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Öğe Attitudes of Turkish midwives and nurses working at hospitals towards people living with human immunodeficiency virus/acquired immune deficiency syndrome(Wiley, 2012) Kostak, Melahat Akgun; Unsar, Serap; Kurt, Seda; Erol, OzgulHealth professionals caring for people living with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) show poor or negative attitudes because of fear of contagion. Therefore, it is important to know the attitudes of midwives' and nurses' towards people living with HIV/AIDS. The aim of this descriptive and cross-sectional study is to assess the attitudes of Turkish midwives and nurses working at hospitals to people living with HIV/AIDS and to identify factors that affect these attitudes. A group of 46 midwives and 192 nurses working in hospitals were included in the study. Data were collected through AIDS Attitude Scale. Age, professional experience, number of children and marital status influenced the attitudes of the participants towards people living with HIV/AIDS. We concluded that higher level of education appear to positively influence the attitudes of the participants. Education programmes including evidence-based nursing implications might be planned to improve positive attitudes and to prevent stigmatization of people living with HIV/AIDS.Öğe Caregiving burden, depression, and anxiety in family caregivers of patients with cancer(Elsevier Sci Ltd, 2021) Unsar, Serap; Erol, Ozgul; Ozdemir, OzlemPurpose: The purpose of this cross-sectional study was to determine the caregiving burden, depression and anxiety of family caregivers of Turkish patients with cancer and the affecting factors. Methods: This cross-sectional study was conducted between January-May 2018 with one hundred and fifty-eight caregivers and one hundred and fifty-eight patients with cancer who were treated at a university hospital in Edirne, Turkey. Data were collected with a questionnaire form, Zarit Burden Interview (ZBI) Scale and the Hospital Anxiety Depression Scale (HADS). Results: This study found that 51.3% of the patients with cancer were male, 70.3% of the caregivers were female and more than half of them (57.0%) were the spouses of the patients. The mean ZBI score of the caregivers was 24.62 +/- 14.19. There was a positive relationship between the ZBI scores and HADS scores of family caregivers (p < 0.05). As the caregiving burden of caregivers increased, their anxiety and depression levels were increased too. It was found that as the caregiving duration of family caregivers increased, the caregiving burden increased, and caregivers' anxiety depression scores got worse (p < 0.05). In the multivariate analysis, the duration of care giving per day/hours, ECOG score and the age of the caregiver independently affected the caregiving burden (p < 0.05). As the functional status of the patient with cancer got worse, caregiving burden increased. Caregiving burden was found to be higher in those who were younger, female and giving care for longer times per day (p < 0.05). Conclusion: This study found that as the caregiving burden and caregivers' daily patient care duration increased, the level of anxiety and depression increased too. Caregivers of patients with cancer should take appropriate psychological intervention to decrease their distress. In addition, we thought that healthcare professionals must consider the factors affecting the caregiving burden which affect the patient care directly.Öğe A comparison of men and women's experiences of chemotherapy-induced alopecia(Elsevier Sci Ltd, 2013) Can, Gulbeyaz; Demir, Melike; Erol, Ozgul; Aydiner, AdnanPurpose: The effect of alopecia on men and women has not been fully documented in the literature, especially for Turkish cancer patients. The aim of this study was to determine the incidence of chemotherapy-related alopecia and how it affects the body image and quality of life of Turkish male and female cancer patients, in order to identify variables that may be important in the perception of this problem. Methods: This descriptive study was carried out between November 2010 and June 2011 at Istanbul University Institute of Oncology; 201 men and 204 women attended. A face-to-face interview was performed during chemotherapy, and the effects of alopecia on cancer patients were assessed using the Patient Information Form, Body Image Scale, and Nightingale Symptom Assessment Scale. Results: The study group consisted of 55.1% female and 44.9% male patients. Most of the patients experienced partial or total alopecia during chemotherapy. There were no differences between men and women with regard to body image in respect of degree of alopecia, but the body image of the male and female patients who had partial or complete alopecia was lower than that in patients who had no alopecia; psychological well-being of women was lower than that in men, because the incidence of alopecia was higher in women. Conclusions: This study contributes new knowledge on the cultural characteristics of Turkish patients, which may assist other researchers working with different international populations. Alopecia is a difficult side effect for both men and women. Health professionals should assess and educate patients differently from the current standard. (C) 2012 Elsevier Ltd. All rights reserved.