Anger expression styles of adolescents with chronic disease

OBJECTIVE: Adolescents with chronic disease have more psychosocial problems than healty adolescents due to the such factors related to the disease as; prevention of independence, deformation of body image and being away from friends. The most important of these problems are anger and agression. In this study, it was aimed to determine the ways of adolescents with chronic disease to express anger.
METHODS: In this study which was planned as descriptive, personal information form, continual anger and anger expression scale were used to collect data. The study sample consisted of 64 adolescents between the ages of 10 and 19 who had chronic diseases about hematology, kidney, heart diseases and who lined in hospital in March – August 2012 (participation rate is 71%). Percentage, mean and Kruskal Wallis tests were used in the analysis of data.
RESULTS: According to the study findings, the mean age of adolescents with chronic disease was = 14.78±2.16. It was asked the study group to score the anger they perceive between 0 and 10 and it was determined that their perceived anger level was =4.68±2.73. Subscale scores of Continual Anger and Anger Expression scale were examined and it was determined that the anger control scores of the adolescents were high ( =21.68±4.88). Adolescents’ anger levels were analyzed according to their diagnosis and continual anger points of adolescents with immunology diseases were found higher than the other adolescents and it was seen that their anger control points were even lower. In the study, continual anger (p=0,047) and anger expressing (p=0,017) points of 16 – 18 year old adolescents were statistically significant. Anger control scores of the adolescents in this age group were low.
CONCLUSION: According to the study result, it was seen that adolescents with chronic disease could control their anger but this situation changed according to the groups of diseases and age. It is suggested the pediatric nurses and consultation liaison psychiatry nurses to determine the adolescents’ ways to express anger and to organize anger training programs for the risk group.

Kronik hastalýðý olan ergenlerin öfke ifade biçimleri

AMAÇ: Kronik hastalýðý olan ergenler, hastalýða baðlý baðýmsýzlýðýn engellenmesi, beden imajýnýn bozulmasý ve arkadaþlarýndan ayrý kalma gibi nedenlerle saðlýklý ergenlere göre daha fazla psikososyal sorunlar yaþarlar. Bu sorunlarýn baþýnda öfke ve saldýrganlýk gelmektedir. Bu araþtýrmada, kronik hastalýðý olan ergenlerin öfkeyi ifade etme biçimlerinin belirlenmesi amaçlanmýþtýr.
YÖNTEMLER: Tanýmlayýcý tipte planlanan araþtýrmada veri toplama aracý olarak; Kiþisel Bilgi Formu, Sürekli Öfke ve Öfke Ýfade Tarz Ölçeði kullanýlmýþtýr. Araþtýrmanýn örneklemini, bir üniversitenin çocuk hastanesinde Mart- Aðustos 2012 tarihleri arasýnda yatan, 10-19 yaþlarý arasýnda, kronik hastalýðý olan (hematoloji, böbrek, kalp hastalýklarý gibi) 64 ergen oluþturmuþtur (katýlým oraný %71’dir). Verilerin analizlerinde yüzde, ortalama ve Kruskal Wallis testleri kullanýlmýþtýr.
BULGULAR: Araþtýrma bulgularýna göre kronik hastalýðý olan ergenlerin yaþ ortalamasý = 14.78±2.16 olup, algýladýklarý öfkeyi 0-10 arasý puanlamalarý istenmiþ ve öfke düzeylerinin =4.68±2.73 olduðu saptanmýþtýr. Sürekli Öfke ve Öfke Ýfade Tarz Ölçeði alt ölçek puanlarý incelendiðinde, ergenlerin öfke kontrol puanlarýnýn ( =21.68±4.88) yüksek olduðu saptanmýþtýr. Ergenlerin tanýlarýna göre öfke düzeyleri incelendiðinde, immünoloji hastasý ergenlerin sürekli öfke puanlarý, diðer hastalýðý olan ergenlere göre yüksek bulunurken, öfke kontrol puanlarýnýn da düþük olduðu saptanmýþtýr. Araþtýrmada 16-18 yaþ grubundaki ergenlerin sürekli öfke (p=0,047) ve öfke dýþa puanlarý (p=0,017) istatistiksel olarak anlamlý bulunmuþtur. Bu yaþ grubundaki ergenlerin öfke kontrol puanlarý düþük olarak saptanmýþtýr.
SONUÇ: Araþtýrma sonucuna göre; kronik hastalýðý olan ergenlerin öfkelerini kontrol edebildikleri ancak bu durumun hastalýk ve yaþ gruplarýna göre farklýlýk gösterdiði belirlenmiþtir. Çocuk hemþirelerinin ve konsültasyon liyazon psikiyatri hemþirelerinin ergenlerin öfke ifade biçimlerini saptamasý ve risk grubuna yönelik öfke eðitim programlarý düzenlemesi önerilir.