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Öğe Dermatoglyphic characteristics in panic disorder(DRUNPP-SARAJEVO, 2010) Sabanciogullari, Vedat; Ersan, E. Erdal; Dogan, Orhan; Dogan, Selma; Sabanciogullari, SelmaObjectives: Panic disorder is one of the most common anxiety disorders. There are various etiological factors in panic disorder. Dermatoglyphics are special patterns formed by epidermal ridges in fingertips, palms and soles. They form during the intrauterine period and remain unchanged throughout life. Genetic diseases can change the form and structure of dermatoglyphics. The aim of this study was to evaluate fingertip and palmar dermatoglyphic samples of panic disorder patients and to compare these with the control group. Materials and methods: Dermatoglyphic data was collected from 50 patients diagnosed with panic disorder according to DSM-IV diagnostic criteria and from a control group consisting of 50 healthy people. Data was collected using a digital scanner and was transferred to computer medium. Using the Image J program, atd, dat, adt angles, a-b ridge counts, sample types of all fingers and ridge counts were calculated. Data was analyzed using t-test, Mann Whitney U and chi-square tests. Findings: It was found that the a-b ridge count in both hands and the ridge count in the thumbs of panic disorder patients were significantly higher those of the control group. It was found that, in the right hands of panic disorder patients, there was a significant increase in ridge counts in the ring finger, total ridge count and adt angle when compared to the control group. However, there was no significant difference between the groups in terms of dermal ridges, and the most common characteristic in both groups was ulnar loops. Results: Analyzing dermatoglyphics is non-invasive, straightforward, quick and economical. The use of dermatoglyphics can facilitate identification and early diagnosis of those at risk of panic disorder, allowing preventive measures to be taken.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 Effects of the professional identity development programme on the professional identity, job satisfaction and burnout levels of nurses: A pilot study(WILEY, 2015) Sabanciogullari, Selma; Dogan, SelmaThe aim of this study was to evaluate the effects of the Professional Identity Development Program on the professional identity, job satisfaction and burnout levels of registered nurses. This study was conducted as a quasi-experimental one with 63 nurses working in a university hospital. Data were gathered using the Personal Information Questionnaire, the Professional Self Concept Inventory, Minnesota Job Satisfaction Inventory and the Maslach Burnout Inventory. The Professional Identity Development Program which consists of ten sessions was implemented to the study group once a week. The Program significantly improved the professional identity of the nurses in the study group compared to that of the control group. During the research period, burnout levels significantly decreased in the study group while those of the control group increased. The programme did not create any significant differences in the job satisfaction levels of the nurses. The programme had a positive impact on the professional identity of the nurses. It is recommended that the programme should be implemented in different hospitals with different samples of nurses, and that its effectiveness should be evaluated.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 Concerning School Education of The Nurses Who Newly Graduated From An Integrated School Program and Their Professional Identity Levels(Istanbul Univ, Fac Nursing, 2012) Sabanciogullari, Selma; Dogan, SelmaAim: The aim of the study is to evaluate ideas concerning school education of the nurses who newly graduated from an integrated school program and who had not yet began to work and their professional identity development levels. Method: Being descriptive type, the study was carried out with 82 newly graduated students from Nursing Department that implements integrated education program. Personal Information Form and Professional Self-Concept Scale in Nurses (PSCSN) were used in this study. Results: 61% of the newly graduated nurses reported that they were glad to receive education from this school, and 81,4% reported that the school education was satisfactory in preparing them to profession. Almost all of the nurses (86,6%) thought that the school education positively affected their viewpoint to the profession and courses at school were effective in gaining occupational conscious (96,3%). Moreover, it was determined that PSCSN general and sub-dimension score averages were positively above the average. PSCSN general score averages of the nurses who were glad of school education and who reported that school education positively affected their viewpoint to the occupation were detected significantly high (p<0.01). PSCSN scores of the nurses who reported that school education prepared them to profession were determined to be higher. Conclusion: The ideas concerning school education of the nurses who newly graduated from a nursing undergraduate program applying integrated education are generally positive. Besides, it may be told that professional identities of the nurses who newly graduated from the integrated school program developed positively and in advanced level. Professional identity developments of the nurses who perceived the school education positively are also positive.