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Öğe Diyabet Hastalarında Hastalık Algısının Anksiyete ve Depresyon Belirtileri Üzerine Etkisi(Acıbadem Sağlık Bilimleri Dergisi, 2019) Kavak, Funda; Aktürk, ÜmmühanÖz: Amaç: Bu çalışma; diyabet hastalarının (Tip1-2) hastalık algılarını, anksiyete ve depresyon düzeyi saptamak ve hastalık algısının anksiyete ve depresyon riski olan ve olmayan diyabet hastalarının da karşılaştırmaktır amacıyla tasarlanmıştır. Gereç ve Yöntem: Tanımlayıcı tipteki araştırma, Üniversite Hastanesi’nde Haziran 2016 – Eylül 2016 tarihleri arasında yapılmıştır. Araştırmanın örneklemini 200 hasta oluşturmuştur. Araştırmanın verileri; Tanıtıcı Bilgi Formu, Hastane Anksiyete ve Depresyon Ölçeği, Hastalık Algısı Ölçeği ile toplanmıştır. Verilerin değerlendirilmesinde, tanımlayıcı istatistikler, t-testi, ki-kare ve korelasyon analizi kullanılmıştır. Bulgular: Araştırmada hastaların yaş ortalaması 54.74±11.5, %62.5’i kadın, %64.5’i gelir durumunun kötü, %87’si evli, %43’ü ilköğretim mezunu, %39’unun Diyabet dışında başka kronik hastalığı mevcut, %66’sı Diyabete bağlı komplikasyonlar yaşamakta, %22.5’i 11-20 yıldır Diyabet hastalığı mevcut ve %73.5 Diyabet hastalığı hakkında yeterli bilgiye sahip olduğunu ifade etmiştir. Hastaların %32’si anksiyete alt ölçeğinden, %49’unun da depresyon alt ölçeğinden eşik üstü puan almışlardır. Anksiyete riski olan hastalarda hastalığı anlama, kişisel kontrol ve tedavi kontrol puanının anksiyete riski olmayan hastalara göre düşük, emosyonel temsiller ve psikolojik atıflar puanının yüksek olduğu; depresyon riski olan hastalarda kişisel kontrol ve süre (döngüsel) puanının depresyon riski olmayan hastalara göre düşük, emosyonel temsiller puanının yüksek olduğu belirlenmiştir. Sonuçlar: Diyabet hastalarının %32’sinin anksiyete alt boyutunda, %49’unun da depresyon alt boyutunda eşik üstü puan aldıkları ve bu hastaların hastalık algılarının negatif olduğu anlaşılmaktadır. Başlık (İngilizce): THE INFLUENCE/EFFECT OF THE DISEASE SYMPTOMS ON ANXIETY AND DEPRESSION SYMPTOMS IN DIABETIC PATIENTS Öz (İngilizce): Objectives: This study aims to determine the levels of anxiety and depression in diabetic patients (Type 1-2), and to compare diabetic patients with and without anxiety and depression risks of the disease perception?!?!. Methods: The descriptive study was conducted between June 2016 and September 2016 at the Medical Center Hospital. Three forms were used as data collection tools. The sample of the study consisted of 200 patients. Data from the study; Introductory Information Form, Hospital Anxiety and Depression Scale, Disease Perception Scale. Data were analyzed using frequency distributions, Student’s t-test, ANOVA, Pearson correlation and chi-square tests. Results: In the study, the average age of the patients was 54.74 ± 11.5, 62.5% of them were women, 64.5% were in poor condition, 87% were married, 43% were primary school graduates, 39% had other chronic diseases except for diabetes, Diabetes has experienced complications?!?!, 22.5% have diabetes mellitus for 11-20 years and 73.5% have enough knowledge about diabetes mellitus. Of the patients, 32% had an anxiety subscale, and 49% had a supra-threshold score on the depression subscale. In patients with anxiety risk, the understanding of the patient’s perception of the disease, personal control and treatment control scores were lower than the anxiety non-risk patients, and the scores of emotional representation and psychological attributions were higher; Personal control and duration (cyclic) scores of depressed patients with depression were found to be lower than those without depression, and scores of emotional representations were higher. Conclusions: It is understood that 32% of the diabetic patients have anxiety subscale, 49% of them have surprised points in the depression subscale and the disease perceptions of these patients are negative.