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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 Effect of nurse support in the immediate postpartum period on mothers' breastfeeding self-efficacy levels in Turkey: A Quasi-experimental study(Springer/Plenum Publishers, 2023) Ak, Bedriye; Akkoyun, Sevinç; Arslan, Fatma TaşObjectivesThis study aimed to determine the effect of nurse-based breastfeeding support during the immediate postpartum period on mothers' breastfeeding self-efficacy levels.MethodsA quasi-experimental study was conducted with 256 mothers in the immediate postpartum period (128 in the intervention group who received nurse-based breastfeeding support and routine care and 128 in the control group who received routine care) during February-June 2018. Data were collected using the Mother-Infant Data Sheet, the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), and the Nurse-Parent Support Tool (NPST).ResultsBSES-SF and NPST mean scores of mothers in the intervention group were higher than those of mothers in the control group (p < 0.01). While the association between breastfeeding self-efficacy and nurse support was low in the control group (0.271), it was rather high in the intervention group (0.693) (p < 0.05). It was found that nurse support explained 48% of the variance in breastfeeding self-efficacy in the intervention group, but only 7.3% of the variance in breastfeeding self-efficacy in the control group.Conclusions for PracticeThe results of the study indicate that nurse support for mothers in the immediate postpartum period based on breastfeeding training has a positive impact on breastfeeding self-efficacy.Öğe The effect of environmental modifications on preventing delirium for the elderly patients in the intensive care unit: A non- randomized controlled trial(Galenos Publishing House, 2023) Çavuşoğlu, Arzu; Yılmaz, Arzu AkmanObjective: The study aimed to examine the effect of environmental modifications on preventing delirium for the elderly patients in the intensive care unit. A quasi-experimental study with non-randomized independent two groups. Materials and Methods: The study was conducted at a hospital in Bolu, Turkey. The sample was constituted of 60 patients who met the inclusion criteria. In the intervention group (30 patients), the sound level of the environment was improved, the bright light, a largely written calendar and clock were used, and were allowed to use their glasses or hearing aids if they had. No extra regulation has been made regarding the temperature or humidity of the environment. Results: Mean humidity level and the mean sound level in the unit were different, while the mean of the temperature was similar between the groups. The mean sound level was higher in control group. In the intensive care unit, the frequency of delirium was 56.7%, and the risk of delirium was 2.32 times higher in the control group. Conclusion: The study provides scientific evidence to reduce the risk of delirium by a specific care bundle include nursing interventions for elderly patients in intensive care units.Öğe Comfort and quality of life of older cardiac patients: A cross-sectional study(Galenos Publishing House, 2023) Erbaş, Şeyma Demir; Yılmaz, Arzu Akman; Şendur, Elif GençerObjective: A demographic transformation in favor of older people and the incidence of cardiovascular diseases requires considering the concepts of comfort and quality of life in older cardiac patients in all care settings. Thus, these concepts, closely related to the definition of health, conduce determination of the health care needs of older cardiac patients and the development of supportive approaches. The aims of the study were to determine the comfort and quality of life, examine the relationship between them, and to identify factors that affect the comfort and quality of life in older cardiac patients.Materials and Methods: The cross-sectional study was conducted in the inpatient cardiology clinic of a university hospital in Bolu. Overall, 209 patients, who met the inclusion criteria, consisted of the sample. The general comfort questionnaire and quality of life index cardiac version-IV were used to collect data. Further analyzes were carried out with multivariate analysis of variance.Results: Comfort and quality of life scores were 16.18 +/- 0.82 and 2.97 +/- 0.39, respectively. Physical, psycho-spiritual, environmental, and sociocultural comfort closely correlated with quality of life (p<0.05). Multivariate analysis of variance showed that living place, perception of income status, frequency of hospitalization, dietary adherence, routine health checkup, and dizziness were common covariates of comfort and quality of life (p<0.05).Conclusion: There was a correlation between all dimensions of comfort and quality of life. By improving the variables that affect comfort and quality of life together, patients' comfort can be provided and their quality of life can be increased.