Rahşan Çevik Akyıl

Roy's adaptation model-guided education for adaptation to chronic obstructive pulmonary disease

AIM This article is a report of the effects of Roys adaptation model-based patient education on physical and psychosocial adaptation of patients with chronic obstructive pulmonary disease. BACKGROUND Patients with chronic obstructive pulmonary disease abound in Turkey, as they do worldwide. Patient education could help in the adaptation of patients with chronic obstructive pulmonary disease to the disease, as it has with other long-term diseases. DESIGN The study adapted a quasi-experimental design, with a comparison between an intervention group and a control group. METHODS Sixty-five patients with obstructive pulmonary disease participated in this study. The data were collected between December 2008-January 2010. The data collection tool comprised an adaptation of a Roys adaptation model-based evaluation form and perceived social support from family and friends scale. The intervention group received oral and written education based on Roys adaptation model, while the control group received a routine follow-up. Data were analysed with paired t-test and analysis of covariance (ancova). FINDINGS The results indicate that education given according to Roys adaptation model increases adaptation to disease in three modes (physiologic, self-concept and role-function mode). In addition, taking into account interdependence mode as Roys adaptation models fourth mode, a statistically significant increase was observed in social support from friends but not from family. CONCLUSION The more intervention for improving interpersonal support - especially perceived as coming from family - the more using Roys adaptation model to educate patients with chronic obstructive pulmonary disease could benefit them to increase adaptation to the disease.

Psychometric Evaluation of the Turkish Version of the Zarit Burden Interview in Family Caregivers of Inpatients in Medical and Surgical Clinics

The aim of this study was to adapt the Zarit Burden Interview (ZBI) to family caregivers of inpatients in medical and surgical clinics to assess the validity and reliability of the Turkish version. The study design was descriptive and methodological. A total of 223 family caregivers providing care to patients for at least 1 week in clinics were selected through convenience sampling. Data were collected using the Turkish translation of the ZBI. The psychometric testing of the adapted instrument was carried out to establish internal consistency, interitem correlation, and construct validity. The content validity procedure resulted in a final scale comprising 18 items. Cronbach’s alpha was .82. Factor analysis yielded one factor. The Turkish version of the ZBI adapted to the clinics can be used as a one-factor tool.

Gossip” in Organizational Communication Between Nurse, Doctor and Dentist Academicians

Geliş Tarihi / Arrival Date: 31.05.2017 Kabul tarihi / Date of Acceptance: 03.10.2017 İletişim / Corresponding author: Doç. Dr. Serap Altuntaş, Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Fakültesi Bandırma, Balıkesir E-posta / E-mail: serap342002@yahoo.com Sayı / Number: 3 Cilt / Volume: 4 Yıl / Year: 2017 e-ISSN:2149-018X doi:10.5222/SHYD.2017.107 * This study was funded by Ataturk University Scientific Research Fund (Project No: 2011 / 326). Serap Altuntaş1, Özlem Şahin Altun2, Rahşan Çevik Akyıl3

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.