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Öğe Determination of the Factors Relating to Anxiety Levels of Primary Family Healthcare Center and Contact Tracing Workers for COVID-19(2022) Özsari, Süleyman; Çiçek, Saadet Can; Kocadağ, DeryaAim: During the epidemic, we aimed to investigate the anxiety levels of the primary level healthcare professionals, especially the contact tracer teams, and to determine the relevant sociopsychological factors (coworker and organizational support perception levels). Methods: The surveys applied to healthcare-professionals were collected online on a voluntary basis via GoogleForms. Mann-Whitney U and Kruskal-Wallis tests were used with SPPS20. The effect size was examined with cohen-d. We used linear regression analysis (enter method) to examine the relationships between sociodemographic factors and independent variables. Results: Anxiety was found in 56.1% of 312 participants, insomnia in 44.2%, a low perception of organizational support in 43.6%, and a lack of support from coworkers in 37.5%. Females and those with chronic illnesses had experienced higher levels of anxiety and insomnia, as well as a lower perception of coworker support. Insomnia severity in contact tracers was high, and their support from coworkers was low. There is a positive correlation between anxiety and insomnia; a negative correlation between anxiety with organizational support and coworker support. Conclusion: The lack of perceived organizational and coworker support, presence of chronic illness, being a woman and using medication are the main causes of anxiety and insomnia. Because contact tracing is preformed independent of time, an increase in the frequency of contacts may cause anxiety and insomnia. High anxiety in females may be a result of a perception of low support from coworkers. Training and supports given to healthcare professionals should be planned by considering these risk factors. Plans should be made to increase the effectiveness of training and support given to primary healthcare workers, and to operate speaking and reward mechanisms to increase motivation. To support this planning, the share in the overall budget and the organizational strength of primary health care providers should be increased. The working conditions of contact tracers should be improved.Öğe Diyabetli Yaşlılarda Refleksoloji Uygulamasının Ankle- Brachial Index, Nöropati Puanı ve Glisemik Kontrole Etkisi(2019) Çiçek, Saadet Can; Yildirim, SedatBu çalışmanın amacı diyabetli yaşlılarda ayak refleksolojininanklebrachialindex, nöropati puanı ve glisemik kontrole etkisini belirlemektir. Randomize kontrollü deneysel deseni olan bu araştırma, Bolu Valiliği Yaşlı Merkezi’nde gerçekleştirilmiştir. Dahil edilme kriterlerini karşılayan 48 diyabetli yaşlı (müdahale=24, kontrol=24) çalışmanın örneklemini oluşturmuştur. Araştırma verilerinin toplanmasında “Hasta Tanıtım Formu”, “Ayak Muayene Formu” ve “Refleksoloji Uygulama İzlem Formu” kullanılmıştır. Müdahale ve kontrol grubuna başlangıçta (ön-test) ve 12 hafta sonunda (son-test) hem ayak muayenesi uygulanmış hem de glisemik kontrol için HbA1c değerleri ölçülmüştür. Müdahale grubuna 12 seans ayak refleksolojisi uygulanırken, kontrol grubuna herhangi bir uygulama yapılmamıştır. Çalışma sonunda, müdahale grubunun anklebrachialindex, nöropati puanı ve HbA1c değerleri kontrol grubuna ait ölçüm sonuçları ile karşılaştırılmıştır. Çalışmada elde edilen verilerin istatistiksel analizleri için SAS 9.4 paket programı kullanılmıştır. Müdahale ve kontrol gruplarına ait öntest ve son-test ölçümlerinin karşılaştırılması için bağımsız iki örneklem t test; gruplar arasında müdahalenin etkisini inceleyebilmek için etki büyüklüğü (cohend) hesaplaması yapılmıştır. Nöropati puanlarının gruplar arasında son-testteki değişiminin anlamlı fark oluşturduğu (t=3.81, p<0.001); müdahale grubunda nöropati puanlarının ikinci ölçümde azaldığı, kontrol grubunda ise artış göstererek anlamlı fark oluşturduğu görülmüştür.HbA1c