AimSelf-rated health (SRH) and health-related quality of life (HRQoL) have closely related outcom... more AimSelf-rated health (SRH) and health-related quality of life (HRQoL) have closely related outcomes in measuring general health status in community-based studies. The aim of this study is to determine changes in the self-perceived overall health of people and affected factors by comparing the findings of two studies conducted in the same research area.MethodsBoth studies were conducted using the same measurement tools in households determined by random sampling techniques in the same research areas. The first and second studies were conducted with 1,304 and 1,533 people residing in 501 and 801 households in 2004 and 2017, respectively. The demographic data form, the Nottingham Health Profile (NHP), and a single-item SRH questionnaire were used for data collection.ResultsThe rate of good SRH increased from 56% to 70% while the average NHP score decreased from 30.87 to 20.34. The predictors of negative health perceptions were the presence of chronic diseases (OR 3.4–2.7-times higher),...
This study aimed to examine the change in health service use and its affecting factors by compari... more This study aimed to examine the change in health service use and its affecting factors by comparing the findings of 2 studies conducted at different times, with the same data collection tools, in the same health service region. Material and Methods: The first cross-sectional study was conducted in 2004, in urban areas in Kayseri, with 501 households and 1,880 people in Primary Health Centers. The second was carried out in 2017, in 30 Family Health Centers, with 801 households and 2,253 people. The data were collected by the face-to-face interview method using a questionnaire. In statistical analysis, mean±standard deviation, median (Q1-Q3), Mann-Whitney U, Kruskal-Wallis, Pearson χ 2 , logistic regression analysis were used. The value p<0.05 was accepted as statistically significant. Results: The rate of health service utilization (HSU) increased from 79.6% to 84.8%, the average number of visits to physicians per person increased from 4.9 to 6.9. While the proportion of primary HSU increased to 45.8%, requests for visits to public hospital decreased to 26.4%. Healthcare use was significantly higher in male gender (2.2-2.3 times), 65 years and older (2.8-3.2 times), in people with good income (1.8-1.5 times), and in those with negative health perception (1.8-1.9 times). Conclusion: There has been a significant improvement in HSU parameters, particularly in Primary Health Care Centers services. Male gender, good level income, advanced age (≥65), and negative health perception are the main determinants of healthcare use. These results require a better understanding of the factors that make access to the health facilities difficult and the development of strategies that ensure fair use of health services.
Objective: To determine psychological violence behaviors (mobbing) exposed by academic personnel ... more Objective: To determine psychological violence behaviors (mobbing) exposed by academic personnel working in Erciyes University, Turkey. Methods: A questionnaire-based cross sectional study was performed in June 2010 in Erciyes University. No sampling methods were used, questionnaires were delivered by mail to all academicians and 450 of 850 (53.0%) questionnaires were returned. We used the Mobbing Perception Scale (MPS) for data collection. Results: A total of 58.2% of the academicians experienced recurrent physiological violence at least once a week in the workplace and 16.6% stated that they were directly exposed to mobbing behavior every day (>1 point) in the past year, 44.7% reported "assault to their professional status", 42.8% reported "assault to personality", 39.9 % reported "isolation from work", 13.0% reported "direct negative behavior". The most commonly (30.4%) experienced behavior was; "groundless talk about the person in question". Mobbing was not associated with demographic and professional variables. The main source of mobbing was the managers. Also 68.0% of the victims resorted to passive defense strategies, and only 2.5% took legal action. Conclusion: Workplace mobbing is a critical problem for academicians in our university. The level of directly mobbing behavior was substantially high. The most common threatening behavior was "assault to professional status". The primary mobbers were the managers. A great of majority academicians had not been received professional help and they internalized the mobbing. The findings indicated that levels of awareness of mobbing have increased among academicians.
Toplu Beslenme Hizmeti (TBH), günümüzde oldukça yaygındır ve tam gün eğitim veren birçok anaokulu... more Toplu Beslenme Hizmeti (TBH), günümüzde oldukça yaygındır ve tam gün eğitim veren birçok anaokulu özellikle öğle yemeklerinde olmak üzere toplu beslenme hizmeti almaktadır (1).TBH’nin hizmet verilen gruba uygun olarak gerçekleştirilmemesi, yemek israfının artmasına ve yemek hizmeti sunulan grubun enerji-besin öğesi alımının yetersiz olmasına neden olmaktadır. Okul öncesi dönemdeki çocuklar, yetersiz beslenme açısından riskli gruplardan biridir (2). Çalışma, anaokulunda sunulan seçilmiş menü örneklerinin görünümlerini ve hazırlama yöntemlerini iyileştirerek menüleri çocukların tüketimine uygun hâle getirmek, yeterli-dengeli beslenmelerine katkıda bulunmak ve yemek israfını azaltmak amacıyla gerçekleştirilmiştir.Tanımlayıcı nitelikteki kesitsel çalışma, Kapadokya Üniversitesi Montessori Anaokuluna devam eden 2-6 yaş aralığında, vücut ağırlığı ve boy uzunluğu persentil değeri normal aralıkta olan fakat çeşitli sebeplerle (yemek esnasında yemeği ağzında biriktirme, yemeğe özellikle geç ...
Quality of life of elderly nursing home residents and its correlates in Kayseri. A descriptive-an... more Quality of life of elderly nursing home residents and its correlates in Kayseri. A descriptive-analytical design: A cross-sectional study*ABSTRACTPurpose: To define the level of quality of life in an elderly population and to investigate the ef- fects of selected variables, such as anemia, fa- tigue, depression and sleep disorders, on the quality of life. Design and Methods: The study was conducted in Gazioğlu Nursing Home, lo- cated in the city center of Kayseri, on 136 sub- jects ≥65 in the year 2008-2009. Data were col- lected using the Geriatric Depression Scale (GDS), Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI) and the World Health Organization Quality of Life-OLD (WHOQOL- OLD) Module. In the statistical analysis mean ± standard deviation, student’s t-test, ANOVA and Spearman correlation analysis were used. Re- sults: The mean total score of quality of life was 43.45 ± 10.30. Of the residents 47.0% had a poor quality of life. Auton...
International Journal Of Community Medicine And Public Health
Background: Although healthcare professionals know how to avoid needle sticks, current safe syrin... more Background: Although healthcare professionals know how to avoid needle sticks, current safe syringes are not capable of preventing percutaneous injuries 100%. Therefore, infections caused by needle sticks could not be completely prevented.Methods: First of all, a Likert type questionnaire were applied as a qualitative method in the study. Based on these survey data, 4 different types of safety syringe caps were developed and tested in a quasi-experimental method.Results: The research was carried out with 344 health vocational school students. As a result of the research, the average level of knowledge of the students about percutaneous injuries was in female students (n=223, 64.8%) compared to male students (n=121, 35.2%) (females, mean: 78.8±10, males, mean: 76.5±10) (p=0.256) in the second grades compared to the first graders. It was found to be higher (1st class: 77.3, 2nd class: 81.0) (p=0.049). The mean level of knowledge showed a significant difference according to educational...
