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Introduction: This study aimed to explore the preferences of end-stage cancer patients regarding spending their final days at home or in a hospital, focusing on the impact of cancer types and symptoms necessitating palliative care admission during this period.Methods: The study was conducted with 274 patients diagnosed with end-stage cancer and admitted to the palliative service of Dr. İFC City Hospital in Tekirdağ province. Opinions were collected from all patients while they were fully conscious. The relationships between patients' preferences for their place of death and their age, gender, socioeconomic status, duration of stay in palliative care, admission complaints, and diagnoses were examined. A significance level of p lt;0.05 was considered statistically meaningful.Results: Approximately one-third of the participating patients preferred to die at home under home care supervision. It was found that these preferences were not influenced by the patients' age, gender, socioeconomic status, or duration of stay in palliative care but were affected by their cancer diagnoses and symptoms leading to admission. Patients with pancreatic cancer preferred to die in the hospital, while those with prostate and breast cancer were more likely to choose home death. Conclusion: If a system equipped with an effective planned home care program, managed by a multidisciplinary team in palliative care services, can be provided to meet the needs of patients and caregivers when they approach hospitals in their final stages, it could enable the right group of patients to spend their end-of-life at home, in accordance with their preferences.

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Health & Life Sciences / Sağlık ve Yaşam Bilimleri Dergisi is the property of Istanbul Kultur University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Gümüshane Üniversitesi Saglik Bilimleri Dergisi is the property of Gumushane University, Faculty of Health Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Academic Social Science Studies is the property of Journal of Academic Social Science Studies and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Social Policy Studies / Sosyal Politika Çalismalari Dergisi is the property of Journal of Social Policy Studies / Sosyal Politika Calismalari Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Teknolojinin gelişmesiyle hastalıkların tanı, tedavi ve bakımında birçok yenilik meydana gelmiştir. Tele sağlık hizmetlerinin ve evde bakımın ortak hedefleri, bakımın niteliği ve yaşam kalitesinin artırılmasıdır. Ayrıca tele sağlık hizmetleri hastane ve acil servise başvuruları azaltmayı ve maliyetleri düşürmeyi hedeflemektedir. Tele sağlık sistemi içinde önemli bir yeri olan hemşirelerin eleştirel düşünme, bilgiyi üretme, iletme ve yenilikleri kullanma gibi rolleri bulunmaktadır. Dolayısıyla evde bakım hemşiresinin tele sağlık hizmetlerinin hedefleri çerçevesinde rollerinin belirlenmesi önemlidir. Bu derlemede evde bakım hemşiresinin tele sağlık hizmetlerindeki rolleri incelendi.

Copyright of Izmir Katip Celebi University Faculty of Health Sciences Journal / İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi is the property of Izmir Katip Celebi University, Faculty of Health Sciene Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of University of Health Sciences Journal of Nursing is the property of Saglik Bilimleri Universitesi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Omer Halisdemir Universitesi Iktisadi ve Idari Bilimler Fakültesi Dergisi is the property of Omer Halisdemir University, Faculty of Economics & Admistrative Sciene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Academic Research in Nursing (JAREN) is the property of Hemsirelikte Egitim ve Arastirma Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: This study was conducted retrospectively, cross-sectional and descriptively to evaluate the telemonitoring results of discharged patients who had been hospitalized due to Covid-19 during the pandemic.Methods: This study was composed of data which were obtained through the folders of 862 patients who had gotten their Covid-19 Polymerase Chain Reaction (PCR) tests positive, were treated in hospital and discharged between 28.08.2020 and 16.09.2020. This study was completed with folders of 760 patients whose data were overall. Descriptive statistics were given as mean, standard deviation, median, minimum and maximum. Percentages were used for categorical data. Also, the Chi-Square test was used to determine differences between the groups in categorical variables. Kolmogorov-Smirnov test was used so as to analyze normal distribution of data.Results: In the study, the age median of patients who stated their clinical condition as good and average, was lower compared to patients whose clinical status was bad (p=0.001). 45% of patients with poor condition were rehospitalized and 35% of them were directed to emergency service (p lt;0.001).Conclusions: Results have demonstrated that even if those patients were discharged, their problems still continued in their homes, and they need support. Moreover, it is considered that home-monitoring and home attendant care services for elderly patients have to be improved qualitatively.Keywords: Covid-19, Home Care, Discharge Period

