Individual-Level Determinants of Self-Care Behaviors and Adaptation to Chronic Illness in Turkish Patients With Chronic Disease: A Single-Center Cross-Sectional Study
Yasin Furkan Kılıç,1 Tuğba Yardımcı Gürel2 1Coronary Intensive Care Unit, Samsun Training and Research Hospital, Samsun, Turkey; 2Department of Nursing, Sinop University, Sinop, TurkeyCorrespondence: Tuğba Yardımc&inodo...
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Dove Medical Press
2025-02-01
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| author | Kılıç YF Yardımcı Gürel T |
| author_facet | Kılıç YF Yardımcı Gürel T |
| author_sort | Kılıç YF |
| collection | DOAJ |
| description | Yasin Furkan Kılıç,1 Tuğba Yardımcı Gürel2 1Coronary Intensive Care Unit, Samsun Training and Research Hospital, Samsun, Turkey; 2Department of Nursing, Sinop University, Sinop, TurkeyCorrespondence: Tuğba Yardımcı Gürel, Department of Nursing, Sinop University, Faculty of Health Sciences, Sinop, 57100, Turkey, Email yardimci.tugba@gmail.comPurpose: The study aimed to investigate the relationship between self-care management behaviors of individuals with chronic disease and their adaptation to chronic illness.Methods: This cross-sectional and correlational study was conducted with 312 patients treated at a Training and Research Hospital in Turkey between December 2023 and March 2024. The data were collected using a Sociodemographic Characteristics Form, the Self-Care Management Scale in Chronic Illness (SCMP-G) and the Adaptation to Chronic Illness Scale (ACIS).Results: Mean total scores of the participants for SCMP-G were 107.52 ± 12.51 and 77.00 ± 10.00 for ACIS. There was a low-level negative correlation between age and chronic disease adaptation (rh = − 0.201; P < 0.001). Adaptation to chronic illness decreased with increasing age. There was a low-level negative correlation between BMI and physical adaptation (rh = − 0.127; P = 0.026) and self-guarding (rh = − 0.114; P = 0.046). As BMI increased, physical adaptation and self-guarding decreased. Regression analyses revealed that age (β = − 0.115, t = − 0.511, P < 0.05) and economic status (β = 2.698, t = − 2.487, P < 0.05) had a significant effect on adaptation to chronic illness. Multiple regression analysis of the effect of self-guarding and social guarding variables on adaptation to chronic illness was significant (F = 3.504, P < 0.05).Conclusion: Based on the results of the present study, self-care management behaviors have a significant effect on adaptation to chronic illness and individual characteristics affect the results. Individual assistance should be extended to the patients to develop self-care management behaviors, which can induce lifestyle changes and necessary trainings should be planned. Future research should prioritize evaluating nurse-led interdisciplinary interventions and exploring the impact of tailored strategies for specific chronic conditions to improve self-care and adaptation.Keywords: chronic illness, self-care, adaptation, nurses |
| format | Article |
| id | doaj-art-6a5b0d1a547440ceae3d5d825bb2a2f9 |
| institution | Kabale University |
| issn | 1178-2390 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Dove Medical Press |
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| series | Journal of Multidisciplinary Healthcare |
| spelling | doaj-art-6a5b0d1a547440ceae3d5d825bb2a2f92025-02-09T16:10:20ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902025-02-01Volume 1863765099983Individual-Level Determinants of Self-Care Behaviors and Adaptation to Chronic Illness in Turkish Patients With Chronic Disease: A Single-Center Cross-Sectional StudyKılıç YFYardımcı Gürel TYasin Furkan Kılıç,1 Tuğba Yardımcı Gürel2 1Coronary Intensive Care Unit, Samsun Training and Research Hospital, Samsun, Turkey; 2Department of Nursing, Sinop University, Sinop, TurkeyCorrespondence: Tuğba Yardımcı Gürel, Department of Nursing, Sinop University, Faculty of Health Sciences, Sinop, 57100, Turkey, Email yardimci.tugba@gmail.comPurpose: The study aimed to investigate the relationship between self-care management behaviors of individuals with chronic disease and their adaptation to chronic illness.Methods: This cross-sectional and correlational study was conducted with 312 patients treated at a Training and Research Hospital in Turkey between December 2023 and March 2024. The data were collected using a Sociodemographic Characteristics Form, the Self-Care Management Scale in Chronic Illness (SCMP-G) and the Adaptation to Chronic Illness Scale (ACIS).Results: Mean total scores of the participants for SCMP-G were 107.52 ± 12.51 and 77.00 ± 10.00 for ACIS. There was a low-level negative correlation between age and chronic disease adaptation (rh = − 0.201; P < 0.001). Adaptation to chronic illness decreased with increasing age. There was a low-level negative correlation between BMI and physical adaptation (rh = − 0.127; P = 0.026) and self-guarding (rh = − 0.114; P = 0.046). As BMI increased, physical adaptation and self-guarding decreased. Regression analyses revealed that age (β = − 0.115, t = − 0.511, P < 0.05) and economic status (β = 2.698, t = − 2.487, P < 0.05) had a significant effect on adaptation to chronic illness. Multiple regression analysis of the effect of self-guarding and social guarding variables on adaptation to chronic illness was significant (F = 3.504, P < 0.05).Conclusion: Based on the results of the present study, self-care management behaviors have a significant effect on adaptation to chronic illness and individual characteristics affect the results. Individual assistance should be extended to the patients to develop self-care management behaviors, which can induce lifestyle changes and necessary trainings should be planned. Future research should prioritize evaluating nurse-led interdisciplinary interventions and exploring the impact of tailored strategies for specific chronic conditions to improve self-care and adaptation.Keywords: chronic illness, self-care, adaptation, nurseshttps://www.dovepress.com/individual-level-determinants-of-self-care-behaviors-and-adaptation-to-peer-reviewed-fulltext-article-JMDHchronic illnessself-careadaptationnurses |
| spellingShingle | Kılıç YF Yardımcı Gürel T Individual-Level Determinants of Self-Care Behaviors and Adaptation to Chronic Illness in Turkish Patients With Chronic Disease: A Single-Center Cross-Sectional Study Journal of Multidisciplinary Healthcare chronic illness self-care adaptation nurses |
| title | Individual-Level Determinants of Self-Care Behaviors and Adaptation to Chronic Illness in Turkish Patients With Chronic Disease: A Single-Center Cross-Sectional Study |
| title_full | Individual-Level Determinants of Self-Care Behaviors and Adaptation to Chronic Illness in Turkish Patients With Chronic Disease: A Single-Center Cross-Sectional Study |
| title_fullStr | Individual-Level Determinants of Self-Care Behaviors and Adaptation to Chronic Illness in Turkish Patients With Chronic Disease: A Single-Center Cross-Sectional Study |
| title_full_unstemmed | Individual-Level Determinants of Self-Care Behaviors and Adaptation to Chronic Illness in Turkish Patients With Chronic Disease: A Single-Center Cross-Sectional Study |
| title_short | Individual-Level Determinants of Self-Care Behaviors and Adaptation to Chronic Illness in Turkish Patients With Chronic Disease: A Single-Center Cross-Sectional Study |
| title_sort | individual level determinants of self care behaviors and adaptation to chronic illness in turkish patients with chronic disease a single center cross sectional study |
| topic | chronic illness self-care adaptation nurses |
| url | https://www.dovepress.com/individual-level-determinants-of-self-care-behaviors-and-adaptation-to-peer-reviewed-fulltext-article-JMDH |
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