Browsing by Publisher "Gulhane Military Medical Academy"

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    A comparison of contribution of informed consent forms with long or short texts with regard to obtaining knowledge by volunteers: A pilot study; [Tıbbi bilgi alma baǧlamında uzun ve kısa metinli bilgilendirilmiş onam formlarının gönüllülerin bilgilenme düzeyine katkısının karşılaştırılması: Bir pilot çalışma]
    (Gulhane Military Medical Academy, 2011) Yildirim G.; Kadioǧlu S.; Alan S.; Altiparmak S.
    AIM: The objective is to determine which of the two texts giving information about the same issue and one of which id short and one of which is long is more effective in enlightening readers having no pre-knowledge of medical science and whether there is coherence between the scores obtained from the texts. METHOD: The sampling of the research planned as experimental is constituted by 66 volunteer female students who are 1st year students at the faculty of agriculture. The group was randomly divided into two and the first group was given the short text and the other one the long text. Then the question from was applied in order to find out how much of the information in the form they learnt. Each true answer given to the questions was scored as 1, and each wrong answer was secored as 0; therefore a total grade was obtained. For data analysis, Mann Whitney-U and t Tests analysis methods have been used. Score averages have been compared using Chi-square statistics and calculated using Odds ratio (OR). Consistency between the average scores of the answers given to short and long forms were evaluated through kapa statistics. RESULTS: 100% of the answers obtained using the long form was above the average, 20% of the answers obtained using the short form was above the average and 80% was below the average. Kappa between the answers in the long and short from was found as 81%. The results obtained from the long form were determined to be seven times better than the short one (OR:7,0). The non-random alignment between responses to the long and short form was found to be 81% (Cohen Kappa: 0,814). When the score average scores obtained from the answers given according to the demographic qualities of the participants, no meaningful relation was found. CONCLUSION: The long version of the context of informed was found more effective than the short one.
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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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    Maternal obesity: Consequences and prevention strategies; [Maternal Obezitenin Sonuçları ve Önleme Stratejileri]
    (Gulhane Military Medical Academy, 2012) Yanikkerem E.; Mutlu S.
    Obesity is a medical condition in which excess body fat that it may have an adverse effect on health, leading to life expectancy and increased health problems. In keeping with the general international trend of rising prevalence of obesity, maternal obesity prevalence is rising. According to WHO, the prevalence of obesity in pregnancy ranges from 1.8 to 25.3%. Maternal obesity has been identified to be a risk factor for maternal and perinatal mortality. The aim of this article was reviewed in research about maternal obesity in Pubmed, which published between 2009 and 2010. Between the dates 7 reviews and 13 studies was published and was examined and they presented under this headings: impacts of maternal obesity in pregnancy, obstetric outcomes of maternal obesity, postpartum outcomes of maternal obesity, impact of maternal obesity on breastfeeding, impact of maternal obesity on procedure of anomaly scan and risk determination, maternal obesity and fetal complications, impact of maternal obesity on Apgar scores, obesity and infertility, pregnancy following bariatric surgery, long term effects of obesity, management of maternal obesity.
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    How children aged 0 to 6 benefits from health services, permanent service resources and the factors affecting them; [0-6 yaş çocukların saǧlik hizmet kullanımları, sürekli hizmet kaynakları ve etkileyen faktörler]
    (Gulhane Military Medical Academy, 2012) Altiparmak S.; Yildirim Sari H.
    AIM: Aim of the research is "How children aged 0 to 6 benefit from health services, permanent service resources and the factors affecting them". METHOD: The 3839 children aged 0-72 months and followed by the 3rd Family Health Center in Manisa comprise the population of this descriptive study. The sample size was determined as 192 based on the Epi info Statcalc statistical program with a prevalence of 8.3%, a sampling error of 12:05, and a confidence limit of 99%. In the study, the following two forms were used: socio-demographic questionnaire, evaluation form for the use of health services. The data were evaluated with the 15.00 SPSS package program. To assess the data points, chi-square test and descriptive statistics such as percentage were used. RESULTS: The distribution of age groups of the children participating in the study is 37.4 ± 22.3 months (min: 0 months, max: 72 months). Of the children in the study, 52.1% were male. Of the 0-6 age group children in the study, 28.6% had a health problem and 20.8% presented to a medical facility. The institutions preferred most were state institutions. All of the children received at least one preventive health service. Of the children, 78.1% had permanent health care and 57.3% of them received health care from family health centers. There was a statistically significant difference between children with and without a congenital disease, and between children with and without social security. CONCLUSION: One of the results obtained from this study suggests that children with a congenital disease are expected to apply to health facilities more often. Another result is that having health insurance is an important factor which increases the use of health services.
