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    ADHERENCE TO THERAPY AND QUALITY OF LIFE IN HYPERTENSIVE PATIENTS
    (SESTRE MILOSRDNICE UNIV HOSPITAL, 2015) Mollaoglu, Mukadder; Solmaz, Gurcan; Mollaoglu, Muratcan
    This cross-sectional study aimed to evaluate the association between medication adherence and Health-Related Quality of Life (HRQoL) in 120 hypertensive patients. Personal Information Form, SF-36 Quality of Life Scale (SF-36 QoL) and Medication Adherence Self-Efficacy Scale (MASES) were used for data collection. Data were analyzed with SPSS program using percentage, mean value, standard deviation, significance test of difference between two means, analysis of variance, Mann-Whitney U test, Kruskal-Wallis test and (sic)(2)-test. MASES and SF-36 QoL scores of the patients were found to be low. Adherence to medication and compliance were found to be low in males, patients using two or more drugs, and those that did not control their blood pressure regularly. In addition, a statistically significant positive relationship was found between adherence to medication/compliance, self-efficacy and quality of life (p<0.001). Regular and continuous adaptation programs addressing patients on antihypertensive therapy will improve the quality of life of these patients.
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    Aquatic Exercise Program for Individuals With Osteoarthritis: Pain, Stiffness, Physical Function, Self-Efficacy
    (Lippincott Williams & Wilkins, 2019) Fertelli, Tuelay Kars; Mollaoglu, Mukadder; Sahin, Ozlem
    Purpose This research was conducted to determine the effects of an aquatic exercise program on pain, stiffness, physical function, and self-efficacy in individuals with osteoarthritis. Design A randomized controlled trial. Methods Participants in the experimental group participated in the aquatic exercise program three times a week for 8 weeks; participants in the control group did not. Findings The mean scores of the experimental group on the pain, stiffness, and difficulty in carrying out physical functions subscales of the Western Ontario and McMaster Universities Osteoarthritis Index decreased significantly, whereas those of the control group decreased very little. The mean scores of the experimental group on the Arthritis Self-Efficacy Scale and the isokinetic muscle strength measurements increased, but those of the control group did not change in the final measurements. The difference between the groups was statistically significant. Conclusions Through the study, it was determined that the aquatic exercise program decreased pain, stiffness, and difficulty in carrying out physical functions and increased self-efficacy and muscle strength of individuals with osteoarthritis.
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    Disability and Activities of Daily Living in The Patients With Multiple Sclerosis
    (JOURNAL NEUROLOGICAL SCIENCES, 2011) Fatma, E. R.; Mollaoglu, Mukadder
    Objective: This study aimed to evaluate disability and the level of independence in ADLs in the patients with MS and investigate the affecting factors. Method: This study was applied on 104 patients with MS. Data were collected with Patient Information form, Disability Questionnaire and The Barthel Index of Activities of Daily Living (BIADLs). Data of the study was evaluated using the varyant analysis, Kruskal Wallis test, student -t test and the corelation analysis. Results: Most of the patients with MS (%67.3) experienced disability. Also it was found that %72.1 of the MS patients were dependent while maintaning their ADLs. The working status, education level and having child were the common factors which affected both disability and the level of independence in maintaning ADLs. Moreover, a negative corelation was detected (r =-0.62) between the score of Brief Disability Questionnaire (BDQ) and BIADLs in MS patients (p < 0.05). Conclusion: Disability is an important problem for MS patients. While the disability in the MS patients is increasing, dependence ADLs level increases, too. Some of personal characteristics of MS patients also affect disability and independence level in ADLs. Detecting the level of disability and the level of independence in maintaining ADLs in MS patients is very important for decreasing the disability and describing the limitation which occur in the patients due to this disability and for implementing effecive care plans in order to maintain ADLs.
