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Amaç: Araştırma, hemodiyaliz tedavisi alan hastaların fistül bakımı ve korunması ile ilgili bilgi ve davranışlarını belirlemek amacı ile planlandı. Gereç ve Yöntem: Tanımlayıcı ve kesitsel tipte olan bu araştırma 02 Eylül-12 Kasım 2019 tarihleri arasında bir üniversite hastanesinin hemodiyaliz ünitesinde yürütüldü. Araştırma 61 hasta ile tamamlandı. Veriler, hastaların sosyodemografik ve hastalık özelliklerini içeren 13 soru vehastaların fistül bakımı ve korunması konusunda bilgi ve davranışları ölçen 25 sorudan oluşan anket formları ile toplandı. Araştırmaya başlamadan önce etik kurul ve kurum izinleri alındı. Araştırmanın verileri yüz yüze görüşme yöntemiyle toplandı. Sosyodemografik verilerin sayı, yüzdelik ve aritmetikortalamaları alındı. Bilgi ve davranış anket formlarından elde edilen puanların değerlendirilmesi için One-Way ANOVA veIndependent-Samples t Testi kullanıldı. Veriler SPSS 22.0 paketprogramı kullanılarak değerlendirildi. Anlamlılık düzeyi p, Objective: This study was planned to determine the knowledge and behaviors about arteriovenous fistula care and protection of patients undergoing hemodialysis treatment. Materials and Methods: This descriptive and cross-sectional study was conducted in the hemodialysis unit of a university hospital between 02 September and 12 November 2019. The study was completed with 61 patients. The data was collected with a questionnaire consisting of 13 questions including the sociodemographic and disease characteristics of the patients, and 25 questions measuring the knowledge and behaviors of the patients about fistula care and protection. Ethics committee and institutional permissions were obtained before starting the research. The data of the study were collected by face-to-face interview method. The results were evaluated by One-Way ANOVA and Independent Samples t-Test using SPSS 22.00. Significance level was taken as p

Introduction: The purpose of this study is to determine behaviours of healthy life style of the old people with chronic disease. Methods: The study was carried out with old people aged 60 above who can perform daily life activities independently and having at least one of the diagnoses of cancer, hypertension and diabetes, staying at a residential and nursing home (n:304). Data were collected by use of old people interview form and scale of Healthy Life Style Behaviours-II (HLSB-II). Results: Age average of the individuals involved in the study is 78.9±7.6 and 67.1% were women. 5.3% of old people (n:16) had cancer, 26% (n:79) were DM, 49.7% (n:151) were HT patient and 19.1% (n:58) had more than one chronic disease. It was determined that BMI values were higher in old people with more than one chronic disease and lower in old people with cancer (p

