Browsing by Author "Dedeli O."

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    Validity and reliability of a turkish version of the fecal incontinence quality of life scale
    (2009) 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 α 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 α 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 α 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. © 2009 by the Wound, Ostomy and Continence Nurses.
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    Development and evaluation of the health belief model scale in obesity; [Obezitede saǧlık inanç modeli ölçeǧi'nin geliştirilmesi]
    (Gulhane Military Medical Academy, 2011) Dedeli O.; Fadiloglu C.
    AIM: The aim of this study was to develop a scale based on the Health Belief Model which can provide a reliable and valid evaluation of obese individuals' belief and attitudes towards obesity. METHOD: The sample of the study that was conducted between July 2008 and May 2010 included 400 obese individuals who presented to the obesity clinics in Ege University Medical Faculty and Celal Bayar University Medical Faculty Hospitals. Obesity questionnaire form and Health Belief Model Scale in Obesity (HBMSO) developed by the investigators to collect data about sociodemographic and obesity characteristics of obese individuals as well as the health belief in obesity were completed in face-to-face interviews. The HBMSO were completed in face-to-face interviews again in the following three weeks to test-retest reliability of the scale. The analysis of data was The Statistical Package for Social Sciences (SPSS) for Windows 13.0.RESULTS: A principal component factor analysis was used to measure the construct validity of the HBMSO. Five factor groups were obtained as a result of the factor analysis. These five factors formed the domains of the HBMOS that included 32 items prepared as five point Likert scales. Total item correlation analysis was positive for all domains (>0.70 p<0.05). HBMSO demonstrated a reasonable level of internal consistency reliability with a Cronbach's Alpha Coefficient of 0.80. Test and retest reliability of each domain of HBMSO was r>0.60 p<0.00. CONCLUSION: These results show that HBMSO is a reliable and valid scale to measure the attitudes and beliefs of the obese individuals about obesity.
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    Effect of physical and psychosocial factors on occupational low back pain
    (2012) Yilmaz E.; Dedeli O.
    Background: Musculoskeletal pain, in particular low back pain, is one of the most common occupational health problems and accounts for a large number of workers' compensational days and disability in modern industrialised societies. It is believed that occupational musculoskeletal pain is caused by multiple factors, generally categorised into physical, psychosocial and lifestyle ones. Aims: The aim of this review was to evaluate role of psychosocial and physical risk factors in work-related low back pain in the light of current literature. Methods and material: The method of this review evaluated both research and review studies in national and international literature which about role of psychosocial and physical risk factors in work-related low back pain. Results: Various physical factors mechanical impacts have been found to be associated with pain in different body regions. Heavy physical work, heavy or frequent manuel operations, repeated rotation of the trunk, whole body vibration and prolonged sitting were positively associated with low back pain. Psychosocial factors at work have also been shown to play important roles in the development of low back pain. Factors such as work demands, decision latitude, symptoms of stress and social support have been reported as important psychosocial factors at work. However, the causal and independent contribution of the work enviroment on the incidence of low back pain is stil debated, especially with regard to psychosocial factors. Conclusion: A number of researchers have been examined the evidence for psychosocial factors at work as risk factors for back pain in recent years. It is recommended to be addressed psychosocial factors as physical factors as for management of work related low back pain.
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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; [Bir üniversite hastanesinin onkoloji ve hematoloji kliniklerinde çalışan hemşirelerin biyolojik ajan kullanımı ile ilgili bilgi ve uygulamalarının incelenmesi]
    (Istanbul Tip Fakultesi, 2012) ÖzçelIk H.; Tokem Y.; Fadiloǧlu C.; Güngör N.; Dedeli O.
    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. © 2012 Association of Oncology.
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    The relationship between anxiety, pain distress and pain severity before and after open heart surgery in patients; [Açi{dotless}k kalp cerrahisi öncesi ve sonrasi{dotless} hastalari{dotless}n kaygi{dotless} ve aǧri distresi: Aǧri{dotless} düzeyi ile i̇lişkisinin i̇ncelenmesi]
    (AVES Ibrahim Kara, 2013) Sidar A.; Dedeli O.; Işkesen A.I.
    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 χ±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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    Effects of a kefir supplement on symptoms, colonic transit, and bowel satisfaction score in patients with chronic constipation: A pilot study
    (Turkish Society of Gastroenterology, 2014) Turan I.; Dedeli O.; 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. bMaterials 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, blaxative 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. bResults: 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). bConclusion: 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. © Copyright 2014 by The Turkish Society of Gastroenterology.
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    Assessing the spiritual needs and practices of oncology patients in Turkey
    (Lippincott Williams and Wilkins, 2015) 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. Copyright © 2015 Wolters Kluwer Health, Inc.
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    Assessment of anxiety, depression, loneliness and stigmatization in patients with tuberculosis
    (Departamento de Enfermagem/Universidade Federal de Sao Paulo, 2016) 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.