No abstract

No abstract

No abstract

Aims and Objectives This study aims to investigate the relationship between stress‐coping strategies of individuals with chronic diseases and their self‐efficacy. Background Self‐efficacy and coping with stress in chronic diseases affect the course of the disease. Design The sample of this methodological study consisted of 178 patients who were hospitalised in a university hospital between November 2017 and November 2018. Methods Data were collected by the face‐to‐face interview method using a Patient Information Form, Stress‐Coping Styles Scale and Self‐Efficacy Scale. This study followed STROBE checklist for cross‐sectional studies. Results The study found that there was a strong relationship between patients’ coping strategies and their self‐efficacies and that the variables that predict self‐efficacy in order of importance were self‐confident approach (β = .41), the helpless approach (β = −0.24) and the submissive approach (β = −0.15), respectively. The study also found that the optimistic approach and the seeking social support approach had no significant contribution to the model. Conclusions The most important predictor of self‐efficacy in individuals with chronic disease was the self‐confident approach, which was one of the problem‐oriented coping strategies. Therefore, patients should be taught to use effective methods to cope with stress to increase their self‐efficacy, and their self‐confidence should be supported. Relevance to clinical practice In individuals with chronic disease, self‐efficacy has an important role to get better psycho‐social adaptation. To determine patients’ self‐efficacy levels and predictors will guide nursing initiatives.

The aim is to adapt the Cancer Information Overload Scale to Turkish and to establish its validity and reliability. Material and Methods: The study is a methodological one. The sample consists of 144 women aged between 18-49 registered to a family health center between March-July 2015. The center is affiliated to the Denizli Provincial Health Center. The data were collected using the sociodemographic characteristics questionnaire, Cancer Information Overload, Scale Breast Cancer Health Belief Model. Language equivalence and content validity of the scale were established. Concurrent validity, Exploratory and confirmatory factor analysis was used to estimate the validity of the scale. Cronbach alpha and item-total correlations were measured to evaluate the reliability of the scale Results: In the exploratory factor analysis, the factor loadings were between 0.51-0.67, and the explained variance (38.35%) was considered sufficient. In the confirmatory factor analysis, the ratio of the postmodification of the chi square to the degrees of freedom was 2.04. Other compliance indices (RMSEA=0.085, GFI=0.94, AGFI=0.88, CFI=0.95, NFI=0.91, NNFI=0.92) were found to be at the desired level. In the reliability analysis, the internal consistency coefficient was α=0.77, which suggested that the scale was quite reliable, the item-total correlations of the scale varied between 0.38-0.52. Conclusion: It was determined that the validity and reliability of the Cancer Information Overload Scale was established and it could be used in the Turkish society. Amaç: Amaç Kanser Bilgi Yükü Ölçeğini Türkçeye uyarlamak, geçerlilik ve güvenilirliğini incelemektir. Gereç ve Yöntem: Metodolojik bir araştırmadır. Örneklemi Mart-Temmuz 2015 tarihlerinde Denizli ili Merkezefendi Toplum Sağlığı Merkezi'ne bağlı bir aile sağlığı merkezine kayıtlı 18-49 yaş grubu 144 kadın oluşturmaktadır. Veri toplama aracı olarak Kadınları Tanıtıcı Bilgi Formu, Meme Kanseri Sağlık İnanç Modeli Ölçeği, Kanser Bilgi Yükü Ölçeği kullanılmıştır. Dil eşdeğerliği ve kapsam geçerliliği sağlanmıştır. Ölçeğin geçerliliği için benzer ölçek geçerliliği, açımlayıcı ve doğrulayıcı faktör analizi kullanılmıştır. Ölçeğin güvenilirliğini değerlendirmek için Cronbach alfa ve madde toplam puan korelasyon analizi kullanılmıştır. Bulgular: Geçerlilik analizlerinde; açımlayıcı faktör analizi bulgularına göre ölçeğin faktör yüklerinin 0.51-0.67 arasında, açıklanan varyansın (%38.35) yeterli düzeyde olduğu, doğrulayıcı faktör analizinde modifikasyon sonrası Ki karenin serbestlik derecesine oranı 2.04 olarak bulunmuştur. Diğer uyum indekslerinin (RMSEA=0.085, GFI=0.94, AGFI=0.88, CFI=0.95, NFI=0.91, NNFI=0.92) istendik düzeyde olduğu saptanmıştır. Güvenilirlik analizinde; iç tutarlılık katsayısının (α=0.77) oldukça güvenilir olduğu, ölçeğin madde toplam korelasyonlarının 0.38 ile 0.52 arasında değiştiği bulunmuştur. Sonuç: Kanser Bilgi Yükü Ölçeği'nin geçerli ve güvenilir olduğu ve Türk toplumunda kullanılabileceği belirlenmiştir.