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Öğe Alexithymia and Coping With Stress in Patients With Multiple Sclerosis: A Comparative Study(2023) Taşkın Yılmaz, F.; Sabancıoğulları, S.; Sevimligül, G.BACKGROUND: Multiple sclerosis (MS), which is frequently seen in young adults, affects mental health because of disease symptoms and cognitive disorders. This study was conducted to evaluate the presence of alexithymia and problem- or emotion-focused coping strategies with stress in MS patients, determine the relationship between these variables, and compare the results of MS patients with those of healthy individuals. METHODS: This descriptive, cross-sectional, and comparative study was carried out with the participation of 120 MS patients presenting to a neurology clinic and outpatient clinic of a university hospital and 120 healthy individuals. Data were collected using a personal information form, the Toronto Alexithymia Scale, and the Ways of Coping Scale. RESULTS: The 40.8% rate of alexithymia in the MS patients was higher than that in the healthy individuals (21.7%). Compared with healthy individuals, MS patients use emotion-focused coping methods, such as a lack of self-confidence approach and a submissive approach, more frequently ( P < .05). A significant negative correlation was found between the alexithymia and problem-focused coping strategies of MS patients ( P < .01). CONCLUSION: Alexithymia is more common in MS patients than in healthy individuals. Alexithymia negatively affects the methods patients use to cope with stress. In the treatment and care of MS patients, nurses should plan interventions for the ability of these patients to recognize and express their emotions and develop positive coping methodsÖğe QUALITY OF LIFE AND COPING WITH STRESS IN RELATIVES OF PATIENTS IN INTENSIVE CARE UNITS DURING COVID-19(Researhgate, 2023) Gülsoy Z.; Karabey T.Background Factors such as the thought of losing the patient, the uncertainty of the course of the disease, and the inability to obtain sufficient information about the patient are frightening and alarming for relatives of patients in the intensive care unit. Objectives To determine the quality of life and the style of coping with stress of the relatives of patients hospitalized in the intensive care unit during the COVID-19 pandemic. Methods This study was descriptive and cross-sectional. A personal information form, the Styles of Coping With Stress Scale, and the 36-Item Short Form Health Survey were used to collect data. Results The sample size of the study was 162 relatives of patients in the intensive care unit. There was a highly significant (P = .001) positive correlation between the Styles of Coping With Stress mean scores of the participants and their quality of life (as shown by the 36-ItemShort Form Health Survey). Conclusions In addition to the uncertainty and fear associated with the COVID-19 pandemic, it is very distressing to have a relative who is a patient in the intensive care unit. In this context, it is especially important to improve the level of coping with stress of the relatives of patients in the intensive care unit and to increase their quality of life. (American Journal of Critical Care. Published online February 8, 2023.)Öğe Determination of Nursing Students’ Resilience Levels, Care Behaviors, and Violence Management Competencies: A Descriptive, Cross-Sectional, and Relational Study(WILEY, Hindawi, 2023) Karabey, Tuba; Çevik, Betül Esra; Süha, Burcu KübraPurpose. Violence is a factor that is frequently encountered in health systems and causes problems of various sizes. Nursing students who take an active role in health environments and are also inexperienced are also exposed to this workplace violence. Mental health nurses and nursing students practicing in this 4eld aim to improve the quality of patient care while managing violence and aggression. It is thought that the inability of nursing students practicing in the 4eld of mental health to successfully manage violence and demonstrate resilience may a6ect their clinical performance and reduce the quality of patient care.) is study was conducted to determine the psychological resilience levels, caring behaviors, and violence management competencies of nursing students and to reveal the relationship between the variables. Design and Methods. )e type of study is descriptive and cross-sectional. )e sample of the study consisted of 452 nursing students who agreed to participate in the study. )e data of the study were collected using the personal information form, Adult Resilience Scale, Caring Behaviors Scale-24, and Violence Management Competency Scale for nursing students in practice areas. )is study was reported following the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) recommendations. Findings. A statistically signi4cant positive correlation was found among the psychological resilience levels, caring behaviors, and violence management proficiency of the students participating in the study (p < 0.001). Practice Implications. It is very important to determine the psychological resilience, care behaviors, and violence management competency levels of nursing students, who are the professionals of the future, to present nursing care from a holistic framework and to increase the quality of the care provided. In this context, it is recommended to determine the psychological resilience, care behaviors, and violence management competency levels of nursing students in their education and training processes.