Fonksiyonel sa�l�k �r�nt�leri modeli ile bir huzurevinde ya�ayan ya�l�lar�n bak�m gereksinimlerinin belirlenmesi

Babacan G�m��, Aysun; ��pk�n, Sevin�; Keskin, G�lseren

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Fonksiyonel sa�l�k �r�nt�leri modeli ile bir huzurevinde ya�ayan ya�l�lar�n bak�m gereksinimlerinin belirlenmesi [J Psy Nurs]

J Psy Nurs. 2012; 3(1): 13-21 | DOI: 10.5505/phd.2012.03511

Fonksiyonel sa�l�k �r�nt�leri modeli ile bir huzurevinde ya�ayan ya�l�lar�n bak�m gereksinimlerinin belirlenmesi

Aysun Babacan G�m��¹, Sevin� ��pk�n¹, G�lseren Keskin²
¹�anakkale Onsekiz Mart �niversitesi, Sa�l�k Y�ksekokulu, �anakkale
²Ege �niversitesi, Atat�rk Sa�l�k Hizmetleri Meslek Y�ksekokulu, �zmir

AMA�: Bu �al��ma Fonksiyonel Sa�l�k �r�nt�leri Modeli ile bir huzurevinde ya�ayan ya�l�lar�n bak�m gereksinimlerinin belirlenmesi amac�yla yap�lm��t�r.
Y�NTEMLER: Ara�t�rma �anakkale �akader Dani� Huzurevinde ger�ekle�tirilmi�tir. Ara�t�rman�n �rneklemini 66 ya�l� olu�turmu�tur. Veriler Tan�t�c� Bilgi Formu, NANDA- Taksonomi II- Fonksiyonel Sa�l�k �r�nt�leri Alt�nda Gruplanm�� Hem�irelik Tan�lar� Listesi ve Standardize Mini Mental Test kullan�larak elde edilmi�tir. Verilerin de�erlendirilmesinde say�-y�zde da��l�m� kullan�lm��t�r.
BULGULAR: Ara�t�rmaya kat�lan ya�l�lar�n ya� ortalamas� 76.35 (SD=9.94), %56.1�i kad�n, %93.9�u dul, %48.5�i ilkokul mezunudur. Ya�l�lar�n %80.3�� huzurevinde isteyerek kalmakta, %59.1�inin ziyaret�isi gelmekte, %31.8�i ziyarete gidebilmektedir. Ya�l�lar�n %74.2�sinin sa�l�k g�vencesi mevcuttur. Ya�l�larda Standardize Mini Mental Test puan� ortalamas� 23.38 (SD=5.47) olarak saptanm��t�r. Belirlenen hem�irelik tan�lar�na g�re, ya�l�larda en s�k g�r�len sorunlar, uyku �r�nt�s�nde rahats�zl�k (%60.6), sosyal etkile�imde bozulma (%60.6), yorgunluk (%54.5), yaln�zl�k riski (%53), a�r� (%50), �zbak�m eksikli�i sendromu (%50), anksiyete (%40.9), etkisiz bireysel ba� etme (%36.4), aktivite intolerans� / aktivite intolerans� riski (%33.3), yaralanma riski (%33.3), bellekte bozulma (%30.3) olarak belirlenmi�tir.
SONU�: Fonksiyonel Sa�l�k �r�nt�leri Modeline g�re, ya�l�larda en fazla sorun saptanan alanlar, Aktivite - Dinlenme, Ba� etme - Stres tolerans�, Bili�sel - Alg�sal, G�venlik - Korunma ve Kendini alg�lama�d�r. Fonksiyonel Sa�l�k �r�nt�leri Modeli huzurevinde ya�ayan ya�l�lar�n bak�m gereksinimlerinin belirlenmesinde ve hem�irelik giri�imlerinin uygulanmas�nda kolay ve kullan��l� bir model olarak kullan�labilir.

Anahtar Kelimeler: Fonksiyonel Sa�l�k �r�nt�leri Modeli, ya�l�, huzurevi, hem�irelik tan�s�

Determination of care needs according to functional health patterns model of elderly individuals who live in a nursing home

Aysun Babacan G�m��¹, Sevin� ��pk�n¹, G�lseren Keskin²
¹�anakkale Onsekiz Mart University, School of Health, �anakkale
²Ege University, Atat�rk Medical Technology Vocational Training School, �zmir

OBJECTIVE: This study was conducted to determination of care needs according to Functional Health Patterns Model of elderly individuals who live in a nursing home.
METHODS: The study was conducted in �anakkale �akader Dani� Nursing Home. The sample of the study was composed of 66 elderly. Data were collected by Introductory Information Form, NANDA- Taxonomy II- Nursing Diagnosis List grouped under Functional Health Patterns and, Standardized Short Mental Test. In the assessment of the data; number-percent distribution were used.
RESULTS: The mean age of elderly was 76.35 (SD=9.94). 56.1% of elderly people was female, %93.9 of them was widow. Education level o 48.5% of them was primary school. 80.3% of elderly live in the nursing home willingly, 59.1% of them have visitors, 31.8% of them can go for visiting. 74.2% of elderly have health insurance. The mean score of Standardized Short Mental Test of the elderly was detected as 23.38 (SD=5.47). According to the nursing diagnosis, the most common problems in the elderly were sleep pattern disturbance (60.6%), impairment in social interaction (60.6%), fatigue (54.5%), the risk of loneliness (53%), pain (50%), self-care deficiency syndrome (50%), anxiety (%40.9), ineffective individual coping (%36.4), activity intolerance / the risk of activity tolerance (%33.3), risk of injury (33.3%), memory impairment (30.3%).
CONCLUSION: According to the Functional Health Pattern Model, the most common problem areas in the elderly were Activity - Rest, Coping - Stress tolerance, Cognitive - Perceptual, Security � Protection and Self perception. Model of Functional Health Patterns can be used as an easy and convenient model for determining the health care requirements and implementing nursing interventions of elderly people in nursing homes.

Keywords: Functional Health Pattern Model, elderly, nursing home, nursing diagnosis

Sorumlu Yazar: Aysun Babacan G�m��, T�rkiye
Makale Dili: T�rk�e

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