Hemşirelik Bölümü / Department of Nursing
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Publication Unknown A comparison of Gordon's functional health patterns model and standard nursing care in symptomatic heart failure patients: A randomized controlled trial(W.B. Saunders, 2020-06) Türen, Sevda; Enç, NurayBackground Heart failure (HF) is associated with poor quality of life and increased morbidity and mortality. Aim This study aimed to investigate effect of application of Gordon's functional health pattern (FHP) model in nursing care of symptomatic HF patients on quality of life, morbidity and mortality in the post-discharge 30-day. Methods This is a prospective randomized controlled study conducted in a single center. Experimental group received nursing care planned in accordance with Gordon's FHP model. 60 control and 60 experimental HF patients were included in the study. In the control group nursing care was given according to the standard protocol of the hospital whereas in the experimental group nursing care was given in accordance with Gordon's FHP model. Patients in both groups were followed up after discharge at 30th day. Results Mean Minnesota Living with Heart Failure Questionnaire score improved significantly in the experimental group compared to the control group at 30th day (40.2 ± 23.5 vs 62.3 ± 22.9 respectively, p = 0.001). Seven patients (11.7%) in the experimental group and 17 patients (28.3%) in the control group were readmitted in the post discharge 30-day (p = 0.02). Kaplan-Meier survival curve analysis revealed significant difference in 30-day event free survival rates between groups (log-rank p = 0.31). Conclusion Application of Gordon's FHP model in the nursing care of HF patients was associated with significantly improved quality of life, and reduced hospital readmission rates at 30th day. This was the only independent predictor of 30-day event free survival.Publication Unknown Ameliyat Sonrası Akut Ağrı Yoğunluğunun Değerlendirilmesinde Dört Farklı Ağrı Ölçeğinin Karşılaştırılması(Çukurova Üniversitesi, 2020) Gürkan, Aysel; Aldemir, Kadriye; Andsoy, Işıl Işık; GÜL, ASİYEAmaç: Bu çalışmada yaşlılar da dahil yetişkinlerde yaygınkullanılan Görsel Analog, Numerik Orantılama, Sözel Tanımlayıcı ve Yüz Ağrı ölçekleri arasındaki uyum düzeyinive hasta tercihlerini karşılaştırmak amacıyla yapılmıştır. Gereç ve Yöntem: Çalışma 17 Mart - 17 Haziran 2016tarihleri arasında bir üniversite hastanesinin cerrahikliniklerinde tanımlayıcı araştırma modeli kullanılarak yapıldı. Bu çalışmaya her grupta 40 kişi olmak üzere toplam 120 yetişkin hasta çalışmaya alındı. Verilerin toplanmasında bireysel özellikler formu, Görsel Analog Ölçeği, Numerik Orantılama Ölçeği, Sözel Tanımlayıcı Ölçek ve Yüz Ağrı Ölçekleri kullanıldı. Bulgular: Bu çalışmada 0,71 – 0,83 arasında değişen korelasyon katsayıları ile dört ağrı ölçeğinin birbirleriyle iyi bir uyum içinde olduğu bulundu. Numerik Orantılama Ölçeği, tüm hastalar tarafından kullanılması en basit ve gelecekte kullanılması en fazla tercih edilen ve en az hata oranına sahip ölçek olurken Görsel Analog Ölçeği hastalar tarafından en az basit bulunan ve en az tercih edilen, en fazla hata oranına sahip ölçek olduğu saptandı. Genç ve orta yaş grubu hastalar tarafından kullanılması en basit ve fazla tercih edilen ölçek Numerik Orantılama Ölçeği seçilirken, yaşlılar tarafından Sözel Tanımlayıcı Ölçek seçildi. Sonuç: Postoperatif akut ağrı yoğunluğunun değerlendirilmesinde dört ölçeğin birbirleri ile iyi bir uyum içinde olduğu, Numerik Orantılama Ölçeği’nin ilk, Sözel Tanımlayıcı Ölçeğin ikinci tercih olarak seçilmesi ve Görsel Analog Ölçeği’nin ise son seçenek olduğu sonucu çıkarılabilir.Publication Restricted Assessment of the Risk of Pressure Ulcer During the Perioperative Period: Adaptation of the Munro Scale to Turkish(Elsevier Science Ltd., 2021) GÜL, ASİYE; Şengül, Tuba; Yavuz, Hafize ÖzgeAim of the study: This study was conducted to adapt the Munro Pressure Ulcer Risk Assessment Scale (Munro Scale) to Turkish and to test its validity and reliability. Materials and methods: In the methodological study, the data were collected using the patient identification form, the Braden Scale, and the Munro Scale. A total of 188 patients were diagnosed for the risk of preoperative and intraoperative