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Öğe A case-control study on depression, anxiety, and belief in sexual myths in trans women(Frontiers Media Sa, 2023) Uyar, Betul; Yucel, Ilyas; Uyar, Emre; Ates Budak, Elif; Kelle, Ilker; Bulbuloglu, SemraObjectiveThe purpose of our study was to investigate depression, anxiety, and belief in sexual myths in trans women. MethodsThis is a prospective case-control study. The case group included 60 trans women who were referred to the Medical Biology and Genetics Department from various clinics of the research and training hospital where this study was conducted. The control group consisted of 60 healthy male individuals who presented to the same hospital for routine health follow-ups and collecting documents showing their health. In data collection, we used a Personal Information Form, the Sexual Myths Scale, and the Beck Depression and Anxiety Inventories. The IBM Statistical Package for the Social Sciences 25.0 was used to analyze the data. ResultsIn the case group, 26.7% of the participants were sex workers, and all were single. While 46.7% of the participants in the case group were living with their families, 66.7% were smokers, and 13.3% were receiving hormone treatment. All 60 participants in the control group were also single. The participants in the control group had higher levels of believing sexual myths and lower levels of anxiety and depression than those in the case group (p = 0.000). The mean scores of the participants in the control group in the Sexual Orientation and Sexual Violence subscales of the Sexual Myths Scale were higher than the mean scores of those in the case group (p < 0.05). ConclusionThe trans women who participated in this study had higher levels of anxiety and depression and lower levels of believing sexual myths than the control group. The mental health of trans women can be disrupted due to various treatments they are exposed to in society such as stigma, discrimination, and violence. Their higher anxiety and depression levels in this study could be explained by this exposure. This exposure could also have led to their lower total scores in the Sexual Myths Scale, as well as lower scores in the Sexual Violence and Sexual Orientation subscales.Öğe The effect of bed exercises following major abdominal surgery on early ambulation, mobilization, pain and anxiety: A randomized-controlled trial(Wiley, 2024) Yaban, Zuleyha Simsek; Bulbuloglu, Semra; Kapikiran, Gurkan; Gunes, Huseyin; Sahin, Sennur Kula; Saritas, SerdarThis randomized-controlled trial aimed to investigate the effect of bed exercises on postoperative anxiety, pain, early ambulation and mobilization. This study was conducted with a randomized-controlled trial design and in the general surgical clinic of a research and training hospital. A total of 120 patients (60 in the experimental group and 60 in the control group) scheduled for major abdominal surgery took part in the study. The data were collected using a patient information form, the Anxiety Specific to Surgery Questionnaire and the Visual Analog Scale through face-to-face interviews. The patients in the experimental group performed 15-min bed exercises on the day of their operation, as well as on the postoperative first and second days, and the control group underwent only the routinely performed procedures in the clinic. The data were analysed using descriptive statistics, analysis of variance and t-tests. The sample of our study included major abdominal surgery patients. Ambulation was achieved at a mean time of 4 h earlier in the experimental group. On the postoperative first and second days, the patients in the experimental group had mean mobilization durations that were approximately 2 h longer compared with the patients in the control group. Moreover, the postoperative pain and anxiety levels of the patients in the experimental group were significantly lower than those of the patients in the control group (p < 0.05). We recommend that bed exercises be performed to lower anxiety and pain severity, achieve early ambulation and increase the duration of mobilization among patients following major abdominal surgery.Öğe The effect of general health on the psychological well-being of post-operative liver transplantation patients receiving immunosuppressants(Kare Publ, 2023) Harmanci, Pinar; Bulbuloglu, Semra; Yildiz, ErmanObjectives: This study aims to examine the effect of general health status on the psychological well-being of liver transplant recipients receiving immunosuppressive therapy.Methods: This descriptive and cross-sectional study was carried out with the participation of 116 liver transplant recipients at the organ transplant institute of a research and practice hospital. We used personal information form, general health questionnaire-12 (GHQ-12), and psychological well-being (PWB) scale to collect data and performed the data analysis using statistical packed for the social sciences 25.0 by IBM.Results: Of the participants, 50% were women and between the ages of 51-64 and 52.6% had less income than their expenses; 75.9% of the recipients had a chronic disease, 33.6% had diabetes mellitus, and 25.9% had coronary artery disease. The GHQ-12 total score was high for psychiatric disorders, while the PWB scale score was moderate. There was a statistically significant, positive, and strong relationship between general health and PWB (p<0.05, r=0.022).Conclusion: General health and PWB are two important factors that mutually affect each other. Recognizing the poor psychological state of liver transplant patients and improving their general health contributes to a good postoperative period. During the post-operative period, liver recipients should be carefully monitored, and their psychological state should be improved.