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    Disability in elderly patients with chronic neurological illness: Stroke, multiple sclerosis and epilepsy
    (ELSEVIER IRELAND LTD, 2011) Mollaoglu, Mukadder; Fertelli, Tulay Kars; Tuncay, Fatma Ozkan
    The aim of the study was to evaluate disability in patients with elderly stroke, multiple sclerosis (MS) and epilepsy, and to analyze its relationship with demographic characteristics. We conducted a cross-sectional study involving 113 patients with neurological diseases. The data were collected with a Personal Information Form, the Rivermead Mobility Index (RMI), and the Brief Disability Questionnaire (BDQ) were used. The data were evaluated using percentage, variance analysis, the Kruskal-Wallis test and the Pearson correlation analysis. The study results demonstrate that among three disorders, the severity of disability increased in patients with stroke, epilepsy and MS, respectively. It was also found that in patients with stroke, MS and epilepsy experiencing disability in mobility, 32.7% had experienced moderate physical-social disability, and 63.3% had experienced severe physical-social disability, and that there was a significantly high relationship between mobility disability and physical-social disability. The severity of disability was found to be higher for older age, low level education, self-employed and widows. Especially in stroke patients, disability is a common problem in patients with epilepsy and MS. Detecting the level of disability is very important for decreasing the limitation in elderly patients with neurological illness. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
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    Disability is associated with nonadherence to diet and fluid restrictions in end-stage renal disease patients undergoing maintenance hemodialysis
    (SPRINGER, 2015) Mollaoglu, Mukadder; Kayatas, Mansur
    The purpose of this study was to evaluate nonadherence to diet and fluid restrictions and its relation with the level of disability in patients on chronic hemodialysis (CH). The study design was a descriptive survey. The data were obtained from 186 patients in hemodialysis centers in Turkey. Descriptive statistics including mean scores, standard deviations and frequencies, and correlations analysis and logistic regression were conducted. Data were collected by using a personal information form, the Dialysis Diet and Fluid and Brief Disability Questionnaire. A great majority of hemodialysis patients showed nonadherence to diet and fluid restrictions. In total, 124 patients (66.7 %) reported mild to very severe nonadherence to diet, and 128 patients (68.8 %) reported mild to very severe nonadherence to fluid restrictions. Most of the patients with CH (69.9 %) experienced disability. The results of this study showed that nonadherence was more common among older age, females, low-educated patients and those with higher levels of disability. The results of this study showed that the prevalence of nonadherence to diet and fluid restrictions was high in hemodialysis patients. The significant predictors for diet and fluid nonadherence were: older age, high interdialytic weight gain, and severe disability. Medical professionals must be aware of nonadherence and related factors and assist patients in developing strategies to prevent and respond to this.
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    Does Illness Perception Predict Hopelessness and Death Anxiety in Palliative Care Patients?
    (Sage Publications Inc, 2024) Cam, Funda; Boy, Yasemin; Mollaoglu, Mukadder; Korkmaz, Samet
    Illness perception is crucial in how patients navigate health challenges. Investigating if it predicts hopelessness and death anxiety is vital, especially in palliative care where these burdens are common. This descriptive, cross-sectional study was conducted with 129 patients receiving treatment in the palliative care clinics of a university hospital. Patient Identification Form, Illness Perception Questionnaire, Beck Hopelessness Scale, and Death Anxiety Scale were used as data collection tools. The findings revealed that patients generally have a negative perception of their illness, with moderate levels of hopelessness and high levels of death anxiety. A statistically significant positive correlation was observed between illness perception, death anxiety, and hopelessness. Furthermore, illness perception was found to predict 80.1% of the variation in hopelessness levels and 64.7% of the variation in death anxiety levels among patients. These findings underscore the importance of addressing psychological factors as part of comprehensive palliative care management.
