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Öğe 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, AbdüsselamObjective: 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.Öğe The Association between Some Good Mood Foods and Depression(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2023) Simzari, Wida; Özkarabulut, Ayşe Huri; Saeidlou, Sakineh Nouri; Rashidi, MahrukAim: Depression is a main public health problem and disability worldwide. A bi-directional influence can be between foods and psychological disorders. This study aimed to determine the association between some good mood foods and depression. Method: In this cross-sectional study, 100 undergraduate students and academicians over the age of 18 studying at Istanbul-Turkey universities were included. Demographic characteristics and eating habits were asked, and Beck Depression Scale was used to determine depression status. Results: High intakes of milk, yogurt, meat, egg, fish, walnut, fig, almond, banana, kiwi, pineapple, chocolate, honey, tomato and oyster were associated inversely with depression. There was a significant relationship between fig, kiwi and honey (borderline) and depression. So that the OR (odds ratio) (95% CI) in the low and high consumption category of fig was 0.39 (0.15-0.98) and 0.24 (0.08-0.76) respectively (p<0.05). The higher consumption of kiwi decreases the risk of depression. The ORs (95% CI) of low and high consuming of kiwi were 0.56 (0.19-1.68; p=0.3) and 0.12 (0.03-0.41; p=0.001) respectively. For honey the ORs (95% CI) in low and high consumption categories were 0.42 (0.12-1.46. p=0.17) and 0.32 (0.1-1.02. p=0.05) respectively. Conclusion: It was observed that the frequency of depression decreased in people who consumed high amounts of fruits, vegetables, nuts, legumes, milk and yogurt.Öğe Determination of aging anxiety in middle-aged women(Assoc Medica Brasileira, 2024) Kiskac, Nese; Rashidi, Mahruk; Kiskac, MuharremOBJECTIVE: The aim of this study was to determine the state of aging anxiety in middle-aged women. METHODS: The study was collected from women between the ages of 40 and 59 years by an online survey method. While collecting the data of the participants, the women's personal characteristics diagnostic form and the Aging Anxiety Scale for Middle-Aged Women were used. The data were analyzed with the SPSS 26 statistical software. RESULTS: The aging anxiety of the women was found to be moderate (53.05 +/- 16.26). A significant correlation was found between women's menopausal status, household income, education level, and total score of aging anxiety (p<0.05). CONCLUSION: In addition to working outside the home, women are also burdened with duties inside the home. To improve their quality of life, women need to share many of the tasks imposed on them with other family members. To reduce the anxiety experienced by women during the climacteric period, it is recommended to provide psychosocial support to women and consider this issue in health policies. Healthcare professionals, especially nurses, have important duties to reduce anxiety and stress, which constitute the basis of many chronic diseases. It is recommended that nurses, who are health ambassadors, direct women with anxiety to psychological support services through screenings they will conduct for women during this period.Öğe 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, MuharremOBJECTIVE: 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.Öğe Development of the educational leadership scale for nursing students: a methodological study(BMC, CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND, 2023) Karaman, Funda; Kavgaoğlu, Derya; Yıldırım, Gülay; Rashidi, Mahruk; Ünsal Jafarov, Gülşah; Zahoor, Hina; Kıskaç, NeşeBackground Educational leadership is one of the most demanding skills for healthcare staff to enhance the quality of health care. There is a need for a scale to evaluate the educational leadership levels of nurses. The objective of this study was to develop and examine the validity and reliability of the Education Leadership Scale for Nursing Students. Methods Data were collected from 280 Turkish nursing students. The validity and