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    Disability and the services for the disabled in Turkey; [Türkiye'de Özürlülük ve Özürlülere Sunulan Hizmetler]
    (Gulhane Military Medical Academy, 2012) Ulaş S.C.; Uçku R.
    In Turkey there are approximately 8.5 million (%12.3) disabled people. While the ratio of orthopedic, visual, auditory, speech, and talking disabilities and mental disability is 2.6%, the ratio of the people who have chronic diseases is 9.7%. In our country, by the beginning of 1982 Constitution, there have been a lot of legal regulations. If the services for disabled persons considered as social security-related legislation for care, healthcare, education, employment and practices; the legal regulation on the year 2005 (The Disability Law no. 5378) has covered many blankness and also evolved the services to the disabled people. However, despite these recent legal regulation it is questionable that if the services for the disabled are adequate or not. In this review, the services, which offered to the disabled people, are evaluated as the topics mentioned above.
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    Characteristics of women with unwanted pregnancies and reasons for contraceptive methods discontination: Sample of rural area; [İstenmeyen Gebelik Yaşayan Kadınların Özellikleri ve Kontraseptif Yöntemleri Bırakma Nedenleri: Kırsal Alan Örneǧi]
    (Gulhane Military Medical Academy, 2012) Ay S.; Yanikkerem E.; Mutlu S.
    AIM: The aim of the study was to explore the prevalence and characteristics of women with unwanted pregnancy in rural area and to examine pregnant women's contraceptive method preferences, satisfaction with the methods and reason the methods discontinuation. METHOD: This study was carried out in Manisa city rural area between the dates of January and June 2011 in women who agreed to participate in the study. The sample of the research is composed of 239 pregnant women. The research was a descriptive, cross-sectional and field study and the data was collected by using questionnaire which was prepared by researcher. Data was gathered through the face to face interview with the women at their home. Statistical analyses were undertaken using SPSS version 11.5. Descriptive analysis, Pearson's Chi-square (χ2) test, fisher exact test, and t-test were used statistical evaluation. RESULTS: Of the 239 pregnancies, 64 (26.8%) were unwanted pregnancies. The mean age of women was respectively 25.0±5.0, and 29.0±5.4 years, for wanted, and unwanted pregnancies. Women with unwanted pregnancies were older, less educated, they had less educated husbands, had low income level, had more pregnancies, deliveries, had less than two years interval between their births. Unwanted pregnancies were observed in women using the coitus interrupts method (%53.1), effective contraceptive methods (%54.3) and not using any method (%16.3) (p<0.05). The most reasons for discontinuation were reported pregnant women as follows: side effects of methods, disapproval for husband, pregnancy occurs using the method, believe for ineffective contraceptive methods. CONCLUSION: In order to reduce the number of unwanted pregnancies and wanted abortions which reversely affect the women healthy; an appropriate contraception method must be employed. Health care providers should identify women with unwanted pregnancy to understand women's concerns and experiences using contraception. This approach could help health care providers redesign counseling strategies to improve contraceptive continuation.
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    Knowledge and practices about the subject emergency contraception of the pharmacists and their helpers in the pharmacies in Manisa; [Manisa Il Merkez Eczanelerinde Çalisan Eczaci ve Kalfalarin Acil Kontrasepsiyon Konusunda Bilgi ve Uygulamalari]
    (Gulhane Military Medical Academy, 2012) Taspinar A.; Çoban A.; Öntürk E.; Büsra Özteke M.; Vural B.K.
