficacy in the Management of Coronary Heart Diseases

Coronary heart disease is an important health problem all over the world due to its high mortality and prevalence. Physical, social, psychological and occupational constraints affect individuals' quality of life and self-efficacy perceptions negatively and make difficult adaptation of treatment. Today, the importance of lifestyle changes is emphasized to control risk factors in coronary heart disease. The concept of "self-efficacy" has an important place in achieving and adapting lifestyle changes. Self-efficacy is defined as "the belief that one can initiate an action that can be effective on what is happening around him or her and continue until the outcome is achieved". It is seen that the evidence-based interventions implemented by health personnel are effective in reducing post-discharge complications, increasing the quality of life and self-efficacy levels, and adapting to lifestyle changes. 

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