Öğe The effect of nurses' perceptions of conscience on their role as caregivers(2022) Aktürk, Ümmühan; Can, Mehmet; Aytop, SinemAim: This study was conducted to determine the effect of perceptions of conscience on the nurses’ attitudes towards their caregiving roles. Methods: The study was conducted cross-sectionally. The population of the study was composed of the nurses working in The Medical Center hospital affiliated with a University located in city center. In the study, 456 nurses were reached. The study data were collected with Personal Information Form, Perceptions of Conscience Questionnaire (PCQ) and Attitude Scale for Nurses in Caregiving Roles (ASNCR). Results: It was found that 22.2% of the total variance in variable dependent on attitude towards caregiving roles were explained by these variables and the results was statistically significant (p<0.001). Perception of conscience and age were found to be effective on the nurses’ attitude towards their caregiving roles (p<0.05). Conclusion: In our study, it was determined that nurses have a high level of Attitude for Nurses in Caregiving Roles and a high level of conscience perception.Öğe The effect of osteoporosis knowledge levels and personal characteristics on osteoporosis health beliefs in women in the menopausal period(2018) Aktürk, Ümmühan; Erci, Behice; Akdağ, ÜlfetThis cross-sectional study was conducted to determine the correlation between osteoporosis knowledge and osteoporosis health beliefs of menopausal women. The study was conducted in cross-sectional design. The data were collected between 15 August and 15 November 2014. The population of the study consisted of women aged between 40 and 45 years registered in Veli Gündüz Şahin FHC in Mamak region of Ankara. The population of 40-45 year-old women in FHC is 5235 people. The study was completed with 335 women. A socio-demographic questionnaire, Osteoporosis Health Belief Scale (OHBS) and Osteoporosis Knowledge Test (OKT) were used for data collection. This study was conducted by face to face interview technique. In the study, Kr-20 reliability coefficient, Mann Whitney U Test Kruskal Wallis H test, One-Way Anova and Independent t test and Pearson’s Correlation were used to investigate. The following results were obtained from this study conducted to determine the effect of osteoporosis knowledge levels on osteoporosis health beliefs in women in the menopausal period. In the study, a statistically significant difference was found between the socio-demographic characteristics of women and OHBS, OHBS and their subscales.Öğe Engelli çocuğu olan anne-babaların kaygı düzeyi ve başa çıkma stratejilerinin değerlendirilmesi(İnönü Üniversitesi, 2012) Aktürk, ÜmmühanAraştırma engelli çocuğa sahip anne babaların kaygı düzeylerini belirlemek ve bu kaygı ile başa çıkma stratejilerinin değerlendirilmesi amacıyla planlanmıştır. Araştırmanın evrenini Malatya ili merkezinde Milli Eğitime bağlı 15 rehabilitasyon merkezine kayıtlı olan 1163 engelli çocuğun ebeveynleri oluşturmaktadır. Araştırmada 405 engelli çocuğa sahip ebeveyne ulaşılmıştır. Verilerin toplanmasında Tanıtıcı bilgi formu, Sürekli-Durumluk Kaygı Envanteri ve Başa Çıkma Stratejisi Ölçeği (BÇSÖ) ölçeği kullanılmıştır. Veriler Eylül 2011- Aralık 2011 tarihlerinde toplanmıştır. İstatistiksel değerlendirmede SPSS 18 paket programı, verilerin analizinde sayı, yüzdelik, ortalama, ki-kare, t testi ve ANOVA varyans analizi testleri kullanılmıştır. Araştırmaya alınanların %78.5 anne, %21.5 babalar oluşturmaktadır. Ebeveynlerin yaş ortalaması 38.00±9.1 olup en düşük 18, en yüksek 65 yaşında oldukları belirlendi. Araştırmaya alınan ebeveynlerin engelli çocuklarının %42.2'sinin 7-14 yaş grubunda, %55.3'ünün erkek, engellilerin %57'sinin zihinsel engelli türündedir. Engelli çocuğa sahip ebeveynlerin %70.1'i çocuğunun engelli olmasından dolayı hiç kimseyi suçlamadığı, %23'ünün çevresi tarafından suçlandığı, %24.2'sinin yaşadıkları sıkıntılarla baş etmek için psikiyatrik destek aldığı saptandı. Bu sonuçlara göre engelli çocuğa sahip ebeveynlerin demografik verileri ile kaygı düzeyleri arasında