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  1. Home
  2. Browse by Author

Browsing by Author "Nehir, S"

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    The effects of psychoeducation on problem solving skills of cancer patients
    Üzüm, G; Nehir, S
    Objectives: This study aims to examine the effects of psychoeducation on problem solving skills of cancer patients. Methods: This study was conducted as a quasi-experimental research with pre- and post-test design. This study was performed in Manisa at a radiation oncology service between April and December 2016. The study sample consisted of 32 patients who met the study inclusion criteria. The patients were interviewed and provided with psychoeducation individually for 1 hour per week in a period of 6 weeks. The data were collected using an Introductory Information Form and the Problem Solving Inventory (PSI). The data was evaluated using number, percent distribution and paired samples t test. Results: The patients' PSI (total) pre- and post-test mean scores were 112. 75 +/- 26.68 and 63.28 +/- 12.67, respectively. The difference between the patients' PSI (total) pre-and post-test mean scores was found to be statistically significant (t=13.173, p<0.001). The differences between patients' pre-and post-test mean scores on the PSI subscales were also found to be statistically significant (p<0.001). Conclusion: The present study results showed that psychoeducation positively changed the perception of problem-solving in cancer patients.
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    Relationship between childhood traumas and aggression in bipolar disorder
    Nehir, S; Irmak, H; Demet, MM; Toksöz, K
    Objective: This research was conducted to define the relationship of childhood traumas and aggression in bipolar disorder. Methods: This study was conducted between December 2015 and March 2016 in Manisa Mental Health Diseases Hospital. The study population consisted of 449 patients. The minimum sample size of the universe is calculated 209 with 95% confidence interval and 5% standard deviation using the known formula. The data, is collected using Information Form, Childhood Trauma Questionnaire (CTQ-28), Buss-Durkee, and the Aggression Scale. The data was evaluated by number, percentage, t test, one-way analysis of variance, Mann-Whitney, Kruskal-Wallis and the Pearson's correlation coefficient in SPSS 22.0 program. Results: The average age of the patients is 34.71 +/- 11.16 (range: 18-65). 61.7% of the patients are male, 50.2% of patients are single, 34.0% of patients are primary school graduates. Income status of patients; 48.8% of patients the income is less than expenses. Socio-demographic characteristics such as the income situation of the patient, marital status, education level, parents' education, place of residence, immigration status, self-harm state with childhood trauma scale total score and Buss-Durkee Aggression Scale was found a statistically significant correlation between subdomains. Conclusion: Our results are suggest that there can a relationship between childhood traumas and aggression levels in bipolar disorder.
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    Factors Affecting the Quality of Life in Climacteric Women in Manisa Region
    Inceboz, Ü; Demirci, H; Özbasaran, F; Çoban, A; Nehir, S
    Objectives: To determine the factors affecting the severity of menopausal symptoms and the quality of life among women living in Manisa, a western city of Turkey. Patients and Methods: After statistical estimation of the sample size reflecting the whole population, 268 climacteric women (mean age 50.7 +/- 6.6 years; range 40 to 60 years) with menopausal symptoms were investigated by sociodemographic questionnaire, menopause rating scale (MRS), and Quality of Life Scale (WHOQOL-BREF-TR) in Celal Bayar University Hospital. Results: Almost 1/3 of women had no knowledge on menopause. The MRS scores of women were inversely correlated with Physical Health, Psychological well-being, Social Relationship domains of quality of life. Educational level, menopausal knowledge, participation in decision-making in the family and economic status positively affected most domains of quality of life, whereas being married and having high BMI scores had negative effects. Conclusion: In climacteric women, quality of life was negatively affected by the severity of menopausal symptoms, low education level, limited menopausal knowledge, and being overweight.
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    Effects of psychoeducation on palliative caregivers' quality of life and skills to cope with stress
    Çetin, Ö; Nehir, S
    Purpose: The aim of this study was to evaluate the effect of psychoeducation on caregivers' coping with stress and quality of life in patients receiving palliative care treatment. Materials and Methods: This study was conducted as a quasi-experimental study with a pre- and post-test design. The population of the study comprised the relatives of the patients (N = 40) monitored in the Palliative Care Unit of the Manisa State Hospital during a period of 6 months. All the people in the study population were included in the sample. The data were collected through face-to-face interviews by the researcher using a structured questionnaire. The questionnaire consisted of three parts: Caregiver Information Form, Quality of Life Form (SF-36), Ways of Coping Questionnaire (WCQ). Results: Psychoeducation given to caregivers participating in the study significantly increased their physical and mental health status and quality of life. The analysis of the mean scores revealed that the participants' physical health improved by 12.2%, mental health status by 20.6% and quality of life by 15.9%. In addition, the difference between their mean pre- and post-test scores was significant. The mean pre-test score (58.83) increased by 15.7% to 69.76 at the posttest. Conclusion: In the present study, psychoeducation given to the caregivers improved the quality of life and skills for coping with stress.
