Browsing by Subject "COMPLEMENTARY"

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    The effect of Reiki on depression in elderly people living in nursing home
    (NATL INST SCIENCE COMMUNICATION-NISCAIR) Erdogan, Z; Cinar, S
    The aim of this study was to evaluate the effect of Reiki on depression in elderly persons living in nursing homes. The study was conducted randomized, controlled and experimental. The study universe consisted of 170 elderly and due to the long duration of the study and 90 elderly who volunteered for the study and fulfilled the inclusion criteria formed the sample. Ninety elderly individuals who were included in the study were separated into 3 groups using the random sampling method: 30 in the reiki group, 30 in the sham reiki group, and 30 in the control group. Data was collected using the Geriatric Depression Scale (GDS). There was a significant decrease in depression score of the Reiki group while there was no significant difference in depression scores of the sham Reiki and control group on the 4th, 8th and 12th weeks considering 1st week. In addition, the depression score of the Reiki group was lower than the depression scores of the sham Reiki and control group on the 4th, 8th and 12th weeks. The results of this study indicate that Reiki might be effective for reducing depression in elderly persons living in nursing homes.
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    Depression and anxiety levels in woman under follow-up for breast cancer: relationship to coping with cancer and quality of life
    (HUMANA PRESS INC) Karakoyun-Celik, O; Gorken, I; Sahin, S; Orcin, E; Alanyali, H; Kinay, M
    Aim The relation of anxiety and depression levels with characteristics of coping with the disease and quality of life were evaluated in women under follow-up for breast cancer. Materials and Methods Patients who had presented to the breast cancer polyclinics for follow-up were evaluated. The Beck Depression and the State-Trait Anxiety inventories were used in the evaluation of depression and anxiety levels. In order to evaluate their power to cope with cancer, the patients were questioned for a social support network. EORTC QLQ-C30 and QLQ-BR23 questionnaires were applied for quality of life evaluations. Results There were 23 (19%) patients with depression; 3 (2.5%) with grade I anxiety, 94 (77%) grade II, and 23 (19%) grade III anxiety, respectively. Depression and anxiety levels were affected by the following parameters: being unaccompanied by spouse for hospital follow-ups (P < 0.0001); request to get help by a psychologist (P = 0.02); presence of a person to share their problems (P < 0.0001); and using an alternative treatment (P = 0.04). In the quality of life evaluations, difficulty in sleeping, emotional status, fatigue, and body appearance were related with both depression and anxiety (P < 0.05 for all), whereas physical function (P = 0.002), role performance (P = 0.005), cognitive condition (P < 0.0001), social position (P < 0.0001), pain (P < 0.0001), general health (P < 0.0001), treatment methods (P = 0.001), future anxiety (P < 0.0001), and arm symptoms (P = 0.001) were negatively affected in patients with depression. Conclusion High depression and anxiety levels in patients under follow-up for breast cancer influence the coping with cancer and quality of life adversely.
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    The effect of dark chocolate and music on pain and anxiety in young women with primary dysmenorrhea: Randomized controlled trial
    (ELSEVIER SCIENCE INC) Selçuk, AK; Baysal, E
    Introduction: Music medicine and dark chocolate may be potentially effective in helping reduce pain and anxiety in primary dysmenorrhea (PD). The aim of the study was to determine the effects of music medicine and dark chocolate on primary dysmenorrhea related pain intensity and anxiety level in young women.Methods: This was was a non-blinded, three-parallel group randomized controlled trial. The study included 18-25-year-old nulliparous nursing students with PD having a regular menstruation cycle and a Visual Analog Scale (VAS) severity of menstrual pain of 5 and over during the previous 6 months. Ninety nursing students were randomly allocated into one of the three groups; dark chocolate, music, or control. The study was completed with 84 nursing students because some participants did not want to continue the study and used analgesics. In the first month, 84 students (chocolate: 30, music: 25, control: 29) completed the State-Trait Anxiety Inventory (STAI). In the second month, menstrual pain intensity and state anxiety were measured on the first day of menstruation using VAS and STAI, respectively, on 84 students. The dark chocolate group had dark chocolate for three days before menstruation and on the first day of menstruation in the third month. The music group listened to a song for the same four days. The pain scores and state anxiety were measured in all groups after the interventions.Results: Mean menstrual pain intensity and mean anxiety level in the dark chocolate and music group decreased significantly after the intervention. No significant difference was observed in the control group. The difference between menstrual pain intensity and anxiety levels of the groups was tested by analysis of variance, and the standardized effect size calculated at 95% confidence level, and alpha = 0.05 was 0.35 and 0.42, respectively.Conclusions: Both dark chocolate and music medicine significantly reduced menstrual pain and anxiety in young women with primary dysmenorrhea. Further research is needed to draw stronger conclusions on their impact on controlling menstrual pain and anxiety in primary dysmenorrhea as a nursing intervention. clinicaltrials.gov. (Clinical Trial registration number: NCT04911673).
