Sağlık Bilimleri Fakültesi / Faculty of Health Sciences

Permanent URI for this collectionhttps://hdl.handle.net/11727/1402

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    Antibiotic Management Programme In A Tertiary Intensive Care Unit: Effects Of A Carbapenem-Restricted Period On Clinical And Laboratory Parameters And Costs Of Infections
    (Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-06-13) Asilturk, D; Guner, R.; Kalem, A. Kaya; Turan, I. Ozkocak; Hasanoglu, I.; Eser, F.; Malhan, S.; Kayaaslan, B.
    Background: Carbapenems are antibiotics used for serious infections. The consumption of carbapenems has increased worldwide due to increasing microbial resistance. Aim: To investigate the effects of a carbapenem-restricted antimicrobial stewardship programme (ASP) on changes in the resistance profiles of infectious agents, the amount of antibiotics used, length of stay in the intensive care unit (ICU), mortality, and costs. Methods: Patients hospitalized in ICU between July 1st, 2020 and May 1st, 2021 were divided into two periods: the carbapenem-non-restricted period (CNRP); and the carbapenem-restricted period (CRP) in which alternative antibiotics to carbapenems were preferred during infection. The defined daily dose (DDD) per 100 patient-day methodology was used to calculate the antibiotic consumption. Findings: Of the 572 patients included in the study, 62.2% were male, and mean age was 70.5 years. In the blood culture the most frequently Gram-negative agent was Acinetobacter baumannii (25%). A. baumannii bloodstream infections with multidrug-resistant and extensively drug resistant micro-organisms were significantly different between the two periods (CNRP: 95.6% (N = 22), CRP: 66.6% (N = 8); P = 0.04). There was a gradual decrease in the incidence density and rate of nosocomial infection (P = 0.06), and a significant decrease in meropenem consumption between the two periods (CNRP vs CRP: 21.19 vs 6.37 DDD per 100 patient-days respectively; P = 0.007). ASP yielded US$8,600 of antibiotic cost savings and a total of 14% patient cost savings (P < 0.05) per patient. Conclusion: Combining an effective ASP with a comprehensive infection control programme may mitigate the emergence of antimicrobial-resistant bacteria. (c) 2024 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
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    Social Group Work Practice in Coping with Problematic Technology Use in Adolescents: A Mixed Method Research
    (Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-23) Aktan, Mehmet Can; Gokcearslan, Elif
    Problematic technology use is a growing concern among adolescents, with those aged 12-18 being particularly vulnerable. This study aims to investigate the technology usage habits of students, assess their addiction levels, and mitigate any problematic patterns. Conducted at a pilot high school in Ankara, T & uuml;rkiye, the research involved 630 students aged 14-17. Quantitative data collection utilized the Personal Information Form, Technology Addiction Scale, and Technological Addiction Scale. Qualitative data collection included selecting 10 students for group social work sessions. Quantitative data were analyzed using SPSS and AMOS, while NVIVO was used for qualitative analysis. The study identified high, medium, and low levels of technology addiction among students, highlighting psycho-social difficulties such as social exclusion, impaired functionality, difficulty in controlling technology use, and deprivation. Applying a cognitive-behavioral approach, group social work sessions in the form of psycho-educational groups proved effective in addressing problematic technology use in adolescents. The findings were contextualized within existing literature, with recommendations for future research including the inclusion of control groups and exploration of different therapeutic approaches in group studies.
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    Validity And Reliability Of The Turkish Version Of The Patient On Hemodialysis Resilience Scale
    (Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-16) Eler, Cigdem Oezdemir; Kav, Sultan
    IntroductionThe study aims to evaluate the validity and reliability of the hemodialysis resilience scale (PHRS) in the Turkish population.MethodsA cross-sectional methodologic study involved 136 hemodialysis patients at two dialysis centers affiliated with a foundation university in Turkey. The updated guidelines for the Intercultural Scale Adaptation Stages, Language, and Culture Adaptation were followed.ResultsCronbach's alpha of the PHRS-Tr was 0.94. A three-factor structure was extracted, namely "the pursuit of positive meaning in the present," "building the will to live through close human relationships," and "acceptance of hemodialysis as a part of daily life" explaining 66.82% of the total variance. Test-retest reliability was conducted with 50 patients within the sample 2 weeks after the first application. The correlation coefficient for test-retest reliability was r = 0.680.ConclusionThe study results indicate that the PHRS-Tr is a valid and reliable tool for assessing resilience status in Turkish hemodialysis patients.
