Araştırma Makalesi
Yıl 2022,
, 9 - 16, 30.04.2022
Öz
Araştırma, hemşirelerin obez hastalara ve bakımlarına yönelik bakış açısını değerlendirmek amacıyla tanımlayıcı tipte yapılmıştır. Araştırmanın örneklemini 1 Haziran-30 Temmuz 2017 tarihleri arasında bir üniversite hastanesinde en az bir gün yatarak bakım ve tedavi alan obez hastanın bakımını üstlenen 215 gönüllü hemşire oluşturmuştur. Araştırma verileri Kişisel Bilgi Formu ile toplanmıştır. Veri analizinde yüzdelik hesaplamaları, Ki-Kare önemlilik testi kullanılmıştır. Hemşirelerin %65.6’sı 20-30 yaş aralığında, %68.8’i kadın, %76.3’ü lisans mezunu, %45.1’inin meslekte çalışma yılı 0-5 yıldır. Hemşirelerin %21.39’u obez hastaları obur bireyler olarak düşündüğünü, %20.46’sı bu hastaları sevimli bulduğunu, %54.9’u obez hastalara bakım vermek istediğini ancak %68.8’i seçim şansı olma durumunda bu hastalara öncelik vermeyeceğini belirtmiştir. Hemşirelerin yarıdan fazlası obez hastanın yaşı (%63.3) ve bilinç durumunun (%53.5) bakım verme istekleri üzerinde etkisinin olmadığını belirtmiş olup, etkisinin olduğunu düşünen hemşirelerin %73.3’ü ise bilinci açık hastaya bakımda daha istekli olduklarını belirtmiştir. Hemşirelerin %91.6’sı genel olarak obez hastalara bakım verirken, 73.5’i obez hastalara acil müdahalede bulunurken ve %23.7’si hastaya en çok yatak içinde pozisyon verirken, %20.55’i bası yarası oluşumunu engellemeye çalışırken zorlandıklarını ifade etmiştir. Hemşirelerin profesyonel anlamda bakım verirken hasta ayırımı yapmadıkları, yaşadıkları zorluklar nedeniyle obez hastalara bakım vermede çok istekli olmadıkları söylenebilir.
Anahtar Kelimeler
Kaynakça
- Alberga AS, Russell-Mayhew S, VonRanson KM, McLaren L. RamosSalas X, Sharma AM (2016) Futureresearch in weightbias: what next? Obesity. 24(6): 1207–1209
- Alkan A, Erdem R, Çelik R (2016) Sağlık alanındaki ayrımcı tutum ve davranışlar: kavramsal bir inceleme. Hacettepe Sağlık İdaresi Dergisi. 19(3): 365-390
- Altun Uğraş G, Yüksel S, Erer Işık MT, Kettaş E, Randa S (2017) Are nurses willing to provide care to obese surgical patients?. Bariatric Surgical Practice and Patient Care. 12(3):116-122
- Buxton BK, Snethen J (2013) Obese Women's Perceptions and Experiences of Healthcare and Primary Care Providers: A phenomenological study. Nursing Research. 62(4):252-259
- Brown I (2006) Nurses' attitudes towards adult patients who are obese: Literatur review. Journal of Advanced Nursing. 53(2):221-232
- Budd G.M, Mariotti M, Garff D, Falkenstein K (2011) Health care professionals' attitudes about obesity: An integrative review. Applied Nursing Research. 24(3):127–137.
