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Öğe Association between self-care management and life satisfaction in patients with diabetes mellitus(Elsevier Science Inc, 2020) Tuncay, Fatma Ozkan; Avci, DilekIntroduction: Life satisfaction and effective self-care management play an important role in keeping diabetes mellitus under control. The study aim was to determine the levels of self-care management and life satisfaction in patients with diabetes mellitus to explore their association and determine any predictive factors for self-man-agement. Methods: This cross-sectional study was conducted with 210 patients with Type 2 Diabetes Mellitus (DM) treated at a university hospital's endocrinology clinic between February 2019 and April 2019. The data were collected using a Personal Information Form, the Self-Care Management Scale in Chronic Illness and the Satisfaction with Life Scale. To analyse the data, descriptive statistics, t-tests, ANOVA, Pearson?s correlation and multivariate linear regression analysis were utilised. Results: The total score of the patients with DM in the Self-Care Management Scale was 113.34 +/- 17.12, while the subscale scores of the dimensions of self-support and social support were respectively 72.21 +/- 11.55 and 41.08 +/- 9.84. Their total score of Satisfaction with Life Scale was 18.42 +/- 9.03. The two components com-prising patients' self-care management (self-support and social support), as well as total self-care management levels (r(2) : 0.52, p < 0.01) showed correlation with life satisfaction. Conclusion: The self-care management and life satisfaction levels of the patients were average. Diabetes self-care management is significantly associated life satisfaction levels.Öğe Conflict management styles of nurse managers working in inpatient institutions: the case of Turkey(WILEY, 2018) Tuncay, Fatma Ozkan; Yasar, Ozgul; Sevimligul, GulgunAim Background The present study aimed to determine conflict-resolution styles of nurse managers working in hospitals where organisational conflicts are common, and factors affecting their styles. When conflicts and/or administrative problems are encountered at different levels of nursing services, nurse managers' communication skills and approaches play a key role in problem solving. Methods Results This study was conducted in Sivas, a province in the eastern part of Turkey. The study sample involved 116 nurse managers working in inpatient institutions. Data were collected with the Sociodemographic Characteristics Questionnaire and the Rahim Organizational Conflict Inventory. Of the conflict-management styles, the one preferred by the participating nurse managers was collaborating, followed by compromising, avoiding, competing, and accommodating. However, age, educational background, length of service, and managerial experience were effective in determining the style of conflict resolution. Conclusion Implications for nursing management It was concluded that nurse managers preferred the collaborating style to manage conflicts because it is a positive and effective conflict-management style, and that a variety of variables played a role in their decision to adopt this style. Conflicts have an adverse effect on the productivity, morale, and patient care of all the health care team, which might lead to a rapid turnover of employees or dissatisfaction. Using conflict-resolution strategies in the workplace will help maintain a healthy work environment.Öğe Disability in elderly patients with chronic neurological illness: Stroke, multiple sclerosis and epilepsy(ELSEVIER IRELAND LTD, 2011) Mollaoglu, Mukadder; Fertelli, Tulay Kars; Tuncay, Fatma OzkanThe 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.Öğe Effect of Pruritus on Sleep Quality in Individuals Undergoing Hemodialysis Effect of Pruritus on Sleep Quality(Marmara Univ, Inst Health Sciences, 2022) Aybek, Nesligul; Tuncay, Fatma OzkanObjective: This study was conducted to evaluate uremic pruritus levels and sleep quality in individuals undergoing hemodialysis treatment and to determine the relationship between variables. Methods: This descriptive study was conducted with 219 patients who underwent hemodialysis in State Hospital, University Hospital hemodialysis units and a private dialysis center and met the study criteria. Research data were collected using the Introductory Information Form, 5-D Pruritus Scale and Pittsburg Sleep Quality Index. In the analysis of the data, Kruskal-Wallis T test, Perason correlation analysis were used. Results: In the study, the 5-D Pruritus Scale mean score of the patients was 12.70 +/- 3.35 points, and the Pittsburg Sleep Quality Index score was 12.82 +/- 2.42. A positive, moderately significant (r=.509, p<0.05) relationship was found between the mean scores of the two scales. It was determined that patients with unbearable itching, who defined itching prognosis as bad, stated that itching affected their daily activities and experienced widespread itching had worse sleep quality (p<0.05). Conclusions: Patients undergoing hemodialysis experience moderate itching and their sleep quality is generally poor. However, there is a moderate relationship between itching and sleep quality.