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    The effect of a self-care education program on cerebrovascular disease patients' activities of daily living
    (UNIVERSITATSVERLAG ULM GMBH, 2006) Tuncay, Fatma Oezkan; Mollaoglu, Mukadder
    Purpose. Cerebrovasculer Disease (CVD) is in first place for frequency and importance among all of the neurologic diseases in adults. Cerebrovascular disease is the cause for severe disabilities in individuals and affects their self care and Activities of Daily Living (ADLs). This study was conducted as an experimental study for the purpose of investigating the effect of a self-care education program given to individuals with the diagnosis of Cerebrovascular disease on their level of independence in activities of daily living. Methods. The present study included totaly 40 patients as 20 experimental group and 20 control group, all of whom were staying with the diagnosis of CVD at the Neurology Clinic of Cumhuriyet University Hospital between MarchSeptember 2003. 20 patients with CVD constitute the control, experimental groups, had an information form from the literature about their socio-demographic individual indipendence and they also had the Barthel's Activity of Daily Living Index on their individual indipendence. In the evaluation of the data the Chi-Square Test, Mann-Whitney-U Test and Wilcoxon Test are used. Results. Before the discharge from the hospital the test group had 30.75 and the control group 30.50 rates of daily activities. After the analysis between these two groups no logical statistical difference is found. After the discharge (following the first education) the avarage rate of the test group increases to the 60.00 percent and the control group to39.50. At the last measurement (after second education) the test group rate avarage increases to the 82.25 and the control group to the 47.00, and the useful effects to the Daily Living activities of the CVD patients are observed. At the last two measurements the difference between the avarage rates is found logical. In this study it is observed that, the individuals who take personel life freedom activity programs have a development in their lifestyles. Conclusions. The result of this study was that individuals who received a self-care education program had an increase in their level of independence with ADLs and this increase was shown to be affected by the education program.
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    Effect of the cooling suit method applied to individuals with multiple sclerosis on fatigue and activities of daily living
    (WILEY, 2017) Tuncay, Fatma Ozkan; Mollaoglu, Mukadder
    Aims and objectivesTo determine the effects of cooling suit on fatigue and activities of daily living of individuals with multiple sclerosis. BackgroundFatigue is one of the most common symptoms in people with multiple sclerosis and adversely affects their activities of daily living. Studies evaluating fatigue associated with multiple sclerosis have reported that most of the fatigue cases are related to the increase in body temperature and that cooling therapy is effective in coping with fatigue. DesignThis study used a two sample, control group design. MethodsThe study sample comprised 75 individuals who met the inclusion criteria. Data were collected with study forms. After the study data were collected, cooling suit treatment was administered to the experimental group. During home visits paid at the fourth and eighth weeks after the intervention, the aforementioned scales were re-administered to the participants in the experimental and control groups. ResultsThe analyses performed demonstrated that the severity levels of fatigue experienced by the participants in the experimental group wearing cooling suit decreased. The experimental group also exhibited a significant improvement in the participants' levels of independence in activities of daily living. ConclusionsThe cooling suit worn by individuals with multiple sclerosis was determined to significantly improve the participants' levels of fatigue and independence in activities of daily living. Relevance to clinical practiceThe cooling suit therapy was found to be an effective intervention for the debilitating fatigue suffered by many multiple sclerosis patients, thus significantly improving their level of independence in activities of daily living.
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    Effect on anxiety of education programme about care of arteriovenous fistula in patients undergoing hemodialysis
    (WICHTIG EDITORE, 2012) Mollaoglu, Mukadder; Tuncay, Fatma Ozkan; Fertelli, Tulay Kars; Yurugen, Birsen
    Purpose: This study investigated the impact of education, provided to individuals, in whom AV fistula was preferred as a vascular access, regarding information and anxiety. Methods: This experimental study was performed on 32 patients undergoing hemodialysis between November 2009 and February 2010 in the Nephrology Clinic of Sivas Cumhuriyet University Hospital. Patients' data was collected by means of Personal Information Form (PIF), AV Fistula Information Form (AV-FIF), and Beck Anxiety Inventory (BAI); education brochures were used in order to inform the individuals. Collected data were assessed with SPSS. Statistical analyses were used in order to assess the data: percentage account, paired samples t test. Results: When comparing information and anxiety score of individuals prior to and following education about AV fistula care, it was seen that information and anxiety scores were low and high respectively, prior to the education. Following education, patients' information and anxiety scores became higher and lower respectively. All these results were statistically significant (P < 0.001). Conclusions: Education about fistula increased the information level about fistula care and decreased anxiety in patients undergoing hemodialysis. It is important to perform patient education regularly, because it increases the level of orientation towards illness and interventions in patients.