- Brown I, Thompson, J (2007) Primary care nurses' attitudes, beliefs and own body size in relation to obesity management. Journal of Advanced Nursing. 60(5):535–543
- Creel E, Tillman K (2011) Stigmatization of over weight patients by nurses. The Qualitative Report 16(5):1330-1351
- Drake, D, Dutton K, Engelke M, McAuliffe M, Rose M.A (2005) Challenges that nurses face in caring for morbidly obese patients in the acute care setting. Surg Obes Relat Dis. 1(5): 462–466
- Engström M, Skytt B, Ernesäter A., Fläckman B., Mamhidir A.G (2013) Districtnurses' self-reported clinical activities, beliefs about and attitudes towards obesity management. Appl Nurs Res 26(4):198-203
- Flint SW (2015) Obesity stigma: Prevalence and impact in healthcare. British Journal of Obesity. 1(1):14-18
- Foroozesh R, Sadati L, Nosrati S, Karami S, Beyrami A, Fasihi T (2017) Challenges in nursing care of morbidly obese patients: nurses’ viewpoints. J Minim Invasive Surg Sci. 6(2): 1-6
- Gönenç I, Tuzcular Vural Z, Kayataş K (2014) Obezite ve yaşam kalitesi. Turkiye Klinikleri J FamMed-Special Topics. 5(3): 83-87
- Gudzune KA, Bennett WL, Cooper LA (2014) Patients who feel judged about their weight have lower trust in their primary care providers. Patient Education and Counseling. 97:128-131
- Hales C, Coombs M, Vries de K (2018) The challenges in caring for morbidly obese patients in intensive care: A focus edethnographic study. Aust Crit Care. 31(1): 37-41
- Hatzenbuehler ML, Phelan JC, Link BG (2013) Stigma as a fundamental cause of population health ınequalities. Am J Public Health 103(5):813-821
- Huizinga MM, Cooper LA, Bleich SN, Clark JM, Beach CM (2009) Physician respect for patients with obesity. J Gen Intern Med. 24(11):1236–1239
- Işık MT, Altun Uğraş G, Usanmaz Z (2019) Hemşireler Obez Hastalara Karşı Ön Yargılı Mı?. Van Tıp Derg. 26(4): 491-497
- Keyworth C, Peters S, Chisholm A, Hart J (2013) Nursing students' perceptions of obesity and behaviour change: implications for under graduate nurse education. Nurse Educ Today. 33(5): 481-485
- Kristensen M.S (2010) Airway management and morbid obesity. Eur J Anaesthesiol. 27(11):923–927
- Mold F, Forbes A (2013) Patients' and professionals' experiences and perspectives of obesity in healthcare settings: A synthesis of current research. Health Expect. 16 (2): 119-142
- Moorhead A, Coates V, Hazlett D, Gallagher A, Murphy K, Nolan G, Dinsmore J (2011) Weight care project: Health professionals’ attitudes and ability to assess body weight status – Study protocol. BMC Public Health. 11(1):202-208
- Nolan C, Deehan A, Wylie A, Jones R (2012) Practice Nurses and Obesity: Professional and practice-based factors affecting role adequacy and role legitimacy. Primary Health Care Research and Development. 13(4):353-363
- Nursing and Midwifery Council (2015) The Code: Professional standards of practice and behaviour for nurses and midwives
- Öztürk Altınayak S, Yağmur Gür E, Ejder Apay S, Özkan H (2017) Ebelik öğrencilerinin obez gebelere karşı önyargısı. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi.20(3):201-207
- Puhl R, Brownell KD (2006) Confronting and coping with weight stigma: An investigation of over weight and obese adults, Obesity. 14(10):1802-1815
- Puhl RM, King KM (2013) Weight discrimination and bullying. Best Practice&Research Clinical Endocrinology&Metabolism. 27(2):117-127
- Pokorny M.E, Scott E, Rose M.A, Baker G, Swanson M, Waters W, Watkins F, Drake D (2009) Challenges in caring for morbidly obese patients. Home Healthcare Nurse 27(1): 43-52
- Setchell J, Watson B, Jones L, Gard M, Briffla K (2014) Physiotherapists demonstrate weight stigma: A cross-sectionalsurvey of australian physiotherapists. Journal of Physiotherapy 60(3):157-62
- Shea JM,Ganon M (2015) Working with patients living with obesity in the intensive care unit. Advences in Nursing Science. 38(3):17- 37
- Sikorski C, Luppa M, Glaesmer H, Brähler E, König HH, Riedel-Heller SG (2013) Attitudes of health care professionals towards female obese patients. Obesity Facts. 6(6):512–522
- Sutin A.R, Stephan Y, Terracciano A (2015) Weight discrimination and risk of mortality. Psychol Sci. 26(11):1803–1811.
