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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

The progress in technological and scientific fields in the 20th century has transformed and shaped the lives of people remarkably. In healthcare, technology can be described as the application of the methods, systems, medicines, devices, vaccines and organized information to improve the quality of life by providing solutions for the needs of both professionals and patients. Besides its potential of reducing fragmentation and costs while increasing the safety, utilization of technology can be considered as the key to achieving a safe, sustainable, and person-centered healthcare environment. Virtual Reality (VR) is a computer-generated three-dimensional interactive environment that stimulates multiple sensory methods. Considering the fact that VR is one of the crucial technological trends of this century, it has the potential of affecting the health industry until 2025 extremely. It is a real-time graphic simulation that includes visual, auditory, and tactile experiences. In the field of health, VR is used for multiple purposes as training of medical students for critical surgeries, education of nursing candidates, and treatment of some diseases. As essential members of the healthcare team, nurses should be a strict follower of the rapidly evolving technology to provide efficient and quality care. The utilization of VR in nursing education has the advantage of decreasing faulty interventions, which enhances patient safety as well as the quality of the healthcare services in the future.

Amaç: Bu araştırmanın amacı,hemşirelik bölümü birinci sınıf öğrencilerinin palyatif bakım ünitesindekideneyimlerini incelemektir.Yöntem: Çalışma, nitel araştırmayöntemleri kapsamında yer alan fenomenoloji deseni kullanılarakgerçekleştirilmiştir. Araştırmanın örneklemini, araştırmaya katılmayı kabuleden öğrencilerden amaçlı örnekleme yöntemlerinden olan benzeşik (homojen)örnekleme yöntemi kullanılarak belirlenmiş yedi öğrenci oluşturmuştur.Çalışmanın gerçekleştirilmesi için gerekli izinler alınmıştır. Araştırmaverilerinin toplanmasında “Öğrenci Tanıtım Formu” ve “Yarı YapılandırılmışGörüşme Formu” kullanılmıştır. Görüşmeler ortalama 45 dakika sürmüştür.Görüşmelerin ses kayıtları araştırmacılar tarafından çözümlenmek üzerebelgelenmiş, elde edilen verilere onları açıklayabilecek kavramlara veilişkilere ulaşmak amacıyla araştırmacı tarafından içerik analizi uygulanmıştır.Bulgular: Araştırma kapsamına alınanyedi hemşirelik birinci sınıf öğrencisinden dördü kız, üçü erkektir ve yaşortalaması 20,57’dir. Verilerin içerik analizi doğrultusunda “hastayailişkin deneyimler”, “hemşirelik girişimlerine ilişkin deneyimler”, “yaşama ilişkindeneyimler” ve “hemşirelik mesleği algısına ilişkin deneyimler” olmak üzeredört tema belirlenmiştir. Temalar doğrultusunda ise “korku, umutsuzluk,ümitsizlik, öfke, zorluk, acı çekme, zamanın değerliliği, umut aşılama, meslekiözerkliğin anlamı, hemşire anahtar rol, insan onuru koruyucusu” olmak üzere 11alt tema saptanmıştır.Sonuç: Hemşirelik öğrencilerinin ilkklinik deneyimlerini yaşadıkları palyatif bakımda hasta kavramına vemesleklerine ilişkin yaşadıkları deneyimlerden, hastaların bağımlılık düzeylerininyüksek oluşu ve hastaların içinde bulundukları tedavi ve bakım sürecininhassasiyetine ilişkin düşünsel derinlik yaşadıkları ortaya konmuştur., Objective: The aim of this study was todetermine the experience of the first year nursing students in the palliativecare unit.Methods: The study was carried outusing the phenomenology design included in the qualitative research methods.The sample of the study consisted of seven students determined by usinghomogeneous sampling method which is one of the purposeful sampling methods.Necessary permits were obtained to carry out the study. “Student InformationForm” and “Semi-Structured Interview Form” were used to collect the data.Interviews lasted an average of 45 minutes. The audio recordings of theinterviews were analyzed by a researchers and content analysis was conducted bythe researcher in order to reach the concepts and relations that could explainthe data obtained.Results: Of the seven nursing firstyear students, four were female and three were male and the mean age was 20.57.According to the content analysis of the data, four themes that “experiencesrelated to patient”, “experiences related to nursing interventions”,“experiences related to life” and “experiences related to perception ofnursing”. In the direction of themes, 11 sub-themes were determined that“fear”, “hopelessness”, “despair”, “anger”, “difficulty”, “suffering”, “valueof time”, “instil hope”, “meaning of professional autonomy”, “nurse key role”,“human dignity protector”.Conclusion: It was revealed that nursingstudents experienced their first clinical experiences in the palliative care,the experiences they experienced in the concept of the patient and theirprofessions, and the diminishing depth related to the holistic and humanisticaspect of nursing.