Resumo Objetivo O objetivo deste estudo foi identificar as taxas de obesidade e hipertensão arterial em indivíduos com deficiência intelectual. Métodos Este estudo foi realizado com adolescentes e adultos com deficiência intelectual em três centros emIzmir, Turquia. O IMC dos adultos foi determinado de acordo com o Programa de Prevenção e Controle da obesidade da Turquia. O IMC dos adolescentes foi avaliado de acordo com as curvas de percentis de IMC para crianças turcas. Para a avaliação dos níveis de pressão arterial de adultos, foi utilizado o sistema de classificação determinado pela Sociedade Turca de Cardiologia. O diagnóstico da pressão sanguínea em adolescentes é diferente dos adultos. Em termos de idade e sexo, pressões arteriais sistólica e diastólica menores que o percentil 90 são considerados normais. Resultados Os valores médios dos adultos foram: altura de 166 ± 0,1 cm, peso de 71,7 ± 1,86 kg, pressão arterial sistólica de 120,8 ± 1,53 mmHg, pressão arterial diastólica de 74,8 ± 1,35 mmHg e IMC de 25,96 ± 5,98. Os valores médios dos adolescentes foram: IMC de 23,02 ± 6,3, pressão arterial sistólica de 117 ± 14,3 mmHg e diastólica de 70 ± 13,8 mmHg. Dentre os adultos, 37,3% estavam com peso normal e 28% estavam acima do peso. A análise do IMC dos adolescentes demonstrou que 46,1% estavam entre o 5ª e 85º percentis, 26,3% encontravam-se acima do percentil 95 e 18,4% estavam abaixo do 5º percentil. Dentre os adultos, 59,8% tinham pressão sistólica ótima e 77,5% tinham pressão diastólica ótima. Conclusão Os resultados deste estudo demonstram que as taxas de obesidade e hipertensão é elevada em adolescentes e adultos com deficiência intelectual e, portanto, estes indivíduos encontram-se em sério risco de desenvolver doença cardiovascular Abstract Objective The aim of this study is to determine the rate of obesity and hypertension in individuals with intellectual disability. Methods This study was carried out with the adolescents and adults with intellectual disability in three centres, in Izmir, Turkey. The BMI of the adults were classified according to the Turkey Obesity Prevention and Control Program. The BMIs of the adolescents were evaluated according to the BMI percentile curves for Turkish children. For the evaluation of blood pressure levels of adults, the classification system determined by the Turkish Society of Cardiology was used. Blood pressure diagnosis in adolescents is different from that in adults. In terms of age and gender, systolic and diastolic blood pressures lower than the 90th percentile are considered as normal. Results The mean measurements for adults were as follows: height 166 ± 0.1 cm, weight 71.7 ± 1.86 kg, systolic blood pressure 120.8 ± 1.53 mmHg, diastolic blood pressure 74.8 ± 1.35 mmHg, and BMI 25.96 ± 5.98. The mean measurements for adolescents were as follows: BMI 23.02 ± 6.3 systolic blood pressure 117 ± 14.3 mmHg and diastolic pressure 70 ± 13.8 mmHg. 37.3% of adults were of normal weight and 28% were overweight. Analysis of BMI of the adolescents demonstrated that 46.1% were between the 5th and 85th percentiles, 26.3% appeared above the 95th percentile and 18.4% were below the 5th percentile. Of the subjects, 59.8% had an optimal systolic pressure and 77.5% had an optimal diastolic pressure of adults. Conclusion The results of this study demonstrate that the rate of obesity and hypertension is high in adolescents and adults with intellectual disabilities and therefore, these individuals are at a serious risk of developing cardiovascular disease.

GIRIS ve AMAC: Calisma, hemsirelik egitim mufredatinda ilk defa uygulanmaya baslayan intornluk programina iliskin olarak, dorduncu sinif ogrencileri ile daha once intorn ogrencilik sisteminin olmadigi ve uygulamanin yapildigi bir hastanenin ilgili kliniklerinde gorev yapan hemsirelerin goruslerini belirlemek amaciyla yurutulmustur. YONTEM ve GERECLER: Tanimlayici tipteki bu calisma hemsirelik bolumu 4.sinifinda ogrenim goren intornluk programi uygulanan 101 ogrenci ve intornluk programinin uygulandigi hastanede, intornler ile birlikte calisan 100 hemsire ile yurutulmustur. Verilerin toplanmasinda literaturden faydalanilarak arastirmacilar tarafindan, ogrenci ve hemsireler icin ayri birer form olarak olusturulan Intornluk Degerlendirme Formu kullanilmistir. Verilerin degerlendirilmesi tanimlayici testler ile yapilmistir. BULGULAR: Ogrencilerin %96,4’u, intornluk uygulamalarinin hemsirelik meslegini tanimasina ve uyum saglamasina, %89,3’u el becerilerinin artmasina, %82,1’i sorumluluk duygusunun ve iletisim becerisinin gelismesine, %81’i kendine olan guveninin artmasina ve ekip calismasini ogrenmesine katki sagladigini belirtmistir. Hemsireler ise, intornluk uygulamalarinin ogrenciler acisindan, el becerilerinin (%97,9) ve teorik bilgilerinin (%91,8) artmasina, meslegi tanimalarina ve uyum saglamalarina (%97,9), iletisim becerilerinin gelismesine (%95,9), kendilerine guvenlerinin artmasina (%93,8) ve ekip calismasini ogrenmelerine (%91,8) katki sagladigini ifade etmistir. Ogrencilerin %72,6’si, hemsirelerin ise %98’i intornluk uygulamasinin devam etmesini istemektedir. TARTISMA ve SONUC: Hemsirelik egitiminde ogrencilerin mesleki becerilerinin gelismesine katki saglayan intornluk uygulamalarinin, ogrenci ve hemsirelerden goruslerinin alinarak duzenlenmesi, intornluk programinin daha etkin ve verimli olmasi acisindan onemlidir.

