J Psy Nurs. 2012; 3(3): 105-115 | DOI: 10.5505/phd.2012.32032

Evaluation Of Psychological Training’s Influence On Psychosocial Adaptation Of Patients Who Had Myocardial Infarktus

Sevgi Nehir Türkmen¹, Mahire Olcay Çam^2
1Celal Bayar University, School Of Health Sciences, Department Of Mental Health Nursing, Manisa
²Ege University, Faculty Of Nursing, Department Of Psychiatric Nursing, Ýzmir

OBJECTIVE: This research has been conducted for the purpose of analyzing psychological adjustment effect on therapy and on psychological training provided to those who had myocardial infarktus.
METHODS: The research had been conducted on patients, who applied to Ege University Cardiology Department and Manisa Private Sekiz Eylül Hospital Cardiology Polyclinic between the dates of June 2010-March 2011, and on those who experienced myocardial infarktus on the basis of a semi-experimental experiment-control research.The sample group of the research is composed of 60 patients who has been in accordance with the sample choice criteria (30 individuals for th experimental group and 30 individuals for the control group). Each person in the experimental group has been included in an interview on psychological training individually for six times. The data of the research has been gathered in two steps by applying pretests and posttests on patients after getting written permits from the hospitals’ management. In collection of the data, Tanýtýcý Bilgi Formu (Introductory Information Form) and Psychological Adjustment to Illness Scale (PAIS-SR) were used. The data has been evaluated by using, number, percentage distribution and matched sample test.
RESULTS: After the application of psychological training, average point of experimental group’s patients pretest PAIS-SR (in total) has been as 40.67 ± 12.28; post test average has been found as 32.71 ± 11.01. Control group’s pretest PAIS-SR (in total) average has been found as 41.67 ± 11.31, post test average has been found as 40.28 ± 8.33. Adaptation level of the experimental group’s patients after psychological education has been higher compared to those who are in the control group ( Z = -4.733, p<0, 01).
CONCLUSION: In the light of the findings obtained, it has been concluded that applications of psychological training attempts to patients who experienced myocardial infarktus are effective in increasing psychological adaptation of patients to physical illness.

Keywords: Myocardial Infarktus, Psychological Training, Psychological Training, Nurse.

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Miyokard Ýnfarktüsü Geçirmiþ Hastalarda Psikoeðitimin Psikososyal Uyum Üzerine Etkisinin Deðerlendirilmesi

Sevgi Nehir Türkmen¹, Mahire Olcay Çam^2
1Celal Bayar Üniversitesi, Saðlýk Yüksekokulu, Ruh Saðlýðý Ve Hastalýklarý Anabilim Dalý, Manisa
²Ege Üniversitesi, Hemþirelik Fakültesi, Psikiyatri Hemþireliði Anabilim Dalý, Ýzmir

AMAÇ: Bu araþtýrma Miyokard Ýnfarktüsü geçirmiþ bireylere verilen psikoeðitimin tedavideki etkinliðini ve psikososyal uyuma etkisini incelemek amacýyla yapýlmýþtýr.

YÖNTEMLER: Araþtýrma, Ege Üniversitesi Kardiyoloji Anabilim Dalý ve Manisa Özel Sekiz Eylül Hastanesi Kardiyoloji Polikliniðine baþvuran Miyokard Ýnfarktüsü geçirmiþ hastalarla Haziran 2010-Mart 2011 tarihleri arasýnda yürütülmüþtür. Araþtýrma, deney-kontrol deseninde yarý deneysel bir araþtýrma olarak yapýlmýþtýr. Araþtýrmanýn örneklemini, örneklem seçim kriterlerini karþýlayan (30 deney ve 30 kontrol grubu) 60 hasta oluþturmuþtur. Deney grubu 30 hastanýn her biriyle 6 kez olmak üzere psikoeðitim ve bireysel görüþme yapýlmýþtýr. Araþtýrmanýn verileri hastalara ön test ve son test uygulanarak iki aþamada toplanmýþtýr. Verilerin toplanmasýnda Tanýtýcý Bilgi Formu ve Psikososyal Uyum Ölçeði kullanýlmýþtýr. Veriler sayý, yüzde daðýlýmý ve eþleþtirilmiþ örnek t test kullanýlarak deðerlendirilmiþtir.
BULGULAR: Psikoeðitim uygulamalarý sonrasýnda deney grubu hastalarýnýn PAIS-SR ön test toplam puan ortalamasý 40.67±12.28, son test puan ortalamasý 32.71±11.01 olarak bulunmuþtur. Kontrol grubu hastalarýn PAIS-SR ön test toplam puan ortalamasý 41.67±11.31, son test puan ortalamasý 40.28±8.93 olarak bulunmuþtur. Psikoeðitim sonrasý deney grubu hastalarýn, kontrol grubu hastalara göre hastalýða psikososyal uyum düzeyleri daha fazla olmuþtur (Z=-4.733, p<0,01).

SONUÇ: Elde edilen bu bulgular doðrultusunda, uygulanan psikoeðitim giriþimlerinin Miyokard Ýnfartüsü geçirmiþ hastalarýn fiziksel hastalýða psikososyal uyumlarýný artýrmada etkili olduðu sonucuna varýlmýþtýr.

Anahtar Kelimeler: Miyokard Ýnfarktüsü, psikoeðitim, psikososyal uyum, hemþirelik.

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