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Öğe Applying the health belief model to the rational use of drugs for hemodialysis patients: A randomized controlled trial(Elsevier Ireland Ltd, 2022) Cengiz, Zeliha; Ozkan, MeralBackground: Non-rational use of drugs is a common problem among people with chronic disease. The Health Belief Model (HBM) can develop beliefs and behaviors related to rational drug use. Objectives: To investigate the effect of HBM-based training on the rational use of drugs in hemodialysis patients. Methods: This randomized controlled trial was conducted in 132 people receiving hemodialysis treatment. The data were collected using a Demographic Survey and the Rational Use of Drugs Scale (RUDS). Patients in the study groups were provided with HBM-based rational use of drugs training. The first training session took an average of 30-35 min for each patient, and the second (summary) took an average of 15-20 min Results: The mean RUDS pretest score was 60.29 +/- 10.17 in the intervention group and 62.85 +/- 9.94 in the control group. The mean RUDS posttest scores were 78.80 +/- 8.16 in the intervention group and 63.48 +/- 9.77 in the control group. The difference between the pretest scores in these groups was not statistically significant (p > 0.05), whereas the difference between the posttest scores was found to be significant (p < 0.001). Conclusion: It was observed that training based on the HBM increased the RUD scores. Thus, HBM may be recommended for use as a guide for rational drug use training, especially for patients undergoing hemo-dialysis. Practice implications: The HBM can be an effective and cost-efficient strategy for standardized rational drug use training and supporting hemodialysis patients. (c) 2021 Elsevier B.V. All rights reserved.Öğe Assessing Frailty, Rational Use of Medications, and Adherence to Immunosuppressive Therapy in Liver Transplant Recipients(Elsevier Science Inc, 2024) Kormurkara, Sema; Cengiz, Zeliha; Tok, SedefAim. The study was conducted to determine the level of frailty, rational medication use, and adherence to immunosuppressive therapy in liver transplant patients and to examine the relationships among them. Materials and Methods. The data of the descriptive cross-sectional study were collected between January 2023 and September 2023. Our study included 200 liver transplant recipients. In addition to demographic and medical characteristics, frailty status, rational drug use, and compliance with immunosuppressive therapy were measured in a 15-20 - 20 minute questionnaire administration period. Results. The frailty scores of liver transplant patients were 2.11 1.34, rational drug use scores were 82.88 13.11, and compliance with immunosuppressive therapy scores were 11.12 1.07. The scores for rational drug use and adherence to immunosuppressive therapy were not affected by frailty status, and patients used drugs rationally and adhered to immunosuppressive therapy even when they were frail. It was found that the vulnerability status of the participants was affected by gender and occupational variables, most patients were in the vulnerable group in women and men, and those who did not work were more vulnerable than the other groups. Conclusion. It was found that liver transplant patients were frail, and frailty did not affect the level of rational drug use and compliance with immunosuppressive therapy.Öğe Aşı Sırasındaki Ağrıyı Azaltmada Farklı Yöntemlerin Karşılaştırılması: Plasebo ve Kontrol Gruplu Randomize Bir Çalışma(2025) Yayan, Emriye Hilal; Cengiz, Zeliha; Zengin, Mürşide; Vicnelioğlu, ElanurGiriş: Ağrı fizyolojik, davranışsal ve bilişsel işlevlerde bozulmaya neden olabilir. Aşı uygulaması gibi ağrılı işlemler sırasında farmakolojik ve non-farmakolojik yöntemler kullanarak algılanan ağrıyı azaltmak önemlidir. Amaç: Bu araştırma aşı uygulaması sırasında farklı non-farmakolojik yöntemlerin ağrı yönetimindeki etkinliğini karşılaştırmak amacıyla yapıldı. Yöntem: Plasebo ve kontrol gruplu randomize kontrollü çalışma, ShotBlocker® (n=35), ShotBlocker®-plasebo (n=35), sukroz (n=35), sukroz-plasebo (n = 35) ya da kontrol (n = 35) gruplarına rastgele atanan 175 bebekle yapıldı. Bebeklerin ağrı düzeyleri değerlendiriciler (hemşireler, ebeveynler ve gözlemci) tarafından aşı uygulaması öncesinde ve sırasında