Amac: Ulkemizde yasli nufus artmakta ve yaslilik donemi sorunlari da giderek onem kazanmaktadir. ... more Amac: Ulkemizde yasli nufus artmakta ve yaslilik donemi sorunlari da giderek onem kazanmaktadir. Yasli bireylerin zihinsel sagliklari ve beslenme durumlari birbiriyle iliskilidir ve ozenle ele alinmalidir. Bu calismada 65 yas ustu bireylerde depresyon ve malnutrisyon oranlari, depresyonu etkileyen faktorler ve malnutrisyon-depresyon iliskisi arastirilmistir. Yontem: Calisma; Kayseri ili Hacilar ilcesinde 65 yas ve uzerinde olan 101 kiside yapilmistir. Olasi depresyon tanimlamasi icin Geriatrik Depresyon Olcegi (GDO), beslenme durumu tespiti icin Mini Nutrisyon Anketi (MNA), yuz yuze gorusme yontemiyle sorgulanmistir. Bulgular: Arastirmaya alinan 101 kisinin yas ortalamasi 73.63 ± 5.74 (min:65-max:94) yildir. Grubun %83.2’si halen kendi evinde yasamakta olup, %74.3’unde en az bir kronik hastalik mevcuttur. Depresyon puanlarina gore %7.9’unun depresif yakinmalari mevcuttur. Depresyon puani ortalamasi: 10,26 ± 5,48 (min:1-max:23) dir. Kadinlarda, aylik ortalama egitim ve geliri dusuk o...
The satisfaction of patient is the most important quality criteria in health care organization. D... more The satisfaction of patient is the most important quality criteria in health care organization. Determination of patient satisfaction is important for increasing quality of service and for providing more qualified service in accordance with patient's requirement. This study was carried out to determine the level of knowledge, thoughts and satisfaction of the public about the 112 Emergency Health Services. Material and Method: This cross-sectional, self-report study was conducted in May 2013 by applying a face-to-face survey to 600 citizens in 6 regions randomly selected among 18 stations providing emergency health services in Kayseri. Results: The mean age of the study group was 35.25±11.38 and 52.7% of the group were women, 67.0% of the group were married and 64.6% of the participants were trained in high school and above. According to our findings the 94.8% of the population know the emergency call numbers, 87.2% of them were calls for medical help for "emergency situations". 39.0% of the people have called for ambulance. Participants stated that they were very satisfied with contacting to call centre (79%), with cleanliness of ambulance (82.9%), with attitudes and behaviours of the team (82.5%), with the intelligibility of all responses to questions (74.8%), with the given information about the patient (70.9%), with care for patients privacy (85.5%). The majority of population know that the 112-emergency call centre asks for information about "the address of the incident" (90.0%), "performance status" (86.3%) and about the "case" (53.3%). Conclusion: People are very satisfied with ambulance hygiene and equipment, transportation time, staff's attitude and behaviour, communication, informing, patient confidentiality and medical intervention.
The aim of this study was to evaluate the effect of oral contraceptive pills (OCP) on the macula,... more The aim of this study was to evaluate the effect of oral contraceptive pills (OCP) on the macula, the retinal nerve fiber layer (RNFL), and choroidal thickness (CT). Material/Methods: A total of 24 healthy women taking monophasic OCP (3 mg drospirenone and 0.03 mg ethinylestradiol) for contraception only for at least one year were compared with a control group of 24 healthy women who were not taking an OCP. Optical coherence tomography (OCT) was used to evaluate the posterior ocular segments, and measurements were taken in the follicular phase (day 3) of the cycle in all women. Results: No disparity in terms of age and body mass index between the groups was observed (p=0.436, p=0.538, respectively). In comparison of the macular region and CT between groups, we found that all variables except foveal center thickness and CT were significantly thinner in the OCP group. Nasal and temporal inferior parts of the RNFL and average RNFL were significantly slimmer in the study group versus the control group (p=0.013, p=0.018, and p<0.001, respectively). Conclusions: OCP resulted in several structural changes in the posterior ocular segment. Thus, women using OCP for more than one year may have some eye problems. Therefore, it OCT should be performed for these women. Further clinical trials researching long-period effect of OCP on the eyes are needed.
Blastocystis sp. insanlarda en sık görülen intestinal sistem protozoonlarından biridir ve kontami... more Blastocystis sp. insanlarda en sık görülen intestinal sistem protozoonlarından biridir ve kontamine olmuş gıdalarla ve su ile fekal oral yolla bulaşmaktadır. Gastrointestinal sistem hastalıklarında çoğunlukla kullanılan proton pompa inhibitörlerinin (PPI), midenin pH'nı yükselttiği bilinmektedir. Bu çalışma, PPI kullanımının Blastocystis sp.'nin görülme sıklığı üzerine etkisini araştırmak amacı ile yapılmıştır. Gereç ve Yöntem: Çalışmaya Erciyes Üniversitesi Tıp Fakültesi Parazitoloji Laboratuvarı'na Gastroenteroloji polikliniğinden Ocak 2013-Haziran 2013 tarihleri arasında rutin dışkı incelemesi için gönderilen ve 1 ay içerisinde düzenli olarak PPI kullanımı olan 100 hasta ile, hiç PPI kullanımı olmayan; fakat gastrointestinal şikayetleri olan 100 hasta dahil edilmiştir. Kontrol grubunu ise hiç polikliniğe başvurmamış 100 sağlıklı birey oluşturmuştur. Dışkı örnekleri bekletilmeden nativ-lugal yöntemi ile incelenmiştir. Bulgular: Çalışmamızda PPI kullananların %24'ünde, kullanmayanların %5'inde ve kontrol grubunun %8'inde Blastocystis sp. saptanmıştır. Proton pompa inhibitörlerini kullanan grupta Blastocystis sp. görülme sıklığı anlamlı düzeyde daha yüksek bulunmuştur (X2=8,883, p<0.001). Sonuç: Çalışma bulgularımıza dayanarak PPI kullananlarda blastosistosis' in göz ardı edilmemesi gerektiği kanaatine varılmıştır. Mevcut literatüre göre yapmış olduğumuz bu çalışma; Blastocystis sp.'nin görülme sıklığı ile PPI kullanımı arasındaki ilişkiyi inceleyen ilk çalışma olup, gelecekte yapılacak benzeri çalışmalara referans oluşturması bakımından önem arz etmektedir.