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    Effects Of Progressive Muscle Relaxation Exercises On The Vital Signs And Fatigue In Kidney Transplant Patients: A Randomized Controlled Trial
    (Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-03) Yagiz, Seyda Uzun; Isik, Sevcan Avci
    PurposeMultiple effective nursing interventions are needed to manage deviations from normal vital signs and fatigue experienced by kidney transplant patients. In this study, we investigated the effect of progressive muscle relaxation (PMR) exercises on vital signs and fatigue in kidney transplant patients.MethodWe conducted a randomized controlled experimental study with 52 patients (intervention = 26, control = 26) who underwent kidney transplantation at a university hospital in Turkey and met the inclusion criteria. The "Descriptive Characteristics Form", "Vital Signs Monitoring Form", and "Fatigue Severity Scale" were used to record data on the patients. Then, the patients in the intervention group (baseline assessment) were trained to perform PMR exercises, asked to practice, and followed up (first follow-up). Patients were recommended to perform PMR exercises for 20 min every day for four weeks. The second follow-up in the second week after discharge and the third follow-up at the end of the fourth week were performed in the outpatient clinic.ResultsWe found that the pulse rate, body temperature, and arterial blood pressure decreased over time and oxygen saturation increased in the patients of the intervention group. The PMR exercises decreased fatigue in these patients. The arterial blood pressure and oxygen saturation values differed significantly across different time points among the patients in the control group. The difference in the scores of fatigue severity between the pre-follow-up and the third follow-up in the control group was not significant.ConclusionPMR exercises were found to be an effective nursing intervention in regulating vital signs and reducing fatigue in renal transplant patients.
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    Socioeconomic profile of families with spina bifida children in Turkey
    (Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-05) Ay, Larisa Andrada; Alatas, Ibrahim; Ozel, Seyhmus Kerem; Alizada, Orkhan; Akkoyun, Nesrin
    Background Spina bifida's prevalence and incidence vary across geographical regions with sociodemographic characteristics and socioeconomic status of the populations having a significate influence over its epidemiology. This study aimed to outline the socioeconomic profile of families with spina bifida children, based on sociodemographic characteristics.Methods Between August and December 2022, 86 surveys completed by parents of children that underwent spina bifida repair in our institution were included in this analysis. The first part of the survey included questions based on sociodemographic characteristics. The second part of the survey was based on care provided by the families, regular follow-ups, participation in rehabilitation programs, and type of burdens perceived by the caregivers.Results A close look at the highest level of parent education showed that more than half of them were only middle school graduates. Occupational status in the perioconceptional period revealed that 77% of mothers were housewives/unemployed. 23% had a history of induced or spontaneous abortion. A high number of consanguine marriages were registered with 58% of the subjects being biologically related. 53% of the spina bifida children came from families with low household income. Only 15% of the spina bifida children had access to physiotherapy and 18% to rehabilitation programs.Conclusions Children with spinal dysraphism were more likely to come from families resulted from consanguineous marriages, with at least two children, low level of parent education and household income. Emotional and financial burden perceived by caregivers should be addressed in order to diminish the numerous challenges that this group of families encounter.
