The research was conducted between January 2022 and June 2022 in the Department of Surgery, Inonu... more The research was conducted between January 2022 and June 2022 in the Department of Surgery, Inonu University, Turkey. The sample of the study consisted of 40 consecutive patients who underwent thyroidectomy surgery. After obtaining the necessary permissions from the ethics committee, patients, and the chief physician of the medical faculty hospital, the research was conducted. Research data were collected using the patient diagnosis form, the form for assessing patients; vital signs, the form in which the laboratory values of the patients are determined, and the wound site evaluation form of patients three days after surgery. As a result of the research, it was determined that heart rate, body temperature, and HbA1c value may be affected as the fasting period gets longer. In surgeries performed in other patient groups and in patients with a higher population of thyroid surgery, it was suggested that new research should be done to examine the effect of fasting duration on vital signs...
Today many surgical operations are performed with laparoscopic methods. This study was performed ... more Today many surgical operations are performed with laparoscopic methods. This study was performed to investigate the effect of the brochure-based training on pain, anxiety, and life findings in patients undergoing laparoscopic cholecystectomy. Materials and methods: This is a quasi-experimental controlled study. The data were collected from all patients who underwent laparoscopic cholecystectomy between 1 May 2018 and 30 December 2018, A State Hospital. When the confidence interval was calculated as 95% in the known sample universe, the number of patients to be included in the study was 62. The patients were divided into two groups as control (n = 31) and experiment (n = 31) groups. Patients were selected by random sampling method. The groups were homogenous. The data were collected by face-to-face interview method by the researcher using the patient identification form, the Hospital Anxiety, and Depression Scale, the Visual Analog Scale, and the evaluation of life findings. Patients who had laparoscopic cholecystectomy in the experimental group were given brochure training. The control group received routine nursing practice, and both groups were given a brochure booklet after making them fill in the forms 24 hours before and after the operation. Data were analyzed with SPSS 22 software package by employing Chi-square and ttest. Results: There was a statistically significant difference in the anxiety levels of the patients in the hospital anxiety/depression scale (p<0.05), but there was no statistically significant difference in depression (p>0.05). Pain values were statistically significant (p<0.05) and there were mild positive results in vital signs. Conclusion: We recommend that the training programs should be planned for patients and health care workers to reduce the anxiety levels before and after surgery, together with the training on nanpharmacological methods for reducing the pain levels in the patients undergoing laparoscopic cholecystectomy.
The research was conducted between January 2022 and June 2022 in the Department of Surgery, Inonu... more The research was conducted between January 2022 and June 2022 in the Department of Surgery, Inonu University, Turkey. The sample of the study consisted of 40 consecutive patients who underwent thyroidectomy surgery. After obtaining the necessary permissions from the ethics committee, patients, and the chief physician of the medical faculty hospital, the research was conducted. Research data were collected using the patient diagnosis form, the form for assessing patients; vital signs, the form in which the laboratory values of the patients are determined, and the wound site evaluation form of patients three days after surgery. As a result of the research, it was determined that heart rate, body temperature, and HbA1c value may be affected as the fasting period gets longer. In surgeries performed in other patient groups and in patients with a higher population of thyroid surgery, it was suggested that new research should be done to examine the effect of fasting duration on vital signs, wound site, and blood laboratory values.
Objective: This research was conducted in order to assess the 1-week aid needs determined by the ... more Objective: This research was conducted in order to assess the 1-week aid needs determined by the health professional who voluntarily served in the WhatsApp communication network during the earthquakes in Kahramanmaraş, Turkey. Methods: This descriptive retrospective epidemiological study focuses on the 1-week messaging activities of the WhatsApp group created by volunteers after the earthquake in Turkey. During the 7-day period included in the research, a total of 5813 messages were sent. 3472 of these messages were not included in the research for various reasons, and a total of 2341 messages were used for the research. Results: In all 7 days, it was seen that most of the messages were sent via text message and that voice messages were very few. When the distribution of the needs demanded by the earthquake victims for 7 days was examined, it was seen that there was a significant increase in the needs on the fourth day after the earthquake, and that the highest increase was the need for tents. Conclusion: While the demands for rescue services increased in the first 2 days, it was determined that the demands for water especially, dry food, and tents increased from the third day onwards. It is suggested that a professional online infrastructure system should be created to enable the transfer of instant scene and need information that can be activated in such disasters.
Asian Pacific journal of cancer prevention : APJCP, 2011
Several physical, psychological and social variables influence women with breast cancer. This stu... more Several physical, psychological and social variables influence women with breast cancer. This study was designed to analyze the relationship between psychosocial adjustment and hopelessness in a group of such women in Turkey. The subjects were 90 women with breast cancer recruited at Ege University School of Medicine Department of Radiation Oncology Nurse Counsellor Unit and Tulay Aktas Oncology Hospital Outpatient Chemotherapy Unit. Data were collected using an Introductory Information Form and Psychosocial Adjustment to the Illness Scale - Self-Report (PAIS-SR) and the Beck Hopelessness Scale (BHS) and analyzed by Pearson Correlation Analysis. The mean age of the women was 49.4 ± 11.0. It was found that the level of psychosocial adjustment of 63.3% of the women was 'poor'. A positive relationship was determined between PAIS-SR mean score and BHS mean score of the women with breast cancer (r = 0.731, p < 0.01). It was observed that as the psychosocial adjustment worsens,...