Neonatal Infant Pain Scale (NIPS) kullanılarak belirlendi. Bulgular: Beş grup arasında bebeğin yaşı, kilosu, boyu ve cinsiyeti bakımından anlamlı bir fark yoktu. Ebeveynler, hemşireler ve gözlemcinin ShotBlocker®, sukroz, ShotBlocker®-plasebo, sukroz-plasebo ve kontrol grupları için belirledikleri ağrı skorları arasında istatistiksel olarak önemli farklılık vardı. ShotBlocker® ve sucrose grubundaki infantların ağrı skorları plasebo ve kontrol gruplarına göre istatistiksel olarak daha düşüktü (p<.001). Sonuç: Tüm gözlemcilerin değerlenirmesinde ShotBlocker® ve sukroz kullanımının aşı sırasındaki ağrı düzeyini azalttığı ve bu iki yöntem arasında istatistiksel olarak anlamlı bir fark olmadığı sonucuna varıldı. Bebeklerde aşı uygulaması sırasında hissedilen ağrıyı en aza indirmek için sağlık profesyonellerinin (hemşire ve ebeler) bu yöntemleri klinik uygulamada kullanmaları önerilmektedir.Öğe Behaviours and experiences of nurses during the COVID-19 pandemic in Turkey: A mixed methods study(Wiley-Hindawi, 2021) Cengiz, Zeliha; Isik, Kevser; Gurdap, Zuleyha; Yayan, Emriye HilalAim The aim of this work is to present behaviours and experiences of nurses in Turkey during the current coronavirus pandemic. Background The coronavirus pandemic leads to difficulties for most health care workers, especially for nurses who mostly accompany patients and are on the front line. Methods In the study, a parallel mixed pattern converging quantitative and qualitative research methods was used. Results The model revealed that 41 years old or older, diabetic, female, single professionals, working in the pandemic department took more personal measures. Five main themes appeared regarding the experiences of the nurses during the pandemic period: (1) psychological and mental strain; (2) personal protective equipment; (3) organizational, physical, and social strains; (4) change in professional values; (5) turning the crisis into an opportunity. Conclusions Personal measures are associated with the risk status. There is a need to protect nurses with significant measures by providing psychosocial support, meeting their basic needs, and preventing all complications likely to occur due to increasing workload. Implications for Nursing Management More efforts should be made to ensure good work, fair treatment, no tolerance for discrimination, and equal compensation conditions.Öğe Care Burden and Quality of Life in Family Caregivers of Palliative Care Patients(Routledge Journals, Taylor & Francis Ltd, 2021) Cengiz, Zeliha; Turan, Mensure; Olmaz, Dilek; Erce, CigdemThis research was conducted for the purpose of examining the care burden and quality of life in family caregivers of palliative care patients. The research design was a descriptive correlational study conducted with the caregivers of 163 patients residing in palliative care units. Data were collected via a demographic survey, The Zarit Burden Interview (ZBI) and the World Health Organization Quality of Life Assessment (WHOQOL). The results showed that there was a negative correlation between ZBI and WHOQOL scores. Further, there was a significant negative correlation between many subdimensions of the ZBI (general quality of life, general perception of health, being satisfied with daily life skills, home conditions, energy and self-satisfaction) and the WHOQOL. Quality of life thus appeared to be reduced in family members with a high level of care burden and that the quality of life of caregivers depends on the individual characteristics of the caregiver. Social workers, nurses and physicians should regularly assess the burden and quality of life of caregivers.Öğe Challenges experienced by nursing students during the COVID-19 pandemic(Wiley, 2022) Cengiz, Zeliha; Gurdap, Zuleyha; Isik, KevserPurpose This study was conducted to assess the challenges faced by nursing students during the pandemic and to examine the factors affecting these challenges. Design and Methods This qualitative study involved 344 nursing students at a university in eastern Turkey. Findings Five main themes, each with its own subthemes, indicated the psychological difficulties experienced by students, insufficiencies and uncertainties regarding education, restrictions regarding social life, family conflicts, and the possibility to turn crises into opportunities. Practice Implications The themes emphasizing the lives of nursing students showed that there was a need for important measures, such as psychosocial support, determination of best practices for online education, supporting students with telemental applications by university counseling centres, and organization of action courses.