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Öğe Analysis of the relationship between pain, anxiety, depression, and self-care agency in patients who underwent major orthopedic surgeries(2023) Demir, Bilsev; Demir, İlkerMajor orthopedic surgery is an invasive procedure applied in a wide area to correct degeneration caused by different factors. There are many symptoms that negatively affect the individual, especially in the acute period after surgery. In order to increase the comfort level of the individual and to make the person independent as early as possible, the detection of post-surgical symptoms is gaining more and more importance day by day. This study was carried out to examine the relationship between pain, anxiety, depression and self-care power in individuals who have underwent major orthopedic surgery. The population of the study consisted of all adult patients who had orthopedic surgery. In data collection, “Patient Description Form”, “Visual Analog Scale”, “Hospital Anxiety and Depression Scale” and “Self Care Power Scale” were used. As a result of the research, it was determined that the risk of anxiety and depression is high in patients who have underwent major orthopedic surgery and there is a significant relationship between them. It is possible to talk about a positive relationship between pain and anxiety, but a negative relationship between self-care power.Öğe Determining the relationship between urinary incontinence and urinary dysfunction in children and quality of life(2020) Demir, Bilsev; Karalezli, Ilknur; Karalezli, GirayAim: The aim of this study is to determine the relationship between quality of life and urinary incontinence in children.Material and Methods: This study was carried out with the cross-sectional research model, one of the observational analytical research models. The study was conducted between November 2018 and December 2019 at the urology outpatient clinic of Necmettin Erbakan University Hospital. The sample of the study consisted of fifty one pediatric patients between the ages of 5 and 18 years who were selected by using the simple random sampling method, were able to communicate and volunteered to participate in the study. The data were obtained through the face-to-face interview method using a Patient Demographic Information Form, the Dysfunctional Voiding and Incontinence Symptoms Score Questionnaire (DVISS), the Dysfunctional Voiding Symptom Score (DVSS) and the Pediatric Urinary Incontinence Quality of Life Score (PIN-Q). The data are expressed as percentage, mean and standard deviation. Results: Among the patients participating in the study, the mean Dysfunctional Voiding and Incontinence Symptoms Score was found as 17.07 ± 5.12. In this study, a significantly positive correlation was found between DVISS and DVSS and PIN-Q. There was a significant relationship between PIN-Q dimensions and DVISS and DVSS.Conclusion: Pin-Q and DVSS are complementary and offer clinical effects. This study showed that there is a correlation between urinary incontinence and quality of life.Öğe Effect of hand massage on pain and anxiety in patients after liver transplantation: A randomised controlled trial(Elsevier Sci Ltd, 2020) Demir, Bilsev; Saritas, SerdarObjectives: This study aimed to determine the effects of hand massage on postoperative pain, and anxiety levels in liver transplant patients. Methods: This study was a randomised clinical trial. The study sample comprised 80 adult patients who had liver transplantation: 40 experimental and 40 control group. In the experimental group, the researcher performed hand massage. No treatment was performed in the control group. To analyse the data, descriptive statistics, a chisquared test, a t-test for dependent groups, and a t-test for independent groups were used. Results: According to hand massage follow-ups after liver transplantation, the mean scores of pain intensity and anxiety levels was lower, with a statistical significance in the experimental group compared with the control group in all measurements before and after hand massage (p < 0.001). Conclusions: The hand massage applied to liver transplant patients positively affected and decreased the severity of pain, and anxiety levels.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 Effect of Music on Fatigue, Comfort, and Vital Signs in Patients After Liver Transplant Surgery A Randomized Controlled Trial(Lippincott Williams & Wilkins, 2021) Demir, Bilsev; Kapikiran, Gurkan; Ozkan, MeralThis randomized controlled clinical trial was conducted to determine the effect of music therapy on fatigue, comfort and vital signs of the liver transplant patients. The study sample comprised 120 adult patients (60 in the experimental and 60 in the control group) who met the inclusion criteria and agreed to participate in the study. In the experimental group, the researcher performed music therapy. After applying music therapy once to patients for 30 minutes, their fatigue, comfort, and vital signs were evaluated. No treatment was performed in the control group. According to music therapy follow-ups after liver transplantation, mean scores of fatigue levels were lower, comfort levels were higher, and vital signs were normal, with a statistical significance in the experimental group compared with the control group in all measurements before and after music therapy (P < .001). The study should be repeated using different parameters.