• Meltem Akbaş Faculty of Health Sciences, Department of Midwifery, Çukurova University, Adana, Turkey
  • Şule Gökyıldız Sürücü Faculty of Health Sciences, Department of Midwifery, Çukurova University, Adana, Turkey
  • Emine Akça Faculty of Health Sciences, Department of Midwifery, Çukurova University, Adana, Turkey
  • Cemile Onat Köroğlu Faculty of Health Sciences, Department of Midwifery, Çukurova University, Adana, Turkey




Chronic Patient, Nursing, Satisfaction


This study aims to identify satisfaction levels of adult chronic patients regarding the care they received at the hospital. The descriptive and cross-sectional study was conducted at Çukurova University Faculty of Medicine Balcalı Hospital between 01.08.2016-31.10.2016. The sample consisted of 910 patients. The data was collected with “Personal Information Form” and "Patient Assessment of Chronic Illness Care (PACIC)." The data were analyzed via IBM 20.0 program. Ethical committee approval, permission from the institution and verbal consent from the patients were obtained for the study. The average age of the participants was 50.88±16.55. The average hospitalization duration was 9.22±11.55 days. It was indicated that 38% of the respondents have cardiovascular diseases, 94.6% use a kind of medication,91.7% have their medications on time, 85.5% take recommended dosages, 45.5% know the name and the number of the medication they take. The average score for chronic patient care evaluation scale was 3.11±0.74. When the subscales of the scale are analyzed, it was found that the average score for patient participation subscale is 3.75±0.93, decision-making support subscale is 3.46±3.33, target-setting subscale is 2.95±0.78, problem-solving subscale is 3.28±0.97 and monitoring/coordination subscale is 2.51±1.03. Significant correlations were found between the respondents’ education level and health education with their evaluations of chronic care. It was indicated that the patients’ satisfaction with the nursing care is medium, the highest average scores are in decision-making subscale while the average score for monitoring/coordination subscale is the lowest. In order to raise the satisfaction levels of chronic patients regarding nursing care, chronic patient care should be prioritized in organized education and on-the-job training for nurses. By emphasizing the importance of monitoring and coordinating the patients, better management of chronic diseases can be achieved. 


Arlı, M. and Nazik, H. (2001). Introduction to scientific research. Ankara: Gazi Bookstore.

Arslan, Ç., Kelleci, M. (2011). Satisfaction Levels of Patients regarding Nursing Care at a University Hospital and Some Relevant Factors. Anatolia Nursing and Health Sciences Journal, 14(1), 1-8.

Çiftçi, K. İ. (2015). Determination of Health Literacy and Services of Health Care with Chronic Diseases Patient. T. R. Atatürk University Institute of Health Sciences, Public Health Nursing Department, Master Thesis, Erzurum, Turkey.

Glasgow, R.E., Whitesides, H., Nelson, C. C., and King D. K. (2005). Use of the Patient Assessment of Chronic Illness Care (PACIC) With Diabetic Patients. Diabetes Care, 28(11), 2655-2661 https://doi.org/10.2337/diacare.28.11.2655

İncirkuş, K., and Nahcivan, N.Ö. (2011). Reliability and Validity of Evaluation Scale for Chronic Patient Care-Patient Form in Turkish Version. Dokuz Eylül University Nursing College E-Journal, 4 (1), 102-109.

Kaya, Ç., Akturan, S., Şimşek, M., Uğuz, K., İçen, F., and Akman, M. (2013). Evaluation of Chronic Patient Care based on Patient Perspective. Turkish Family Physician Online Journal System, 4(3),

Köşgeroğlu, N., Acat, B. and Karatepe, Ö. (2005). Satisfaction Scale of Nursing Care for Chemotheraphy Patients. Anatolia Psychiatry Journal, 6, 75-83.

Ölmez, B. (2015). Evaluation of Chronic Patient Care in Type-2 Diabetes mellitus and Drug Compliance. Yıldırım Beyazıt University, Medical Faculty, Dissertation for Family Medicine Department., Ankara, Turkey.

Özdemir, Ü. and Taşcı, S. (2012). Psychosocial Problems and Care for Chronic Patients. Erciyes University Health Sciences Faculty, 1(1), 57-72.

Özpancar, N. (2013). The Effect of Training Provided by Nurses to Patients with Hypertension on Adaptation to Treatment. Marmara University, Institute of Health Sciences, Internal Diseases Nursing Department, PhD Thesis, Istanbul, Turkey.

Rosemann, T., Laux, G., Droesemeyer, S., Gensichen, J., and Szecsenyi, J. (2007). Evaluation of a culturally adapted German version of the Patient Assessment of Chronic Illness Care (PACIC 5A) questionnaire in a sample of osteoarthritis patients. Journal of Evaluation in Clinical Practice, 13(5), 806-813 https://doi.org/10.1111/j.1365-2753.2007.00786.x

Senevirathne, C. P., Katulanda, P., and Dhanapala, N..D. (2015). The Prevalence of Hypertension, Obesity, Diabetes And Job Satisfaction Among Public Health Workers In Central Province, Sri Lanka.

T.R. Ministry of Health (2013). Public Health Agency of Turkey. The Study of Chronic Diseases and Frequency of Risk Factors in Turkey, Ankara.

Turkish Language Association. Grand Turkish Dictionary. Retrieved from: http://www.tdk.gov.tr, Accessed date: 09.06.2016.

Üstünova, E., and Nahcivan, N. (2015). Evaluation of Disease Management of Patients with Chronic Obstructive Lung Disease and Relevant Factors. Florence Nightingale Nursing Journal, 23(1), 11-22.

Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., and Bonomi, A. (2001). Improving chronic illness care: translating evidence into action. Health Affairs, 20(6), 64-78. https://doi.org/10.1377/hlthaff.20.6.64

Yazıcıoğlu, Y. and Erdoğan, S. (2004). SPSS Applied Scientific Research Methods. Ankara: Detay Publishing.




How to Cite

Akbaş, M., Sürücü, S. G., Akça, E., & Köroğlu, C. O. (2017). EVALUATION OF CHRONIC PATIENT NURSING CARE BY THE PATIENTS: A UNIVERSITY HOSPITAL CASE. LIFE: International Journal of Health and Life-Sciences, 3(2), 38–50. https://doi.org/10.20319/lijhls.2017.32.3850