Browsing by Author "Tavsanli, NG"
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Item Use of Complementary and Alternative Medicine and Quality of Life of Cancer Patients Turkish SamplesKorkmaz, M; Tavsanli, NG; Ozcelik, HA large proportion of cancer patients use complementary and alternative medicine (CAM) to extend their quality of life. The purpose of this study was to determine the level of CAM use by patients undergoing cancer treatment. The study was conducted in Turkey at a large state university hospital and a government hospital between March and December 2013. The research sample consisted of a total of 147 cancer patients undergoing either chemotherapy or radiotherapy. Data collection was performed using a Patient Description Form and the EUROHIS (WHOQOL-8.Tr) quality-of-life scale through face-to-face interviews. The use of CAM, green tea (28.00 +/- 4.24), and garlic (29.00 +/- 0.00), as well as the use of a combination of plant products such as pomegranate juice, pollen, and herbal tea (31.25 +/- 5.96), not feeling the need to inform the physician of the use of CAM, regular use of CAM, finding CAM use effective, and suggesting CAM use to others were found to have a statistically significant relationship to average quality-of-life scores (P < 0.05). This study could be used to develop holistic nursing interventions and CAM use by patients undergoing cancer treatment.Item PERCEPTION OF PRIVACY OF NURSING HOME WORKERS WITH REGARD TO THE SERVICES PROVIDED TO THE ELDERLYÜstün, Ç; Türkmen, S; Tavsanli, NGObjective: This study aimed at revealing the opinions of nursing homes employees regarding ethical evaluation of the privacy of older people. Material and Method: The study was conducted between December 2015 and January 2016 with 45 employees working at Manisa Municipal Nursing Home and Manisa Private Foundation Nursing Home. A questionnaire consisting of 10 questions about age, gender, marital status, etc. and the Service Provider Quantitative Survey for Perception and Assessment of Privacy in Services Rendered to the Elderly were used as data collection tools. Results: The mean age of the caregivers working at the nursing homes was 38.04 +/- 10.33 (19-64) years. 48.9% of the caregivers were female and 51.1% were male. 28.9% of the caregivers were graduates of high school, 62.2% of them were married, 60.0% had less income than their expenses, 24.4% were nurses/healthcare servants, 22.2% patient caregivers and 16.0% cleaning personnel, 75.6% of them lived in provinces most of their time and 77.8% had nobody in need of care in their families. Stating that privacy should not be neglected, all groups in the study had opinions close to each other. However, this belief can also be considered as moderate. No significant correlation was found between the socio-demographic characteristics of the caregivers working at the nursing homes and the mean scores of Necessity of Privacy and Privacy Can Be Neglected sub-domains of the privacy scale or the mean Overall Privacy Scale score (p>0.05). Conclusion: Protection of the privacy of these seniors in a common location in these institutions becomes an important problem. The elderly and the staff working there should come to an agreement concerning their perception of privacy in nursing homes.Item The factors affecting sleep quality in type 2 diabetes patientsTavsanli, NG; Sivrikaya, SK; Menekli, T; Akyol, AObjective: Research was planned with the aim of determining the sleep quality of individuals with type 2 diabetes and the factors affecting this. Design: Descriptive and cross-sectional study Setting: Endocrinology Department of the Internal Medicine Section of Ege University Medical Faculty Hospital, Manisa Celal Bayar University Hafsa Sultan Hospital, and Balikesir University Medical Faculty Hospital Subjects: The research was conducted between May 2014 and February 2015 on 366 individuals with type 2 diabetes. Intervention: Non-interventional Main outcome measure: The sleep quality of individuals with type 2 diabetes and the factors affecting this Results: The total Pittsburgh Sleep Quality Index (PSQI) scores of individuals who had had diabetes for 1 - 4 years and 5 - 9 years were found to be significantly higher than the scores of those who had had diabetes for less than one year or more than ten years (f = 10.85, p = 0.000). The total PSQI scores of individuals using oral anti diabetic (OAD) and insulin diabetes treatment were significantly higher than the scores of patients receiving only diet treatment or OAD + insulin (f = 3.03, p = 0.029). A significant relationship was found between the HbA1c of the individuals in the study with type 2 diabetes and their total PSQI scores (p < 0.01). Conclusion: It can be said that such socio-demographic characteristics as age, gender, income, duration of diabetes and diabetes treatment, and metabolic values such as the glycated haemoglobin (Hemoglobin A1c-HbA1c), fasting blood glucose and body mass index negatively affect sleep quality.Item Delivery in a vertical birth chair supported by freedom of movement during labor: A randomized control trialHacivelioglu, D; Tavsanli, NG; Senyuva, I; Kosova, FTo evaluate the effect of delivery in a vertical birth chair (VBC) and traditional delivery table (DT) supported by women's movement during labor on the labor process, fetal outcome, maternal hormone levels, birth comfort, and satisfaction. This randomized controlled trial was conducted with 1:1:1 allocation. Group 1: in the VBC in upright position, Group 2: on the DT in supine position, these groups supported by freedom of movement, control group: on the DT in supine position, labor in bed. The duration of second stage of labor was not different between the groups (p = 0.246). The occurrence of instrumental birth, episiotomy, and perineal laceration was also not different among the groups (p = 0.772, p = 0.953, and p = 0.124). The use of uterotonic was observed in control group (p = 0.001). 