Browsing by Author "Dedeli, Ö"

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    PREVALANCE OF FECAL INCONTINENCE AND ITS EFFECT ON QUALITY OF LIFE IN ELDERLY INDIVIDUALS LIVING IN NURSING HOMES IN THE CITY OF IZMIR
    Dedeli, Ö; Fadiloglu, Ç; Turan, I; Bor, S
    Introduction: In this study, it was aimed to determine fecal incontinence prevalance and its effect on quality of life of elderly. Materials and Method: The research was carried out in a sample of a total of 304 elderly individuals who were selected senior citizens residing in three nursing homes within the city of Directorate of Social Services, izmir between the dates of September 2006-November 2006. Research data was collected by sociodemographic and bowel habit data form, reliable and valid Turkish Adaptation of Fecal Incontinence Quality of Life Scale (FIQOLS) and Fecal Incontinence Severity Index (FISI). Results: 9,5% of elderly in households stated fecal incontinence. The score of elderly's FIQOLS the reason of depression/self perception (12.5 +/- 4.6) and embrassment (4.2 +/- 2.6) domains were low, their psychosocial statement the most affected, Significant correlation between the FISI and FIQOLQ's domains depression/self perception (r=-0.8 p<0.05) and embrassment was found (r=-0.9 p<0.05). Conclusion: Fecal incontinence in elderly has negative effect on health and quality of life. Indepently from the severity of fecal incontinence type and prevalance, it is necessary to support to the elderly for their feeling well for physical, social, hygenic and psyhologic.
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    A survey of functional living and social support in patients with cancer
    Dedeli, Ö; Fadiloglu, Ç; Uslu, R
    OBJECTIVES The aim of the study was to investigate functional living and social support in patients with cancer. METHODS The research was carried out on 105 patients diagnosed with cancer in the Daily Chemotherapy Units and Cancer Polyclinic of Tiilay Aktas Oncology Hospital during July and August 2007. The forms containing patients' demographic information were prepared by the researcher and Functional Living Index-Cancer and Cancer Patient Social Support Scale were used as the data tools. Data were collected during personal interviews with patients, and were evaluated on computer using SPSS 13.0 packet program. Mean, percentage, Pearson correlation, chi-square, independent sample t test, and Kruskal-Wallis test were used in the statistical analysis. RESULTS The mean age of patients was 46.3 +/- 12.8, 59.0% of which were women. The average Functional Living Index-Cancer score was poor (92.3 +/- 7.2), but the average Cancer Patient Social Support Scale score was good (142.4 +/- 14.2). Only the general well-being subscale of the Functional Living IndexCancer was associated with each subscale of the Cancer Patient Social Support Scale, and the statistical correlation was significant. CONCLUSION Although cancer patients had impaired functional status, their social support was good. We suggest social support is as beneficial as care for cancer patients' general well-being.
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    Examining the level of knowledge and practices regarding the use of biologic agents among nurses working in oncology and hematology clinics at a university hospital
    Özçelik, H; Tokem, Y; Fadiloglu, Ç; Güngör, N; Dedeli, Ö
    OBJECTIVES This study aimed to examine the level of knowledge and practices of nurses responsible for the execution and management of cancer treatment in patients receiving biotherapy as related to the use of biological agents. METHODS This descriptive study was conducted with 40 nurses in oncology and hematology units of a university Medical Faculty hospital in which biological agents are frequently applied. RESULTS The majority of nurses (57.5%) were aged 23-27 years. It was determined that 35.5% of nurses obtained a patient history and 82.5% queried the allergic history of patients before biotherapy. According to the nurses' responses, 79.5% monitored the patients in terms of development of local complications, 85% informed the patients about complications, and 77.5% informed them about delayed infusion reactions. CONCLUSION Although the majority of nurses had not received a specific education about biotherapy, they were knowledgeable as related to the storage, preparation and administration of biological agents.
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    Effects of a kefir supplement on symptoms, colonic transit, and bowel satisfaction score in patients with chronic constipation: A pilot study
    Turan, I; Dedeli, Ö; Bor, S; Ilter, T
    Background/Aims: Although probiotics have been extensively studied in irritable bowel syndrome, data on the impact of probiotics on chronic constipation are scarce. We aimed to evaluate the effects of kefir, which is a probiotic fermented milk product, on the symptoms, colonic transit, and bowel satisfaction scores of patients with chronic constipation. Materials and Methods: Twenty consecutive patients with functional constipation according to the Rome II criteria were divided into two groups based on their colon transit studies: 1. The normal transit (NT) group (n=10); and 2. The slow transit (ST) group (n=10). After a baseline period, 500 mL/day of a probiotic kefir beverage was administered to all patients for 4 weeks. Defecation parameters (stool frequency, stool consistency, degree of straining, laxative consumption) were recorded in diaries daily by the patients. Bowel satisfaction scores were assessed using a visual analog scale. The colon transit study was repeated in the ST group at the end of the study. Results: At the end of the study, the patients showed an increased stool frequency (p<0.001), improved stool consistency (p=0.014), and decreased laxative consumption (p=0.031). The degree of straining during evacuation showed a tendency to improve after kefir administration; however, this was not statistically significant (p=0.18). A repeat transit study showed an acceleration of colonic transit in the ST group (p=0.013). Bowel satisfaction scores also improved (p<0.001). Conclusion: This pilot study shows that kefir has positive effects on the symptoms of constipation. Our results also suggest that kefir improves bowel satisfaction scores and accelerates colonic transit. Controlled trials are warranted to confirm these findings.