The aim of this study was to identify the cultural problems encountered during caregiving by the nurses working in two university hospitals located in western and eastern Turkey. This descriptive, comparative study was conducted between July 2008 and October 2009 with 338 nurses who volunteered to take part in the study. The study data were collected using an individual description questionnaire consisting of 10 questions and another questionnaire consisting of 14 questions to identify the cultural problems encountered by nurses when giving care. The study showed with respect to training received on transcultural nursing that only 59 nurses had this training, but the percentage was higher in the nurses working at the hospital in the west (54.2%) (P > 0.05). It was found that a large number of nurses in the sample group (n = 286) gave care to at least one individual from another culture, but the percentage was significantly higher in the nurses working in the west (56.7%) than in the nurses working in the east (43.3%) (P 0.05). The problem experienced in this area was mostly because of the fact that patients 'did not speak Turkish' (63.8%). In conclusion, the nurses gave care to patients from different cultures, and most of them had trouble when giving care to patients from different cultures.

Aims. The purpose of this study was to examine the frequency of complementary and alternative medicine usage in asthmatic patients living in the west of Turkey, the most frequently used complementary and alternative medicine methods and socio-demographic factors affecting this and factors related to the disease. Background. While the rate of complementary and alternative medicine usage in asthmatic patients and the reasons for using it vary, practices specific to different countries and regions are of interest. Differing cultural and social factors even in geographically similar regions can affect the type of complementary and alternative medicine used. Methods. Two hundred asthmatic patients registered in the asthma outpatient clinic of a large hospital in Turkey and who had undergone pulmonary function tests within the previous six months were included in this study, which was planned according to a descriptive design. The patients filled out a questionnaire on their demographic characteristics and complementary and alternative medicine usage. Results. The proportion of patients who reported using one or more of the complementary and alternative medicine methods was 63·0%. Of these patients, 61·9% were using plants and herbal treatments, 53·2% were doing exercises and 36·5% said that they prayed. The objectives of their use of complementary and alternative medicine were to reduce asthma-related complaints (58%) and to feel better (37·8%). The proportion of people experiencing adverse effects was 3·3% (n = 4). Factors motivating asthmatic patients to use complementary and alternative medicine were the existence of comorbid diseases and a long period since diagnosis (p 0·05). Relevance to clinical practice. Understanding by nurses of the causes and patterns of the use of complementary and alternative medicine in asthmatic patients helps them in directing patient care and patient safety. Nurses should conduct comprehensive diagnostics in the light of complementary and alternative medicine use, and they should be aware of the potential risks.