Öğe Comparison of abdominal and arm areas in patients receiving subcutaneous heparin in terms of development of pain, hematoma, and ecchymosis(Elsevier Science Inc, 2018) Cengiz, Zeliha; Ozkan, MeralThe purpose of this study was to compare the abdominal and arm areas in the patients using subcutaneous heparin in terms of pain, hematoma, and ecchymosis development. As a result of subcutaneous heparin injections, complications such as pain, ecchymosis, and hematoma may develop in the injection site. The injection site chosen for injection is one of the factors that are effective on complications. This quasi-experimental study was conducted with 54 patients at orthopedicstraumatology and cardiothoracic surgery clinics of a university hospital. The data were collected using a patient description and follow-up form, visual analog scale, transparent film, and a chronometer. Ecchymosis and hematoma were evaluated at the 48th hour after injection, whereas the pain level was evaluated right after the injection, and the pain duration was evaluated during the injection. The rate of pain in the arm area was statistically higher. Differences between the areas in terms of level and duration of pain and development and size of ecchymosis and hematoma were not significant. More pain developed due to heparin injection in the arm area than in the abdominal area. No differences were observed between the areas in terms of level and duration of pain, development and size of ecchymosis, or development and size of hematoma.Öğe Comparison of cold spray and shotblocker to reduce intramuscular injection pain: A randomized controlled trial(Wiley-Hindawi, 2022) Gurdap, Zuleyha; Cengiz, ZelihaWhat is known and objective It is important to identify effective, easy-to-use and cost-effective non-pharmacological methods in the management of pain caused by medical interventions. The purpose of this study is to compare the effects of cold spray and ShotBlocker on pain in adults in reducing pain caused by intramuscular injection in the adult emergency department. Methods This is a randomized controlled trial with two experimental groups, two placebo groups and a control group. The study was conducted on 195 adults who received diclofenac sodium injections. In the study, the injection procedure was performed by following the same injection protocol in all five groups. In the injection process, cold spray or ShotBlocker was used in the intervention groups based on the group, and cold spray with distilled water or the smooth surface of the ShotBlocker was used in the placebo groups. Following the injection, the pain caused by the injection was evaluated using the Visual Analog Scale. Results and discussion The study was completed with the remaining 195 patients. In the study, the average pain scores due to injection of the individuals in the cold spray group were lower than those of the control group (p < 0.05). There was no statistically significant difference between the pain score averages due to injection of the individuals in the ShotBlocker group and cold spray, control, ShotBlocker placebo and cold spray placebo groups. What is new and conclusion The routine use of a fast-acting, cost-effective and easy-to-use method, cold spray, to reduce pain in the intramuscular injection will be beneficial in increasing patient satisfaction and quality of care.Öğe Compassion Fatigue and Ethical Attitudes in Nursing Care in Intensive Care Nurses During the COVID-19 Pandemic(Lippincott Williams & Wilkins, 2023) Gurdap, Zuleyha; Cengiz, ZelihaBackground:Intensive care unit (ICU) nurses faced an increased risk of compassion fatigue and ethical concerns during the COVID-19 pandemic.Purpose:To evaluate compassion fatigue of ICU nurses and their ethical attitudes in care during the COVID-19 pandemic and analyze contributing factors.Methods:An exploratory cross-sectional research design was used.Results:A total of 103 ICU nurses participated. The nurses' compassion fatigue and ethical attitude scores were high. Compassion fatigue was explained by the following variables: considering resigning, receiving support for ethical decisions, willingness to work in the ICU, duration of providing activities of daily living in a shift, and number of patients per nurse.Conclusions:Compassion fatigue was high in nurses working in the ICU during COVID-19. The high level of ethical attitudes shows commitment to professional ethics and reflects the development of the nurses' professional identity. Implementation of interventions that help improve compassion fatigue among nurses is needed.