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Evaluation of the relationship between the levels and perceptions of dyspnea and the levels of anxiety and depression in chronic obstructive pulmonary disease (COPD) patients
(Kare Publ, 2018) Kapısız, Özge; Eker, Fatma
Objectives: This study was performed with a descriptive design to determine the relationship between level and perception of dyspnea and levels of anxiety and depression. Methods: The research data were collectedusing the Medical Research Council Scale and HAD via face- to-face interviews. Results: The study consisted of a total of 90 individuals,which included 8 women and 82 men, with chronic obstructive pulmonary disease. It was determined that the average anxiety score was 7.42 +/- 4.43 (min: 0-max: 20) and that the average depression score was 8.85 +/- 4.23 (min:3-max: 18). According to the logistic regression analysis results,among the participants, those who indicated they had severe dyspnea or a background of psychiatric illness or showed depression symptoms had a 22.75 times, 4.304 times and 17.528 times higher risk, respectively, for anxiety symptoms. There was a greater risk of depression (5.957 times) in the participants who were suffering from severe dyspnea than in the patients with mild dyspnea, and a 22.181 times greater risk of depression in the participants who had been admitted to a hospital three or more times and a 12.352 times greater risk in patients who had been admitted one or two times a year than in the participants who had never been admitted to a hospital. Finally, there was a 28.712 times greater risk of depression in patients who did not have social support versus those that had, and there was a 23.294 times greater risk of depressive symptoms in patients who presented symptoms of anxiety than in patients who did not. Conclusion: Individuals with a high perception of dyspnea had a high risk of both depression and anxiety.
Evaluating the Effects of a Personal Hygiene Program on the Knowledge, Skills, and Attitudes of Intellectual Disabilities Teenagers and their Parents
(Wiley, 2019) Şener, Dilek Konuk; Aydın, Meryem; Cangür, Şengül
To determine the effects of personal hygiene training on the knowledge, skills, attitudes and behavior of teenagers with mild intellectual disabilities (ID), this study employed a randomized controlled type, social cognitive theory design. A 10-week, 10-session program was given to the teenagers (17.38 +/- 1.61 years) and their parent. Included in the program were activities covering the washing of hands/face/hair/body, oral hygiene/brushing teeth, clothing hygiene, and menstrual and genital hygiene. At the end of the program and again 3 months later, the personal hygiene habits of the teenagers were significantly improved compared to before the training program. Significantly positive changes were observed in hygiene habits compared to pretraining (p < .001). Compared to pretraining, a significant increase occurred in the skill behavior demonstrated by the teenagers (p < .001). Consequently, it is recommended that the program be implemented by healthcare professionals for all teenagers with mild ID and their parents.
How do Turkish nursing students plan their career after the graduation?: a questionnaire survey
(Springer, 2011) Yıldırım, Dilek; Keçeci, Ayla; Bulduk, Serap
This research was planned as a cross-sectional and descriptive study for the purpose of determining nursing students' expectations from a workplace and what department, area, and positions they want to work in after graduation. The research population was comprised of the four university-based schools of nursing in Ankara province. The sample was comprised of 447 nursing students. A questionnaire developed by the researchers in light of information in the literature was used for data collection and had three sections including the participants' demographic characteristics, questions asking about where they wanted to work and expectations from the workplace where they want to work. The overwhelming majority of the students wanted to work as an academician at the university or in management at a hospital. The highest percentage of students wanted to work in pediatrics and the operating room, and the lowest percentage wanted to work in psychiatric nursing, geriatrics and care for the handicapped. The primary expectations students had from the workplaces where they wanted to work after graduation been an orientation to the workplace and educational opportunities, opportunities for promotion and job satisfaction. Explaining to students that the most significant need in the nursing profession is the shortage of nurses responsible for direct patient care may prevent them from developing wrong expectations and goals in their career planning.
Female university students' knowledge and practice of breast self-examination in Turkey
(Wolters Kluwer Medknow Publications, 2019) Koç, Gülten; Savaş, H. Gülen; Ergöl, Şule; Çetinkaya, M. Yıldırım; Aydın, N.
