Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item The Relationship Between Bladder Functions, Pelvic Floor Muscle Strength, Fall, and Fatigue in Multiple Sclerosis(2023) Tezeren, Halime Ceren; Keser, Ilke; Sen, Ilker; Tuncer, Asli; 0000-0002-4034-580X; 37778159Background: The aim of this study was to determine the relationship between the severity of bladder functions, fatigue, quality of life (QoL), fall, and pelvic floor muscle strength in patients with Multiple Sclerosis (PwMS).Methods: Patients were divided into two groups according to their Expanded Disability Status Scale (EDSS) bladder scores as Group 1 (EDSS bladder score 0-1, mildly affected group, n = 25) and Group 2 (EDSS bladder score 2-3-4, moderate and severely affected group, n = 21). Pelvic floor muscle (PFM) strength (EMG-Biofeedback device), fear of fall (Fall Efficacy Scale (FES-1)), fatigue (Fatigue Severity Scale (FSS)), QoL (Urogenital Distress Inventory-short form (UDI-6), and Incontinence Impact Questionnaire-short form (IIQ-7)) were evaluated.Results: 46 female patients diagnosed with MS were included in this study. No significant differences in baseline characteristics were seen between the groups except age. EDSS bladder score were 1 (0-1) and 3 (2-4), EMG-Biofeedback score were 79,5 +/- 8,11 and 41,7 +/- 5,48, FSS score were 38,7 +/- 2,80 and 54 +/- 2,20, FES-I score were 16,9 +/- 2,15 and 40,2 +/- 7,39, UDI-6 score were 4,24 +/- 0,47 and 8,42 +/- 0,64, IIQ-7 score were 3,64 +/- 0,86 and 18,2 +/- 1,42 in Group 1 and Group 2. As a result of statistical analysis, significant differences were found in less fatigue and fall, higher PFM strength and better QoL with mildly affected PwMS (p<0,05).Conclusion: There was a significant difference in terms of bladder function level in PFM strength, fall, fatigue and QoL between the mildly affected group and the moderate and severely affected group.Item Alarm Fatigue Among Nurses Working in Intensive Care and Other Inpatient Clinics(2023) Karahan, Azize; Kav, Sultan; Cevik, Banu; Citak, Ebru Akgun; Ugurlu, Ziyafet; Fulser, Berrak; 0000-0001-6698-2121; 0000-0003-0361-7498; 0000-0003-1396-854X; 37092200; B-8478-2015; KIH-9136-2024BACKGROUND: Alarm fatigue is an important technological hazard that adversely affects patient safety and the healthcare team. Nurses can be exposed to an excessive amount of alarms during their work which may lead to alarm fatigue. OBJECTIVE: To determine the experiences of alarm fatigue among nursesworking in intensive care units and other inpatient clinics. METHODS: This descriptive study was conducted in university hospitals in five cities in Turkey between August and December 2019. A total of 592 nurses participated in this study. The data was collected using questionnaires and the Visual Analog Scale (0 to 10 points) was used to determine the level of alarm fatigue. RESULTS: More than half of the nurses experienced problems, especially false alarms, caused by devices. Alarm fatigue decreased with increasing age and working years. Nurses reported appropriate actions in solving problems, but also had practices that may increase the risk of error, such as turning off or muting alarms or turning off equipment. CONCLUSION: Alarm fatigue is mostly caused by false alarms. It can lead to physical fatigue, increased workload and decreased concentration, resulting in an increased possibility of error. Management of alarm fatigue is necessary in preventing a compromise in patients' safety and improving quality of care.Item Examination of the Relationship Between Post-Traumatic Growth and Social Support and Life Satisfaction in Wounded Veterans in Turkey(2023) Bascillar, Mehmet; Gure, Merve Deniz Pak; Sakarya, Hakan; 0000-0002-4945-2716; 38070988; JMB-1272-2023Aim: This study aims to examine the effects of social support and life satisfaction on post-traumatic growth in wounded veterans in Turkey.Methods: 1175 wounded veterans participated in the cross-sectional study. The sociodemographic questionnaire, the Post-Traumatic Growth Inventory, the Multidimensional Scale of Perceived Social Support, and the Satisfaction with Life Scale were used to collect data. Data were analyzed via SPSS.Results: The results of the study show that the mean age is 43.04 +/- 7.36. The participants are low in education and socioeconomic level. The mean