Öğe DETERMINING THE SELF-CARE PROFILES IN HYPERTENSIVE PATIENTS(Inonu University, 2025) Öner, Uğur; Cengiz, Zeliha; Gürdap, ZüleyhaThis study aims to assess the self-care profile of patients diagnosed with hypertension. The research was descriptive and cross-sectional and conducted between August 2024 and January 2025 with 209 patients diagnosed with hypertension who voluntarily participated. Data were obtained using a "Patient Information Form" and the "Hypertension Self-care Profile Scale." The data were analyzed using IBM SPSS version 22.0. The findings revealed that the total mean score of the Hypertension Self-care Profile Scale was 168.46 (SD: 24.64). Among the subscales, the mean score for self-efficacy was 55.16 (SD: 8.71), for behavior was 51.79 (SD: 9.84), and for motivation was 61.51 (SD: 8.03). A positive correlation was observed between the overall self-care profile and its subscales. This study determined that self-efficacy and behavior subscales were at a moderate level, whereas the motivation subscale was at a high level. Regular physical activity, healthy eating, limiting salt intake, medication adherence, stress management, blood pressure monitoring, weight control, and strengthening social support systems are recommended to enhance the levels of self-efficacy, behavior, and motivation subscales in hypertensive patients. © 2025, Inonu University. All rights reserved.Öğe Developing nursing students' self-efficacy and problem solving skills via high-fidelity simulation(Elsevier Science Inc, 2023) Cengiz, Zeliha; Gurdap, Zuleyha; Oltuluoglu, Hatice; Aslan, Hakime; Aktura, Seher CevikThe research was conducted to examine the effect of using high-fidelity simulation on students' problemsolving skills and self-efficacy. This randomized controlled study was conducted with 112 first-year students. The post-test self-efficacy score was higher in the experimental group than in the control group. The posttest problem solving score was lower in the experimental group than in the control group. Use of high-fidelity simulation in nursing education improved students' self-efficacy and problem-solving skills. (c) 2023 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights reserved.Öğe Development and validation of a tool to assess the rational use of drugs in Turkish adults(Springer Heidelberg, 2021) Cengiz, Zeliha; Ozkan, MeralObjective This methodological study was performed to develop a Rational Use of Drugs Scale (RUDS). Design and samples After defining the scale items and taking expert opinion, 325 adults tested the internal consistency, structure, and criterion validity of the final scale. Measurements A literature review was used to generate the initial items. Evaluation by an expert panel established content validity for these items, and pilot testing of the draft tool was performed. Explanatory and confirmatory factor analyses were used to establish construct validity, and internal consistency and test-retest reliability were calculated. Results Using exploratory and confirmatory factor analyses, the RUDS was found to have a structure comprising 1 factor and 21 items, with a total scale variance of 31.99%. The RUDS assessed whether patients used effective, safe, appropriate, and inexpensive drugs. Cronbach's alpha coefficient was 0.84. Conclusion The RUDS might be a valid and reliable instrument for public health practitioners to assess knowledge, attitude, and behaviors related to drug use.