Yamazhan T., Durusoy R., Tasbakan M.I., Tokem Y., Pullukcu H., Sipahi O.R., Ulusoy S. & Turkish Nursing Hepatitis Study Group (2011) Nursing students' immunisation status and knowledge about viral hepatitis in Turkey: a multi-centre cross-sectional study. International Nursing Review58, 181–185 Background: The aims of this multi-centre cross-sectional survey were to detect Turkish nursing students' level of knowledge on viral hepatitis, to evaluate their rates of exposure to blood and to find out their hepatitis A (HAV), hepatitis B (HBV) vaccination status. Methods: This multi-centre cross-sectional study was conducted in 14 nursing schools located in the seven geographical regions of Turkey. A questionnaire composed of 47 questions on socio-demographic factors, level of knowledge on HAV, HBV, hepatitis C (HCV) immunisation status, exposure history and attitudes was applied to the study group. Results: A total of 1491 third- and fourth-year nursing students participated with an 89% response rate. The mean age of the participating students was 21.4 ± 1.3. Their mean knowledge score was 23.7 ± 4.6 (71/100) and was significantly higher in fourth-year students than third-year students. There were significant differences in mean scores among nursing schools. Among the participants, 85.3% had received HBV vaccine and 9.1% had received HAV vaccine. The percentage of students who signify themselves at increased risk of acquiring viral hepatitis was 97.3%. Of the students, 28.1% had sustained a needle-stick injury and 5.4% had experienced conjunctival exposure to blood. Conclusions: Curriculum differences among nursing schools have a significant effect on nursing students' level of knowledge. For this reason, nursing schools should organize HBV immunisation programmes for their students to increase vaccination coverage.

Aim. This study aims to determine the relationship between disability levels and self care agency scores in Turkish patients with rheumatoid arthritis and to investigate the factors affecting them. Background. Self-care agency is the complex acquired ability to meet one's constant requirements for care that regulates life processes, maintains or promotes the integrity of human structure, functioning and development, and promotes well-being. Design and methods. Forty-three consecutive patients with Rheumatoid Arthritis (M/F: 11/32; mean age 49·53 ± 13·37 years; disease duration 118·32 ± 76·55 months), being followed up by Ege University Rheumatology Outpatient Department and all fulfilling ACR 1987 criteria were included in this study. Data collection instruments used in this study were Informative-Demographic Data Form, Health Assessment Questionnaire (including disability index and pain scale) and Self-as-Carer Inventory. Results. The mean disability index, the mean pain score and the mean self-care agency score of patients were 0·53 (SD 0·45), 1·48 (SD 0·74) and 80·95 (SD 27·80) were respectively. Self-care agency of patients found moderate level. It was found that a positive correlation between the disability index and the self-care agency scores (r = 0·488; p

WOS: 000357113800004, PubMed ID: 25122128, Background: Family caregivers who provide care for cancer patients may have to cope with a variety of physical, social, and economic problems during the caregiving process. A sense of hopelessness seems to lead to increasingly negative evaluations of new situations and less effective coping strategies. Objective: The objective of the study was to examine the relationship between hopelessness and the coping strategies of the family caregivers of oncology patients. Methods: This cross-sectional, descriptive correlational design study was carried out in the adult oncology unit and outpatient radiation oncology units of a university hospital in Turkey. The research sample was composed of 110 family caregivers. A sociodemographic data form, the Coping Stress Strategies Scale, and the Beck Hopelessness Scale were used in face-to-face interviews. Results: Significant correlations were found between hopelessness and coping strategies. There was a positive correlation between hopelessness and the helpless approaches, which constitute a part of the emotion-focused coping strategies (r = 0.254, P < .01). There was a negative correlation between hopelessness and problem-focused coping strategies (optimistic approach and seeking social support) (r = -0.484, P < .01; r = -0.190, P < .05). Conclusion: In our study, we found that when the hopes of family caregivers are raised, they may adopt a more optimistic approach, and seek more social support, and display more effective coping strategies. Implications for Practice: This study could be used to help develop nursing interventions and efficient coping strategies. It suggests how oncology nurses may support family caregivers to increase their level of hope.