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    Effect on symptom control of structured information given to patients receiving chemotherapy
    (ELSEVIER SCI LTD, 2014) Mollaoglu, Mukadder; Erdogan, Gulyeter
    Purpose: The performance of a planned education model in patients receiving chemotherapy can alleviate the side effects of chemotherapy and thus can increase the quality of the patients' lives. In accordance with this view, this study was conducted with the purpose of examining the effect of planned education given to patients receiving chemotherapy on their symptom control. Methods: The study was quasi-experimental. A sample of 120 patients participated, of which 60 were in the experimental group (EG) and 60 were in the control group (CG). A patient data form and the chemotherapy symptom assessment scale (C-SAS) were used in order to collect the data. Median, Mann-Whitney U test and Wilcoxon signed rank test were used to analyze the data. Results: There were statistically significant decreases in the frequencies of the following symptoms: nausea, vomiting, constipation, pain, infectious signs, problems of mouth and throat, problems of skin and nails, appetite changes, weight loss or weight gain, feeling distressed/anxious, feeling pessimistic and unhappy, unusual fatigue, difficulty sleeping. Also, there were statistically significant decreases in the severity of eleven symptoms and on the discomfort levels of nine symptoms. Conclusion: In the study, the planned education provided by the health-care providers had a positive effect on the symptom control of patients receiving chemotherapy. (C) 2013 Elsevier Ltd. All rights reserved.
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    Effects of loneliness on illness perception in persons with a chronic disease
    (WILEY, 2018) Tuncay, Fatma Ozkan; Fertelli, Tulay; Mollaoglu, Mukadder
    Aim and objectives: To determine the effects of loneliness on illness perception in persons with a chronic disease. Background: How an illness is perceived not only affects all dimensions of a person's life but also plays an important role in his/her coping with the complications and consequences of the disease. One of the factors that influence the illness perception is loneliness. Design: The study is a descriptive study. Methods: The study sample included 206 individuals over the 18 years of age, conscious, having had a chronic illness at least 1year, having no communication problems and agreeing to participate in the study after being informed about the study. Data were collected with the Personal Information Form, the Illness Perception Questionnaire and the University of California Los Angeles Loneliness Scale. The forms were administered to the participants in an unoccupied patient room, and the data were collected through face-to-face interviews. Results: The results of the study revealed that individuals with a chronic disease perceived emotional symptoms accompanying the disease more intensely that they accepted their disease was a chronic one and that their personal control and treatment control of the disease were at a middle level. The mean score the participants obtained from the University of California Los Angeles Loneliness Scale was 38.49 +/- 11.15. There was a significant negative correlation between this mean score and the mean scores obtained from the following subscales consequences, treatment control, illness perception and emotional representations. Conclusion: In this study, it was concluded that the participants perceived their loneliness level as moderate and that their illness perception was negatively affected as their loneliness levels increased. Relevance to clinical practice: The knowledge of clinical nurses about perception of patients with chronic illnesses and conditions affecting that perception will enhance compliance with the illness management or treatment strategies. Clinical nurses should observe residents closely for signs of depression and loneliness and support their sense of coherence to reduce emotional and social loneliness.