pressure ulcer, and then re-evaluated in the recovery room and in their bed. Results: The study group consisted of 81 (43.1%) males and 107 (56.9%) females with a mean age of 51.98 ± 16.87. The Kaiser-Meyer-Olkin sampling adequacy test was 0.588 and the Bartlett's test was 430.471. The results of goodness of fit indices were not as expected value in the confirmatory factor analysis. In the exploratory factor analysis, it was determined that the factor loadings of the Munro Scale varied between 0.336 and 0.873 and explained 62% of the total variance. In the parallel-form method performed for the reliability of the scale, it was observed that there was a weak and negative correlation between the total scores of the Munro Scale and Braden Scales before the surgery and a negative and moderate correlation between the total scores after the surgery. The total Cronbach's alpha value was found to be 0.504. In the reliability analysis of the scale, interrater correlation coefficients were found to be 0.865-0.998.Publication Metadata only Awareness of health sciences students about colorectal cancer risk factors(2019-05) Üstündağ, Hülya; Zengin, Neriman; Andsoy, Işıl Işık; GÜL, ASİYEObjective This descriptive study was conducted in order to determine the risk factors, symptoms and awareness of health sciences students with regards to colorectal cancer (CRC). Methods This study included 1,028 health science students from two different universities. Data for this study were collected via a questionnaire form that included questions about CRC risk factors, protective approaches and symptoms. Frequencies, percentages and averages of the data were assessed with Kruskal-Wallis and Mann-Whitney U tests. Results The most frequent risk factors of the students (mean age: 21.25 years) were smoking (90.5%), excessive alcohol consumption (87.4%), family history of cancer (84.2%) and obesity (82.6%), while the most common protective approaches were smoking cessation, avoiding alcohol, regular physical activity and a low-fat diet. There was a significant difference in the CRC awareness of students in terms of gender, the department and grade level at which they were studying, and having a family history of cancer. Conclusion Results of this study revealed that students had a sufficient awareness about risk factors and what they could do to diminish their risk, but their knowledge about CRC symptoms was less than expected. We believe that health sciences students should be given more education on CRC symptoms.Publication Restricted Burnout Levels and Care Behaviours in Intensive Care Nurses: A Cross-Sectional, Multicentre Study(Elsevier Sci Ltd., 2022) Efil, Sevda; TÜREN, SEVDA; Ayvaz, Meryem Yıldız; Bülbül, Elif; Yeni, TuğbaObjective: To examine the relation between burnout levels and caring behaviours in intensive care nurses in Turkey, and the affecting factors. Research methodology/design: The research was conducted as a descriptive, cross-sectional and multi-centred study. Setting: In this study, an online questionnaire was applied in April and May 2021, using Google Form. A total of 460 intensive vare nurses responded to the questionnaire. Main outcome measures: Burnout was assessed with the Maslach Burnout Inventory, and care behaviours with the Caring Behaviours Inventory-24. Results: The nurses reported a high level of emotional exhaustion (73.9%) and depersonalization (52.2%), and a medium level of personal accomplishment (40%). The nurses' levels of perception of care quality were high (5.4 +/- 0.6). It was found that their highest score on the subdimensions was on knowledge and skills (5.6 +/- 0.5), and the lowest was on connectedness (5.2 +/- 0.7). There was a very weak, respectively weak correlation, between nurses' emotional exhaustion (r = -0.1), respectively depersonalization (r = -0.2), and poor care behaviours. There was a strong correlation between low personal accomplishment scores and poor care behaviours (r = 0.8). It was found that the mean scores of the nurses' exhaustion and care behaviours varied according to many descriptive characteristics, such as education, age, professional experience, the unit where they worked, communication difficulties, living conditions and whether they had chosen nursing willingly. Conclusions: It