Browsing by Author "Dedeli Ö."

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    Normative values of the balloon expulsion test in healthy adults
    (2007) 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±plusmn;19.0 seconds in male subjects and 56.4±plusmn;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 1 minute regardless of age. Our results could serve as a valuable resource of normative data.
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    A survey of functional living and social support in patients with cancer; [Kanserli bireylerin fonksiyonel durumlari ve algiladiklari sosyal desteǧin incelenmesi]
    (2008) Dedeli Ö.; Fadiloǧlu 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 Tülay Aktaş 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 Index-Cancer 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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    Prevalance of fecal incontinence and its effect on quality of life in elderly individuals living in nursing homes in the city of Izmir; [İzmi̇r huzurevleri̇ndeki̇ yaşlilarda fekal i̇nkonti̇nans sikliǧi ve yaşam kali̇tesi̇ üzeri̇ne etki̇si̇]
    (2008) Dedeli Ö.; Fadiloǧlu 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, İzmir 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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    An integrated psychosocial-spiritual model for cancer pain management; [Kanser aǧrisinin kontrolü ile psikososyal-spiritüel modelin birleştirilmesi]
    (2009) 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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    Assessment of experiences of patients discharged from intensive care units; [Yoğun Bakım Ünitesinden Taburcu olan Hastaların Yoğun Bakım Deneyimlerinin Değerlendirilmesi]
    (AVES Ibrahim Kara, 2015) Adsay E.; Dedeli Ö.
    Objective: The purpose of this study was to assess the experiences of patients discharged from intensive care units. Material and Methods: This descriptive and cross-sectional study was conducted with 190 patients who were hospitalized in intensive care units for 24 h and over in a university hospital and a public hospital in Manisa, Turkey. Data were collected by a demographic questionnaire and the Intensive Care Experience Scale. Mean±standard deviation, percentage, Pearson correlation coefficient, and Kruskal–Wallis and Mann–Whitney U tests were used in the statistical analysis. Results: The mean age of the patients was 56.6±10.8 years, and 60% of the patients were males. It was found that the patients’ awareness of the environment in the intensive care unit subscale score of the Intensive Care Experience Scale was significantly different depending on gender and the length of stay in the intensive care unit (p<0.05). It was found that the patients’ satisfactions levels about care the in intensive care unit subscale score of the Intensive Care Experience Scale was significantly difference depending on the type of intensive care unit and the length of stay in the intensive care unit (p<0.05). Conclusion: The results of this study show that being aware of the environment in intensive care unit was dependent the length of stay in the intensive care unit and gender and that satisfaction levels about care in the intensive care unit were affected by the length of stay in the intensive care unit and the type of intensive care unit. © 2015 by Turkish Society of Medical and Surgical Intensive Care Medicine.