istatistiksel olarak önemli bir fark saptanmıştır. Engelli çocuğa sahip ebeveynlerin çocuklarının çevre tarafından kabul görme, psikiyatrik destek alma, sıkıntılarını paylaşma durumu ile kaygı düzeyleri arasında pozitif yönde önemli bir ilişki saptanmıştır. Engelli çocuğa sahip ebeveynlerin; yaş, ekonomik durum, ebeveyn cinsiyeti ile başa çıkma stratejileri arasında istatistiksel olarak önemli bir ilişki saptanmıştır. Araştırmada engelli çocuğa sahip ebeveynlerin kaygı düzeyleri ile kaçınma stratejisi arasında pozitif bir ilişki saptanmıştır. Çalışmanın sonuçlarına göre; engelli çocuğa sahip ebeveynlerde psikolojik ve sosyal destek alan bireylerin kaygıları ile baş etme düzeylerinin daha yüksek olduğu saptanmıştır.Öğe Examining the correlation between the acceptance of the disease and the diabetes self-efficacy of the diabetic patients in a family health center(2018) Aydinalp, Emine; Aktürk, ÜmmühanAbstract: Aim: For this purpose, the research was conducted to evaluate the relationship between diabetes self-efficacy and acceptance of the disease. Material and Methods: The descriptive - relational research community of diabetics registered in Başharık Family Health Center in Malatya province center between January and March 2018. Two hundred sixty four patients were reached for the investigation. Before the research, ethics committee approval and oral approval were taken from the necessary institutions. Data were collected using face-to-face interview method, personal information form, Diabetes Self-Efficacy Scale and Acceptance of illness scale. The values of p<0.05 was accepted as statistically significant. Results: Patients Disease Acceptance scale score (27.89± 5.6) and Diabetes self-efficacy scale scores (52.12 ± 14.2) was found. In the study it was determined that the patients had moderate disease acceptance and self-efficacy. According to the research, it was determined that the patients’ acceptance of the disease and the Diabetes Self-Efficacy were high at a positive level. A positive relationship was found between diabetes patient acceptance and self-efficacy in the study. Conclusion: In the follow-up of patients in primary health care institutions; it is recommended that patients with diabetes be admitted to the hospital at certain intervals and assess their self-efficacy status, plan appropriate interventions, and strengthen the patient’s acceptance and self-efficacy by continuing patient education.Öğe Hipertansiyon Hastalarının Tedaviye Uyumunu ve Yaşam Kalitesini Etkileyen Faktörlerin İncelenmesi(Florence Nightingale Hemşirelik Dergisi (. İstanbul Üniversitesi Florence Nightingale hemşirelik Yüksek Okulu Dergisi), 2018) Erci, Behice; Elibol, Makbule; Aktürk, ÜmmühanÖz: Amaç: Bu araştırma, esansiyel hipertansiyon hastalarının tedaviye uyumunu, yaşam kalitesini ve etkileyen faktörleri belirlemek ve tedaviye uyum ile yaşam kalitesi arasındaki ilişkiyi incelemek amacıyla ilişkisel tanımlayıcı olarak yapıldı. Yöntem: Araştırmanın evrenini, bir devlet hastanesi iç hastalıkları polikliniğine kayıtlı 232 esansiyel hipertansiyon hastası oluşturdu. Araştırmanın örneklemini ise güç analizi ile belirlenen 197 hipertansiyon hastası oluşturdu. Örnekler basit rasgele örnekleme yöntemiyle araştırmaya alındı. Araştırmanın verileri hastaların sosyodemografik özellikleri ve hastalığa ilişkin özelliklerinin tanıtıldığı tanıtıcı bilgi formu, Yaşam Kalitesi Ölçeği ve İlaç Tedavisine Bağlılık/ Uyum Öz-Etkililik Ölçeği kullanılarak araştırmacılar tarafından yüz yüze görüşme yöntemiyle toplandı. Verilerin istatistiksel değerlendirmesinde sayı, yüzde, ortalama, standart sapma, Kruskall Wallis varyans analizi, pearson korelasyon ve t testi kullanıldı. Bulgular: Örneklem grubundaki kadınların fiziksel ve mental algı ortalamalarının ve toplam yaşam kalitelerinin erkeklerden daha yüksek olduğu bulundu. İlaç tedavisine bağlılık/ uyum öz-etkililiğin erkeklerde kadınlardan daha yüksek olduğu saptandı. Hipertansiyon hastalarının ilaç tedavisine bağlılık/ uyum