değerlerinin gruplar arasında son-testteki değişiminin anlamlı fark oluşturduğu (t=3.31, p=0.002) müdahale grubunda HbA1c değerlerinin ikinci ölçümde azaldığı, kontrol grubunda ise artış göstererek anlamlı fark oluşturduğu görülmüştür. Müdahale ve kontrol grubunda toplam dolaşım puanları incelendiğinde, gruplar arasındaki farkın anlamlı olmadığı (t=-0.11; p=0.911) saptanmıştır. Müdahalenin etkisi araştırıldığında, refleksolojinin hem nöropati (d=1.12) hem de HbA1c (d=0.97) değerleri üzerinde geniş etki büyüklüğüne sahip olduğu saptanmıştır. Araştırmanın sonuçları, diyabetli yaşlılarda ayak refleksolojisinin nöropati puanları üzerinde cinsiyet faktörünün ve glisemik kontrol üzerinde tedavi şeklinin bir miktar etkisi ile birlikte etkili olduğunu gösterirken, uygulamanın dolaşımı güçlendirme ve iyileştirmede etkinlik oluşturamamıştır.Öğe The effect of a career activity on the students' perception of the nursing profession and their career plan: a single-group experimental study(Churchill Livingstone, 2016) Yılmaz, Arzu Akman; İlçe, Arzu; Çiçek, Saadet Can; Yüzden, Ganime Esra; Yiğit, ÜmmühanBackground: Students' conceptualizations of nursing and their reasons for choosing the profession motivate them and affect their education, work performance and career plans. Nursing educators should support them to plan their careers consciously during their education. Objectives: The study aimed to investigate the effect of career-planning event for nursing students on their conceptualizations of the nursing profession and their career plans. Design: The study was as single-group experimental study using a pre-test and post-test. Settings: The career-planning event was held in the conference hall of the university involved in the current study, and was open to the all students of the nursing school. Participants: The sample of the study consisted of 105 students who participated in the "Nursing Career Symposium" held on 27 March 2015. Methods At the event, the importance of career planning and the opportunities of the nursing profession was presented. The data were collected using a questionnaire consisted of two sections including descriptive characteristics and the opinions of the students regarding their career plans and Perception of Nursing Profession Scale. The students completed the first section of the questionnaire before the career event began and the second section of the questionnaire and scale both before and after the event. Results: The participants had positive conceptualizations of the profession. Following a career event, the participants' opinions of professional qualities and professional status as measured through the Perception of Nursing Profession Scale showed a significant increase, and that the event had made an important contribution to their career plans. Conclusions: In the light of these results, it is possible to suggest that such events have an important place during education in that they introduce the nursing profession, and they develop the students' positive thoughts regarding the profession in terms of both course content and teaching methodology. (C) 2016 Elsevier Ltd. All rights reserved.Öğe Effect of education and monitoring on developing foot care of elderly with diabetes mellitus(Marmara University, Institute of Health Sciences, 2021) Çiçek, Saadet Can; Gökdoğan, FerayObjective: To determine the effect of education and monitoring on developing foot care in elderly with diabetes. Methods: This study was a controlled experimental research. The study was performed with 45 elderly with diabetes in the control group and 45 in the intervention group who met inclusion criteria for the study. The participants were registered in one center and in a public hospital between the dates of September 2012-September 2013. Training and follow-up on foot care were carried out for the intervention group by performing four-foot examinations in both groups. Results: Diabetic foot information and foot care behavior scores showed significantly greater increases in the intervention group compared to controls. A significant difference in total foot examination score was determined between groups and in time (p<0.05). Conclusion: The results have shown that education and monitoring were effective in developing foot care in participants.