Aim: This study was conducted to assess the validity and reliability of the Turkish version of the "Home Care Nursing Quality Scale". Material and Methods: The population of the study, which is of methodological type, consists of the relatives of the patients who receive health care services from a state hospital's home care services unit. The study sample consisted of 225 participants who received home care services between March and June 2021 and agreed to participate in the research. "Participants Information Form", "Patient Experience Questionnaire" and "Home Care Nursing Quality Scale" were used in data collection. Results: The Cronbach Alpha reliability coefficient of the 22-item scale is 0.98. The chi-square value degrees of freedom regarding the model's goodness of fit is 4.710 (p<0.05). The KMO value was 0.957, and the Bartlett Sphericity test result was statistically significant at the 0.000 level (p<0.05). It was determined that the three factors in the scale explained 92.28% of the total variance. Test and re-test correlation was found as r:0.88, p≤0.001. Conclusion: The "Home Care Nursing Quality Scale" has been determined to be a reliable and valid scale based on the results of the analyses. In order to increase the quality of home care services, it is recommended to use this measurement tool at regular intervals to evaluate and compare the quality of nursing services. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Social Policy Studies / Sosyal Politika Çalismalari Dergisi is the property of Journal of Social Policy Studies / Sosyal Politika Calismalari Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Fenerbahce University Journal of Health Sciences (FBU-JOSH) / Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi is the property of Fenerbahce University Journal of Health Sciences (FBU-JOSH) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Bireylerin hastalık algıları, hastalıkla başa çıkma yöntemleri üzerinde önemli bir etkiye sahiptir. Çalışma, tip 2 diabetes mellituslu hastaların tutum ve davranışlarını değerlendirmek için yapıldı. Bu çalışma kesitseldir. Yazılı hasta onamı alındıktan sonra Sosyodemografik Özellikler Formu, Klinik Veri Formu, Diyabet Tutum Ölçeği ve Yaşam Ölçeği Memnuniyeti anketi kullanılmıştır. Hastaların% 71'i kadındı. Yaş ortalaması 64.7 ± 11.6 idi. Hastaların% 64,5'i ilkokul mezunu,% 74,3'ü evli idi. Klinik özelliklerin dağılımına göre,% 50.3'ü 10 yıl boyunca diyabet geçirirken,% 25.7'si tedavide insülin kullanıyordu,% 14.8'i diyabetik ayağı vardı. Diyabet tutumu ölçeğinin ortalama puanı 3.61 ± 0.41 idi. Hastaların yaşları, aylık gelir düzeyleri, diyabet hastalığı süresi ve diyabet tutumu ölçeği puanları arasında istatistiksel olarak anlamlı bir fark vardı. Yaşam ölçeği puanları ile memnuniyet düzeyi ile diyabetli hastaların yaş, eğitim, medeni ve aile durumları arasında memnuniyet arasında anlamlı bir fark vardı. Hastaların diyabet tutum ölçeği ile yaşam doyumu ölçeği puanları arasında pozitif yönde zayıf bir ilişki bulundu. Sonuç olarak, diyabete karşı daha olumlu tutum gösteren bireylerin yaşam doyumları arttıkça, hastalarda olumsuz ve olumlu tutumlara neden olan faktörleri belirlemek ve buna göre destek vermek önemlidir.