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 Internalized stigma among inpatients with mental illness in Turkey and factors affecting it(Kuwait Medical Association, 2016) Sabanciogullari, Selma; Dogan, SelmaObjective: To investigate the internalized stigma levels of the mentally ill patients hospitalized in the psychiatry clinic of a university hospital in the Central Anatolia Region of Turkey and the factors affecting their internalized stigma levels Design: A descriptive and cross-sectional study Setting: The study was conducted at the Inpatient Psychiatry Department, Cumhuriyet University Research and Implement Hospital, Turkey Subject: Three hundred ninety-one inpatients Main Outcome Measure: Data were collected with the Socio-Demographic Information Form and the Internalized Stigma of Mental Illness Scale (ISMI). Results: Of the 391 patients studied, 48.6% were determined to suffer high levels of internalized stigma. It was determined that patients unemployed, having low levels of education and income and living in a village suffered higher levels of internalized stigma. In addition, patients diagnosed with schizophrenia and depression, perceiving their illness as a very serious one, considering his /her disease as untreatable, hiding the illness, and not having any support from their families and people around them also suffered higher levels of internalized stigma. The economic status of the patient, the way he/she perceives the severity of the disease and his/ her tendency to hide the disease have been identified as important risk factors associated with internalized stigma. Conclusion: Internalized stigma is a significant problem among hospitalized patients. In order to reduce internalized stigma, practical applications can be implemented by increasing the number of individual and group patient education programs and evaluating the effectiveness of these programs. © The Kuwait Medical Journal. All rights reserved.Öğe Internalized Stigma among Inpatients with Mental Illness in Turkey and Factors Affecting It(KUWAIT MEDICAL ASSOC, 2016) Sabanciogullari, Selma; Dogan, SelmaObjective: To investigate the internalized stigma levels of the mentally ill patients hospitalized in the psychiatry clinic of a university hospital in the Central Anatolia Region of Turkey and the factors affecting their internalized stigma levels Design: A descriptive and cross-sectional study Setting: The study was conducted at the Inpatient Psychiatry Department, Cumhuriyet University Research and Implement Hospital, Turkey Subject: Three hundred ninety-one inpatients Main Outcome Measure: Data were collected with the Socio-Demographic Information Form and the Internalized Stigma of Mental Illness Scale (ISMI). Results: Of the 391 patients studied, 48.6% were determined to suffer high levels of internalized stigma. It was determined that patients unemployed, having low levels of education and income and living in a village suffered higher levels of internalized stigma. In addition, patients diagnosed with schizophrenia and depression, perceiving their illness as a very serious one, considering his/her disease as untreatable, hiding the illness, and not having any support from their families and people around them also suffered higher levels of internalized stigma. The economic status of the patient, the way he/she perceives the severity of the disease and his/her tendency to hide the disease have been identified as important risk factors associated with internalized stigma. Conclusion: Internalized stigma is a significant problem among hospitalized patients. In order to reduce internalized stigma, practical applications can be implemented by increasing the number of individual and group patient education programs and evaluating the effectiveness of these programs.Öğe Job satisfaction and perceived job stress of the health professionals and the relationship between them(CUMHURIYET UNIV TIP FAK PSIKIYATRI ANABILIM DALI, 2013) Ersan, Etem Erdal; Yildirim, Gulay; Dogan, Orhan; Dogan, SelmaObjective: The main purpose of the study is to evaluate the job satisfaction and stress of the health professionals working in a state hospital according to their sociodemographic characteristics and to reveal whether there are any relations between them. Methods: Data have been obtained by means of a form including Minnesota Job Satisfaction Scale, Perceived Job Stress Scale and sociodemographic variables on totally 180 health professionals who are employed in Sivas Numune Hospital. Findings: In our study, it was evaluated that the job satisfaction points of the males were higher when compared to females, those of post-graduates were higher than those of graduates and undergraduates and those of doctors were higher than those of nurses in a statistically important level. The external satisfaction points of the group over 45 when compared to that of the group under 34 and those of other health professionals when compared to nurses were found to be statistically higher. It was found that job stress points of women were higher compared to males, those of the graduates of secondary education, undergraduates and graduates were higher than those of postgraduates, and the job stress points of the nurses were higher than those of doctors and other health professionals. There is a meaningful negative correlation between job satisfaction and job stress. No statistically important difference was found with reference to their marital status, whether they have children and their work years. Results: In our study, job satisfaction and job stress of the health care professionals were studied sociodemographically. In healthcare institutions, besides the satisfaction of the patients, it is also important to deal with and find solutions to the problems of the health care personnel for the establishment of job satisfaction and eliminate job stress.