Öğe The effect of immunosuppression therapy on activities of daily living and comfort level after liver transplantation(Elsevier, 2021) Demir, Bilsev; Bulbuloglu, SemraObjectives: This study was carried out to investigate the effect of immunosuppression therapy on activities of daily living and comfort level after liver transplantation. Materials and methods: This study was conducted in a descriptive and correlational type with the participation of 148 liver transplant patients hospitalized in the liver transplant center of a university hospital. Personal Information Form, Katz Activities of Daily Living Scale and General Comfort Questionnaire were used in data collection. The data analysis was performed with IBM SPSS (Statistical Package for the Social Sciences) Statistics 25. Results: According to the results obtained from the study, it was determined that 31.1% of the patients were 58 years old and over, 20.9% of them were between 48-and 57 years old, and 81.8% of them were male. It was found that 61.5% of the patients were between the 11th and 21st days after transplantation and 26.4% of them were given oxygen with a non-invasive catheter. It was determined that the patients were semi-independent in activities of daily living and had a moderate comfort level. Conclusions: It is not always possible for liver transplant patients to effectively deal with their condition. The low comfort level and quality of life of patients who have undergone liver transplantation should be noticed, and social, economic and psychological support should be provided.Öğe The effect of long-term immunosuppressive therapy on gastrointestinal symptoms after kidney transplantation(Elsevier, 2022) Bulbuloglu, Semra; Gunes, Huseyin; Saritas, SerdarObjective: We examined the relationship between compliance with long-term immunosuppressive therapy after kidney transplantation and gastrointestinal (GI) symptoms in patients discharged from hospitals in this study. Method: Our study was conducted as a descriptive study with the participation of 114 kidney transplant recipients discharged from the organ transplant center of a training and research hospital. Personal Information Form, Immunosuppressive Therapy Compliance Scale and Gastrointestinal Symptom Rating Scale were used in data collection. The data analysis was performed with IBM Statistical Package for the Social Sciences (SPSS) Statistics 25. Results: According to the findings, 47.4% of kidney transplant patients were between the ages of 46 and 64, and 80.7% of them were male. 41.2% of kidney recipients used immunosuppressive agents between 91 days and 6 months. Compliance with immunosuppressive therapy was similar in all age groups. It was determined that the recipients between the ages of 18 and 30 experienced GI symptoms the most. In terms of the predictors of GI symptoms, it was determined that mycophenolate mofetil (MMF) was effective in the development of reflux and diarrhoea, cyclosporine in the development of diarrhoea and constipation, and tacrolimus in the development of indigestion, which are (p < 0.05). Conclusion: For kidney recipients to have high compliance with immunosuppressive therapy, it is of great importance that they are able to cope with GI symptoms. Our study showed that GI symptoms increase in direct proportion as the duration of immunosuppressive therapy is prolonged and the level of compliance increases. GI symptoms of kidney transplant patients should be recognized, and recipients should be helped to manage those problems.Öğe The effect of nomophobic behavior of nurses working at surgical clinics on time management and psychological well-being(Taylor & Francis Inc, 2020) Bulbuloglu, Semra; Ozdemir, Ahmet; Kapikiran, Gurkan; Saritas, SerdarObjective: This study examined the effects of nomophobic behaviors of surgical nurses on time management and psychological well-being.Background: Addicted use of smartphones in the working environment is a social disease defined as nomophobia.Methods: This is a descriptive and cross-sectional study. This study was conducted between December 2018 and March 2019 at a university hospital located in Turkey. 314 nurses who met the inclusion criteria formed the sample of the study.Results: A statistically significant relationship was found between the sub-dimensions of the Nomophobia Scale and psychological well-being (p < .05). The stepwise regression analysis, which was conducted to examine the effects of independent variables on the sub-dimensions of the scales, showed statistically significant correlations.Conclusions: Nomophobia prevents patients from communicating effectively with health professionals, leads to misunderstandings and reduces the amount of work per unit time and the quality of work.Öğe The effect of perceived social support on psychological resilience in liver transplant patients receiving immunosuppression therapy(Elsevier, 2021) Bulbuloglu, Semra; Demir, BilsevObjective: This study was conducted to investigate the effect of social support on psychological resilience in liver transplant patients receiving immunosuppression therapy. Method: This study was carried out as a descriptive and cross-sectional study with the participation of 290 liver transplant patients hospitalized in the liver transplant center of a research and application hospital. Personal Information Form, Multidimensional Scale of Perceived Social Support (MSPSS) and Brief Resilience Scale (BRS) were used in data collection. The data analysis was performed with IBM Statistical Package for the Social Sciences Statistics 25. Results: According to the data obtained, it was determined that 30.4% of the patients were 58 years old and over, 81% of them were male and 92.8% of them were married. It was found that all of the patients used antimetabolites and corticosteroids, and 82.8% of them used calcineurin inhibitors. It was determined that 32.8% of the patients experienced infection, neuropsychiatric problems and nephrotoxicity at the same time. The psychological resilience of the patients was found to be moderate, and their perceived social support was found to be low. Conclusion: It is not always possible for liver transplant patients to deal with their situation effectively. The psychological resilience and social support levels of patients who have undergone liver transplantation should be noticed, and social, economic and psychological support should be provided.