Sevinç Kutlutürkan

The effects of providing pre-gastrointestinal endoscopy written educational material on patients’ anxiety: A randomised controlled trial

BACKGROUND Endoscopy is a frequently applied operation in health institutions which may cause anxiety in patients. OBJECTIVE The objective of this study is to determine the effects of written educational material related to the endoscopy procedure on the anxiety level of the patient before gastrointestinal endoscopy. DESIGN A randomised controlled trial design with two groups: case and control groups. PARTICIPANTS 140 patients assigned randomly who applied for gastrointestinal endoscopy. METHODS INTERVENTION the control group in our study consisted of 70 people who were briefly informed by the relevant unit about pre-endoscopy preparation. The case group consisted of 70 people who were also given brief information about the pre-endoscopy preparation by the relevant unit. Only the case group were also given written educational material and told orally by the researcher about the content. MEASUREMENTS for the collection of the data, a questionnaire form and Spielbergers State-Trait Anxiety Inventory were used. RESULTS A significant difference in the average state anxiety scores was found between the case and the control group (p<0.05). An important difference was found in the average state anxiety scores between the case and the control group who had not undergone endoscopy before our study (p<0.05). CONCLUSIONS Use of written material including detailed information to inform the patient before endoscopy was useful in lessening their anxiety level. Health professionals should evaluate the anxiety level of patients before endoscopy and educational material should be given to them to read.

Resilience and burnout status among nurses working in oncology

BackgroundThis study aimed to identify the resilience and burnout status of nurses working in the field of oncology.MethodsThis descriptive study was conducted with 140 oncology nurses. The data were collected using a socio-demographic attributes form, Resilience Scale for Adults, and the Maslach’s Burnout Inventory. Percentage ratios, mean and median values, Kruskal–Wallis test, Mann–Whitney U test, correlation analysis, and multiple stepwise linear regression analysis were used to evaluate the data.ResultsThe Maslach’s Burnout Inventory total median score was 49.00. The emotional exhaustion median score was 24.00, the depersonalization median score was 9.00, and the personal accomplishment median score was 16.00. The Resilience Scale for Adults total median score was 134.00. The median resilience subscale scores, such as structural style, perception of future, family cohesion, self-perception, social competence, and social resources, were 16.00, 16.00, 24.00, 25, 23, and 31, respectively. A relationship existed between emotional exhaustion and perception of future; depersonalization and structured style and self-perception; and personal accomplishment and structured style, perception of future, and self-perception. Multiple stepwise linear regression analysis revealed a significant relationship between the number of years in the field and emotional exhaustion and depersonalization scores. Moreover, a significant relationship between structured style variables and personal accomplishment scores was observed.ConclusionsThis study demonstrated the relationship between burnout and resilience situations among the oncology nurses. The results can be used to plan individual and organizational interventions to increase resilience and reduce the experience of burnout by developing measures such as improving communication skills, providing education on stress management and coping strategies, using social resources, and organizing programs that provide psychological support.

Factor structure and psychometric properties of the brief illness perception questionnaire in Turkish cancer patients

Objective: The main aim of this study was to investigate the factor structure and psychometric properties of the Brief Illness Perception Questionnaire (BIPQ) in Turkish cancer patients. Methods: This methodological study involved 135 cancer patients. Statistical methods included confirmatory or exploratory factor analysis and Cronbach alpha coefficients for internal consistency. Results: The values of fit indices are within the acceptable range. The alpha coefficients for emotional illness representations, cognitive illness representations, and total scale are 0.83, 0.80, and 0.85, respectively. Conclusions: The results confirm the two-factor structure of the Turkish BIPQ and demonstrate its reliability and validity.

Yatağa bağımlı hastaların evde yaşadıkları sağlık sorunlarına yönelik evde bakım hizmet gereksinimleri