    Aim: The study was carried out as descriptive to determine the knowledge and practices about the subject emergency contraception of the pharmacists and their helpers in the pharmacies in central Manisa. Method: The universe of the research was formed by the 113 pharmacies registered to Manisa chamber of pharmacists in the year 2008 and all the pharmacies were included in the study. 47 pharmacists and 88 helpers agreed to join the study. The research which was planned to be descriptive March-to-June 2008. A questionnaire was produced by researchers and filled in during face-to face interviews with the pharmacists and their helpers. Results: The pharmacists and their helpers stated that combined pills (46.8% and 44.5%) and condoms (41.5% and 42.7%) the most requested family planning methods their pharmacy. It was determined that 48.9% of the pharmacists, 33% of the pharmacist's helpers gave information to customers about their use of family planning methods, 38.3% of the pharmacists, 23.9 % of the pharmacist's helpers gave information what to do in case of failure to use/ where to apply to. 91.5% of the pharmacists, 95.5% of the pharmacist's helpers stated that they had emergency contraception (EC) purpose pills in their pharmacies. It was determined that 61.7% of the pharmacists, 28.4% of the pharmacist's helpers had the knowledge about EC, 61.7% of the pharmacists, 52.3% of the pharmacist's helpers could consider the EC methods true, 68.1% of the pharmacists, 70.5% of the pharmacist's helpers gave the correct answers to the question of when the EC - purpose pills would be used. 68.1% of the pharmacists, 45.5% of the pharmacist's helpers stated that EC methods might have adverse effects, 14.9% of the pharmacists, 25% of the pharmacist's helpers stated that EC methods were protect agains to STD or not information about it, 12.8% of the pharmacists, 9.1% of the pharmacist's helpers stated that these pills might be effective after the pregnancy occurred. It was determined that 53.2% of the pharmacists, 48.9% of the pharmacist's helpers got information about EC before. Conclusion: It was found out that the pharmacists and their helpers did not make enough counseling about the use of family planning methods, the knowledge level of the pharmacists and their helpers about emergency contraception was quite low, and they had some misinformation. It was also concluded that the pre-graduation education given to the pharmacists shout be upgraded with respect to adulth education principles so that they can act as EC consultants and wide-scale in-service aducation programmes which would also pharmacist's helpers, should be organized and participationin these programmes should be further ancouraged.
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    The situation of pregnant women exposure to violence by husband and the factors associated with violence; [Gebelerin eşi tarafından şiddete maruz kalma durumları ve şiddetle İlişkili faktörlerin İncelenmesi]
    (Gulhane Military Medical Academy, 2014) Sağkal T.; Kalkım A.; Uğurlu E.S.; Kırmızılar N.E.
    AIM: This study was planned to determine the pregnant women living in rural areas exposure the situation to violence by husband and the factors associated with violence.; METHODS: This descriptive cross-section research was conducted all of 5 Family Health Center located in the center of Odemis in İzmir. The study sample consisted of 230 pregnant women who are willing to participate in the study, which surveyed admitted to Family Health Center between December 2011 - February 2012. Data are collected through a questionnaire prepared by examining the literature. The questionnaire consists of a total of 20 questions which including socio-demographic characteristics of pregnant women (8 questions), pregnancy, physical, emotional, economic and sexual violence, to determine (12 questions). Data were collected by face to face interviews by the researchers, were evaluated with number, percentage and chi-square tests.; RESULTS: The average age of pregnant women was 25.75 ± 4.63 (min:15-max:40), who was 83% of willingly got pregnant, 43% of first pregnancy, 79.6% of during pregnancy support of husband, 67% of the support of the family, % 32.6 of her husband doesn’t use substance but use alcohol, 10.9% of pregnant women reported physical, 52.6% of emotional, 31.7% of economic and 8.3% were exposed to sexual violence.; CONCLUSİON: In this study, having pregnant woman and her husband to have graduated from primary school, moderate of the economic situation, unwilling pregnancy, lack of family support were the factors most strongly associated with violence. It is suggested that by health care institutions and health care providers must be routine screenings to determine violence during pregnancy. © 2014, Gulhane Military Medical Academy. All rights reserved.
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    Attitudes and perspectives on medical abortion of health service providers; manisa example; [Sağlık hizmeti sunanların güvenli düşük ve tıbbi düşük konusundaki tutum ve algıları; manisa örneği]
    (Gulhane Military Medical Academy, 2015) ÖZpıNar S.; Eser E.