Objective: This cross-sectional and descriptive study analysed complementary and alternative medi... more Objective: This cross-sectional and descriptive study analysed complementary and alternative medicine (CAM) practices of patients with cancer diagnoses and influencing factors. Methods: The subjects consisted of 55 cancer patients hospitalized in Canakkale State Hospital between November 2008 and March 2009 and who were willing to participate in the study. Research data were collected using a sociodemographic characteristics form regarding CAM practices of cancer patients and the Beck Hopelessness Scale (total points 20, rising with the degree of hopelessness). Written consent from the head physician of Canakkale State Hospital and verbal consents of the patients were obtained in order for the research to be performed. The data were analysed using the SPSS 13.0 program (numbers and percentages, chi-squared and Mann Whitney U tests). Findings: Of the patients (49.1% female and 50.9% male) 78.2% had been living with a cancer diagnosis for more than two years. Of the 23.6% of patients with breast cancer and 21.8% with lung cancer, 87.2% uses CAM (72.7% received alternative treatment and 65.5% complementary treatment). Alternative treatments apply herbal treatments concomitantly such as honey, garlic; balsam apple, iscum album, tar oil and 29.1% of them only use stinging nettle. As a complementary treatment; 60% of patients pray for healing and 16.4% of them have massage regularly. Patients explained that they were using the alternative medicine in order to mitigate effects of the disease, to prevent its recurrence, to increase blood values, to feel psychologically relieved; and they were using complementary medicine just to feel psychologically relieved. Of 60% patients chose not to share their CAM practice with doctors and nurses. 36.4% of them use CAM on friend advice, 20% under media influence, 36.4% on their own initiative and 21.8% under family influence. The satisfaction from CAM is 61.1%. The rate of those who find alternative medicine expensive is 21.8%. There is statistically no correlation between CAM practice and age, gender, marital status, location they live for a long time, education and financial status of patients (p>0.05). The average of total hopelessness score of patients is 8.09 +/- 2.59, there is no statistically meaningful correlation between hopelessness score average of patients who use CAM and who do not use (p>0.05). Conclusion: The cancer patients in the study who live in Canakkale province and in its districts use CAM. CAM practice does not vary by selected sociodemographic characteristics and the hope level. It is important that the health care professionals (nurses, doctors, etc) should be conscious of CAM-drug interactions and notify the patients about the risk.
Amaç: Yapılan bu çalışmada TUR-P ameliyatları sonrası Avrupa'nın 5 ülkesinin bir araya gelere... more Amaç: Yapılan bu çalışmada TUR-P ameliyatları sonrası Avrupa'nın 5 ülkesinin bir araya gelerek oluşturdukları ameliyat sonrası hızlı iyileşme (ASHİ) protokolünü Gaziantep’teki hastanelerde bulunan sağlık personelinin duyup duymadığını; ağrı, erken mobilizasyon ve beslenme konularının bakım ve tedavilerinde bu protokolün gerekliliklerini uygulayıp uygulamadığını tespit etmek istedik.Gereç ve Yöntem: Gaziantep'te bulunan beş hastanesinin üroloji klinik hemşireleri, üroloji uzmanları ve anestezi uzmanlarına yönelik demografik özellikler bulunduran soru formlarıyla, üroloji servisinde TUR-P ameliyatı olan hastaların ASHİ protokolü ile ameliyat öncesi ve sonrası yapılması gereken beslenme, ağrı ve erken mobilizasyon uygulamalarının karşılaştırılması hakkındaki bilgiler belirlendi. Cerrahlara, hemşirelere ve anestezi uzmanlarına bu konuları içeren anket soruları uygulandı ve çalışmanın örneklemini 95 kişi oluşturdu. Araştırmacılar tarafından hazırlanan ankette 25 soru bulunmaktaydı. Araştırma öncesi etik kuruldan, tüm hastane ve katılımcılardan gerekli yasal izin alındı. Bu veriler 1 Nisan 2018 -10 Haziran 2018 tarihleri arasında yüz yüze görüşülerek toplandı. Cerrahların, hemşirelerin ve anestezi uzmanlarının ASHİ protokolüne göre bakım ve tedavilerindeki tutumları analiz edildi; değerlendirmede sayı yüzde kullanıldı. Bulgular: Sağlık personelinin yaş ortalaması 34.73+ 9.11 idi, sağlık personelinin % 26,3’ü cerrah, % 17,9’u anestezi uzmanı ve % 55,8’i hemşireydi. Hastalara ameliyatları öncesi, oral olarak karbonhidrattan zengin sıvı verme durumu % 29,5 idi. “Ameliyat öncesi açlık süresi ASHİ Protokolüne uygundur” diyenlerin oranı % 4,2 idi. Ameliyat sonrası sıvı ve katı gıda alımı da ASHİ Protokolüne uygun değildi. Hastaların bulantı ve kusmasını önlemek amacıyla profilaksi uygulanma durumu % 65,3’dü. “TUR-P ameliyatı sonrası antiembolik çorap uyguluyoruz” diyenlerin oranı % 62.1 idi. Hastaları mobilize etme durumunda da ASHİ protokolüne uygun hareket edilmiyordu. “Ameliyat sonrası ağrı için analjezik yapılmalı” diyenlerin oranı % 62,1 iken antienflamatuar ilaç seçimi oranı ise % 44,2 idi. ASHİ protokolünü duyanların oranı % 7,4’dü. ASHİ Protokolünü uygulayanların oranı ise %37,9’du. Sonuç: Yapılan bu çalışma sonucu ASHİ Protokolüne uygun bir bakım ve tedavi prosedürünün TUR-P ameliyatlarından sonra uygulanmadığı söylenebilir. Kanıta dayalı ASHİ protokolüne göre hemşirelik bakım paketlerinin ve tedavi prosedürlerinin üroloji kliniklerinde uygulanmaya başlatılması için hizmet içi eğitimlerin planlanması, tüm personelin ASHİ protokolüne benzeyen prosedürler oluşturması ve araştırmalar yapması için komitelerin kurulması sağlanmalıdır.