Hemangiomas are the most common tumors of infancy. Most of them require no treatment, but treatment is needed if dramatic aesthetic, and/or functional impairment as visual or airway obstruction or ulceration arises. We reported a 6-month-old infant presented with a 6-week history of a rapidly growing cutaneus hemangioma on the right eyelid and caused visual impairment. The patient was successfully treated with the use of oral propranolol therapy. We suggest that propranolol can be considered as a first line treatment in a patient with infantil hemangioma.Objectives: The aim of this study was to examine levator palpebralis superior muscle histologically in patients with congenital blepharoptosis and to investigate the relationship between these findings and age, sex and degree of blefaroptosis in this patient group. Materials and methods: Levator muscle of 13 patients with congenital ptosis, who had applied to Dicle University Medical Faculty Ophthalmology Clinic and had undergone levator palpebralis superior muscle resection between january 2009-january 2010, has been examined histopathologically in Histology and Embriology Deparment. During preoperative period, ptosis amount, levator function (LF), tear functions, Bell\s phenomenon and jaw-winking phenomenon were evaluated. All patients underwent resection of levator palpebralis superior muscle. Received postoperative levator muscle was examined by light microscopy. Results: The average age of 9 (69.2%) male and 4 (30.8%) female cases were 10.61 p 4.77 (4- 19) years. In histological examination, the quality and quantity of the levator muscle fibrils have been assessed. There was no relationship detected between histological features of levator palpebralis superior muscle and patient\s age and gender (p>0.05). Patients with weak levator palpebralis superior muscle were detected to have fatty degeneration histologically. The higher the levator palpebralis superior muscle function revealed decreased fatty degeneration and increased skeletal muscle fibrils. Conclusion: More ultrastructural studies in larger populations are needed to support the relationship between structure and function of levator palpebralis superior muscle in patients with congenital blepharoptosis.Amac: Lateral epikondilit (tenisci dirsegi) en fazla tani konulan dirsek yan agri nedenidir. Bu calismanin amaci tenisci dirsegi tedavisinde tek doz kortikosteroid enjeksiyonu ile otolog trombositten zengin plazma (TZP) enjeksiyonunun etkilerini karsilastirmaktir. Gerec ve yontem: Dirsek yan kisminda agri sikâyeti sonucu klinigimize muracaat edip, lateral epikondilit tanisi konan 15 hastanin (6 erkek ve 9 kadin) 15 dirsegi calisma kapsamina alindi. Olgularin 1. grubuna tek doz 0,5 ml Bethametasone ve 0.5 ml Prilokain karisimi, 2. grup olgulara 1ml otolog TZP lokal olarak uygulandi. Bulgular: Verhaar skorlama sistemine gore alinan sonuclara gore ilk takiplerde lokal steroid enjeksiyonu yapilan hasta grubunda sonuclarin daha iyi oldugu fakat sonraki takiplerde iyi sonuclarin goruldugu vaka sayisinda azalma oldugu goruldu. TZP grubunda ise ilk takiplerde sonuclarin kotu oldugu fakat sonraki takiplerde daha iyi sonuclarin alindigi goruldu. Sonuc: Otolog TZP enjeksiyonun lateral epikondilitte iyi yonde etkinliginin zamanla artigi soylenebilir, fakat bunun daha iyi anlasilmasi icin olgu sayisi ve takip suresi artirilmis yeni calismalarin yapilmasi gereklidir.

Symptoms Experience and Quality of Life in The Patients With Breast Cancer Receiving The Taxane Class of Drugs

Objective The aim of this study is to evaluate the symptoms experience and quality of life in patients with breast cancer receiving the taxane class of drugs. Materials and Methods This study was performed between November 2015 March 2016 in a chemotherapy unit of a university hospital with 48 patients, who agreed to participate in the study. The Memorial Symptom Rating Score (MSAS), Socio-demographic and Clinical Features Form, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Breast (EORTC QLQ- BR23) measures specific to breast cancer were used to obtain data. Results The average age of the patients was 45.65. The majority of patients were treated with the paclitaxel/paclitaxel+trastuzumab treatment protocol (60.42%), and more than half (54.16%) of these patients were on 5 or 6 treatments. The symptoms patients experienced the most commonly included being sensitive, weakness or energy loss and pain. The symptoms they experienced severely were included fatigue and energy loss and being sensitive. The most distressing symptoms were pain, worry, numbness in hands and feet. The overall well-being score of the patients as per the quality of life findings was 46.18±11.66. While the lowest score for the functional scales was in the social function subscale (66.32±15.18), the highest score for the symptom scales was in the pain subscale (42.01±15.37). The lowest score for the EORTC QLQ-BR23 scales was in the sexual life subscale (20.83±20.19); the highest score was in the body appearance subscale (65.8±23.96). Conclusion The results of the study are thought to be helpful for the oncology nurses in evaluating the patients in all aspects and in determining priorities for care.

The effect of health coaching on treatment adherence, self-efficacy, and quality of life in patients with chronic obstructive pulmonary disease: Health Coaching in Self-Efficacy and Treatment Adherence

AIM The aim of this study was to determine the impact of health coaching on respiratory functions, treatment adherence, self-efficacy, and quality of life in chronic obstructive pulmonary disease patients. METHODS This study was conducted as an experimental study with non-randomized control group in chronic obstructive pulmonary disease individuals. The study group included a total of 54 chronic obstructive pulmonary disease patients (27 patients both health coaching and control groups), was selected between 13 July 2016 and 2 July 2017. Data were collected by using a questionnaire form, St. George Respiratory Questionnaire, 8-Item Morisky Adherence Scale, and chronic obstructive pulmonary disease Self-Efficacy Scale. A total of 12 coaching interviews were conducted with the patients in the health coaching group. RESULTS After health coaching intervention, self-efficacy scale general score, and St. George Respiratory Questionnaire, total scores were found statistically significant different between 2 groups in interaction values. There was a significant difference in the 8-Item Morisky Adherence Scale scores for degree of treatment adherence between the groups. CONCLUSION The health coaching intervention is recommended, as it contributes to facilitate the treatment adherence and increase the self-efficacy skills by improving the quality of life of the chronic obstructive pulmonary disease patients.

