Togluk Sabri, Çuhadar Döndü
Vocational School of Health Services, SIIRT University, SİİRT, Turkey.
Department of Psychiatric Nursing, Gaziantep University, Şehitkamil, Gaziantep, Turkey.
Indian J Palliat Care. 2021 Jul-Sep;27(3):358-366. doi: 10.25259/IJPC_338_20. Epub 2021 Sep 18.
This study was carried out in a descriptive manner to determine the effect of death anxiety on psychosocial adjustment in patients with chronic obstructive pulmonary disease (COPD).
The study was carried out on 150 inpatients and outpatients who were being treated at the thoracic diseases department of a state hospital during January 1- April 20, 2016. Personal information form, death anxiety scale (DAS) and psychosocial adjustment to illness scale-self report (PAIS-SR) were used for data acquisition. The data were analysed through IBM Statistical Package for the Social Sciences 22 software.
The DAS score average of the patients was determined as 6.96 ± 3.45, PAIS-SR total score average was determined as 67.54 ± 14.96. A positive and statistically significant relationship was determined between the death anxiety of the patients and their psychosocial adjustments ( < 0.05).
It can be concluded as a result of the study that the death anxieties of COPD patients are at a moderate level, that their psychosocial adjustments to the disease are at a bad level and that their psychosocial adjustments to the illness and to life are disrupted with increasing death anxiety. Psychiatry nurses can contribute to increasing the psychosocial adjustment to the illness of the patient by helping the patient and his/her family in adjusting to the changes in their life styles, preventing non-beneficial adjustments, developing the coping skills of the patient and his/her family and accordingly making the necessary planning.
本研究以描述性方式进行，以确定死亡焦虑对慢性阻塞性肺疾病（COPD）患者心理社会适应的影响。
该研究于2016年1月1日至4月20日期间，对一家国立医院胸科正在接受治疗的150名住院患者和门诊患者进行。使用个人信息表、死亡焦虑量表（DAS）和疾病心理社会适应量表-自我报告（PAIS-SR）进行数据采集。数据通过IBM社会科学统计软件包22进行分析。
患者的DAS评分平均值确定为6.96±3.45，PAIS-SR总分平均值确定为67.54±14.96。患者的死亡焦虑与其心理社会适应之间存在正向且具有统计学意义的关系（<0.05）。
研究结果可以得出结论，COPD患者的死亡焦虑处于中等水平，他们对疾病的心理社会适应处于较差水平，并且随着死亡焦虑的增加其对疾病和生活的心理社会适应受到干扰。精神科护士可以通过帮助患者及其家人适应生活方式的变化、防止无益的适应情况、培养患者及其家人的应对技能并据此进行必要的规划，来促进患者对疾病的心理社会适应。