Öğe 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, MukadderAims 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.Öğe 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, BirsenPurpose: 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.Öğe Effects of loneliness on illness perception in persons with a chronic disease(WILEY, 2018) Tuncay, Fatma Ozkan; Fertelli, Tulay; Mollaoglu, MukadderAim 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.Öğe Effects of the caregiver burden perceived by caregivers of patients with neurological disorders on caregiver wellbeing and caregiver stress(Wiley, 2019) Tuncay, Fatma Ozkan; Fertelli, Tulay KarsPurpose The present study was conducted to determine the effects of the caregiver burden perceived by caregivers of patients with neurological disorders on caregiver wellbeing and stress. Design and Methods The study was designed as a descriptive, cross-sectional, and correlational study. Findings In the study, it was determined that the care burden is related to a caregiver's wellbeing and stress level and that the caregivers' levels of performing activities of living decreased and their stress levels increased as their perceived burden of care increased. Implications for Practice Determining caregivers' difficulties in providing care and providing them with professional support will contribute to reducing the burden of care.Öğe Fatigue and disability in elderly patients with chronic obstructive pulmonary disease (COPD)(ELSEVIER IRELAND LTD, 2011) Mollaoglu, Mukadder; Fertelli, Tulay Kars; Tuncay, Fatma OzkanThe 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.Öğe Fatigue in individuals with knee osteoarthritis: Its relationship with sleep quality, pain and depression(Professional Medical Publications, 2019) Fertelli, Tulay Kars; Tuncay, Fatma OzkanObjective: This descriptive cross-sectional study was carried out to investigate the relationship between fatigue, and sleep quality, pain and depression in patients with knee osteoarthritis. Methods: A cross-sectional, correlational design was used. The study sample comprised 151 individuals with knee osteoarthritis and 147 healthy individuals. To collect the study data, the Sociodemographic Characteristics Questionnaire (SCQ), Visual Analogue Scale to Evaluate Fatigue Severity (VAS-F), Pittsburgh Sleep Quality Index (PSQI), Visual Analogue Scale and Beck Depression Inventory (BDI) were used. To analyze the study data, appropriate tests were used. Results: It was found that the patients with knee osteoarthritis had higher fatigue scores, and higher PSQI and BDI total scores than did the healthy participants, and that the difference between them was significant (p<0.05). There was a positive correlation between fatigue score and PSQI, VAS and BDI scores (p<0.05). Conclusion: The participants with knee osteoarthritis suffered fatigue more than did the healthy participants. This fatigue suffered by them affected their sleep quality, pain and depression negatively.Öğe Investigating the sexual function and its associated factors in women with chronic illnesses(WILEY-BLACKWELL, 2013) Mollaoglu, Mukadder; Tuncay, Fatma Ozkan; Fertelli, Tuelay K.Aims and objectivesTo evaluate sexual dysfunction and the factors that affect sexual dysfunction in women with chronic disease. BackgroundSexual dysfunction is one of the most common problems in women with chronic disease. There is limited understanding of the related factors of sexual dysfunction in women with chronic disease, with research currently limited to other problems and problems related to chronic diseases. DesignThis research was conducted as a descriptive survey. MethodsThis study involved 100 female inpatients at clinics of internal medicine of a university hospital. Data were collected with a patients identification form and a female sexual function index (KCFI). Kruskal-Wallis test, test of significance of difference between two means and test of significance of difference between two pairs were used in the data analysis. ResultsSixty-five percentage of women in the sample were defined to have sexual dysfunction. The majority of women expressed pain during sexual intercourse, problems in orgasm and satisfaction, and reluctance to have sex. Older age, being unemployed, being in menopause, fatigue, sleep disorder, and pain and weakness in extremities were the factors that were found to significantly affect the prevalence of sexual dysfunction (p<005). ConclusionsThis study concluded that sexual function of women with chronic disease is affected negatively. Chronic disease-related symptoms, experienced changes in the body and psychosocial problems are changing the lives of women. Ultimately, these changes also affect sexual activity. Relevance to clinical practiceDetermination of the factors affecting sexual activity in women with chronic disease is important for women' ability to cope with sexual dysfunction and keep it under control. To be able to accomplish this, it is necessary for healthcare personnel, the partners and family to work together.