reliability of the tool were confirmed with exploratory and confirmatory factor analysis, Cronbach’s alpha and Pearson correlation. The scale was developed in five stages (reviewing the literature, developing items, sending scale items to the experts for content validity index, piloting test with students, performing the validity and reliability analysis of the tool). Results The Educational Leadership Scale for Nursing Students consisted of 19 items and a three factor structure. Confirmatory factor analysis results showed that there was a sufficient model fit. Construct validity was verified, and Cronbach’s ? level of all factors was found to be greater than 0.70. Conclusions The currently developed scale can measure the educational leadership characteristics of nursing students.Öğe The Effect of Geriatric Nursing Course on Determining Attitudes Towards the Elderly(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2023) Rashidi, Mahruk; Yıldırım, GülayAim: The study was conducted to define the effects of a geriatric nursing course on nursing students’ attitudes towards the elderly. Method: The study was conducted in a quasi-experimental design with second-year students studying in the Department of Nursing of a university. A total of 92 people participated in the study. Data were collected online. SPSS 21 statistical software was used in the analysis of the data. Results: Before taking the geriatric nursing course, 75% of the students stated that old age started over 65 years of age, while 87% stated that they started over 65 years of age after taking the geriatrics course (p<0.05). At the same time, it was determined that 27% of the students had difficulty communicating with elderly individuals before taking the geriatric nursing course, while only 17% had difficulty communicating with elderly individuals after taking the geriatrics course (p<0.05). It was determined that the average pretest score of the students taking the geriatric nursing course was 123.55±15.86, the average post-test score was 127.00±16.40, and the average scores between the pre-test and post-test showed a statistically significant difference (p<0.05). Conclusion: Geriatric nursing course strengthens students' communication with the elderly. It is recommended to include geriatric nursing courses in all university curriculum in order to increase knowledge skills and positive attitudes towards the elderly in nursing students. Thus, students who start working as nurses can play an active role in improving patient outcomes such as hospital stays, reduced readmission rates, and patient satisfaction in hospitalisations due to old age.Öğe The Effect of Herbal Product Use on BMI and HbA1c in Patients with Diabetes(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2022) Yıldırım, Gülay; Rashidi, MahrukAim: Patients with diabetes can use herbal products to better manage the disease. The aim of this study is to examine the rate of herbal product use and the effect of herbal product use on Body Mass Index (BMI) and hemoglobin A1c (HbA1c) values in patients with diabetes. Method: The descriptive and cross-sectional study was conducted in the diabetes outpatient clinic of a hospital in Istanbul with a total of 104 patients with diabetes. The data were collected using a data collection form, which questioned the patients' socio-demographic characteristics, disease information and herbal product use. Data analysis was performed using Chi-square, One-Sample Kolmogorov-Smirnov test and Mann Whitney U test in computer environment. Results: The mean age of patients with diabetes was 61,08±9,3 years, the mean BMI was 26,3±5,4kg/m², and the mean HbA1c value was 6,9%±1,8%. The BMI and HbA1c values of the patients using herbal products were lower than the patients not using herbal products (respectively; p=,002; p=,047). It was determined that the duration of herbal product use did not affect BMI and HbA1c values (p>,05). Conclusion: The use of herbal products was high in patients with diabetes. It was determined that olive leaf, cinnamon leaf, thyme juice, garlic, black sesame, blueberry, fenugreek seeds, French lavender and bitter almond were used as herbal products. Herbal product use decreased BMI and HbA1c values.