Scopus İndeksli Açık & Kapalı Erişimli Yayınlar

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    Evaluation of the Impact of Environmental Changes on Asthma Control in Children, Access to Health Care, and Treatment Adherence in Early COVID-19 Lockdown
    (2022) Sancakli, Ozlem; Tuncel, Tuba; Akarcan, Sanem Eren; Kanik, Ali; Ozyurt, Gonca; 35383020
    Objective: During the coronavirus disease 2019 pandemic, lockdown measures and difficulties in accessing healthcare have impacted asthma management in children. This study aimed to determine the evaluation of the impact of environmental changes on asthma control in children, access to health care, and treatment adherence in early coronavirus disease 2019 lockdown. Materials and Methods: The study included children with asthma aged 6-11 years. A survey form was administered to the patients who visited the pediatric allergy outpatient clinic between June 1 and 30, 2020. The survey acquired demographic information about the children and their families as well as information about their asthma symptoms, how they reached healthcare services, and adherence. The childhood asthma control test was administered. The P values < .05 were considered significant. Results: The study included a total of 123 children (female/male : 48/75) with a mean age of 8.4 +/- 1.9 years. According to the mothers' self-report, it was found that 78% of the patients were not able to follow-up routinely, 19.5% were non-adherence to treatment, and 16.2% were poorly controlled asthma. It was found that, based on childhood asthma control test scores, asthma control was better during the pandemic lockdown period (P = .001). Asthma symptoms were better in 41.5% of the patients compared to the previous months and in 53.7% compared to the same period last year. Conclusion: Our study found that the children's asthma was controlled although most of them did not have their follow-up visits, and poorly controlled asthma was higher in older children in early coronavirus disease 2019 lockdown.
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    A test of theory of planned behavior in type II diabetes adherence: The leading role of perceived behavioral control
    (2021) Dilekler, Ilknur; Dogulu, Canay; Bozo, Ozlem; 0000-0002-5906-3706; C-8140-2014
    Diabetes mellitus is a health complication that millions of people suffer from all over the world. Type II (non-insulin dependent) diabetes requires many changes in the daily lives of patients, including monitoring blood glucose, following a healthy diet, exercising, and taking medications. Although it is vital for their health, patients generally find it difficult to adhere to their medical regimen. In order to better understand the adherence behaviors of type II diabetes patients, the theory of planned behavior (TPB) was used as the theoretical framework for this study. Ninety type II diabetes patients, who were outpatients of four different hospitals in Ankara, Turkey were administered the TPB tool. The mediation analyses provided support for the mediating role of intention for the attitudes-behavior and subjective norms-behavior relations. The findings did not reveal a mediating role of intention for the PBC-behavior relation but a significant direct effect of PBC on adherence behavior was found. Overall, it seems important that PBC and the multi-faceted nature of adherence behaviors are considered when designing interventions for type II diabetes patients.