The Journal of Maternal-Fetal & Neonatal Medicine, 2017
Abstract Objective: To clarify the effect of hyperemesis gravidarum (HG) on the 75 g oral glucose... more Abstract Objective: To clarify the effect of hyperemesis gravidarum (HG) on the 75 g oral glucose tolerance test (OGTT) and gestational diabetes mellitus. Methods: This retrospective cohort study was conducted via an evaluation of the hospital database medical records of 700 pregnant women. Of these, 60 were included in the study group as a result of hospitalization due to HG, 41 were excluded, and the remaining 599 formed a control group. The body mass index (BMI), urine ketone levels, and ages of all participants were separately recorded, both in the initial examination and during the 75 g OGTT. Results: At initial examination, no significant differences in maternal age and BMI were observed between the two groups. There was a significant decrease in BMI after 75 g OGTT in the study group. No significant difference in fasting serum glucose levels was found between the two groups, but significant differences in first and second hour serum glucose levels were observed. Conclusions: HG may improve in many women in the late second trimester, and loss of fatty tissue may affect the 75 g OGTT screening results. The appropriate cutoff value of 75 g OGTT for HG should be reevaluated following future, larger, studies.
Bu çal›flma huzurevinde bar›nan yafll› bireylerin uyku kalitesi düzeyini tan›mlamak, sosyo-demogr... more Bu çal›flma huzurevinde bar›nan yafll› bireylerin uyku kalitesi düzeyini tan›mlamak, sosyo-demografik özellikler, sirkadiyen ritim de¤iflikli¤i ve gündüz uykululu¤u ile uyku kalitesi aras›ndaki iliflkiyi incelemek amac›yla yap›lm›flt›r. Gereç ve Yöntem: Bu araflt›rma, 2008-2009 y›llar›nda Kayseri ili Gazio¤lu Huzurevinde kalan 65 yafl ve üzeri 136 birey üzerinde yap›lm›flt›r. Uyku kalitesi Pittsburg Uyku Kalitesi ‹ndeksi (PU-K‹), sirkadiyen ritmi Sabahç›l-Akflamc›l Anketi, Gündüz uykululu¤u Epworth Uykululuk Skalas› (ESS) ile de¤erlendirilmifltir. ‹statistiksel analizde; yüzde ve frekans da¤›l›m›, t testi ve tek yönlü varyans analizi kullan›lm›flt›r. Bulgular: Grubun yafl ortalamas› 75.05±6.96 olup, %59.6's›n› erkekler, %64.7'sini örgün e¤itim almayanlar ve %83.1'ini efli ölmüfl/boflanm›fl kifliler oluflturmaktad›r. Grubun PUK‹ puan ortalamas› 6.01±3.17 olup, %55.1'i kötü uyku kalitesine sahiptir. PUK‹ skoru kad›nlarda, e¤itimsiz grupta, evlilerde ve kronik hastal›¤› olanlarda daha yüksektir. Grubun %49.3'ü "sabahç› tipe yak›n" ve %47.8'i "ara tip" sirkadiyen ritmi göstermekte, %23.0 artm›fl gündüz uykululu¤u sorunu yaflamaktad›r. Sonuç: Yafll› bireylerin yar›dan fazlas›n›n uyku kalitesi kötüdür. Cinsiyet, medeni durum ve kronik hastal›k uyku kalitesini anlaml› düzeyde etkilemektedir.
JPMA. The Journal of the Pakistan Medical Association, 2012
To evaluate the etiologic and demographic characteristics of acute adult poisoning cases and to o... more To evaluate the etiologic and demographic characteristics of acute adult poisoning cases and to obtain up-to-date information on acute poisonings. A retrospective study was conducted to evaluate 1254 adults who presented with acute poisoning to the Emergency Department of our tertiary care university hospital in central Turkey from January 2007 to December 2009. The data extracted from each chart related to age, gender, marital status, agent involved in the poisoning, season of event, route of poisoning, time between ingestion or exposure and arrival at the casualty ward, mechanism of toxic exposure (unintentional or intentional), level of consciousness, length of stay in the ward, and outcome. Acute poisonings comprised 1.40% of Emergency Department patients; 65% were female, while 47% were between the ages of 16 and 25 years. Medicinal drugs were the most common cause of poisonings (68%), followed by gases (9.5%). Antidepressants were the most frequent drug ingested (18%), followe...
Objectives Sleep adequacy is one of the major determinants of a successful professional life. The... more Objectives Sleep adequacy is one of the major determinants of a successful professional life. The aim of this study is to determine the sleep quality of emergency health workers and analyze its effects on their professional and social lives. Methods The study was carried out on 121 voluntary emergency health workers in 112 Emergency Aid Stations in Kayseri, Turkey, in 2011. The data was collected through the Socio-Demographics Form and the Pittsburgh Sleep Quality Index (PSQI) and analyzed via SPSS 18.00. The statistical analysis involved percentage and frequency distributions, mean±standard deviations, a chi-square test, correlations, and logistic regression analysis. Results The mean score of the participants according to the Pittsburgh Sleep Quality Index was 4.14±3.09, and 28.9% of participants had poor sleep quality. Being single and being a woman accounted for 11% (p=0.009, 95% CI: 0.111-0.726) and 7% (p=0.003, 95% CI: 0.065-0.564) of poor sleep quality respectively. There was a positive correlation between sleep quality scores and negative effects on professional and social life activities. Negative effects on professional activities included increased loss of attention and concentration (40.0%, p=0,016), increased failure to take emergency actions (57.9%, p=0.001), reduced motivation (46.2%, p=0.004), reduced performance (41.4%, p=0.024), and low work efficiency (48.1%, p=0.008). Poor sleep quality generally negatively affected the daily life of the workers (51.6%, p=0.004), restricted their social life activities (45.7%, p=0.034), and caused them to experience communication difficulties (34.7%, p=0.229). Conclusions One third of the emergency health workers had poor sleep quality and experienced high levels of sleep deficiency. Being a woman and being single were the most important factors in low sleep quality. Poor sleep quality continuously affected daily life and professional life negatively by leading to a serious level of fatigue, loss of attention-concentration, and low levels of motivation, performance and efficiency.
Background and Aims. Healthy lifestyle behaviors are the major determinant of both prevention hea... more Background and Aims. Healthy lifestyle behaviors are the major determinant of both prevention health and health related quality of life. The aim of this study was to examine the relationship between health-promoting behaviors and quality of life of elderly individuals living in nursing homes.Methods. The study was performed between October 2008 and 2009, in the city of Kayseri in Turkey, upon 136 individuals, aged 65 and above, living in the Gazioglu Nursing Home. A sociodemographic questionnaire, Standardized Mini Mental Test, Health Promoting Lifestyle Behaviors Profile (HPLP), and WHOQOL-OLD module were used for the gathering of data.Results. The overall HPLP and quality of life (QoL) scores were118.06±20.54and43.45±10.30, respectively. More than half of the participants have higher points than the mean QoL scores. The HPLP scores of these subjects were significantly higher compared to those with lower points than mean QoL scores. There was a positive relationship between the ove...