Öğe The correlation between health literacy and mental health literacy in Turkish Society(Wiley, 2022) Akgün, Şenay; Kesgin, Makbule Tokur; Tok, Hümeyra HançerPurpose The study aims to determine the correlation between health literacy (HL) and mental health literacy (MHL) in Turkish society. Design and Methods This study was a cross-sectional survey, a form of quantitative research. Data were collected from participants with the personal information form, Turkish Health Literacy Scale, and Mental Health Literacy Scale. Findings The study found that 48.2% of the individuals had insufficient-limited HL and that 46.2% had a low level of MHL. A positive weak relationship was found between HL and MHL. Practice Implications As HL and MHL are correlated concepts, community health nurses can prepare their nursing action plans accordingly.Öğe External ear anatomy and variations in neonates(Wiley, 2022) Erdem, Saadet; Fazlıoğulları, Zeliha; Ural, Ahmet; Karabulut, Ahmet Kağan; Doğan, Nadire ÜnverIt is aesthetically important that the auricle has a natural and beautiful shape. The sizes, position and symmetry of normal auricle are used for different purposes in different disciplines. A deformation in the auricle of neonates and its size or location on the face may indicate a possible anomaly. The aim of this study is to investigate the normal sizes, anomaly types, anomaly rates and the relationship between hearing screening test results and auricular anomaly of the neonatal auricle. The length, width, angle, and distance measurements of the auricle were made in neonates (n = 550). Anomaly types of auricle were observed. Goniometer was used to measure angles; digital caliper and ruler were used to measure lengths. Anomalies were detected by the method of observation. In the morphometric data of the neonatal auricle, differences were determined in length and width values in terms of gender. Various types of anomalies were observed in the right ear of 96 participants and in the left ear of 103 participants. Normal auricle size, position and symmetry are important for surgical reconstructions, hearing aid design, producing data banks on gender, age and ethnicity, and providing reference information for multiple diagnostic and forensic procedures. Recognition and early detection of auricular anomalies play an essential role in clinical diagnosis and their correction with special devices.Öğe Resources, stressors and coping strategies of nurses caring for patients with coronavirus from the perspective of Conservation of Resources Theory: A qualitative study(Kare Publishing, 2022) Yıldırım, Nazmiye; Bulut, MelisaObjectives: To explore the resources, stress factors and coping strategies of nurses, who provide direct care to patients with coronavirus disease. Methods: In this qualitative study, 20 registered nurses were interviewed, who have been working in the pandemic hospitals located in different parts of Turkey for at least two weeks. In-depth interviews were carried out individually and online. Interview data were analyzed with thematic analysis from the perspective of the Conservation of Resources Theory (COR). Results: Three themes emerged from the analysis of the data according to the COR theory. First theme, resources are required to adapt to changing processes and to be motivated to maintain service. Nurses' personal resources were helping patients, professional responsibility, spirituality, hope and conscience. Money, knowledge, and experience were energy resources while being in a well-functioning working team, having a similar fate, and social support were condition resources and the personal protective equipment formed object resources. Second theme, perceived threats to their resources are the main stressors. The final theme is that strategies for coping with identified stressors are reactive rather than proactive. Conclusion: This study contributed to the resources being noticed that nurses had and used during the pandemic, as well as into understanding which resources were under threat and a critical component of the stress process. The findings of the study can be used by psychiatric consultation-liaison nurses to strengthen their resources and support clinical nurses to effectively cope with the negative effects and consequences of the pandemic.Öğe Comparison of the effects of surgical smoke on the air quality and on the physical symptoms of operating room staff(SAGE Publications Inc, 2023) Soysal, Ganime Esra; İlçe, Arzu; Lakestani, Sanaz; Şit, Mustafa; Avcıoğlu, FatmaBackground Surgical smoke can be a hazard because e it contains toxic gases with carcinogenic effects that may threaten health. This study aims to determine the effect of surgical smoke containing toxic chemicals on indoor air quality and examine employees' physical symptoms in the operating room. Method The study was conducted in the operating room between June 2020 and July 2020. In the study, 45 air samples were taken before, during, and after surgery using the active sampling method. Nineteen employees working in the operating room were asked about their physical complaints and their throat cultures were taken before and after surgery. These results were compared with those of the employees working in internal units. Results The Total Volatile Organic Compounds value at the time