Ayşe Okanlı

Investigation of the Effect of Self-Efficacy Levels of Caregiver Family Members of the Individuals With Schizophrenia on Burden of Care

Sixty-two individuals with schizophrenia and their families were part of a descriptive study that investigated the effect of self-efficacy levels on the burden of care, using family member caregivers of schizophrenia patients. Data were collected using a questionnaire on the descriptive characteristics of patients and their families, the Self-Efficacy Scale, and Zarit Caregiver Burden Scale. The results for caregivers indicated a total mean self-efficacy score of 76.4±17.76 and a total mean of burden of care score of 68.64±18.60. A negative significant relation was discovered by looking at the correlation between the total mean scores (r=-.260, p<0.05). These results indicate that the burden of care decreases with the increasing level of self-efficacy in caregiver family members.

The Effect of Internalized Stigma on the Adherence to Treatment in Patients With Schizophrenia.

This study was conducted to determine the effect of internalized stigma on the adherence to the treatment of patients with schizophrenia. The population of the study consisted of patients who were diagnosed with schizophrenia according to the DSM IV diagnostic criteria and compatible with the study criteria. The study was completed with 63 patients overall. The researcher used Demographics Questionnaire, Morisky Medication Adherence Scale, Drug Attitude Inventory and Internalized Stigma of Mental Illness Scale to gather data. Among the patients, 11.1% adhered to the treatment, and 54.0% did not. The mean score for the internalized stigma level of patients was 76.39±14.30. A positive significant relationship was found among the scales (p<0.05). The level of internalized stigma of patients with schizophrenia was determined to be high, and the internalized stigma had a negative impact on the adherence and attitude toward the treatment.

The Relationship Between Psychosocial Adjustment and Coping Strategies Among Patients With Multiple Sclerosis in Turkey

BACKGROUND: Multiple sclerosis (MS) is a disease with significant psychosocial adjustment challenges. OBJECTIVE: The objective of the study was to assess the psychosocial adjustment and coping strategies in patients with MS and to put forth the relationships between them. DESIGN: The sample group comprised 85 outpatients with MS who were admitted to the Neurology Clinic of a university hospital for treatment between October 2007 and July 2008. Data were acquired via an information form and the Psychosocial Adjustment to Illness Scale and Coping Strategy Indicator. RESULTS: It was determined that 55% of the patients had poor psychosocial adjustment levels. Statistically significant relationship was found between Psychosocial Adjustment to Illness Scale–Self-Report and problem solving as well as seeking social support coping strategies (p < .01). Psychosocial adjustment got worse with decreasing problem-solving and seeking–social support coping strategies of patients. CONCLUSIONS: The psychosocial adjustment to MS of patients is closely related with effective coping strategies. The results have emphasized the significant role of mental health and social services and coping strategies regarding the comprehensive care needs of these patients.

CERRAHİ KLİNİKLERİNDE YATAN HASTALARIN ANKSİYETE VE DEPRESYON DÜZEYLERİNİN BELİRLENMESİ

Bu calisma cerrahi kliniklerinde yatan hastalarin anksiyete ve depresyon duzeylerini belirlemek amaciyla yapilmistir. Tanimlayici turde olan arastirma, Nisan- Eylul 2004 arasinda Ataturk Universitesi Aziziye Arastirma Hastanesi cerrahi kliniklerinde gerceklestirilmistir. Veriler gonullu, iletisim kurulabilen, 18 yas ve uzerinde olan, en az bir haftadir klinikte yatan 311 hastadan toplanmistir. Veri toplamada soru formu ve Hastane Anksiyete ve Depresyon (HAD) olcegi kullanilmistir. Veriler, yuzdelik, t testi, varyans analizi, Kruskal–Walles varyans analizi ve Pearson korelasyon analizleriyle degerlendirilmistir. Cinsiyet, egitim, meslek ve klinik ile HAD puan ortalamalari karsilastirildiginda aradaki fark istatistiksel olarak anlamlidir (p < 0.01). HAD – Depresyon puan ortalamasi 7.74 ± 4.9, HAD – Anksiyete puan ortalamasi 8.1±5.0 olarak bulunmustur. Hastalarin 112’si (%36) anksiyete puanina gore, 153’u (%49.2) ise depresyon puanina gore kesme noktasinin ustunde puan almislardir. Bu sonuc dogrultusunda, cerrahi kliniklerinde yatan hastalara anksiyete ve depresyonla bas etmeye yonelik egitim programlarinin hazirlanmasi ve uygulanmasi onerilebilir.

HEMODİYALİZ HASTALARINDA STRESLE BAŞETME VE SOSYAL DESTEK

Bu calisma hemodiyaliz hastalarinin kullandiklari stresle basa cikma tarzlarini ve basa cikma tarzlari ile sosyal destek arasindaki iliskiyi belirlemek amaciyla iliski arayici tanimlayici olarak yapilmistir. Arastirma Erzurum da bulunan 3 hemodiyaliz unitesinde 2 Aralik 2003-25 Şubat 2004 tarihleri arasinda 130 hasta uzerinde yapilmistir. Verilerin toplanmasinda hastalarin tanitici ozelliklerini iceren soru formu, Stresle Basa Cikma Tarzlari Olcegi ve Cok Boyutlu Algilanan Sosyal Destek Olcegi kullanilmistir. Arastirma kapsamina alinan hastalarin % 45.6 ( 62 ) si kadin, % 54.4 u erkek olup buyuk bir cogunlugu % 41.2 (56) 50 yas ve ustundedir. Bu calisma sonucunda hemodiyaliz hastalarinin en cok duygusal bas etme yontemlerinden olan kendine guvensiz yaklasimi kullandiklari, cinsiyet, egitim ve meslegin bas etme yontemleri uzerinde anlamli farklilik olusturdugu saptanmistir (p