Copyright of Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi is the property of Balikesir Health Sciences Journal (BAUN Health Sci J) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Individuals' perception of their disease, has an important effect on the methods of coping with the disease. The study was conducted to evaluate the attitudes and behaviors of patients with type 2 diabetes mellitus. Method: This cross-sectional study was carried out in the outpatient clinics. After the written informed consent was obtained, a questionnaire including Sociodemographic Characteristics Form, Clinical Data Form, Diabetes Attitude Scale and Satisfaction with Life Scale was used. Results: Among the patients 71% were female. The mean age was 64.7 ± 11.6 years. Of the patients, 64.5% were primary school graduates and 74.3% were married. According to the distribution of clinical features, 50.3% had diabetes for 10 years, 25.7% was using insulin in treatment, 14.8% had a diabetic foot. The mean score of diabetes attitude scale was 3.61 ± 0.41. There was a statistically significant difference between the ages of the patients, their monthly income levels, the duration of diabetes disease and diabetes attitude scale scores. There was a significant difference between satisfaction with life scale scores and age, educational, marital, and family status of patients with diabetes. A positive weak correlation was found between the patients' diabetes attitude scale and life satisfaction scale scores. Conclusion: as the life satisfaction of the individuals who have more positive attitudes towards diabetes is higher, it is important to determine the factors that cause negative and positive attitudes in patients and to support them accordingly. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Society & Social Work is the property of Journal of Society and Social Work and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: The aim of this study is to examine the expectations and demands of patients and their relatives' in-home health care. In the scope of the study, narrow area as the study was being carried out in the Bakirkoy district of Istanbul province.Method: In the scope of the study, questionnaires were distributed to 83 people in Istanbul who were satisfied with home health care services, but 70 people were returned. The analysis was conducted on 70 people. The research is a descriptive survey model. A questionnaire was used as a data collection tool. The questionnaire forms consist of questions about demographic and home health service evaluation scale. Results: When the opinions of the patients and their relatives were evaluated in terms of home care services, the mean values of all expressions in the home health service evaluation questionnaire were over 4. Conclusion: This indicates that patients who are receiving home care services and their relatives have positive perceptions about home care services. The satisfaction of the patients and their relatives are very high for home care services.

Objective: Vitamin D deficiency has become an epidemic for all age groups in the world. This research aims to evaluate the vitamin D deficiency in home care patients and related lifestyle reasons. Methods: This research included Home Care patients registered to İstanbul Şişli Hamidiye Etfal Training and Research Hospital between January 2015 -- February 2016. After getting the patients' vitamin D records retrospectively, we have inquired patients if they had regular exposure to sunlight, whether they had a history of fracture or osteoporosis, and other related lifestyle habits. D vitamin deficiency were grouped as normal (>30ng/ml), insufficiency (20-30ng/ml), deficiency (lower than 20ng/ml), and severe deficiency (lower than <10ng/ml). The data was evaluated with SPSS 20.0 program, using frequencies, chi-square, and T-tests. Results: A total of 232 patients were included in this study. There were 160 (69%) women and 72 (31%) men. Vitamin D insufficiency was found in 11.2% (n=26), and vitamin D deficiency in 70.3% (n=163). 70.1% (n=96) of 137 patients who answered the questions were female and 29.9% (n=41) were male. 86.1% of them (n=118) did not benefit from sunlight, 63.5% (n=87) had not received vitamin D treatment before. Vitamin D deficiency was detected in 79.3% (n=69) of those who did not receive vitamin D treatment, and a significant relationship was found between them. Conclusions: Our study found that most home care patients had low Vitamin D levels, did not have regular exposure to sunlight, and did not exercise regularly. Vitamin D replacement is vital in home-care patients as vitamin D deficiency increases the risk of osteoporosis, falls, and fractures. [ABSTRACT FROM AUTHOR]

Evde bakım, günümüzde özellikle yaşlı hastaların sıklıkla ihtiyaç duyduğu bir hizmet modelidir. Evde bakım ve evde sağlık hizmeti veren kurum ve üniteler açısından bu hizmete başvuran bireylerin evde bakım ihtiyacı risklerinin belirli boyutlar altında incelenmesi büyük önem taşımaktadır. Bu boşluğun doldurulması amacıyla Türkiye’deki yaşlı hastaların evde bakım ihtiyacı riskini ölçmeye yönelik 21 maddeden oluşan 2 dereceli(evet/hayır) bir ölçek geliştirilmiştir. Ölçek geliştirme çalışması kapsamında pilot uygulamanın ardından, Burdur ilinden 506 yaşlı bireye ulaşılarak ölçeğin deneme formu uygulanmıştır. Veriler açımlayıcı ve doğrulayıcı faktör analizine tabi tutulmuştur. Veriler R programı, IBM Sosyal Bilimler için İstatistik Paket Programı (IBM Statistical Package for Social Sciences-SPSS 24) ve Lisrel 8.7 kullanılarak analiz edilmiştir. Analiz sonrasında ortaya çıkan ölçeğin, “Hastanın Genel Sağlık ve Fiziksel Özerklik Durumu” ve “Hastanın Yaşam Alanının Uygunluğu ve Ekonomik Durumu” olmak üzere iki boyuttan oluştuğu tespit edilmiştir. Ölçek için hesaplanan KMO değeri 0,603 olarak bulunmuştur. Ölçeğin birinci boyutu için hesaplanan KR-20 iç tutarlılık katsayısı 0,895; ikinci boyut için 0,680 ve tüm ölçek için ise 0,840 olarak hesaplanmıştır.