Purpose: To define the level of quality of life in an elderly population and to investigate the e... more Purpose: To define the level of quality of life in an elderly population and to investigate the effects of selected variables, such as anemia, fatigue, depression and sleep disorders, on the quality of life. Design and Methods: The study was conducted in Gazioğlu Nursing Home, located in the city center of Kayseri, on 136 subjects ≥65 in the year 2008-2009. Data were collected using the Geriatric Depression Scale (GDS), Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI) and the World Health Organization Quality of Life-OLD (WHOQOL-OLD) Module. In the statistical analysis mean ± standard deviation, student's t-test, ANOVA and Spearman correlation analysis were used. Results: The mean total score of quality of life was 43.45 ± 10.30. Of the residents 47.0% had a poor quality of life. Autonomy had the lowest (35.70 ± 19.96) and intimacy had the highest (48.75 ± 17.96) subdomain scores. Fatigue significantly decreased the total and autonomy, social participation and death and dying subdomain scores. Anemia had a significant adverse effect on intimacy, depression on autonomy and intimacy and sleep disorder on death and dying. There were negative correlations between fatigue with past-present-future activities and social participation, depression with social participation, intimacy, death and dying and glucose levels with social participation and intimacy. Implications: About half of the subjects had a poor quality of life. Fatigue was the sole factor to negatively affect the total score in WHOQOL-OLD. Depression, anemia and sleep disorder adversely affected the autonomy, social participation, intimacy , death and dying subdomain scores but not in all.
Turkiye Klinikleri Journal of Medical Sciences, 2012
Ob bj je ec ct ti iv ve e: : Cervical cancer, the second leading cause of death in women worldwid... more Ob bj je ec ct ti iv ve e: : Cervical cancer, the second leading cause of death in women worldwide, can be prevented by education, routine screening and HPV immunization. This study was aimed to determine the level of knowledge and behavior of married women over 18 years regarding cervical cancer in the city of Kayseri, Turkey. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this cross-sectional study performed in 2009 in the province of Kayseri, a questionnaire was filled out for 1000 married women over 18 with face-to-face interview. Women were asked a series of questions that evaluated their knowledge about cervical cancer, its risk factors, early signs and symptoms and whether they had undergone a Pap smear test within the last three years. Questions and correct answers were developed in accordance with the relevant literature. R Re es su ul lt ts s: : The mean age, age at first marriage, and parity were 35.40±12.77, 19.15±3.41, 2.57±1.86, respectively. The age of first sexual experience was the same as the age at first marriage and the rate of marriage before 20 years of age was 61%. The most prominent source of information was the media (63.4%). Smoking (13.3%) and having multiple sexual partners (13.0%) were the most well-known risk factors. Fifteen point four percent of women stated that early detection of cervical cancer was possible, and 15.0% stated that women at risk should have a Pap smear test at least once a year. Although 12.3% indicated that the Pap smear was the best diagnostic method, only 7.2% thought that this should be repeated every year. Eleven percent knew there was a vaccine for cervical cancer and 9.0% indicated that condom use was a protective measure. Only 16.1% of women stated that their knowledge about cervical cancer was sufficient, and the rate of women who underwent a Pap smear test within the last three years was 23.0%. While the level of knowledge was closely associated with age, occupational status, family income and educational background, having a Pap smear within the last three years was only associated with age and family income. C Co on nc cl lu us si io on n: : There is a serious lack of knowledge and behaviour among married women regarding cervical cancer, risk factors and protective measures. Therefore, there is an urgent need for educational programs to enhance the level of awareness and motivation, and to enable routine screenings. K Ke ey y W Wo or rd ds s: : Uterine cervical neoplasms; knowledge; behavior; women Ö ÖZ ZE ET T A Am ma aç ç: : Dünyada kadınlarda ikinci en sık ölüm nedeni olan serviks kanseri, eğitim, sistematik tarama ve HPV aşılaması ile önlenebilir. Bu çalışmada, 18 yaşın üzerindeki evli kadınların serviks kanseri hakkındaki bilgi ve davranış düzeyinin belirlenmesi amaçlandı. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : 2009 yılında Kayseri il merkezinde yapılan bu kesitsel çalışmada, 18 yaş üzerindeki 1000 evli kadına yüz-yüze anket uygulandı. Kadınlara serviks kanseri, erken bulguları, risk faktörleri, tanısı ve son üç yıl içinde Pap smear testi yaptırıp yaptırmadıklarına ilişkin sorular soruldu. Sorular ve doğru yanıtlar konuyla ilgili literatüre uygun olarak hazırlandı. B Bu ul lg gu ul la ar r: : Ortalama yaş, ilk evlilik yaşı ve doğum sayısı sırasıyla 35,40±12,77, 19,15±3,41, 2,57±1,86 idi. İlk cinsel deneyim yaşı ilk evlilik yaşı ile aynıydı ve 20 yaşından önce evlenme oranı %61 idi. En önemli bilgi kaynağı medyaydı (%63,4). Sigara içme (%13,3) ve birden fazla cinsel eşe sahip olma (%13,0) en çok bilinen risk faktörleriydi. Kadınların %15,4'ü serviks kanserinin erken tanısının mümkün olduğunu, %15,0'i risk altındaki kadınların yılda en az bir kez Pap smear testi yaptırması gerektiğini söyledi. Kadınların %12,3'ü Pap smear testinin etkin bir tanı yöntemi olduğunu söylemesine rağmen sadece %7,2'si bunun her yıl tekrarlanması gerektiğini düşünüyordu. Katılımcıların %11,0'i serviks kanserinin aşısı olduğunu, %9,0'u kondom kullanımının serviks kanserinden koruduğunu ifade etti. Kadınların sadece %16,1'i serviks kanseri hakkında yeterli bilgi sahibi olduğunu ve %23,0'ü son üç yıl içinde Pap smear testi yaptırdığını belirtti. Bilgi sahibi olma, yaş, çalışma durumu, eğitim ve gelir düzeyine göre anlamlı farklılık gösterirken, son üç yılda Pap testi yaptırma yalnızca yaş ve gelir düzeyine göre anlamlı farklılık sergilemekteydi. S So on nu uç ç: : Evli kadınlarda serviks kanseri, risk faktörleri ve korunma önlemleri hakkında ciddi düzeyde bilgi ve davranış yetersizliği mevcuttur. Bu nedenle hedef grubun serviks kanseri hakkında farkındalık ve motivasyon düzeylerini artırmak ve sistematik taramaları başlatmak için acil eğitim programlarına gereksinim vardır. A An na ah ht ta ar r K Ke el li im me el le er r: : Uterin servikal tümörler; bilgi; davranış; kadınlar T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J M Me ed d S Sc ci i 2 20 01 12 2; ;3 32 2((3 3
AimSelf-rated health (SRH) and health-related quality of life (HRQoL) have closely related outcom... more AimSelf-rated health (SRH) and health-related quality of life (HRQoL) have closely related outcomes in measuring general health status in community-based studies. The aim of this study is to determine changes in the self-perceived overall health of people and affected factors by comparing the findings of two studies conducted in the same research area.MethodsBoth studies were conducted using the same measurement tools in households determined by random sampling techniques in the same research areas. The first and second studies were conducted with 1,304 and 1,533 people residing in 501 and 801 households in 2004 and 2017, respectively. The demographic data form, the Nottingham Health Profile (NHP), and a single-item SRH questionnaire were used for data collection.ResultsThe rate of good SRH increased from 56% to 70% while the average NHP score decreased from 30.87 to 20.34. The predictors of negative health perceptions were the presence of chronic diseases (OR 3.4–2.7-times higher),...
