Ýnme Geçiren Bireylerin Hastalýkla Baþa Çýkma Tutumlarýnýn Yaþam Kalitesine Etkisi

GÝRÝÞ ve AMAÇ: Ýnme geçiren bireylerin hastalýkla baþa çýkma tutumlarýnýn yaþam kalitesi üzerine olan etkisini incelemektir.
YÖNTEM ve GEREÇLER: Tanýmlayýcý türdeki bu çalýþmanýn örneklemini Ekim 2018- Haziran 2019 tarihlerinde inme sonrasý kontrolleri için bir devlet ve bir eðitim araþtýrma hastanesinin nöroloji ve fizik tedavi polikliniðine gelen 360 birey oluþturdu. Verilerin toplanmasýnda sosyodemografik özellikler için oluþturulan anket formu, Ýnmeye Özgü Yaþam Kalitesi Ölçeði ve Baþa Çýkma Tutumlarýný Deðerlendirme Ölçeði kullanýldý. Ýstatistiksel analizde SPSS 25.0 programý kullanýldý. Hastalýkla baþa çýkma tutumlarýnýn yaþam kalitesi üzerine olan etkisinin belirlenmesinde binary lojistik regresyon analizi kullanýldý. P<0,05 ve p<0,001 deðerleri istatistiksel olarak anlamlý kabul edildi.
BULGULAR: Hastalýkla baþ etme tutumlarýndan olan aktif baþa çýkma (OR: 1,31 [95% CI 1,094–1,579]; p<0,05), geri durma (OR: 1,173 [1,022–1,347]; p<0,05), mizah (OR: 1,143 [1,023–1,276]; p<0,05) ve alkol/madde kullanýmý (OR: 1,128 [1,008–1,262]; p<0,05)yaþam kalitesi üzerinde anlamlý prediktörler olduðu bulunmuþtur.
TARTIÞMA ve SONUÇ: Aktif baþa çýkma, geri durma, mizaç ve alkol/sigara kullanýmý yaþam kalitesi üzerinde olumsuz etki eden faktörlör olup; bu faktörleri inmeli bireylerin yaþamýnda ne zaman ve ne sýklýkla kullandýðý dikkatlice irdelenmeli ve hastanýn baþa çýkma tutumlarýný ve yaþam kalitesini artýracak eðitim ve multidisipliner ekibin yer aldýðý inme rehabilitasyon programlarýnýn geliþtirilmesi önerilmektedir.

The Effect of The Coping Attitudes of People with Stroke on Quality of Life

INTRODUCTION: The aim of this study is to examine the effects of coping attitudes on quality of life in patient with stroke.
METHODS: This descriptive study was conducted between October 2018 and June 2019. The sample data were collected from 360 patients who had been admitted to neurology and physiotherapy clinics at a training and research university hospital and a government hospital in Karabuk. Data of the study were collected by the COPE inventory and the Stroke-Specific Quality of Life Scale. SPSS 25.0 program was used in the statistical analysis. Binary logistic regression analysis was used to determine the effect of coping attitudes on quality of life. P <0.05 and p <0.001 values were considered statistically significant.
RESULTS: Active coping (OR: 1.31 [95% CI 1.094–1.579]; p<0.05), restraint (OR: 1.173 [1.022–1.347]; p<0.05),humor(OR: 1.143 [1.023–1.276]; p<0.05) and alcohol/substance use(OR: 1.128 [1.008–1.262]; p<0.05), which are coping with the disease, were found to be significant predictors of on quality of life.
DISCUSSION AND CONCLUSION: Active coping, restraint, humor and alcohol / substance use are factors that negatively affect quality of life. When and how often these factors are used in stroke patients' lives should be examined carefully. it is recommended to develop stroke rehabilitation programs with training and multidisciplinary team to improve patient coping attitudes and quality of life.