Amaç: Bu çalışmanın amacı, çeşitli sebeplerle yatağa tam ya da yarı bağımlı evde bakım alan hastalara bakım veren yakınlarının yaşadığı güçlükleri anlamak ve sorunlarına katkıda bulunmaktır. Materyal ve Metot: Çalışma, Mayıs-Haziran 2017 tarihlerinde, Sağlık Bilimleri Üniversitesi İstanbul Bağcılar Sağlık Uygulama ve Araştırma Hastanesi’ne bağlı evde sağlık hizmeti biriminden faydalanan 195 bakım veren hasta yakını ile yapılmıştır. Veriler sosyo-demografik özelliklerin sorgulandığı araştırıcı tarafından düzenlenen bir anket formu ve Zarit Bakıcı Yükü Ölçeği kullanılarak elde edilmiştir. Araştırmanın yapılabilmesi için 2017/580 No’lu Etik Kurul yazılı izni alınmış; veriler SPSS 21.0 paket programıyla analiz edilmiştir. Bulgular: Çalışmada hastaların tanıları sıklık sırasına göre nörolojik hastalıklar, hipertansiyon ve diyabet mellitus şeklinde belirlenmiştir. Bakım verenlerin çoğunluğunun kadın, evli oldukları, daha çok hastaların kız çocuklarının bakım verdikleri belirlenmiştir. Bakım veren aile bireylerin bakım verme yükü puan ortalaması 38,48±12,68 bulunmuştur. Bu değerler bakım veren aile bireylerin bakım yükünün düşük-orta derecede olduğunu göstermektedir. Sonuç: Yakınları tarafından kendi evlerinde bakım verilmesi, evde bakım hastalarının fiziksel ve psikolojik olarak kendilerini daha iyi hissetmelerini sağlamaktadır. Ancak, bakım verenlerin fiziksel, psikososyal ve maddi açıdan yaşam kalitelerinin etkilenme düzeyinin bilinmesi, bakım verenin yükünü etkileyen faktörlerin ortaya konulması ve bu doğrultuda önlemlerin alınması hastanın da azami faydası yönünde olacaktır.

Copyright of Izmir Katip Celebi University Faculty of Health Sciences Journal / İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi is the property of Izmir Katip Celebi University, Faculty of Health Sciene Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Individuals' perception of their disease, has an important effect on the methods of coping with the disease. The study was conducted to evaluate the attitudes and behaviors of patients with type 2 diabetes mellitus. Method: This cross-sectional study was carried out in the outpatient clinics. After the written informed consent was obtained, a questionnaire including Socio- demographic Characteristics Form, Clinical Data Form, Diabetes Attitude Scale and Satisfaction with Life Scale was used. Results: Among the patients 71% were female. The mean age was 64.7 ± 11.6 years. Of the patients, 64.5% were primary school graduates and 74.3% were married. According to the distribution of clinical features, 50.3% had diabetes for 10 years, 25.7% was using insulin in treatment, 14.8% had a diabetic foot. The mean score of diabetes attitude scale was 3.61 ± 0.41. There was a statistically signifcant difference between the ages of the patients, their monthly income levels, the duration of diabetes disease and diabetes attitude scale scores. There was a signifcant difference between satisfaction with life scale scores and age, educational, marital, and family status of patients with diabetes. A positive weak correlation was found between the patients' diabetes attitude scale and life satisfaction scale scores. Conclusion: as the life satisfaction of the individuals who have more positive attitudes towards diabetes is higher, it is important to determine the factors that cause negative and positive attitudes in patients and to support them accordingly. [ABSTRACT FROM AUTHOR]