Dünyada ve ülkemizde yaygın olarak görülen kronik böbrek hastalığı, böbreğin metabolik ve elektrolit dengesini sürdürme işlevinin kaybolması ile sonuçlanan, böbrek fonksiyonlarının ilerleyici ve geriye dönüşsüz olarak bozulmasıdır. Kronik böb-rek hastalığında vücuttan atık ve toksik maddelerin uzaklaştırıl-ması ile homeostasizin sürdürülmesini sağlayan ve en sık uygulanan renal replasman tedavisi hemodiyalizdir. Böbrek has-talığı sonucunda gelişen semptomlar, hemodiyaliz tedavisi ile kontrol altında tutulmaya çalışılırken, tedavi aşaması farklı komplikasyonları ortaya çıkarmaktadır. Bu komplikasyonlar hipotansiyon, ağrı, kas krampları, bulantı, kusma, ciltte kuruluk, kaşıntı, uyku sorunları, yorgunluk, konstipasyon, diyare, emos-yonel ve cinsel problemler gibi yaşam kalitesini etkileyen çok sayıda fiziksel veya psikolojik sorunu içermektedir. Hastaların hemodiyaliz öncesinde, sırasında ve sonrasında hemodiyalizle ilişkili bulantı-kusma deneyimledikleri görülmektedir. Semptom yönetiminin etkin ve doğru yürütülmesi; hastalarının yaşam kalitesi ve konforunun artmasında, tedavinin aksamadan yürü-tülmesinde ve ek sağlık sorunlarını önlemede önemli yere sahiptir. Bu nedenle bu derlemede, hemodiyalizde yaygın görülen bulantı-kusma semptomunun yönetimine yönelik tedavi yaklaşımları ele alınmıştır., Chronic kidney disease, which is common in the world and in our country, is the progressive and irreversible deterioration of kidney functions, resulting in the loss of the kidney's function of maintaining metabolic and electrolyte balance. Hemodialysis is commonly the most used renal replacement treatment in chronic renal failure, which removes waste and toxic substances from the body and maintains homeostasis. While the symptoms that occur as a result of kidney disease are tried to be kept under control with the hemodialysis treatment, the treatment phase reveals different complications. These complications include many physical or psychological problems that affect the quality of life such as hypotension, pain, muscle cramps, nausea, vomiting, dry skin, itching, sleep problems, fatigue, constipation, diarrhea, emotional and sexual problems. It is observed that patients experience hemodialysis-related nausea-vomiting before, during, and after hemodialysis. Effective and correct execution of symptom management; it has an important place in increasing the quality of life and comfort of its patients, in the execution of the treatment without interruption, and in preventing additional health problems. Therefore, this article evaluates the treatment approaches for the symptom of nausea-vomiting management that is common in hemodialysis.