Öğe Effects of love glove application on vital signs for COVID-19 patients in the intensive care unit(WILEY111 RIVER ST, HOBOKEN, NJ 07030, 2024) Karaman, Funda; Genç, Aslı; Yerebakan Şen, Ayşe Nur; Rashidi, Mahruk; Yıldırım, Gülay; Ünsal Jafarov, Gülşah; Acar, Rabia; Saygın Şahin, BuseAim: To evaluate the effects of love glove application on vital signs for COVID-19 patients in the intensive care unit. Design: A single-group pretest-posttest quasi-experimental design was used. TREND Statement Checklist was followed during the present study. Methods: The study was conducted on 30 intubated/extubated adult patients. The gloves were filled with warm water and air to prevent pressure injuries. Then they were tied together and applied to both hands of the patient for 30?min. The patient's vital signs were recorded before and after the application. A Wilcoxon signed-rank test was performed. Results: It was determined that respiratory rate, systolic blood pressure, diastolic blood pressure and oxygen saturation were significantly affected after the application of the love glove. The application of love gloves is a cheap and non-pharmacological method with no side effects. Patient or Public Contribution: Patients were involved in the design and conduct of this study.Öğe Examination of the relationship between thanatophobia and resilience levels of nurses working in intensive care and palliative care units(Bmc, 2023) Rashidi, Mahruk; Karaman, Funda; Yildirim, Gulay; Kiskac, Nese; Jafarov, Gulsah Unsal; Sahin, Buse SayginBackground Nurses in critical care and palliative care units care for patients suffering from severe pain and suffering and at high mortality risk. For this reason, nurses working in these units should be psychologically resilient. However, nurses who are constantly exposed to the death process face the risk of thanatophobia. The aim of this study is to examine the relationship between thanatophobia levels and the psychological resilience of nurses working in intensive care and palliative care units. Methods The sample of this descriptive and cross-sectional study included 158 nurses working in intensive care and palliative care units. Personal information form for nurses, Thanatophobia Scale and Psychological Resilience Scale for Adults were used. Data were collected through an online questionnaire in the study. Percentage calculations, mean measurements, Kruskal Wallis test and Mann Whitney U test were used in the statistical evaluation of the data. Results The mean of thanatophobia scale and psychological resilience scale was found 31.74 +/- 10.08 and 108.34 +/- 7.12, respectively. There was a statistically significant difference between the tanatophobia total scale score and age, receiving training on psychological resilience (p < 0.05). A statistically significant difference was found between perseption of self, family cohesion and perception of future and the status of receiving training on psychological resilience (p < 0.05). A statistically negative significant correlation was determined between the thanatophobia scale and the psychological resilience scale total scores. Conclusions As a result, it was determined that as the thanatophobia of the nurses increased, their psychological resilience decreased. This situation may negatively affect nurses working in critical departments to provide quality health care to patients. Establishing and maintaining training programs to reduce thanatophobia and increase psychological resilience of nurses working in intensive care and palliative care units will ensure that nurses provide quality health care to the patient and reduce the physiological and psychological wear of nurses.