Öğe Investigation with Braden Scale of Pressure Wound Risk in the Patients with Cerebrovascular Disease(Istanbul Univ, Fac Nursing, 2008) Mollaoglu, Mukadder; Tuncay, Fatma Ozkan; Fertelli, Tulay KarsPurpose: The most effective approach in pressure wound is the identification of patients at risk and their prevention. This research was conducted as a descriptive study to determine the risk for pressure wound development in patients admitted to Cumhuriyet University Hospital with the diagnosis of CVD. Method: The data were obtained using a Patient Information Form and the Braden Scale. far predicting pressure wound risk avid analyzed in the SPSS program. Percentage calculation and Chi square tests were used in the statistical analysis. Results: It was determined that more than half of the patients were found to be at high risk for pressure wound development and that those at highest risk were the patients who had the diagnosis of cerebral hemorrhage, who were over 56 years, obese, hospitalized for more than 22 days, had a low albumin level, and had the Glasgow Coma Scale score of 4-7. Conclusion: In this study pressure wound was found to be a high risk in patients with CVD. Accordingly it is recommended that factors affecting pressure wound in CVD patients be evaluated and that education programs be organized for health care team needs to take necessary precautions, particularly the nurses on controlling these factors.Öğe Mobility disability and life satisfaction in elderly people(ELSEVIER IRELAND LTD, 2010) Mollaoglu, Mukadder; Tuncay, Fatma Ozkan; Fertelli, Tulay KarsThe objective of this descriptive and analytical study is to examine mobility disability and life satisfaction in elderly people living in nursing home residences and analyze the relationship between them. The study was conducted over 78 elderly people in two nursing home residences. The data of this study were obtained through a personal information form (PIF), the River mead mobility index (RMI) and the life satisfaction scale (LSS). It was detected that life satisfaction levels of elderly people were average, a great majority of them went through mobility disability and there was a significant correlation between mobility and life satisfaction. It was established that in elderly people mobility was affected by the age, gender and chronic diseases while life satisfaction was related to age, education level and health perception level. Disability is a factor that has a significant effect on the life satisfaction of elderly people. The findings of this study will be useful for planning interventions to improve mobility and satisfaction with life among nursing home elders in Turkey. (C) 2010 Elsevier Ireland Ltd. All rights reserved.Öğe The Relationship Between Life Satisfaction and Perceived Health and Sexuality in Individuals Diagnosed with a Physical Illness(SPRINGER, 2016) Sabanciogullari, Selma; Tuncay, Fatma Ozkan; Avci, DilekChronic illnesses have negative effects on individuals' perception of health and thus on their life satisfaction by restricting their physical, emotional, social, and sexual functions. In individuals with a chronic disease, it is important to determine life satisfaction that covers their entire life and relevant factors. This cross-sectional study was conducted between April 2014 and June 2014 in Bandirma. The study aims to investigate the relationship between life satisfaction and perception of health and sexuality in individuals diagnosed with a chronic physical illness. The sample of the study consisted of 220 patients who met the inclusion criteria and agreed to participate in the study. The data were collected with the Personal Information Form, Satisfaction with Life Scale, Nottingham Health Profile and Arizona Sexual Experiences Scale. To evaluate the data, descriptive statistics, Pearson's correlation analysis and multiple linear regression analysis were used. The participants' perception of health was good, but life satisfaction levels were moderate. Of the participants, 89.5 % experienced sexual dysfunction. Their life satisfaction was affected by the perception of health, but not by sexuality. The level of sexual functioning significantly affected perceptions of health. Therefore, while providing care for individuals with a chronic disease, nurses should be attentive to life satisfaction and the factors affecting life satisfaction and should carefully assess them.