Aims: To determine the effects of peer and group education on knowledge and beliefs about breast ... more Aims: To determine the effects of peer and group education on knowledge and beliefs about breast cancer and performance of breast self-examination (BSE). Materials and Methods: The study included a total of 193 female university students, of whom 59 were assigned to peer education and 134 to group education. Data collected at baseline and after six months included sociodemographic characteristics, knowledge of breast cancer and BSE and performance of BSE forms, and Champion's Health Belief Model Scale. Data were analyzed using the chi-square, McNemar chisquare, independent Student's t, and paired Student's t tests. Results: Mean knowledge scores increased from 42.08 ± 13.89 to 65.26 ± 13.08 after peer education (P < 0.001) and from 41.44 ± 12.79 to 63.74 ± 11.74 after group education (P < 0.001). The rate of regular BSE increased from 25.9% to 55.7% six months after peer education (P < 0.001) and from 45.5% to 62.2% after group education (P < 0.001). Perceived benefits and confidence related to BSE increased and perceived barriers decreased significantly after both interventions. Conclusions: Knowledge about breast cancer and BSE practice increased and perceived health beliefs improved equally after both interventions. Depending on the resources available, nurses and other health professionals may choose either peer or group education to increase breast awareness among young women.
Like all other types of cancer, breast cancer (BC) is perceived as a life-threatening disease; it... more Like all other types of cancer, breast cancer (BC) is perceived as a life-threatening disease; it remains as a most frightening disease for women despite the important developments in its treatment. Moreover, BC is perceived as a disease that threatens both life and womanhood, includes physical, psychological, sexual and working-life problems, has recovery and exacerbation periods, and causes short-and long-period adjustment disorders (1, 2). According to the 2018 report of the International Agency for Research on Cancer, BC is ranked as the second most frequent cancer (11.6%) in the world. (3) According to the 2015 data of Ministry of Health in Turkey, BC is ranked first among the first 10 types of cancer seen in women and its incidence is 52.5 in one hundred thousand (4). While the incidence of breast cancer is increasing in both our country and the world, knowing what breast cancer means for patients may be beneficial for reducing the mortality and morbidity of the disease. Illness is subjective; each person experiences it differently. Therefore, individual responses to illness are also different (5). The responses attributed to illness, beliefs about its course and duration, its perceived consequences, and special beliefs about it all affect the treatment and controllability of disease (6). How the experience of cancer is defined and perceived plays a crucial role in adjusting both to the disease and its treatment (7). Therefore, attention has been increasingly directed on the meaning attributed by patients to their cancer. Studies show that how the patients with BC perceive their illness is an important factor that determines adjustment to disease, the general distress level, psychosocial distress experienced by patients, and coping with stress (1, 8-10).
This study aimed to analyze the validity and reliability of the Smoking Outcome Expectation Scale... more This study aimed to analyze the validity and reliability of the Smoking Outcome Expectation Scale and Anti-Smoking Self-Efficacy Scale for Early Adolescents in Turkey. The sample of the study included a total of 548 students. The data were collected using a demographic data collection form, the Smoking Outcome Expectation Scale, and the Anti-Smoking Self-Efficacy Scale (ASSES) for Early Adolescents. ASSES consists of 15 items, and SOES consists of six items. The Cronbach's alpha coefficients of the ASSES section and its subscales were .93, .94, .89, and .75, respectively. These values were found to be.70, .85, and .91 in the SOES section and its subscales. Both sections' test-retest correlation coefficients were found to be higher than .25 for all items. The factor loads ranged between .45 and .76 in the ASSES section and between .87 and .95 in the SOES section. The goodness-of-fit indices of both sections were above .90, and their root mean square error of approximation (RMSA) values was <.08. These results indicate that the scale is a valid and reliable tool for use with early adolescents in Turkey.