Purpose: Aim of this study is to examine the relationship between the sleep and life of rheumatoid arthritis patients and the factors affecting this relationship. Method and material: This research is a descriptive design study. This study was conducted in the Rheumatology polyclinic of a university hospital between January 2011 and June 2011 in Izmir/Turkey. Simple random sampling method was used in this study. The data of the research were collected through face-to-face interviews. “Patient Identification Form”, “Pittsburg Sleep Quality Index” and “Nottingham Health Profile” scale were used for data collection. Results: In Pittsburg Sleep Quality Index, total score average of the rheumatoid arthritis patients was found out to be 10.92±4.80. Score averages of the sub-scales of Nottingham Health Profile were found as following: Pain= 67.48±26.53, Energy Level=69.55±30.10, Emotional Reaction= 50.78±27.00, Physical Mobility= 50.59±24.40, Social Isolation= 32.50±30.47 and Sleep= 59.12± 32.53. Conclusion: In line with the findings of the study, it was determined that a great majority of the rheumatoid arthritis patients had poor sleep quality and as well as a low quality of life. Ozet Amac: Bu calismanin amaci Romatoid Artritli hastalarda uyku ve yasam kalitesi arasindaki iliskiyi ve bu iliskiyi etkileyen faktorleri incelemektir. Yontem: Arastirma tanimlayici tipte bir calismadir. Arastirma, Ocak- Haziran 2011 tarihleri arasinda Izmir/Turkiye’de bir universite hastanesinin Romatoloji polikliniginde yurutulmustur. Calismada basit randomize ornekleme yontemi kullanilmistir. Arastirmanin verileri yuz yuze gorusme yontemiyle toplanmistir. Veri toplama icin, “Hasta Tanitim Formu”, “Pittsburgh Uyku Kalitesi Indeksi” ve “Nottingham Saglik Profili” kullanildi. Bulgular: Romatoid Artritli hastalarin Pittsburgh Uyku Kalitesi Indeksi Toplam Puan Ortalamasi; 10.92±4.80 olarak bulundu. Nottingham Saglik Profili alt boyutlari puan ortalamalari sirasiyla: Agri=67.48±26.53, Enerji Duzeyi=69.55±30.10 Emosyonel Reaksiyon= 50.78±27.00; Fiziksel Hareketlilik= 50.59±24.40, Sosyal Izolasyon= 32.50±30.47 ve Uyku= 59.12± 32.53 olarak bulundu. Sonuc: Arastirma bulgulari dogrultusunda, Romatoid Artritli hastalarin buyuk bir cogunlugunun uyku ve yasam kalitesinin kotu oldugu saptanmistir.

The purpose of this study was to examine the complementary and alternative medicine (CAM) use in patients with rheumatoid arthritis living in different regions and cities of Turkey as well as the factors affecting the use of CAM modalities. Planned as a descriptive and cross-sectional study, this research was conducted as a study covering the rheumatology units of 10 university and 4 state hospitals in Turkey. A total of 594 patients meeting the research inclusion criteria comprised the sample. It was detected that 46.9% (n = 279) of the patients with rheumatoid arthritis whose average disease duration was 10.32 ± 9.05 years used CAM modalities. The most common 3 modalities used by these patients were herbs taken orally, nutritional supplements, and mind-body therapies, with rates of 54.5%, 41.2%, and 40.5%, respectively. It was determined that such variables as age, sex, marital status, education status, and economic situation did not affect the use of CAM (P > .05).

To deliver optimal patient care, evidence-based care is advocated and research is needed to support health care staff of all disciplines in deciding which options to use in their daily practice. Due to the increasing complexity of cardiac care across the life span of patients combined with the increasing opportunities and challenges in multidisciplinary research, the Science Committee of the Council on Cardiovascular Nursing and Allied Professionals (CCNAP) recognised the need for a position statement to guide researchers, policymakers and funding bodies to contribute to the advancement of the body of knowledge that is needed to further improve cardiovascular care. In this paper, knowledge gaps in current research related to cardiovascular patient care are identified, upcoming challenges are explored and recommendations for future research are given.Keywords: Research, nursing, allied professionals, policy