appears that the level of personal accomplishment, is the only subscale reflecting risk of burnout, that strongly correlates with care behaviour.Publication Metadata only Case report: Necrotising fasciitis after removing the intrauterine device(2018-12) Özkaya, B.; Küçük, A.; Tosun, H.; GÜL, ASİYENecrotising fasciitis is a rapidly progressive, destructive soft tissue infection that mainly involves fascia and subcutaneous tissues. Rapidly spread necrosis in tissues is often caused by systemic sepsis, toxic shock syndrome, multiorgan failure and thrombosis in the subcutaneous vasculature. Necrotising fasciitis can be seen in all the anatomical regions of the body; the extremities and perineum are frequently affected. In this case report, we emphasised the importance of nursing care of a necrotising fasciitis patient who has been treated for a long time with aggressive surgical treatment. Vacuum-assisted closure application is a non-invasive method with controlled and localised negative pressure on the wound to accelerate healing in acute/chronic wounds. Necrotising fasciitis can be successfully treated with early diagnosis, adequate debridement, and appropriate antibiotic therapy. A multidisciplinary approach is necessary for the comprehensive care of these patients.Publication Open Access Cerrahi Girişim Uygulanan Hastalarda Ağrı ve Konfor İlişkisi(Oğuz KARABAY, 2022) Tosun, Hale; Özkaya, Birgül Ödül; Uz, Ferişte; GÜL, ASİYEAmaç: Çalışma cerrahi girişim uygulanan hastalarda ağrı ve konfor ilişkisini değerlendirmek amacıyla yapıldı. Materyal ve Metot: Bir eğitim ve araştırma hastanesinde cerrahi girişim uygulanan hastalar araştırma evrenini oluşturdu. Tanımlayıcı olan çalışmada örnekleme cerrahi girişim uygulanmış ve çalışmaya katılmayı kabul eden 132 hasta alındı. Veriler hasta tanım formu, Sayısal Derecelendirme Ölçeği ve Genel Konfor Ölçeği kullanılarak elde edildi. Bulgular: Örnekleme alınan hastaların yaş ortalamaları 42,64±17,27, %53’ü erkek, %58,3’ü evlidir. Katılımcıların %72’sinin herhangi bir kronik hastalığı bulunmamaktadır. Daha önce cerrahi bir girişim uygulananların oranı %16,7’dir. Çalışmada en fazla uygulanan cerrahi işlemin laparoskopik kolesistektomi (%19,7) ve laparoskopik apendektomi (%16,7) olduğu belirlendi. Genel anestezi %80,3’üne uygulandı. Hastaların ağrı puan ortalaması 3,68±1,37, Genel Konfor Ölçeği toplam puanı 136,46±11,20 olarak belirlendi. Ameliyat sonrası hastaların %59,1’inin orta derecede ağrısı bulunmaktaydı. Ağrı ile Genel Konfor Ölçeği toplam puan ortalaması arasında negatif yönlü çok zayıf bir ilişki belirlendi (r=-0,175; p=0,045). Sonuç: Ameliyat sonrası ağrı rahatsızlık yaratan bir durumdur. Ağrı ve konfor düzeyinin belirlenmesi, bakımın kalitesini ve hasta memnuniyetini arttırmak için önemlidir.Publication Metadata only Chemotherapy and radiation induced pulmonary dysfunction in hodgkin lymphoma patients(2016-12) İzmir Güner, Şebnem; Teoman Yanmaz, Mustafa; Selvi, Ahmet; Usul, ÇiğdemAlthough the deterioration in pulmonary functions is a well-known important problem due to the treatment of the Hodgkin's lymphoma patients, the immediate and long term effects of the therapy and its distinctive components were not shown clearly yet. We planned to investigate effects of multiple agent chemotherapy and/or radiotherapy to pulmonary functions immediately and thereafter and the possible effects of the managing this situation. 34 patients were included the study. The patients were evaluated for peak expiratory flow (PEF), forced expiratory volume in 1 s (FEV1), forced expiratory vital capacity (FVC), mean total lung capacity (TLC) values, FEV1/FVC ratio, diffusing capacity for carbonmonoxide (DLco), diffusing capacity for carbonmonoxide corrected for hemoglobin concentration (DLCO) before and at 1, 6 and 12 months after the initiation of the treatment. Demographic characteristics; disease stages; chemotherapy protocols; whether radiotherapy is received; if yes, the region and the dose received were recorded. The tests were finally analysed in two separated groups; group A treated with only chemotherapy and group B; treated with combination therapy, chemotherapy and radiotherapy. In group A, FVC and FEV1 is similar before and after treatment. FEV1/FVC ratio was increased (P = 0.0001) in this group despite