Öğe Effect of reflexology on ankle brachial index, diabetic peripheral neuropathy, and glycemic control in older adults with diabetes: A randomized controlled trial(ELSEVIER SCI LTD, 2021) Çiçek, Saadet Can; Demir, Şeyma; Yılmaz, Dilek; Yıldız, SedatObjective: The purpose of this study was to determine the effect of foot reflexology on ankle brachial index, diabetic peripheral neuropathy and glycemic control in older adults with diabetes. Methods: A randomized controlled, parallel-group trial study was conducted at the outpatient elderly health center in Bolu, Turkey. 48 adults aged 65 and over enrolled in the elderly health center were randomized into two groups in a ratio of 1:1 (experimental, n = 24; control, n = 24). Foot reflexology was performed for 12-week in the experimental group, whereas the control group continued their routine treatment and follow-up. The outcome measures included: (1) ankle brachial index, (2) diabetic peripheral neuropathy measured by a comprehensive foot exam, and (3) glycemic control by a glycated hemoglobin A blood test at baseline and after 12 weeks. Results: Post-test diabetic peripheral neuropathy scores (p < 0.001) and glycated hemoglobin A levels (p = 0.002) decreased in the experimental group and increased in the control group. There was no significant between-group difference regarding post-test ankle brachial index scores (p = 0.726). Foot reflexology had a medium effect size on diabetic peripheral neuropathy (95% confidence interval 0.003-2.24; d = 0.51; p < 0.001) and glycated hemoglobin A (95% confidence interval 0.72-1.22; d = 0.52; p = 0.002). Conclusions: A foot reflexology practice can be a useful for improving the glycemic control and diabetic peripheral neuropathy in the older adults with diabetes. Trial registration number: NCT04416503.Öğe The effect of spiritual orientations and religious attitudes on coping with the difficulties encountered by family caregivers of people with Parkinson's disease in Türkiye(Springer, 2023) Şentürk, Sibel; Can, Satı; Çiçek, Saadet CanThis study aimed to determine the effect of spiritual orientations and religious attitudes on coping with the difficulties of family caregivers of people with Parkinson's disease. This descriptive and cross-sectional study was conducted with 113 family caregivers of people with Parkinson's disease who came to be examined in the Neurology outpatient clinic of a Training and Research Hospital in T & uuml;rkiye between July and September 2023. Data were obtained using a Patient and Family Caregivers Information Form, the Spiritual Orientation Scale (SOS), and the Ok-Religious Attitude Scale (Islam) (ORASI). The mean age of the family caregivers was 55.6 +/- 14.2, the SOS total mean score was 89.1 +/- 16.2, and the ORASI total score mean was 34.4 +/- 4.0. It was determined that 61.1% of the caregivers experienced changes psychologically, 57.5% in their social life, 58.4% in their home life, and 57.5% in their family relationships. A statistically significant relationship was detected between the ORASI of family caregivers who experienced financial and physical distress and the SOS of those who experienced physical and psychological distress (p < 0.05). It was determined that family caregivers of people with Parkinson's disease were affected in many areas physically, socially, and psychologically and that their spiritual orientation and religious attitudes were effective in coping with the problems experienced. Training and support programs are recommended for nurses to develop positive religious attitudes, increase their spiritual orientation and reduce the care burden, taking into account the beliefs and values of family caregivers.