Objective: The objective of this study was to examine the effect of personal consultancy service ... more Objective: The objective of this study was to examine the effect of personal consultancy service that is provided to patients with breast cancer on anxiety, depression, life quality and patient satisfaction. Materials and Methods: This study was a quasi-experimental and longitudinal study. The sample consisted of a total of 64 female patients (32 control, 32 experimental), who were diagnosed with stage I and stage II breast cancer at a university hospital. The patients in the experimental group received consultancy from the same nurse during the preoperative, postoperative, radiotherapy, chemotherapy periods and after the completion of treatments for one full year. During the first interview, the patients were given a training book that was prepared by the research group. Patients in the control group received the routine nursing service being conducted in the hospital where the study was performed. Patient description form, hospital anxiety depression scale, multi-dimensional life quality scale and patient satisfaction form was used for the data collection process. T-test, chi-square and Man-Whitney U test was used for the analysis of the data. Results: As a result of all follow-ups, the anxiety and depression score averages of the experimental group were determined to be lower compared to that of the control group. It was determined that the experimental group had a higher score average of life quality compared to the control group except for the postoperative period. Conclusion: It was determined that the personal consultancy being conducted by the same nurse throughout the diagnosis and treatment process decreased the risk of anxiety and depression and increased the life quality of patients with breast cancer.
Asian Pacific Journal of Cancer Prevention, Apr 1, 2014
Background: This research evaluated the effectiveness of an online education model in teaching br... more Background: This research evaluated the effectiveness of an online education model in teaching breast selfexamination to university staff and students. Materials and Methods: 1,679 women participated in a breast self-examination online training program. Breast self-examination knowledge evaluation forms developed by Maurer (1997) were used in the research and were evaluated on a 100 point scale. Paired t-test and McNemar's Test statistics were employed. Results: The participants scored an average of 46.5 (14.0%) on knowledge on breast self-examination before training, but 77.4 (11.0%) one month after education and 76.7 (9.52%) after six months. There was a clear significant difference between these knowledge levels (p<0.05). Similarly, while the rate for systematic practice of breast self-examination among women was 30.8% before training it increased to 47.8% afterwards. Again the difference was significant (p<0.05). Conclusions: Online education is an effective method for teaching breast self-examination to women.
Breast cancer and the associated physical problems may cause people to experience different psych... more Breast cancer and the associated physical problems may cause people to experience different psychological and social adaptation processes. Nursing interventions can affect physical, psychological and social adaptation in such women and help to prevent and overcome depression and anxiety. It should be stressed that both physical and psychosocial well-being enhance health and quality of life.
Paramedik ve acil sağlık hizmetleri dergisi, Jun 15, 2022
Region Assessment Form and Ostomili were assembled using the Compliance Scale for Individuals. Th... more Region Assessment Form and Ostomili were assembled using the Compliance Scale for Individuals. The necessary legal permissions and patient consent have been obtained. 52.5% (s: 32) of patients are female and their mean age is 53,65±13,55 years, while male (54,79 years) patients are female (52,62 years) it was determined that the difference between them was higher than the average age, but that the difference between them was not statistically significant. 44.3% of ostomy patients (s: 27) were diagnosed with left colon tumors before surgery, It was determined that 60.7 % (s: 37) was in the third stage of the tumor stage and 44.3% (s: 27) underwent left hemicolectomy surgery. Differences between age groups of patients and anxiety, social cohesion, lower scale size of anger and overall stoma compliance are not statistically significant was found to be (p>0,05). Acceptance subscale size and differences between patient age groups with information behavior attitude questions found statistically significant (p<0,05). Differences between age groups of patients involved in the study and anxiety/anxiety, social cohesion, the size of the lower scale of anger and overall stoma compliance statistically unsignificant (p>0.05). The scale of compliance for ostomili individuals used in the study; Acceptance, Anxiety/Anxiety, Social Cohesion were examined in four different subgroups: Anger. The 23 questions on the scale constituted the total adjustment scale for individuals with ostomy. When the distribution of the scores of the scales was examined, it was observed that the mean of general stomata compliance was 39,14±19,43, while the subscale dimensions were as acceptance 17,04±8,23, anxiety/concern 8,09±3,92, social harmony 7,19±3,97, anger 2,67±0,90 respectively. It was determined that the patients most needed information about ostomy care, personal care, nutrition, sexuality, and accordingly, the patients were given care and counseling.
