Sağlık Hizmetleri Meslek Yüksekokulu / Vocational School of Health Services

Permanent URI for this collectionhttps://hdl.handle.net/11727/3080

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Assessing the knowledge in primary health care following an educational course structured in the context of GARD chronic airway diseases national control program
(2017) Balkan, Arzu; Oner Erkekol, Ferda; Kokturk, Nurdan; Mungan, Dilsad; Sackesen, Cansin; Onen, Zeynep Pinar; Ozkan, Secil; Ergun, Pinar; Kocabas, Can Naci; Baran Aksakal, Nur; Ekici, Banu; Ozkan Altunay, Zubeyde; Gemicioglu, Bilun; Yorgancioglu, Arzu; 0000-0002-4032-0944; 28990886; AAC-7548-2020
Introduction: Chronic obstructive pulmonary diseases are common causes of disease in the community and account for considerable percent of the caseload in primary health care facilities. For this reason, it is important to question and improve the knowledge of primary health care physicians. This study is designed to assess the level of knowledge for bronchial asthma and COPD of the primary healthcare physicians, both before and immediately after an educational course structured in the context of GARD Chronic Airway Diseases National Control Program. Materials and Methods: The participating physicians attended an intensive educational course on asthma and COPD. Twenty five item questionnaires for asthma and COPD were administered to the participants both before and immediately after the end of the course. Contribution of education to the level of knowledge was investigated by comparing the percentages of the correct answers in the pre-and post-test. Results: From 11 different cities, 1817 and 1788 primary health care physician were attended to the asthma and COPD educations, respectively. The accuracy rate of >= 75% was obtained from only 4 questions in pre-test asthma questionnaire. On the contrary, in 15 questions the accuracy rate was < 50%. The mean accuracy rate for the whole asthma test was 45.8%, and this rate raised to 69.6% after education course. The accuracy rate of >= 75% could not be obtained from any of the questions in pre-test COPD questionnaire. On the contrary, in 19 questions the accuracy rate was < 50%. The mean accuracy rate for the whole asthma test was 42.0%, and this rate raised to 71.3% after education course. Conclusion: It has been shown that, in primary care settings, the level of knowledge in asthma and COPD should be enhanced and that this increase can be achieved with an education course.
Evaluation of Hemodialysis Patients in Terms of Activities of Daily Living, Disability, Depression and Comorbidity
(2017) Turgay, Gulay; Tutal, Emre; Sezer, Siren
OBJECTIVE: This study was conducted to evaluate the hemodialysis patients in terms of activities of daily living (ADLs), disability, depression and comorbidity. MATERIAL and METHODS: The population of this cross-sectional study included 220 patients undergoing treatment at a dialysis center between June-August 2016. The study sample however was comprised of 144 patients who were 50 years old and above, had been undergoing hemodialysis treatment for at least six months and who agreed to participate in the research. The data was collected using the Patient Identification Form, the Katz Activities of Daily Living Scale, Lawton and Brody Instrumental Activities of Daily Living Scale, Brief Disability Questionnaire, Charlson Comorbidity Score and Beck Depression Inventory. RESULTS: The patients were divided into two groups: the 50-64 years age group and the 65-plus age group. The patients in the first group were found to have an Activities of Daily Living Scale score of 17.28 +/- 1.45, Instrumental Activities of Daily Living Scale score of 19.98 +/- 3.02, and a Brief Disability Questionnaire score of 7.42 +/- 3.99 whereas the patients in the second group were found to have score of 15.73 +/- 2.53, 17.29 +/- 3.43 and 10.7 +/- 4.18 respectively. CONCLUSION: Hemodialysis and age progression leads to dependency of patients at varying levels while they maintain their activities of daily living.
Home Application by Hemodialysis Patients for Hypertension Management
(2017) Gokdogan, Feray; Kes, Duygu; Turgay, Gulay; Tuna, Dondu
OBJECTIVE: This study aimed to determine home application by hemodialysis patients for hypertension management. MATERIAL and METHODS: The population of the descriptive study included a total of 279 patients who were treated at the hemodialysis centers of two state hospitals, one private hospital and one training and research hospital situated within Karabuk province. A total of 120 patients who were over 18 years of age, had hypertension, could communicate, and whose clinic state were stable, who did not have any mental and psychiatric disorder and who accepted to participate in the research voluntarily were included in the sample. RESULTS: It was determined that 59.2% of the patients who participated in the study did not measure their blood pressures at home regularly; 44.6% did not take their medication regularly and did not know the name and dosages of their medication (60.7% and 64.3% respectively); 73.2% had stopped taking medication without the physician's knowledge; 85% used salt in meals; and 70.8% and 46.7% respectively did not comply with the liquid limitation. CONCLUSION: It is important to reveal the effects of a nursing care approach for supporting hypertension self-management at home of our patients based on their individual characteristics through studies focusing on regular training, monitoring and providing consultancy services.