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    Alexithymia in patients with type 2 diabetes mellitus: the role of anxiety, depression, and glycemic control
    (DOVE MEDICAL PRESS LTD, 2016) Avci, Dilek; Kelleci, Meral
    Objective: 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.
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    Bedensel hastalıkla birlikte depresyonu olan hastalara hemşirelerin yaklaşımlarının incelenmesi
    (Cumhuriyet Üniversitesi, 1998) Kelleci, Meral; Doğan, Selma
    ÖZET Araştırma genel tıp alanında bedensel hastalıkla birlikte depresyonu olan bireylere hemşirelerin yaklaşımlarını incelemek amacıyla tanımlayıcı olarak yapılmıştır. Araştırmanın örneklemini Cumhuriyet Üniversitesi Sağlık Hizmetleri Araştırma ve Uygulama Hastanesinde yatarak tedavi gören 30 hasta ve bu hastalara bakım veren 40 hemşire oluşturmuştur. Çalışmada "Beck Depresyon Ölçeği", ile araştırmacı tarafından geliştirilen "Hemşire Gözlem Formu" ve "Depresyon Bilgi Formu" kullanılmıştır. Araştırmanın verileri araştırmacı tarafından yapılan gözlem, görüşme ve anket yöntemi ile toplanmıştır. Verilerin değerlendirilmesinde khi kare ve fisher kesin khi kare testi kullanılmıştır. Araştırma sonunda hastaların doğrudan hemşirelik bakımı kapsamına giren yoğun depresif belirtiler gösterdikleri, hemşirelerin ise uygulama sırasında depresyonu olan hastalarla sıklıkla karşılaştıklarım belirtmelerine karşın, yansırım hastaların depresyonunun farkında olmadığı ve hemşirelerin hiçbirisinin bu konuda hastalara yaklaşımda bulunmadıkları belirlenmiştir. Hemşirelerin çalışma saatleri içinde hastalarla etkileşimlerinin çok sınırlı olduğu ve tümüyle hastanın yaşam belirtilerini kontrol etme, ilaç uygulama gibi rutin uygulamaları yerine getirmek amacıyla hasta odalarına gittikleri, hastaların ise ilgili, anlayışlı, kendileri, ile konuşan, destek veren hemşire beklentisi içinde oldukları saptanmıştır. Ayrıca hemşirelerin depresyon ve depresyonu olan hastaya yaklaşım konusunda bilgi düzeylerinin orta ve ortanın altında olduğu, bununla birlikte hemşirelerin yaş, eğitim düzeyi, çalışma yılı ve çalışma modellerinin bilgi düzeylerinde bir farklılık yaratmadığı belirlenmiştir. Aynı zamanda 54hemşirelerin bilgi düzeylerinin hastaların depresyonunu fark etmelerinde bir etkisinin olduğu saptanmıştır. Hemşireler depresyonu olan hastaya yardım edememe nedeni olarak rutin uygulamaların fazla olması ve bilgi yetersizliği gibi gerekçeler göstermişler, sorunun çözümüne yönelik en fazla sayıca yeterli hale gelme, hizmet içi eğitim programlarının düzenlenmesi, ve gerektiğinde psikiyatri hemşirelerinden yardım ve danışmanlık alma gibi önerilerde bulunmuşlardır. Hemşirelerin bedensel hastalıkla birlikte ruhsal problemi olan hastaları tanıyabilmeleri, gereksinimlerini saptayabilmeleri ve gerekli yardımı yapabilmeleri için elde edilen sonuçlara uygun öneriler geliştirilmiştir. 55
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    Bipolar Bozukluğu Olan Hastalara Yapılan Stresle Başetme Eğitiminin Stres Belirtileri, Algılanan Stres Düzeyi ve Stresle Baş Etme Tarzlarına Etkisi
    (Sivas Cumhuriyet Üniversitesi, 2023) Mert, Ayşe; Kelleci, Meral
    Bu araştırma, bipolar bozukluk tanısı ile psikiyatri kliniğinde yatan hastalara verilen stresle baş etme eğitiminin stres belirtileri, başa çıkma tutumları ve algılanan stres düzeyi etkisini belirlemek amacıyla yapılmıştır. Araştırma ön test – son test, kontrol gruplu deneysel bir çalışmadır. Çalışmanın örneklemini bir üniversite hastanesi psikiyatri kliniğinde bipolar bozukluk tanısı ile takip edilen 60 hasta oluşturmuştur. Araştırmanın verileri Kişisel Bilgi Formu, Stres Belirtileri Ölçeği (SBÖ), Başa Çıkma Tutumlarını Değerlendirme Ölçeği (COPE) ve Algılanan Stres Ölçeği (ASÖ) ile toplanmıştır. Deney grubuna üç oturumdan oluşan Stresle Baş etme Eğitim programı uygulanmıştır. Verilerin değerlendirilmesinde için student t testi, Varyans analizi ve ki kare testi kullanılmıştır. Deney grubundaki bireylerin SBÖ toplam puan ortalaması uygulama öncesi 57,62±13,77 iken uygulama sonrası 37,14±5,91 olmuştur ve aradaki fark anlamlıdır (p
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    Childhood trauma and general cognitive ability: Roles of minimization/denial and gender
    (ELSEVIER IRELAND LTD, 2016) Mert, Derya Guliz; Kelleci, Meral; Yildiz, Esengul; Mizrak, Ali; Kugu, Nesim