Background: Breast cancer keeps its importance as an important health problem in developing countries like Turkey. Therefore, breast cancer screening and early diagnosis are more important for these countries. Although there are debates about breast self- examination, it is still involved in breast cancer screening programs in many countries. Aim: This study aimed to determine university students' knowledge and practice of Breast Self-Examination (BSE). Materials and Methods: The study universe consisted of all the female students studying at a public university. Sample size of 161 was calculated for a predicted event frequency. The research data were collected using a questionnaire. Results: A total of 73.3% of the subjects students had heard about BSE. Only half of these students had obtained additional information about BSE. While half of the students indicated that they did perform BSE, 33.3% reported doing so at regular intervals. The majority of the students were aware of BSE and its purpose. Only about half stated, however, that they practice it. Those who practiced BSE were not knowledgeable about how and when to perform it. Conclusions: In developing countries, to have adequate knowledge of BSE of young women and to do BSE, it is important to develop a consciousness of breast health and an awareness of breast cancer at this age.
Factors Affecting Substance Non-Use Behaviors of High School Students
(Turkish Green Crescent Soc, 2018) Şener, Dilek Konuk; Akkuş, Dilek; Karaca, Aysel; Cangür, Şengül
This study was performed to determine the factors affecting the substance non-use behaviors of adolescents. This cross-sectional and correlational study was conducted with 983 students studying at three high schools during the 2015-2016 academic year and who were not using substances. The study was designed by cluster sampling method, and all volunteer students were included in the study. Data were collected using the Personal Information Form, Substance Abuse Information Questionnaire, and Self-Efficacy Scale in Preventing Abuse. Appropriate statistical analyses were used to assess the data. It was determined that 43% of the individuals not using substances were females and 57% were males. When the reasons for their non-use were examined in terms of sex, type of school, class, age group, addiction information score, and self-efficacy, statistically significant differences were seen between groups (p<.05). It was determined that students abstained from using substances because they were afraid of becoming addicted and of suffering psychological and physical problems, because addiction contradicted their beliefs, their families did not approve of such use, they did not want to associate with individuals who used addictive substances, and their friends did not use such substances, because substance use was expensive, contradicted their principles, and led to a loss of energy, ambition, and control, and because they were afraid of being caught by the police.
Ego States of nurses working in psychiatric clinics according to transactional analysis theory
(Professional Medical Publications, 2016) Ertem, Melike Yönder; Keçeci, Ayla
Objective: An effective interpersonal communication is an essential nursing skill required to help provide quality health care and meet the treatment objectives. The aim of this study was to investigate the communication between the psychiatric nurses and the patients in terms of Transactional Analysis Theory ego states. Methods: The quantitative and qualitative research methods were used. The descriptive statistics (frequency, percentage, mean, standard deviation) were used in the data analysis and Kendall's Tau-c coefficient was used to assess the agreement among the observers. Results: Of the psychiatric nurses, 66.7% (n = 14) had served as a psychiatric nurse for 1-10 years. Among the nurses, 52.4% (n=11) had received training about communication from any institution/organization. The agreement among the opinions of the nurses, the researcher and the charge nurses about the psychiatric nurses' ego states showed that there was a significant relationship between the researcher's opinion of the nurses' ego states and the charge nurses' opinion of the nurses' ego states in terms of Critical Parent, Nurturing Parent, Adult, Adapted Child and Natural Child ego states. Conclusion: It is suggested that training be offered in regards to raising awareness about ulterior transactions that can affect communication negatively, patient autonomy and therapeutic communication in particular, and patients requiring the use of special communication methods.
