Dergi Ara >>
Yıl:2007; Cilt: 10; Sayı: 4>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2007;10(4):192-200
Hastalık Algısı Ölçeği'nin Kanser Hastalarında Türkçe Geçerlik ve Güvenirlik Çalışması
Z Armay, M Özkan, N Kocaman, S Özkan
İstanbul Üniversitesi İstanbul Tıp Fakültesi Psikiyatri Anabilim Dalı
Amaç: Son yıllarda önem kazanan hastalık algısı kavramı özellikle kanser gibi kronik hastalıkları anlamada ve bu kişilere doğru psikiyatrik ve psikolojik tedavi uygulamada oldukça önemli bir kavramdır. Bu çalışma, Hastalık Algısı Ölçeği'nin (HAÖ) Türk kültüründe kanser hastalarında geçerlik ve güvenirlik bilgilerini elde etmeyi amaçlamaktadır. Yöntem: Çalışmaya İstanbul Üniversitesi Tıp Fakültesi Onkoloji Enstitüsünde yatarak ve ayaktan tedavi gören toplam 203 hasta dâhil edilmiştir. Test tekrar test güvenirliğini gerçekleştirmek için ölçek 80 hastaya 3 hafta sonra tekrar uygulanmıştır. Veri toplama araçları olarak, yarı yapılandırılmış görüşme formu, HAÖ ve ölçüt bağımlı geçerlik hesaplaması için Beck Depresyon Ölçeği kullanılmıştır. Bulgular: Hastalık Algısı Ölçeği, hastalık belirleri, hastalık algısı ve hastalık nedenleri olmak üzere üç bölümden oluşmaktadır. Üç bölümün iç tutarlılık alfa katsayılarının sırasıyla; .84, .60-.85, .41-.78 olduğu bulunmuştur. Madde toplam istatistikleri, ölçüt bağıntılı geçerlik sonuçları ve paralel ölçek korelasyonları anlamlı düzeydedir. Test-yeniden test grubunda ise Cronbach alfa değerleri.65-.93 arasında bulunmuştur. Hastalık algısı bölümünün 7, hastalık nedenleri bölümünün 5 faktörden oluştuğu ve her iki bölümün madde faktör yüklerinin (.31-.84 ve .42-.87) yeterli olduğu bulunmuştur. Sonuç: Elde edilen bulgular, ölçeğin ülkemizde kanser hastalarında kullanılabileceğini, yeterli düzeyde geçerlik ve güvenirlik katsayılarına sahip olduğunu işaret etmektedir. Bu ölçeğini kullanımı ile birlikte Türk kültüründe kanser deneyiminin daha iyi anlaşılacağı düşünülmektedir.

The Turkish Reliability and Validity Study in CancerPatients of Illness Perception Questionnaire
Objective: The concept of "illness perception" which has
gained importance in the recent [year]s is an important
concept especially for cancer patients in order to provide
appropriate psychiatric and psychological treatment.
The aim of this study is to obtain relaiblity and validity
data of "The Illness Perception Questionnaire-Revised
(IPQ-R)" in cancer patients in Turkish culture. Method:
The Turkish version of the Illness Perception
Questionnaire was applied to 203 cancer patients in
Istanbul University, Istanbul Medicine Faculty, Oncology
Institute. For the test-retest reliability the scale had been
applied to 80 patients after 3 weeks. The semi-structured
interview form, IPQ-R and Beck Depression Inventory for
criterion validity values were applied to the patients.
Results: IPQ-R has three sections, illness identity, attributions
consenting the disease and causes. The internal
validity coefficients of these sections were .84, .60-.85,
.41-.78 respectively. Item-total statistics were significant.
Illness perception section was found to have 7 factors
and causes section had 5 factors and item loads (.31-.84
and .42-.87) were satisfactory. Conclusion: The analyses
showed that the Turkish adaptation of IPQ-R has satisfactory
reliability and validity coefficients in cancer
patients and therefore is a valid measurement tool. With
the contribution of this scale it is believed that the
understanding and conceptualization of the cancer
experience in Turkish culture will increase.

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