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

Hemşirelik eğitimi, teorik ve pratik bileşenlerinin yanı sıra çok sayıda stresöre sahiptir. Öğrencilerin stres düzeyleri klinik ortamdan, hemşirelik uygulamalarından, hasta ve ekip üyelerinden etkilenebilir. Bu çalışmanın amacı, üç farklı eğitim yönteminde, hemşirelik öğrencilerinin akademik başarıları üzerine stresin etkisini belirlemektir. Tanımlayıcı ve kesitsel tipteki çalışma, üç üniversitede 571 hemşirelik öğrencisi ile yürütülmüştür. Her üniversitede farklı bir eğitim yöntemi kullanılmaktadır. Veriler, araştırmacılar tarafından Birey Tanıtım Formu ve Hemşirelik Eğitimi Stres Ölçeği kullanılarak toplanmıştır. Eğitim yöntemlerine göre öğrencilerin akademik başarı puan ortalamaları ve akademik stres puanları arasında fark vardır. Entegre model ve Probleme Dayalı Öğrenimde akademik stres ile akademik başarı arasında zayıf ilişki vardır. Probleme Dayalı Öğrenme, stres düzeyini azaltır ve öğrencilerin farklı yeteneklerini gerçekleştirmelerini sağlayarak akademik başarılarını artırır, Nursing education has both theoretical and practical components as well as many stressors. The stress levels of students might be affected by clinical environment, nursing practices, patients, and team members. The aim of this study was to determine the effect of stress on nursing students’ academic achievement related to three different education methods. A descriptive and cross-sectional study was conducted with 571 nursing students at three universities. A different education method was used at each university. Data were collected by researchers using the Individual Identity Form and Stress in Nursing Education Questionnaire. According to the education methods, there is a difference between the academic achievement mean score and the academic stress score of the students. Academic stress was weakly correlated with academic achievement in the integrated model and Problem Based Learning. Problem Based Learning decreases stress level and increases the academic achievements of students by enabling them to realize the different capabilities of the study

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.

Amac: Bu arastirmanin amaci hemsirelerin bireysel ve profesyonel degerleri arasindaki kusaklararasi farkliliklari belirlemektir. Gerec ve Yontem: Tanimlayici ve karsilastirmali tipteki bu calisma, Izmir’deki bir universite hastanesinde calisan, X kusagindaki 85(dogum tarihi 1965-1979 yillari arasinda olanlar) ve Y kusagindaki 79 (dogum tarihi 1980-1999 yillari arasinda olanlar) olmak uzere toplam 164 hemsire ile yurutulmustur. Veriler, arastirmacilar tarafindan 30 dakikalik sure icerisinde yuz yuze gorusme yontemi ile Birey Tanitim Formu, Portre Degerler Anketi ve Hemsirelerin Profesyonel Degerleri Olcegi-Revize kullanilarak toplanmistir. Verilerin degerlendirmesinde tanimlayici istatistikler, Ki Kare, Kruskal Wallis, Mann-Whitney U testi ve spearman korelasyon analizi kullanilmistir. Bulgular: Arastirmaya katilan hemsirelerin %51.8’i X kusagi, %48.2’si ise Y kusagidir (n=164). X kusagindaki bireylerin %96.4’u kadin olup, %52.9’u universite mezunu, %72.6’si evli; Y kusagindaki bireylerin ise %93.7’si kadin, %51.9’u universite mezunu, %58.2’si evlidir ve bu ozellikler acisindan X ve Y kusagi arasinda istatistiksel olarak fark yoktur. X kusagindaki hemsirelerin Portre Degerler Anketi ve Hemsirelerin Profesyonel Degerler Olcegi puan ortalamalari arasindaki fark istatistiksel olarak anlamli degildir. Calismaya katilan X ve Y kusagindaki hemsirelerin Portre Degerler Anketi ile Hemsirelerin Profesyonel Degerleri Olcegi puan ortalamalari arasinda pozitif yonde anlamli bir iliski oldugu belirlenmistir. Sonuc: Calismada, X ve Y kusagindaki hemsirelerde bireysel ve profesyonel degerler acisindan fark olmadigi belirlenmistir. X ve Y kusagi hemsirelerin birlikte calismasi, surekli iletisim ve etkilesim halinde bulunmalarinin sonucu etkiledigi dusunulmektedir.

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.

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%) (P0.05). 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%) (P0.05). When the problems experienced by the nurses during caregiving because of cultural characteristics of patients were explored, it was found that they experienced problems mostly in 'communication', and the percentage of those having problems was higher in the nurses working in the west (60.8%) (P0.05). 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.

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

The Memorial Symptom Assessment Scale (MSAS) is a multidimensional tool developed to evaluate measure the prevalence, characteristics and distress of common symptoms related to cancer. A validated Turkish version has now become available. The aim of this study was to evaluate its reliability and validity.One hundred-twenty patients were included into this study. The MSAS, The Rotterdam Symptom Checklist (RSCL), and Karnofsky Performance Status Scale (KPSS) were used for data collection. Content and criterion validities were examined. Reliability analyses of the MSAS were performed using internal consistency reliability and test-retest reliability.The most frequently reported symptom (90%) was problems with sexual interest or activity. Item-total correlations ranged between 0.03 and 0.64. There was a high correlation between total MSAS and the RSCL (r=0.875, p0.01). The internal consistency reliabilities of subscales of the MSAS and total MSAS were moderately high, with Cronbach alpha coefficients ranging from 0.71 to 0.84. The MSAS's test - re-test reliability was 0.78.The MSAS for cancer patients was determined to be a valid and reliable instrument for the use in the Turkish population. It is recommended that the MSAS-Turkish version can be used as a tool for comprehensive symptom assessment in planning nursing care for cancer patients.

