Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item Gender and Residency Effects on Elderly Health in Turkey(2014) Basara, Berrak Bora; Mollahaliloglu, Salih; Pulgat, Erman; Kavuncubasi, Sahin; Q-2805-2018The proportion of the elderly population grows not only in Turkey but also in the whole world due to reduced fertility rate and extended life expectancy. While 65 age and over population quintile constituted only 4.3 % of the total population in 1990, the proportion of the elderly population raised to 7.2% as of late 2010. This study is based on the data collected from total 1,540 respondents at 65 ages and over who were interviewed in the Health Interview Survey 2008. Main aim of this study is providing a description of the socio-demographic characteristics of the elderly population and investigating the gender and residential effects on their daily activities and presence of chronic diseases. Both being an elder female and living in rural areas are found to be significant risk factors for some certain diseases. Additionally, both elder females and elder population living in rural areas assess their health poorer than males and those in urban areas, respectively. Therefore, defining policies especially focusing on difficulties of women and elders in rural areas seems to be a necessity. In order to increase quality of life of overall elderly population, attaching further importance to the elderly care services, establishing more facilities and employing more personnel might be considered as precautions.Item Evaluating Palliative Care Needs in Middle Eastern Countries(2015) Kav, Sultan; 0000-0003-0361-7498; 25302525; V-9745-2019Background: Cancer incidence in Middle Eastern countries, most categorized as low- and middle-income, is predicted to double in the next 10 years, greater than in any other part of the world. While progress has been made in cancer diagnosis/treatment, much remains to be done to improve palliative care for the majority of patients with cancer who present with advanced disease. Objective: To determine knowledge, beliefs, barriers, and resources regarding palliative care services in Middle Eastern countries and use findings to inform future educational and training activities. Design: Descriptive survey. Setting/Subjects: Fifteen Middle Eastern countries; convenience sample of 776 nurses (44.3%), physicians (38.3%) and psychosocial, academic, and other health care professionals (17.4%) employed in varied settings. Measurements: Palliative care needs assessment. Results: Improved pain management services are key facilitators. Top barriers include lack of designated palliative care beds/services, community awareness, staff training, access to hospice services, and personnel/time. The nonexistence of functioning home-based and hospice services leaves families/providers unable to honor patient wishes. Respondents were least satisfied with discussions around advance directives and wish to learn more about palliative care focusing on communication techniques. Populations requiring special consideration comprise: patients with ethnic diversity, language barriers, and low literacy; pediatric and young adults; and the elderly. Conclusions: The majority of Middle Eastern patients with cancer are treated in outlying regions; the community is pivotal and must be incorporated into future plans for developing palliative care services. Promoting palliative care education and certification for physicians and nurses is crucial; home-based and hospice services must be sustained.Item Gender Differences in the Relation of Personality Traits and Self-Presentation with Physical Activity(2015) Asci, F. H.; Lindwall, M.; Altintas, A.; Gursel, N. Edepli; 0000-0002-6650-6931Objectives. - The purpose of this study was to examine the relation of physical activity with personality traits and self-presentation and gender differences in this relation. Methods. - Two hundred thirteen female (M-age = 21.73 +/- 1.63), 247 male (M-age = 22.37 +/- 2.19) exercisers voluntarily participated in this study. The Five Factor Personality Inventory (short version), Self Presentation in Exercise Questionnaire and The short version of International Physical Activity Questionnaire was administered to participants. Results. - Regression analysis indicated that openness to experience was a significant predictor of moderate physical activity in females. On the other hand, agreeableness, emotional stability and conscientiousness were related to vigorous physical activity in males. Analysis also revealed significant relationship between vigorous physical activity and impression motivation in both males and females. Furthermore, impression construction was also associated with vigorous physical activity in females. Conclusion. - This study extended the previous studies on Western culture to non-western culture of Turkey and also provided some explanation for inconclusive results about the gender differences in the relationship of personality and physical activity. The study also examined the relationship between self-presentation and physical activity in terms of gender, which is less frequently studied. The findings of this study indicated that the pattern of relation of physical activity with personality traits differed with regard to gender. For males, personality characteristic were related with vigorous physical