Öğe The effect of spiritual well-being on compassion fatigue among intensive care nurses: A descriptive study(Elsevier, Ağustos 2023) Akbaş, EbruObjectives: This study aimed to determine the effect of spiritual well-being of intensive care nurses on compassion fatigue. Methods: It is a descriptive study. The sample of the study was composed of 167 nurses who were working in the intensive care units of the hospitals in Turkey. Data were collected by using "Personal Information Form", "The Spiritual Well-Being Scale" and "The Compassion Fatigue-Short Scale" between July and October 2022. Descriptive statistics, t-tests, correlation, and simple regression analysis were used to analyse data. Findings: 35% (n = 59) of the participants were between 22 and 27 years old; 73% (n = 122) were females; 67% (n = 112) had an undergraduate degree; 57% (n = 96) had an experience of 1 to 5 years in the intensive care. It was determined that intensive care nurses had a moderate level of compassion fatigue and a high level of spiritual well-being. Although especially the educational levels of the nurses contributed to their level of spiritual well-being, a younger age and being single and less experienced in the nursing profession and intensive care were identified as significant factors in determining compassion fatigue. Nurses' Spiritual Well-Being Scale mean score was 113.89 ± 15.50. The mean score of the Compassion Fatigue Scale was 60.15 ± 29.24. A positive correlation was found between the Spiritual Well-Being and the Compassion Fatigue Scales (ß = 0.358, p = 0.000). Conclusions: Although intensive care nurses have a high level of spiritual well-being in general, they experience a moderate level of compassion fatigue. Younger and less experienced nurses should get more attention in intensive care units against compassion fatigue. Implications for clinical practice: Management of feelings of compassion can be a protective factor for compassion fatigue and can be used as a prevention strategy in the context of improving mental well-being among intensive care nurses. Awareness and knowledge of nurses on spiritual needs should be enhanced.Öğe The Effects of a Web?Based Interactive Nurse Support Program Based on the Health Promotion Model on Healthy Living Behaviors and Self?Efficacy in Patients Who Regained Weight after Bariatric Surgery: A Randomized Controlled Trial(Springer, 24.08.2023) Yıldız, Ezgi; Karagözoğlu, ŞerifePurpose This study was conducted in order to determine the effects of web-based interactive nursing support program prepared in line with Health Promotion Model (HPM) on healthy lifestyle behaviors and self-efficacy of patients who regained weight following metabolic and bariatric surgery. Materials and Methods A total of 62 patients with a history of weight regain at least two years after metabolic and bariatric surgery were divided into intervention (n = 31) and control (n = 31) groups by stratified randomization. The intervention group was given a web-based interactive nurse support program based on HPM for 10 weeks and followed up by telephone 12 times (every two weeks) in 6 months. No attempt was made to the control group during the study. The data were collected a total of 3 times before the training, in the 12th week and in the 6th month. Results In the last test after the web-based interactive nurse support program and telephone follow-up, the difference was found to be statistically significant in terms of BMI, healthy lifestyle behaviors, eating behaviors, and general self-efficacy mean scores of the patients in the intervention group (p < 0.05). In addition, after the study, it was determined that the physical activity, nutrition, spiritual development, emotional eating and the Dutch Eating Behavior scales total score averages and Self-Efficacy Scale total score averages of the intervention group changed positively compared to the control group, and this change was statistically significant (p < 0.05). There was no difference between the groups in the mean scores of health responsibility, interpersonal relationships, stress, restrictive eating, external eating and Healthy Lifestyle Behaviors-II Scale (p > 0.05). Conclusion It can be stated that the web-based interactive nurse support program based on HPM is applicable in patients who regain weight after metabolic and bariatric surgery, and it contributes positively to the healthy lifestyle behaviors, BMI, eating behaviors, and general self-efficacy of these patients. In order to ensure the continuity of post-operative patient follow-up, it is recommended to increase the importance of telephone counseling and to establish follow-up program based on the HPM.