    AIM: To better understand perceptions and perspectives of health service providers who provide medical abortion services and of senior students attending medical and nursing faculties in Manisa regarding medical abortion. METHODS: This study conducted in Manisa is a part of a Turkey-wide study on “health service providers’ knowledge about, attitudes towards and perspectives on safe abortion and medical abortion”. It is a descriptive study. The questionnaire prepared by the researchers consists of two sections: one targeting health service providers and the other targeting students. The questionnaires were completed by individuals in the study group. RESULTS: According to the survey results, service providers know at least one abortion method. According to the study group, abortion performed by non-medical midwives ranks first in the definition of unsafe abortion. In the study, 100.0% of the gynecologists, 84.7% of the general practitioners, 74.6% of the nurses / midwives stated that they were knowledgeable about Medical abortion. According to the study group, of the advantages of medical abortion, the one ranks first is that no anesthesia is administered and of the disadvantages of medical abortion, the one ranks first is that the process takes a long time. Twenty-five percent of the obstetricians, 67.8% of the general practitioners, 57.3% of the nurses / midwives, 55.2% of the medical students and 63.2% of the nursing / midwifery students were unwilling to perform medical abortion and/or to assist it. CONCLUSION: The study indicates that although health service providers displayed a positive attitude towards medical abortion, not all of them had enough knowledge about it. Thus, it is important that medical abortion providers should attend pre-graduate training programs and that post-graduate training programs should be organized. © 2015,Gulhane Military Medical Academy. All rights reserved.
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    The effect of sociodemographic variabels and obesity on the quality of life of the adult women, living ın suburban district on manisa province; [Manisa ilinde yarıkentsel bir bölgede yaşayan erişkin kadınlarda obezite ve sosyoekonomik durumun yaşam kalitesine etkisinin değerlendirilmesi]
    (Gulhane Military Medical Academy, 2015) Uğur Y.V.Ş.; Eser E.
    AIM: Although it is documented that obesity is strongly associated with morbidity and mortality, less is known about the impact of obesity on the health-related quality of life. The purpose of this study was to evaluate the effect of obesity and socio-economic factors on health- related quality of life (HRQoL) in a group women aged 20 to 65. METHODS: The sample size of cross-sectional study were identified 219 women(aged 20 to 65) among 1117 women living in Manisa Nurlupınar area. The data of this study was extracted from a survey. The dependent variables of this study was the domains of the World Health Organization quality of Life Questionnaire abbreviated version (WHOQOL-BREF) and Satisfaction With Life Scale(SWLS). Independent variables were socio-demographic variables, personality variables, relationships and the nutritional variables. RESULTS: The mean BMi of the women was 28,2±5,8. The mean scores of physical, psychological, social relations and the environment domains were determined respectively 14,3±3,2, 13,1±2,6, 13,6±3,2, 13,4±2,3. BMI, age, Household income, adequate food intake, close friends, family relationships, personality perception variables have been found to affect the quality of life in the univariate analysis. BMI was found to be a significant independent predictor of quality of life and life satisfaction in the final regression model. CONCLUSION: obesity as independent of sociodemographic variables negatively affects quality of life and life satisfaction in women. © 2015,Gulhane Military Medical Academy. All rights reserved.
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    Partner violence, depression and loneliness in pregnant women living in rural and urban areas; [Kırsal ve kentsel alanda yaşayan gebelerin depresyon, yalnızlık ve şiddete maruz kalma durumları]
    (Gulhane Military Medical Academy, 2016) Kapan M.; Yanıkkerem E.
    Aim: Partner violence during pregnancy has been recognized as an important health/human right issue and is associated with adverse health consequences for both fetus and woman. The aim of the study was to investigate partner violence, depression and loneliness in pregnant women living in rural and urban areas of Turkey. Methods: This study was performed with pregnant women recruited from those making an appointment for antenatal care at two hospitals between September 2012 and February 2013 (n=600). The questionnaire contained questions about women’s characteristics, Domestic Violence against Women Determination Scale, Beck Depression Inventory (BDI) and UCLA Loneliness Scale. Chi-square, parametric (t-test and ANOVA), non-parametric (Mann– Whitney U-test and Kruskal–Wallis test for n <30), and Pearson’s correlation test were used to evaluate for data. Results: Women who exposed to partner violence and had depressive symptoms during pregnancy were less educated, had low income levels, were unemployed, lived in rural areas or in slums, stayed in the same house with five or more people, had lower educated husband, had been married for 6-10 years, got married twice or more, had unsatisfied with marital life, had chronic disease, were multiparous, had more children, had miscarriage, desired male baby, had unplanned pregnancy, exposure to partner violence before pregnancy. The variables with a significant association to loneliness were: young age, husband who had lower education, having low income, lived in rural area, multiparity, having more children and having chronic disease. Conclusions: Women who experienced partner violence during pregnancy were more likely to report depressive symptoms and loneliness. Early diagnosis, treatment and monitoring of the women are important for improvi ng women’s health. © GATA.