Öğe Development Study of the Medical Device Self-Efficacy Scale: A Validity and Reliability Study(W.B. Saunders, 2025) Gürdap, Züleyha; Cengiz, ZelihaPurpose: This study aims to develop and evaluate the validity and reliability of the Medical Device Self-Efficacy Scale among nursing students. The scale assesses perceived competence in using medical devices and supports identifying educational needs. Design: The study used an exploratory methodological design. Methods: The study was conducted with 127 final–year nursing students between April and October 2023. Students completed the scale for three medical devices: a bedside monitor, an infusion pump, and a suction device. Content validity, construct validity, and criterion validity were evaluated. Construct validity was examined through exploratory and confirmatory factor analyses, while reliability was assessed through Cronbach's α, item-total correlations, and test-retest methods. Findings: The scale demonstrated good content validity with an index of 0.84. Exploratory factor analysis showed the scale is unidimensional with 12 items. Kaiser-Meyer-Olkin values for each device exceeded 0.85, and the proportion of explained variance was above 65%. Factor loadings ranged from 0.602 to 0.899. Confirmatory factor analysis demonstrated a good fit for the hypothesized model (χ² = 103.637 to 183.4; χ²/df = 2.159 to 3.987; root mean square error of approximation = 0.065 to 0.076; goodness of fit index = 0.901 to 0.902; cognitive flexibility inventory = 0.918 to 0.957; normed fit index = 0.901 to 0.923; incremental fit index = 0.919 to 0.957). Reliability analyses showed that Cronbach's α coefficients were above 0.90, and high test–retest correlation coefficients further supported the scale's reliability (r = 0.744 to 0.795; P < .001). Conclusions: The 12-item scale is reliable and valid for assessing nursing students' perceived competencies with medical devices. © 2025 The American Society of PeriAnesthesia NursesÖğe The effect of abdominal massage and in-bed ROM exercise on gastrointestinal complications and comfort in intensive care unit patients receiving enteral nutrition: A randomized controlled trial(Wiley, 2024) Turan, Mensure; Cengiz, ZelihaAim: Abdominal massage facilitates gastric and colonic motility, reduces intra-abdominal distension and increases circulation. In-bed range of motion (ROM) exercise has effects on muscle strength, cardiac parameters and excretion. The aim of this study was to assess the effects of abdominal massage and in-bed ROM exercise on gastrointestinal complications and patient comfort in intensive care patients receiving enteral nutrition. Methods: This randomized controlled trial was conducted in the internal intensive care units of two tertiary public hospitals. The sample consisted of 130 patients randomly assigned to three groups (abdominal massage = 44, in-bed ROM exercise = 43, control = 43). The individuals received abdominal massage and in-bed ROM exercises every morning before enteral feeding for 3 days. We assessed gastrointestinal complications and comfort levels of the patients 24 h after each intervention. Results: While the differences in abdominal distention, defecation status, constipation, and gastric residual volume complications were significant (p < .05), there was no significant difference in diarrhea and vomiting (p > .05). Comfort level showed a statistically significant change in the experimental groups in the in-group comparison (p < .05). Conclusion: Abdominal massage and in-bed ROM exercise reduce abdominal distention, constipation and gastric residual volume. Abdominal massage affects the frequency of defecation; and, both interventions increase the comfort while reducing the pain level over time.Öğe The effect of frailty levels of older individuals on their mental well-being and depression levels(Wiley, 2024) Ayik, Derya Bicak; Cengiz, Zeliha; Isik, KevserBackground: Frailty has become an important public health issue. This study was conducted to determine the effect of frailty levels of older individuals on their mental well-being and depression levels. Methods: This descriptive cross-sectional study was conducted with a total of 325 older individuals aged 60 years and over. A demographic questionnaire form, the FRAIL Frailty Scale, the Warwick-Edinburgh Mental Well-Being Scale, and the Geriatric Depression Scale-Short Form were used to collect data. Data were evaluated using the SPSS 25.0 package program. Number, percentage, mean, standard deviation, Chi-square, correlation, and multiple regression analyses were used. Results: The mean age