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Öğe Drug Compliance of Patients Hospitalized in the Psychiatry Clinic and the Relationship with Social Support(Kare Publ, 2011) Kelleci, Meral; Ata, Elvan E.Objectives: This study was carried out in order to determine drug compliance among patients hospitalized in the psychiatry clinic and the relationship with social support. Methods: The sample of the study was composed of 140 patients hospitalized in the clinic between April 2009 - March 2010, who accepted to take part in the study and had no problems in comprehension or communication. Data of the study were obtained with the Personal Information Form, Morisky Adherence Scale and Multidimensional Scale of Perceived Social Support. Data of the research were obtained during a face-to-face interview. For analysis of the data, variance analysis, correlation and frequency distribution were used. Results: The average age of the patients was 37.20 +/- 12.82 years, 51.4% were female, 53.6% were married, 44.3% were primary school graduates, 25.7% were high school graduates, 62.1% had mid-level economic status, and 67.1% lived with their immediate family. The average duration of the patients' disease was 8.35 +/- 8.11 years, and the average number of hospitalizations was 3.25 +/- 2.08. Drug compliance was good in 20% of the patients, moderate in 48.6% and poor in 31.4%. When the average score of the Multidimensional Scale of Perceived Social Support was evaluated according to the drug compliance of patients, it was determined that there was little difference between groups with regards to family support; however, there was a statistically significant difference between groups regarding the sub-dimensions of support of a friend or someone special (p<0.05). There was a weak relation, statistically significant and positive, between support of a friend and drug compliance (r=0.272, p=0.001). Conclusion: Based on the results of the study, it was determined that drug compliance of most patients was inadequate. The drug compliance score of patients who feel the support of a friend or someone special was high, and there was a relation, though weak, between support of a friend and drug compliance.Öğe Effects of lavender scent on patients' anxiety and pain levels during gynecological examination(ELSEVIER SCI LTD, 2017) Tugut, Nilufer; Demirel, Gulbahtiyar; Baser, Muruvvet; Ata, Elvan E.; Karakus, Savas…Öğe Evaluation According to the Functional Health Pattern Model and NANDA Diagnoses of Patient Care Plans Made by Nurses in a Psychiatry Department(Kare Publ, 2011) Sabanciogullari, Selma; Ata, Elvan E.; Kelleci, Meral; Dogan, SelmaObjectives: The aim of the study was to analyze patient care planning prepared by nurses in a psychiatry clinic according to the Functional Health Pattern (FHP) model and to evaluate the NANDA (North American Nursing Diagnosis Association) nursing diagnoses based on the data collected. Methods: This retrospective and descriptive research was carried out in a psychiatry clinic of a university hospital. The sample of this research was the nursing plan of 80 inpatients hospitalized in the psychiatry clinic between September 2008 and June 2009 and the determined nursing diagnoses in the direction of Gordon's (1982) FHP model and NANDA. Care plans made by nurses were retrospectively analyzed by researchers taking into consideration the FSO model and NANDA diagnosis system. The data were evaluated with percentage distribution. Results: Nurses collected the most data related to perceiving and managing the health (98.8%) function and activity-exercise (91.3%) function, and the least data concerning sexuality and reproduction (20%) function. When NANDA diagnoses were evaluated according to data collected by nurses, 23 different NANDA diagnoses were determined among 80 patients, and 402 NANDA diagnoses in total. When the determined diagnoses were analyzed, the most frequently observed were: 12.9% inadequacy in individual coping, 11.2% decrease in self-esteem, 10.4% failure in role performance, and 9% disorder in sleep pattern. Conclusion: It may be considered that nurses, when they used the FHP model, did not overlook the important data in evaluating the problems the psychiatric patients frequently experienced, such as inadequacy in individual coping, decrease in self-esteem, disorder in sleep pattern, and ineffective management of therapeutic regimen. However, it was observed that nurses evaluate fields such as sexual pattern and values and beliefs to a lesser degree and detect fewer problems in these areas.Öğe Ideas Regarding Psychotropic Drug Use among Inpatients in a Psychiatry Clinic and after Their Discharge from the Hospital with Follow-Up by Telephone(Kare Publ, 2011) Kelleci, Meral; Dogan, Selma; Ata, Elvan E.; Avci, Dilek; Sabanciogullari, Selma; Basegmez, Filiz; Iskey, MeralObjectives: This study aimed to examine the need for training among inpatients in a psychiatric clinic and their families on psychotropic drug use and to determine the drug compliance status after the patient's discharge from the hospital. Methods: The study was conducted at a psychiatric clinic of a university hospital. The respondents were 92 patients who were hospitalized from July 2008 to March 2009, who were willing to respond and who did not have any problems in comprehending or replying to the questions. The data were collected through a form covering details of the patients and their families. The form consisted of 56 questions regarding the patients' demographic details, drug therapies, and the views of the patients and their families about drug therapies and drugs. The data were collected face-to-face after the acute stage. The patients were contacted by telephone at one month and six months following their discharge from the hospital. Results: The patients were identified with the symptoms of bipolar affective disorder (31.5%), schizophrenia (26.1%), psychotic disorders (26.1%), paranoid disorders (5.4%), and psychotic depression (2.2%). It was discovered that 40.2% of the patients did not know their diagnosis, 12% did not think drugs were necessary, 17.4% did not know the names of their drugs, 23.9% did not know the dose of their drugs, 19.6% believed the drugs would cause addiction, 17.4% did not plan to use the drugs after being discharged from the hospital, and 64.1% did not know for how long they should continue taking the drugs. In the first monitoring by telephone, 70.6% of the patients said they used their drugs regularly. 39.1% of the patients were rehospitalized in the first six months after discharge due to not using the drugs regularly. In the second monitoring by telephone, 54.3% of those who were not re-hospitalized in the first six months stated that they used their drugs regularly. Conclusion: The results of this study indicate the need for training among patients on drug management. This training should not be limited to inhospital; there is a need for counseling at home after discharge from the hospital, and the current system remains inadequate.