The Validity and Reliability of Turkish Version of the Chemotherapy-induced Taste Alteration Scale (CiTAS).

The study was aimed to assess the validity and reliability of the Turkish version of the Chemotherapy-induced Taste Alteration Scale (CiTAS), and was conducted on adult patients receiving chemotherapy ( N = 184) in the Chemotherapy Unit and Hematology Clinic (Outpatient) of a university hospital between December 2013 and May 2014. The results showed that the Cronbachs alpha coefficient (.869) was satisfactory. The alpha value was .89 for the Decline in Basic Taste subscale, .70 for Discomfort subscale, .82 for Phantogeusia and Parageusia subscale, and .72 for General Taste Alterations subscale. The coefficients of the relationship between test-retest reliability results were significantly high ( r = .939, n = 28). The Turkish version of the CiTAS was a sufficient and suitable tool in evaluating the taste alterations associated with chemotherapy.The study was aimed to assess the validity and reliability of the Turkish version of the Chemotherapy-induced Taste Alteration Scale (CiTAS), and was conducted on adult patients receiving chemotherapy (N = 184) in the Chemotherapy Unit and Hematology Clinic (Outpatient) of a university hospital between December 2013 and May 2014. The results showed that the Cronbach’s alpha coefficient (.869) was satisfactory. The alpha value was .89 for the Decline in Basic Taste subscale, .70 for Discomfort subscale, .82 for Phantogeusia and Parageusia subscale, and .72 for General Taste Alterations subscale. The coefficients of the relationship between test–retest reliability results were significantly high (r = .939, n = 28). The Turkish version of the CiTAS was a sufficient and suitable tool in evaluating the taste alterations associated with chemotherapy.

Effects of foot massage applied in two different methods on symptom control in colorectal cancer patients: Randomised control trial.

This randomized controlled clinical study aimed to determine the effect of 2 foot massage methods on symptom control in people with colorectal cancer who received chemoradiotherapy. Data were collected between June 16, 2015, and February 10, 2016, in the Department of Radiation Oncology of an oncology training and research hospital. The sample comprised 60 participants. Data were collected using an introductory information form, common terminology criteria for adverse events and European Organization for Research and Treatment of Cancer Quality of Life Questionnaires C30 and CR29. Participants were randomly allocated to 3 groups: classical foot massage, reflexology, and standard care control. The classical massage group received foot massage using classical massage techniques, and the reflexology group received foot reflexology focusing on symptom-oriented reflexes twice a week during a 5-week chemoradiotherapy treatment schedule. The control group received neither classical massage nor reflexology. All patients were provided with the same clinic routine care. The classical massage was effective in reducing pain level and distension incidence while foot reflexology was effective in reducing pain and fatigue level, lowering incidence of distension and urinary frequency and improving life quality.

Being An Oncology Nurse From The Perspective Of Second Grade Nursing Students

* E Sözeri, Araş. Gör. Gazi Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü Yazışma Adresi / Address for Correspondence: Gazi Üniversitesi, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü Emniyet Mah. Muammer Yaşar Bostancı Cad. No:16 Beşevler /Ankara Tel.: 0 312 216 26 51 e-posta: sozerielif@hotmail.com ** N Uysal, Araş. Gör.; S Kutlutürkan, Yard. Doç. Dr. Gazi Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Ankara ÖZ

KEMOTERAPİYE BAĞLI KUSMADA TAMAMLAYICI TIP

OZET Gunumuzde tamamlayici tedavi yontemleri her noktada kullanilmakta ve yararlarinin oldukca fazla olduguna iliskin gorusler yer almaktadir. Ozellikle kemoterapi alan kanser hastalari tedavinin yan etkilerini onlemeye yonelik olarak bu yontemleri kullanmakta- dirlar. Kemoterapinin ciddi yan etkilerinden biri de kusmadir. Bu makalede, kanser hastalarina bakim veren hemsireleri yonlendirmek amaciyla, bulanti-kusma icin siklikla kullanilan tamamlayici tedavi yontemleri anlatilmistir. Anahtar kelimeler: Bulanti, kusma; Hemsirelik; Tamamlayici tedaviler. ABSTRACT Complementary Medicine methods are used widely and it is known that this methods have quite a lot benefits. Especially, cancer patients receiving chemotherapy use these methods for the side effects of the treatment. One of the serious side effects of chemotherapy is nausea and vomiting. In this article, complementary therapies which are frequently used for nausea and vomiting have been described to guide nurses’ caring for cancer patients. Keywords: Nausea vomiting; Nursing; Complementary therapies.