1 and 5 APGAR scores of newborns were not different in all groups (p = 0.121, p = 0.268). The lowest pain score was observed in Group 1 (p = 0.001). Birth comfort and satisfaction were higher in Group 1 (p = 0.001 and p = 0.001). Decreased postpartum prolactin levels and increased postpartum oxytocin levels were observed in the control and Group 1 (p = 0.004, p = 0.006). Freedom of movement during labor and delivery using VBC in upright position can play birth-promoting and supporting role. There were no negative effects on the fetal outcome.Item Examine of quality of life of elderly indivudals suffering painTavsanli, NG; Özçelik, H; Karadakovan, AObjectives: This study aims to examine the quality of life of elderly individuals suffering pain. Methods: The study was carried out on 84 individuals over the age of 65 resident at a local authority administered nursing home in Izmir who were suffering pain at the time of the interview. The individuals' introduction form, made up of 12 questions, was used to identify the individuals' socio-demographic characteristics, and the McGill Melzack Pain Questionnaire was used to assess the pain, and the WHOQOL-OLD (World health Organization Quality of Life Scale Older Adults Module) was applied. Results: A significant relationship was found between the current pain severity and the quality of life scale's sensory capacity, today's activities and future activities, and relationship sub-fields and the total points (p<0.05). Conclusion: It was established, as well as the elderly individuals' socio-demographic characteristics, sub-sections such as the features, severity and time of pain also had an effect on the quality of life.Item Validity and reliability of the Diabetes Obstacles Questionnaire in type-2 diabetic patientsKahraman, G; Tavsanli, NG; Baydur, H; Özmen, D; Özmen, EObjective: The Diabetes Obstacles Questionnaire (DOQ) helps to determine the problems encountered with their illness by type-2 diabetic patients in daily life and the purpose of this study was to adapt this questionnaire to Turkish and to perform validity and reliability analysis. Methods: This was a methodological study planned to adapt DOQ to the Turkish language and to carry out validity and reliability analysis. After obtaining the necessary permission and making the translation, the questionnaire was applied to 400 type 2 diabetes patients, who had been diagnosed at least one year previously, in the endocrinology polyclinic of Manisa Government Hospital and the endocrinology polyclinic of Hafsa Sultan Hospital in Celal Bayar University. The WHOQOL-8 quality of life questionnaire was applied along with the DOQ in order to examine the extent of correspondence with a scale which measures similar concepts. In order to assess the reliability of the scale, the coefficient of internal consistence (Cronbach's alpha value) was examined and in order to evaluate the relation of each item to dimension, the item-total correlations and the internal consistence coefficients when items were deleted were evaluated. Also, the items of the questionnaire were applied again to 30 people after a gap of at most two weeks and test-retest analysis as performed. When this was done, intraclass correlation coefficients were examined. Results: The DOQ consists of eight scales and a total of 78 questions. Ten of these questions were excluded in our study as they were not applicable to Turkish society. Conclusion: The study was similar to the original study from the aspect of factors produced in the dimensions.Item Evaluation on The Basic Competencies of Communication of The Health College StudentsTavsanli, NG; Arslan, GG; Taspinar, AAim: This Research has been performed to evaluation on the basic competencies of communication of Celal Bayar University Medical School of Nursing and Midwifery students. Method: Sample of survey composed from 275 students of Medical School who have been agreed to participate into the research. Questionnaire for sociodemographic characteristics and Communications barometer which was developed by Cevik (2007) was used for collecting of data. Number, the percentage distribution and chi-square analysis was used in the evaluating of the data. Results: It is determined that, the mean age of the students is 20.58 +/- 1.52, 93.1% of them are women, 61.5% of them are in the nursing department and the majority of the students is (40.0%) first grader. It's determined that more than 80 % of the students scored 6 and over 6 in any sub-range of communication barometer. It's determined that, lowest score (7.18 +/- 1.82) is on acceptance; and the highest score (8.47 +/- 1.67) is on listening. Conclusion: The results obtained that students' average of sub-group score of communication barometer is high; according to this, it's determined that their basic competencies of communication is forceful.Item The relationship between nurses sociodemographic characteristics and stressor life eventsTavsanli, NG; Sen