of the older individuals was 69.56 +/- 7.75 years, and the variables of age, education level, income status, the person they were living with, regular medication use, forgetting to take medication, urinary incontinence, hospitalisation, and accidents were found to affect both frailty and depression (P < 0.05). There was a positive correlation between frailty and depression (r: 0.460, P < 0.001) and a negative correlation between mental frailty and well-being (r: -0.391, P < 0.001). Socio-demographic variables, depression, and mental well-being had a 40% effect on frailty (P < 0.001). Conclusion: Depression status and mental well-being level are related to frailty, so negativity in one of them negatively affects the other. In line with these results, it is recommended to determine the level of depression and mental well-being of older individuals with high risk of frailty, and according to the results of the research, to provide care and support regarding the predictors affecting frailty.Öğe The effect of sociodemographic characteristics of university students on emotional eating behavior(Wiley, 2021) Isik, Kevser; Cengiz, ZelihaPurpose This descriptive study was conducted for the purpose of determining the effect of sociodemographic characteristics of university students on emotional eating behavior. Design and Methods The study was completed with a total of 537 students. A descriptive questionnaire and the Emotional Eating Scale were used. Descriptive statistics, correlation, and regression analyses were used. Finding It was found that emotional eating was positively correlated with body mass index and weight. It was determined that variables such as will, anger, body mass index, and weight were predictors of emotional eating. Practical Implications Emotional eating is a coping response with negative emotions. It is suggested that will is the most important factor affecting emotional eating. Thus, psychological dimension of wrong eating habit should definitely be addressed.Öğe Effect of trauma severity on stress management among first-year nursing students in earthquake zones: A multicenter study(Springer, 2025) Turan, Mensure; Cengiz, ZelihaIn regions affected by earthquakes, psychological evaluation of first-year students is essential for ensuring the smooth progression of the educational process. This study aimed to determine the impact of trauma severity on stress management among first-year nursing students in the earthquake region following the February 6, 2023, earthquake in Turkey. A cross-sectional, correlational study was conducted with 485 first-year undergraduate nursing students who began their studies in 11 earthquake-affected provinces in Turkey following the February 6, 2023, earthquake. The study took place during the 2023-2024 academic year. Data were analyzed using descriptive statistics, independent samples t-tests, ANOVA, and multiple regression analysis. A weak but statistically significant negative correlation was observed between students' post-earthquake trauma levels and their stress management scores (r = -.162; p <.001). The standardized regression coefficient was highest for the affective subscale (beta = - 0.650), followed by the emotional limitation subscale (beta = - 0.165). Together, these variables accounted for 5% of the total variance in stress management (R =.050; R-2 = 0.050; p <.001).The findings indicated that as students' levels of post-earthquake trauma increased, their use of coping strategies decreased, with affective and emotional responses identified as predictors of stress management.Öğe The effects of aromatherapy with thyme oil on disease symptoms, vital findings, and hemodynamic parameters in COVID-19 patients(Elsevier Science Inc, 2024) Oner, Ugur; Cengiz, ZelihaObjective: To determine the effect of aromatherapy with thyme oil on disease symptoms, vital signs, and hemodynamic parameters in COVID-19 patients. Methods: We conducted the randomized controlled trial with 140 (experimental group=70, control group=70) COVID-19 patients. Patients admitted to the COVID-19 service of the Batman Training and Research Hospital were included in the sample between 31.01 - 31.08 2022. Patients in the experimental group inhaled thyme oil 3 times a day during 5 days. At the end of day 5, symptoms and hemodynamic parameters were