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    Are Refugee and Native Patients’ Self-Care Agencies the Same?-A Cross-sectional Study in Chronic Hemodialysis Patients in Turkey
    (GALENOS PUBL HOUSEKacamak Sokak 21/1, ISTANBUL, Findikzade 34093, TURKEY, 2023) Kıskaç, Neşe; Rashidi, Mahruk; Cebeci, Egemen; Çoban, İlkay; Şekerci, Abdüsselam
    Objective: It was aimed to compare self-care agency of refugee and native populations in chronic hemodialysis patients. Methods: The study was conducted with 33 refugees and 48 native patients in the hemodialysis unit of a training and research hospital in our country. Data were collected through face-to-face questionnaire. IBM SPSS statistics program was used to evaluate the data. Results: In the study, there was a significant difference between two populations in terms of drug use (p=0.041, p<0.05) and selfmonitoring (p=0.048, p<0.05), which were sub-dimensions of the self-care scale, but there was no significant difference between two populations in terms of the total self-care agency scores (p=0.768). It was determined that there was no significant correlation between the sub-dimensions of self-care agency and the year the refugees lived in our country and the months they underwent hemodialysis (p>0.05). Conclusion: It was observed that in chronic hemodialysis patients, the situation of meeting their self-care was the same in the refugee and native populations, while the refugees were insufficient in the use of drugs and the native population in self-monitoring. It is thought that it is necessary to get support from a hospital interpreter in order to eliminate language problems while giving self-care training to refugees, and it is thought that it will be appropriate to conduct the study with groups with different chronic diseases.
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    Determination of the relationship between self-care agency and sleepiness in chronic hemodialysis patients
    (Assoc Medica Brasileira, 2023) Kiskac, Nese; Rashidi, Mahruk; Cebeci, Egemen; Coban, Ilkay; Kiskac, Muharrem
    OBJECTIVE: This study was conducted to determine the relationship between self-care agency and sleepiness in chronic hemodialysis patients.METHODS: The study was conducted with 75 patients with chronic renal failure in the hemodialysis unit of a training and research hospital in our country. In the descriptive study, the data were collected through a face-to-face questionnaire. The IBM SPSS Statistics 22.0 program was used to evaluate the data.RESULTS: It was determined that there was no significant relationship between self-care agency and sleepiness total scores in chronic hemodialysis patients (p>0.05) and a significant relationship between sleepiness and drug use compliance and mental status in female patients and between diet compliance and sleepiness in patients younger than 52 years of age (p<0.05).CONCLUSION: As a result, it was observed that there was no relationship between self-care agency and sleepiness in chronic hemodialysis patients. We think that working with a larger sample group can lead to clearer results.
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    Effect of Blood Glucose Monitored Before Dialysis on Hypoglycemia During Dialysis in Adult Acute Hemodialysis Patients: A Multicenter Study
    (Galenos Publ House, 2024) Coban, Ilkay; Kiskac, Nese; Cebeci, Egemen; Yenen, Vedat Zeki
    Aim: Individuals receiving hemodialysis treatment may observe glucose fluctuations due to decreased plasma glucose concentration and insulin level. The aim of this study was to evaluate pre-dialysis blood glucose measurements in acute hemodialysis patients to reduce complications that may occur during this process. Methods: The study design was an observational-retrospective one. A total of 200 files belonging to the last 3 months in three centers were scanned between August 1, 2022, and September 30, 2022. While the files were being scanned, the 30-question Hypoglycemia in Hemodialysis patient form was used, and the IBM Statistical package for the social sciences 26.0 statistical program was used to evaluate the data. Results: Hypoglycemia developed during hemodialysis in 4 of 104 patients whose blood glucose was checked before hemodialysis and in 2 of 96 patients whose blood glucose was not measured. It was determined that there was no significant difference (p>0.05) in terms of the rate of development of hypoglycemia between patients whose blood glucose levels were checked before hemodialysis and those who did not. Conclusion: The study's results suggest that acute hemodialysis patients' pre-dialysis hypoglycemia does not influence the hypoglycemia that develops during the session.
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    Mental Health of the Refugee and Native Patients with End-Stage Renal Diseases Receiving Hemodialysis During COVID-19 in Istanbul: A Cross-Sectional Study from a Tertiary Center
    (GALENOS PUBL HOUSE, Kaçamak Sokak 21/1, ISTANBUL, Fındıkzade 34093, TURKEY, 2021) Yalçın, Murat; Başhan, Yağmur; Arpacıoğlu, Selim; Karaş, Hakan; Cebeci, Egemen
    Aim: Patients receiving hemodialysis (HD) are at high risk for developing psychiatric symptoms. The aim of this study is to investigate the levels and correlates of depression, anxiety, somatization and post-traumatic stress disorder (PTSD) symptoms of refugee HD patients and compare to native HD patients. Methods: This is a descriptive study with a cross-sectional design. A total of 58 refugee (n=27) and native (n=31) end-stage renal disease patients receiving HD were included. The data were collected between 14th and 16th of July 2021. Patient health questionnairesomatic, anxiety, and depressive symptoms (PHQ-SADS) scales and posttraumatic-stress disorder checklist for DSM-5 (PCL-5) were used for the clinical assessment. Results: Refugee patients had similar sociodemographic, clinical and HD characteristics with native patients. Anxiety subscale and PCL5 scores were significantly higher in refugee patients (p=0.04 and p=0.03, respectively), while depression and somatization subscales levels did not differ among groups. The age was negatively correlated with depressive symptom levels in refugee patients while somatic symptom levels were positively correlated with depression, anxiety and PTSD symptom levels in both groups. Conclusion: The staff of HD centers should be trained in order to recognize psychiatric disorders and symptoms, and routine psychiatric assessment may contribute to improving the mental health and preventing adverse health outcomes in refugee HD patients.