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.

Patients with myocardial infarction (MI) may experience anxiety and depression. This study was designed to determine anxiety and depression levels in patients with MI.The study included 506 patients (199 women, 307 men; mean age 55.7+/-6.9 years) who were admitted to the cardiology department for MI. Data were collected using a questionnaire to identify patient characteristics and the Hospital Anxiety and Depression Scale (HADS). The HADS has been validated as a sensitive screening tool for anxiety and depression in MI patients in the Turkish population.Clinically severe anxiety was found in all the patients (100%). Depression scores showed a clinically normal level in 45 patients (8.9%), borderline level in 289 patients (57.1%), and severe level in 172 patients (34%). The mean HADS score was 11.4+/-2.9, being 12.2+/-4.1 and 10.6+/-4.1 for anxiety and depression, respectively. Among patient characteristics, age was significantly associated with both anxiety and depression subscales (p0.001), and education level (p0.05), total family income (p0.01), health insurance (p0.05), and the number of myocardial infarctions (p0.05) were significantly associated with the depression subscale. In regression analysis, age (beta=-0.128), education level (beta=0.082), and working status (beta=-0.79) independently affected both anxiety and depression, and total family income (beta=-0.128) and health insurance (beta=-0.086) significantly affected depression.Our data suggest that planning nursing interventions to decrease anxiety and depression levels and implementation of cardiac rehabilitation programs are of particular importance in patients with MI.

Biyolojik ajanlar son yıllarda başta onkoloji olmak üzere bir çok klinik alanda yaygın olarak kullanılmaktadır. Günümüzde her gün bu uygulamalara yeni biyolojik ajanlar eklenmektedir. Bu gelişen alanda biyolojik ajanların uygulanması ve biyolojik ajan alan hastanın yönetimi ile ilgili ekip içerisinde hemşirelere büyük sorumluluklar düşmektedir. Ancak, biyolojik ajanların uygulanması ve hasta yönetimi ile ilgili hemşirelerin ihtiyacı olan yayınlar ülkemizde sınırlı düzeyde bulunmaktadır. Bu yazıda, biyolojik ajanların kullanımında hemşirelerin sorumlulukları üzerinde duruldu., Recently, biologic agents have been frequently used in various clinical settings, especially oncology units. Nowadays, new biologic agents have been joined to the implementation. There are major responsibilities of nurses within helath care team related to use and patient management of biologic agents. However, in our country, there are limited literature that nurses require about management of patients received biologic therapy. In this review, we focused on responsibilities of nurses in use of biologic agents.

Complementary and alternative medicine (CAM) therapies such as herbal therapy, acupuncture, yoga, chiropractic, relaxation techniques, nutrition and dietary supplements, continue to gain popularity as modalities for treatment of asthma. A number of study in this area has shown frequently used CAM therapies by patients with asthma. It has found that parents who have children with asthma preferred commonly CAM therapies such as massage, relaxation techniques, diet and vitamin and that adult patients with asthma used commonly nutrition and diet supplements, herbal therapies and homeopathy. Because of many studies had weak methodology and small sample; it hasn't exposed entirely effectiveness of CAM therapies in asthma treatment. In this respect, it is required qualitative researchs with strong methodology. Furthermore; it is suggested that health professionals have to much knowledge about CAM therapies in asthma and they have to an active role in development guidelines related to CAM interventions.