Öğe Factors Affecting Disease Acceptance and Disease Acceptance of Individuals with Diabetes(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2024) Rashidi, Mahruk; Yıldırım, GülayAim: Disease acceptance in patients with diabetes provides disease management. It can play an important role in improving the treatment and care outcomes of diabetes, reducing disease complications, and reducing health costs. The research is a descriptive and cross-sectional study and aims to determine the disease acceptance and behaviors of individuals with diabetes. Method: The data were obtained from individuals with diabetes who applied to the diabetes outpatient clinic of a public hospital in Istanbul between November and December 2023. The inclusion criteria were composed of individuals who were diagnosed with Type 2 diabetes, who were literate, who did not have vision problems, and who agreed to participate in the study. The research data were collected with the "Personal Information Form" and the "Acceptance and Action Form Scale for Diabetic Patients". A total of 266 diabetic individuals participated in the study. Results: The mean age of individuals with diabetes was 61.10±10.8 (38-85) years, the mean duration of diabetes was 7.55±3.4 years, and the mean acceptance score was 43.74±9.2. In the study, it was found that married individuals with diabetes had lower disease acceptance levels than single or divorced/widowed individuals (p<0.05), individuals with diabetes with a disease duration of 1-10 years had higher disease acceptance levels than those with a disease duration of 11 years or more (p<0.05), and individuals with diabetes who received education had higher disease acceptance levels than those who did not receive education (p=0.001). In the developed multiple linear model, marital status, duration of diabetes, and diabetes education variables explain 46% of the variance of disease acceptance (r=0.68; R2=0.46; p=0.000). Conclusion: As a result, the disease acceptance of patients with diabetes is slightly above the moderate level. Factors affecting disease acceptance are that the duration of diabetes is not long and participation in diabetes education is ensured. It can play an important role in improving the treatment and care outcomes of diabetes, reducing disease complications, and reducing health costs.Öğe Healthy life skills and related factors among university students: a cross-sectional study in Istanbul, Turkey(Bmc, 2023) Rashidi, Mahruk; Karaman, Funda; Yildirim, Gulay; Genc, Asli; Cakmak, Sultan; Durusoy, Ebru; Sahin, Buse SayginBackgroundChronic non-communicable diseases (NCDs) are the leading cause of global deaths. University students with unhealthy lifestyle constitute a high-risk group for NCDs. Evaluating and developing healthy behaviors during this period is very important for future health outcomes. This study was conducted to determine healthy life skills in university students.MethodsA cross-sectional study was conducted at a university, and data were collected between January and March 2023 in Istanbul. Data were collected using the healthy living skills scale in University Students and the Personal Information Form. Normal distribution conditions of the data were checked with the Kolmogorov-Smirnov test. According to data distribution, data with normal distribution were analyzed using parametric statistics including t-test, ANOVA and Chi-square tests and data with non-normal distribution were analyzed using non-parametric tests including Mann-Whitney U-test and Fisher's exact test. Logistic regression test was used to determine predictor variables.ResultsThe average score for healthy life skills was 63.5 out of 84. Significant differences were found in the scores based on marital status, economic income, social security insurance coverage, and educational grade (p = 0.03, p = 0.001, p = 0.004, p = 0.04, respectively). Students who reported alcohol and smoking consumption had lower scores (60.8 +/- 12) out of 84.ConclusionThe study revealed that university students in Istanbul possess a satisfactory level of healthy life skills. By providing social support, such as expanding the coverage of social security insurance and establishing conducive educational environments, while also paying attention to the influence of peers on students, we can contribute to the development of healthy life skills in university students.