The research was conducted between January 2022 and June 2022 in the Department of Surgery, Inonu... more The research was conducted between January 2022 and June 2022 in the Department of Surgery, Inonu University, Turkey. The sample of the study consisted of 40 consecutive patients who underwent thyroidectomy surgery. After obtaining the necessary permissions from the ethics committee, patients, and the chief physician of the medical faculty hospital, the research was conducted. Research data were collected using the patient diagnosis form, the form for assessing patients; vital signs, the form in which the laboratory values of the patients are determined, and the wound site evaluation form of patients three days after surgery. As a result of the research, it was determined that heart rate, body temperature, and HbA1c value may be affected as the fasting period gets longer. In surgeries performed in other patient groups and in patients with a higher population of thyroid surgery, it was suggested that new research should be done to examine the effect of fasting duration on vital signs...
Today many surgical operations are performed with laparoscopic methods. This study was performed ... more Today many surgical operations are performed with laparoscopic methods. This study was performed to investigate the effect of the brochure-based training on pain, anxiety, and life findings in patients undergoing laparoscopic cholecystectomy. Materials and methods: This is a quasi-experimental controlled study. The data were collected from all patients who underwent laparoscopic cholecystectomy between 1 May 2018 and 30 December 2018, A State Hospital. When the confidence interval was calculated as 95% in the known sample universe, the number of patients to be included in the study was 62. The patients were divided into two groups as control (n = 31) and experiment (n = 31) groups. Patients were selected by random sampling method. The groups were homogenous. The data were collected by face-to-face interview method by the researcher using the patient identification form, the Hospital Anxiety, and Depression Scale, the Visual Analog Scale, and the evaluation of life findings. Patients who had laparoscopic cholecystectomy in the experimental group were given brochure training. The control group received routine nursing practice, and both groups were given a brochure booklet after making them fill in the forms 24 hours before and after the operation. Data were analyzed with SPSS 22 software package by employing Chi-square and ttest. Results: There was a statistically significant difference in the anxiety levels of the patients in the hospital anxiety/depression scale (p<0.05), but there was no statistically significant difference in depression (p>0.05). Pain values were statistically significant (p<0.05) and there were mild positive results in vital signs. Conclusion: We recommend that the training programs should be planned for patients and health care workers to reduce the anxiety levels before and after surgery, together with the training on nanpharmacological methods for reducing the pain levels in the patients undergoing laparoscopic cholecystectomy.
The research was conducted between January 2022 and June 2022 in the Department of Surgery, Inonu... more The research was conducted between January 2022 and June 2022 in the Department of Surgery, Inonu University, Turkey. The sample of the study consisted of 40 consecutive patients who underwent thyroidectomy surgery. After obtaining the necessary permissions from the ethics committee, patients, and the chief physician of the medical faculty hospital, the research was conducted. Research data were collected using the patient diagnosis form, the form for assessing patients; vital signs, the form in which the laboratory values of the patients are determined, and the wound site evaluation form of patients three days after surgery. As a result of the research, it was determined that heart rate, body temperature, and HbA1c value may be affected as the fasting period gets longer. In surgeries performed in other patient groups and in patients with a higher population of thyroid surgery, it was suggested that new research should be done to examine the effect of fasting duration on vital signs, wound site, and blood laboratory values.
Objective: This research was conducted in order to assess the 1-week aid needs determined by the ... more Objective: This research was conducted in order to assess the 1-week aid needs determined by the health professional who voluntarily served in the WhatsApp communication network during the earthquakes in Kahramanmaraş, Turkey. Methods: This descriptive retrospective epidemiological study focuses on the 1-week messaging activities of the WhatsApp group created by volunteers after the earthquake in Turkey. During the 7-day period included in the research, a total of 5813 messages were sent. 3472 of these messages were not included in the research for various reasons, and a total of 2341 messages were used for the research. Results: In all 7 days, it was seen that most of the messages were sent via text message and that voice messages were very few. When the distribution of the needs demanded by the earthquake victims for 7 days was examined, it was seen that there was a significant increase in the needs on the fourth day after the earthquake, and that the highest increase was the need for tents. Conclusion: While the demands for rescue services increased in the first 2 days, it was determined that the demands for water especially, dry food, and tents increased from the third day onwards. It is suggested that a professional online infrastructure system should be created to enable the transfer of instant scene and need information that can be activated in such disasters.
Asian Pacific journal of cancer prevention : APJCP, 2011
Several physical, psychological and social variables influence women with breast cancer. This stu... more Several physical, psychological and social variables influence women with breast cancer. This study was designed to analyze the relationship between psychosocial adjustment and hopelessness in a group of such women in Turkey. The subjects were 90 women with breast cancer recruited at Ege University School of Medicine Department of Radiation Oncology Nurse Counsellor Unit and Tulay Aktas Oncology Hospital Outpatient Chemotherapy Unit. Data were collected using an Introductory Information Form and Psychosocial Adjustment to the Illness Scale - Self-Report (PAIS-SR) and the Beck Hopelessness Scale (BHS) and analyzed by Pearson Correlation Analysis. The mean age of the women was 49.4 ± 11.0. It was found that the level of psychosocial adjustment of 63.3% of the women was 'poor'. A positive relationship was determined between PAIS-SR mean score and BHS mean score of the women with breast cancer (r = 0.731, p < 0.01). It was observed that as the psychosocial adjustment worsens,...
