Aceitação da doença, da percepção da saúde e dos níveis de desesperança em sobreviventes de acidente vascular cerebral: Um estudo transversal e correlacional

Autores

  • Sena Nur Yapar PhD student, Sivas Cumhuriyet University, Institute of Health Sciences, Internal Medicine Nursing, Sivas, Turkey  https://orcid.org/0000-0003-4068-901X
    • Fatma Özcan Tuncay Assoc. Prof. Sivas Cumhuriyet University, Faculty of Health Sciences, Internal Medicine Nursing, Sivas, Turkey.

      DOI:

      https://doi.org/10.15649/cuidarte.4588

      Palavras-chave:

      Enfermagem, Acidente Vascular Cerebral, Percepção, Esperança

      Resumo

      Introdução: De acordo com a Organização Mundial da Saúde, o AVC é uma condição clínica caracterizada pelo desenvolvimento súbito de sinais e sintomas focais ou globais nas funções cerebrais e é a segunda principal causa de morte e a terceira principal causa de incapacidade em todo o mundo. Objetivo:  Neste estudo, o objetivo foi determinar os níveis de aceitação da doença, percepção da saúde e desesperança dos sobreviventes de AVC e investigar a relação entre as variáveis. Materiais e Métodos: Este estudo foi realizado com 170 sobreviventes de AVC. Os dados foram coletados com o “Formulário de Informações Descritivas”, o “Índice de Barthel Modificado”, a “Escala de Aceitação da Doença”, a “Escala de Percepção da Saúde” e a “Escala Beck de Desesperança”. Os dados foram analisados com o software SPSS 21.0.  Resultados: Os participantes apresentaram níveis moderados de aceitação da doença e níveis leves de desesperança. A pontuação média de percepção da saúde foi de 50,30±0,59. Foi encontrada uma relação significativa entre idade, escolaridade e situação de trabalho, coabitantes, duração da doença, déficits pós-AVC e nível de independência e níveis de aceitação da doença, percepção da saúde e desesperança. Verificou-se que os níveis de percepção de saúde e desesperança dos participantes diminuíram à medida que o nível de aceitação da doença aumentou. O aumento dos níveis de percepção da saúde também aumentou os níveis de desesperança. Discussão:  Quando a literatura é revisada, há estudos que apoiam nossos achados no AVC e em outras doenças crônicas, mas também há estudos com resultados diferentes. Conclusões: Com os resultados do estudo, chama-se a atenção para os níveis de aceitação da doença, percepção da saúde e esperança, que não foram muito discutidos, mas que têm efeitos importantes sobre a doença e o processo de reabilitação.

      Como citar este artigo: Yapar Sena Nur, Özkan Tuncay Fatma. Illness acceptance, health perception, and hopelessness levels in stroke survivors: A cross-sectional and correlational study. Revista Cuidarte. 2025;16(2): e4588.  https://doi.org/10.15649/cuidarte.4588

      Biografia do Autor

      • Sena Nur Yapar, PhD student, Sivas Cumhuriyet University, Institute of Health Sciences, Internal Medicine Nursing, Sivas, Turkey 

        PhD student, Sivas Cumhuriyet University, Institute of Health Sciences, Internal Medicine Nursing, Sivas, Turkey 

      • Fatma Özcan Tuncay, Assoc. Prof. Sivas Cumhuriyet University, Faculty of Health Sciences, Internal Medicine Nursing, Sivas, Turkey.

        Assoc. Prof. Sivas Cumhuriyet University, Faculty of Health Sciences, Internal Medicine Nursing, Sivas, Turkey.