    The aim of this study was to investigate the effects of minimization and gender on the interaction between childhood trauma and general cognitive ability. The study included 345 students. The data were obtained via an information form, the Childhood Trauma Questionnaire (CTQ), and Raven's standard progressive matrices (RSPM). The mean CTQ total score and the mean sexual abuse, physical, and emotional neglect subscale scores of the male students were significantly higher than those of the female students (p < 0.05). The mean minimization score of the female students was greater than that of the male students (p < 0.05). However, among the female students with minimization scores of 3, there was a moderate and significant negative correlation between the CTQ and RSPM scores (r=0.533, p < 0.05). This study found that general cognitive ability was influenced by childhood trauma among female students with higher minimization/neglect scores. The results of the current study suggest that ignoring the effects of minimization may be a misleading factor for determining the gender ratio of childhood trauma and evaluating its effect on long-term cognitive functions. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
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    Comparison of sexual functions in women with and without type 1 diabetes
    (Assoc Medica Brasileira, 2023) Celik, Selda; Bal, Meltem Demirgoz; Kelleci, Meral
    OBJECTIVE: This study aimed to investigate female sexual function in patients with type 1 diabetes by comparing female sexual function index scores between women with and without type 1 diabetes.METHODS: A total of 62 women with type 1 diabetes and 69 age-matched women without diabetes but with similar backgrounds were enrolled in the patient and control groups, respectively. All participants were sexually active and had no systemic diseases other than diabetes in the patient group.RESULTS: The frequency of female sexual dysfunction was significantly higher, and the mean female sexual function index score was significantly lower in women with diabetes compared to the control group (p=0.01). There was a significant relationship between sexual dysfunction and duration of diabetes, glycosylated hemoglobin test, and body mass index (p<0.05).CONCLUSION: This study demonstrates that female sexual dysfunction is more common among women with type 1 diabetes than among women without type 1 diabetes. Patients with type 1 diabetes should be evaluated in terms of sexual health. Health professionals should give more attention to and provide guidance regarding sexual function in women with type 1 diabetes.
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    Covid-19 Pandemisinde İncinebilir Bir Grup Olan Adolesanlarda Uyku Kalitesi, Ruhsal Belirti ve Stresle Başa Çıkma Tarzları Arasındaki İlişkinin Değerlendirilmesi
    (Sivas Cumhuriyet Üniversitesi, 2023) Kelleci, Meral; Tel, Havva; Kurtaran, Deniz; Kısaoğlu, Özge
    ÖZET Giriş:Bu çalışma COVID-19 pandemisinde incinebilir bir grup olan adolesanlarda uyku kalitesi, ruhsal belirti ve stresle başa çıkma tarzları arasındaki ilişkinin değerlendirilmesi amacıyla yapılmıştır. Yöntem:Retrospektif ve tanımlayıcı tasarımda yapılan çalışmanın örneklemini 12-24 yaş aralığında ve çalışmaya katılmayı kabul eden 332 birey oluşturmuştur. Veriler Kişisel bilgi formu, Kısa Semptom Envanteri (KSE), Stresle Başa Çıkma Tarzları Ölçeği (SBTÖ) ve Pittsburg Uyku Kalite İndeksi (PUKİ) kullanılarak toplanmıştır. Verilerin istatistiksel analizinde tanımlayıcı testler, student t testi, çoklu regresyon analizi kullanılmıştır. Bulgular:Çalışmaya katılan bireylerin ortalama yaşları 15,54±1,88 dir. Adolesan bireylerin %97,6’sı bekar, %78.3’ünün lise ve üniversite öğrencisi ve %80.7’si ailesi ile birlikte yaşamaktadır. Adolesan bireylerde COVID-19 pandemisi sırasında anskiyete, depresyon, hostilite, somatizasyon ve olumsuz benliği içeren ruhsal belirtilerin; stresle başa çıkma tarzlarından kendine güvenli yaklaşım, kendine güvensiz yaklaşım ve boyun eğici yaklaşımın uyku kalitesini etkilediği saptanmıştır. Ayrıca ruhsal belirtilerin varlığı ve stresle başa çıkma tarzları arasında anlamlı bir ilişki olduğu belirlenmiştir. Stresle başa çıkma tarzlarından kendine güvenli yaklaşım ve sosyal destek arama yaklaşımı puanı arttıkça ruhsal belirtilerin azaldığı;boyun eğici yaklaşım puanı arttıkça ruhsal belirtilerin arttığı saptanmıştır. Sonuç ve Öneri: Bu dönemde adolesanların ruhsal yönden zarar gördüğü saptanmıştır. Adolesanların desteklenmesi ve gelecekte ortaya çıkabilecek sorunlara karşı önlem alınması önerilmektedir.