Objective: This cross-sectional and descriptive study analysed complementary and alternative medi... more Objective: This cross-sectional and descriptive study analysed complementary and alternative medicine (CAM) practices of patients with cancer diagnoses and influencing factors. Methods: The subjects consisted of 55 cancer patients hospitalized in Canakkale State Hospital between November 2008 and March 2009 and who were willing to participate in the study. Research data were collected using a sociodemographic characteristics form regarding CAM practices of cancer patients and the Beck Hopelessness Scale (total points 20, rising with the degree of hopelessness). Written consent from the head physician of Canakkale State Hospital and verbal consents of the patients were obtained in order for the research to be performed. The data were analysed using the SPSS 13.0 program (numbers and percentages, chi-squared and Mann Whitney U tests). Findings: Of the patients (49.1% female and 50.9% male) 78.2% had been living with a cancer diagnosis for more than two years. Of the 23.6% of patients with breast cancer and 21.8% with lung cancer, 87.2% uses CAM (72.7% received alternative treatment and 65.5% complementary treatment). Alternative treatments apply herbal treatments concomitantly such as honey, garlic; balsam apple, iscum album, tar oil and 29.1% of them only use stinging nettle. As a complementary treatment; 60% of patients pray for healing and 16.4% of them have massage regularly. Patients explained that they were using the alternative medicine in order to mitigate effects of the disease, to prevent its recurrence, to increase blood values, to feel psychologically relieved; and they were using complementary medicine just to feel psychologically relieved. Of 60% patients chose not to share their CAM practice with doctors and nurses. 36.4% of them use CAM on friend advice, 20% under media influence, 36.4% on their own initiative and 21.8% under family influence. The satisfaction from CAM is 61.1%. The rate of those who find alternative medicine expensive is 21.8%. There is statistically no correlation between CAM practice and age, gender, marital status, location they live for a long time, education and financial status of patients (p>0.05). The average of total hopelessness score of patients is 8.09 +/- 2.59, there is no statistically meaningful correlation between hopelessness score average of patients who use CAM and who do not use (p>0.05). Conclusion: The cancer patients in the study who live in Canakkale province and in its districts use CAM. CAM practice does not vary by selected sociodemographic characteristics and the hope level. It is important that the health care professionals (nurses, doctors, etc) should be conscious of CAM-drug interactions and notify the patients about the risk.
Amaç: Yapılan bu çalışmada TUR-P ameliyatları sonrası Avrupa'nın 5 ülkesinin bir araya gelere... more Amaç: Yapılan bu çalışmada TUR-P ameliyatları sonrası Avrupa'nın 5 ülkesinin bir araya gelerek oluşturdukları ameliyat sonrası hızlı iyileşme (ASHİ) protokolünü Gaziantep’teki hastanelerde bulunan sağlık personelinin duyup duymadığını; ağrı, erken mobilizasyon ve beslenme konularının bakım ve tedavilerinde bu protokolün gerekliliklerini uygulayıp uygulamadığını tespit etmek istedik.Gereç ve Yöntem: Gaziantep'te bulunan beş hastanesinin üroloji klinik hemşireleri, üroloji uzmanları ve anestezi uzmanlarına yönelik demografik özellikler bulunduran soru formlarıyla, üroloji servisinde TUR-P ameliyatı olan hastaların ASHİ protokolü ile ameliyat öncesi ve sonrası yapılması gereken beslenme, ağrı ve erken mobilizasyon uygulamalarının karşılaştırılması hakkındaki bilgiler belirlendi. Cerrahlara, hemşirelere ve anestezi uzmanlarına bu konuları içeren anket soruları uygulandı ve çalışmanın örneklemini 95 kişi oluşturdu. Araştırmacılar tarafından hazırlanan ankette 25 soru bulunmaktaydı. Araştırma öncesi etik kuruldan, tüm hastane ve katılımcılardan gerekli yasal izin alındı. Bu veriler 1 Nisan 2018 -10 Haziran 2018 tarihleri arasında yüz yüze görüşülerek toplandı. Cerrahların, hemşirelerin ve anestezi uzmanlarının ASHİ protokolüne göre bakım ve tedavilerindeki tutumları analiz edildi; değerlendirmede sayı yüzde kullanıldı. Bulgular: Sağlık personelinin yaş ortalaması 34.73+ 9.11 idi, sağlık personelinin % 26,3’ü cerrah, % 17,9’u anestezi uzmanı ve % 55,8’i hemşireydi. Hastalara ameliyatları öncesi, oral olarak karbonhidrattan zengin sıvı verme durumu % 29,5 idi. “Ameliyat öncesi açlık süresi ASHİ Protokolüne uygundur” diyenlerin oranı % 4,2 idi. Ameliyat sonrası sıvı ve katı gıda alımı da ASHİ Protokolüne uygun değildi. Hastaların bulantı ve kusmasını önlemek amacıyla profilaksi uygulanma durumu % 65,3’dü. “TUR-P ameliyatı sonrası antiembolik çorap uyguluyoruz” diyenlerin oranı % 62.1 idi. Hastaları mobilize etme durumunda da ASHİ protokolüne uygun hareket edilmiyordu. “Ameliyat sonrası ağrı için analjezik yapılmalı” diyenlerin oranı % 62,1 iken antienflamatuar ilaç seçimi oranı ise % 44,2 idi. ASHİ protokolünü duyanların oranı % 7,4’dü. ASHİ Protokolünü uygulayanların oranı ise %37,9’du. Sonuç: Yapılan bu çalışma sonucu ASHİ Protokolüne uygun bir bakım ve tedavi prosedürünün TUR-P ameliyatlarından sonra uygulanmadığı söylenebilir. Kanıta dayalı ASHİ protokolüne göre hemşirelik bakım paketlerinin ve tedavi prosedürlerinin üroloji kliniklerinde uygulanmaya başlatılması için hizmet içi eğitimlerin planlanması, tüm personelin ASHİ protokolüne benzeyen prosedürler oluşturması ve araştırmalar yapması için komitelerin kurulması sağlanmalıdır.