Aim: This study was carried out to examine the mental health status and care burden of relatives of patients receiving care from the home care unit. Material and Method: This descriptive study was performed with the relatives of 102 patients who were served from the Home Care Unit of Karabük Training and Research Hospital between September and December 2018. The data were collected with a Participant Information Form, General Health Questionnaire-28 (GHQ-28) and the Burden Interview (BI). Data analyzed using descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test, Spearman correlation analysis. Results: 58.8% of the caregivers were female, 69.6% were married and the mean age was 42.96±13.69. The mean total score of GHQ-28 was 5.76±4.07. The mean total score of BI was 51.11±19.86. A weak positive correlation was found between the GHQ-28 total score and the BI score (r=0.233; p=0.018). It was found that 54.9% of caregivers were at risk for mental health, and 65.5% were over/overly burden of caring. According to age, gender, marital status and occupation, in GHQ-28 scores; a significant difference was found in the scores of caregiving burden according to financial problems, degree of closeness and gender of the patient. Conclusion: Taking measures to reduce the burden of care is thought to be effective in protecting and improving mental health. [ABSTRACT FROM AUTHOR]

Amaç: Bu araştırma Alzheimer tanılı hastaya ev ortamında bakım veren bireylerin hastalarıyla ilgili yakındıkları hastalık semptomlarını belirlemek amacıyla yapılmıştır. Materyal ve Metot: Tanımlayıcı tipte olan araştırma Alzheimer tanılı hastalar ve bakım vericileri üzerinde Nisan 2015– Nisan 2016 tarihleri arasında yürütülmüştür. Araştırmanın evrenini bir il merkezinde yaşayan Alzheimer tanılı 70 hasta ve bakım vericisi, örneklemini ise Alzheimer tanılı 60 hasta ve bakım vericisi oluşturmuştur. Verilerin toplanmasında Hasta ve Bakım Verici Tanıtım Formu, Alzheimer Hastalığı Semptom Tarama Formu ve Standardize Mini Mental Test kullanılmıştır. Bulgular: Araştırma kapsamındaki hastaların yaş ortalamalarının 82.92±7.17, hastalık süresi ortalamalarının 5,37±3,09 yıl olduğu ve hastaların Mini Mental Test puan ortalamalarının 11,08±8,39 olduğu bulunmuştur. Araştırmada kognitif alanda bakım vericilerin %93,30’u yakın geçmişi hatırlamada zorluk, %83,30’u içinde bulunduğu zamanı hatırlamada zorluk, %81,70’i karar vermede zorlanma, %80,0’ı çevresindeki kişileri tanımada zorluk semptomlarından yakınmaktadır. Davranışsal ve psikolojik alanda bakım vericilerin %78,30’u tedirginlik, %73,30’u ajitasyon, %71,70’i insomnia ve %60,0’ı halüsinasyon semptomlarından yakınmaktadır. İşlevsel alanda bakım vericilerin %80,0’ı öz bakımı sağlayamama, %78,30’u kendi başına giyinememe ve soyunamama, %68,30’u idrar ve bağırsak kontrolünü sağlayamama ve %41,70’i kendi başına beslenmesini sağlayamama gibi semptomlardan yakınmaktadır. Sonuç: Araştırmada Alzheimer tanılı hastaya ev ortamında bakım verenlerin kognitif, davranışsal, psikolojik ve işlevsel alanla ilişkili semptom yakınmalarının olduğu belirlenmiştir.

Copyright of Turkiye Klinikleri Journal of Internal Medicine / Türkiye Klinikleri İç Hastalıkları Dergisi is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Internal Medicine / Türkiye Klinikleri İç Hastalıkları Dergisi is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Izmir Katip Celebi University Faculty of Health Sciences Journal / İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi is the property of Izmir Katip Celebi University, Faculty of Health Sciene Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: This study was planned with the aim of determining the clinical characteristics of patients served by the Bolu Home Health Care Services (HHCS), their reasons for making use of home health care services, and the distribution of care. Methods: The sample of this descriptive study consisted of 386 patients to whom service was being provided by Bolu HHCS. A Patient Information Form created by the researchers by examining the relevant literature was used to collect data. Numbers, percentages and mean were used in the analysis of data. Results: The mean age of the individuals receiving HHCS who participated in the study was 61.6±10.4 years; a majority were female; 50.8% were married and 78.0% lived with their families, and for 70%, their children had applied to HHCS. It was found that most of the patients (96.1%) were satisfied with the home care services, 97.6% had no expectations beyond the current services, 80.1% had a chronic illness, with circulatory system diseases the most common; they most often made use of physical examination, blood collection and wound dressing services, and most were old and dependent patients. Conclusions: It was seen in the light of the results of the study that it is important to plan home health care services especially for dependent and semi-dependent old people, to develop protective health services relating to the risks of early stage stroke and cardiovascular disease, and to improve rehabilitation services. [ABSTRACT FROM AUTHOR]