increasing in mean TLC values (P = 0.001). No meaningful changes were observed in PEF and DLCO values in group A. In group B, FVC, FEV1 and PEF were decreased after treatment (for FVC P = 0.028, for FEV1 P = 0.04). Despite a decrease in first month of the treatment in FEV1/FVC ratio and DLco these two parameters were recovered at the end of the first year in group B patients. TLC values were increased after treatment in group B as in group A (P = 0.035). We believe that, if these patients are managed well in 1 year; necessary precautions are provided; and patients are well-informed, then there wouldn't be too much risk and mortality rate for long-term side effects of ABVD and mediastinal RT.Publication Metadata only COVID-19 Fear, Vaccination Hesitancy, and Vaccination Status in Pregnant and Breastfeeding Women in Turkey(Afr J Reprod Health, 2023) MİRAL, MUKADDES TURAN; Turgut, Nurgül; Güldür, Ayşe; Güloğlu, Zübeyde E.; Mamuk, RojjinThis study aimed to determine the level of COVID-19 fear, vaccination, and vaccination hesitancy as well as the affecting factors in pregnant and breastfeeding women who participated in an online prenatal education in Turkey. The study, which was designed as descriptive cross-sectional, was conducted online with 360 pregnant and breastfeeding women from Istanbul. Data were collected through the Participant Information Form, Fear of COVID-19 Scale and Vaccine Hesitancy Scale in Pandemics. The rate of accepting the COVID-19 vaccine is 65.6%. The Fear of COVID-19 Scale was 16.215.54, and the Vaccine Hesitancy Scale in Pandemics mean score was 29.294.54. The COVID-19 fear of the women participating in this study was moderate, the level of vaccination hesitancy was low, and two-thirds of them were vaccinated. There is a need to organize special counseling and vaccination campaigns for pregnant and lactating women.Publication Restricted The Determination of Patient Learning Needs After Day Surgery: A Cross-Sectional Study(Elsevier, 2022) Üstündağ, Hülya; GÜL, ASİYE; Özkaya, BirgülPurpose: This study was conducted to investigate the care perception and learning needs of patients undergoing day surgery. Design: A descriptive and cross-sectional model was used. Methods: The study was conducted with 234 patients who underwent day surgery in a general surgery clinic of a university hospital. Data were collected using a sociodemographic characteristics form, the Patient Perception of Hospital Experience with Nursing Scale (PPHEN) and the Patient Learning Needs Scale (PLNS). Findings: The PPHEN mean score was 67.99 ± 11.98 and the PLNS total score was 211.15 ± 38.49. The subscales showed that the highest scores were 38.47 ± 6.93 for activities of life, while the lowest score was 20.60 ± 4.23 for feelings related to condition. There was a statistically significant negative correlation in the PPHEN and PLNS subscales in terms of medications, activities of living, treatment, and complications. There was no statistically significant relationship between the demographic data of the patients (age, gender, and educational status). Conclusions: This study demonstrated that patients had high information needs and greater concerns, particularly about "activities of life." Nurses should be aware of the importance of identifying high learning needs to increase the level of satisfaction with nursing care in day surgery patients.Publication Open Access The Effect of Position on Feeding Performance in Infants With Cleft Lip and Palate: Quasiexperimental Study(Wiley, 2024) ERDOST, ŞERİFE KARTAL; Gözen, DuyguPurpose: This single-group, quasiexperimental study was conducted to determine the effect of feeding position on the physiological parameters and feeding performance of term-born infants with cleft lip and palate (CLP) in the preoperative period. Methods: The study sample consisted of 45 infants aged 0-6 months with CLP followed up preoperatively in our outpatient clinic between January 2021 and 2022. Infants who were being fed with a specialty bottle for babies with CLP and whose families consented to participate in the study were included. After 2 h of fasting, the infants were fed in the elevated supine (ESU) position for the first meal, then in the elevated side-lying (ESL) position for the second meal after another 2 h of fasting. The