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    Rational use of medicine in some family health centers in Manisa; [Manisa ilindeki bazı aile sağlığı merkezlerinde akılcı ilaç kullanımı]
    (Gulhane Military Medical Academy, 2016) Hatipoğlu S.; Özyurt B.C.
    Objective: In our study, over 18 people in two different locations in Manisa is intended to rational use of medicine and the factors that influence drug use. Methods: 550 people, living in two family health center in Manisa participated to this descriptive study. Data were collected by using questionnaire. The questionnaire consisted of 56 questions about the demographic characteristics and the attitudes of the applicants drug use. Descriptive statistics were used for summarizing the data and the chi-square test was used to compare the categorical variables. Result: The mean age of the participants was 39.47±13.85. Of the total participants, 51.6% were male, 28.4% were university graduated, 81.6% have Social Security İnsurance. Participants 76% stated that they use medicines without consulting medical doctors. In the elementary families, in still working people, in which more than expenses even, in his own and his wife secondar and higher education, in well general health status, in medicine with attention to using prescriptions in by storage conditions were found to be the use of more rational drug Totally, 85.5% of the participants had drugs at home without using. Analgesics were the most frequently drugs held at home. Conclusion: Most participants of this study had the behavior of irrational drug use. © GATA.
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    Variables affecting quality of care of the outpatients having a chronic condition; [Kronik hastalığı nedeniyle ayaktan izlenen hastaların aldıkları sağlık hizmetlerinin niteliğini etkileyen değişkenler]
    (Gulhane Military Medical Academy, 2016) Dede B.; Sarı M.; Gürsul A.; Hanedar A.; Gadis A.; Görgülü B.; Eti B.; Kalay C.; Aydin H.; Güler H.A.; Kala İ.; Görgülü K.; Dilşen M.; Yıldırımkaya U.; Tuğba S.; Eser E.
    Objective: The best known, most effective and widely used model for chronic illness management is “Chronic Care Model”. Patient Assessment of Care for Chronic Conditions (PACIC) (KBDh) is designed according to this model. The objectives of this study are; 1. To test the sensitivity of PACIC to diverse socio-economic and condition specific variables and 2. To define the quality of care (QOC) and the affecting variables on QOC of the patients in the outpatient wards of CBU hospital. Materials and Methods: In this descriptive study, we enrolled patients from Celal Bayar University Hospital, Departments of Internal Medicine (Endocrinology, Nephrology, Rheumatology, Oncology, and Gastroenterology), Neurology, Dermatology, and Pulmonary Medicine outpatient clinics. Patients were under follow-up care for more than 6 months (n=295) and they were asked to fill the survey containing PACIC scale, socio-demographic variables and other morbidity variables. Type 1 error was adopted as 0.05 and the SPSS 15.0 was used for statistical analysis. Results: The mean age was 51.6±15.2; 18.3% of patients aged 65 and over, and 64.7% were female. 28.8% of patients had type 2diabetes, 29.5% had hypertension, 16.7% had COPD, 15.5% had neurological disease (migraine, epilepsy, MS) and 9.5% had chronic allergic diseases. The mean duration of disease was 9.3±7.9 years, and there was at least one comorbidity in 48.8% of the patients. The overall PACIC scale score was 2.81±0.86. Lower education and income status; the lack of social security and migration to the region negatively affected the quality of follow-up (p<0.05). Patients with hypertension were more negatively affected than the other chronic illness patients in terms of patient activation and goal setting/tailoring dimension scores (p<0.05). Having continuous monitoring by a particular physician and having this physician as primary care physician increased the quality of monitoring (p<0.05). Also, for all chronic diseases and for all dimensions, improvement in quantity of monitoring improved quality of monitoring. Conclusion: Given the PACIC (KBDh) the total score and dimension scores and considering that patients were followed at a university hospital, the scores in this study show that the quality of monitoring is not sufficient level of. Monitoring of the patients in primary care conditions instead of at the second level improves the quality of follow-up. © GATA.