This study aimed to examine the change in health service use and its affecting factors by compari... more This study aimed to examine the change in health service use and its affecting factors by comparing the findings of 2 studies conducted at different times, with the same data collection tools, in the same health service region. Material and Methods: The first cross-sectional study was conducted in 2004, in urban areas in Kayseri, with 501 households and 1,880 people in Primary Health Centers. The second was carried out in 2017, in 30 Family Health Centers, with 801 households and 2,253 people. The data were collected by the face-to-face interview method using a questionnaire. In statistical analysis, mean±standard deviation, median (Q1-Q3), Mann-Whitney U, Kruskal-Wallis, Pearson χ 2 , logistic regression analysis were used. The value p<0.05 was accepted as statistically significant. Results: The rate of health service utilization (HSU) increased from 79.6% to 84.8%, the average number of visits to physicians per person increased from 4.9 to 6.9. While the proportion of primary HSU increased to 45.8%, requests for visits to public hospital decreased to 26.4%. Healthcare use was significantly higher in male gender (2.2-2.3 times), 65 years and older (2.8-3.2 times), in people with good income (1.8-1.5 times), and in those with negative health perception (1.8-1.9 times). Conclusion: There has been a significant improvement in HSU parameters, particularly in Primary Health Care Centers services. Male gender, good level income, advanced age (≥65), and negative health perception are the main determinants of healthcare use. These results require a better understanding of the factors that make access to the health facilities difficult and the development of strategies that ensure fair use of health services.
Objective: To determine psychological violence behaviors (mobbing) exposed by academic personnel ... more Objective: To determine psychological violence behaviors (mobbing) exposed by academic personnel working in Erciyes University, Turkey. Methods: A questionnaire-based cross sectional study was performed in June 2010 in Erciyes University. No sampling methods were used, questionnaires were delivered by mail to all academicians and 450 of 850 (53.0%) questionnaires were returned. We used the Mobbing Perception Scale (MPS) for data collection. Results: A total of 58.2% of the academicians experienced recurrent physiological violence at least once a week in the workplace and 16.6% stated that they were directly exposed to mobbing behavior every day (>1 point) in the past year, 44.7% reported "assault to their professional status", 42.8% reported "assault to personality", 39.9 % reported "isolation from work", 13.0% reported "direct negative behavior". The most commonly (30.4%) experienced behavior was; "groundless talk about the person in question". Mobbing was not associated with demographic and professional variables. The main source of mobbing was the managers. Also 68.0% of the victims resorted to passive defense strategies, and only 2.5% took legal action. Conclusion: Workplace mobbing is a critical problem for academicians in our university. The level of directly mobbing behavior was substantially high. The most common threatening behavior was "assault to professional status". The primary mobbers were the managers. A great of majority academicians had not been received professional help and they internalized the mobbing. The findings indicated that levels of awareness of mobbing have increased among academicians.
Toplu Beslenme Hizmeti (TBH), günümüzde oldukça yaygındır ve tam gün eğitim veren birçok anaokulu... more Toplu Beslenme Hizmeti (TBH), günümüzde oldukça yaygındır ve tam gün eğitim veren birçok anaokulu özellikle öğle yemeklerinde olmak üzere toplu beslenme hizmeti almaktadır (1).TBH’nin hizmet verilen gruba uygun olarak gerçekleştirilmemesi, yemek israfının artmasına ve yemek hizmeti sunulan grubun enerji-besin öğesi alımının yetersiz olmasına neden olmaktadır. Okul öncesi dönemdeki çocuklar, yetersiz beslenme açısından riskli gruplardan biridir (2). Çalışma, anaokulunda sunulan seçilmiş menü örneklerinin görünümlerini ve hazırlama yöntemlerini iyileştirerek menüleri çocukların tüketimine uygun hâle getirmek, yeterli-dengeli beslenmelerine katkıda bulunmak ve yemek israfını azaltmak amacıyla gerçekleştirilmiştir.Tanımlayıcı nitelikteki kesitsel çalışma, Kapadokya Üniversitesi Montessori Anaokuluna devam eden 2-6 yaş aralığında, vücut ağırlığı ve boy uzunluğu persentil değeri normal aralıkta olan fakat çeşitli sebeplerle (yemek esnasında yemeği ağzında biriktirme, yemeğe özellikle geç ...
Quality of life of elderly nursing home residents and its correlates in Kayseri. A descriptive-an... more Quality of life of elderly nursing home residents and its correlates in Kayseri. A descriptive-analytical design: A cross-sectional study*ABSTRACTPurpose: To define the level of quality of life in an elderly population and to investigate the ef- fects of selected variables, such as anemia, fa- tigue, depression and sleep disorders, on the quality of life. Design and Methods: The study was conducted in Gazioğlu Nursing Home, lo- cated in the city center of Kayseri, on 136 sub- jects ≥65 in the year 2008-2009. Data were col- lected using the Geriatric Depression Scale (GDS), Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI) and the World Health Organization Quality of Life-OLD (WHOQOL- OLD) Module. In the statistical analysis mean ± standard deviation, student’s t-test, ANOVA and Spearman correlation analysis were used. Re- sults: The mean total score of quality of life was 43.45 ± 10.30. Of the residents 47.0% had a poor quality of life. Auton...
International Journal Of Community Medicine And Public Health
Background: Although healthcare professionals know how to avoid needle sticks, current safe syrin... more Background: Although healthcare professionals know how to avoid needle sticks, current safe syringes are not capable of preventing percutaneous injuries 100%. Therefore, infections caused by needle sticks could not be completely prevented.Methods: First of all, a Likert type questionnaire were applied as a qualitative method in the study. Based on these survey data, 4 different types of safety syringe caps were developed and tested in a quasi-experimental method.Results: The research was carried out with 344 health vocational school students. As a result of the research, the average level of knowledge of the students about percutaneous injuries was in female students (n=223, 64.8%) compared to male students (n=121, 35.2%) (females, mean: 78.8±10, males, mean: 76.5±10) (p=0.256) in the second grades compared to the first graders. It was found to be higher (1st class: 77.3, 2nd class: 81.0) (p=0.049). The mean level of knowledge showed a significant difference according to educational...