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    The Mediating Role Of Anxiety In The Relationship Between Misophonia And Quality Of Life: Findings From The Validated Turkish Version Of Misoquest
    (Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-03) Ay, Ezgi; Huviyetli, Mert; Cakmak, Eda
    Introduction Misophonia is a disorder characterized by decreased tolerance to certain sounds or their associated stimuli, and many measurement tools have been developed for its diagnosis and evaluation. The aims of the current study were to develop the Turkish version of MisoQuest, a fully validated misophonia questionnaire, to evaluate the relationships between misophonia, anxiety, and quality of life, and to examine the mediating role of anxiety in the relationship between misophonia and quality of life.Methods The reliability of the Turkish version of MisoQuest was conducted using data from 548 participants (Mean age = 28.06 +/- 9.36). Then, the relationships between misophonia, anxiety, and quality of life were evaluated in a separate sample of 117 participants (Mean age = 25.50 +/- 6.31) using the State-Trait Anxiety Inventory (STAI) and the Short Form 36 (SF-36) questionnaire.Results The results showed that the Turkish version of MisoQuest has good psychometric properties. Close-to-moderate positive correlations were found between misophonia and anxiety, and weak negative correlations were found between misophonia and quality of life. Anxiety mediated the relationships between misophonia and quality of life.Discussion These results emphasize that misophonia may be an important problem affecting people's quality of life and reveal the mediating role of anxiety on this effect.
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    Evaluation of the Quality of Life and the Demographic and Clinical Characteristics of Patients With Pemphigus With Oral Mucosal involvement: A Multicenter Observational Study
    (Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-31) Polat, Asude Kara; Mulayim, Mehmet Kamil; Gur, Tugba Falay; Acar, Ayda; Bozca, Burcin Cansu; Ceylan, Can; Kilinc, Fadime; Guener, Rukiye Yasak; Albayrak, Huelya; Durdu, Murat; Aksu, Ayse Esra Koku; Nalbant, Fatma; Savk, Ekin; Bayramgurler, Dilek; Daye, Munise; Singer, Ralfi; Alatas, Emine Tugba; Erdemir, Vefa Asli; Gurel, Mehmet Salih; Uzun, Soner; Yayli, Savas
    Introduction: Pemphigus vulgaris (PV) is an autoimmune disease primarily affecting the oral mucosa. Objectives: This study aimed to determine the demographic, clinical and treatment characteristics of PV patients with oral mucosal involvement and to assess the impact on their quality of life. Methods: We conducted a prospective observational study among 106 patients diagnosed with PV and presenting oral mucosal involvement. Demographic data, clinical and treatment characteristics, and quality of life questionnaires were recorded. Results: The study included 106 patients, 55 (51.89%) were male and there was a predominance of the mucocutaneous subtype in 83 individuals (78.38%). Oral mucosa was the initial site of manifestation in 44 patients (41.51%). Bilateral buccal mucosa was the most frequently affected site. The predominant symptom reported was a burning sensation, noted in 91 patients (85.85%). Oral mucosal examination revealed erosions in 85.85% of the patients. Systemic steroids were the most commonly administered treatment, and rituximab was used in 18 patients (16.98%). A positive and significant correlation was found between pemphigus severity and Oral Health Impact Profile-14, Dermatology Life Quality Index and Dermatological Quality of Life Scale scores (P < 0.05). The presence of superficial ulcers, flaccid bullae, lesion diameter >= 1 cm, and >10 lesions were factors that markedly diminished quality of life. Complete response to treatment was noted in all patients administered rituximab. Conclusions: The most common area of involvement was bilateral buccal mucosa, and the severity of PV closely correlated with a decline in quality of life measures. These results highlight the need for careful clinical oversight of PV, taking into account its effects on patients quality of life.