of surgery was significantly higher (p <= 0.05). Benzene concentrations remained constantly high (p <= 0.05) throughout the surgery, exceeding the limit values. Other VOCs (Volatile Organic Compounds) were significantly higher during surgery and remained below the limit values (p <= 0.05). When compared in terms of open and laparoscopic surgery, no difference between VOC concentrations was observed (p <= 0.05). The physical symptoms of the surgical team increased during the operation, and they experienced more complaints of tearing, burning in the eyes, hair odor, nausea, and cough than those working in the internal units (e.g., internal medicine, dermatology; (p <= 0.05). Conclusions Surgical smoke was an important contaminant for indoor air quality in the operating room.Öğe Protective effects of probiotic-rich intermittent fasting on isoproterenol-ınduced myocardial damage in rats; Electrocardiographic and biochemical evaluation(Wiley, 2022) Suveren, EylemProtective Effects of Probiotic-rich Intermittent Fasting on Isoproterenol-Induced Myocardial Damage in Rats; Electrocardiographic and Biochemical EvaluationÖğe Effect of the management in nursing course on students' time management and career planning attitudes: A single-group pre-test post-test study(Churchill Livingstone, 2023) Çingöl, Nurhan; Karakaş, MehmetAim: This study aimed to determine the effect of the Management in Nursing course on the time management and career planning attitudes of nursing students.Background: University education is important for young people to develop their time management skills, plan their careers, and implement these plans. Design: This is a semi-experimental study used single-group pre-test post-test design.Methods: This study sample included 133 fourth-year nursing students who enrolled for the Management in Nursing course in the 2019-2020 academic year. Introductory Information Form, Career Futures Inventory (CFI), and Time Management Questionnaire (TMQ) were used for data collection.Results: A statistically significant difference was found between the pre-and post-test time planning and TMQ scores. Moreover, a significant difference was found between the pre-and post-test career adaptability, career optimism and CFI scores. No significant difference was found between the pre-and post-test scores for the TMQ's time attitudes and time wasters subdimensions; similarly, the CFI's perceived knowledge of the job market subdimension indicated no significant difference between the pre-and post-test scores.Conclusions: The results of this study indicated that the Management in Nursing course improved the time management skills of fourth-year nursing students as well as increased adaptability and optimism in their career planning attitudes.Öğe Validity and reliability study of the mental illness micro-aggression scale-perpetrator version(W B Saunders Co-Elsevier Inc, 2022) Ertem, Melike Yönder; Karakaş, MehmetThis study was conducted to determine the Turkish Validity and Reliability of the Mental Illness Micro-Aggression Scale- perpetrator version. This methodological study was conducted with 302 nursing students studying at two different universities in Turkey. The data of the study were collected via introductory information form, the Mental Illness Micro-Aggression Scale-Perpetrator Version, and Community Attitudes to Mental Illness. As a result of the exploratory factor analysis and confirmatory factor analysis, the original three-factor structure of the scale was changed and a four-factor structure emerged. The Turkish version of the Mental Illness Micro-Aggression Scale-Perpetrator Version was found to be a valid and reliable measurement tool to measure micro-aggression towards people with mental illness.Öğe The impact of drama education and in-class education on nursing students' attitudes toward violence against women: A randomized controlled study(Churchill Livingstone, 2023) Kesgin, Makbule Tokur; Tok, Hümeyra HançerBackground: Nurses are the first to intervene in women who were subjected to violence. It is necessary to prepare prospective nurses for this difficult situation in order to enable them to provide quality health services to the victims. Nursing education is of critical importance in gaining nursing students sufficient competencies that they can utilize in intervening in such cases.Objectives: This study aims to determine the impact of creative drama education and in-class education on nursing students' attitudes toward violence against women.Design: This study has a pre-test post-test parallel group randomized controlled design. Setting: This study was carried out at a nursing school in Turkey.Participants: Seventy-eight (n = 78) fourth-year undergraduate nursing science students. Method: In the collection of data, personal information form and ISKEBE Violence Against Women Attitude Scale were used. Data were analyzed using descriptive statistics, Wilcoxon Signed Rank test, and Mann-Whitney U test. Results: A statistically significant difference was found between the pre-test and post-test scores (Z = -4.911, p = 0.0001) of the experimental group (Z = -5054, p = 0.0001) and the control group. No significant correlation was found between the post-test scores of the experimental and control groups (Effect size = 0.06, Z = -0.525, p = 0.600).Conclusion: It was found that in-class teaching and creative drama were effective in changing the attitude toward violence against women. However, neither method was found to be superior to the other.