Effects of Pain and Sleep Quality on Falls Among Nursing Home Residents in Turkey
(Slack Inc, 2018) Altıntaş, Hülya Kulakçı; Aslan, Gülbahar Korkmaz; Şişman, Nuriye Yıldırım; Kesgin, Makbule Tokur
The current study was conducted to detect the incidence of falls among individuals in nursing homes, as well as the impact of pain and sleep quality on falls. The sample for this cross-sectional study comprised 291 older adults. Pain was assessed using the Geriatric Pain Measure and insomnia was assessed using the Insomnia Severity Index. Incidence of falls within the past 1 year was 40.9%. Risk factors for falling were determined using logistic regression analysis. Based on the analysis, being single (odds ratio [OR] = 2.502, 95% confidence interval [CI] [1.155, 6.195]) and experiencing pain (OR = 2.841, 95% CI [1.195-6.754]) were risk factors for falling. In the current study, falling was seen as a common problem among older adults. Pain in particular should be addressed when planning the prevention of falls in nursing homes.
Effects of a Stress Management Training Program With Mindfulness-Based Stress Reduction
(Slack Inc, 2019) Karaca, Aysel; Şişman, Nuriye Yıldırım
Background: The purpose of this study is to evaluate the effectiveness of a mindfulness-based stress reduction program applied to a sample of Turkish nursing students. Method: The study was designed as a randomized controlled trial. Program sessions of 90 to 95 minutes were given twice per week for 12 weeks. Data were collected using the Nursing Education Stress Scale, the Mindfulness Scale, and the Stress Management Styles Scale. Results: A statistically significant difference was found in the mean posttest and mean follow-up scores obtained by the control group and the experimental group on the Nursing Education Stress Scale and its subdimensions. On the Mindfulness Scale, a statistically significant difference was found between the mean pretest and posttest scores obtained by the experiment and control groups. Conclusion: The results derived from this study suggest that the mindfulness-based stress reduction program is effective in reducing the stress experienced by students during nursing education, increasing their mindfulness, strengthening their coping mechanisms for stress, increasing their use of self-confident and optimistic approaches, and decreasing their use of the helpless approach.
Effectiveness of six-week psychoeducation program on adherence of patients with bipolar affective disorder
(Elsevier, 2012) Eker, Fatma; Harkın, Şirin
Objectives: This study examined the effectiveness of a six week psychoeducation program on the adherence of patients with Bipolar Affective Disorder. Method: An experimental study was conducted at a mood disorder outpatient clinic in Zonguldak, Turkiye. Participants were randomly assigned to either intervention (n = 35) or control groups (n = 36). Both groups were given pre-tests and post-tests to measure their adherence. In the psychoeducation group, the psychoeducation program was provided for 2 h/week for six weeks. In the control group, standard care and information were provided. Results: After six weeks, the psychoeducation program significantly improved patients' adherence. The treatment adherence rate of the patients in the intervention group increased from 40.0% (14 patients on pre-test), to 86.7% (26 patients on post-test). Meanwhile, the treatment adherence rate of the control group was 38.9% (14 patients) for the pre-test, and 24.2% (8 patients) for the post-test. Conclusion: This controlled trial study demonstrated that a six-week psychoeducation program can be a useful intervention to improve adherence in patients undergoing bipolar affective disorder rehabilitation. More comprehensive mental health outcomes need to be undertaken. Further studies exploring a longer term follow-up are also required. (C) 2012 Elsevier B.V. All rights reserved.
Development and Assessment of a Coping Scale for Infertile Women in Turkey
(Womens Health & Action Research Centre, 2018) Karaca, Aysel; Ünsal, Gül; Aşık, Elif; Keser, İlkay; Ankaralı, Handan; Merih, Yeliz Doğan
Infertile women feel more psychological stress and pressure than their husbands, and the prevalence of anxiety and depression among them are higher. This study aimed to develop a culture-specific measurement tool to identify the strategies of infertile women in dealing with infertility-related problems. This was a scale development study. This study was carried out in three different fertility centers in the three largest cities in Turkey. The data were collected using personal information form and through the application of a Coping Scale for Infertile Women (CSIW) protocol. Ways of Coping with Stress Inventory. Cronbach's alpha, Intraclass Correlation Coefficient and Spearman` s Rank correlation analyses were used to determine the reliability of the scale. The results of explanatory factor analysis and a factor structure of the Coping Scale for Infertile Women, comprising 50 items, were examined, and the data were determined to be suitable to perform factor analysis. The internal consistency of the scale was found to be 0.880. The number of factors in the scale was 10, and the internal consistency of the factors was 0.720. The results showed that the CSIW had good reliability and validity.