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    Effects on caregiver burden of education related to home care in patients undergoing hemodialysis
    (WILEY-BLACKWELL, 2013) Mollaoglu, Mukadder; Kayatas, Mansur; Yurugen, Birsen
    Caring for a patient undergoing hemodialysis is highly stressful and can negatively affect a caregiver's physical and psychological well-being. This study was conducted to examine the effect of educational support concerning caregiver burden and given to the caregivers of hemodialysis patients. This experimental study was performed with 122 caregivers. Patients' data were collected by means of Personal Information Form and Zarit Caregiver Burden Scale (ZCBS). Characteristics of caregivers of hemodialysis patients were analyzed descriptively in terms of frequencies and percentages for categorical data, means, and standard deviations. Mann-Whitney U test, Kruskall-Wallis test, and percentages were used in the data analysis. The mean ZCBS score was 52.1 +/- 8.6 (range, 0-88). Among the caregivers, the mean score of the ZCBS was significantly higher in women, single, young, family relatives as daughter/sister/brother/daughter-in-law and town/district, high educational level (P<0.05). Moreover, the mean score of the ZCBS was significantly higher in caregivers who have health problems/diseases. In addition, this study explored the educational needs of home-based such as nutrition (35.2%), dialysis (27.8%), fistula care (20.4%), catheter care (18.8%), the information about chronic kidney disease (18.0%), blood pressure (17.2%), weight control (17.2%), hygiene (3.1%), and travel/exercise (6.5%). The post-educational mean scores (55.0 +/- 7.6) of caregiver burden were observed to be lower than the pre-educational scores (43.9 +/- 5.2), and the difference was found to be statistically significant. The home-based educational program demonstrated a decrease in the burden of hemodialysis caregivers.
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    Environmental Stressors Perceived by Patients in the Surgical Intensive Care Unit
    (Galenos Publ House, 2022) Mollaoglu, Murat Can; Karabulut, Olgay; Boy, Yasemin; Mollaoglu, Mukadder; Karadayi, Kursat
    Objective: This study aimed to determine the environmental stressors perceived by patients admitted to the surgical intensive care unit. Materials and Methods: This is a descriptive and cross-sectional study. The sample of the study comprised 83 patients hospitalized in the surgical intensive care unit. Data were obtained from the Patient Information Form and the Intensive Care Unit Environmental Stressor scale. Results: Patients hospitalized in the surgical intensive care unit identified the most critical stressors as experiencing pain, inability to sleep, lack of privacy, getting bored, and short family and friends visit time, whereas the minor stressful factors were identified as hearing phone sounds, nurses who are more concerned with bedside devices than the patients, and constantly looking at the ceiling. Conclusion: Environmental stressors affecting patients in the intensive care unit should be identified and eliminated. This initiative will prevent new stress-related health problems and improve patient quality care.
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    Evaluation of Coping with Pain in Nursing Students
    (UNIVERSITATSVERLAG ULM GMBH, 2009) Mollaoglu, Mukadder; Fertelli, Tuelay Kars; Tuncay, Fatma Oezkan
    Objective: This study was conducted to clarify the methods of coping with pain in students of Cumhuriyet University Faculty of Health Sciences, Department of Nursing (CUFHSDN) in Sivas. Materials and Methods: Data were collected during the educational season of 2006-2007. In total, 3 12 nursing students completed a questionnaire focusing on main questions related to pain and methods of coping with pain. Data analyzed in the SPSS program. Percentage calculation Chi square and Mcnemar tests were used in the statistical analysis. Results: According to result of the study, it was established that all of the student experienced pain, 41 % had headache because of stress, 70.2 % didn't have knowledge about pain before the started nursing school, 26.6% used traditional-alternative methods cope with pain. It was also identified that students' coping methods of pain changed after nursing training and they reported that they used more often nonpharmacologial methods. Conclucions: Pain management is a one of the most complex issues in nursing. Nursing education must be prepared candidates of nursing professional to provide comfort and well-being, to ease pain and to relieve suffering. These results indicate that nursing education may be effective in improving pain management. Further research into additional factors influencing pain management are needed.