Öğe The relationship between the level of trust in nurses and nursing care quality perceptions of patients treated for Covid-19(WILEY, 2023) Palaz, Simge Çoşkun; Kayacan, SemraBackground During the pandemic process, nursing care has gained more importance. So, it is critical to evaluate the level of trust in nurses and the perception of care in terms of the patient, in order to improve the care service provided, to achieve the desired successful patient results, to ensure patient satisfaction in nursing care and to create a healthy society in the long term. Aim This study aimed to examine the relationship between the level of trust in nurses, care perceptions of patients receiving care with the diagnosis of Covid-19, and the level of trust in nurses and care quality perceptions of patients. Methods This descriptive, cross-sectional, correlational study was conducted in the Covid-19 unit of a state hospital in the Western Black Sea Region of Turkey between May and October 2021. The sample size was calculated as 227 using the sample calculation formula whose population is unknown in the literature. 'Personal Information Form', 'Trust in Nurses Scale' and 'Patient Perception of Hospital Experience with Nursing (PPHEN)' was used to collect data. Ethical approval was obtained from the clinical research ethics committee, Results The total mean score of the patients' trust in nurses scale was 27.67 +/- 3.29 (min: 15, max: 30); the mean score of the patients' Perception of Nursing Care scale was determined as 69.52 +/- 12.51 (min:15, max:75). It has been determined that the level of trust in nurses and the perception of nursing care of patients receiving Covid-19 treatment are high. A positive, significant and weak relationship (r = 0.348, p < 0.01) was found between the patients' level of trust in nurses and their perceptions of nursing care. Conclusion During the pandemic process, trust in the patient-nurse relationship increases the patient's perception of nursing care and positively affects the quality of care.Öğe Reliability and validity of the Turkish version of the subjective health complaints inventory(Çukurova Univ, Fac Medicine, 2022) Kalaycıoğlu, Oya; Demir, Gökçe; Kesgin, Makbule TokurPurpose: This study aims to evaluate the reliability and validity of the Turkish version of the Subjective Health Complaints (SHC) inventory, which can be used to monitor health complaints experienced by the hospital support staff. Materials and Methods: In this methodological study, data were collected from 240 hospital support staff working in five different hospitals in Turkey. Participants were asked demographic questions and administered a Turkish translated SHC inventory. Construct validity was confirmed using exploratory and confirmatory factor analysis. Internal consistency was assessed by calculating the Cronbach's alpha and split-half reliability coefficients. Results: The Turkish SHC inventory with 29 items showed acceptable content validity, construct validity, and internal consistency reliability (Cronbach's alpha = 0.905). Confirmatory factor analysis confirmed the original five-dimensional structure of the scale. Model fit indices implied a good model-data fit: the normed chi-square value of 1.488 (chi(2) = 513.423, df=345); error of root mean square approximation of 0.045; comparative fit index of 0.939 standardized root mean square residuals of 0.060. Conclusion: The findings assert the reliability and validity of the Turkish SHC inventory, and recommend its use as a suitable tool for monitoring health complaints experienced by health service workers.Öğe The impact of health literacy levels on women's fear of contracting Covid-19 and their attitudes toward holistic complementary and alternative medicine: Mediation analysis results(Taylor & Francis Inc., 2022) Toprak, Filiz Ünal; Palaz, Simge Çoşkun; Çağlar, SongülResearchers aim to examine mediating variable role of health literacy in the relationship between fear of contracting Covid-19 in women and use of holistic complementary alternative medicine. The study was conducted as descriptive cross-sectional. The researchers collected study data by conducting an online questionnaire from 285 women between April 01 and June 30, 2021. In our study, a significant relationship was found between education level and health literacy, having a chronic illness, not being able to find a permanent job and fear of Covid-19 (p < 0.05). Positive correlation exists between fear of contracting Covid-19 and Holistic Complementary and Alternative Medicine Practice (correlation between HCAM Practice beta=.21). When health literacy variable is included, the level of relationship decreases (beta=.18). The researchers determined that as the level of health literacy increased, the women resorted to HCAM practices less despite their fear of contracting Covid-19.