TRANSACTIONAL ANALYSIS EGO STATES IN TEACHER-STUDENT COMMUNICATION IN MUSICAL INSTRUMENT LESSONS
(Anadolu Univ, 2018) Turhal, Ersin; Kalyoncu, Nesrin; Kececi, Ayla
This research is based on Eric BERNE's "Transactional Analysis (TA) Theory". The study was carried out to determine the "ego states" and the "transactions" in terms of Transactional Analysis, which are mainly used in teacher-student communication in one-to-one musical instrument lessons at an Anatolian Fine Arts High School in Turkey. Research sample was consisted of all music students (N=83) and the instrument instructors (N=15) at the school. The research data were collected by "The Ego States Scale" developed by Ari (1989). The results indicated that the teachers mainly use "Nurturing Parent" and "Adult" ego states. The students use mainly "Nurturing Parent" ego state according to themselves, and "Adapted Child" according to their teachers. Both of the groups use "Critical Parent" ego state least. It was found that "complementary transaction" occurred in the teacher-student communication.
The influence of the professionalism behaviour of nurses working in health institutions on job satisfaction
(Wiley, 2012) Durmuş, Serpil Çelik; Hisar, Filiz
Celik S, Hisar F. International Journal of Nursing Practice 2012; 18: 180187
The impact of cancer and its treatment on sexual desire, satisfaction and functioning: findings from an exploratory study in rural Turkey
(Wiley-Blackwell, 2011) Eker, Fatma; Açıkgöz, Ferhan
As a result of improvements in biomedical science and health care in general, the life expectancy of cancer patients is significantly prolonged. However, as a result, new and enduring problems may of this period be experienced more frequently. This descriptive study was carried out to determine changes in the sexual functioning of cancer patients in the city of Duzce, Turkey and their psychosexual counselling needs. The study sample consists of 40 patients (24 men, 16 women) with various cancers and disease stages. To assess patients' sexual functioning, changes in four parameters related sexuality (desire, attractiveness, satisfaction and frequency) were measured, with patients comparing their conditions before and after the diagnosis of cancer. Data were collected using face-to-face interviews. In evaluating the data, mean, percentage and Fisher exact chi-squared tests were used. The importance of sexuality declined for the majority of patients following their illness. It was found that cancer patients with Stage III-IV and over 50 years of age experienced decrease in the frequency of their sexual relationships and sexual desire. Our study shows that 85% of patients were not provided with information concerning sexual activity during their illness, and needed counselling about changes in sexual functioning caused by the illness
The Effect of Oral Care with Chlorhexidine, Vitamin E and Honey on Mucositis in Pediatric Intensive Care Patients: A Randomized Controlled Trial
(Elsevier Science Inc, 2019) Şener, Dilek Konuk; Aydın, Meryem; Cangür, Şengül; Güven, Evren
Purpose: This study was performed to determine the effect of oral care using chlorhexidine, vitamin E and honey on oral mucositis (OM) management in children treated in a pediatric intensive care unit (PICU). Design and methods: The study was a randomized controlled trial with a parallel design. The study sample was composed of 150 children who were treated in the PICU of a university hospital in Turkey. Children enrolled in the study were randomly divided into six groups based on the oral care solutions used (n = 25 in each group). The Demographic Information Form and the World Health Organization Oral Mucositis Index were used for data collection. Results: The mucositis indices of the children presenting with and without OM upon admission to the PICU were compared on days 1, 3, 6, 9, 12, 15, 18 and 21 and the study found that the mucositis index values of the children treated with vitamin E were significantly lower than in the other groups (p < 0.05 for each), while those of the children given chlorhexidine were significantly higher than in the other groups (p < 0.05 for each). Conclusions: At the end of the study, vitamin E was determined to be the most effective agent in OM management, followed by honey as the second most effective agent. Chlorhexidine was found to be less effective in OM management compared to the other two agents. Based on this, vitamin E is recommended for use in oral mucositis-preventive and therapeutic oral care practices. Practice implications: The results of the present study conducted with PICU patients will be useful in the administration of oral care. These findings are also important for nurses who have the responsibility of oral mucositis management. (C) 2019 Elsevier Inc. All rights reserved.