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    Diabetes Management and Problems Experienced by Patients with Type 1 Diabetes Mellitus During the COVID-19 Pandemic: A Qualitative Study
    (2023) Çelik, Selda; Kelleci, Meral; Anataca, Gülden; Kumbasar, Abdulbaki
    Objective: A study was conducted to obtain information about problems in diabetes management experienced by patients with type 1 diabetes mellitus during the coronavirus disease (COVID-19) pandemic. Materials and Methods: In this qualitative study, in-depth interviews were carried out with 43 patients with type 1 diabetes mellitus (25 women, 18 men) aged 18-34 years who volunteered to participate. Each interview lasted 30 to 35 minutes. The conventional content analysis of data was performed using Graneheim & Lundman method. Results: The mean age of the participants was 26.05±8.01 years, the mean HbA1c level was 9.57±2.57%, and the duration of diabetes was 8.70±5.22 years. The study revealed 7 problem areas related to the patients’ diabetes management during the COVID-19 pandemic: blood glucose control, dietary adherence, insulin dose adjustment, exercising, psychosocial problems, sleep problems, and compliance with COVID-19 preventive measures. Conclusion: The study's results showed that during the COVID-19 pandemic, patients with type 1 diabetes mellitus experienced difficulties in diabetes management and negatively impacted psychosocially.
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    Distracting children during blood draw: Looking through distraction cards is effective in pain relief of children during blood draw
    (WILEY-BLACKWELL, 2012) Inal, Sevil; Kelleci, Meral
    This study aims to investigate the effects of distraction method by way of looking through distraction cards/Flippits (R) to reduce procedural pain and anxiety during blood draw. In this method we distract attention of the children with distraction cards/Flippits (R). Flippits (R) consist of various eye-catching pictures and shapes. Then we asked the children questions about the cards during the blood draw procedure that he or she can only answer if he or she examines the cards carefully. This study is a prospective, randomized controlled trial. The sample consisted of 123 children of ages between 6 and 12. We randomly assigned subjects into two groups. Group 1 received no intervention, whereas Group 2 received distraction in the form of looking through distraction cards/Flippits (R). Pre-procedural and procedural anxiety was assessed using the anxiety scale from the Children's Anxiety and Pain Scales by parents' and observer's report. Procedural pain was assessed using Faces Pain Scale-Revised by children, parent and observer reports. Results show that pre-procedural anxiety did not differ significantly. However, the experimental group had significantly lower pain levels than the control group during the blood draw procedure. Also experimental group had significantly lower anxiety levels than the control group.
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    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.