Öğe Healthy life skills and related factors among university students: a cross-sectional study in Istanbul, Turkey (vol 42, 137, 2023)(Bmc, 2024) Rashidi, Mahruk; Karaman, Funda; Yildirim, Gulay; Genc, Asli; Cakmak, Sultan; Durusoy, Ebru; Sahin, Buse Saygin[Abstract Not Available]Öğe An Indicator of Health Care Quality in Home Health Patients with Chronic Diseases: Satisfaction with Nursing Care(2023) Kıskaç, Neşe; Hacıoğlu, Burcu; Güven, Nurse Meryem; Rashidi, Mahruk; Hacıoğlu, YalçınObjectives: The aim of this study is to evaluate the satisfaction with nursing care of home health patients with chronic diseases. Methods: The design of this study is descriptive and cross-sectional. The study was conducted among 658 patients with chronic diseases who received services from the home health unit of a training and research hospital. The data were collected face to face. IBM SPSS program was used in the analysis of the data. Results: The total satisfaction with nursing care score of chronic home health patients was determined as 76.29±14.75. A significant relationship was found between the duration of the patients receiving services from home health units and their marital status, gender, and having relatives providing care for them (p<0.05). A significant relationship was found between the marital status of the patients and their satisfaction with nursing care (p<0.05). Conclusion: As a result, the level of satisfaction with nursing care among home health patients with chronic diseases is high. One of the most important indicators of health care is satisfaction with nursing care. Satisfaction with nursing care in home health units should be measured using objective parameters. The results will indicate the quality of nursing care and will form the basis for the development of guidelines for nursing education.Öğe Profile of Home Healthcare Patients and Evaluation of Health Service Provided to Patients-Istanbul Province Example(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2023) Kıskaç, Neşe; Hacıoğlu, Burcu; Güven, Meryem; Rashidi, Mahruk; Yıldırım, Gülay; Hacıoğlu, YalçınAim: Examining the profiles of home health patients and evaluating the service are effective in improving patient outcomes, reducing hospitalizations and reducing health care costs. The aim of this study is to determine the profile of home health patients and to evaluate the health services provided to the patients. Method: The research is a descriptive retrospective study. This research was made by scanning the files of 21 410 patients who received service from the home health services unit in Istanbul, Turkey in 2022. Results: In the study, 67.48% of the patients receiving home health services were women and 55.10% were between the ages of 66-85. In the study, it was seen that 45.18% of home health patients had neurological and psychiatric diseases, 23.57% had endocrine diseases and 18.45% had cardiovascular diseases. In the services provided, it was determined that patient examination was first (43.89%), patient education practices were second (27.55%) and blood sampling (9.76%) were applied in third place. Conclusion: Most of the home health patients are women and elderly patients. It is recommended that the education program services given to home care patients should be increased and that education programs should be prepared in accordance with the patient profile and about the most common chronic diseases, with the feature of improving the prognosis. In order to achieve the desired goal in home care services, it is recommended to develop care protocols and guidelines.Öğe Profile, reasons for hospitalization and nursing diagnoses of refugee-native patients admitted to internal medicine clinic-an evaluation from nursing perspective(Bmc, 2024) Kiskac, Nese; Rashidi, Mahruk; Yildirim, Gulay; Celik, Abdulkadir; Hacioglu, Burcu; Genc, Asli; Cakmak, SultanPurpose The study aims to evaluate the hospitalization diagnoses and nursing diagnoses of the refugee and local population hospitalized in internal medicine clinics, which are especially important in the early diagnosis, treatment, and rehabilitation of chronic diseases, and to emphasize their importance in nursing care. Methods The study was carried out in a descriptive retrospective design. The files of 3563 patients admitted to the internal medicine clinic of a training and research hospital in T & uuml;rkiye in 2022 were evaluated. SPSS 26.0 program was used for data analysis. Results