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在土耳其大流行期间,慢性病患者对 COVID-19 的认知、对 COVID-19 的恐惧与自我护理管理之间的关系。

The relationship between perception of COVID-19, fear of COVID-19 and self-care management in individuals with chronic diseases during the pandemic process in Turkey.

机构信息

Department of Internal Diseases Nursing, Zübeyde Hanım Faculty of Health Sciences, Niğde Ömer Halisdemir University, Niğde, Turkey.

Department of Public Health Nursing, Faculty of Health Sciences, Yozgat Bozok University, Yozgat, Turkey.

出版信息

J Clin Nurs. 2024 Feb;33(2):617-629. doi: 10.1111/jocn.16886. Epub 2023 Sep 24.

Abstract

AIMS

To determine the relationship between perception of COVID-19, fear of COVID-19 and self-care management in individuals with chronic diseases during the pandemic process.

BACKGROUND

Individuals with chronic diseases are a sensitive group during the COVID-19 pandemic process; it is thought that self-care management may be adversely affected as a result of their more intense exposure to the psychological, physiological and economic effects of the pandemic. In the literature, there is no study examining the effect of perception of COVID-19 and fear of COVID-19 on self-care management in individuals with chronic diseases.

DESIGN

Descriptive study.

METHODS

The study was conducted with 322 individuals who applied to the internal medicine outpatient clinics of a university's Health Practice and Research Center, met the inclusion criteria, agreed to participate in the study and had a chronic disease. Questionnaire form, Perception of COVID-19 Scale (P-COVID-19), The Fear of COVID-19 Scale (FCV-19S) and Self-Care Management Process in Chronic Illness Scale (SCMP-G) were used to collect data. STROBE checklist was used to report the present study.

RESULTS

In the study, it can be stated that individuals with chronic diseases had a moderate to the high perception of contagiousness and dangerousness of COVID-19, they had a moderate-high level of fear of COVID-19 and their self-care care management was above moderate level. There was a significant positive correlation between P-COVID-19, FCV-19S and SCMP-G in the study.

CONCLUSIONS

It was found that the perception of COVID-19 contagiousness and the fear of COVID-19 had a positive effect on the self-care management of individuals with chronic diseases.

RELEVANCE TO CLINICAL PRACTICE

Determining the level of COVID-19 perception and fear of COVID-19 and their effects on the life of the individual, and evaluating self-care management during the difficult pandemic process will increase the success in the holistic nursing care and management of chronic diseases.

摘要

目的

在大流行期间,确定慢性病患者对 COVID-19 的认知、对 COVID-19 的恐惧与自我护理管理之间的关系。

背景

在 COVID-19 大流行期间,慢性病患者是一个敏感群体;人们认为,由于他们更强烈地受到大流行的心理、生理和经济影响,自我护理管理可能会受到不利影响。在文献中,没有研究考察慢性病患者对 COVID-19 的认知和对 COVID-19 的恐惧对自我护理管理的影响。

设计

描述性研究。

方法

本研究纳入了 322 名向某大学健康实践与研究中心内科门诊就诊、符合纳入标准、同意参与研究且患有慢性病的患者。使用问卷形式、COVID-19 感知量表(P-COVID-19)、COVID-19 恐惧量表(FCV-19S)和慢性病自我护理管理过程量表(SCMP-G)收集数据。STROBE 清单用于报告本研究。

结果

在研究中,可以指出慢性病患者对 COVID-19 的传染性和危险性有中度到高度的认识,他们对 COVID-19 有中度到高度的恐惧,他们的自我护理管理处于中等偏上水平。在研究中,P-COVID-19、FCV-19S 和 SCMP-G 之间存在显著正相关。

结论

研究发现,对 COVID-19 传染性的认知和对 COVID-19 的恐惧对慢性病患者的自我护理管理有积极影响。

临床意义

确定 COVID-19 的感知和对 COVID-19 的恐惧程度及其对个人生活的影响,并在困难的大流行期间评估自我护理管理,将提高慢性病整体护理和管理的成功率。

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