Öğe The Effect of Using a Normothermia Checklist on Awakening Time From Anesthesia and Coagulation Disorder: A Randomized Controlled Trial(1 Aralık 2023) Yılmaz Eker, Pınar; Yılmaz, MeryemBackground Inadvertent perioperative hypothermia (IPH) is a common issue in surgical patients. To avoid this issue, the patient should be monitored continuously throughout the perioperative process. Evidence-based practices in line with relevant guidelines are necessary to maintain normothermia. Purpose This study was developed to determine the effect of using a control list developed for preventing IPH on time of awakening from anesthesia and coagulation disorder in surgical patients. Methods In this randomized controlled study, nursing interventions were applied to patients in accordance with the normothermia checklist (NC) developed by the researchers to prevent IPH. Results In this study, 30 patients were respectively assigned to the experimental and control groups. Conducting nursing interventions in accordance with the control checklist was found to be effective in preventing IPH. Moreover, time of awakening from anesthesia was significantly shorter in the experimental group (3.77 ± 1.10 minutes) than the control group (11.03 ± 2.51 minutes; p < .05). Furthermore, tendency to bleed was higher in the control group than the experimental group, and a statistically significant between-group difference in coagulation disorders was found (p < .05). Conclusions/Implications for Practice The results of this evidence-based study indicate that implementing nursing interventions in line with the developed NC is effective in preventing IPH. Preventing IPH, which increases the risk of numerous complications in surgical patients, is an important responsibility of nurses. Nurses may employ the NC proposed in this study to better secure the safety and minimize the risk of complications in surgical patients.Öğe The Effect of Inadvertent Perioperative Hypothermia on Surgical-Site Infection in Bariatric Surgery Patients(15 Haziran 2023) Yılmaz Eker, Pınar; Yıldız, EzgiBackground and Objective: There are differing results as to whether inadvertent perioperative hypothermia (IPH) is associated with the risk of surgical-site infection (SSI). This study was carried out to determine the effect of IPH developing in bariatric surgery patients on SSI. Materials and Methods: The study is a descriptive/cross-sectional/prospective study. The study group consisted of 102 patients who underwent bariatric surgery. The body temperatures of the patients were measured tympanically and recorded in the perioperative period and patients were followed up for SSI postoperative and 30 days after discharge. Findings: In this study, it was found that all patients aged 31–40 years developed IPH and SSI. All patients with chronic disease developed IPH, and the presence of chronic disease affected the development of SSI at a rate of 88.9%. IPH developed in all patients with a body mass index >45 kg/m2, and the rate of SSI development was 76.9% in these patients. A statistically significant difference was found between IPH and SSI in patients (p = 0.001). Conclusion: It was found that IPH after bariatric surgery affected the development of SSI. The results confirm the relevance of intraoperative and postoperative hypothermia as an independent risk factor for SSI.Öğe General mental state and quality of working life of call center employees(16 Oct 2021) Toker, Muhammed Akif Sami; Güler, NuranWorking conditions of call centers lead to serious mental problems in employees as well as affecting their working life quality due to factors such as excessive workload, complex and uncertain work environment, repetitive tasks, type of tasks that ignore notions of employees, benefiting from only a part of their skills, and poor labor inspection. This study aims to determine the general mental state and quality of working life of call center employees. The sample of this descriptive study consisted of 200 employees working at Sivas ‘ALONET’ call center between December 01, 2018, and December 31, 2018. We used the Personal Information Form, General Health Questionnaire-28 (GHQ-28), and Professional Quality of Life Scale (ProQOL) as data collection tools. We collected the data from the employees through face-to-face interviews during working hours. During the analysis, we used Pearson’s Product Moments Correlation Analysis, t-test, Mann Whitney U test, Kruskal Wallis H test, and Dunnet T3 Post Hoc test. We found that the mean score of the employees in GHQ-28 was 5.34 ± 5.60, and the compassion satisfaction, burnout, and compassion fatigue subscales of the ProQOL were 36.07 ± 9.88, 14.40 ± 7.74, and 13.89 ± 9.31, respectively. While the score of the employees from the overall GHQ-28 was significantly negatively correlated with the score from the compassion satisfaction subscales of the ProQOL, we found a significantly positive correlation between the scores of burnout and compassion fatigue subscales of the ProQOL. The findings of this study revealed that approximately 45.8% of the call center employees were mentally in the at-risk group, that their compassion satisfaction level was moderate, and that their burnout and compassion fatigue levels were low. Therefore, stress factors that employees facing in their working life should be determined, and training, counseling, and support programs should be carried out to prevent them from suffering from burnout and compassion fatigue.