In the study, 95.3% of hospitalizations were native and 4.7% were refugee patients. It was determined that refugee patients admitted to the internal medicine service had a lower mean age compared to the native population (p < 0.05), but there was no difference in the duration of hospitalization (p > 0.05). When the medical diagnoses of hospitalization were examined, it was determined that the highest number of hospitalizations in the native and refugee populations were for bacterial infections in both genders. In nursing diagnoses, it was determined that both populations and genders were diagnosed with infection risk by the medical diagnoses of the patients. Conclusion As a result of the study, it was observed that the duration of hospitalization, reasons for hospitalization, and nursing diagnoses of local and refugee patients were similar. In addition, it was determined that the patients' medical hospitalization diagnoses and nursing diagnoses were compatible.Öğe The relationship between diabetes burden and health-related quality of life in elderly people with diabetes(Elsevier Sci Ltd, 2023) Yildirim, Guelay; Rashidi, Mahruk; Karaman, Funda; Genc, Asli; Jafarov, Guelsah uensal; Kiskac, Nese; Ulusoy, IbrahimBackground: One of the most common chronic diseases in the elderly is diabetes. When diabetes is not well controlled, it can cause complications and affect health-related quality of life. Determining the burden of diabetes in elderly patients can provide a good health-related quality of life.Aim: The study was conducted to examine the relationship between diabetes burden and health-related quality of life in elderly patients with diabetes.Methods: This is a descriptive and correlational study of 207 patients who applied to the diabetes outpatient clinics of a private and a public hospital in Istanbul. Respondents were completed with Personal Information Form for Elderly People, Elderly Diabetes Burden Scale and the Quality of Life in the Elderly Scale. Data were analyzed by SPSS. The tests used are Kolmogorov-Smirnov, Mann-Whitney U, Kruskal Wallis and Spearman Correlation tests.Results: The mean total score from the Elderly Diabetes Burden Scale was 47.13 +/- 11.95 (18-88), and the mean score from the Quality of Life in the Elderly Scale was 19.36 +/- 7.00. In the study, as the total diabetes burden score of the elderly patients increased, the Quality of Life in the Elderly Scale score decreased. There was a difference between the mean total score of the Elderly Diabetes Burden Scale and gender, education, living alone and using oral antidiabetic (p < 0.05).Conclusions: As a result it was determined, a negative correlation was found between the diabetes CASP-19 scale total score and the total EDBS. Determining the burden of diabetes and affecting factors in elderly is important in terms of increasing the health-related quality of life. It may be recommended to plan diabetes education pro-grams that will reduce the burden of diabetes and increase the health-related quality of life in elderly patients.Öğe Sınava Hazırlanan Öğrencilerde Sınav Kaygısının Beslenme Durumu Üzerine Etkisi(Türk Tabipleri Birliği, 2023) Rashidi, Mahruk; Kanbur, Bahar Nur; Yıldırım, GülayAmaç: Bu çalışma sınava hazırlanan öğrencilerin sınav kaygısı ile beslenme alışkanlıkları arasındaki ilişkiyi değerlendirmek amacıyla planlanmıştır. Yöntem: Tanımlayıcı, kesitsel ve ilişkisel tipte planlanan araştırmanın örneklemini İstanbul’da özel bir kolejde okuyan, lise ve üniversite sınavlarına hazırlanan 166 öğrenci oluşturmuştur. Veriler; Anket Formu, Sınav Kaygı Envanteri, Beslenme Alışkanlıkları Ölçeği kullanılarak toplanmıştır. Verilerin analizinde; tanımlayıcı istatistikler, Mann Whitney U, KruskalWallis H, Student t testi, Oneway Anova testi ve Spearman Korelasyon testleri kullanılmıştır. Bulgular: Araştırmada kız öğrencilerin erkek öğrencilere, üniversite sınavlarına girecek olan 9.- 12. Sınıflarda okuyan öğrencilerin lise sınavlarına girecek 5.