Aims: To determine the effects of peer and group education on knowledge and beliefs about breast ... more Aims: To determine the effects of peer and group education on knowledge and beliefs about breast cancer and performance of breast self-examination (BSE). Materials and Methods: The study included a total of 193 female university students, of whom 59 were assigned to peer education and 134 to group education. Data collected at baseline and after six months included sociodemographic characteristics, knowledge of breast cancer and BSE and performance of BSE forms, and Champion's Health Belief Model Scale. Data were analyzed using the chi-square, McNemar chisquare, independent Student's t, and paired Student's t tests. Results: Mean knowledge scores increased from 42.08 ± 13.89 to 65.26 ± 13.08 after peer education (P < 0.001) and from 41.44 ± 12.79 to 63.74 ± 11.74 after group education (P < 0.001). The rate of regular BSE increased from 25.9% to 55.7% six months after peer education (P < 0.001) and from 45.5% to 62.2% after group education (P < 0.001). Perceived benefits and confidence related to BSE increased and perceived barriers decreased significantly after both interventions. Conclusions: Knowledge about breast cancer and BSE practice increased and perceived health beliefs improved equally after both interventions. Depending on the resources available, nurses and other health professionals may choose either peer or group education to increase breast awareness among young women.
Like all other types of cancer, breast cancer (BC) is perceived as a life-threatening disease; it... more Like all other types of cancer, breast cancer (BC) is perceived as a life-threatening disease; it remains as a most frightening disease for women despite the important developments in its treatment. Moreover, BC is perceived as a disease that threatens both life and womanhood, includes physical, psychological, sexual and working-life problems, has recovery and exacerbation periods, and causes short-and long-period adjustment disorders (1, 2). According to the 2018 report of the International Agency for Research on Cancer, BC is ranked as the second most frequent cancer (11.6%) in the world. (3) According to the 2015 data of Ministry of Health in Turkey, BC is ranked first among the first 10 types of cancer seen in women and its incidence is 52.5 in one hundred thousand (4). While the incidence of breast cancer is increasing in both our country and the world, knowing what breast cancer means for patients may be beneficial for reducing the mortality and morbidity of the disease. Illness is subjective; each person experiences it differently. Therefore, individual responses to illness are also different (5). The responses attributed to illness, beliefs about its course and duration, its perceived consequences, and special beliefs about it all affect the treatment and controllability of disease (6). How the experience of cancer is defined and perceived plays a crucial role in adjusting both to the disease and its treatment (7). Therefore, attention has been increasingly directed on the meaning attributed by patients to their cancer. Studies show that how the patients with BC perceive their illness is an important factor that determines adjustment to disease, the general distress level, psychosocial distress experienced by patients, and coping with stress (1, 8-10).
This study aimed to analyze the validity and reliability of the Smoking Outcome Expectation Scale... more This study aimed to analyze the validity and reliability of the Smoking Outcome Expectation Scale and Anti-Smoking Self-Efficacy Scale for Early Adolescents in Turkey. The sample of the study included a total of 548 students. The data were collected using a demographic data collection form, the Smoking Outcome Expectation Scale, and the Anti-Smoking Self-Efficacy Scale (ASSES) for Early Adolescents. ASSES consists of 15 items, and SOES consists of six items. The Cronbach's alpha coefficients of the ASSES section and its subscales were .93, .94, .89, and .75, respectively. These values were found to be.70, .85, and .91 in the SOES section and its subscales. Both sections' test-retest correlation coefficients were found to be higher than .25 for all items. The factor loads ranged between .45 and .76 in the ASSES section and between .87 and .95 in the SOES section. The goodness-of-fit indices of both sections were above .90, and their root mean square error of approximation (RMSA) values was <.08. These results indicate that the scale is a valid and reliable tool for use with early adolescents in Turkey.