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    Evaluation of emergency department nursing services and patient satisfaction of services
    (WILEY, 2016) Mollaoglu, Mukadder; Celik, Pelin
    Aims and objectives. To identify nursing services and assess patient satisfaction in patients who present to the emergency department. Background. Emergency nursing care is a significant determinant of patient satisfaction. Patient satisfaction is often regarded as a reliable indicator of the quality of services provided in the emergency department. Design. This is a descriptive study. Methods. Eighty-four patients who presented to the university emergency department were included in the study. The study data were collected by the Patient Information Form and the Satisfaction Level Form. Results. Emergency nursing services, including history taking, assessing vital signs, preparing the patient for an emergency intervention, oxygen therapy, drug delivery and blood-serum infusion were shown to be more commonly provided compared with other services such as counselling the patients and the relatives about their care or delivering educational and psychosocial services. However, 78.6% of the patients were satisfied with their nursing services. The highest satisfaction rates were observed in the following sub-dimensions of the Satisfaction Level Form: availability of the nurse (82.1%), behaviour of the nurse towards the patient (78.6%) and the frequency of nursing rounds (77.4%). Conclusions. The most common practices performed by nurses in the emergency department were physical nursing services. Patient satisfaction was mostly associated with the availability of nurses when they were needed. Our results suggest that in addition to the physical care, patients should also receive education and psychosocial care in the emergency department.
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    Evaluation of pressure ulcer risks in patients with the cerebrovascular disease
    (UNIVERSITATSVERLAG ULM GMBH, 2007) Mollaoglu, Mukadder
    It is known that patients with neurologic disorders are at high risk for the development of pressure ulcers. The most effective approach in pressure ulcers is the identification of patients at risk and their prevention. This research was conducted for the purpose of determining the pressure ulcer risk status of individuals with Cerebrovascular Disease (CVD). A total of 104 patients admitted to Cumhuriyet University Hospital's neurology, neurosurgery, and intensive care units with the diagnosis of CVD were included in the study and 51.9 % of the patients were determined to be at very high risk for pressure ulcer formation, and 22.1 % at borderline risk. It was determined that patients were at higher pressure ulcer formation risk who were admitted with the diagnosis of cerebral hemorrhage, over 56 years, obese, had been hospitalized for more than 22 days, had low albumin level and had a Glasgow Coma Scale (GCS) score between 4 and 7. The data were obtained using a Patient Information Form and the Braden Scale for predicting pressure sore risk and analyzed in the SPSS program. Percentage calculation and Chi square tests were used in the statistical analysis.
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    The evaluation of self-care and self-efficacy in patients undergoing hemodialysis
    (WILEY-BLACKWELL, 2010) Bag, Eylem; Mollaoglu, Mukadder
    Purpose The purpose of this study is to assess patients' self-care ability and self-efficacy, to examine the relationship between them and to determine the factors affecting self-care ability and self-efficacy in people undergoing hemodialysis (HD). Methods This research was conducted as a descriptive survey study by 138 people with ESRD who were patients of HD units service in Sivas. The data were collected with a Personal Information Form, Exercise of Self-Care Agency (ESCA) Scale and Self-Efficacy Assessment Form. Data collected from the study were analysed using percent, mean, Tukey test, significance test of two means, one-way variant analysis and Kruskal-Wallis test. Results The study results demonstrate that while there is a correlation between self-care ability and education level, work status, income level and frequency of HD application, factors such as age, gender, education level, work status, income level and frequency of HD application determine self-efficacy. Furthermore, a positive correlation was found between patients' self-care ability and self-efficacy. It was determined that as the level of self-care ability increases self-efficacy level also increases. Conclusions Hemodialysis application affects patients' self-care ability and self-efficacy levels. There is a positive correlation between self-care ability and self-efficacy. In view of this study's results, it is recommended to organize education programmes to increase self-care ability and self-efficacy levels of HD patients and prepare comprehensive plans including patients' families.