WOS: 000333669500033, PubMed ID: 24606452, Purpose: To define factors that affect the performance status of BSE and confidence of student nurses. Materials and Methods: This descriptive study was conducted in the academic year 2010-2011 in a nursing faculty in Izmir, Turkey. "Informative data form" and "Champion's Revised Health Belief Model Scale (CHBMS)" were used as data collection forms. Results: The mean age of the participant nurses was 21.0 +/- 1.49. The mean CHMS scores of the student nurses were as follows: perceived susceptibility regarding breast cancer, 7.78 +/- 2.46; perceived seriousness regarding breast cancer, 22.4 +/- 5.43; perceived benefit regarding BSE application, 20.5 +/- 4.45; perceived barriers regarding BSE application, 23.8 +/- 7.13; perceived confidence regarding BSE application, 36.3 +/- 7.78; the mean score of health motivation sub-scale, 25.7 +/- 4.59; and mean of the total score of the scale, 36.5 +/- 15.01. Conclusions: The outcomes obtained in this study indicated the importance of better education to student nurses, who have a key role in teaching preventive health behaviour including BSE to society and other university students as colleagues.

Background: The aim was to determine the lifestyle behaviors and the practices for early diagnosis of cancer of cancer patients. Materials and Methods: A descriptive cross-sectional design was used for this study. The sample consisted of 222 patients with a diagnosis of cancer (non-random sample method). Ethical permission was obtained of the Non-interventional Research Ethics Committee of our Institution. Values of p

This study examined the effectiveness of a case management (CM) intervention in the care of patients with rheumatoid arthritis (RA) as a pilot study in a teaching hospital in Turkey. Two groups were compared with respect to disability, quality of life, cost, and patient satisfaction: RA patients who received CM plus usual nursing care and RA patients who received usual nursing care alone. All patients underwent follow-up interviews at 3 and 6 months after being discharged from the hospital. Disability scores were significantly better in the RA group receiving CM, but there were no significant differences between the two groups with regard to quality of life, patient satisfaction, and total healthcare costs. Using CM in the care of patients with RA may favorably affect disease-related outcomes.

The aims of this study were to investigate the effects of pain management education on the intensity of pain and frequency of utilization of pain management methods in two groups of patients with arthritis of different pathogenesis and clinical features, and to compare whether a significant difference existed between the two groups. The study was carried out between September 2007 and June 2008 on 30 female patients with gonarthrosis and 30 female patients with rheumatoid arthritis (RA) followed at the rheumatology outpatient clinic of a university hospital. Data on sociodemographic characteristics and those related with the illness were collected using a special survey. Each patient was given information about the features, causes, and treatment of the arthritis and how to cope with pain, emphasizing the importance of pain management methods. The intensity of pain and efficacy of pain management methods were assessed using the McGill Pain Questionnaire and the Pain Management Inventory at baseline and the second and sixth weeks after the education. The SPSS (v15.0) statistical package was used for statistical analysis. After education, significant improvements in pain intensity scores compared with baseline scores were observed in both groups (p < .05), and there was no significant difference between the RA and gonarthrosis groups. Among the various pain management methods, the education program led to significantly more utilization of massaging the painful area, exercising, and using complementary methods to control stress in both groups of patients, and there was no significant difference between the groups. In conclusion, the pain management education given in this study alleviated the intensity of pain and significantly increased the use of some pain management methods in both gonarthrosis and RA cases.

In 2010, the Council of Cardiovascular Nursing and Allied Professions (CCNAP) initiated the forming of a Science Committee (SC) with the aim to take responsibility for activities related to researc ...

OBJECTIVES: This retrospective study evaluates the clinical and laboratory values of children with type 1 diabetes at the time of first admission to the emergency service. Methods : It is a retrospective study to examine the clinical & laboratory findings of children visiting the emergency service between 2009 & 2012. The sample of the study included 111 children with newly diagnosed type 1 diabetes. Student t test and chi-square test were used in the analysis. RESULTS: HbA1c and blood glucose levels and ketoacidosis frequency was found significantly changed (p