öz-etkililik seviyesi arttıkça yaşam kalitelerinin de arttığı saptandı. Sonuç: Araştırma sonucunda; hastaların sosyodemografik özelliklerinin ilaç tedavisine bağlılık/uyum özetkililikleri ve yaşam kalitelerini etkilediği belirlendi. Ayrıca ilaç tedavisine uyum gösteren hipertansiyon hastalarının yaşam kalitesinin yüksek olduğu saptandı. Başlık (İngilizce): Evaluation of Correlation Between Adherence to the Treatment of Hypertansive Patients and Their Life Quality Öz (İngilizce): Aim: This relational descriptive study was conducted to evaluate the adherence of patients with esssential hypertension to their treatment and to identify the factors affecting the quality of their life and analyze the correlation between them. Method: A total of 232 patients with essential hypertension who were registered at a state hospital, internal medicine clinic, were initially recruited in the study. The final study sample consisted of 197 patients selected by power analysis. Data were collected via face-to-face interviews by the researchers using the descriptive information form that contains sociodemographic characteristics of patients and the characteristics of the disease, quality of life scale, and medication dependence/adherence selfefficacy scale. Numbers, percentage, average, standard deviation, Kruskal–Wallis variance, and Pearson’s correlation were used for statistical analysis. Results: Results showed that the average physical and mental perception scores and the total quality of life scores of female hypertensive patients were higher than those of males. Furthermore, The Medication Dependence/Adherence Self-Efficacy Scale score of males was higher than that of females. The level of quality of life increased as the level of adherence/adaptation self-efficacy of patients with hypertension increased. Conclusion: As a result of the study, the socio-demographic characteristics of the patients were determined to affect adherence/adaptation to drug treatment, self-efficacy and quality of life. In addition, high quality of life of hypertension patients who comply with drug treatment was found to be.Öğe Investigation of Fatigue in Hemodialysis Patients, Severity and Influencing Factors(2019) Aktürk, Ümmühan; Gül, EbruAbstract: Objective: This study was conducted in a descriptive manner to determine the severity of fatigue in patients undergoinghemodialysis due to Chronic Renal Failure (CRF) and to determine the socio-demographic factors affecting fatigue severity.Materials and Methods: The study was conducted between December 2017 and March 2018 on patients receiving treatment for CRF in the hemodialysis unit of the Malatya Training and Research Hospital. 225 hemodialysis patients were accepted who did not select the sample in the survey. In the evaluation of the data, the arithmetic mean, standard deviationand percentage parameters were used. In comparison, Oneway ANOVA, Kruskall-Wallis and Student t-test used.Results: When we look at the sociodemographic characteristics of hemodialysis patients and fatigue severity scale pointsin the study. There was a statistically significant relationship between age, gender, perceived health status, working status,duration of hemodialysis treatment, hemodialysis frequency and fatigue severity scale score (p<0.05).Conclusion: According to the results of the research; there was a statistically significant relationship between sociodemographic characteristics of hemodialysis patients and hemodialysis treatment duration and fatigue severity scale score.