Öğe Comparison of the health-promoting lifestyles of nursing and non-nursing students in Istanbul, Turkey(Wiley, 2008) Can, Gulbeyaz; Ozdilli, Kursat; Erol, Ozgul; Unsar, Serap; Tulek, Zeliha; Savaser, Sevim; Ozcan, SeydaUndertaking a health-related course at university can facilitate an awareness of health-promoting lifestyles. We carried out a descriptive and cross-sectional study with 1616 university students in Istanbul, Turkey. Students from the nursing schools were compared to those from the schools of social sciences using a Turkish version of the Health-promoting Lifestyle Profile (HPLP) II after a validation study. The nursing students had more positive health-promoting lifestyles than those of the non-nursing students. Furthermore, fourth-year nursing students had higher scores in most of the subscales of the HPLP II than did the students from the lower years; conversely, the fourth-year non-nursing students had lower scores. The sociodemographic variables, self-perceived health status, relations with family and friends, and self-perceived academic performance were associated with the HPLP. The implications are discussed for the curricula and on-campus facilities that focus on health promotion activities.Öğe The effect of discharge training and telephone counseling service on patients' functional status and caregiver burden after stroke: A randomized controlled trial(Asean Neurological Assoc, 2023) Bitek, Deniz Ezgi; Erol, OzgulObjective: This study aimed to determine the effect of discharge training and telephone counseling service on patients' functional status and caregiver burden after stroke. Methods: This study was conducted as a randomized controlled trial in 69 stroke patients and their caregivers. Discharge training and telephone counseling were given to the caregivers in the intervention group. Caregivers also received telephone counseling by calling researcher when needed. Information form for participants, Modified Rankin Scale, Barthel Index and The Zarit Caregiver Burden Scale were used for data collection. Pre-tests were applied to the intervention and control groups before discharge. Three months after discharge post-tests were performed for the two groups. Results: Three months after discharge, caregivers' burden was significantly lower in the intervention group compared to the control group. The mean Modified Rankin Scale score of the patients in the intervention group was significantly lower than the control group three months after discharge. Although the mean Barthel Index score of the patients in the intervention group was statistically significant higher than before discharge, but the difference between the groups was not statistically significant. Conclusion: Discharge training and telephone counseling provided to the caregivers of stroke patients reduced the caregiver burden and had a positive effect on the improvement of the functional status of the patients.Öğe Effects of alopecia on body image and quality of life of Turkish cancer women with or without headscarf(Springer, 2012) Erol, Ozgul; Can, Gulbeyaz; Aydiner, AdnanThe aim of this study was to find out the effects of chemotherapy-related alopecia on body image and quality of life of Turkish women who have cancer with or without headscarves and factors affecting them. This descriptive study was conducted with 204 women who received chemotherapy at the Istanbul University Institute of Oncology, Turkey. The Patient Description Form, Body Image Scale and Nightingale Symptom Assessment Scale were used in data collection. Statistical analyses were performed using descriptive statistics and non-parametric tests. Logistic regression analysis was done to predict the factors affecting body image and quality of life of the patients. No difference was found between women wearing headscarves and those who did not in respect of their body image. However, women who wore headscarves who had no alopecia felt less dissatisfied with their scars, and women not wearing headscarves who had no alopecia have been feeling less self-conscious, less dissatisfied with their appearance. There was difference in terms of quality of life: women wearing headscarves had worse physical, psychological and general well-being than others. Although there were many important factors, multivariate analysis showed that for body image, having alopecia and wearing headscarves; and for quality of life, having alopecia were the variables that had considerable effects.Öğe Evaluation of Sexual Function Among Women With or Without Diabetes(Springer, 2019) Yacan, Lale; Erol, OzgulThis descriptive study was conducted to compare the sexual function among women with and without diabetes. The study was conducted with 30 women with type 1 diabetes, 30 women with type 2 diabetes attending a diabetes policlinic at a university hospital and 30 women without diabetes, between the dates of September 2015 and December 2016. Patient Information Form and The Female Sexual Function Index (FSFI) were used for data collection. p<0.05 value was accepted as statistically significant. There was a significant difference between the mean scores of desire, arousal, lubrication, orgasm, satisfaction and pain subscales of FSFI in women with type 1 diabetes, type 2 diabetes and without diabetes (p<0.05). As the fasting plasma glucose level of women with type 1 diabetes increased, their sexual desire decreased. Women with type 2 diabetes experienced less arousal, as the duration of their diabetes increased, and they experienced less arousal and orgasm as their glycosylated hemoglobin value increased. As the post-prandial glucose level of women with type 2 diabetes increased, they experienced less arousal, orgasm, satisfaction and more pain in their sexual lives. The study results demonstrated that women with diabetes had more sexual concerns in comparison to women without diabetes, and women with type 2 diabetes had more sexual concerns compared to women with type 1 diabetes. It has been recommended to increase the awareness of nurses about the effects of diabetes on sexual health and assess sexual function of women with diabetes.