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Öğe Alexithymia in patients with type 2 diabetes mellitus: the role of anxiety, depression, and glycemic control(DOVE MEDICAL PRESS LTD, 2016) Avci, Dilek; Kelleci, MeralObjective: This study was aimed at determining the prevalence of alexithymia in patients with type 2 DM and the factors affecting it. Methods: This cross-sectional study was conducted with 326 patients with type 2 DM. Study data were collected with the Personal Information Form, Toronto Alexithymia Scale, and Hospital Anxiety and Depression Scale. Glycemic control was assessed by glycated haemoglobin (HbA1c) results. The analysis was performed using descriptive statistics, chi-square test, Pearson's correlation, and logistic regression analysis. Results: Of the patients, 37.7% were determined to have alexithymia. A significant relationship was determined between alexithymia and HbA1c, depression, and anxiety. According to binary logistic regression analyses, alexithymia was 2.63 times higher among those who were in a paid employment than those who were not, 2.09 times higher among those whose HbA1c levels were >= 7.0% than those whose HbA1c levels were <7.0%, 3.77 times higher among those whose anxiety subscale scores were >= 11 than those whose anxiety subscale scores were <= 10, and 2.57 times higher among those whose depression subscale scores were >8 than those whose depression subscale scores were <= 7. Conclusion: In this study, it was determined that two out of every five patients with DM had alexithymia. Therefore, their treatment should be arranged to include mental health care services.Öğe Association between self-care management and life satisfaction in patients with diabetes mellitus(Elsevier Science Inc, 2020) Tuncay, Fatma Ozkan; Avci, DilekIntroduction: Life satisfaction and effective self-care management play an important role in keeping diabetes mellitus under control. The study aim was to determine the levels of self-care management and life satisfaction in patients with diabetes mellitus to explore their association and determine any predictive factors for self-man-agement. Methods: This cross-sectional study was conducted with 210 patients with Type 2 Diabetes Mellitus (DM) treated at a university hospital's endocrinology clinic between February 2019 and April 2019. The data were collected using a Personal Information Form, the Self-Care Management Scale in Chronic Illness and the Satisfaction with Life Scale. To analyse the data, descriptive statistics, t-tests, ANOVA, Pearson?s correlation and multivariate linear regression analysis were utilised. Results: The total score of the patients with DM in the Self-Care Management Scale was 113.34 +/- 17.12, while the subscale scores of the dimensions of self-support and social support were respectively 72.21 +/- 11.55 and 41.08 +/- 9.84. Their total score of Satisfaction with Life Scale was 18.42 +/- 9.03. The two components com-prising patients' self-care management (self-support and social support), as well as total self-care management levels (r(2) : 0.52, p < 0.01) showed correlation with life satisfaction. Conclusion: The self-care management and life satisfaction levels of the patients were average. Diabetes self-care management is significantly associated life satisfaction levels.Öğe Complementary health approaches use in Turkish patients with mental disorders: Related factors and perceived benefits(Wiley, 2021) Avci, Dilek; Sabanciogullari, SelmaPurpose: The present study was performed to determine the prevalence, characteristics, perceived benefits, and predictors of complementary health approaches use (CHA) in Turkish patients with mental disorders. Design and Methods: The present study was performed with 413 patients with mental disorders. Findings: In the present study, 62.2% of the patients had used CHA in the last 12 months. The most common types of CHA used were religious/spiritual activities and herbs. According to the multivariate logistic regression model, sex, education level, marital status, employment status, medical diagnoses, and duration of diagnoses were significantly associated with increased CHA use. Practice Implications: The CHA use by patients should be investigated, and education and counseling should be provided by health professionals to improve patient safety and patient outcomes.Öğe Effects of the Anger Coping Programme based on cognitive behavioural techniques on adolescents' anger, aggression and psychological symptoms(WILEY, 2016) Avci, Dilek; Kelleci, MeralThis study aimed to determine the effects of an Anger Coping Programme based on cognitive behavioural techniques on adolescents' anger, aggression and psychological symptoms. In this randomized controlled experimental study, 385 ninth-year high school students in Turkey were administered the State-Trait Anger Expression Inventory, the Aggression Scale and the Brief Symptom Inventory in 2011-2012. Of the 385 students, 62 who met the inclusion criteria were randomly assigned to experimental and control groups by gender and the scores they obtained from the scales. The students in the experimental group met 1day a week for 1.5h, and the study lasted 10weeks. The scales were administered three times: before the programme was started, immediately after the programme was completed and 6weeks later. The Anger Coping Programme was effective at reducing students' anger and aggression levels, and a range of psychological symptoms except for somatization.