of the Post-Traumatic Growth Inventory score is 43.44 +/- 21.18, the mean of the Multidimensional Scale of Perceived Social Support score is 50.01 +/- 15.23, and the mean of the Satisfaction With Life Scale score is 9.86 +/- 4.04. The results of the study show that there is a positive relationship between social support and life satisfaction and post-traumatic growth.Conclusion: It can be suggested to develop psychosocial intervention strategies and service delivery systems to promote the life satisfaction, social support mechanisms of wounded veterans.Item Validity and Reliability of Turkish Transcultural Adaptation of the Prosthetic Limb Users Survey of Mobility(2023) Yosmaoglu, Sevgin; Yazicioglu, Gul; Demir, Yasin; Aydemir, Koray; Yosmaoglu, Hayri Baran; 0000-0001-7356-8500; 36037291; IVH-4699-2023Background: Amputee-specific, self-assessment mobility scales are essential to evaluate mobility in lower-limb amputees.Objectives: To evaluate the validity and reliability of a Turkish translation and adaptation of the Prosthetic Limb Users Survey of Mobility. Study design: This is a validation study. Methods: Turkish translation of the Prosthetic Limb Users Survey of Mobility (PLUS-M-T) from its original was performed following the rules of intercultural adaptation and translation methods. The PLUS-M-T and its 12-item short form were applied to '100 induviduals with limb loss twice in 3-day intervals. The structural validity analysis was determined by calculating the correlation with the Amputee Mobility Scale, which is a valid, reliable scale for assessing the functional level in amputees. The Cronbach alpha coefficient was calculated to analyze the internal consistency. The interclass correlation coefficient (ICC) and Spearman correlation coefficient (r) were calculated, and the test-retest reliability was determined. Results: A positive, high correlation was found between the first application and its repetition of both PLUS-M-T (ICC = 0.85, r = 0.94, P < 0.001) and 12-item short form (ICC = 0.92, r = 0.93, P < 0.001). The internal consistency was high for both PLUS-M-T (Cronbach alpha = 0.94) and 12-item short form (Cronbach alpha = 0.91). A positive, high correlation was found between the scores obtained from the Amputee Mobility Scale and PLUS-M-T (r = 0.84, P < 0.001) and 12 question short form (r = 0.77, P < 0.001). Conclusion: Turkish translation of the PLUS-M questionnaire is a valid and reliable scale for assessing the mobility of individuals who have undergone lower-extremity amputation using a prosthesis.Item Determining the Factors Affecting Chemotherapy-Induced Nausea and in Children with Cancer(2023) Ay, Ayse; Boztepe, Handan; Ozbay, Sevil Cinar; Yilmaz, Pinar; Karadavut, Burcu; Burhanogullari, Dilek; Akyuz, Canan; 37845092Purpose: We evaluated the factors affecting chemotherapy-induced nausea and vomiting (CINV) in children with cancer.Design and methods: This cross-sectional study was conducted with 62 children aged 9 to 18 years old with a solid tumor who received chemotherapy for the first time, and their parents. Data were collected using a data collection form, the State-Trait Anxiety Inventory for Children, the Beck Anxiety Inventory, the Spielberger StateTrait Anxiety Inventory, and the Baxter Retching Faces Scale. Data were analyzed using Spearman's correlation and logistic regression analyses.Results: Risk factors related to the child, treatment, and parent were examined. Child-related factors were determined as diagnosis (odds ratio [OR] = 5.5), time since diagnosis (OR = 1.9, OR = 4.7), pretreatment anxiety of the child (r = 0.439, r = 0.422), and past experience of nausea and vomiting before treatment (OR = 1.2). Treatment-related factors involved anti-emetic prophylaxis (OR = 4.9, OR = 9.2). Parent-related factors included pretreatment anxiety of the parent (r = 0.271, r = 0.287), accommodation (OR = 5.5), not eating (OR = 1.2, OR = 1.3), and bad smell (OR = 1.2), which were described amongst parents' as factors that trigger CINV.Conclusions: The occurrence of CINV is significantly affected by child-, treatment-, and parent-related risk factors. Practice implications: Pediatric nurses should create an environment for children and their parents to reduce their anxiety and provide basic knowledge and skills about the management of CINV.Item