Öğe Hypoglycemia Fear and Self-efficacy of Turkish Patients Receiving Insulin Therapy(Elsevier Science Inc, 2011) Erol, Ozgul; Enc, NurayPurpose: The purpose of this study was to determine hypoglycemia fear and self-efficacy levels of patients receiving insulin and the factors affecting these levels. Method: In total, 345 diabetic patients who met the inclusion criteria participated in this descriptive, correlational study. Patients were invited to participate in the study during their regular visits to the diabetes outpatient clinic of Istanbul University, Istanbul Medicine Faculty. Data were collected using a patient-information form as well as the Hypoglycemia Fear Survey and Confidence in Diabetes Self-care Scale. Results: It was found that patients who had type 1 diabetes, received intensive insulin therapy and experienced more frequent and severe hypoglycemia had more hypoglycemia worry and fear. It was also determined that patients who had type 1 diabetes and received intensive insulin therapy had higher self-efficacy levels than patients who had type 2 diabetes and received conventional therapy. Conclusion: The effects of experiences of frequent and severe hypoglycemia in patients with diabetes emphasize the need for programs that support diabetes-specific self-efficacy and also guide and teach hypoglycemia prevention. Copyright (C) 2011, Korean Society of Nursing Science. Published by Elsevier. All rights reserved.Öğe Non-pharmacological interventions used by cancer patients during chemotherapy in Turkey(Elsevier Sci Ltd, 2011) Can, Gulbeyaz; Erol, Ozgul; Aydiner, Adnan; Topuz, ErkanPurpose: Although there are many non-pharmacological practices being recommended for symptom management, most patients prefer to use pharmacological interventions. This study assesses the non-pharmacological interventions used by cancer patients for symptom management during chemotherapy and the factors affecting its use. Method: This study was conducted at the Istanbul University Institute of Oncology. Turkey, with 202 patients. Personal characteristics, illness-related characteristics, symptom severity and non-pharmacological interventions used by the patients were assessed by using Patient Description Form, ECOG and Nightingale Symptom Assessment Scale. Results: Most of the patients in this study were living in Istanbul, 58.4% were women, 78.7% were married and their mean age was 48.82 +/- 1.44. Most of the patients experienced different symptoms related to chemotherapy, but only a small number of patients preferred to use and benefited from the non-pharmacological interventions in their symptom management. There were different factors affecting the well-being of the patients, but only being young was found to be an important variable in the use of psychological interventions (OR 3.06 [95% Cl 1.17-7.96]). Conclusions: Physicians remain the central figure in the treatment of cancer patients, so oncologists and oncology nurses should be more proactive and innovative in their patient care, education, and counseling to maximize the use of non-pharmacological interventions that may be helpful in symptom management. Further research evaluating the use and effectiveness of non-pharmacological interventions on symptom management in cancer patients is needed. (C) 2010 Elsevier Ltd. All rights reserved.Öğe Nursing students' perceptions about nursing care plans: A Turkish perspective(Wiley-Blackwell, 2012) Can, Gulbeyaz; Erol, OzgulThis descriptive study was planned in order to assess self-perceived sufficiency levels of nursing students at preparing nursing care plans and also determine the effect of these plans on students' occupational development. Sample of the study was consisted of 55 nursing students who were taking oncological training. Data were collected by using Personal Information Form and Student Care Plan Evaluation Form. Non-parametric tests were used in data analysis. Students perceived themselves 'insufficient' although assessing reproductive neurological and cardiovascular systems, respectively, and also interpreting results of hemogram and urine tests. No significant difference was found between the initial and last nursing care plans prepared by the students during clinical training. Sixty % of students reported that preparing and implementing nursing care plans had favourable effects on their occupational development. Results suggest that students should be well prepared before clinical training programmes and also nursing care plans should be revised and used in more proper and practical ways in order to enhance students' occupational development.Öğe Pain experiences of patients with advanced cancer: A qualitative descriptive study(Elsevier Sci Ltd, 2018) Erol, Ozgul; Unsar, Serap; Yacan, Lale; Pelin, Meryem; Kurt, Seda; Erdogan, BulentPurpose Uncontrolled pain, especially in patients with advanced cancer, affects quality of life negatively and causes negative physical and psychological conditions. The aim of this study was to explore the pain experiences of patients with advanced cancer and how they manage with pain, and to present a view of pain management approaches of nurses from the perspectives of the patients. Methods: This was a qualitative descriptive study of sixteen hospitalized patients with advanced cancer. Data were collected using semi-structured interviews with patients. Data were analysed by Colaizzi's phenomen-logical method. Results: This study found that patients with advanced cancer who had pain experienced anxiety, helplessness, hopelessness and many restrictions in daily life as well as inability to manage with pain. Most of the patients with advanced cancer were not satisfied with their nursing care with regard to pain management. The themes that emerged were pain perception and experiences, effects of pain on daily life, pain management and management strategies and the patients' perspectives about nursing approaches to pain. Conclusions: This study demonstrated the difficulties of patients with advanced cancer who experienced pain in their daily lives, yet lack pain management strategies. Furthermore, nurses' caring approaches to patients with advanced cancer who experienced pain was found inadequate. Oncology nurses should provide educational interventions in order to enhance knowledge and skills about pain assessment and non-pharmacologic and pharmacologic strategies used in pain management.