Öğe Effects of the anger management program based on cognitive behavioral techniques on high school students' anger and assertiveness levels(CUMHURIYET UNIV TIP FAK PSIKIYATRI ANABILIM DALI, 2014) Kelleci, Meral; Avci, Dilek; Ersan, E. Erdal; Dogan, SelmaObjective: The study aimed to determine the effects of the anger management program based on cognitive behavioral techniques on adolescents. anger and assertiveness levels. Methods: The study employed an experimental design with pretest-posttest measures and a control group. State-Trait Anger Expression Inventory (STAXI) and Rathus Assertiveness Inventory (RAI) were applied to 9th grade high school students. Fifty-one students who met the inclusion criteria of the study were randomly matched in terms of gender and their scale scores and assigned to experimental and control groups. At the end of the group work, the scales were reapplied to the students both in the experimental group and in the control group. The data was analyzed by SPSS 16.0 statistical package programme and Levene test, t test and chi square test were used. Results: During the first measurement, there was not a statistically significant difference between the STAXI and RAI scores of the experimental and control groups. The measurement conducted with STAXI after the program revealed that the mean scores for the trait anger, anger-in, and anger-out subscales were lower in the experimental group than in the control group, and for the anger control subscale, the mean scores were higher in the experimental group than in the control group and the difference was highly significant. After the program, the mean RAI score of the experimental group was higher than that of the control group, and the difference was statistically significant. Conclusion: The results of this study revealed that the anger management program based on cognitive behavioral techniques decreased students. trait anger levels and helped them express their anger appropriately, manage their anger and develop an assertive behavior.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.Öğe Investigation of the relationship between suicide probability in inpatients and their psychological symptoms and coping strategies(RIYADH ARMED FORCES HOSPITAL, 2016) Avci, Dilek; Sabanciogullari, Selma; Yilmaz, Feride T.Objective: To investigate the relationship between suicide probability and psychological symptoms and coping strategies in hospitalized patients with physical illness. Methods: This cross-sectional study was conducted from April to June 2014 in Bandirma State Hospital, Balikesir, Turkey. The sample of the study consisted of 470 inpatients who met the inclusion criteria and agreed to participate in the study. The data were collected with the Personal Information Form, Suicide Probability Scale, Brief Symptom Inventory and Ways of Coping with Stress Inventory. Results: In the study, 74.7% were at moderate risk for suicide, whereas 20.4% were at high risk for suicide. According to the stepwise multiple linear regression analysis, sub-dimensions of the Ways of Coping with Stress Inventory and Brief Symptom Inventory were the significant predictors of suicide probability. Conclusions: The majority of the patients with physical illness were at risk for suicide probability. Individuals who had psychological symptoms and used maladaptive coping ways obtained significantly higher suicide probability scores.Öğe The Relationship Between Life Satisfaction and Perceived Health and Sexuality in Individuals Diagnosed with a Physical Illness(SPRINGER, 2016) Sabanciogullari, Selma; Tuncay, Fatma Ozkan; Avci, DilekChronic illnesses have negative effects on individuals' perception of health and thus on their life satisfaction by restricting their physical, emotional, social, and sexual functions. In individuals with a chronic disease, it is important to determine life satisfaction that covers their entire life and relevant factors. This cross-sectional study was conducted between April 2014 and June 2014 in Bandirma. The study aims to investigate the relationship between life satisfaction and perception of health and sexuality in individuals diagnosed with a chronic physical illness. The sample of the study consisted of 220 patients who met the inclusion criteria and agreed to participate in the study. The data were collected with the Personal Information Form, Satisfaction with Life Scale, Nottingham Health Profile and Arizona Sexual Experiences Scale. To evaluate the data, descriptive statistics, Pearson's correlation analysis and multiple linear regression analysis were used. The participants' perception of health was good, but life satisfaction levels were moderate. Of the participants, 89.5 % experienced sexual dysfunction. Their life satisfaction was affected by the perception of health, but not by sexuality. The level of sexual functioning significantly affected perceptions of health. Therefore, while providing care for individuals with a chronic disease, nurses should be attentive to life satisfaction and the factors affecting life satisfaction and should carefully assess them.Öğe Suicide probability and affecting factors in psychiatric inpatients(CUMHURIYET UNIV TIP FAK PSIKIYATRI ANABILIM DALI, 2015) Sabanciogullari, Selma; Avci, Dilek; Dogan, Selma; Kelleci, Meral; Ata, ElvanObjective: The aim of this study is to examine suicide probability and affecting factors in psychiatric inpatients. Methods: This descriptive and cross-sectional study was conducted with 155 psychiatric inpatients at Cumhuriyet University Training and Research Hospital. Data was collected using the Descriptive Information and the Suicide Probability Scale. The Suicide Probability Scale includes the following subscales: hopelessness, suicidal thoughts, negative self-evaluation, and hostility. Higher scores obtained from the Suicide Probability Scale indicate elevated suicide probability. In statistical analyses, descriptive statistics, t test, one way analysis of variance, and the Kruskall Wallis test were used. Results: Mean SPS total score of the patients was found to be 82.54 +/- 14.76, which indicates moderate suicide probability. There were no significant differences in SPS total scores according to age, gender, marital status, and economic status. The mean SPS scores of patients who were diagnosed with depression, had previous thoughts about committing suicide and previous suicide attempts, and had suicidal thoughts at the time of the study were found to be significantly higher. Discussion: Mean suicide probability scores of the patients were at moderate levels. Patients who had previous suicidal thoughts and had previous suicide attempts have higher suicide probability. Our results show that suicide potential, which is a threat against patient safety in the psychiatry clinic, is high.