Amac: Ulkemizde yasli nufus artmakta ve yaslilik donemi sorunlari da giderek onem kazanmaktadir. ... more Amac: Ulkemizde yasli nufus artmakta ve yaslilik donemi sorunlari da giderek onem kazanmaktadir. Yasli bireylerin zihinsel sagliklari ve beslenme durumlari birbiriyle iliskilidir ve ozenle ele alinmalidir. Bu calismada 65 yas ustu bireylerde depresyon ve malnutrisyon oranlari, depresyonu etkileyen faktorler ve malnutrisyon-depresyon iliskisi arastirilmistir. Yontem: Calisma; Kayseri ili Hacilar ilcesinde 65 yas ve uzerinde olan 101 kiside yapilmistir. Olasi depresyon tanimlamasi icin Geriatrik Depresyon Olcegi (GDO), beslenme durumu tespiti icin Mini Nutrisyon Anketi (MNA), yuz yuze gorusme yontemiyle sorgulanmistir. Bulgular: Arastirmaya alinan 101 kisinin yas ortalamasi 73.63 ± 5.74 (min:65-max:94) yildir. Grubun %83.2’si halen kendi evinde yasamakta olup, %74.3’unde en az bir kronik hastalik mevcuttur. Depresyon puanlarina gore %7.9’unun depresif yakinmalari mevcuttur. Depresyon puani ortalamasi: 10,26 ± 5,48 (min:1-max:23) dir. Kadinlarda, aylik ortalama egitim ve geliri dusuk o...
The satisfaction of patient is the most important quality criteria in health care organization. D... more The satisfaction of patient is the most important quality criteria in health care organization. Determination of patient satisfaction is important for increasing quality of service and for providing more qualified service in accordance with patient's requirement. This study was carried out to determine the level of knowledge, thoughts and satisfaction of the public about the 112 Emergency Health Services. Material and Method: This cross-sectional, self-report study was conducted in May 2013 by applying a face-to-face survey to 600 citizens in 6 regions randomly selected among 18 stations providing emergency health services in Kayseri. Results: The mean age of the study group was 35.25±11.38 and 52.7% of the group were women, 67.0% of the group were married and 64.6% of the participants were trained in high school and above. According to our findings the 94.8% of the population know the emergency call numbers, 87.2% of them were calls for medical help for "emergency situations". 39.0% of the people have called for ambulance. Participants stated that they were very satisfied with contacting to call centre (79%), with cleanliness of ambulance (82.9%), with attitudes and behaviours of the team (82.5%), with the intelligibility of all responses to questions (74.8%), with the given information about the patient (70.9%), with care for patients privacy (85.5%). The majority of population know that the 112-emergency call centre asks for information about "the address of the incident" (90.0%), "performance status" (86.3%) and about the "case" (53.3%). Conclusion: People are very satisfied with ambulance hygiene and equipment, transportation time, staff's attitude and behaviour, communication, informing, patient confidentiality and medical intervention.
The aim of this study was to evaluate the effect of oral contraceptive pills (OCP) on the macula,... more The aim of this study was to evaluate the effect of oral contraceptive pills (OCP) on the macula, the retinal nerve fiber layer (RNFL), and choroidal thickness (CT). Material/Methods: A total of 24 healthy women taking monophasic OCP (3 mg drospirenone and 0.03 mg ethinylestradiol) for contraception only for at least one year were compared with a control group of 24 healthy women who were not taking an OCP. Optical coherence tomography (OCT) was used to evaluate the posterior ocular segments, and measurements were taken in the follicular phase (day 3) of the cycle in all women. Results: No disparity in terms of age and body mass index between the groups was observed (p=0.436, p=0.538, respectively). In comparison of the macular region and CT between groups, we found that all variables except foveal center thickness and CT were significantly thinner in the OCP group. Nasal and temporal inferior parts of the RNFL and average RNFL were significantly slimmer in the study group versus the control group (p=0.013, p=0.018, and p<0.001, respectively). Conclusions: OCP resulted in several structural changes in the posterior ocular segment. Thus, women using OCP for more than one year may have some eye problems. Therefore, it OCT should be performed for these women. Further clinical trials researching long-period effect of OCP on the eyes are needed.
Blastocystis sp. insanlarda en sık görülen intestinal sistem protozoonlarından biridir ve kontami... more Blastocystis sp. insanlarda en sık görülen intestinal sistem protozoonlarından biridir ve kontamine olmuş gıdalarla ve su ile fekal oral yolla bulaşmaktadır. Gastrointestinal sistem hastalıklarında çoğunlukla kullanılan proton pompa inhibitörlerinin (PPI), midenin pH'nı yükselttiği bilinmektedir. Bu çalışma, PPI kullanımının Blastocystis sp.'nin görülme sıklığı üzerine etkisini araştırmak amacı ile yapılmıştır. Gereç ve Yöntem: Çalışmaya Erciyes Üniversitesi Tıp Fakültesi Parazitoloji Laboratuvarı'na Gastroenteroloji polikliniğinden Ocak 2013-Haziran 2013 tarihleri arasında rutin dışkı incelemesi için gönderilen ve 1 ay içerisinde düzenli olarak PPI kullanımı olan 100 hasta ile, hiç PPI kullanımı olmayan; fakat gastrointestinal şikayetleri olan 100 hasta dahil edilmiştir. Kontrol grubunu ise hiç polikliniğe başvurmamış 100 sağlıklı birey oluşturmuştur. Dışkı örnekleri bekletilmeden nativ-lugal yöntemi ile incelenmiştir. Bulgular: Çalışmamızda PPI kullananların %24'ünde, kullanmayanların %5'inde ve kontrol grubunun %8'inde Blastocystis sp. saptanmıştır. Proton pompa inhibitörlerini kullanan grupta Blastocystis sp. görülme sıklığı anlamlı düzeyde daha yüksek bulunmuştur (X2=8,883, p<0.001). Sonuç: Çalışma bulgularımıza dayanarak PPI kullananlarda blastosistosis' in göz ardı edilmemesi gerektiği kanaatine varılmıştır. Mevcut literatüre göre yapmış olduğumuz bu çalışma; Blastocystis sp.'nin görülme sıklığı ile PPI kullanımı arasındaki ilişkiyi inceleyen ilk çalışma olup, gelecekte yapılacak benzeri çalışmalara referans oluşturması bakımından önem arz etmektedir.