- Swift JA, Hanlon S, El-Redy L, Puhl RM, Glazebrook C (2013). Weight bias among uktraineedietitians, doctors, nurses and nutritionists. Journal of Human Nutritionand Dietetics. 26(4):395–402
- Tanaka DS, Peniche ADCG. Perioperative care for morbid obese patient undergoing bariatric surgery: Challenges for nurses. actapaulista de enfermagem 2009; 22(5): 618–23
- Tanneberger A, Ciupitu-Plath C (2018) Nurses’ weight bias in caring for obese patients: do weight controllability beliefs ınfluence the provision of care to obese patients?. Clinical Nursing Research. 27(4):414-432
- Taşkın Yılmaz F, Karakoç Kumsar A, Olgun N (2013) Obez bireylerde stigma. Hemşirelik Forumu Diyabet, Obezite ve Hipertansiyon. 5(1):28-33
- Usta E, Akyolcu N (2014) Cerrahi hemşirelerinin fazla kilolu/ obez hasta bakımına ilişkin bilgi ve uygulamalarının değerlendirilmesi. F.N. Hem. Dergisi. 22(1):1-7
- Ünal D (2018) Sağlık çalışanlarının obez bireylere karşı tutumlarının değerlendirilmesi. Başkent Üniversitesi Sağlık Bilimleri Enstitüsü Beslenme ve Diyetetik Anabilim Dalı Yükseklisans Tezi.
- Wang Y, Ding Y, Song D, Zhu D, Wang J (2016) Attitudes toward obese persons and weight locus of control in chinese nurses: a cross-sectionalsurvey. Nurs Res. 65(2): 126-132
- Ward-Smith P, Peterson JA (2016) Development of an instrument to assess nurse practitioner attitudes and beliefs about obesity. Journal of th eAmerican Association of Nurse Practitioners. 28(3): 125–129
- World Health Organization. 2021. URL: https://www.who.int/topics/obesity/en/. Erişim 24 Ekim 2021.
- World Health Organization. 2021. URL: https://www.euro.who.int/__data/assets/pdf_file/0017/351026/WeightBias.pdf. Erişim 24 Ekim 2021
- Zuzelo P.R, Seminara P (2006) Influence of registered nurses’ attitudes toward bariatric patients on educational programming effectiveness. Journal of Continuing Education in Nursing. 37(2): 65-73.
Yıl 2022,
, 9 - 16, 30.04.2022
Öz
The research was conducted in a descriptive design to assess the perspective of nurses towards obese patients and their care. The sample of the study consisted of 215 volunteer nurses who took care of obese patients receiving inpatient care and treatment at a university hospital for at least one day between 1 June 2017 and 30 July 2017. The research data were collected a Personal Information Form. The data were evaluated the percentage calculations and the Chi-square significance test were used in data analysis. 65.6% of the nurses are in age range of 20-30 years, 68.8% are women, 76.3% have bachelor’s degree, 45.1% are working in profession between 0-5 years. 21.39% of the nurses regarded obese patients as gluttons, 20.46% said these patients were pretty, 54.9% wanted to give obesity care, but 68.8% said they would not give priority for these patients if they had a choice. More than half of the nurses stated that the age of obese patients (63.3%) and their consciousness (53.5%) had no effect on their desire for care giving, and 73.3% of nurses who thought otherwise noted that they were more willing to care for conscious patients. 91.6% of the nurses stated they have difficulty while caring obese patients, 73.5% while giving emergency intervention for obese patients, 23.7% while positioning the patient in bed, and 20.55% while trying to prevent the formation of bedsore. In accordance with the research findings, it can be said that nurses do not make discriminations between patients while giving professional care, and do not want to give care to obese patients because of the difficulties they have experienced.