Objective: Burns alter normal life processes suddenly. It is hard both to accept burns due to accompanying physical and psychological changes and to learn how to live with the generally altered appearance caused by them. The study was conducted to identify the problems experienced by families of children with burn injuries after discharge and the causes of these problems. Method: The descriptive study data were collected with the help of an introductory form, an information form for the problems experienced by parents and the State Anxiety Inventory. Statistical Package for the Social Sciences 16.0 program was used in data analysis. Study data were expressed as numbers, percentages, means using Student's t test. Results: The sample included 162 families of children with burns. Of these children, 54.3% were males, while 70.4% of them had scalding and 46.3% had superficial burns. Families had experienced problems with their children concerning bathings (81.5%), social communication (77.8%), getting dressed (63.0%), using medications (61.7%), doing exercises (54.3%), feeding (40.7%) and dressing wounds (34.6%). Mean state anxiety score was found to be 47.03±7.48. Conclusion: This study found that parents experienced various problems after discharge: Problems with using medication, dressing wounds, bathing, getting dressed, exercise, nutrition and social communication were experienced. It was determined that problems experienced affected the anxiety levels of the families. It is suggested for nurses to provide regular home visits or provide consultancy via telephone in order to identify problems. Identification of the problems expeirenced will also contribute to the preparation of the content discharge training programs. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Academic Research in Nursing (JAREN) is the property of Hemsirelikte Egitim ve Arastirma Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Son yıllardaki perinatal ve neonatal bakım alanındaki gelişmeler, prematüre bebeklerin yaşama oranlarını artırmış ve prematürelerin postneonatal dönemde yakın izlem ve destek tedavisini gündeme getirmiştir. Prematüre bebekler pek çok komplikasyona karşı savunmasız durumdadır. Prematüre bebeklere taburculuk sonrası evde bakım hizmeti sunulması ile prematüre ve ailesine günlük gereksinimlerine yönelik, ev ortamında, bütüncül bakım anlayışı ile teknik, psikolojik ve terapötik destek sunulması sağlanabilir. Prematüre bebeklerin hastaneden ayrıldıktan sonra yeniden hastaneye yatışlarının azaltılmasında, komplikasyon belirtilerinin erken dönemde tespit edilmesinde, prematürenin aile ortamının değerlendirilmesinde, ebeveynlerin evdeki prematüre bakımına yönelik kaygı durumlarının ve yeterliliklerinin değerlendirilmesinde, ebeveynlerin bakıma katılmalarının sağlanmasında, becerilerinin arttırılması ve cesaretlendirilmelerinde, ebeveynlerin eksik oldukları konularda eğitim alabilecekleri bir fırsat oluşturulmasında, prematüre ve ailesinin günlük hayata adaptasyonlarının sağlanmasında, sağlıklarının korunması ve geliştirilmesinde evde bakım uygulamaları oldukça değerlidir. Bu derleme, preterm bebeklerin taburculuk sonrası evde bakımında hemşirelerin rollerinin önemine dikkat çekmek amacıyla yazılmıştır.

Palliative care (PC) is defined as the approach that improves quality of lives of patients and their families who face up with the problems accompanied with life-threatening conditions. Provided usually in an inpatient setting, PC services are considered as an appropriate caregiving model for patients with critical illnesses. As the need for such services increases, many healthcare systems has been developing novel programs that integrate PC to their healthcare services in-hospital, outside the hospital, and home-based settings. Home-based PC is the care approach that provides meeting of physical, psychological, and moral needs of the patients with chronic and disabling health problems such as advanced cardiac, renal, respiratory, malignant, and neurological conditions in homebased setting. It is provided by a multidisciplinary team that has training in PC and that consists of physicians, nurses, public health professionals, and volunteers in line with PC programs of hospitals. Patients in need of PC have higher mortality and length of stay at intensive care units (ICU) with increased costs; in fact, they often live their terminal days in ICU. Even though it is considered as a model of care for those with life-limiting conditions in developed countries, home-based PC is still not sufficient. In our country, population gets older year by year. However, PC and home-care services are quite new and both are not yet up to the level to meet the needs. Therefore, PC services should be integrated into home-care services bearing in mind the sociocultural structure and national health policies of our country. [ABSTRACT FROM AUTHOR]