Öğe The Effect of Video Training before Organ Transplant Surgery on Patient Satisfaction and Anxiety: Head Mounted Display Effect(Elsevier Science Inc, 2022) Kapikiran, Gurkan; Bulbuloglu, Semra; Saritas, SerdarBackground: This study aimed to examine the effect of video training with a head mounted display (HMD) for patients before transplant surgery on patient satisfaction and anxiety. Methods: This was a randomized controlled study using a pretest and posttest design. The sample consisted of 120 patients divided into the experimental group (n = 60) and the control group (n = 60). The data were collected with the Anxiety Specific to Surgery Questionnaire and the Newcastle Satisfaction with Nursing Care Scale. The patients in the experimental group were educated using virtual reality glasses, and those in the control group were given routine verbal clinical information. Results: After the intervention, the patients in the experimental group had lower anxiety and higher care satisfaction levels than those in the control group. With an increase in their satisfaction with nursing care, the difference between the pretest and posttest mean scores of the experimental group was statistically significant ( p < .05). Conclusion: It was determined that the education given to the patients before the surgery through HMD reduced their anxiety levels and increased their level of satisfaction with care. It is recommended that preoperative information be given with HMD. Cite this article: Kapikiran, G., Bulbuloglu, S. & Saritas, S. (2022, Month). The Effect of Video Training before Organ Transplant Surgery on Patient Satisfaction and Anxiety: Head Mounted Display Effect. Clinical Simulation in Nursing , 62, 99-106. https://doi.org/10.1016/j.ecns.2021.09.001 . (c) 2021 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.Öğe Investigation of adherence to immunosuppressive therapy and spiritual well-being in liver recipients(Elsevier, 2022) Gunes, Huseyin; Bulbuloglu, Semra; Saritas, SerdarObjective: In our study, we investigated the relationship between spiritual well-being and adherence to immunosuppressive therapy after liver transplantation. Method: We conducted this descriptive and cross-sectional study with the participation of 131 liver transplant recipients after they had received their transplants. Data collection was carried out using a Personal Information Form, the Spiritual Well-Being Scale and the Immunosuppressant Therapy Adherence Scale. The IBM Statistical Package for the Social Sciences 25.0 was used for the statistical analyses. Results: While 73.3% of the patients were at the ages of 45-64, 72.5% were male, and 39.7% had been using immunosuppressive medication for a period between 6 months and 1 year. The rate of corticosteroid use among the patients was 30.5%, and the rate of antimetabolite use was 21.4%. A positive and significant relationship was found between adherence to immunosuppressive treatment and spiritual well-being (B = 0.425, p = 0.017). Conclusion: Spiritual well-being is an inexpensive, effective and easy strategy to increase adherence to immunosuppressive treatment. Awareness should be raised in physicians and nurses about the importance of spiritual well-being, and they should be encouraged to support spiritual well-being.Öğe Investigation of Post-Transplant Mental Well-Being in Liver Transplant Recipients with Hepatic Encephalopathy(Mdpi, 2024) Saritas, Serdar; Tarlaci, Sultan; Bulbuloglu, Semra; Gunes, HuseyinObjective: In this study, we aimed to examine the healing trend of hepatic encephalopathy after transplantation surgery in patients with liver failure. Method: We conducted this descriptive and cross-sectional study with the participation of liver transplant recipients. A personal information form, the West Haven Criteria (WHC), the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS), and the Richmond Agitation Sedation Scale (RASS) were used for data collection. The data were analyzed using Chi-squared tests, ANOVA, and paired-samples t-tests. Results: As time progressed after liver transplantation, hepatic encephalopathy stages regressed (p < 0.01). We found that liver transplant recipients with end-stage hepatic encephalopathy were mostly within the first 6 months after transplantation, while patients with first-stage hepatic encephalopathy had received liver transplants more than 2 years ago (p < 0.01). Conclusions: The results of our study revealed that hepatic encephalopathy stages regressed after transplantation, but there was no complete recovery. This highlights the need to develop new treatment strategies other than liver transplantation for the treatment of hepatic encephalopathy.