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    A multicenter survey of childhood asthma in Turkey - II: Utilization of asthma drugs, control levels and their determinants
    (WILEY) Soyer, OU; Beyhun, NE; Demir, E; Yildirim, S; Boz, AB; Altinel, N; Cevit, O; Karakas, T; Anlar, Y; Sögüt, A; Altintas, D; Canitez, Y; Büyükdereli, Z; Sekerel, BE
    Many surveys worldwide have consistently demonstrated a low level of asthma control and under-utilization of preventive asthma drugs. However, these studies have been frequently criticized for using population-based samples, which include many patients with no or irregular follow-ups. Our aim, in this study, was to define the extent of asthma drug utilization, control levels, and their determinants among children with asthma attending to pediatric asthma centers in Turkey. Asthmatic children (age range: 6-18 yr) with at least 1-yr follow-up seen at 12 asthma outpatient clinics during a 1-month period with scheduled or unscheduled visits were included and were surveyed with a questionnaire-guided interview. Files from the previous year were evaluated retrospectively to document control levels and their determinants. From 618 children allocated, most were mild asthmatics (85.6%). Almost 30% and 15% of children reported current use of emergency service and hospitalization, respectively; and 51.4% and 53.1% of children with persistent and intermittent disease, respectively, were on daily preventive therapy, including inhaled corticosteroids. Disease severity [odds ratio: 12.6 (95% confidence intervals: 5.3-29.8)], hospitalization within the last year [3.4 (1.4-8.2)], no use of inhaled steroids [2.9 (1.1- 7.3)], and female gender [2.3 (1.1-5.4)] were major predictors of poor asthma control as defined by their physicians. In this national pediatric asthma study, we found a low level of disease control and discrepancies between preventive drug usage and disease severity, which shows that the expectations of guidelines have not been met even in facilitated centers, thus indicating the need to revise the severity-based approach of asthma guidelines. Efforts to implement the control-based approach of new guidelines (Global Initiative for Asthma 2006) would be worthwhile.
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    Evaluation of outpatient cancer patients' use of nonpharmacological methods in the management of chemotherapy-induced nausea and vomiting
    (CUKUROVA UNIV, FAC MEDICINE) Ergin, E; Midilli, TS; Akdag, E; Kirgöz, C
    Purpose: The present study aimed to investigate nonpharmacological methods in managing chemotherapy-induced nausea and vomiting by outpatient cancer patients. Materials and Methods: This descriptive study was conducted in the outpatient chemotherapy unit of Hafsa Sultan Hospital, Faculty of Medicine, Manisa Celal Bayar University, with 251 cancer patients receiving chemotherapy. The study data were collected using the Patient Information Form and the Nausea Visual Analogue Scale (VAS). Results: Of the patients, 88% (n=221) experienced nausea and vomiting before chemotherapy. The mean score of these patients from the VAS was moderate (5.24 +/- 1.84). Of the patients, 82.1% (n=206) used nonpharmacological methods to prevent nausea and vomiting. According to their statements, of the patients who used nonpharmacological methods, 83.5% (n = 172) took hot and cold showers, 50.5% (n = 104) drank herbal teas, 35% (n = 72) had massage. Conclusion: The severity of nausea was moderate. Most of the patients used nonpharmacological methods. Of these methods, the one used most frequently was taking hot and cold showers. It is recommended that nurses should guide and encourage patients to use evidence-based nonpharmacological methods.
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    Perception of problem solving skills in cancer patients according to certain variables and control focus
    (PAKISTAN MEDICAL ASSOC) Turkmen, SN; Tavsanli, NG
    Objective: 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.