Öğe Kemoterapi alan hastalara watson insan bakım modeline göre verilen bakımın yaşamın anlamı ve semptom yönetimine etkisi(İnönü Üniversitesi, 2016) Aktürk, ÜmmühanKemoterapi Alan Hastalara Watson İnsan Bakım Modeline Göre Verilen Bakımın Yaşamın Anlamı ve Semptom Yönetimine Etkisi Amaç: Bu araştırma, Watson İnsan Bakım Modeline göre verilen bakımın kemoterapi alan hastalarda yaşamın anlamı ve semptom yönetimine etkisini belirlemek amacıyla planlanmıştır. Materyal Metot: Araştırma öntest- sontest kontrol gruplu gerçek deneme modelinde yapılmıştır. Araştırmanın evrenini Malatya Devlet Hastanesi ve Turgut Özal Tıp Merkezi Onkoloji Polikliniğine bağlı gündüz tedavi ünitelerine başvuran Malatya il merkezinde ikamet eden, yetişkin kanserli hastalar oluşturmaktadır. Araştırmanın örneklemini bu evrenden power analizi ile belirlenen ve randomize örnekleme yöntemiyle seçilen 79 deney, 79 kontrol grubundan olmak üzere 158 hasta oluşturmuştur. Veriler Mart-Eylül 2015 tarihleri arasında toplanmış ve verilerin elde edilmesinde Tanıtıcı Anket Formu, Yaşam Tutum Profili Ölçeği, Genel Semptom Envanteri kullanılmıştır. Deney grubundaki hastalara araştırmacı tarafından hastaların evlerinde Watson İnsan bakım modeline göre 2 haftada bir 3 kez hemşirelik bakımı uygulanmıştır. Kontrol grubundaki hastalara herhangi bir girişim uygulanmamıştır. Verilerin analizinde sayı, yüzdelik, ortalama, ki-kare, bağımlı gruplarda t testi, bağımsız gruplarda t testi kullanılmıştır. Bulgular: Son test ölçüm verilerine göre; deney grubunda Yaşam Tutum Profili Ölçeği toplam puan ortalaması 164.21±36.5, Genel Semptom Envanteri 55.06±13.19; kontrol grubunun Yaşam Tutum Profili Ölçeği toplam puan ortalaması 127.31±10.61, Genel Semptom Envanteri 136.91±16.20 olduğu saptanmıştır. Gruplar arasındaki puan ortalamaları farkının istatistiksel olarak önemli olduğu saptanmıştır (p=0.000). Sonuç: Kemoterapi alan hastalara uygulanan Watson İnsan Bakım Modeline göre uygulanan bakım, hastaların Yaşam Tutum Profilini etkileyerek yaşamın anlamını arttırmış ve kemoterapi alan hastaların semptom düzeylerini azaltmıştır.Öğe Nursing education stress levels of nursing students and the associated factors(2018) Aslan, Hakime; Aktürk, ÜmmühanAim: This study was planned to determine the stress levels experienced by nursing students during the nursing education and the associated factors.Material and methods: This descriptive study was conducted between February and April 2018. The population of the study consisted of the students of The University Faculty of Health Sciences Nursing Department. There were 1,200 students in the faculty of nursing. The sample consisted of 479 students with 0.05 error, at 0.95 confidence interval, 0.6 effect size and 0.95 of population representation power with power analysis. Participants used Introductory Questionnaire, Nursing Education Stress Scale.Results: According to the results of this study, it was determined that the nursing students experience high level of stress and their demographic characteristics were affected by their education stress and practical stress and academic stress subscale scores.Conclusion: It was also determined that stress scores of the students who preferred the nursing profession willingly or liked it while studying and found the profession prestigious were lower.Öğe Relationship between depression and loneliness in elderly and examination of influential factors(Archives of Gerontology and Geriatrics, 2012) Aylaz, Rukiye; Aktürk, Ümmühan; Erci, Behice; Öztürk, Hatice; Aslan, HakimeThis study was planned and conducted for the purpose of examining the relationship between depression and loneliness in elderly people and the influencing factors. The study was a descriptive and correlational study and its population consisted of 17,080 older individuals aged sixty and over who were registered at six Family Healthcare Centers (FHCs) located in the provisional center of Malatya. The sample of the study comprised of 913 elderly people who were chosen from the elderly people registered at the FHCs first by cluster sampling and then by simple random sampling from the clusters in proportion to the population. The data was collected between April and June 2011 using a questionnaire developed by the investigators in line with the literature, the Geriatric Depression Scale (GDS) and the UCLA Loneliness Scale (ULS). They had a mean score of 13.83 7.4 from the GDS and 40.50 12.1 from the ULS. A positive correlation was found between Geriatric Depression and loneliness (r = 0.608, p < 0.001). It was observed that there was a significant correlation between loneliness and depression in the elderly people living in a community, presence of social security and higher income, on the other hand, led to lower mean scores. In view of these results, it can be advised that a minimum income should be secured for elderly people whether they have social security or not, their families and the society should be trained not to leave elderly people alone.