Anahtar Kelimeler
Kaynakça
- Alberga AS, Russell-Mayhew S, VonRanson KM, McLaren L. RamosSalas X, Sharma AM (2016) Futureresearch in weightbias: what next? Obesity. 24(6): 1207–1209
- Alkan A, Erdem R, Çelik R (2016) Sağlık alanındaki ayrımcı tutum ve davranışlar: kavramsal bir inceleme. Hacettepe Sağlık İdaresi Dergisi. 19(3): 365-390
- Altun Uğraş G, Yüksel S, Erer Işık MT, Kettaş E, Randa S (2017) Are nurses willing to provide care to obese surgical patients?. Bariatric Surgical Practice and Patient Care. 12(3):116-122
- Buxton BK, Snethen J (2013) Obese Women's Perceptions and Experiences of Healthcare and Primary Care Providers: A phenomenological study. Nursing Research. 62(4):252-259
- Brown I (2006) Nurses' attitudes towards adult patients who are obese: Literatur review. Journal of Advanced Nursing. 53(2):221-232
- Budd G.M, Mariotti M, Garff D, Falkenstein K (2011) Health care professionals' attitudes about obesity: An integrative review. Applied Nursing Research. 24(3):127–137.
- Brown I, Thompson, J (2007) Primary care nurses' attitudes, beliefs and own body size in relation to obesity management. Journal of Advanced Nursing. 60(5):535–543
- Creel E, Tillman K (2011) Stigmatization of over weight patients by nurses. The Qualitative Report 16(5):1330-1351
- Drake, D, Dutton K, Engelke M, McAuliffe M, Rose M.A (2005) Challenges that nurses face in caring for morbidly obese patients in the acute care setting. Surg Obes Relat Dis. 1(5): 462–466
- Engström M, Skytt B, Ernesäter A., Fläckman B., Mamhidir A.G (2013) Districtnurses' self-reported clinical activities, beliefs about and attitudes towards obesity management. Appl Nurs Res 26(4):198-203
- Flint SW (2015) Obesity stigma: Prevalence and impact in healthcare. British Journal of Obesity. 1(1):14-18
- Foroozesh R, Sadati L, Nosrati S, Karami S, Beyrami A, Fasihi T (2017) Challenges in nursing care of morbidly obese patients: nurses’ viewpoints. J Minim Invasive Surg Sci. 6(2): 1-6
- Gönenç I, Tuzcular Vural Z, Kayataş K (2014) Obezite ve yaşam kalitesi. Turkiye Klinikleri J FamMed-Special Topics. 5(3): 83-87
- Gudzune KA, Bennett WL, Cooper LA (2014) Patients who feel judged about their weight have lower trust in their primary care providers. Patient Education and Counseling. 97:128-131
- Hales C, Coombs M, Vries de K (2018) The challenges in caring for morbidly obese patients in intensive care: A focus edethnographic study. Aust Crit Care. 31(1): 37-41
- Hatzenbuehler ML, Phelan JC, Link BG (2013) Stigma as a fundamental cause of population health ınequalities. Am J Public Health 103(5):813-821
- Huizinga MM, Cooper LA, Bleich SN, Clark JM, Beach CM (2009) Physician respect for patients with obesity. J Gen Intern Med. 24(11):1236–1239
- Işık MT, Altun Uğraş G, Usanmaz Z (2019) Hemşireler Obez Hastalara Karşı Ön Yargılı Mı?. Van Tıp Derg. 26(4): 491-497
- Keyworth C, Peters S, Chisholm A, Hart J (2013) Nursing students' perceptions of obesity and behaviour change: implications for under graduate nurse education. Nurse Educ Today. 33(5): 481-485
- Kristensen M.S (2010) Airway management and morbid obesity. Eur J Anaesthesiol. 27(11):923–927
- Mold F, Forbes A (2013) Patients' and professionals' experiences and perspectives of obesity in healthcare settings: A synthesis of current research. Health Expect. 16 (2): 119-142
- Moorhead A, Coates V, Hazlett D, Gallagher A, Murphy K, Nolan G, Dinsmore J (2011) Weight care project: Health professionals’ attitudes and ability to assess body weight status – Study protocol. BMC Public Health. 11(1):202-208