Celasin, NObjective: To determine how nurses who encounter stressful live events adapt themselves, and to examine the relation between their personal characteristics and stressful events. Methods: The cross-sectional study was conducted between February and April 2007, and comprised all nurses working at the two public-sector hospitals in Manisa, Turkey. Data was collected using a pre-tested questionnaire. Data was analysed using SPSS version 11.0. Results: Of the total 87 nurses, 33 (37.9%) were in the 28-32 age group; 67 (77.0%) were married; 35 (40.2 %) had a child; 61(70.1 %) had an income equivalent to their expenses; 44 (50.6 %) had an associate degree; 21( 24.22 %) had 10-12 years of experience in the profession; 76(87.4%) were working as service nurses, and 31 (35.6%) had worked for 1-3 years in this service. Conclusion: There was a relationship between some of the socio-demographic characteristics of the nurses and stressor life events.Item Fear of falling in elderly people living in a nursing home - perspective from ManisaTavsanli, NG; Turkmen, SNOur study aimed to determine the level of fear of falling in elderly nursing home residents. The research population consisted of all the elderly residents of Manisa Municipal Nursing Home between November 2011 and February 2012. The 76 elderly people who agreed to participate were included in the study. A demographics form and the Tinetti Falls Efficacy Scale were used in data collection. The statistical analysis of the data was performed using SPSS 15.0, using percentage calculations, the t-test and Cronbach's alpha. The mean score on the Tinetti Falls Efficacy Scale for elderly individuals was found to be 4.57 +/- 3.80. 57.9% of the old people feared falling while taking a bath, 59.2% while going to bed or getting up, and 53.6% while sitting down or getting up from a chair. It was found that mean fear of falling scores were significantly higher in elderly individuals with chronic diseases, sleep problems and urinary incontinence.Item Perception of problem solving skills in cancer patients according to certain variables and control focusTurkmen, SN; Tavsanli, NGObjective: To determine the perception of problem-solving skills in cancer patients related to control focus. Methods: This cross-sectional descriptive study was conducted at the Manisa State Hospital, Manisa, Turkey, between May and December 2015, and comprised outpatients monitored by the Radiation Oncology department. Focus of control scale, problem solving inventory and a self-generated socio-demographic form were used as data collection instruments. SPSS 15 was used for data analysis. Results: Of the 263 subjects, 133(50.6%) were women and 130(49.4%) were men with an overall mean age of 56.98 +/- 12.32 years. Personality characteristics and their type of control focus affected problem solving skill (p<0.05). Gender, education level, income level, and status of obtaining help from family-type health professionals had an effect on their control focus type and problem solving (p<0.05). Conclusion: Personality characteristics and their type of focus influenced perception of problem solving in cancer patients.Item Mental State of Students During the Pandemic and Affecting Factors: A Cross-Sectional StudyNehir, S; Tavsanli, NGEvaluation 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.Item A Determination of Hopelessness and the Perception of Illness in CancerNehir, S; Tavsanli, NG; Özdemir, Ç; Akyol, TThis 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.Item Comparison of Body Image Perception and Social Functioning Among Patients with End-Stage Renal Failure and Patients with Chronic Renal FailureTavsanli, NG; Nehir, SBackground: 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.Item Could Intern Health Care Students Control Their Emotions and Make a Career Plan During the COVID-19 Pandemic?Tavsanli, NG; Nehir, SThe 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.Item Effect of Multiple Sclerosis on Dyadic AdjustmentHacivelioglu, D; Tavsanli, NG; Kosova, F; Mavioglu, HPurpose: This study examines the dyadic adjustment of married men and women with multiple sclerosis (MS). Method: This cross-sectional study consists of 40 patients with MS who were married and being followed in the neurology clinic of a university hospital. Data collection was performed by face-to-face interviews with only the participant and the researcher present. The participants filled in the Expanded Disability Status Scale, a sociodemographic form, and a dyadic adjustment scale. Results: The study group was 75% male, with age ranging from 27 to 65 years (mean, 44.40 +/- 9.31 years). Expanded Disability Status Scale scores ranged from 0 to 7 (mean, 3.25 +/- 1.94); 95% of the subjects were having relapses and remissions. Scores for patients with MS who were not considering divorce were statistically significantly higher than patients with MS who were considering divorce for dyadic adjustment (z = 3.845, P = .000), common view (z = 2.336, P = .020), endearment (z = 2.701, P = .007), and total scores (z = 3.399, P = .001). Conclusion: Most of the patients with MS who participated in this study were diagnosed with relapsing-remitting MS with a mean Expanded Disability Status Scale score of 3, indicating that patients had the physical ability to perform routine activities. The total dyadic adjustment scale score (107.7) is above average, indicating that dyadic adjustment was at a good level.