      Referências

      World Health Organization (WHO). Stroke [Internet]. 2022 [cited 2022 June 23]. http://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html

      Bal C, Koç Z. Nursing Diagnoses According to NANDA-I, NIC-Nursing Interventions and NOC Outcomes of Individuals Who Suffered Ischemic Stroke. Turk Klin J Nurs Sci. 2020;12(3):443-56. https://doi.org/10.5336/nurses.2019-70124

      World Health Organization (WHO). Noncommunicable Diseases [Internet]. 2023 [cited 2022 June 23]. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

      Crichton SL, Bray BD, McKevitt C, Rudd AG, Wolfe CD. Patient Outcomes up to 15 Years After Stroke: Survival, Disability, Quality of Life, Cognition and Mental Health. J Neurol Neurosurg Psychiatry. 2016;87(10):1091-8. https://doi.org/10.1136/jnnp-2016-313361

      Alankaya N. The Role of Nurse in Post Stroke Disability and Rehabilitation. Journal of Intensive Care Nursing. 2019;23(3):195-201. https://dergipark.org.tr/en/download/article-file/913853

      Huzmeli ED, Saraç ET. Examination of Sleep Quality, Anxiety and Depression in Stroke Patients. Turk J Cerebrovasc Dis. 2017;23(2):51-5. https://doi.org/10.5505/tbdhd.2017.81905

      Budzińska K, Kożybska M, Zabielska P, Knyszyńska A, Kamińska M, Pierzak-Sominka J, et al. The Level of Acceptance of the Illness Among Patients with Psoriasis. Pomeranian J Life Sci. 2020;66(3):24-30. https://doi.org/10.21164/pomjlifesci.588

      Ayık Ü, Karabulutlu EY. Examination of Acceptance of Illness and Religious Coping Styles of Patients Undergoing Hemodialysis Treatment. Journal of Nephrology Nursing. 2020;15(2):57-67. https://doi.org/10.47565/ndthdt.2020.17

      Bień A, Rzońca E, Kańczugowska A, Iwanowicz-Palus G. Factors Affecting the Quality of Life and the Illness Acceptance of Pregnant Women with Diabetes. Int J Environ Res Public Health. 2016;13(1):68. https://www.mdpi.com/1660-4601/13/1/68

      Ankaralı H, Can S, Can Çiçek S. The Effect of Illness Acceptance on Diabetes Self Care Activities in Diabetic Individuals. Int J Caring Sci. 2020;13(3):2191-200. https://www.academia.edu/download/88858533/73_can_original_13_3_2.pdf

      Uchmanowicz I, Jankowska-Polańska B, Motowidło U, Uchmanowicz B, Chabowski M. Assessment of Illness Acceptance by Patients with COPD and the Prevalence of Depression and Anxiety in COPD. Int J Chron Obstruct Pulmon Dis. 2016;11(1):963. https://doi.org/10.2147/COPD.S102754

      Baczewska B, Kropornicka B, Sepioło J, Krzyżanowska E, Olszak C, Szymczuk E, et al. Acceptance of Illness and Satisfaction with Life Among Patients with Arterial Hypertension. Health Probl Civiliz. 2015;9(3):31-8. https://doi.org/10.5114/hpc.2015.57131

      Czerw A, Religioni U, Deptała A. Assessment of pain, acceptance of illness, adjustment to life with cancer and coping strategies in breast cancer patients. Breast Cancer. 2016;23(4):654-61. https://doi.org/10.1007/s12282-015-0620-0

      Khazew HR, Faraj RK. Illness Acceptance and Its Relationship to Health-Behaviors Among Patients with Type 2 Diabetes: A Mediating Role of Self-Hardiness. Curr Probl Cardiol. 2024;49(8):102606. https://doi.org/10.1016/j.cpcardiol.2024.102606

      Kowalska J, Mazurek J, Rymaszewska J. Analysis of the Degree of Acceptance of Illness Among Older Adults Living in a Nursing Home Undergoing Rehabilitation – An Observational Study. Clin Interv Aging. 2019;14:925-33. https://doi.org/10.2147/CIA.S199975

      Janowski K, Kurpas D, Kusz J, Mroczek B, Jedynak T. Health-Related Behavior, Profile of Health Locus of Control and Acceptance of Illness in Patients Suffering from Chronic Somatic Diseases. PloS One. 2013;8(5):e63920. https://doi.org/10.1371/journal.pone.0063920

      Çaka SY, Topal S, Suzan ÖK, Çınar N, Altınkaynak S. The Relationship Between Nursing Students’ Health Perception And Self-Confidence. Journal of Human Rhythm. 2017;3(4):198-203. https://dergipark.org.tr/en/download/article-file/396731