Öğe HEMŞİRELERİN TAMAMLAYICI VE BÜTÜNLEŞTİRİCİ BAKIM UYGULAMALARINI BİLME VE KULLANMA DURUMLARI(2020) Çiçek, Saadet Can; Can, SatıAmaç: Bu çalışma hemşirelerin tamamlayıcı ve bütünleştirici bakım uygulamalarını bilme ve kullanma durumlarının belirlenmesi amacıyla yapılmıştır.Yöntem: Tanımlayıcı tipte gerçekleştirilen çalışmanın evrenini 204, örneklemini ise dahil edilme kriterlerini karşılayan 141 hemşire oluşturmuştur. Veriler üç bölümden oluşan soru formu ile toplanmıştır. Veri analizi sıklık, ortalama, standart sapma ve ki-kare testleri ile yapılmıştır. Bulgular: Çalışmanın sonuçlarına göre hemşirelerin %44’ü tamamlayıcı ve bütünleştirici bakım uygulamalarını kullanmaktadır. En fazla bitkisel yöntemler (%22.7), masaj (%15.6) ve vitamin (%18.4) kullanılmaktadır. Hemşirelerin %22’si uygulamaları bağışıklığı güçlendirmek ve cilt bakımı amaçlı kullanmakta, %50.4’ü kullandığı yöntemi yararlı bulmakta, %44.3’ü medikal tedavi ile etkileşimi bilmemekte, %59.5’i kullandığı yöntem ile ilgili sağlık çalışanlarına bilgi vermemektedir. Katılımcıların konu ile ilgili formal (%92.2) ya da mezuniyet sonrası (%98.6) eğitim/kurs almadığı, %67.4’ü eğitimin gerekli olduğunu, %74.5’i hastalardan soru geldiğini, %80.9’u hastaların tamamlayıcı ve bütünleştirici bakım uygulamalarını kullanma durumunu sorgulamadığını belirtmiştir. Uygulama kullanımı ile yaş, çalışma süresi, eğitim düzeyi ve anamnezde sorgulama arasında anlamlı fark bulunmamıştır (p>0.05). Hemşirelerin çalıştığı klinik ile uygulamaları sorgulama durumu arasındaki fark karşılaştırıldığında, uygulamaları sorgulayan hemşirelerin %51.9’unun dahili kliniklerde çalıştığı belirlenmiştir (p<0.05).Sonuç: Hemşirelerin yarısına yakını tamamlayıcı ve bütünleştirici bakım uygulamalarını kullanmakta olup, bitkisel ürünler, vitaminler ve masajın kullanımı ilk sıralarda yer almaktadır. Hemşirelerin tamamına yakını bu uygulamalar hakkında yeterli bilgiye sahip olmadığını, büyük çoğunluğu bu uygulamaların kullanımını anamnezde sorgulamadığını belirtmiştir. En iyi hasta çıktılarının sağlanabilmesi için hemşirelerin tamamlayıcı ve bütünleştirici bakım uygulamaları hakkında bilgi sahibi olması ve değerlendirmesi önemlidir. Bu uygulamaların etkinlik, etkileşim, fayda ve risklerinin kanıta dayalı uygulamalarla belirlenerek eğitim programlarının geliştirilmesi ve hemşirelik uygulamalarına yansıtılması önerilmektedir.Öğe Home health care services in Turkey: The sample of Bolu(Düzce Üniversitesi, 2020) Demirkol, Muhammed Emin; Biçer, Emine Kır; Çiçek, Saadet CanObjective: This study was planned with the aim of determining the clinical characteristics of patients served by the Bolu Home Health Care Services (HHCS), their reasons for making use of home health care services, and the distribution of care. Methods: The sample of this descriptive study consisted of 386 patients to whom service was being provided by Bolu HHCS. A Patient Information Form created by the researchers by examining the relevant literature was used to collect data. Numbers, percentages and mean were used in the analysis of data. Results: The mean age of the individuals receiving HHCS who participated in the study was 61.6 +/- 10.4 years; a majority were female; 50.8% were married and 78.0% lived with their families, and for 70%, their children had applied to HHCS. It was found that most of the patients (96.1%) were satisfied with the home care services, 97.6% had no expectations beyond the current services, 80.1% had a chronic illness, with circulatory system diseases the most common; they most often made use of physical examination, blood collection and wound dressing services, and most were old and dependent patients. Conclusions: It was seen in the light of the results of the study that it is important to plan home health care services especially for dependent and semi-dependent old people, to develop protective health services relating to the risks of early stage stroke and cardiovascular disease, and to improve rehabilitation services.