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    The Role of Post-Traumatic Stress Symptoms and Post Migration Life Difficulties for Future Aspirations of Iraqi and Syrian Asylum Seekers
    (Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-07-12) Yildiz, Aylin Demirli; Strohmeier, Dagmar
    The majority of asylum seekers experience some kind of traumatic events before or during their flight and their challenging experiences do not end after resettlement. Still, they need to envision and build their future life in the host country. Moreover, asylum seekers' future aspirations need to be differentiated from the satisfaction of essential needs. We (1) measured future aspirations (FA); (2) explored whether FA and post-migration life difficulties (PMLD) differ between asylum seekers with high and low levels of post-traumatic stress symptoms (PTSS); and (3) examined whether PTSS, PMLD, gender, age, and length of stay are associated with different types of FA. In total, 139 Iraqi and Syrian asylum seekers (55 female, 83 male) aged 18 to 67 years (M = 34.03, SD = 10.35) participated. A four-factor structure of FA was confirmed by confirmatory factor analysis (CFA). Participants with high levels of post-traumatic stress symptoms reported higher levels of PMLD and lower levels of FA related to their home country. FA related to the host country and FA related to occupation were predicted by lower levels of post-traumatic stress symptoms, while future aspirations related to the home country were predicted by higher levels of PMLD. Results indicate that asylum seekers who experienced more traumatic events before they migrated are more reluctant to return to these places in the future. Treating the psychological impairments of this highly vulnerable group and relaxing the manifold structural barriers are crucial to foster their construction of a future life.
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    Experiences Of Nurses Providing Care To Hospitalized Patients With Acute Mania In Türkiye: A Phenomenological Study
    (Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-04-27) Oksuz, Emine; Mersin, Sevinc; Ucgun, Tugce; Sarikoc, Gamze
    The main purpose of this study was to determine the experiences of nurses who care for hospitalized patients experiencing an acute manic episode. This qualitative study was carried out with 15 nurses working in a psychiatric ward in T & uuml;rkiye. Data were collected through semi -structured in-depth individual interviews and focusgroup interviews in which the face-to-face interview technique was used. Two main themes emerged from the analysis of the qualitative data: (1) the difficulties experienced and (2) the most effective elements of care. Under the first main theme, the following sub -themes emerged: difficulties in setting boundaries, safety concerns, difficulties in managing the patient's demands, inability to choose the appropriate word(s), and the "emotional whirlwind" experienced. The second main theme, on the other hand, included the following sub -themes: meeting basic needs, ensuring treatment compliance, encouragement to engage in physical activity, and having a sufficient number of qualified personnel. The study revealed that the nurses had difficulties in caring for their manic patients. On the basis of these results, it is recommended that nurses be given counseling and training on setting boundaries, ensuring safety, managing the patient's demands, coping with their own emotions, and communicating better. In addition, the study identified the importance of nursing interventions to meet patients' basic needs, encourage them to engage in physical activity, and ensure treatment compliance, and the importance of there being an adequate number of qualified personnel. These results may help students and other nurses in terms of assessing and setting priorities in cases needing acute psychiatric care.
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    Validity And Reliability Of Turkish Version Of The Secondary Screening Instrument For Targeting Educational Risk Questionnaires
    (Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-04-01) Tokgoz-Yilmaz, Suna; Hancer, Hale; Orak, Ozge
    Objective: The Secondary Screening Instrument for Targeting Educational Risk Questionnaires (Secondary S.I.F.T.E.R.) is a scanning tool for teachers to evaluate the challenges and educational risks faced by deaf and hard of hearing (DHH) students. In Turkey, there is a need for a screening tool to identify academic risks among DHH students. This study aimed to adapt the Turkish version of the Secondary S.I.F.T.E.R. (Secondary S.I.F.T.E.R.-T) and evaluate its validity and reliability. Materials and Methods: The Secondary S.I.F.T.E.R.-T was translated and cross-culturally adapted. Subsequently, the Secondary S.I.F.T.E.R.-T was administered by teachers of 104 DHH students (group 1) and 69 normal-hearing students (group 2) in the 6th to 12th grades to evaluate. Results: In the validity analysis of the Secondary S.I.F.T.E.R.-T, the item-total correlation coefficients, content validity ratio, and index were found to be compatible with the literature, and the subscale and total scale scores of the two groups were significantly different. High internal consistency reliability was determined using Cronbach's alpha, split-half Spearman-Brown correlation, and Guttman's coefficients. A scoring grid was developed to identify low-, middle-, and high-performing students. Conclusions: The validity and reliability analyzes of the Secondary-S.I.F.T.E.R.-T were found to be acceptable, and scoring grids were determined. Secondary-S.I.F.T.E.R.-T can be used as a screening tool to identify academic risks among DHH students in Turkey.