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    Effects of Attitudes of Patients with Epilepsy Towards Their Disease on Mental Health and Quality of Life
    Akyol, T; Nehir, S
    Objective: The study investigates the effects of attitudes displayed by patients with epilepsy toward their disease on their mental health and quality of life. Materials and Methods: This descriptive cross-sectional study was conducted in the neurology outpatient clinic at Hafsa Sultan Hospital, Manisa Celal Bayar University between April 2015 and April 2016. The study sample comprised 182 patients. The study data were collected using the Personal Information Form for Patients with Epilepsy, Impact of Epilepsy Scale, Epilepsy Knowledge Scale, Epilepsy Attitude Scale, Short Form-36 (Quality of Life Scale), and Brief Symptom Inventory. In the analysis of the data, the t-test, ANOVA, Scheffe's post-hoc test, and Pearson's correlation coefficient were used. Results: In the Epilepsy Attitude Scale, the participants obtained a mean score of 48.66 +/- 13.13, suggesting that they displayed negative attitudes toward epilepsy. In the subscales of the Short Form-36 (Quality of Life Scale), the participants' scores were low. Of the participants with epilepsy, those with a significantly positive attitude toward epilepsy had a high quality of life perception. Psychological symptoms decreased in patients with epilepsy who have a positive attitude toward their disease. Conclusion: The results of this study demonstrated that the participants' attitudes toward epilepsy was significantly correlated to their psychological symptoms and quality of life. The fact that the negative attitudes of patients with epilepsy are related to their psychological symptoms and quality of life indicates the importance of recognizing and understanding patients' attitudes toward their disease.
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    Mental State of Students During the Pandemic and Affecting Factors: A Cross-Sectional Study
    Nehir, S; Tavsanli, NG
    Evaluation of the psychological symptoms in healthcare students and the development of new strategies to improve their mental health are of great importance. The study was aimed at determining the mental state of students, prospective healthcare workers, during the pandemic, and the influencing factors. The descriptive cross-sectional study was conducted at a Manisa Celal Bayar University Faculty of Health in Turkey. The sociodemographic characteristics questionnaire, Fear of COVID-19 Scale, and Brief Symptom Inventory were used to collect data. The study was conducted with 828 students. In study, variables such as sleep, negative news about COVID-19, sex, income status, presence of social support, department students attend, choosing the profession willingly, and having a physical/mental illness were determined to have an effect on the mental state. The results of this study suggest that there is a relationship between the fear of COVID-19 and mental health state of the students.
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    A Determination of Hopelessness and the Perception of Illness in Cancer
    Nehir, S; Tavsanli, NG; Özdemir, Ç; Akyol, T
    This study was performed with the objective of determining hopelessness and perception of illness in cancer patients. This was a descriptive and regressional study. The study was performed between January and June 2014 on 105 outpatients at the oncology clinic of Manisa Government Hospital in Turkey's western. A patient information form, the Beck Hopelessness Scale, and the illness perception questionnaire were used to collect data, and data analysis was performed using the program Statistical Package for Social Sciences 15.0. Percentages, t test, Kruskal-Wallis, one-way analysis of variance, and Pearson correlation were used in the evaluation of research data. The hopelessness levels of cancer patients participating in the study were at a medium level. As patients' scores on the hopelessness scale and its subscales increase, so their illness perception scores also increase. The hopelessness levels of patients whose illness perception was good were lower; that is, as patients' hopelessness levels fell, their illness perceptions and view of their illness were affected in a positive way.