Copyright of Gümüshane Üniversitesi Saglik Bilimleri Dergisi is the property of Gumushane University, Faculty of Health Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Surgery & Medicine (JOSAM) is the property of Journal of Surgery & Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Diabetes is a complex and progressive disease and its treatment requires self-management strategies specific for each patient. The aim of the study was to determine perceived barriers to diabetes management at home in type II diabetes patients. Materials and methods: Inclusion criteria of this phenomenological study included living in İzmir and a diagnosis for the last 1 year; 15 patients with diabetes participated the study. A semi-structured interview form based on Health Belief Model created by researchers with experts opinion, was used at in-depth face-to-face interviews. Data were analyzed with content analysis. Ethical and hospital approval was obtained. Participation of individuals is based on volunteerism; written informed consent from patients who accepted the study. Results: Perceived barriers to fulfilling home care needs and sustaining behavior of diabetes management included six themes, i.e. insufficient knowledge of diabetes, inability to accept diabetes, non-adherence to diabetes and exercise, problems with health care services, fear and effects of the family and the society and relevant subthemes. Conclusion: These findings about the barriers of the patients should provide guidance for patient specific nursing interventions. [ABSTRACT FROM AUTHOR]

Objective: Home health service refers to the services provided to the individuals who need home health services depending on various diseases, including social and psychological counseling services in their home and family environment. In recent years, home care services have gained importance in our country. This study was aimed to evaluate the pediatric patients followed up in the home care unit and services given. Methods: The sociodemographic characteristics, diseases and services of patients who were followed in Home Care Unit of Şanlıurfa Pediatric Hospital are evaluated retrospectively. The data were collected from the registered information of patients who got services at Home Care Unit. Results: A total of 167 patients were registered at the Home Care Unit. One hundred fifty two patients whom we reached their data were included in the study. Fifty-two percent of the patients were male and 42% of them were female. Mean age of the patients was 11 ± 4.2 years. More than half of the patients were followed up with the diagnosis of cerebral palsy. About ninety-five percent of patients were feeding orally. The most common complaint found during the doctor visit was coughing with the percentage of 28.3. In our study, 92.8% of those who were primarily interested in the care of patients were identified as mothers. None of the patients had paid caregivers. Conclusions: Home health care is one of the rapidly developing health services in our country and we believe that more extensive researches are needed about this. [ABSTRACT FROM AUTHOR]

Copyright of Ankara Medical Journal is the property of Yildirim Beyazit Üniversity and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: The need for home care rises with the increase of the elderly population and the development of technology. The aim of this study was to determine the characteristics of patients requiring home care after intensive care and to investigate the relationship between care burden and empathic tendencies of caregivers. Method: Patients who were discharged from the tertiary intensive care unit and needed home care were included in the study. Demographic data of the patients and caregivers were recorded. The patients readmitted to the intensive care unit and to the emergency department were determined. The Caregiver Burden Scale and empathic tendency scale were recorded with the aid of the nurses. Results: One hundred and twenty caregiver participants were included in the statistical analyzes. The 70.9% of the patients who referred to intensive care unit were diagnosed with dementia, Alzheimer's disease and cerebrovascular events, while 51.7% of the patients were women. The patients were readmitted to the intensive care unit (50.8%), and emergency department (71.7%), and 37.5% of the patients had decubitus ulcer. There was a statistically significant difference between increase in the burden of caregiving and caregiver's chronic disease (p=0.002). It was determined that the caregiving burden increased with the increase in patient's and caregiver's age (r=0.30, p Conclusion: Since caregivers' training and motivation reinforced with the implementation of psychosocial support programs may improvd quality of patient care, it would be useful to review health care policies. [ABSTRACT FROM AUTHOR]

Copyright of Ankara Medical Journal is the property of Yildirim Beyazit Üniversity and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

"Home care" is a type of care that takes into account all aspects of human health and is provided to people with special needs at their place of residence so that they can continue their normal lives without being separated from their families. The Turkish Act No. 5378 on Disabled People delegated responsibilities to the Ministry of Family and Social Policies for improving the psychosocial health of the disabled people. One such service provided by the Ministry to the disabled is "home care fee". Home care fee is given to those who are perpetually care-giving to their relatives with severe disability and whose monthly income does not exceed 2/3 of the minimum wage per capita in the household. However, there are significant problems about the current home care fee system. The current system gives all the responsibility for caregiving to only one person. A long term socioeconomic protection can not be provided to those individuals who are unable to be otherwise employed due to their caregiving responsibilities. There is no social security for caregivers, and there is no continuous training on care. In this context, the aim of this study is to make some suggestions on how to redesign the current system with a rights-based approach by revealing the problems with the existing arrangement. [ABSTRACT FROM AUTHOR]