Öğe The mental status, functional levels, and related factors of patients discharged from a psychiatric clinic in Sivas, Turkey(CUMHURIYET UNIV TIP FAK PSIKIYATRI ANABILIM DALI, 2009) Anlar, Leyla; Dogan, Selma; Dogan, OrhanObjective: In Turkey, the number of studies related to the problems, the functional levels, and last psychiatric status of discharged patients from a psychiatric unit is few. The aim of this study was to assess the levels of functional and psychiatric symptoms. Methods: Between the years 2000-2007, there were 816 patients who live in Sivas and who were discharged from Cumhuriyet University Hospital Psychiatric Clinic according to hospital registrations. Data were collected on 343 subjects by interviewing with their homes. The Personal and Disease Characteristic Information Form, Specific Level of Functioning Scale, and the Brief Symptom Inventory were used as the tools of data collection. The Student's t test, ANOVA, Pearson's correlation analysis was used in statistical analysis of data. Results: While 38.8% of the patients were continuing their treatments and their relationship with the institution, 17.5% had stopped their treatment based on the doctor's decision. In general, the level of functioning of the patients was found as satisfactory, the lowest level functioning score was in patients with schizophrenia. The level of functioning score was lower in the patients who were not working, had been admitted in the last two years and four or more times to the hospital, and in women. The Brief Symptom Inventory mean scores of patients were found to be as 0.98. These scores were higher in patients had been admitted four or more times to the hospital, had not taking responsibility, irregularly kept their appointments, had taken their medication irregularly, not satisfaction taking drug, had anxiety disorders, and in housewives than the other groups. Conclusion: According to these results, it is necessary for the patients with severe psychiatric disorders to be monitored and to be supported after discharge. (Anatolian Journal of Psychiatry 2009; 10: 293-300)Öğe The probable learning disorders in primary school students: A preliminary study(CUMHURIYET UNIV TIP FAK PSIKIYATRI ANABILIM DALI, 2009) Dogan, Orhan; Ersan, E. Erdal; Dogan, SelmaObjective: The diagnostic criteria to determine the prevalence of learning disorders (LD) via a scale are not clear. Therefore, the true prevalence rates of LD are not known. The aim of this research was to determine the ratio of probable LD in primary school students according to Silver's diagnostic criteria for LD, in Sivas province. Methods: The research population included all of the first level of primary school students (first to fifth grade) in Sivas province; there were 26843 students at 65 primary schools. The sample was made up of 1340 students between 7 and 12 years old in the nine schools that were chosen. The schools in Sivas province were listed in order one under the other, and were selected for the study at random. Then, the classes were also selected randomly. The teachers and parents of the students were given questionnaire form. This form had demographic characteristics and Silver's diagnostic criteria for LD. A student was evaluated, as "there is a probable learning disorder" if more than half of the answers to questions is negative. The forms were evaluated if both the teachers and parents completed the form fully. The number of evaluated forms was 845 and response rate 63.06%. Chi-square test was used to evaluate the data by SPSS 13.0 for Windows package program. Written informed consent to participate in the study was obtained from the parents of all respondents. Results: The ratio of probable LD (pLD) was found to be 36.8% according to the evaluations of teachers, 37.9% according to the evaluations of parents. The ratio of probable reading disorder (pRD) according to the evaluations of teachers was found to be 18.8%, 18.0% for probable written expression disorder (pWED), 24.1% for probable mathematics disorder according to the evaluations of teachers; and according to the evaluations of parents 26.5%, 6.0%, 21.5%, respectively. The difference between the ratio of pRD and pWED was statistically significant. In the evaluations of teachers and parents, the ratio of pRD was found higher in boys than girls. The highest rate of pLD was found in seven years olds and first graders at both evaluations of teachers and parents. However, the ratio of teachers was higher almost two-fold than those of parents. Discussion: The ratio of pLD in this research was higher than the ratio of LD in literature. The ratios given in literature are related to LD, but pLD our ratios. The clear definition of LD and diagnostic criteria should be establihed to develope a standard, valid, and reliable scale that could be used in the prevalence studies with larger samples. (Anatolian Journal of Psychiatry 2009; 10: 6270)Öğe Problem-Solving Abilities of