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    The effects of coping strategies and relaxation exerciseson anxiety, hopelessness, life satisfaction, and well-beıng in the elderly people with diabetes: An experimental study
    (2021) Cicek, Saadet Can; Coskun, Hamit; Ozdemir, Seyma; Acikgoz, Aynur; Isko, Selahattin
    Aim: The aim of this study was to investigate the effects of coping strategies and relaxation exercises on anxiety, hopelessness, lifesatisfaction, and well-being in elderly people with diabetes.Materials and Methods: A total of 30 participants were randomly assigned to three experimental conditions. In the first condition,the participants were informed about diabetes as well as how to cope with it. In the second condition, the participants were provided with breathing and relaxation exercises, which were accompanied by relaxing music, in addition to informing about diabetes and coping strategies. The control group was only informed about diabetes. The data were analyzed by ANOVA with 3 x 2 last factors repetitive.Results: There was no difference between the conditions in terms of state anxiety, hopelessness and life satisfaction scores (p>0.05), but the difference after the intervention was significant (p<0.05). According to the Scheffe test, a) status anxiety score was determined between the first condition and the control group; b) life satisfaction score was significantly different between the first condition and second condition and between the second condition and control group. Significant differences were also found between pre-and post-intervention concerning anxiety, hopelessness and life satisfaction scores. Conclusions: Findings suggest that explaining the methods of coping with diabetes can decrease the level of state anxiety, and theaddition of breathing and relaxation exercises can enhance life satisfaction.
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    The Incidence, Risk Factors, and Effects of Constipation in Critical Patients: An Observational Cross-sectional Study
    (Galenos Publ House, 2024) Ozdemir, Seyma; Yilmaz, Arzu Akman; Ozdemir, Esra
    Objective: This study aimed to investigate the early, late, and total constipation frequency, related factors, and their effects on the hospitalization day, gastric residual volume, vomiting, distension, and diarrhea, the feeding type, white blood cells, and C-reactive protein levels, and body temperature. Method: Data from this observational cross-sectional study were collected in an anesthesia and reanimation intensive care unit of a public hospital in Bolu, Turkey. The sample included 116 patients who met the criteria of the study. The sample size was determined using power analysis according to the results of a pilot study. The patient information form, daily observation form, and Bristol stool consistency scale were used for collecting the data. Results: The constipation frequency was 63.8% in the unit. The early constipation frequency was 18.9%, and the late constipation frequency was 6.8%. The hospitalization day in these groups was longer than those without constipation. Also, the patients receiving mechanical ventilator support, enteral tube feeding, and diuretic medication had a higher risk for constipation. The enema/laxative was applied to half of the patients who developed constipation in the unit, after which more than half developed diarrhea. Distension and enteral feeding were more frequent in late-type constipation patients. The levels of white blood cells, C-reactive protein levels, and body temperature between all groups were not statistically different (p>0.05). Conclusion: The frequency of constipation was higher in the intensive care unit, even when the defecation period was considered four days. Receiving mechanical ventilator support, enteral tube feeding, and diuretics increased the risk of constipation.