Browsing by Author "Pakyuz, SC"

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    SCALE DEVELOPMENT: DIETARY KNOWLEDGE AND BEHAVIORS ASSESSMENT IN HEMODIALYSIS PATIENTS
    Duzalan, OB; Pakyuz, SC
    Aim: The aim of the study was to develop a valid and reliable instrument for dietary knowledge and behaviors assessment in hemodialysis patients. Methods: This study follows a psychometric methodological design. The content validity was evaluated using a Lawshe's technique with ten experts in the field of hemodialysis. The confirmatory factor analysis, and explanatory factor analysis were used for scale validity in the study. Internal consistency analysis, item discrimination indices, and the test-retest technique were used for scale reliability. The study sample included 302 chronic hemodialysis patients. Results: Scale for Dietary Knowledge in Hemodialysis Patients (SDKHP), is a three-point Likert scale and consisting of 18 items. Cronbach's alpha reliability coefficient of the scale was 0.86. The Scale for Dietary Behaviors in Hemodialysis Patients (SDBHP) is a five-point Likert scale and consisting of 13 items. Cronbach's alpha reliability coefficient of the scale was 0.73. Conclusions: SDKHP and SDBHP are valid and reliable measurement tools for assessing the level of dietary knowledge and the dietary behaviors in hemodialysis patients, respectively for use by nurses and other health professionals.
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    Hypertension management: what is the role of case management?
    Ozpancar, N; Pakyuz, SC; Topcu, B
    Objective: The aim of this study was to determine the effect of case management on hypertension management and on adherence to antihypertensive medication and chronic disease care of patients with hypertension. Method: This study was conducted as an experimental and randomized controlled study. The sample of the study consisted of randomly selected patients with hypertension who did not have communication problems, who used antihypertensive medication treatment and whose treatment had been continuing for at least six months. The study group was given individual training (Hypertension causes, the risk factors, significance, unwanted side effects, medication treatment, changes in life style) and was applied case management model in hypertension - joint care protocol but no intervention was offered to the control group. Data was collected using the adherence to antihypertensive medication scale, the patient assessment of chronic illness care in the first and six months later interview. Results: There was no significant difference between the study and control group according to adherence to antihypertensive medication and patient assessment of chronic illness care in the first interview. Otherwise, there were significant differences between the study and control group according to blood pressure, adherence to antihypertensive medication and patient assessment of chronic illness care in the six months later interview. The adherence to antihypertensive medication total score and the patient assessment of chronic illness care total score were significantly higher in the study group compared with control group in the six months later interview. Conclusion: The case management plays an important role the in control of hypertension, and can improve adherence to antihypertensive medication and chronic illness care.
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    Developing a scale for the perception of health and complaints/symptoms in hemodialysis patients: turkish version
    Inkaya, BV; Pakyuz, SC
    Aim: This study was planned to determine the symptoms of hemodialysis patients and to develop a validated and reliable scale to evaluate health perceptions. Material and Method: The study data were obtained using a through patient introduction form developed by the investigator: The Scale for Perception of Health in Hemodialysis Patients (SPHHP) and the Scale for Complaints-Symptoms in Hemodialysis Patients (SCSHP). The study sample included 205 chronic hemodialysis patients. The data were collected by face-to-face interviews with the patients, which were conducted by the investigator. Results: SPHHP is a five-point Likert-type scale and consists of 10 items. The scale's Cronbach's alpha reliability coefficient was 0.79. SCSHP is a five-point Likert-type scale and consists of 22 items. The scale's Cronbach's alpha reliability coefficient was 0.83. Discussion: Based on these results, SPHHP and SCSHP are valid and have a high level of reliability. We recommended using SPHHP and SCSHP scales, which were developed with a holistic approach because there was an absence in the literature in hemodialysis centers in order to minimize patient risks and to plan and implement required nursing care based on the results.
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    Scale development study: The Fluid Control in Hemodialysis Patients
    Cosar, AA; Pakyuz, SC
    AimThe aim of this study was to develop a valid and reliable measurement instrument to identify knowledge, behaviors, and attitudes of hemodialysis (HD) patients about fluid control as these patients are inadequate in ensuring and sustaining fluid control. MethodsThe sample of this methodological study consisted of 276 HD patients who are being treated in two public and two private hemodialysis centers. The validity of the scale was assessed through content validity, construct validity, and similar scale validity, and its reliability through item analysis, internal consistency coefficient and test-retest. For the content validity of the scale, expert views were assessed, and opinions of a Turkish language specialist were obtained. ResultsAccording to the exploratory factor analysis, the scale had 24 items and three subdimensions, namely, knowledge, behavior, and attitude. The total variance explained was found to be 51.15%. Cronbach's alpha reliability coefficient of the Fluid Control in Hemodialysis Patients Scale (FCHPS) turned out to be 0.88 and Cronbach's alpha for its subdimensions were 0.92, 0.80, and 0.67, respectively. The correlation value between test and retest was 0.94 (P<0.001). A moderate significant correlation (r=0.58, P<0.001) was found between the scale scores and the scores of the Dialysis Diet and Fluid Restrictions Non-adherence Questionnaire. ConclusionThe FCHPS that was developed has good validity and reliability. This scale can be used to measure knowledge, behavior, and attitude of hemodialysis patients about fluid restriction.
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    Does nutritional status affect on quality of life among patients with Diabetes Mellitus?
    Dogan, ES; Caydam, OD; Pakyuz, SC; Akkaya, A
    Aim: To determine the nutritional status effect on quality of life among patients with diabetes mellitus. Methods: A case controlled study. Patients with diabetes mellitus (case group) attended a diabetes polyclinic of a state hospital and their family members (control group) were selected randomly (n=200). The data were collected by patient information form, Mini Nutritional Assessment Scale, Diabetes Quality of Life Scale from diabetic subjects, and personal information form, Mini Nutritional Assessment Scale, SF-36 Quality of Life Scale from non-diabetic subjects. Results: The mean age of the case group was 50.06 +/- 10.44 (18-64) years, and control group was 39.46 +/- 12.47 (18-63) years. A negative significant correlation was found between total MNA score and total DQOL scale score (p<0.01) among patients with diabetes mellitus. Conclusions: Patients with diabetes mellitus may be at risk of malnutrition when compared with non-diabetics. There is probably a causal relationship between malnutrition and health related quality of life decline in this group.