Individual-Level Determinants of Self-Care Behaviors and Adaptation to Chronic Illness in Turkish Patients With Chronic Disease: A Single-Center Cross-Sectional Study.

IF 2.7 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of Multidisciplinary Healthcare Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S500065
Yasin Furkan Kılıç, Tuğba Yardımcı Gürel
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引用次数: 0

Abstract

Purpose: The study aimed to investigate the relationship between self-care management behaviors of individuals with chronic disease and their adaptation to chronic illness.

Methods: This cross-sectional and correlational study was conducted with 312 patients treated at a Training and Research Hospital in Turkey between December 2023 and March 2024. The data were collected using a Sociodemographic Characteristics Form, the Self-Care Management Scale in Chronic Illness (SCMP-G) and the Adaptation to Chronic Illness Scale (ACIS).

Results: Mean total scores of the participants for SCMP-G were 107.52 ± 12.51 and 77.00 ± 10.00 for ACIS. There was a low-level negative correlation between age and chronic disease adaptation (rh = -0.201; P < 0.001). Adaptation to chronic illness decreased with increasing age. There was a low-level negative correlation between BMI and physical adaptation (rh = -0.127; P = 0.026) and self-guarding (rh = -0.114; P = 0.046). As BMI increased, physical adaptation and self-guarding decreased. Regression analyses revealed that age (β = -0.115, t = -0.511, P < 0.05) and economic status (β = 2.698, t = -2.487, P < 0.05) had a significant effect on adaptation to chronic illness. Multiple regression analysis of the effect of self-guarding and social guarding variables on adaptation to chronic illness was significant (F = 3.504, P < 0.05).

Conclusion: Based on the results of the present study, self-care management behaviors have a significant effect on adaptation to chronic illness and individual characteristics affect the results. Individual assistance should be extended to the patients to develop self-care management behaviors, which can induce lifestyle changes and necessary trainings should be planned. Future research should prioritize evaluating nurse-led interdisciplinary interventions and exploring the impact of tailored strategies for specific chronic conditions to improve self-care and adaptation.

土耳其慢性病患者自我护理行为和对慢性病适应的个体水平决定因素:一项单中心横断面研究
目的:探讨慢性疾病患者自我保健管理行为与慢性疾病适应的关系。方法:对2023年12月至2024年3月期间在土耳其一家培训和研究医院接受治疗的312例患者进行了横断面和相关性研究。数据采用社会人口学特征表、慢性疾病自我护理管理量表(SCMP-G)和慢性疾病适应量表(ACIS)收集。结果:SCMP-G的平均总分为107.52±12.51,ACIS的平均总分为77.00±10.00。年龄与慢性病适应呈低水平负相关(rh = -0.201;P < 0.001)。对慢性疾病的适应能力随着年龄的增长而下降。BMI与身体适应呈低水平负相关(rh = -0.127;P = 0.026)和自我保护(rh = -0.114;P = 0.046)。随着身体质量指数的增加,身体适应和自我保护能力下降。回归分析显示,年龄(β = -0.115, t = -0.511, P < 0.05)和经济状况(β = 2.698, t = -2.487, P < 0.05)对慢性疾病适应有显著影响。多元回归分析自我保护和社会保护变量对慢性疾病适应的影响有统计学意义(F = 3.504, P < 0.05)。结论:基于本研究结果,自我护理管理行为对慢性疾病适应有显著影响,个体特征影响结果。应给予患者个体化协助,培养自我护理管理行为,诱导生活方式的改变,并规划必要的培训。未来的研究应优先评估护士主导的跨学科干预措施,并探索针对特定慢性疾病的量身定制策略的影响,以提高自我护理和适应能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Multidisciplinary Healthcare
Journal of Multidisciplinary Healthcare Nursing-General Nursing
CiteScore
4.60
自引率
3.00%
发文量
287
审稿时长
16 weeks
期刊介绍: The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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