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    An integrated psychosocial-spiritual model for cancer pain management
    Dedeli, Ö; Karadeniz, G
    Cancer pain is known to be a multidimensional and complex experience that can cause severe suffering and can lessen the quality of life. The psychosocial and spiritual aspects of cancer pain play an important role in this phenomenon. This article describes a multidisciplinary model for cancer pain management that focuses on the psychosocial and spiritual aspects of cancer pain and the needs of patients.
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    Bowel Movement: The Sixth Vital Sign?
    Dedeli, Ö; Pakyüz, SÇ
    Bowel movement is extremely important to assess body functions and constipation in all age groups, particularly in the geriatric population. Defecation function, which is the fifth status regarding to Daily Living Activity and the third place in Functional Health Patterns in which Nursing Process, is a concept that is dimension of functional as well as physical, social, and psychological. After the bowel movement of illness/health persons were assessed, health history, needs of training and support by nurses, and nursing care plan should be evaluated and prepared. The aim of this review is to provide nurses knowledge about assessing bowel movement and preparing a nursing care plan based on the current literature.
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    The Relationship Between Anxiety, Pain Distress and Pain Severity Before and After Open Heart Surgery in Patients
    Sidar, A; Dedeli, Ö; Iskesen, AI
    Objective: The aim of this study was to examine the pain severity, presence of anxiety and pain distress in patients before and after open heart surgery. Material and Methods: The data for the research was collected at the Department of Cardiovascular Surgery in Celal Bayar University Hafsa Sultan Hospital during the office hours through face-to-face interviews between January and June 2012. The study was carried out with 81 patients who were suitable and met the criteria. The data collection form included questions about socio-demographics, pain and disease, and the State-Trait Anxiety Inventory and Pain Distress Scale. The questionnaire was given to the patients 24 hours before the open heart surgery. The State-Trait Anxiety Inventory and Pain Distress Scale were administered to the same patients 48 hours after the surgery. Results: The average age of the participants was. (chi) over bar +/- SD=59.5 +/- 8.3. Most were male patients. There was no statistically significant difference between the average scores taken from the State-Trait Anxiety Inventory (t=0.6 p>0.05; t=1.0 p>0.05) before and after the surgery. It was observed before the surgery that there was a statistically significant relationship between the average scores taken from the Pain Distress Scale and the severity of pain (r=0.38 p<0.01). Also while statistically significant relationship was found between the average scores taken from the State-Trait Anxiety Inventory and Pain Distres Scale both before surgery (r=0.32 p<0.01; r=0.68 p<0.01) and after surgery (r=0.40 p<0.01; r=0.26 p<0.05). Conclusion: The results of the research show that anxiety, which is an emotional state or an individual characteristic, has an important role in pain perception. It is considered that the findings of the research will guide research into reducing the severity and distress of pain.
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    Normative values of the balloon expulsion test in healthy adults
    Dedeli, Ö; Turan, I; Öztürk, R; Bor, S
    Background/aims: Constipation is the most frequent complaint of the digestive tract. It has been reported that approximately half of the patients with constipation have functional defecation disorders (dyssynergic defecation). An important diagnostic tool for the diagnosis of functional defecation disorders is the balloon expulsion test. Normative values have not been widely determined in different populations. We aimed to determine the data which could be indicative of normative values of the balloon expulsion test for healthy individuals in our society. Methods: A total of 116 healthy volunteers were evaluated in. the study (55 men). Subjects were classified into three subgroups according to age (20-39 yrs, 40-59 yrs, >= 60 yrs). Catheters with balloon and application room were standardized, and then a balloon expulsion test was performed in all groups. The results of the balloon expulsion test were statistically compared between groups. Results: The distribution of males/females according to age groups was: 20-39 yrs: 20/22, 40-59 yrs: 20/23, >= 60 yrs: 15/16. The balloon expulsion time was determined as 44.1 +/- 19.0 seconds in male subjects and 56.4 +/- 21.4 seconds in females (p=0.001). An increase in the balloon expulsion time was observed to be related with age in males (p=0.00001); however, no statistically significant difference was shown by age in female subjects (p=0.80). If the entire study group was considered, there was a significant correlation between age and balloon expulsion time (p=0.0001). Conclusions: The balloon expulsion test is a simple procedure to identify impaired evacuation in constipated patients. This study represents the first assessment of the balloon expulsion test in a healthy Turkish population. It has been demonstrated that expulsion should take less than 30 seconds for men younger than 40 years of age and less than 1 minute above 40 years. For women, expulsion should occur in I minute regardless of age. Our results could serve as a valuable resource of normative data.