Öğe The effect of aromatherapy on blood pressure and stress responses by inhalation and foot massage in patients with essential hypertension randomized clinical trial(Lippincott Williams & Wilkins, 2022) Ciçek, Saadet Can; Erbaş, Şeyma Demir; Yılmaz, Dilek; Açıkgöz, Aynur; Yıldız, Sedat; Yis, Özgür MehmetA 3-arm, parallel group, randomized clinical trial examines the effect of aromatherapy through inhalation and foot massage on blood pressure and stress response in patients with essential hypertension. Lavender oil reduced blood pressure, heart rate, serum cortisol, and subjective anxiety in hypertensive patients.Öğe Factors associated with psychological distress of individuals with COVID-19 isolating at home(Slack Inc, 2023) Candan, Hatice Dayıar; Yıldırım, NazmiyeThe purpose of the current study was to clarify the effects of illness perceptions, coping styles, and social support on psychological distress of individuals with coronavirus disease 2019 (COVID-19) isolating at home. A cross-sectional study was performed in a state hospital in Turkey with 112 individuals with confirmed cases of COVID-19. Data were collected online using self-report scales between June 8, 2020, and December 25, 2020. Regression models were used to determine predictors of psychological distress. Significant predictors were cognitive and emotional illness representations, self-blame, and positive reinterpretation coping methods. Health care providers should consider individuals'illness perceptions and coping methods and their effect on psychological distress when providing in-home and follow-up care. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.]Öğe Being a nurse at the ground zero of care in Turkey during the COVID-19 pandemic: A qualitative study(Springer, 2022) Cerit, Birgül; Uzun, Lütfiye NurThis study was conducted to examine the experiences of nurses working during the COVID-19 pandemic using a qualitative descriptive research design. The study sample, determined using the criterion sampling method, consisted of nine nurses who work in a COVID-19 clinic of a pandemic hospital. The data were collected through interviews. The data were analyzed using content analysis. COREQ reporting guidelines were used in the study. From the content analysis, five main themes emerged in the study: "nurses' perceptions of the pandemic process", "nurses' feelings about the pandemic process", "difficulties nurses experienced in caring for patients with COVID-19", "professional achievements nurses gained while working in the COVID-19 clinic" and "nursing care practices and changes during the COVID-19 pandemic". The results of the study showed that during the pandemic, nurses experienced both positive and negative feelings/thoughts, faced various difficulties as well as several professional gains while providing care, and witnessed the changing face of self-care and patient care.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 Evaluation of belief and attitudes towards stigma of nurses/physician, patients and patients' relatives in psychiatric clinics(KLINIK PSIKIYATRI DERGISI, 2021) Ercan, Feride; Karakaş, Mehmet; Gürhan, Nermin; Demircan, Ümran; Kaya, Haydar MehmetObjective: This study was conducted to evaluate the beliefs and attitudes of nurses/physicians, patients and patients' relatives towards stigma in psychiatry clinics. Method: The study was undertaken using descriptive-sectional study method. It was conducted between October-December 2017 at the psychiatry clinic of two state university training and research hospitals and at the mental health and diseases training and research hospital of a state university. The sample consists of 43 nurses/physicians, 76 patients and 37 patient relatives. The data were collected using Beliefs towards Mental Illness Scale (BMI), scale of The Community Attitudes towards the Mentally Ill (CAMI) and Internalized Stigma of Mental Illness Scale (ISMI). The beliefs and attitudes scores of nurses/physicians, patients, and patient relatives were compared, the internalized stigmatization levels of patients with mental disorders were evaluated, and the stigma belief and attitude levels were examined for some variables. Results: Participants in the study were 27.6% nurses/physicians, 48.7% patients and 23.7% patient relatives. A statistically significant difference was found between the groups in terms of the BMI subscales of dangerousness, poor social and interpersonal skills and incurability and shame, and the scale total score (p < 0.05). A statistically significant difference was found between the groups in terms of CAMI fear/exclusion score (p < 0.05). Discussion: It was determined that patients have the most negative beliefs towards to mental disorders/patients, also nurses/physicians were found to exhibit more fear and exclusion attitudes. Although it varies according to the groups it was determined that beliefs, attitudes and internalized stigmatization were affected by variables such as economic status, education level, gender, and number of hospitalizations.