Objective: We aimed to determine the frequency and the risk factors associated with falling in patients registered to home care unit. By assesing these results to we try to increase the effectiveness of the prevention strategies at the community level. Methods: This descriptive research was conducted between January 1-February 28, 2015. One hundred-eighty four patients were visited at home by Samsun Educatin and Research Hospital Home Care Unit. The patients or the caregivers who signed the informed consent form had a questionnary about socio-demograghic data and face to face Itaki Fall Risk Scale. The data were evaluated using the SPSS 20.00 package program. The distribution of the data was evaluated by the Pearson Ki Kare, Mann-Whitney U, Kruskal-Wallis test, Logistic regression analysis test.p values< 0.05 were accepted as statistically significant. Results: The mean age of a hundred-eighty four patients were 74.4±7.8 year. 55.5% of them were female. 51.3% of patients were independent on the bed. The most common diagnosis we saw in patients was Alzheimer 30.3% (n=56). Risk of falling were found significantly higher in those with over 65 years of age, and also in patients with chronic illness and drug usage history. (p values<0.05) 55.5% of patients in home care have high fall risk. According the Itaki Fall Risk Scale the mean total score was 5.02±1.40, 5.10±1.40 in women, 5,04±1.32 in men. Conclusion: Fall risk is higher in home care patients. The most common minor risk factor is being over sixty-five years old and the most common major risk factor is unconsciousness and lack of cooperativity. Fall risk should be assessed at certain intervals in home care patients. [ABSTRACT FROM AUTHOR]

Amaç: Kanser mortalitesi üzerine birçok faktörün etkili olduğu yapılan çalışmalarla değerlendirilmiştir. Hastanede yatan hastalar için hafta sonu başvuruları ile ilişkili artan ölüm oranları ile ilgili tartışmalı bir alan bulunmaktadır. Biz bu çalışmada hafta sonu etkisi başta olmak üzere kanser hastaları mortalitesi üzerine etkili faktörleri araştırdık. Gereç ve Yöntem: Recep Tayyip Erdoğan Üniversitesi radyasyon onkolojisi bölümüne Eylül 2013-Aralık-2019 tarihleri arasında başvurmuş tüm kanser hastaları dahil edilmiştir. Hastalara ait tüm veriler hastane bilgisayar kayıt sistemi ve Sağlık Bakanlığı ölüm bildirim sistemi kayıtlarından incelenerek retrospektif olarak elde edilmiştir. Bulgular: Hasta veri seti ve istatistiksel özet bilgiler Şekil 1'de özetlenmiştir. Toplam 2183 hastanın %58,5'i ölmüştür. Hastaların büyük çoğunluğu eve kiyasla hastanede ölmüştür; (%19.2 vs %80.8). <65 yaş daha çok hastanede, = 65 yaş ise daha çok evde ölmüştür. Tümör yerleşimi ve histopatolojik tipin ölüm yeri üzerine etkisi yokken; metastatik, yaygın metastaz ve lokal ileri evre hastaların hastanede daha sık öldüğü tespit edilmiştir. Hastanedeki ölümler en sık Ağustos ayında, evdeki ölümler en sık Nisan ve Ekim ayında gerçekleşmiştir. Hastanedeki ölümler en sık Cuma, Cumartesi ve Pazar günleri, evdeki ölümler ise daha sık pazartesi günü gerçekleşmiştir. Hastanedeki ölümlerin hafta sonu anlamlı düzeyde yüksek olduğu tespit edilmiştir. Sonuç: Çalışma, çoğu çalışmada vurgulan hafta sonu etkisini destekleyen veriler içermektedir. Dahası yaz tatili izin ayına denk gelen Ağustos ayında artan ölüm oranları ile ilgili yeni bir veri sunmaktadır. Ayrıca Kanserle ilişkili mortalite üzerine etkili diğer faktörlere de vurgu yapılmaktadır. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)