Öğe THE EFFECT OF HERBAL APPROACHES ON ORAL MUCOSITIS IN ADULT CANCER PATIENTS- A SYSTEMATIC REVIEW OF NURSING STUDIES(Univ Federal Estado Rio De Janeiro, Programa Pos-Graduacao & Enfermagem, 2024) Yapar, Sena Nur; Tuncay, Fatma OzkanObjective: to examine the effects of herbal approaches on oral mucositis in adult cancer patients. Method: systematic review following Cochrane guidelines, with a search for experimental and randomized studies from 2013 to 2023. English studies on herbal interventions in patients over 18 years were included. Results: eight studies that used herbal interventions to treat oral mucositis were evaluated. The herbs tested included aloe vera, althaea root, turmeric, chamomile, grape vinegar, rose water, fruit/ vegetable juice, and mulberry extract. The interventions varied in frequency and duration but showed positive results, reducing oral mucositis intensity, pain, and other symptoms. Some interventions were as effective as conventional treatments like chlorhexidine. Conclusion: the research suggests that herbal approaches can be beneficial in managing oral mucositis in cancer patients, but more studies are needed to confirm these results.Öğe The effect of herbal approaches on oral mucosıtıs ın adult cancer patıents- a systematıc revıew of nursıng studıes(Univ Federal Estado Rio De Janeiro, Programa Pos-Graduacao & Enfermagem, 2024) Yapar, Sena Nur; Tuncay, Fatma OzkanObjective: to examine the effects of herbal approaches on oral mucositis in adult cancer patients. Method: systematic review following Cochrane guidelines, with a search for experimental and randomized studies from 2013 to 2023. English studies on herbal interventions in patients over 18 years were included. Results: eight studies that used herbal interventions to treat oral mucositis were evaluated. The herbs tested included aloe vera, althaea root, turmeric, chamomile, grape vinegar, rose water, fruit/vegetable juice, and mulberry extract. The interventions varied in frequency and duration but showed positive results, reducing oral mucositis intensity, pain, and other symptoms. Some interventions were as effective as conventional treatments like chlorhexidine. Conclusion: the research suggests that herbal approaches can be beneficial in managing oral mucositis in cancer patients, but more studies are needed to confirm these results.Öğe The relationship between perceived stigma and health-promoting self-care in adult patients with type 2 diabetes(Springer Int Publ Ag, 2025) Tuncay, Fatma Ozkan; Kocyigit, NalanObjectivesThe study was conducted to examine the relationship between perceived self-stigma and health promotion self-care in patients with type 2 diabetes.MethodsThe study was conducted with 206 patients with type 2 diabetes who were hospitalized in the endocrinology clinic of a state hospital between July and September 2023 and met the study inclusion criteria. Data were collected using a patient identification form, the Type 2 Diabetes Stigma Assessment Scale (DSAS-2) and the Diabetes Health Promotion Self-Care Scale (DHPSC). Data were analyzed using SPSS Statistical software (Version 22), which combines descriptive and analytical statistics.ResultsThe participants' DSAS-2 and DHPSC total mean scores were 47.85 +/- 17.81 and 87.83 +/- 19.19, respectively. A moderate, negative and statistically significant relationship was found between the participants' DSAS-2 and DHPSC total mean scores (r: 0.467, p:0.000), suggesting that health-promotion self-care is a predictor of perceived stigma.ConclusionThe study revealed that the patients with type 2 diabetes experienced moderate levels of stigma, and as the level of perceived stigma increased, their self-care behaviors were negatively affected.Öğe The Relationship Between Preparedness for Caregiving and Spiritual Well-Being in the Carers of Stroke Patients: A Case Study in Turkiye(Springer, 2024) Tuncay, Fatma OzkanThis study was conducted to determine the relationship between preparedness for caregiving and spiritual well-being in the carers of stroke patients. This descriptive and cross-sectional study was conducted with 130 primary carers of patients hospitalized with the diagnosis of stroke at the neurology clinic of a hospital. It was determined that the participants had moderate levels of preparedness for caregiving, they had high levels of spiritual well-being, and there was a positive significant relationship between these two variables. According to the regression analysis results, the spiritual well-being level of the participants was a predictor of their preparedness for caregiving (B: 0.144, p < 0.001). The results of this study demonstrated that the spiritual well-being of the carers of stroke patients is important in increasing preparedness for caregiving. In this context, to ensure that the carers of all stroke patients feel prepared for the caregiving process, it is recommended to evaluate their preparedness levels, support them in their preparation for their caregiving roles, and identify their spiritual needs.