infants' heart rate and oxygen saturation values before, during, and after each feed and indicators of feeding performance were compared between the positions. Results: There was no significant difference between the positions in terms of heart rate and oxygen saturation before, during, or after feeding (p > .05). There was no statistically significant difference in measures of feeding performance according to the infants' feeding position (p > .05). Conclusion: According to the findings obtained in this study, infants with CLP showed no statistically significant differences in heart rate, oxygen saturation, or feeding performance when fed in the ESL and ESU positions. Practice Implications: However, despite the lack of statistical significance, both physiological values and feeding performance tended to be better when the infants were fed in the ESL position, nurses can practice ESL position according to the infant's opposite direction of the side of the cleft lip or palate.Publication Restricted Effect of the Head of Bed Elevation on Back Pain After Elective Coronary Angiography: A Randomized Controlled Trial(W.B. Saunders, 2022) TÜREN, SEVDA; YILMAZ, RAHİME ATAKOĞLU; Yeşiltepe, Nezahat; Bektaş, İbrahimBackground: Patients are restricted to bed and required to lie flat after coronary angiography (CAG) due to potential risk of vascular complications. This often cause back pain. Aim: We aimed to investigate effect of the head of bed (HOB) elevation on back pain and vascular complications after elective CAG. Methods: Three hundred and seven consecutive patients who underwent elective CAG were randomized into three groups. One control (HOB: 0 degree-flat position) and two experimental (HOB: 15 and 30°) groups were compared. Back pain level was assessed by using visual analogue scale. Results: Mean age was 58.1 ± 10.7 and 59.9% (n = 184) of patients were male. Pain level at the 3rd hour and at the 6th hour was significantly higher in control group compared to experimental groups. In the post-hoc analysis, pain level was significantly higher in HOB 15 compared to 30°. In multivariate analysis, HOB elevation to 30° was the only independent predictor of the pain level at 3rd hour and 6th hour. Only one patient in the HOB 0 degree group had a minor bleeding at the access site. Conclusions: Elevation of the HOB to 30° was associated with decreased back pain level without increased risk of vascular complications. © 2022 Elsevier Inc.Publication Metadata only Evde Bakım ve Palyatif Bakımın Entegrasyonunda Etik İklimler(2019-12) Atakoğlu, Rahime; Türen, Sevda; Gül, Asiye; Madenoğlu Kıvanç, Meral; 301959; 269959; 112620; 100855Yaşlı nüfusun hızla artması, kronik hastalıklara sahip bakım ihtiyacı olan hastaların artışını gündeme getirmektedir. Gelişmiş teknolojik aletlerin evde kullanılabilirliğinin yaygınlaşması ve maliyet etkili bir model olması nitelikli uzun dönemli bakım hizmetleri olan evde bakımın gerekliliğini doğurmuştur. Evde sağlık hizmetleri hastaların kendi yaşam alanı içerisinde kişiselleştirilmiş hizmet almalarını sağlarken, aynı zamanda bakımın sürekliliğinin sağlanmasında da önemli bir role sahiptir (1,2,3,5). Kronik, tedavisi mümkün olmayan ve yaşamı tehdit edici hastalığı bulunan hastaların nitelikli bakımlarına yönelik gereksinimin artması, palyatif bakımın bir disiplin olarak ortaya çıkmasına neden olmuştur. Dünya Sağlık Örgütünün (DSÖ) tanımına göre; palyatif bakım yetişkin/pediatrik hastaların ve ailelerinin hayatını tehdit eden hastalıklarla ilgili fiziksel, sosyal, psikolojik ve spritüel sorunlarla karşı karşıya kalmalarını önleyen ve yaşam kalitesini yükseltmeyi hedefleyen bir yaklaşımdır (6,7). Terminal dönemdeki birçok kanser hastası gibi yaşamlarının son dönemlerinde hastalar son zamanlarını kendi güven ortamları olan evlerinde geçirmek ister. Evde sağlık hizmetlerinin koordinasyonu da hastalara bu olanağı sunar. Hastanın eve gelmesiyle birlikte evde sağlık ekibi (hekim, hemşire) palyatif bakım yaklaşımının gerektirdiği tüm girişimleri yerine getirmelidir. Evde sağlık hekiminden ağrı yönetimini ve bu tür hastalar için semptom kontrollerini iyi bilmesi, evde bakım hemşiresinden de palyatif bakımın temel prensiplerini bilmesi ve uygulaması beklenmektedir. Palyatif bakım yaşamı tehdit eden her türlü hastalığın teşhisiyle