Öğe Quality of life and complementary and alternative medicine use among cancer patients in Turkey(Elsevier Sci Ltd, 2009) Can, Gulbeyaz; Erol, Ozgul; Aydiner, Adnan; Topuz, ErkanAim: The purpose of this study was to assess the relationships between quality of life and use of complementary and alternative medicine (CAM) among Turkish cancer patients. Methods: This cross-sectional study was conducted in Istanbul University Institute of Oncology, Turkey. Two-hundred patients were invited and informed consent was obtained, however 179 cancer patients completed the study. The Patient Characteristics form, The Nightingale Symptom Assessment Scale and The Functional Assessment of Cancer Therapy Scale were used in the evaluation of the patients' characteristics and quality of life. Results: Some form of CAM had been used by 71.5% of the sample. Frequently used CAM methods appeared to be religious practices (68.2%) and only 37.4% of the patients used herbs. However, female patients, single patients, and individuals with metastatic disease and worse quality of life showed a tendency to use CAM more often. More than one-third of our patients began to use CAM immediately after being diagnosed with cancer and factors associated with CAM use varied according to the type of CAM. Although CAM use did not affect the patients' quality of life, logistic regression analysis revealed that gender, type of cancer diagnosis and education level were important factors to be considered in different CAM therapies. Conclusion: CAM use is common in cancer patients in Turkey. More discussion about CAM use should take place between patients and health professionals to inform the patients' decisions. (C) 2009 Elsevier Ltd. All rights reserved.Öğe The self-care agency in dialyzed patients(John Wiley & Sons Inc, 2007) Unsar, Serap; Erol, Ozgul; Mollaoglu, MukadderBackground. The number of patients with end-stage renal disease is increasing steadily. The aim of the present study was to evaluate self-care agency and to determine the factors affecting patients undergoing hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD). Methods and Materials. This cross-sectional study was based in the Turkish city of Edirne. The sample comprised 77 patients on maintenance HD and 15 patients on maintenance CAPD. Data were collected through a self-report questionnaire and the Exercise of Self-Care Agency Scale, which was developed by Kearney and Fleischer. Results. The maximum score in the Kearney and Fleischer scale is 140, which indicates the highest degree of self care. The overall self-care agency mean score of the participants in this study was 113 +/- 18.33 (range, 48-137). No significant difference was found between the HD and CAPD groups. Variables such as sex, health perception, no complications during dialysis therapy, and maintaining a suitable diet were significantly related to self-care agency. Male patients had a higher overall self-care agency mean score than did women. Patients who maintained a suitable diet, who did not have complications during dialysis therapy, who perceived their health as good, ; and whose families were not affected negatively by dialysis therapy had higher overall self-care agency mean scores than the others. Conclusions. The overall self-care agency mean score of the dialyzed patients was found to be moderate in level. Compliance programs may help patients and families cope with dialysis-related problems. Patients should be given support in handling self-care capabilities.Öğe Student nurses' perceptions of aggression: An exploratory study of defensive styles, aggression experiences, and demographic factors(Wiley, 2016) Bilgin, Hulya; Ozcan, Neslihan Keser; Tulek, Zeliha; Kaya, Fadime; Boyacioglu, Nur Elcin; Erol, Ozgul; Coban, Sibel ArguvanliThroughout the clinical learning process, nursing students' perception of aggression might have implications in terms of their future professional behavior toward patients. Using a descriptive cross-sectional design, we investigated the relationships between student nurses' perceptions of aggression and their personal characteristics, defense styles, and a convenience sample of 1539 experiences of aggressive behavior in clinical practice. Information about the students' personal features, their clinical practice, and experiences of aggressive behavior was obtained by questionnaire. The Turkish version of the Perception of Aggression Scale and Defense Styles Questionnaire-40 were also used. Students were frequently exposed to verbal aggression from patients and their relatives. And perceived patient aggression negatively, perception of aggression were associated with sex, defense styles, feelings of safety, and experiences of aggressions during clinical practice. Of interest is the reality that student nurses should be prepared for untoward events during their training.