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    The Effects of Spouse Violence Upon Women's Mental Health
    (ORTADOGU AD PRES & PUBL CO, 2009) Kelleci, Meral; Golbasi, Zehra; Erbas, Nuriye; Tugut, Niluefer
    Objective: This descriptive and cross-sectional research examines the effect of spouse violence on women's mental health. Material and Methods: The research included 591 married women who presented to three primary public health care units randomly chosen among nineteen. Data were collected by "Personal Inquiry Form", "Domestic Violence Questionnaires" and "General Health Questionnaire (GHQ)". Data were analyzed by the Student's t-test, variance analysis and correlations test. Results: Overall, 64% of women were exposed to spouse violence. The average score for the general health of women was 5.16 +/- 5.09 and 48.1% of women were psychologically at risk. The average score for the general health of women who were exposed to spouse violence was remarkably higher (6.14 +/- 5.50) than those who never experienced spouse violence (3.40 +/- 3.67). The average score for GHQ for women who were exposed to all of four violence types (psychological, psychological/verbal, economic and sexual) was highest with 11.43 +/- 5.85 and for women who were exposed to only one violence type was the lowest with 4.11 +/- 3.85. A significant positive correlation was found between the number of violence types and average scores on GHQ (r=0.22, p<0.001). Conclusion: Spouse violence in the vicinities of primary public health care units is a major health problem and the mental health of women who are exposed to spouse violence is at risk more than those who are not exposed to spouse violence.
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    Effects of the Anger Coping Programme based on cognitive behavioural techniques on adolescents' anger, aggression and psychological symptoms
    (WILEY, 2016) Avci, Dilek; Kelleci, Meral
    This 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.
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    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, Selma
    Objective: 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.
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    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, Selma
    Objectives: 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.
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    EVALUATION OF MENTAL SYMPTOMS, SLEEP QUALITY AND STRESS COPING STYLES OF ADULTS DURING THE COVID-19 PANDEMIC PERIOD
    (Sivas Cumhuriyet Üniversitesi, 2023) Kelleci, Meral; Tel, Havva; Kısaoğlu, Özge; Kurtaran, Deniz
    ABSTRACT Objective: This study aimed to evaluate the mental symptoms, sleep quality and coping with stress styles of adults during the COVID-19 period. Materials and Methods: 665 individuals over the age of 18 who agreed to participate in the study is included in the sample of the study conducted in retrospective and descriptive design. Research data were collected using the Personal Information Form, Brief Symptom Inventory (BSI), Ways of Coping Scale (WCS), and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive tests, student t-test, one-way analysis of variance, and multivariate logistic regression analysis. Results: The mean age of the patients participating in the study was 54.00±19.431. It was determined that 55.2% were women, 65.6% were married,and 34.6% were primary school graduates. The participants in the study had the highest mean scores in were BSI subscales was depression (1.00 ±.65) and hostility (1.22 ±.80), the average for the Global Severity Index .78 ± .47, and the ways of coping styles were found to be in the least seeking of social support , with the highest self-confident of the lower scale point average. It was determined that 62.6% (n=416) of participants had poor sleep quality. Negative self concept BSI sub-scales in regression analysis (t=2,929; p
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    Evaluation of peer bullying, internet addiction, and psychological adaptation level of students aged 9-15
    (Wiley, 2021) Kelleci, Meral; Tel, Havva; Akgul Gundogdu, Nurcan; Temel Mert, Zeynep
    Purpose: This study was conducted to evaluate peer bullying, internet addiction, and psychological adaptation capabilities of students in the 9-15 age group. Design and Methods: The study was performed as cross-sectional-descriptive research with 880 students included in the research sample. Findings: One-fourth of the students in the 9-15 age group suffered from psychological adaptation issues, one-fifth suffered from bullying issues, and 16.5% suffered from internet addiction. Conclusion: There is a need for early determination in risky age groups, a collaboration between parents and teachers in schools, and extended social studies on the prevention of peer bullying and internet addiction.
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    Evaluation of The Elderly Individuals the Covid-19 Pandemic in Terms of Depression and Sleep Quality
    (Sivas Cumhuriyet Üniversitesi, 2023) Tel, Havva; Kelleci, Meral; Kısaoğlu, Özge; Kurtaran, Deniz
    Aim: Along with the pandemic, factors such as social isolation, disconnection from society, physical distancing and loss of usual social opportunities have negatively affected elderly individuals, who are a vulnerable group. In this study, aimed to evaluate depression and sleep quality in elderly who constitute the primary risk group during the COVID-19 period. Materials and Methods: 332 elderly individuals included in this retrospective and descriptive study. Data were collected using the Elderly Information Form, Geriatric Depression Scale and Pittsburg Sleep Quality Index. Descriptive statistics, chi-square test and Pearson correlation analysis were used in the analysis of the data. Results: The mean age of the participants was 71.09±5.831, and 54.8% were female. 70.2% are married, 42.8% are primary school graduates, 93.4% are unemployed, 75.3% have a chronic physical disease. While 53.6% of the elderly individuals had depression symptoms, 68.7% of them had poor sleep quality. Women have worse sleep quality than men. Significant differences were found between age and educational status and PSQI scores (p
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    Evidence-based management in mental health nursing
    (2006) Kelleci, Meral
    Evidence-based practice (EBP) is a way of serving patients, clients or comsumers. EBP, predicated on an evidence hierarchy and has the goal of using the best evidence to improve practice. The rationale for this paper is to examine the potential of EBP for the field of mental health/psychiatric nursing.