- Nolan C, Deehan A, Wylie A, Jones R (2012) Practice Nurses and Obesity: Professional and practice-based factors affecting role adequacy and role legitimacy. Primary Health Care Research and Development. 13(4):353-363
- Nursing and Midwifery Council (2015) The Code: Professional standards of practice and behaviour for nurses and midwives
- Öztürk Altınayak S, Yağmur Gür E, Ejder Apay S, Özkan H (2017) Ebelik öğrencilerinin obez gebelere karşı önyargısı. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi.20(3):201-207
- Puhl R, Brownell KD (2006) Confronting and coping with weight stigma: An investigation of over weight and obese adults, Obesity. 14(10):1802-1815
- Puhl RM, King KM (2013) Weight discrimination and bullying. Best Practice&Research Clinical Endocrinology&Metabolism. 27(2):117-127
- Pokorny M.E, Scott E, Rose M.A, Baker G, Swanson M, Waters W, Watkins F, Drake D (2009) Challenges in caring for morbidly obese patients. Home Healthcare Nurse 27(1): 43-52
- Setchell J, Watson B, Jones L, Gard M, Briffla K (2014) Physiotherapists demonstrate weight stigma: A cross-sectionalsurvey of australian physiotherapists. Journal of Physiotherapy 60(3):157-62
- Shea JM,Ganon M (2015) Working with patients living with obesity in the intensive care unit. Advences in Nursing Science. 38(3):17- 37
- Sikorski C, Luppa M, Glaesmer H, Brähler E, König HH, Riedel-Heller SG (2013) Attitudes of health care professionals towards female obese patients. Obesity Facts. 6(6):512–522
- Sutin A.R, Stephan Y, Terracciano A (2015) Weight discrimination and risk of mortality. Psychol Sci. 26(11):1803–1811.
- Swift JA, Hanlon S, El-Redy L, Puhl RM, Glazebrook C (2013). Weight bias among uktraineedietitians, doctors, nurses and nutritionists. Journal of Human Nutritionand Dietetics. 26(4):395–402
- Tanaka DS, Peniche ADCG. Perioperative care for morbid obese patient undergoing bariatric surgery: Challenges for nurses. actapaulista de enfermagem 2009; 22(5): 618–23
- Tanneberger A, Ciupitu-Plath C (2018) Nurses’ weight bias in caring for obese patients: do weight controllability beliefs ınfluence the provision of care to obese patients?. Clinical Nursing Research. 27(4):414-432
- Taşkın Yılmaz F, Karakoç Kumsar A, Olgun N (2013) Obez bireylerde stigma. Hemşirelik Forumu Diyabet, Obezite ve Hipertansiyon. 5(1):28-33
- Usta E, Akyolcu N (2014) Cerrahi hemşirelerinin fazla kilolu/ obez hasta bakımına ilişkin bilgi ve uygulamalarının değerlendirilmesi. F.N. Hem. Dergisi. 22(1):1-7
- Ünal D (2018) Sağlık çalışanlarının obez bireylere karşı tutumlarının değerlendirilmesi. Başkent Üniversitesi Sağlık Bilimleri Enstitüsü Beslenme ve Diyetetik Anabilim Dalı Yükseklisans Tezi.
- Wang Y, Ding Y, Song D, Zhu D, Wang J (2016) Attitudes toward obese persons and weight locus of control in chinese nurses: a cross-sectionalsurvey. Nurs Res. 65(2): 126-132
- Ward-Smith P, Peterson JA (2016) Development of an instrument to assess nurse practitioner attitudes and beliefs about obesity. Journal of th eAmerican Association of Nurse Practitioners. 28(3): 125–129
- World Health Organization. 2021. URL: https://www.who.int/topics/obesity/en/. Erişim 24 Ekim 2021.
- World Health Organization. 2021. URL: https://www.euro.who.int/__data/assets/pdf_file/0017/351026/WeightBias.pdf. Erişim 24 Ekim 2021
- Zuzelo P.R, Seminara P (2006) Influence of registered nurses’ attitudes toward bariatric patients on educational programming effectiveness. Journal of Continuing Education in Nursing. 37(2): 65-73.
Toplam 43 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Nisan 2022 |
| Yayımlandığı Sayı | Yıl 2022 |