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    Factors Affecting Fatigue in Multiple Sclerosis Patients
    (UNIVERSITATSVERLAG ULM GMBH, 2010) Ustun, Emine; Mollaoglu, Mukadder
    Background: Fatigue is the most common symptom of multiple sclerosis (MS) with several affecting factors, including physical activities, disturbance in sleep pattern, stress and environmental factors. Purpose: To analyse factors affecting fatigue in a sample of MS patients. Method: 120 consecutive MS patients were interviewed about possible trigger factors for fatigue. Results: The most common group of factors affecting fatigue was daily activities and responsibilities, followed by environmental factors, stress and febrile illnesses. Other factors such as lack of sleep and physical activities were also cited. Physical activities caused fatigue in 58.3 %, daily activities and responsibilities in 98.3 %, and 90 % reported emotional stress as a trigger factor. 88.3 % related some sleep problems as a trigger factor. Regarding environmental factors such as hot/humid weather conditions were reported by 92.5 %. About 89.2 % of the patients reported that their level of fatigue increased by having a feverish illness. Conclusion: Factors affecting fatigue are frequent in MS patients, their avoidance may decrease fatigue frequency and also improve patients' quality of life.
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    Factors affecting the psychosocial adjustment of people with epilepsy
    (UNIVERSITATSVERLAG ULM GMBH, 2005) Mollaoglu, Mukadder; Durna, Zehra; Bolayir, Ertugrul
    Purpose: Epilepsy has a profound impact on patients' psychosocial adjusment. The level of, and factors affecting the psychosocial adjusment in patients with epilepsy may be different in Turkey where little is known about factors relating to psychosocial adjusment. However, these issues have not yet been addressed properly yet. This study examined the level of, and factors affecting the psychosocial adjustment in patients with epilepsy within a Turkish cultural contex. Methods: 102 patients with epilepsy completed Washington Psychosocial Seizure Inventory, Beck Anxiety Inventory and Multidimensional Scale of Perceived Social Support and a questionnaire that assessed their psychosocial difficulties. Factors that could significantly influence psychosocial adjustment were identified via multiple regression analysis. Results: Participants' profiles most frequently peaked at the Adjustment to Seizure scale, followed by Emotional Adjustment and Vocational Adjustment scales. Psychosocial factors, such as anxiety, family life /social life satisfaction and social support, were more powerful predictors of psychosocial adjustment in people with epilepsy than the medical factors associated with epilepsy. Conclusion: These findings showed that psychosocial maladjustment is a significant issue for people with epilepsy in Sivas. Psychosocial factors outweighed the medical factors in determining psychosocial adjustment. Recognition of these factors may lead health professionals to develop different strategies to improve the psychosocial adjustment of these patients.
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    Fatigue and disability in elderly patients with chronic obstructive pulmonary disease (COPD)
    (ELSEVIER IRELAND LTD, 2011) Mollaoglu, Mukadder; Fertelli, Tulay Kars; Tuncay, Fatma Ozkan
    The purpose of this study was to describe the prevalence and severity of fatigue and to investigate relationships between fatigue, and disability in elderly COPD patients. This descriptive and analytical study was conducted on 98 patients. Three instruments were used: Personal information form (PIF), visual analog scale for fatigue (VAS-F) and brief disability questionnaire (BDQ). The statistical analyses were used in order to evaluate the data: Student's t-test, Kruskall-Wallis test, Pearson correlation coefficient calculation and logistic regression analysis. All of patients in the sample experienced fatigue. The level of fatigue and disability experienced by the patients with COPD was high, their energy level was low. It was determined that as COPD patients' fatigue increases their disability also increases, that there are relationships between fatigue and marital status and that there are relationships between disability and gender. Furthermore, in this study significant differences were found in COPD patients' VAS-F and BDQ scores for some symptoms of COPD, such as dyspnea, fatigue, cough and sputum. The results of the study indicated that high levels of fatigue are experienced which impacts on patients' functional condition and needs to be professionally assessed managed. (C) 2010 Elsevier Ireland Ltd. All rights reserved.