The Nursing Students Studying in Integrated Education: A Follow-up Study(Istanbul Univ, Fac Nursing, 2011) Kelleci, Meral; Golbasi, Zehra; Dogan, Selma; Tugut, NilferPurpose: This research has been done to evaluate the year by year progress of nursing students studying in Integrated Education. Method: This research has been conducted to the students of nursing department of the Faculty of Health Sciences. Integrated Education was started in 2004-2005 academic year. The population of the research consisits of 58 nursing students who started their education in this academic year by filling an annual form completely. The data has been collected with Personel Information Form and Problem Solving Inventory. The scale has three sub-dimensions as trust in problem solving ability, being volunteer/avoidant and self-control. They score minimal 32 and maximum 192 points. High score on the scale shows that students perceive problem solving insufficiently. Results: Average scores of Problem Solving Scale among the students are: 92.46 +/- 20.91 in the first measurement, 80.56 +/- 22.79 in the second measurement, 78.05 +/- 26.00 in the third measurement and 80.75 +/- 28.39 in the fourth measurement. The difference among the measurements has been found statistically significant(F=4.425, p=0.005). When the difference between the average points with respect to sub-dimensions of the scale was examined carefully, a year by year progress was observed in volunteer/avoidant (F=4.89, p=0.003) and in self-control (F=4.63, p=0.005), but a statistically-significant difference was not observed among the averages of the subdimension-trust in problem solving ability (p>0.05). Conclusion: According to the findings from the research, students' problem-solving skills, especially in the first three years can be said to show an improvement.Öğe Relationship between job satisfaction, professional identity and intention to leave the profession among nurses in Turkey(WILEY-BLACKWELL, 2015) Sabanciogullari, Selma; Dogan, SelmaAims The purpose of this study is to investigate the relationship between job satisfaction, professional identity and intention to leave the profession among nurses in Turkey. Background Although there are many studies on job satisfaction among nurses in Turkey, there is a gap in the literature in relation to professional identity, particularly for intentions to leave the profession. Method This cross-sectional, descriptive and correlational study was conducted with 2122 nurses from Turkey. Results A positive and significant correlation was determined between the nurses' job satisfaction and professional identities. It was found that 15.5% of the nurses intended to leave their profession. Intention to leave the profession was greater among the nurses with inadequate professional identity development and low job satisfaction. Conclusion Professional identity is a factor affecting job satisfaction. Both professional identity and job satisfaction are important factors affecting nurses' intention leaving the profession. Implications for nursing management Given that professional identity and job satisfaction affect intention to leave the profession and professional identity affects job satisfaction, nurse managers who are mainly responsible for the quality of nursing care should develop strategies that support nurses' professional identity and increase their job satisfaction if they are to prevent nurses from leaving the profession.Öğe Relationships between coping strategies, individual characteristics and job satisfaction in a sample of hospital nurses: Cross-sectional questionnaire survey(PERGAMON-ELSEVIER SCIENCE LTD, 2008) Golbasi, Zehra; Kelleci, Meral; Dogan, SelmaObjectives: This study aims to describe and compare the job satisfaction, coping strategies. personal and Organizational characteristics among nurses working in a hospital in Turkey. Methods: In this cross-sectional survey design Study, 186 nurses from Cumhuriyet University Hospital completed Personal Data Form. Minnesota Satisfaction Questionnaire and Ways of Coping Inventory. Response rate was 74.4%. Results: In this study. it Was found that job satisfaction score of nurses showed moderate (mean: 3.46 +/- 0.56) was found. While nurses Mostly used to employ self-confident and optimistic approaches that had already being considered as positive coping strategies with stress, yielding and helpless approaches were employed less than that. While a statistically significant positive relation (p < 0.05) was found between job satisfaction and dimensions Of Ways of Coping, Inventory "self-confident approach" and "Optimistic approach", negative relation (p < 0.01) Was found between job satisfaction and dimensions of the "helpless approach". Organizational and individual nurse characteristics were not Found to be associated with job satisfaction. But, job satisfaction of the nurses who is bounded by a contract was found higher than that of permanent staff nurses ( p < 0.05). Conclusions: The job satisfaction of Turkish hospital nurses was at a moderate and that Of the nurses Who Succeeded to coping with the stress was heightened. Higher levels of job satisfaction were associated with positive coping strategies. This stuck contributes to a growing body of evidence demonstrating, the importance of coping strategies, to nurses' job satisfaction. (C) 2008 Elsevier Ltd. All rights reserved.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.