-8. Sınıf öğrencilerine göre daha fazla sınav kaygısı yaşadıkları saptanmıştır (p<0,05). Sınav kaygısı yüksek olan öğrencilerin vitamin desteği aldıkları, daha fazla çay veya kahve tükettikleri tespit edilmiştir (p<0,05). Günde 3 bardak veya daha fazla kahve içen öğrencilerin olumsuz beslenme alışkanlıklarının olduğu saptanmıştır (p<0,05). Sınav Kaygı Envanteri puan ortalaması 40,16±12,4’dür. Beslenme Alışkanlıkları Ölçeği puan ortalaması 121,72±21,1’dir. Öğrencilerin sınav kaygısı arttıkça olumsuz beslenme alışkanlıklarının arttığı ve iki değişken arasında anlamlı pozitif yönde bir ilişki olduğu saptanmıştır (r=0,356; p<0,001). Sonuç: Kız öğrencilerin ve üniversite sınavlarına girecek 9.-12. Sınıf öğrencilerinin daha fazla sınav kaygısı yaşadığı saptanmıştır. Öğrencilerin sınav kaygısı arttıkça olumsuz beslenme alışkanlıkları artmaktadır.Öğe Tip 1 ve Tip 2 Diyabetli Hastaların Diyabet Tutumlarının Değerlendirilmesi(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2020) Rashidi, Mahruk; Genç, AslıAmaç: Bu çalışma diyabetli hastaların diyabet tutumlarını belirlemek için planlanan tanımlayıcı tipte bir araştırmadır. Yöntem: İstanbul’da bir devlet hastanesinin Endokrinoloji Anabilim Dalı Diyabet Polikliniğinde ayaktan tedavi gören en az ortaokul mezunu 120 diyabetli hasta ile gerçekleştirilmiştir. Çalışmada veri toplamak için Hasta Tanıtıcı Bilgi Formu ve Diyabet Tutum Ölçeği (DTÖ) kullanılmıştır. Yüz yüze görüşme yöntemi kullanıldı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler (aritmetik ortalama± standart sapma, frekans ve yüzde değerleri), t testi, tek yönlü varyans analizi, Kruskall Wallis testi ve Mann Whitney U testi kullanılmıştır. Bulgular: Hastaların 60’ı Tip 1, 60’ı ise Tip 2 diyabetliydi. Hastaların %50’si kadın ve %50’si erkektir. DTÖ toplam puanı 3.85±0.33 olarak bulunmuştur ve bu sonuç hastaların düşük düzeyde pozitif tutum sergilediğini göstermiştir. Hastaların DTÖ alt boyut puanları değerlendirildiğinde ise en iyi pozitif tutumun “Özel Eğitim gereksinimi” alt boyutunda, en zayıf pozitif tutumun ise “Tip 2 Diyabetin Ciddiyeti” alt boyutunda bulunduğu dikkat çekmektedir. Erkek hastaların, Tip 1 diyabetlilerin, ailesinde diyabet hastası olan, medikal tedaviye uyumu iyi olan, diyete uyumu orta derecede olan, egzersiz yapan hastaların daha pozitif tutumlu olduğu bulunmuştur. Sonuç: Tip 1 ve Tip 2 diyabetli hastaların düşük düzeyde pozitif tutum sergilediği, hastaların diyabete karşı tutumlarının tedavi ve bakıma uyumu etkilediği ve bu nedenle negatif tutumları düzeltmek amacıyla düzenli eğitim programlarının düzenlenmesi gerektiği sonucuna varılmıştır.Öğe Tip 2 diyabetli hastaların beslenme bilgi düzeylerinin ölçülmesi(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2021) Özkarabulut, Ayşe Huri; Rashidi, Mahruk; Yıldırım, GülayBu araştırmanın amacı diyabet polikliniğine gelen Tip 2 diyabetli hastaların beslenme bilgi düzeylerini belirlemektir. Yöntem: Tanımlayıcı tipteki araştırma gerekli izinler alınarak eğitim ve araştırma hastanelerinin, diyabet polikliniğine başvuran toplam 100 hasta ile yürütüldü. Veriler hastaların sosyodemografik, tanıtıcı özelliklerini içeren 27 soru ve beslenme bilgi düzeylerini ölçen 20 soru olmak üzere toplam 47 sorudan oluşan yarı yapılandırılmış bilgi formuyla toplandı. Verilerin analizi bilgisayar ortamında SPSS programı kullanılarak yapıldı. Bulgular: Tip 2 diyabetli hastaların beslenme bilgi düzeyleri 9,45±3,96 olarak saptandı. Beslenme eğitimi alan ve Beden Kitle İndeksi (BKİ) normal olan hastaların beslenme bilgi düzeyleri daha yüksekti (p<,001; p<,01). Çalışmada düzenli insülin direnci testi, kan şekeri takibi, HbA1c testi yaptıranların, düzenli yaptırmayanlara göre beslenme bilgi düzeyleri daha yüksekti (p<,05; p<,001; p<,001). Ayrıca insülin direnci değeri normal olanların, son ölçülen tokluk şekeri 200 mg/dl’nin altında ve HbA1c değeri % 6,5 altında olanların, diyabet komplikasyonları ve diyabetik ayak hakkında bilgileri olanların beslenme bilgi düzeyleri daha yüksekti (p<,05). Sonuç: Sonuç olarak diyabetli hastaların bilgi düzeylerinin orta düzeyde olduğu saptandı. Diyabet eğitimlerinin beslenme bilgi düzeyini arttırdığı, düzenli takibi ve metabolik kontrolü sağladığı görüldü. Tip 2 diyabetli hastaların diyabetle ilgili beslenme bilgilerini arttırmak hastaların tetkiklerini düzenli yaptırmalarını, metabolik kontrolü sağlamalarını ve yaşam kalitelerini arttırmayı sağlayacaktır.