The Effect of Cognitive Behavioral Group Therapy on Infertility Stress, General Health, and Negative Cognitions: A Randomized Controlled Trial
(Springer, 2019) Karaca, Aysel; Yavuzcan, Ali; Batmaz, Sedat; Cangür, Şengül; Çalışkan, Arife
This study determined the effect of a cognitive behavioral group therapy (CBGT) program administered to infertile women on infertility-related stress, depressive and anxious thoughts, and general health state. A randomized controlled design was used for this study. The study was conducted with 107 infertile women: 55 in the experimental group and 52 in the control group. The CBGT was administered to the experimental group for 11 weeks. The pretest, posttest, and trimester follow-up results of this group were compared with those of the control group. The experimental group's Fertility Problem Inventory pretest mean score was 188.47 +/- 30.699, posttest mean score was 135.84 +/- 22.571, and follow-up mean score was 140.61 +/- 20.16. A statistically significant difference was found between the experimental and control groups' pretest, posttest, and follow-up mean scores on depressive and anxious cognitions (CCL), FPI and its subscales, and the General Health Questionnaire-28 and its subscales (p < 0.05). The CBGT intervention reduced the infertility-related psychosocial problems experienced by infertile women and promoted improvement in their depressive and anxious cognitions, and their mental health.
Social media use and ethics violations: Nurses' responses to hypothetical cases
(Wiley, 2020) Demiray, Ayşe; Çakar, Merve; Açıl, Ayşegül; İlaslan, Nagihan; Yücel, T. Savaş
Aim This study aimed to evaluate nurses' ability to evaluate ethical violations to hypothetical case studies involving social media use. Background Inappropriate use of social media necessitates health institutes, academic institutes, nurses and educators to consider occupational ethical principles while creating a policy and guide on the usage of social media. Method The data were collected confidentially from the nurses working at a university hospital in Turkey, using the Personal Information Form and the Ethic Case Form. The study was carried out using descriptive and inferential analysis. Findings Analysis of the data showed that the majority of the nurses had received training in ethics, used WhatsApp social media application most often, spent less than an hour a day on social media platforms and used social media to follow daily posts. Analyses of the ethical case evaluations showed that nurses' level of education and ethics training status was influential on their Case 1 evaluations and the length of time they had worked was effective in Case 2 evaluations. When Case 3 evaluations of nurses were analysed according to ethics training, statistically significant differences were found. The analyses of the Case 4 and Case 5 evaluations showed that no statistically significant differences were found according to nurses' descriptive characteristics. Conclusion The study determined that education level, ethical training status, the source of ethics training and the duration of their work in the profession were effective regarding the case evaluation of the nurses. Implications for nursing and health policy Nursing policymakers, educators, administrators and clinicians need to cooperate in the development of ethical awareness and creation of solutions to violations, the preparation of guidelines for social media use.