başlamakta, ölüm sonrası hasta yakınının desteklenmesiyle ya da yaşamı devam eden hastanın rehabilitasyon süreciyle devam etmektedir. Bu süreç tıbbi, psikososyal ve kültürel değerler, din ve maneviyat, ekonomi gibi birçok gereksinimi kapsamaktadır. Sürecin devam etmesiyle birlikte bakımdaki hizmet sınırlılıkları etik ikilemleri de beraberinde getirmektedir. Yaşam sonu kararları, gerçeğin söylenmesinde etkili kültürel ve ekonomik faktörler, evde bakım hizmeti sunan sağlık ekibinin özellikle hemşirenin niteliği ve eğitim durumu, hemşirelerin bağımsız karar verebilme durumu, işte yaşanılan güçlükler, şağlık çalışanlarının psikososyal yönden desteklenme durumu, yaşanılan sorunlar ve ikilemlerde etik danışmanlık hizmetlerine duyulan ihtiyaç başlıca etik ikilemleri oluşturmaktadır (7,8,9,10). Sonuç olarak; hasta ve hasta yakınlarına evde sunulan palyatif bakımın hangi hizmetleri kapsadığının detaylı bir şekilde anlatılması, hizmet sunan sağlık profesyonellerinin bakım etiği hakkında eğitim alması, çalışanların gerekli motivasyonun sağlanması açısından psikososyal yönden desteklenmesi ve bir etik danışmanın tüm tarafları kapsayacak çözüm yolları ve sağlıklı iletişimin sağlanması adına danışmanlık hizmeti vermesi etik ikilemlerin ortadan kaldırılmasında faydalı olacaktır.Publication Restricted Febrile Convulsion Knowledge Scale for Parents/Caregivers: A Validity and Reliability Study(W.B. Saunders, 2023) TOKSÖZ, FATMA; Açıkgöz, Ayfer; Mutlu, Fezan Şahin; Sayık, DilekBackground The primary worry of parents/caregivers in relation to fever is the potential for their child to experience a seizure as a result. The literature suggests that parents/caregivers need to be informed about febrile convulsion. Thus, this study sought to develop the ‘Febrile Convulsion Knowledge Scale for Parents/Caregivers’. Design and methods It is a methodological study comprising 984 parents/caregivers who were accessible online between 07/04/2021 and 30/06/2022. After creating the scale item pool's construction, expert opinions were sought to evaluate the scale, and a content validity analysis was conducted. Subsequent analysis included exploratory and confirmatory factor analyses, Cronbach's Alpha, and a test-retest reliability assessment of the scale data. Results The scale was found to consist of 8 items and 3 factors according to the factor analyses. Exploratory factor analysis indicated that the scale explained 72.783% of the variance. The scale's reliability analysis produced a Cronbach's Alpha score of 0.679, indicating good internal consistency, and it was consistent with test-retest measures (t = −0.660, p = 0.514). Conclusions It has been determined that the scale is a valid and reliable scale for evaluating the knowledge of parents/caregivers regarding febrile convulsions. Practice implications It is advisable for pediatric nurses to routinely use the devised scale with families of children who are vulnerable to febrile convulsion and impart instruction based on the findings derived from the scale.Publication Open Access Gebe Okulu Eğitimcilerinin Gözüyle Endokrin Bozucular: Nitel Bir Çalışma(Atatürk Üniversitesi, 2024) MİRAL, MUKADDES TURAN; Siyahtaş, Gamze FışkınAmaç: Bu araştırmanın amacı gebe okulu programlarında eğitimci olarak görev alan ebe ve hemşirelerin endokrin bozucular konusundaki bilgi ve tutumlarını incelemektir. Yöntem: Fenomenolojik tipte tasarlanan araştırmanın evreni, İstanbul ilindeki gebe okulu programlarında eğitimci olarak görev yapan 44 ebe/hemşireden oluşmuştur (N=44). Ölçüt örnekleme yöntemi kullanılarak örneklem veri doygunluğu takip edilmiş ve doygunluk sağlandığında veri toplama işlemi tamamlanmıştır (n=7). 