The world has been aging, and technology has been advancing. Increasing population and chronic diseases indicate that importance of home care will continue. Many important chronic diseases in the world-such as chronic obstructive pulmonary disease (COPD), hemodialysis and heart failure-affect the daily life and quality of life of the individual negatively. The patient needs help and support from the caregiver in many ways, such as using medicines, maintaining health checks, and maintaining daily living activities. In particular, in the home care process of the disease, there are difficulties in the physical, social, emotional and economical areas for both individuals and caregivers. Through the role of educator, the nurse can help to share the burden of care with family members, to give equal responsibility for each individual in the family and to plan the care period.
Aim
This study aimed to adapt a culturally suitable and functional Turkish version of the Self‐Care of Coronary Heart Disease Inventory to evaluate its reliability and validity to measure Turkish coronary heart disease patients' levels of self‐care.
Methods
The study was performed at the cardiology clinics of three hospitals in Istanbul, Turkey. Content validity index, exploratory and confirmatory factor analysis were used in the validity analyses. In the reliability analyses, pearson's correlation coefficient, cronbach's α scores and test–retest reliability were used. The validity and reliability analyses were conducted with 222 coronary heart disease patients, whereas the test–retest analysis was carried out with 50 patients.
Results
The three subscale and 22‐item Turkish Inventory's factorial structure was similar to the English version. The results of the confirmatory factor analysis showed a good model fit. Cronbach's α ranged from .63 to .95, and no statistically significant differences were found in the test–retest reliability analysis (P > .05).
Conclusion
Turkish version of the Self‐Care of Coronary Heart Disease Inventory is a valid and reliable tool for determination of coronary heart disease patients' self‐care in Turkey.
Bu araştırma Miyokart İnfarktüsü (Mİ) geçirmiş hastalarda algılanan stresin belirlenmesi amacıyla tanımlayıcı olarak planlandı. Yöntemler: Araştırma, İstanbul ilinde bir eğitim ve araştırma hastanesinin kardiyoloji servislerinde Ocak-Mayıs 2019 tarihleri arasında yatan 300 Mİ geçirmiş hasta ile yapıldı. Veriler "Anket Formu" ve "Algılanan Stres Ölçeği-14 (ASÖ-14)" kullanılarak toplandı. Verilerin analizinde tanımlayıcı istatistikler, One-way ANOVA ve paired sample t testi kullanıldı. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 61.84±14 olup, %67.3'ü erkektir. Hastaların %82.3'ünün komorbid hastalığı, %64.7'sinin hipertansiyonu, %44.3'ünün diyabeti vardır ve %56.7'si ilk kez Mİ geçirmiştir. Mİ geçirdikten sonra hastaların %54.8' inin endişeli, %55' inin stresli olduğu belirlendi. Çalışmaya katılan hastaların algılanan stres puan ortalaması 25.94±6.86 bulundu. Eğitim seviyesi ve geliri düşük, komorbid hastalığı, diyabeti ve hipertansiyonu olan ve düzenli ilaç kullanmayan hastaların algılanan stres puanı anlamlı düzeyde yüksek bulundu (p<0.05). Ayrıca hobisi olmayan, fiziksel aktivite yapmayan ve Mİ sonrası kendini endişeli hisseden hastaların algılanan stres puanı anlamlı düzeyde yüksek bulundu (p<0.05). Sonuç: Çalışmaya katılan hastaların stres düzeyi normal olup stresle başa çıkabildikleri tespit edildi. Düşük gelir, komorbid hastalık, hipertansiyon, diyabet, düzenli ilaç kullanmamak, hobinin olmaması, fiziksel aktivite yapmamak algılanan stres düzeyini arttırmaktadır.
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