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    FACTORS ASSOCIATED WITH SUICIDE ATTEMPTS IN PATIENTS WITH BIPOLAR DISORDER TYPE I
    (MEDICINSKA NAKLADA, 2015) Mert, Derya Guliz; Kelleci, Meral; Mizrak, Ali; Semiz, Murat; Demir, Meral Oran
    Background: The aim of this study is to identify the risk factors that are associated with suicide attempts in patients with bipolar disorder type I. Subjects and methods: This cross-sectional study was conducted with inpatients and outpatients with BD type I. Patients who met the study inclusion criteria (n=91) were evaluated in terms of sociodemographic variables, history of childhood trauma, comorbidity of adult attention deficit hyperactivity disorder and posttraumatic stress disorder, and the course of the disease. The patients were divided into two groups: those with a history of suicide attempts and those without a history of suicide attempts. The parameters of the study groups were compared with t and chi-square tests as appropriate. Logistic regression was used to identify the predictors of suicide attempt. Results: Logistic regression analysis of the study parameters suggested that the number of major depressive episodes (odds ratio: 7.18; 95% confidence interval: 1.84-28) and history of emotional neglect (odds ratio: 1.83; 95% confidence interval: 1.15-2.90) were significant predictors of suicide attempt in patients with BD. Conclusion: In BD type I patients with a history of suicide attempts, the number of depressive episodes and emotional neglect, a subtype of childhood traumas, were the most remarkable risk factors. Considering the frequency of depressive episodes during the course of the disease and assessing traumas including those in childhood may help predict future suicide attempts in patients with BD.
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    HEMODİYALİZ HASTALARINA UYGULANAN PROGRESİF GEVŞEME EGZERSİZİNİN ANKSİYETE DÜZEYİ VE UYKU KALİTESİNE ETKİSİ
    (2020) Akgül, Meral; Kelleci, Meral
    Amaç: Araştırma hemodiyaliz hastalarına uygulanan progresif gevşeme egzersizinin hastaların anksiyete düzeyi ve uyku kalitesi üzerine etkisini değerlendirmek amacıyla yapıldı.Yöntem: Deneysel özellikte olan araştırmanın örneklemini hemodiyalize giren 42 birey oluşturdu. Araştırmada veriler; Hasta Tanıtım Formu, Durumluk-Sürekli Anksiyete Ölçeği (STAI FORM TX) ve Pitssburg Uyku Kalitesi İndeksi (PUKİ) ile toplandı. Basit rastgele örnekleme yöntemi ile deney (n=20) ve kontrol (n=22) grupları belirlendi. Deney grubuna 4 aşamadan oluşan Progresif Gevşeme Egzersiz Programı öğretimi yapıldı. Davranış değişikliği oluşturmak ve desteklemek amacı ile hastalara kısa mesaj gönderildi. Ölçekler 6. ve 8. haftada tekrar uygulandı. Verilerin analizinde Ki-Kare testi, student t testi ve ANOVA testi kullanıldı.Bulgular: Deney ve kontrol grubu yaş, eğitim düzeyi, cinsiyet ve durumluk ve sürekli anksiyete düzeyi ve PUKİ puan ortalamaları açısından benzer özelliklere sahipti (p>0.05). Deney ve kontrol grubunun uygulama sonrası ve 6. hafta durumluk-sürekli anksiyete puanları ile PUKİ puan ortalamaları arasında anlamlı bir fark bulunmazken, 8. haftada grup içi ve gruplar arası puan ortalamaları açısından durumluk-sürekli anksiyete puanları ve PUKİ puan ortalamaları arasında anlamlı bir farkın olduğu belirlendi (p<0.05). Sonuç: Araştırma sonucunda hemodiyaliz hastalarına uygulanan progresif gevşeme egzersizinin anksiyete düzeyi ve uyku kalitesini olumlu yönde etkilediği belirlendi. Progresif Gevşeme egzersizleri düzenli olarak kullanıldığında iki aydan sonra hemodiyaliz hastalarının anksiyete düzeylerini düşürmekte ve uyku kalitelerini yükseltmektedir. 
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    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, Meral
    Objectives: 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.