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    Comparison of Body Image Perception and Social Functioning Among Patients with End-Stage Renal Failure and Patients with Chronic Renal Failure
    Tavsanli, NG; Nehir, S
    Background: End-stage renal failure (ESRD) deteriorates the quality of life of patients, as it increases their dependence on others and reduces their self-esteem. Objectives: This study was conducted to investigate whether body image perception and social functioning of dialysis patients with End-stage renal failure (ESRD) differed in dialysis patients with chronic renal failure (CRF). Methods: This case-control study included 120 patients, who underwent dialysis treatment in a state hospital from November 2014 to January 2016 . The patient information form, body image scale, and social functioning scale were used for data collection. Data were analyzed using descriptive statistics (e.g., frequency, percentage, and mean), Chi-square test, independent t-test, and correlation tests. Results: Among ESRD patients, 88.6% were >= 56 years old, 65.7% were male, 97.1% underwent dialysis three times a week, and 97.1% were shunted. On the other hand, among patients with CRF, 71.8% were <= 55 years old, 51.8% were male, 52.7% underwent dialysis three times a week, and 50.8% were shunted. Regarding body image, 51.3% of ESRD patients, whose children noticed the change in their body image, felt most uncomfortable with the change in their body image, while 48.2% and 22.0% of CRF patients, whose children or others noticed the change in their body image, felt most uncomfortable, respectively; the difference between the groups was significant (P < 0.05). Conclusions: In the present study, there was no significant difference among CRF and ESRD patients in terms of body image perception. However, there were differences in terms of social functioning. In fact, social functioning of CRF patients was superior to the ESRD group. It was concluded that better perception of body image is associated with the better social functioning of these patients.
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    Measures Taken by Nurses to Protect Themselves from the Covid-19 Virus and Methods They Use to Cope with Stress
    Firat, AN; Nehir, S
    Objective: In the present study, the aim was to determine the measures taken by nurses to protect themselves from the COVID-19, and methods they use to cope with stress. Methods: This descriptive and cross-sectional study was carried out with 237 nurses working in Manisa City Hospital, located in Manisa, between August 2020 and March 2021. Data were collected with the Nurse Information Form, the Perceived Stress Scale, and the Ways of Coping with Stress Questionnaire. In the analysis of the data, numbers, percentage distribution, Mann Whitney u test, Kruskal Wallis test and Spearman correlation analysis were used. Results: Protective equipment used most by the nurses while they gave care to patients with COVID-19 were gloves (96.6%), masks (95.3%) and N95 masks (90.7%). Among the issues that caused the nurses to have stress most were the fear of transmitting viruses to their families or immediate circles, and experiencing physical or psychological disorders. The mean score the nurses obtained from the overall Perceived Stress Scale was 30.36 +/- 5.63. The mean scores the nurses obtained from the sub -dimensions of the Ways of Coping with Stress Questionnaire were as follows: Self-confident approach sub -dimension: 19.83 +/- 3.44, optimistic approach sub -dimension: 13.99 +/- 2.37, desperate approach sub -dimension: 18.23 +/- 4.15, submissive approach sub -dimension: 12.89 +/- 2.98 and seeking social support sub -dimension: 10.83 +/- 1.97. Conclusion: In our study, the majority of the nurses felt stressed during the COVID-19 pandemic. They were not competent enough to use the methods of coping with stress. Health institutions should reduce the stress on nurses and provide support to motivate them to work keenly.
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    Could Intern Health Care Students Control Their Emotions and Make a Career Plan During the COVID-19 Pandemic?
    Tavsanli, NG; Nehir, S
    The negative effects of the pandemic caused students to make changes in their career plans and their ability to manage their emotional states. Not only health students in our country, but also students in other countries of the world experienced fear, anxiety, and unwillingness to participate in professional practices and the provision of care for patients with COVID-19 during the COVID-19 pandemic. The study was conducted to determine factors influencing intern healthcare students' career adaptability and their ability to manage emotions during the COVID-19 pandemic. The sample of this cross-sectional study consisted of 219 intern healthcare students studying at the Faculty of Health Sciences Undergraduate Program of a University in the fall semester of the 2020 to 2021 academic year. The study data were collected online using the Personal Information Form, Career Adapt-Ability Scale (CAAS), and Courtauld Emotional Control Scale (CECS). The data obtained were analyzed by using the independent samples t-test, Analysis of Variance (ANOVA), correlation tests, and the regression model to distinguish variables significantly. Two models explained more than 50% of the variance of CAAS and CECS regarding COVID-19, and 5.1% of the career planning regarding the period during the COVID-19 pandemic (P < .05). As the students' control over their careers decreased during the COVID-19, their feelings of anxiety and unhappiness increased (P < .05). Of the variables, sex, department, future expectations, the position dreamed of being in after graduation, and attitudes toward patient care with COVID-19 affected their CAAS and CECS scores.

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