Amaç: Bu çalışmanın amacı, kemoterapi uygulanan kanserli hastaların özhakım gücünün ve bunları etkileyen faktörlerin incelenmesidir. Gereç-Yöntem: Araştırma örneklemi Ege Üniversitesi Tıp Fakültesi Hastanesi Dahiliye Kliniği, Kadın Sağlığı ve Hastalıkları Onkoloji birimlerine başvuran ve 14 Haziran-30 Temmuz 2004 tarihleri arasında yatarak ve ayaktan kemoterapi tedavisi olan 100 hasta (K/E:68/32) oluşturmuştur. Veri toplama araçları olarak 18 sorudan oluşan Tanıtıcı Bilgiler Formu, 35 soruluk Öz-Bakım Gücü Ölçeği kullanılmıştır. Elde edilen verilerSPSS8,0 programı ile sayı, yüzde, aritmetik ortalama, t testi, tek yönlü varyans analizi, Kruskall Wallis ve korelasyon kullanılarak analiz edilmiştir. Bulgular ve Sonuç: Araştırma kapsamındaki hastaların %36'sı 55 yaş ve üzerinde, %46'sı ilköğretim mezunu, %39'u ev hanımı, %54'ü ilde yaşamaktadır. Kemoterapi tedavisi alan kanser hastalarının %62'inin öz-bakım gücünün yüksek, %38'inin ise orta düzeyde olduğu (Öz-bakım gücü puan ortalaması 120,49^13,48) saptanmıştır. Öz-bakım gücü puan ortalaması; erkek hastalarda, 25-34 yaş grubundaki hastalarda daha yüksek olarak bulunmuştur. Öz-bakım aktiviteleri ve öz-bakım gücü hastaların bakım sürecinin ve hemşirelik bakımının planlanmasında ele alınması gereken önemli konulardandır ve hastalığın her evresinde dikkate alınması gerekmektedir. Amaç: Bu çalışmanın amacı, kemoterapi uygulanan kanserli hastaların özhakım gücünün ve bunları etkileyen faktörlerin incelenmesidir. Gereç-Yöntem: Araştırma örneklemi Ege Üniversitesi Tıp Fakültesi Hastanesi Dahiliye Kliniği, Kadın Sağlığı ve Hastalıkları Onkoloji birimlerine başvuran ve 14 Haziran-30 Temmuz 2004 tarihleri arasında yatarak ve ayaktan kemoterapi tedavisi olan 100 hasta (K/E:68/32) oluşturmuştur. Veri toplama araçları olarak 18 sorudan oluşan Tanıtıcı Bilgiler Formu, 35 soruluk Öz-Bakım Gücü Ölçeği kullanılmıştır. Elde edilen verilerSPSS8,0 programı ile sayı, yüzde, aritmetik ortalama, t testi, tek yönlü varyans analizi, Kruskall Wallis ve korelasyon kullanılarak analiz edilmiştir. Bulgular ve Sonuç: Araştırma kapsamındaki hastaların %36'sı 55 yaş ve üzerinde, %46'sı ilköğretim mezunu, %39'u ev hanımı, %54'ü ilde yaşamaktadır. Kemoterapi tedavisi alan kanser hastalarının %62'inin öz-bakım gücünün yüksek, %38'inin ise orta düzeyde olduğu (Öz-bakım gücü puan ortalaması 120,49^13,48) saptanmıştır. Öz-bakım gücü puan ortalaması; erkek hastalarda, 25-34 yaş grubundaki hastalarda daha yüksek olarak bulunmuştur. Öz-bakım aktiviteleri ve öz-bakım gücü hastaların bakım sürecinin ve hemşirelik bakımının planlanmasında ele alınması gereken önemli konulardandır ve hastalığın her evresinde dikkate alınması gerekmektedir., Aim: The aim of this study was to deteivnine the self-care agency of patients with cancer received chemotheraphy and to investigate the factors affecting them. Material-Methods: A hundred patients with cancer received chemotherapy (F/M: 68/32), being followed up by Ege University Internal Medicine and Woman Health and Disease Department Oncology Unit were included in this study. The study earned out between June 14- July 30,2004. Data collection instruments used in this study were Informative-Demographic Data Form (including 18 questions), and Self-Care Agency Scale (including 35 items). In data analysis was used number, percent, mean, student t test, ANOVA, Kruskall Wallis and correlation with SPSS 8,0. Findings-Results: Thirty-six percent of patients were 55 ages and over, 46% were primary school, 39% were house-wife, 54% were living in city. It was found that 62% were high self-care agency and 38% were average self-care agency of patients with cancer received chemotherapy (mean 120,49±13,48). It was found that in male, in patients between 25-34 ages group, the self-care agency was better than other patients. Self-care activities and self-care agency should be focused on in care and nursing process for cancer patients. These areas are most important in cancer patients care and should be considered while organising the nursing care plans.