measured as posttest. Vital signs were measured 3 times a day during 5 days. The control group only received routine treatment. Results: Thyme oil was found to be effective in relieving symptoms of shortness of breath, dizziness, secretion, diarrhea, weakness, loss of appetite, cough, headache and muscle joint pain. Although there was improvement in the symptoms of nausea-vomiting, runny nose and loss of taste-smell, the effect was not statistically significant. Thyme oil significantly decreased body temperature, pulse rate and respiratory rate (p<0.05), increased SPO 2 (p<0.05), and did not affect systolic and diastolic blood pressure (p>0.05). It had a significant effect on the regulation of pH, decreased CO2 and increased O-2 significantly (p<0.05). Conclusion: Thyme oil aromatherapy was effective in reducing symptoms, regulating vital signs and hemodynamic parameters. Accordingly, thyme oil is recommended as non-pharmacological treatment method in COVID19 patients.Öğe Effects of Progressive Relaxation Exercises on Vital Signs and Fatigue in Liver Transplant Patients: A Randomized Controlled Trial(Sage Publications Inc, 2022) Komurkara, Sema; Cengiz, ZelihaThis randomized controlled study was conducted to evaluate the effects of progressive relaxation exercises on vital signs and fatigue level. Ninety patients with liver transplantation (experimental group = 45, control group = 45) were included in the study. The patients in the experimental group performed progressive relaxation exercises for 25 to 30 minutes every day for 4 weeks. Before the progressive relaxation exercises, the vital signs and fatigue level of the patients were recorded. Vital signs were recorded again immediately after the progressive relaxation exercises and at the end of the second week. At the end of the fourth week, the final measurement of vital signs was performed along with the second fatigue level assessment. In the experimental group, pulse and respiratory rates, systolic and diastolic blood pressure values, and fatigue severity mean scores were found to be lower and oxygen saturation level was higher than those of the control group. The improvement in vital signs in the experimental group was evident at week 3 (p < .05).Öğe Hemodiyaliz hastalarına sağlık inanç modeli doğrultusunda verilen eğitimin akılcı ilaç kullanımı üzerine etkisi(İnönü Üniversitesi, 2018) Cengiz, ZelihaAmaç: Bu araştırma hemodiyaliz hastalarına Sağlık İnanç Modeli (SİM) doğrultusunda verilen eğitimin akılcı ilaç kullanımı üzerine etkisini belirlemek amacıyla yapıldı. Materyal ve Metot: İki aşamada gerçekleştirilen araştırmanın, birinci aşaması metodolojik, ikinci aşaması ise ön test–son test randomize kontrollü deneme modeli olarak gerçekleştirildi. Araştırmanın evrenini araştırmanın yürütüldüğü diyaliz ünitelerinde hemodiyaliz tedavisi alan tüm hastalar (n=396) oluşturdu. Yapılan güç analizi sonucunda örneklem büyüklüğü 132 birey olarak belirlendi (66 deney, 66 kontrol). Araştırma Malatya ve Elazığ illerinde Mart 2017- Eylül 2018 tarihleri arasında yapıldı. Veriler "Hasta Tanıtım Formu" ve araştırmacılar tarafından geliştirilen "Akılcı İlaç Kullanımı Ölçeği (AİKÖ)" kullanılarak toplandı. Deney grubundaki hastalara SİM doğrultusunda akılcı ilaç kullanımı eğitimi 15 gün ara ile iki kez verildi. Verilerin değerlendirilmesinde, tanımlayıcı istatistikler, cronbach alfa, ki-kare, bağımlı ve bağımsız gruplarda t testi kullanıldı. Bulgular: Ön test ölçüm verilerine göre deney grubunun AİKÖ puan ortalaması 60.29±10.17, kontrol grubunun puan ortalaması 62.85±9.94'tür. Son test ölçüm verilerine göre deney grubunun AİKÖ puan ortalaması 78.80±8.16, kontrol grubunun puan ortalaması 63.48±9.77'dir. Deney ve kontrol grupları arasında ön test puanları arasındaki farkın istatistiksel açıdan önemli olmadığı, son test puanları arasındaki farkın ise önemli olduğu saptandı (p<0.001). Sonuç: Yapılan analizlerde SİM doğrultusunda verilen eğitimin, hemodiyaliz hastalarının akılcı ilaç kullanımını arttırdığı saptandı. AİKÖ' nin akılcı ilaç kullanımını ölçmek için kullanılması, SİM' in akılcı ilaç kullanımı ile ilgili verilecek eğitimlerde rehber olarak kullanılması ve hemodiyaliz hastalarına akılcı ilaç kullanımı eğitimlerinin verilmesi önerilebilir. Anahtar Kelimeler: akılcı ilaç kullanımı, hemodiyaliz, sağlık inanç modeli, hemşirelik