      Alkan SA, Özdelikara A, Boğa NM. Determination of Nursing Students Health Perception. Gumushane University Health Science Journal. 2017;6(2):11-21. https://dergipark.org.tr/en/pub/gumussagbil/issue/32272/359548

      Yoon H, Kim S, Naseh M, Huang YC, Jang Y. Chronic Conditions and Psychological Distress in Older Asian Americans: The Mediating Role of Subjective Health Perception. J Gerontol Soc Work. 2022;65(6):604-17. https://doi.org/10.1080/01634372.2021.2005213

      Karakoç Kumsar A, Güner A, Taşkın Yılmaz F. Stigma in Tuberculosis Patients: Its Effect on Acceptance of Illness and Hopelessness. Health and Society. 2021;31(1):69-77. https://openaccess.biruni.edu.tr/xmlui/handle/20.500.12445/2206

      Madani H, Pourmemari M, Moghimi M, Rashvand F. Hopelessness, Perceived Social Support and Their Relationship in Iranian Patients with Cancer. Asia-Pac J Oncol Nurs. 2018;5(3):314-9. https://doi.org/10.4103/apjon.apjon_5_18

      Aisy R, Darliana D. Relationship of Functional Status and Hopelessness Among Stroke Patients. In Proceedings of the Aceh International Nursing Conference, AINC. 2018;11-15. https://www.scitepress.org/Papers/2018/83939/83939.pdf

      Topbaş E, Bingöl G. With the Psychosocial Perspective, Dialysis Treatment and Nursing Interventions Towards Adaptation Process. Journal of Nephrology Nursing. 2017;12(1):36-42. https://dergipark.org.tr/en/pub/hemsire/issue/31999/352959

      Anastasiades MH, Gupton O, Fritz A, Caldaza PJ, Stillman MA. Diabetes, Depression and Nonadherence: Exploring Hopelessness as a Meditating Factor: A Preliminary Study. Ment Health Fam Med. 2016;12:241-247. https://www.researchgate.net/publication/306167436

      Guzek Z, Kowalska J. Analysis of the Degree of Acceptance of Illness Among Patients After a Stroke: An Observational Study. Clin Interv Aging. 2020;15:2063-72. https://doi.org/10.2147/CIA.S268095

      Karagöz Y. SPSS AMOS META Uygulamalı Nitel-Nicel Karma, Bilimsel Araştırma Yöntemleri ve Yayın Etiği. C. 2. Ankara: Nobel; 2019.

      Mahoney FI, Barthel DW. Functional Evaluation: The Barthel Index. Md State Med J. 1965;14:61-5. https://cir.nii.ac.jp/crid/1574231874760838784

      Küçükdeveci AA, Yavuzer G, Tennant A, Süldür N, Sonel B, Arasil T. Adaptation of the Modified Barthel Index for Use in Physical Medicine and Rehabilitation in Turkey. Scand J Rehabil Med. 2000;32(2):87-92. https://europepmc.org/article/med/10853723

      Felton BJ, Revenson TA. Coping with Chronic Illness: A Study of Illness Controllability and the Influence of Coping Strategies on Psychological Adjustment. J Consult Clin Psychol. 1984;52(3):343-353. https://psycnet.apa.org/record/1984-23535-001

      Besen DB, Esen A. The Adaptation of the Acceptance of Illness Scale to the Diabetic Patients in Turkish Society. TAF Preventive Medicine Bulletin. 2011;10(2):155-164. https://www.cabidigitallibrary.org/doi/full/10.5555/20113142791

      Diamond JJ, Becker JA, Arenson CA, Chambers CV, Rosenthal MP. Development of a Scale to Measure Adults’ Perceptions of Health: Preliminary Findings. J Community Psychol. 2007;35(5):557-61. https://doi.org/10.1002/jcop.20164

      Kadıoğlu H, Yildiz A. Validity and Reliability of Turkish Version of Perception of Health Scale. Turkey Clinics Journal of Medical Sciences. 2012;32(1):47-53. https://doi.org/10.5336/medsci.2010-21761