Günümüzde herbal terapi, akupunktur, yoga, homeopati, kiropraktik, gevşeme teknikleri, beslenme ve diyet destekleri gibi tamamlayıcı ve alternatif tıp (TAT) yöntemleri astım tedavisinde giderek popülerlik kazanmaktadır. Bu alanda yapılan birçok çalışma, astımlı bireylerin TAT tedavilerini sıklıkla kullandığını göstermektedir. Astımlı çocukların ebeveynlerinin tercih ettikleri en yaygın TAT yöntemleri; masaj, gevşeme teknikleri, diyet ve vitaminler; yetişkin astımlılarda ise; beslenme ve diyet destekleri, bitki tedavileri, meditasyon ve homeopati olarak saptanmıştır. Yapılan çalışmaların birçoğunun zayıf metodolojiye sahip olmaları ve içerdiği örneklem sayılarının azlığı nedeniyle, astımın tedavisinde TAT kullanımının etkililiği henüz tam olarak ortaya konulamamıştır. Bu nedenle metodolojisi güçlü ve deneysel nitelikli çalışmaların yapılmasına gereksinim bulunmaktadır. Sağlık bakım profesyonellerinin astımda TAT yöntemleri konusunda daha fazla bilgi sahibi olmaları ve TAT uygulamaları ile ilgili rehberlerin oluşturulmasında aktif rol almaları önerilir., Complementary and alternative medicine (CAM) therapies such as herbal therapy, acupuncture, yoga, chiropractic, relaxation techniques, nutrition and dietary supplements, continue to gain popularity as modalities for treatment of asthma. A number of study in this area has shown frequently used CAM therapies by patients with asthma. It has found that parents who have children with asthma preferred commonly CAM therapies such as massage, relaxation techniques, diet and vitamin and that adult patients with asthma used commonly nutrition and diet supplements, herbal therapies and homeopathy. Because of many studies had weak methodology and small sample; it hasn’t exposed entirely effectiveness of CAM therapies in asthma treatment. In this respect, it is required qualitative researchs with strong methodology. Furthermore; it is suggested that health professionals have to much knowledge about CAM therapies in asthma and they have to an active role in development guidelines related to CAM interventions.

Bu çalışmanın amacı; yaşlı bireylerin reçete edilen ilaçlarını yönetmelerinde sahip oldukları bilgi düzeylerini saptamak ve uygulanan ilaç eğitim programının ilaç bilgi düzeylerine olan etkisini incelemektir. En az 1 kronik hastalığı bulunan ve bu nedenle sürekli ilaç kullanmakta olan 19 yaşlı birey araştırma örneklemini oluşturmuştur. Her bir yaşlı birey için kullandıkları ilaçlara ilişkin bilgisayar ortamında bireyselleştirilmiş ilaç eğitim kartları hazırlanmış ve bu kartlarda bulunan ilaç adı, alınış dozu, kullanım amacı, yan etkiler, saklama koşulları ve ilacı alma ile ilgili dikkat edilecek konular hakkında araştırmacı tarafından bireye yüz yüze eğitim verilmiş, eğitim sonrasında bu ilaç kartları hastada bırakılmıştır. Eğitimden önce ve eğitimden 3 hafta sonra hastaların ilaç bilgi düzeyleri değerlendirilmiştir. Yapılan analiz sonucunda verilen ilaç eğitimi öncesi ve sonrasında uygulanan öntest- sontest puanları arasındaki fark; istatistiksel olarak anlamlı bulunmuştur (t:-8,807; p, The aim of this study is to determinate the knowledge levels about their medication for elderly people and to examine the effects on their drug management for elderly given medicine education program. The study was carried out with nineteen elderly had least one or more chronic disease, make their drug management, living at Basınsitesi Rest Home in Izmir. Education program consist of individualized in computer drug education cards. This cards included some topisc such as drug name, dosage, use purpose, side effects, keeping conditions of drug and information will be pay attention related to take of the drug, all information was given by researcher. After education program, these cards was put on the patients. The knowledge levels of patients was evaluated before and after 3 weeks of education program. In results of analysis, the difference between pretest and posttest was found statistically significant (t:-8,807; p

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