13 Eylül 2021 tarihinde yapılan araştırmada, veriler odak grup yöntemi ile araştırmacılar tarafından oluşturulan yarı yapılandırılmış görüşme formuyla toplanmıştır. Nicel veriler, tanımlayıcı istatistiksel analizler kullanılarak, nitel veriler ise içerik analiziyle değerlendirilmiştir. Bulgular: Ebe ve hemşirelerin görüşme formuna verdikleri cevaplar doğrultusunda; endokrin bozucuların önemi, endokrin bozucular bilgisi, endokrin bozucular farkındalığı oluşturma ve gebe eğitimine entegrasyon şeklinde dört adet tema oluşturulmuştur. Prenatal dönem eğiticilerinin endokrin bozucuların öneminin farkında olmalarına rağmen konu hakkındaki bilgilerinin yetersiz olduğu belirlenmiştir. Ayrıca katılımcıların konunun prenatal eğitimlerde yer alması ve farkındalık geliştirilebilmesi için çeşitli önerilerinin bulunduğu saptanmıştır. Sonuç: Ebe ve hemşirelerin endokrin bozuculara yönelik çok fazla bilgilerinin olmadığı hatta kısmen yanlış bilgilere sahip oldukları görülmüştür. Eğitici eğitimlerinin içeriğine endokrin bozucularla ilgili konuların eklenerek bilinçlendirme çalışmalarının arttırılması gerektiği sonucuna varılmıştır.Publication Restricted Gender Differences in Early Complications After STEMI and Their Associations With Anxiety and Depression(Verduci Publisher, 2023) Türen, S.; TÜREN, SEVDAOBJECTIVE: The female gender is known to be associated with a poor outcome in ST-Elevation Myocardial Infarction (STEMI). Anxiety and depression are more common in women and they may contribute to the increase in early complications after STEMI. We sought to determine the gender differences in early complications after STEMI and their relationship with patients’ anxiety and depression. SUBJECTS AND METHODS: This is a prospective observational study. The Hospital Anxiety and Depression Scale (HADS) is used to screen depression (HADS-D) and anxiety (HADS-A). RESULTS: A total of 188 patients (age 56.8±10.5, 69.2% male) with STEMI were included in this study. The incidence of early complications was significantly higher in women than in men (50.0% vs. 14.6%, p<0.001). The prevalence of anxiety and depression was significantly higher in women than in men (60.3% vs. 40.0% and 50.0% vs. 14.6%, respectively). In multivariable analyses, left ventricular ejection fraction (LVEF) level (OR: 0.942; 0.891-0.996, p=0.036), HADS-A (OR: 1.593; 1.341-1.891, p<0.001) and HADS-D (OR: 1.254; 1.057-1.488, p=0.01) scores were found to be independent risk factors for early complications after STEMI. CONCLUSIONS: The incidence of early complications and the prevalence of anxiety and depression were significantly higher in women. LVEF level, HADS-A, and HADS-D scores were found to be independent risk factors for early complications.Publication Restricted Healthy Lifestyle Behaviors and Quality of Life After Sleeve Gastrectomy(Lippincott Williams & Wilkins, 2020) Üstündağ, Hülya; GÜL, ASİYE; Özkaya, Birgül; Zengin, NerimanThe aim of this study was to evaluate healthy lifestyle behaviors and the quality of life of obese individuals in 3-12 months after sleeve gastrectomy. The study is a descriptive design and was conducted at the obesity surgery outpatient clinic of a government hospital between May and December 2017. The study sample included 172 patients agreeing to participate. Data were gathered with a questionnaire composed of questions about sociodemographic features, the Health Promoting Lifestyle Profile II (HPLP II), and the WHO Quality of Life BREF-TR (WHOQOL-BREF-TR). The total HPLP II score was above average; participants had the highest and lowest scores for the subscales spiritual growth and physical activity, respectively. The total score for the WHOQOL-BREF-TR was above average. The highest and lowest scores were obtained for the subscales psychological health and social relations, respectively. There was a significant correlation between the scores for HPLP II and its subscales and the scores for WHOQOL-BREF-TR. Promotion of health and a healthy lifestyle need to be an integral part of health services provided for patients after sleeve gastrectomy.Publication Restricted An Investigation of the Relationship Between the General Vaccination Attitudes of Pregnant Women and Their Attitudes Toward the COVID-19 Vaccine(Routledge, 2023) Mamuk, Rojjin; Akgün, Meryem; MİRAL, MUKADDES TURAN; Göksu, ŞerifeThis study aimed to investigate the relationship between the attitudes of pregnant women toward general vaccines based on the Health Belief Model and their attitudes toward the COVID-19 vaccine. The study, which was designed as a descriptive, cross-sectional, and correlational study, was conducted with 348 pregnant women in three public hospitals in Northern Cyprus between June 24 and November 28, 2022. Data were collected using the “Participant Information Form,” “Public Attitude Toward Vaccination Scale-Health Belief Model” (PAVS-HBM), and “Attitudes Toward the COVID-19 Vaccine” (ATV-COVID-19). The