The Journal of Maternal-Fetal & Neonatal Medicine, 2017
Abstract Objective: To clarify the effect of hyperemesis gravidarum (HG) on the 75 g oral glucose... more Abstract Objective: To clarify the effect of hyperemesis gravidarum (HG) on the 75 g oral glucose tolerance test (OGTT) and gestational diabetes mellitus. Methods: This retrospective cohort study was conducted via an evaluation of the hospital database medical records of 700 pregnant women. Of these, 60 were included in the study group as a result of hospitalization due to HG, 41 were excluded, and the remaining 599 formed a control group. The body mass index (BMI), urine ketone levels, and ages of all participants were separately recorded, both in the initial examination and during the 75 g OGTT. Results: At initial examination, no significant differences in maternal age and BMI were observed between the two groups. There was a significant decrease in BMI after 75 g OGTT in the study group. No significant difference in fasting serum glucose levels was found between the two groups, but significant differences in first and second hour serum glucose levels were observed. Conclusions: HG may improve in many women in the late second trimester, and loss of fatty tissue may affect the 75 g OGTT screening results. The appropriate cutoff value of 75 g OGTT for HG should be reevaluated following future, larger, studies.
Bu çal›flma huzurevinde bar›nan yafll› bireylerin uyku kalitesi düzeyini tan›mlamak, sosyo-demogr... more Bu çal›flma huzurevinde bar›nan yafll› bireylerin uyku kalitesi düzeyini tan›mlamak, sosyo-demografik özellikler, sirkadiyen ritim de¤iflikli¤i ve gündüz uykululu¤u ile uyku kalitesi aras›ndaki iliflkiyi incelemek amac›yla yap›lm›flt›r. Gereç ve Yöntem: Bu araflt›rma, 2008-2009 y›llar›nda Kayseri ili Gazio¤lu Huzurevinde kalan 65 yafl ve üzeri 136 birey üzerinde yap›lm›flt›r. Uyku kalitesi Pittsburg Uyku Kalitesi ‹ndeksi (PU-K‹), sirkadiyen ritmi Sabahç›l-Akflamc›l Anketi, Gündüz uykululu¤u Epworth Uykululuk Skalas› (ESS) ile de¤erlendirilmifltir. ‹statistiksel analizde; yüzde ve frekans da¤›l›m›, t testi ve tek yönlü varyans analizi kullan›lm›flt›r. Bulgular: Grubun yafl ortalamas› 75.05±6.96 olup, %59.6's›n› erkekler, %64.7'sini örgün e¤itim almayanlar ve %83.1'ini efli ölmüfl/boflanm›fl kifliler oluflturmaktad›r. Grubun PUK‹ puan ortalamas› 6.01±3.17 olup, %55.1'i kötü uyku kalitesine sahiptir. PUK‹ skoru kad›nlarda, e¤itimsiz grupta, evlilerde ve kronik hastal›¤› olanlarda daha yüksektir. Grubun %49.3'ü "sabahç› tipe yak›n" ve %47.8'i "ara tip" sirkadiyen ritmi göstermekte, %23.0 artm›fl gündüz uykululu¤u sorunu yaflamaktad›r. Sonuç: Yafll› bireylerin yar›dan fazlas›n›n uyku kalitesi kötüdür. Cinsiyet, medeni durum ve kronik hastal›k uyku kalitesini anlaml› düzeyde etkilemektedir.
JPMA. The Journal of the Pakistan Medical Association, 2012
To evaluate the etiologic and demographic characteristics of acute adult poisoning cases and to o... more To evaluate the etiologic and demographic characteristics of acute adult poisoning cases and to obtain up-to-date information on acute poisonings. A retrospective study was conducted to evaluate 1254 adults who presented with acute poisoning to the Emergency Department of our tertiary care university hospital in central Turkey from January 2007 to December 2009. The data extracted from each chart related to age, gender, marital status, agent involved in the poisoning, season of event, route of poisoning, time between ingestion or exposure and arrival at the casualty ward, mechanism of toxic exposure (unintentional or intentional), level of consciousness, length of stay in the ward, and outcome. Acute poisonings comprised 1.40% of Emergency Department patients; 65% were female, while 47% were between the ages of 16 and 25 years. Medicinal drugs were the most common cause of poisonings (68%), followed by gases (9.5%). Antidepressants were the most frequent drug ingested (18%), followe...
Objectives Sleep adequacy is one of the major determinants of a successful professional life. The... more Objectives Sleep adequacy is one of the major determinants of a successful professional life. The aim of this study is to determine the sleep quality of emergency health workers and analyze its effects on their professional and social lives. Methods The study was carried out on 121 voluntary emergency health workers in 112 Emergency Aid Stations in Kayseri, Turkey, in 2011. The data was collected through the Socio-Demographics Form and the Pittsburgh Sleep Quality Index (PSQI) and analyzed via SPSS 18.00. The statistical analysis involved percentage and frequency distributions, mean±standard deviations, a chi-square test, correlations, and logistic regression analysis. Results The mean score of the participants according to the Pittsburgh Sleep Quality Index was 4.14±3.09, and 28.9% of participants had poor sleep quality. Being single and being a woman accounted for 11% (p=0.009, 95% CI: 0.111-0.726) and 7% (p=0.003, 95% CI: 0.065-0.564) of poor sleep quality respectively. There was a positive correlation between sleep quality scores and negative effects on professional and social life activities. Negative effects on professional activities included increased loss of attention and concentration (40.0%, p=0,016), increased failure to take emergency actions (57.9%, p=0.001), reduced motivation (46.2%, p=0.004), reduced performance (41.4%, p=0.024), and low work efficiency (48.1%, p=0.008). Poor sleep quality generally negatively affected the daily life of the workers (51.6%, p=0.004), restricted their social life activities (45.7%, p=0.034), and caused them to experience communication difficulties (34.7%, p=0.229). Conclusions One third of the emergency health workers had poor sleep quality and experienced high levels of sleep deficiency. Being a woman and being single were the most important factors in low sleep quality. Poor sleep quality continuously affected daily life and professional life negatively by leading to a serious level of fatigue, loss of attention-concentration, and low levels of motivation, performance and efficiency.
Background and Aims. Healthy lifestyle behaviors are the major determinant of both prevention hea... more Background and Aims. Healthy lifestyle behaviors are the major determinant of both prevention health and health related quality of life. The aim of this study was to examine the relationship between health-promoting behaviors and quality of life of elderly individuals living in nursing homes.Methods. The study was performed between October 2008 and 2009, in the city of Kayseri in Turkey, upon 136 individuals, aged 65 and above, living in the Gazioglu Nursing Home. A sociodemographic questionnaire, Standardized Mini Mental Test, Health Promoting Lifestyle Behaviors Profile (HPLP), and WHOQOL-OLD module were used for the gathering of data.Results. The overall HPLP and quality of life (QoL) scores were118.06±20.54and43.45±10.30, respectively. More than half of the participants have higher points than the mean QoL scores. The HPLP scores of these subjects were significantly higher compared to those with lower points than mean QoL scores. There was a positive relationship between the ove...
