The Effect of Performance Level on Care Dependency in Palliative Care Patients Palyatif Bakım Hastalarında Performans Düzeyinin Bakım Bağımlılığına Etkisi


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Turan M., KERKEZ M.

Journal of Nursing Effect, cilt.19, sa.2, ss.320-332, 2026 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 19 Sayı: 2
  • Basım Tarihi: 2026
  • Doi Numarası: 10.46483/jnef.1648309
  • Dergi Adı: Journal of Nursing Effect
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.320-332
  • Anahtar Kelimeler: Care dependency, Palliative care, Performance level
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Çukurova Üniversitesi Adresli: Hayır

Özet

Background: In palliative care, the patient’s functional adequacy and care dependency are important in planning the nursing process. Objectives: In this study, the effect of performance levels of patients in palliative care on care dependency was examined. Methods: The research was conducted with patients (n=76) receiving treatment in palliative care clinics of two public hospitals. In collecting data; Patient Information Form, Palliative Performance Scale (PPS) and Care Dependency Scale (CDS) were used. Descriptive statistics, comparison analyses, Pearson correlation and hierarchical regression tests were used in the analyses. Results: 52.6% of the patients were male, 47.4% were diagnosed with oncological disease, and 50% of them were supported by their child. A positive and high level relationship was detected between the patients’ PPS and CDS score averages. (r=.83, p=.000). According to the linear hierarchical regression analysis, the power of performance level to explain maintenance dependency was found to be 68.9% (β =.627, R2 =.689, p =.000). Additionally, disease diagnosis and education level were determined to be important predictors (β=-1.605, p=.049; β=3.462, p=.043, respectively). Conclusion: While the functional performance levels of patients receiving treatment in palliative care clinics were low, their care dependency was found to be high. Disease diagnosis and education level are factors that significantly negatively affect care dependency. In this context, it is recommended that healthcare professionals integrate individualized treatment options and patient/caregiver education programs into their care.