activity but for females personality is predictor of moderate physical activity. The patterns of relation of physical activity with self-presentation are similar for males and females and self-presentation is related with the vigorous physical activity for both gender. (C) 2014 Published by Elsevier Masson SAS.Item Efficacy of a School-Based Healthy Life Program in Turkey(2015) Toruner, Ebru Kilicarslan; Ayaz, Sultan; Altay, Naime; Citak, Ebru Akgun; Sahin, Sinem; 0000-0002-0484-4687The aim of this study was to evaluate the effectiveness of a school-based healthy life program, and a pretest-posttest control group design was used. Five hundred and thirty-seven students formed the intervention group and 568 students formed the control group in 4 elementary schools. Both the control and intervention groups were tested for their knowledge levels before and after the training, and their body mass indexes (BMIs) and blood pressures were measured. The results show that the intervention group's self-reported daily exercise duration increased at the end of the training. This study provides evidence for the benefits of using school-based healthy life programs beginning in elementary school.Item The Effects of Workplace Bullying on Physicians And Nurses(2014) Ekici, Dilek; Beder, AlperObjective This cross-sectional and descriptive study assessed workplace bullying and its effects on work performance and depression status of physicians and nurses in a university hospital, Turkey. Methods The study sample consisted of 201 physicians and 309 nurses. The variables are demographical characteristics of the participants, their perception of bullying, workload, the impact of bullying on work performance and their depression status. Results A large percentage of physicians (74%) and nurses (82%) reported having experienced bullying in the workplace. No significant differences were found between the physicians and nurses in terms of experienced workplace bullying. However, there was an association between performance, depression and experienced violent behaviours. Conclusion In order to solve the problem caused by workplace bullying, the rate of awareness amongst healthcare professionals needs to be raised. The researchers believe that unless organisations realise bullying's harmful effects on the employees and work performance, it is not easy to overcome the problem. Therefore, workplace bullying should be dealt with not only at an individual level, but also at organisational levels.Item Nurses' Practices in Targeted Therapies in Turkey(2015) Kav, Sultan; Atay, Sevcan; 0000-0002-4787-0666; 0000-0003-0361-7498; 25778328; D-9607-2018; V-9745-2019Purpose: The number of targeted agents has increased over the last years. The aim of this study was to explore the current practice and knowledge of nurses about targeted therapies and to identify the gap in their management in Turkey. Methods: Nurses who attended to the oncology nursing educational programs organised by the Turkish Oncology Nursing Association were invited to participate. A total of 187 nurses from 29 cities responded. Data were collected via a 30-item questionnaire on demographics and knowledge and practices on targeted therapies. Following this survey nurses were invited to participate in 'target' courses. Results: More than half of them (57.2%) stated they were willing to receive information on targeted therapies, mostly through in-service education (32.7%). Also, most of them were partly (67.3%) or not satisfied (24.3%) with their knowledge. Only few explained what targeted therapies are and how they work. While most of them responded correctly about how and where to store targeted drugs, few (1.8%) wrote that these agents should be stored in freezer. The majority stated that targeted agents should be prepared like the chemotherapy drugs. Conclusions: Lack of knowledge may cause errors and influence drug effectiveness. Nurses need to be supported with information. This survey revealed the needs in nursing practice over targeted therapies, side-effects and management.Item The Psychometric Properties of The Child Feeding Questionnaire (CFQ) in Turkey(2014) Camci, Nurdan; Bas, Murat; Buyukkaragoz, Aylin Hasbay; 24656946The purpose of this study was to test the reliability and validity of the Child Feeding Questionnaire (CFQ) among Turkish parents. The questionnaire was administered to 490 participants. Construct validity was assessed by principal component factor analysis with varimax rotation and reliability was tested by Cronbach's alpha coefficient. For testing criterion-related validity, EAT-40 with DEBQ was also administered to 490 participants. Results showed the presence of seven major factors (perceived responsibility, perceived parent weight, perceived child weight, concern about child weight, pressure to eat, monitoring and restriction) with loadings similar to those of the original questionnaire. Seven subscales of the CFQ had higher internal consistency and test-retest reliability. This study clearly demonstrates the factorial validity and the reliability of a Turkish version of the CFQ. (C) 2014 Elsevier Ltd. All rights reserved.Item Is Balance Exercise Training as Effective as Aerobic Exercise Training in Fibromyalgia Syndrome?