Effects of Creative Arts Intervention on Anxiety, Depression and Sleep Quality Among Bone Marrow Transplantation Patients During Protective Isolation(2023) Sertbas, Gulcin; Ok, Elif; Unver, Vesile; https://orcid.org/0000-0003-4342-4965; 35583995; HGT-8047-2022BackgroundProtective isolation remains part of the standard of care for patients undergoing hematopoietic stem cell transplant in many places of the world. The consequences of protective isolation include increased anxiety and depressive symptoms.ObjectiveThe aim of this study was to determine the effects of creative interventions performed during the protective isolation period on anxiety, depression symptoms, and sleep quality of patients who underwent bone marrow transplantation (BMT).Interventions/MethodsThis study was a randomized, controlled, pre-post pilot design. A total of 20 patients made up the sample group. Participants were randomly assigned to the experimental (n = 9) or control group (n = 11). Hospital Anxiety and Depression Scale was applied to patients on the first day of admission to the unit and on the day of discharge. Questions prepared by researchers on sleep quantity and quality were administered every day during the patients' hospitalization. The patients in the experimental group carried out creative arts intervention for a total of 60 minutes a day, 3 to 4 days a week, while they were in the unit.ResultsThere was no difference in depression, anxiety, and sleep quality scores between the groups after intervention. However, depression and anxiety scores significantly decreased after the intervention in the experimental group, and sleep quality scores improved significantly.ConclusionCreative arts intervention may be beneficial for anxiety, depression, and sleep problems among patients undergoing BMT.Implications for PracticeCreative arts intervention is effective in coping with anxiety, depression, and sleep problems that patients may experience due to social isolation during the BMT process.Item Opinions of Cancer Patients, Their Relatives, and Nurses on Good Death(2023) Ozcan, Dilan Ozyalcin; Cevik, Banu; https://orcid.org/0000-0003-1396-854X; 34866476; AAN-3284-2021The study sample consists of participants as the patient, patient relatives, and nurse. In our study, a significant relationship was found between the ages of patients, and fear of death, avoidance of death, accepting approach, non-acceptance, and the DAP-R scale total score. A positive moderate correlation was found between the fear of death and death avoidance among my nurses who participated in the study. The nurse, the patient, and patient relatives had a good perception of death and had a higher attitude toward death. Additionally, that found to nurses' fear of death and death avoidance behavior are higher than patients and their relatives.Item Short-time Effect of Sterile Kinesio Tape applied during Anterior Cruciate Ligament Reconstruction on Edema, Pain and Range of Motion(2023) Baltaci, Gul; Ozunlu Pekyavas, Nihan; Atay, Ozgur Ahmet; 34856838The purpose of this study was to investigate the effects of edema, pain, and range of motion of knee by sterile kinesio taping within 3 days after ACLR. We hypothesized that sterile taping which is a new material of kinesio taping reduces knee pain and swelling and improves knee range of movement after ACLR. Fifty-sixth subjects who underwent an elective ACLR with were randomized into intervention(n=28) and control groups(n=28). Subjects from both groups received standardized postoperative physiotherapy. Pain by VAS, total ROM of the knee, and circumferential girth were measured at the first, second- and third-day post-surgery. There were found statistically significant differences in all study parameters within each group. Comparison of the study parameters between both groups revealed a statistical significance at various time points except the reduction of pain in the taping group in the early postoperative phase (between the first and second day) (P<0.05). There was no statistical significance in the reduction of swelling or improvement of knee total ROM with kinesio taping. This study showed that sterile kinesio taping reduced pain, improved ROM of the knee and decreased edema in the early post-operative period after ACLR.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.