Browsing by Author "Pakyuz S.C."

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    Comparison of the mental symptoms in peritoneal dialysis and haemodialysis patients
    (A. CARBONE Editore, 2015) Pakyuz S.C.; Karaca S.; Bahcebasi Z.B.
    Introduction: Although dialysis has become a life-prolonging therapy for patients with end-stage renal disease, dialysis patients deal with serious problems. Dialysis patients face major mental problems such as depression, anxiety and stress and paranoia. The aim of this study was to evaluate and compare mental symptoms in chronic haemodialysis and peritoneal dialysis patients. Materials and methods: One hundred twenty-nine haemodialysis and 100 peritoneal dialysis patients were included in this study. The Brief Symptom Inventory (BSI) was used for the mental symptoms evaluation. Statistical analysis was performed using chisquare, t-test and Pearson's correlation analysis. Results: Although the BSI and its subscales such as the mean global severity index, somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety and paranoid ideation scores of the haemodialysis and peritoneal dialysis patients were similar, hostility, phobic anxiety and psychosis scores were significantly higher in the peritoneal dialysis patients than in haemodialysis patients. The BSI subscales such as anxiety, hostility and psychosis were negatively correlated with age in the haemodialysis patients, and hostility was negatively correlated with age in the peritoneal dialysis patients. In the peritoneal dialysis patients, paranoid ideation scores of female were higher than the scores of male. In the haemodialysis patients, hostility scores of male were higher than the scores of female. Conclusion: The results of this study indicate that hostility, phobic anxiety and psychosis are higher in peritoneal dialysis patients compared to haemodialysis patients. We suggest that dialysis patients especially on peritoneal dialysis and younger dialysis patients should be evaluated for mental symptoms and supported as needed.
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    Hypertension management: What is the role of case management?
    (Escola de Enfermagem de Universidade de Sao Paulo, 2017) Ozpancar N.; Pakyuz S.C.; 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. © 2017 Escola de Enfermagem de Universidade de Sao Paulo.
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    Developing a scale for the perception of health and complaints/symptoms in hemodialysis patients: Turkish version; [Hemodiyaliz hastalarında şikayet/semptomlar ve sağlık algılaması için ölçek geliştirme: Türkçe versiyon]
    (Derman Medical Publishing, 2017) Inkaya B.V.; Pakyuz S.C.
    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. © 2017, Derman Medical Publishing. All rights reserved.
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    The effects of education given by nurses on rational drug use and health literacy of patients receiving hypertension treatment
    (Wolters Kluwer Medknow Publications, 2021) Cakmak V.; Pakyuz S.C.
    Context: Health literacy and rational drug use are associated with controlling high blood pressure. Aim: The aim of this study was to evaluate the effects of education given by nurses on rational drug use and health literacy of patients receiving hypertension treatment. Settings and Design: The type of study is a randomized controlled experimental study. This study was carried out at the family health center. Materials and Methods: One hundred patients with hypertension were assigned to the intervention (50 patients) and control (50 patients) groups using the simple sampling method. Data were collected twice with 3 months intervals with the patient identification form, the Rational Drug Use Scale (RDUS), and the Adult Health Literacy Scale (AHLS). Statistical Analysis Used: The data were analyzed by SPSS 22. Independent samples t-, Mann-Whitney U-, Paired samples t-, Wilcoxon signed-rank, and Chi-square tests were used for statistical analysis of within-group and between groups. Results: The mean age of the intervention group was 55.38 ± 7.07 years and 68.0% were female. The mean age of the control group was 55.12 ± 6.88 years and 64.0% were female. Intervention group was found a total score of AHLS (13.28 ± 4.10) and a total score of RDUS (50.70 ± 7.82). The scores were statistically significant. After the training given to the intervention group, there was a decrease in blood pressure. Conclusions: It was concluded that the training given by the nurse positively increased the rational drug use and health literacy in patients with hypertension. Necessary training should be given to patients by nurses. These trainings will benefit patients. © 2021 Journal of Nursing and Midwifery Sciences Published by Wolters Kluwer - Medknow.