(2015) Duruturk, Neslihan; Tuzun, Emine Handan; Culhaoglu, Belde; 25903448; AAD-3908-2020The aim was to compare the effect of aerobic and balance exercises on pain severity, myalgic score, quality of life, exercise capacity and balance in fibromyalgia syndrome (FMS). A total of 33 females diagnosed with FMS by the American College of Rheumatology criteria were recruited in this randomised controlled study and allocated to aerobic exercise (AE) or balance exercise (BE) groups. Exercises were performed three times a week, for 6 weeks on a treadmill or with a Tetrax interactive balance system (TIBS). Outcome measures were characterised by myalgic score, visual analogue scale, Fibromyalgia Impact Questionnaire (FIQ), exercise testing, Timed Up-Go (TUG) and TIBS measurements. Comparisons from baseline to 6 weeks were evaluated using Wilcoxon test. Mann-Whitney U test was used to compare differences between groups. Effect sizes were also calculated. Improvements in pain, myalgic score and FIQ were found in both groups (p < 0.05). While comparing groups, myalgic score was significant (p = 0.02, d = -1.77), the value was higher in AE. Exercise duration, Borg scale, resting blood pressures (RBP) and maximal heart rate were significant in AE. In BE, Borg scale, exercise duration was significant (p < 0.05). While comparing groups, diastolic RBP (p = 0.04, d = -0.92), exercise duration (p = 0.00, d = -1.64) were significant, with higher values in AE. TUG significantly changed in groups (p < 0.05, d a parts per thousand yen -1.22). Stability scores, eyes open while standing on elastic pads (p = 0.00, d = -0.98) and head back (p = 0.03, d = -0.74), were significant, with higher values in BE. This study showed that BE provided some improvements in FMS, but AE training led to greater gains. BE training should be included in comprehensive programs.Item Is 25(OH)D Associated with Cognitive Impairment and Functional Improvement in Stroke? A Retrospective Clinical Study(2015) Yalbuzdag, Seniz Akcay; Sarifakioglu, Banu; Afsar, Sevgi Ikbali; Celik, Canan; Can, Asli; Yegin, Tugba; Senturk, Burcu; Guzelant, Aliye Yildirim; 0000-0002-4003-3646; 25922112; E-2103-2019Background: In recent years, vitamin D deficiency has been suggested as a risk factor for ischemic stroke and stroke severity in both animal models and clinical studies. In this retrospective study, we investigated the relationship between 25-hydroxyvitamin D [25(OH)D] levels and functional outcomes in stroke patients during neurological rehabilitation program. We also investigated whether there is an association between 25(OH)D levels and cognitive impairment. Methods: The study included the medical records of 120 stroke patients who participated in a neurological rehabilitation program. The motor and cognitive components of the Functional Independence Measurements of all patients at admission and discharge were recorded. The Functional Ambulatory Scale was used to assess motor functional status, and the Turkish-validated version of the minimental state examination test was used to assess cognitive status. Results: A significant correlation was found between 25(OH)D level and cognitive impairment among patients who had ischemic strokes. High levels of 25(OH)D were associated with greater functional gain during the rehabilitation program in both ischemic stroke patients and hemorrhagic stroke patients. Conclusions: High 25(OH)D levels might be associated with greater functional improvement and with less cognitive impairment in stroke patients.Item Changes of Menstrual Attitude and Stress Perception in Women with Dysmenorrhea(2014) Snmezer, Emel; Yosmaoglu, Hayri Baran; https://orcid.org/0000-0001-7356-8500; IVH-4699-2023Purpose: This study was planned to compare the attitudes toward menstruation and stress levels of women with and without dysmenorrhea. Methods: A total of 100 female students (52 subjects with and 48 subjects without dysmenorrhea, respectively) over 18 years old were enrolled in this study. The attitude of women was assessed during menstruation by Menstruation Attitude Questionnaire. Level of perceived stress was evaluated with Percieved Stress Scale during menstruation and 15 days after menstruation. Additional menstrual symptoms such as abdominal cramps, nausea, vomiting, diarrhea, loss of appetite, dizziness, weakness, headache, back pain, leg symptoms were questioned during menstruation. Results: Only "menstruation as a natural event" subscale scores of Menstruation Attitude Questionnaire were significantly lower in women with dysmenorrhea than controls. Perceived Stress Scale scores during menstruation were significantly lower in the group with dysmenorrhea than the control group; however, Perceived Stress Scale scores 15 days after menstruation were not significantly different between two groups. The severity of menstrual symptoms such as abdominal cramps, nausea, loss of appetite, dizziness, and weakness were significantly higher in the group with dysmenorrhea. Discussion: This study shows that women with dysmenorrhea have some important changes in attitude towards menstruation. Especially they have problems to accept menstruation as a natural event. At the same time, physiological or psychological symptoms such as loss of appetite, muscle cramps, weakness were seen more in women with dysmenorrhea. Applications such as cognitive behavior therapy and perception therapy changing perception of menstruation can contribute to the treatment of dysmenorrhea.