      Beck AT, Weissman A, Lester D, Trexler L. The Measurement of Pessimism: The Hopelessness Scale. J Consult Clin Psychol. 1974;42(6):861-865. https://doi.org/10.1037/h0037562

      Durak A, Palabıyıkoğlu R. Beck Hopelessness Scale Validity Study. Kriz Journal. 1994;2(2):311-9. https://dergipark.org.tr/en/download/article-file/596215

      Yapar SN, Özkan Tuncay F. Investigation of Illness Acceptance, Health Perception and Hopelessness Levels in Stroke Survivors: A Cross-Sectional and Correlational Study. Mendeley Data V1. 2025. https://doi.org/10.17632/82s95xg96p.1

      Białek K, Sadowski M. The Influence of Selected Factors on the Degree of Illness Acceptance and on the Level of Satisfaction with Life in Patients Hospitalised in Cardiology Departments. Med Stud Med. 2020;36(3):157-66. https://doi.org/10.5114/ms.2020.99533

      Gür G, Sunal N. Determination of Health Perception and Healthy Lifestyle Behaviors in Patients with Coronary Artery Disease. Journal of Health Sciences and Professions. 2019;6(2):209-219. https://doi.org/10.17681/hsp.420313

      Şireci E, Karabulutlu EY. Diabetes Mellitus Type II Patients’ Acceptance of Illness and Determination of Self Efficacy Levels for Their Care. Anatolian Journal of Nursing and Health Sciences. 2017;20(1):48-55. https://dergipark.org.tr/en/download/article-file/771725

      İlaslan E, Dalkıran Ş, Özer ZC, Balcı MK. Level of Acceptance of Illness by Persons with Type 2 Diabetes and Burden on Caregivers. STED. 2021;30(2):84-95. https://doi.org/10.17942/sted.803667

      Furmańska J, Koziarska D, Szcześniak M, Rzepa T, Nowacki P. Sexual Satisfaction, Self-Esteem and Acceptance of Illness Among Relapse-Remitting Multiple Sclerosis Patients. Adv Psychiatry Neurol Psychiatr Neurol. 2017;26(4):236-245. https://doi.org/10.5114/ppn.2017.72437

      Başaran D, Altun ÖŞ, Kaban F, Ecder T. Evaluation of Hopelessness Levels of Hemodialysis Patients. Journal of Nephrology Nursing. 2016;11(1):9-16. https://dergipark.org.tr/en/pub/hemsire/issue/34244/377782

      Erdoğan Z, Kurçer MA, Budak B, Aydemir S. The Effect of Gastrointestinal Symptoms on Hopelessness and Depression in Patients with Irritable Bowel Syndrome. Journal of Health Sciences and Professions. 2018;5(3):353-359. https://doi.org/10.17681/hsp.399556

      Büyükbayram Z, Ayık DB, İl DA. Perceived Social Support and Hopelessness Levels in Hemodialysis Patients. Journal of Nephrology Nursing. 2021;16(3):134-43. https://doi.org/10.47565/ndthdt.2021.41

      Kılınç G, Yıldız E, Kavak F. The Relationship Between Healthy Life Style Behaviors and Hopelessness in Patients with Heart Failure. Journal of Cardiovascular Nursing. 2016;7(13):114-26. https://doi.org/10.5543/khd.2016.96158

      Atan G, Özer Z, Turan GB. Assessment of Hopelessness and Spiritual Care Perception in Cancer Patients. Journal of Contemporary Medicine. 2020;10(2):266-274. https://doi.org/10.16899/jcm.649645

      Publicado

      2025-05-01

      Como Citar

      1.
      Yapar SN, Özcan Tuncay F. Aceitação da doença, da percepção da saúde e dos níveis de desesperança em sobreviventes de acidente vascular cerebral: Um estudo transversal e correlacional. Revista Cuidarte [Internet]. 1º de maio de 2025 [citado 29º de abril de 2026];16(2). Disponível em: https://revistas.udes.edu.co/cuidarte/article/view/4588

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