Browsing by Author "Dedeli, O"

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    Assessing the Spiritual Needs and Practices of Oncology Patients in Turkey
    Dedeli, O; Yildiz, E; Yuksel, S
    The purpose of this study was to assess the oncology patients' spiritual needs and activities. Besides, the study was to provide clinical evaluation of the feasibility and usefulness of the Patients Spiritual Needs Assessment Scale. This descriptive and cross-sectional study was performed by using a demographic and spiritual practices questionnaire, the Turkish version of the Patients Spiritual Needs Assessment Scale. The results of our study demonstrated that the most common spiritual needs of patients with cancer were to address issues before death and dying (100%), feel a sense of peace and contentment (94.8%), and for companionship (93.5%). Spiritually assessing a patient with cancer requires knowledge of how spiritual needs may manifest and how to talk with a client about his or her spiritual needs. These findings can help nurses to begin this process of providing spiritual care for patients with cancer.
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    Spirituality and religion in pain and pain management
    Dedeli, O; Kaptan, G
    Pain relief is a management problem for many patients, their families, and the medical professionals caring for them. Although everyone experiences pain to some degree, responses to it vary from one person to another. Recognizing and specifying someone else's pain is clinically a well know challenge. Research on the biology and neurobiology of pain has given us a relationship between spirituality and pain. There is growing recognition that persistent pain is a complex and multidimensional experience stemming from the interrelations among biological, psychological, social, and spiritual factors. Patients with pain use a number of cognitive and behavioral strategies to cope with their pain, including religious/spiritual factors, such as prayers, and seeking spiritual support to manage their pain. This article provides an overview of the complex phenomenon of pain, with a focus on spiritual and religious issues in pain management.
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    Assessment of anxiety, depression, loneliness and stigmatization in patients with tuberculosis
    Yilmaz, A; Dedeli, O
    Objective: The purpose of this study was to assess anxiety, depression, loneliness, and stigmatization in patients with pulmonary tuberculosis. Methods: A descriptive and cross sectional study was conducted with 208 out-patients in a state hospital due to PT. A patient identification form, Tuberculosis Patients Stigma Scale (TPSS), Hospital Anxiety and Depression Scale (HAD) and University California of Los Angeles (UCLA) Loneliness Scale were used as data gathering forms. Arithmetic averages, standart deviation (SD), pergentage, and correlation were used in statistical analysis. Results: The prevalence of anxiety (26.0%), depression (60.5%), and loneliness (49.0%) was observed to be among patients with PT. It was found that patients with PT suffered from stigmatization (47.6%). Conclusion: In conclusion, patients with PT experience high level of depression, moderate-high level of loneliness, mild level of anxiety, and moderate level of stigmatization.
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    Validity and Reliability of a Turkish Version of the Fecal Incontinence Quality of Life Scale
    Dedeli, O; Fadiloglu, C; Bor, S
    PURPOSE: Anorectal disorders, including fecal incontinence, are a significant healthcare problem that produce bothersome symptoms and adversely affect quality of life. We sought to establish the validity and reliability of a Turkish language version of the Fecal Incontinence Quality of Life Scale (FIQOLS). SUBJECTS AND SETTING: Data were collected at the Fecal Incontinence-Constipation-Biofeedback Clinic, located in the Gastroenterology Department at Ege University School of Medicine Hospital in Izmir, Turkey. The study sample comprised patients with fecal incontinence who attended the clinical assessment and agreed to participate in the study. INSTRUMENTS: A sociodemographic questionnaire form, the 29-item FIQOLS, and the Fecal Incontinence Severity Index (FISI), as well as the 36-Item Short Form Health Survey (SF-36) were administered to subjects. Both the FIQOLS and FISI were translated from English to Turkish by using a back-translation technique. METHODS: Subjects initially completed the FIQOLS, FISI, and the SF-36 at baseline and again after a 2-week interval to allow test-retest reliability measurement. Internal consistency was also measured, using the Cronbach alpha and Spearman-Brown split-half coefficients. Test-retest reliability was evaluated using interclass correlation coefficient testing. The validity of FIQOLS with respect to the SF-36 and FISI was analyzed using Pearson correlation coefficients. RESULTS: Fifty subjects with fecal incontinence participated in the study; their mean age (SD) was 57.1 (+/-15.7) years. Almost two-thirds (66%) were female, and 38% did not complete primary school education. Test-retest reliability analysis revealed an intraclass correlation of r value higher than 0.70 (P < .05). The overall Cronbach alpha coefficient of instrument was .88; the Spearman-Brown split-half value was 0.84 for the first half of the tool and 0.76 for the second half. The Cronbach alpha coefficient for subfactors varied from .56 to .82. The FIQOLS score was found to have a statistically significant (P < .05) correlation with both the FISI and SF-36. CONCLUSION: These findings support the Turkish language version of the FIQOLS as a valid and reliable instrument.