Senior Undergraduate Nursing Students' Perceptions of Disaster Preparedness: A Descriptive Study
(Cambridge Univ Press, 2016) Bayraktar, Nurhan; Yıldırım, Meral
Objective This descriptive study aimed to determine the disaster preparedness of a senior class of undergraduate nursing students. Methods The study sample was composed of 73 undergraduate nursing school students from Ankara, Turkey. Data were collected by using a questionnaire developed by the researchers and were evaluated with descriptive statistics. Results More than half (56.1%) of the students stated that the disaster competencies of nurses should include leadership, manager, and coordinator skills; 42.4% of them indicated the competencies of decision-maker, critical thinking, autonomy, and planning skills. Regarding education, 56.4% of the students considered their education on disaster nursing as efficient; however, 35.9% of them considered their education as partly efficient or inefficient. Conclusions Many correct concepts related to the definition, features, competencies, and roles of disaster nurses were stated by students. However, low percentages and insufficient statements showed low preparedness for disasters. Curriculum development or redesign is necessary to include content and clinical experiences related to disasters. (Disaster Med Public Health Preparedness. 2016;10:557-561)
Relationship between mental health of nursing students and coping, self-esteem and social support
(Churchill Livingstone, 2019) Karaca, Aysel; Yıldırım, Nuriye; Cangür, Şengül; Açıkgöz, Ferhan; Akkuş, Dilek
Aim: The aim of this study was to investigate the relationship between the mental health of Turkish nursing students and the stress experienced during their education, their ways of coping, self-esteem, social support and individual factors. Background: Studies on nursing students have shown that students who were not in possession of effective coping strategies were at risk of presenting psychiatric symptoms when under stressful conditions. Methods: This was a cross-sectional, case-control study. The sample consisted of 516 nursing students who were studying in an undergraduate program in Turkey. Participants provided data on sociodemographic characteristics by completing the Nursing Education Stress Scale, Coping Behavior Inventory for Nursing Students, Multidimensional Scale of Perceived Social Support, Rosenberg Self-Esteem Scale, and the General Health Questionnaire. Results: The main factors which were considered to affect the mental health of nursing students, including "total stress" and "self-esteem" scores, "general health" evaluation, "satisfaction with school life" and "presence of a negative event within the last year", were included in all models of the General Health Questionnaire analysis. Analysis of the data indicated that these factors had strong relationship with mental health of the nursing students. Discussion: It is recommended that the mental health of students be monitored throughout the nursing education period and that preventive practices should be established in order to forestall mental health problems amongst nursing students. Conclusion: The stress levels of nursing students should be monitored in order to facilitate their ability to cope with stressful situations during their training, and components for coping with stress should be included in the curricula of nursing departments.
Prevalence of Peer Bullying in High School Students in Turkey and the Roles of Socio-Cultural and Demographic Factors in the Bullying Cycle
(All India Inst Medical Sciences, 2011) Arslan, Sevda; Savaşer, Sevim; Yazgan, Yankı
This research was conducted as a descriptive and relational study to determine the frequency of bullying among high school students and the relationships between some of their characteristics and their roles in the bullying cycle. The research data were obtained from 1670 students in the 9th and 10th grades of six high schools in Istanbul province. The data were analyzed with percentage distribution, Chi square, t test, correlation and Tukey test.The Determination of Peer Bullying Scale and a Personal Information Form were used for data collection in the research. According to the Determination of Peer Bullying Scale 17% of the students were in a bullying cycle (5.3% as bully, 5.9% as victim, and 5.8% as both bully and victim). The boys used more direct methods of bullying and girls more indirect methods of bullying. The rate of bullying behavior was also higher in boys and being a victim was higher in girls; the majority of the girls were bullied by girls and the majority of the boys were bullied by boys. More of those involved in bullying incidents had unexcused absenteeism from school and stated that they did not like school. The results obtained from this research show that the prevalence of bullying in high schools in Turkey is similar to the results in other countries. Determination of the causative factors that support and maintain bullying behavior for implementation of prevention programs is required.
Peer Education from the Perspective of Peer Educators
(Routledge Journals, Taylor & Francis Ltd, 2018) Karaca, Aysel; Akkuş, Dilek; Şener, Dilek Konuk
Peer educators (PEs) have a significant role in providing education on various health issues like smoking, alcohol, and other substance use. This study aimed to determine the experiences and opinions of PEs regarding a peer education program. Using the qualitative research method, data were collected from the study sample, which consisted of 23 student PEs, via semi-structured focus group discussions. Three main themes were developed: the Perceived Efficacy of Peer Education, Suggestions Regarding a Peer Education Program, and Contribution of the Peer Education Program to PEs. This study showed that peer educators thought peer education to be a highly effective method for the prevention of substance abuse. To improve the effectiveness of the program, it was recommended that it be started during middle school instead of high school, that families and local institutions be involved in the program, and that the students be directed to participate in arts, sports, and social activities.

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