Öğe The relationship between musculoskeletal disorders and physical activity among nursing students(2020) Büyükavcı, Raikan; Aktürk, Semra; Aktürk, ÜmmühanAbstract: To determine the correlation between musculoskeletal system disorders and the physical activity levels of nursing students. A total of 489 nursing students included in this cross-sectional study. Self-administered questionnaire included Nordic musculoskeletal questionnaire and International physical activity questionnaire short form (IPAQ-SF). The standardized Nordic musculoskeletal questionnaire showed that 358 students (%73.2) reported having musculoskeletal disorders in one or more body parts, while 131 students (26.8%) had no complaints. The mean weekly energy consumption as linked to the physical activity of the participants was found to be 1542.96±1949.35 MET-min/wk. 51.5% of the individuals exhibited low levels of activity. Statistically significant correlation was found between experiencing upper back pain during the last year and the participants’ physical activity levels. The current study has shown that the prevalence of MSDs was high among nursing students, with a correlation being found between low physical activity and upper back pain. Physical activity levels should hence be considered when evaluating young adults with musculoskeletal disorders.Öğe Some features of hospitalized elderly and effects of fall behavior on fall risk(2019) Aktürk, Ümmühan; İster, Emine DeryaAbstract: This study was designed to determine the effects of socio-demographic characteristics of the elderly living in the hospital and on the risks of falling behavior.Methods: This research was descriptive and correlational type. 305 hospitalised elderly patients were included in the study. Elderly information form, the Itaki Fall risk scale, and the Falls Behavioural Scale for the Older Person were used as data collection tool. It was determined that 47.2% of elderly people had history of fall, 62.6% received treatment due to fall, and 14.8% had fractures associated with fall. 64.9% of hospitalised elderly patients had high risk of fall. Total mean score from the Falls Behavioural Scale for the Older Person was 76.4±12.1. According to the study, some characteristics (age, receiving support for personal care, the hospitalization status in the last year, the history of fall etc) of the elderly and fall behaviors were found to be effective on Itaki Fall risk of falling. It was concluded that more than half of hospitalised elderly had risk of fall, elderly people displayed safe/protective behaviours for moderate fall.Öğe Turkish validity and reliability study of public attitudes towards epilepsy (PATE) scale(2020) Aktürk, Ümmühan; Akalın, YahyaAbstract: Aim: This study was conducted for the purpose of adapting the Public Attitudes Toward Epilepsy Scale (PATE) for the Turkish context and determining its validity and reliability. Material and Methods: This is a methodological research and conducted in a family health centre located in the eastern Turkey between February 2018 and September 2018. In this study, 268 individuals, who were older than 18 years and registered in a Family Health Centre, were reached. Results: The result of the KMO test was determined to be 0.783 and that of Bartlett’s test 1002.772, and both were observed to be significant at a level of p , 0.001. Conclusion: Our study determined that the Turkish version of the PATE has validity and reliability and can be used in Turkish society.