Purpose: To define the level of quality of life in an elderly population and to investigate the e... more Purpose: To define the level of quality of life in an elderly population and to investigate the effects of selected variables, such as anemia, fatigue, depression and sleep disorders, on the quality of life. Design and Methods: The study was conducted in Gazioğlu Nursing Home, located in the city center of Kayseri, on 136 subjects ≥65 in the year 2008-2009. Data were collected using the Geriatric Depression Scale (GDS), Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI) and the World Health Organization Quality of Life-OLD (WHOQOL-OLD) Module. In the statistical analysis mean ± standard deviation, student's t-test, ANOVA and Spearman correlation analysis were used. Results: The mean total score of quality of life was 43.45 ± 10.30. Of the residents 47.0% had a poor quality of life. Autonomy had the lowest (35.70 ± 19.96) and intimacy had the highest (48.75 ± 17.96) subdomain scores. Fatigue significantly decreased the total and autonomy, social participation and death and dying subdomain scores. Anemia had a significant adverse effect on intimacy, depression on autonomy and intimacy and sleep disorder on death and dying. There were negative correlations between fatigue with past-present-future activities and social participation, depression with social participation, intimacy, death and dying and glucose levels with social participation and intimacy. Implications: About half of the subjects had a poor quality of life. Fatigue was the sole factor to negatively affect the total score in WHOQOL-OLD. Depression, anemia and sleep disorder adversely affected the autonomy, social participation, intimacy , death and dying subdomain scores but not in all.
Turkiye Klinikleri Journal of Medical Sciences, 2012
Ob bj je ec ct ti iv ve e: : Cervical cancer, the second leading cause of death in women worldwid... more Ob bj je ec ct ti iv ve e: : Cervical cancer, the second leading cause of death in women worldwide, can be prevented by education, routine screening and HPV immunization. This study was aimed to determine the level of knowledge and behavior of married women over 18 years regarding cervical cancer in the city of Kayseri, Turkey. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this cross-sectional study performed in 2009 in the province of Kayseri, a questionnaire was filled out for 1000 married women over 18 with face-to-face interview. Women were asked a series of questions that evaluated their knowledge about cervical cancer, its risk factors, early signs and symptoms and whether they had undergone a Pap smear test within the last three years. Questions and correct answers were developed in accordance with the relevant literature. R Re es su ul lt ts s: : The mean age, age at first marriage, and parity were 35.40±12.77, 19.15±3.41, 2.57±1.86, respectively. The age of first sexual experience was the same as the age at first marriage and the rate of marriage before 20 years of age was 61%. The most prominent source of information was the media (63.4%). Smoking (13.3%) and having multiple sexual partners (13.0%) were the most well-known risk factors. Fifteen point four percent of women stated that early detection of cervical cancer was possible, and 15.0% stated that women at risk should have a Pap smear test at least once a year. Although 12.3% indicated that the Pap smear was the best diagnostic method, only 7.2% thought that this should be repeated every year. Eleven percent knew there was a vaccine for cervical cancer and 9.0% indicated that condom use was a protective measure. Only 16.1% of women stated that their knowledge about cervical cancer was sufficient, and the rate of women who underwent a Pap smear test within the last three years was 23.0%. While the level of knowledge was closely associated with age, occupational status, family income and educational background, having a Pap smear within the last three years was only associated with age and family income. C Co on nc cl lu us si io on n: : There is a serious lack of knowledge and behaviour among married women regarding cervical cancer, risk factors and protective measures. Therefore, there is an urgent need for educational programs to enhance the level of awareness and motivation, and to enable routine screenings. K Ke ey y W Wo or rd ds s: : Uterine cervical neoplasms; knowledge; behavior; women Ö ÖZ ZE ET T A Am ma aç ç: : Dünyada kadınlarda ikinci en sık ölüm nedeni olan serviks kanseri, eğitim, sistematik tarama ve HPV aşılaması ile önlenebilir. Bu çalışmada, 18 yaşın üzerindeki evli kadınların serviks kanseri hakkındaki bilgi ve davranış düzeyinin belirlenmesi amaçlandı. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : 2009 yılında Kayseri il merkezinde yapılan bu kesitsel çalışmada, 18 yaş üzerindeki 1000 evli kadına yüz-yüze anket uygulandı. Kadınlara serviks kanseri, erken bulguları, risk faktörleri, tanısı ve son üç yıl içinde Pap smear testi yaptırıp yaptırmadıklarına ilişkin sorular soruldu. Sorular ve doğru yanıtlar konuyla ilgili literatüre uygun olarak hazırlandı. B Bu ul lg gu ul la ar r: : Ortalama yaş, ilk evlilik yaşı ve doğum sayısı sırasıyla 35,40±12,77, 19,15±3,41, 2,57±1,86 idi. İlk cinsel deneyim yaşı ilk evlilik yaşı ile aynıydı ve 20 yaşından önce evlenme oranı %61 idi. En önemli bilgi kaynağı medyaydı (%63,4). Sigara içme (%13,3) ve birden fazla cinsel eşe sahip olma (%13,0) en çok bilinen risk faktörleriydi. Kadınların %15,4'ü serviks kanserinin erken tanısının mümkün olduğunu, %15,0'i risk altındaki kadınların yılda en az bir kez Pap smear testi yaptırması gerektiğini söyledi. Kadınların %12,3'ü Pap smear testinin etkin bir tanı yöntemi olduğunu söylemesine rağmen sadece %7,2'si bunun her yıl tekrarlanması gerektiğini düşünüyordu. Katılımcıların %11,0'i serviks kanserinin aşısı olduğunu, %9,0'u kondom kullanımının serviks kanserinden koruduğunu ifade etti. Kadınların sadece %16,1'i serviks kanseri hakkında yeterli bilgi sahibi olduğunu ve %23,0'ü son üç yıl içinde Pap smear testi yaptırdığını belirtti. Bilgi sahibi olma, yaş, çalışma durumu, eğitim ve gelir düzeyine göre anlamlı farklılık gösterirken, son üç yılda Pap testi yaptırma yalnızca yaş ve gelir düzeyine göre anlamlı farklılık sergilemekteydi. S So on nu uç ç: : Evli kadınlarda serviks kanseri, risk faktörleri ve korunma önlemleri hakkında ciddi düzeyde bilgi ve davranış yetersizliği mevcuttur. Bu nedenle hedef grubun serviks kanseri hakkında farkındalık ve motivasyon düzeylerini artırmak ve sistematik taramaları başlatmak için acil eğitim programlarına gereksinim vardır. A An na ah ht ta ar r K Ke el li im me el le er r: : Uterin servikal tümörler; bilgi; davranış; kadınlar T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J M Me ed d S Sc ci i 2 20 01 12 2; ;3 32 2((3 3
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