Objective: The objective of this study was to examine the effect of personal consultancy service ... more Objective: The objective of this study was to examine the effect of personal consultancy service that is provided to patients with breast cancer on anxiety, depression, life quality and patient satisfaction. Materials and Methods: This study was a quasi-experimental and longitudinal study. The sample consisted of a total of 64 female patients (32 control, 32 experimental), who were diagnosed with stage I and stage II breast cancer at a university hospital. The patients in the experimental group received consultancy from the same nurse during the preoperative, postoperative, radiotherapy, chemotherapy periods and after the completion of treatments for one full year. During the first interview, the patients were given a training book that was prepared by the research group. Patients in the control group received the routine nursing service being conducted in the hospital where the study was performed. Patient description form, hospital anxiety depression scale, multi-dimensional life quality scale and patient satisfaction form was used for the data collection process. T-test, chi-square and Man-Whitney U test was used for the analysis of the data. Results: As a result of all follow-ups, the anxiety and depression score averages of the experimental group were determined to be lower compared to that of the control group. It was determined that the experimental group had a higher score average of life quality compared to the control group except for the postoperative period. Conclusion: It was determined that the personal consultancy being conducted by the same nurse throughout the diagnosis and treatment process decreased the risk of anxiety and depression and increased the life quality of patients with breast cancer.
Asian Pacific Journal of Cancer Prevention, Apr 1, 2014
Background: This research evaluated the effectiveness of an online education model in teaching br... more Background: This research evaluated the effectiveness of an online education model in teaching breast selfexamination to university staff and students. Materials and Methods: 1,679 women participated in a breast self-examination online training program. Breast self-examination knowledge evaluation forms developed by Maurer (1997) were used in the research and were evaluated on a 100 point scale. Paired t-test and McNemar's Test statistics were employed. Results: The participants scored an average of 46.5 (14.0%) on knowledge on breast self-examination before training, but 77.4 (11.0%) one month after education and 76.7 (9.52%) after six months. There was a clear significant difference between these knowledge levels (p<0.05). Similarly, while the rate for systematic practice of breast self-examination among women was 30.8% before training it increased to 47.8% afterwards. Again the difference was significant (p<0.05). Conclusions: Online education is an effective method for teaching breast self-examination to women.
Breast cancer and the associated physical problems may cause people to experience different psych... more Breast cancer and the associated physical problems may cause people to experience different psychological and social adaptation processes. Nursing interventions can affect physical, psychological and social adaptation in such women and help to prevent and overcome depression and anxiety. It should be stressed that both physical and psychosocial well-being enhance health and quality of life.
Paramedik ve acil sağlık hizmetleri dergisi, Jun 15, 2022
Region Assessment Form and Ostomili were assembled using the Compliance Scale for Individuals. Th... more Region Assessment Form and Ostomili were assembled using the Compliance Scale for Individuals. The necessary legal permissions and patient consent have been obtained. 52.5% (s: 32) of patients are female and their mean age is 53,65±13,55 years, while male (54,79 years) patients are female (52,62 years) it was determined that the difference between them was higher than the average age, but that the difference between them was not statistically significant. 44.3% of ostomy patients (s: 27) were diagnosed with left colon tumors before surgery, It was determined that 60.7 % (s: 37) was in the third stage of the tumor stage and 44.3% (s: 27) underwent left hemicolectomy surgery. Differences between age groups of patients and anxiety, social cohesion, lower scale size of anger and overall stoma compliance are not statistically significant was found to be (p>0,05). Acceptance subscale size and differences between patient age groups with information behavior attitude questions found statistically significant (p<0,05). Differences between age groups of patients involved in the study and anxiety/anxiety, social cohesion, the size of the lower scale of anger and overall stoma compliance statistically unsignificant (p>0.05). The scale of compliance for ostomili individuals used in the study; Acceptance, Anxiety/Anxiety, Social Cohesion were examined in four different subgroups: Anger. The 23 questions on the scale constituted the total adjustment scale for individuals with ostomy. When the distribution of the scores of the scales was examined, it was observed that the mean of general stomata compliance was 39,14±19,43, while the subscale dimensions were as acceptance 17,04±8,23, anxiety/concern 8,09±3,92, social harmony 7,19±3,97, anger 2,67±0,90 respectively. It was determined that the patients most needed information about ostomy care, personal care, nutrition, sexuality, and accordingly, the patients were given care and counseling.
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