COVID-19 vaccination rate among pregnant women was quite high. Pregnant women have a high perception of sensitivity, importance, benefit, and health responsibility for routine vaccines and vaccination programs based on the HBM, and a low perception of barriers to vaccination. These results showed that pregnant women have a determined and positive attitude toward the acceptance of vaccines in general. On the other hand, the attitude of pregnant women toward the COVID-19 vaccine was moderately negative. Despite the reservations about the COVID-19 vaccine, a determined and positive attitude toward vaccines in general has increased acceptance of the COVID-19 vaccine.Publication Open Access Knowledge and Attitudes of Patients with Advanced Heart Failure Toward Heart Transplantation(Van Tıp Dergisi, 2023) Türen, Selahattin; TÜREN, SEVDAIntroduction: The increased prevalence of heart failure (HF) has also led to an increased prevalence of advanced HF. Heart transplantation (HTx) is still considered the "gold standard therapy" in the treatment of advanced HF. We sought to determine the attitudes and knowledge of patients with advanced HF toward HTx. Materials and Methods: This is a cross-sectional study conducted in an outpatient advanced HF and transplant clinic in a tertiary care center from February 2021 to January 2022 and 110 patients were included. Results: The mean age was 49.5±10.50 years and 82.7% of the patients were male. The majority of the patients (77.2%) stated that they thought HTx was religiously appropriate. However, only 50.6% of patients stated that if they were healthy, they would have donated their organs. 49.2%, received education about HTx. Only 27.3% of the patients found the education they received sufficient. The patients who received education about HTx had significantly better knowledge regarding the pre-transplant evaluation process and adverse conditions that may develop after HTx. There were no significant differences in terms of patients' knowledge and attitudes toward the HTx according to quality of life. Only the Minnesota Living with Heart Failure Questionnaire score of the patients who were afraid of surgery was found to be significantly higher. Conclusions: Patients did not have sufficient knowledge about HTx, but they had a positive attitude toward it. A multidisciplinary team should address the concerns of the patients, and assist the patients in adapting to the HTx process by providing the necessary education.Publication Restricted Menopausal Knowledge and Attitudes of Women During the Perimenopausal Period(Lippincott Williams & Wilkins, 2024) MİRAL, MUKADDES TURAN; BAYRAKTAR, TUĞBAObjective: This study aims to determine the relationship between knowledge and attitudes about menopause among women in the perimenopausal period. Methods: A descriptive and relationship-seeking cross-sectional study was conducted in family health centers in a district of Istanbul between January and March 2023. The study included 300 women in the perimenopausal period. Data were collected through face-to-face interviews using a descriptive information form, a menopause knowledge test, and the Menopause Attitude Scale. Results: The average age of participants was 45.07 +/- 3.50, with 85.3% married, 37.0% having completed primary school, and 55.0% being housewives. The average menopause knowledge score was 12.29 +/- 3.75 (out of 20), and the average menopause attitude score was 25.23 +/- 6.99 (out of 52). No significant relationship was found between menopause knowledge and attitude scores (r = 0.06, P > 0.05). Women with an income exceeding their expenses had higher menopause knowledge scores (P < 0.05). Unmarried women, those with lower education levels, those with higher incomes, and those living alone had higher menopause attitude scores compared with their counterparts (P < 0.05). Conclusions: Women's knowledge and attitudes toward menopause are moderate in the perimenopausal period. There is no significant relationship between menopausal knowledge and attitude of women during the perimenopausal period. It was determined that menopause knowledge level differed according to women's income status, and menopause attitude differed according to marital status, educational status, and cohabitation status in this study.