Öğe Knowledge and Attitudes on Organ Donation From the Perspective of Liver Transplant Patients(Elsevier Science Inc, 2021) Kapikiran, Gurkan; Bulbuloglu, Semra; Ozdemir, Ahmet; Saritas, SerdarPurpose. This study was performed to investigate the knowledge and attitudes about organ donation from the perspective of liver transplant patients. Design and Methods. The study was conducted at the organ transplantation clinics. The data were collected by the researchers from 129 participants using in-person interviews. Findings. In this study, 83% of patients received the organ from live donors, 36% received liver transplants in the previous 1 year, more than 70% agreed to donate their organs, and 80% thought awareness should be raised in society about organ donation. Conclusion. It was found that the participants in the sample needed information on the issue, although the sample consisted of individuals who had experienced organ donation. It is important that nurses and nurse managers understand the level of knowledge and the attitudes of organ donation patients who have undergone liver transplantation. Worldwide, organ donation is not at the desired level. This study aims to enhance in nurses and nurse managers the foresight regarding and awareness about behaviors of transplantation patients.Öğe Perceived and sources of occupational stress in surgical intensive care nurses(Sage Publications Inc, 2021) Bulbuloglu, Semra; Kapikiran, Gurkan; Saritas, SerdarAim: The study aimed to determine sources of stress and stress levels of nurses working in surgical intensive care units in addition to understanding the stress level in nurses, drawing attention and raising awareness. Material and methods: The study was conducted using a descriptive design with the participation of nurses (n=132) working in surgical intensive care units of a university hospital. The data were collected through the source of stress identification form and perceived stress scale. The data obtained in the study were transferred to a computer environment, and for statistical analyses, the package for social sciences for Windows 25 software was used. In the analyses of the data, descriptive statistics, independentt-test, one-way analysis of variance and regression analysis, and the Bonferroni test were employed. Results: It was also determined that 28.8% of the surgical nurses were working in an organ transplant intensive care unit and 25% worked in an anaesthesia intensive care unit, that 49.3% had professional experience of between 6 and 11 years and that 92.4% worked on both day and night shifts. In the study, the rate of nurses who perceived a high level of stress was found to be 45.5%, and it was identified that 78.8% needed training in stress management. Conclusion: Imperative funding and human resources should be provided in order to give nurses problem-solving abilities and a stress management course. The financial support of the managers and spiritual support of health professionals and organising regular meetings with nurses can help nurses to experience less stress.Öğe Quality of life evaluation study for caregivers of patients undergoing enteral tube feeding at home(2019) Bulbuloglu, Semra; Saritas, SerdarAim: Care burden in patients undergoing enteral tube feeding at home reduces the quality of life their caregivers. Quality of life for caregiver, an integral part of a good homecare, has not been adequate researched with regard to quantity and attribution. Material and Methods: A quantitative sample was created totally 95 primary caregivers of patients undergoing more than one year enteral tube feeding. Quality of life measurement was done with Rolls Royce Quality of Life Scale. The data was evaluated Kruskal-Wallis test and t-test.Results: In this study was determined that demographic data have 81% were female, 22% illiterate. 96% caregivers lived together in the same home with the patient, 64% have children. The data significant lowness all the quality of life dimensions; also mean ± standard deviation was defined as 102.05±23.49(min 42, max 170).Conclusion: It was obtained evidence relating to caregivers of patients undergoing enteral tube feeding at home have low quality of life.Keywords: Caregivers; Enteral Nutrition; Enteral Tube Feeding; Quality of Life.Öğe A randomized controlled trial of reflexology effect after abdominal surgery on patient satisfaction, pain and vital signs(Elsevier Science Inc, 2023) Kapikiran, Guerkan; Bulbuloglu, Semra; Gunes, Huseyin; Saritas, Serdar; Demir, BilsevObjective: In our study, we investigated the effect of reflexology on patient satisfaction, pain and vital signs after abdominal surgery.Method: This study was conducted as a randomized controlled trial with the participation of 156 abdominal surgery patients hospitalized in the general surgery unit of a training and research hospital. Personal Information Form, Visual Analogue Scale and Newcastle Nursing Care Satisfaction Scale were used in data collection. We performed the data analysis with One-way analysis of variance, Chi-squared test, paired samples t-test, and independent samples t-test.Results: When the pain, vital signs and satisfaction levels of the experimental and control groups were compared, the pain intensity of the experimental group was found to be lower and the level of satisfaction was higher after reflexology (p<0.01). After reflexology, the blood pressure was closer to 120/80 in the experimental group, the respiratory rate was between 16-22 (number/minute), the difference between the experimental and control groups were statistically significant (p<0.01). There was no statistically significant difference between the pulce oximetry values between the experimental and control groups.Conclusion: Surgical pain and non-optimal vital signs that are not well managed after surgery causes various complications and decrease patient satisfaction. The results of our study emphasize the power of reflexology in effective surgical pain management and normalizing vital signs and increasing patient satisfaction. We suggest that reflexology be performed to patients following abdominal surgery.