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 Effects of Illness Perception on Self-Care Agency and Hopelessness Levels in Liver Transplant Patients: A Descriptive Cross-Sectional Study(Sage Publications Inc, 2022) Demir, Bilsev; Demir, IlkerIndividuals with liver transplantation (LT), hopelessness, and lack of self-care may occur and change in the illness perceptions; however, no study has examined the effects of the illness perceptions on self-care agency and hopelessness levels in individuals with LT. This study was conducted to examine the effects of the illness perceptions of patients who had received LT surgery on their self-care agency and hopelessness levels. A descriptive cross-sectional study with a convenience sample (N = 120) was conducted at a center in eastern Turkey. The data were collected by using the Brief Illness Perception Questionnaire (B-IPQ), Self-Care Agency Scale (SCAS), Beck Hopelessness Scale (BHS). In the study, the mean total B-IPQ, SCAS, BHS scores was found as 57.50 +/- 3.61, 83.83 +/- 9.43, 10.19 +/- 3.81, respectively. There was a positive and significant relationship between the B-IPQ and BHS total scores.Öğe Effects of massage on vital signs, pain and comfort levels in liver transplant patients(Elsevier Science Inc, 2020) Demir, Bilsev; Saritas, SerdarObjectives: This study aimed to determine the effects of back massage on postoperative vital signs, pain, and comfort levels in liver transplant patients. Methods: A quasi-experimental model with a pretest, a posttest, and a control group was used. The population of the study comprised adult patients who had liver transplantation for the first time. The study sample comprised 84 adult patients who had liver transplantation: 42 experimental (study group) and 42 control group, selected by power analysis and the random sampling method from the population. The data were collected between May and September 2016 using the short-form McGill Pain Questionnaire (SF-MPQ) and the General Comfort Scale. In the study group, the researcher performed back massage twice per day in the morning and evening in the organ transplant service. No treatment was performed in the control group. To analyse the data, descriptive statistics, a chi-squared test, a t-test for dependant groups, and a t-test for independent groups were used. Results: According to morning and evening follow-ups after liver transplantation, the mean scores of pulse rate, respiration rate, blood pressure values, and pain intensity was lower, and the mean score of sPO(2) (oxygen saturation) levels and comfort levels was higher, with a statistical significance in the experimental group compared with the control group in all measurements before and after back massage (p < 0.001). Conclusions: The back massage applied to liver transplant patients positively affected vital signs, decreased the severity of pain, and increased the comfort levels of the patients. (C) 2019 Elsevier Inc. All rights reserved.Öğe Masajın karaciğer nakli sonrası hastaların yaşam bulgusu ağrı ve konfor düzeyine etkisi(İnönü Üniversitesi, 2017) Demir, Bilsev[Abtsract Not Available]Öğe Perceived social support associated with posttraumatic growth in liver transplant recipients: A cross-sectional study(Elsevier, 2022) Yildiz, Erman; Demir, Bilsev; Saritasl, SerdarIntroduction: There is almost no information about the role of perceived social support, one of the main variables facilitating posttraumatic growth, in liver transplant. For this reason, the issue requires further clarity. The aim of this study was to investigate the relationship between perceived social support and posttraumatic growth in individuals receiving liver transplants.Method: This cross-sectional study was carried out with liver transplant recipients at a hospital in eastern Turkey (N = 117). The data collection instruments included a Descriptive Characteristics Form, the Posttraumatic Growth Inventory and the Multidimensional Scale of Perceived Social Support. The data were analyzed using descriptive statistics, correlation analysis and hierarchical linear regression analysis.Results: It was revealed that the participants had high levels of posttraumatic growth (73.05 +/- 16.82) and perceived social support (67.75 +/- 14.33). A moderate and positive relationship was determined between the mean perceived social support total score and the mean posttraumatic growth total score of the participants (p < 0.01). Perceived social support explained 25.6% of the variance in posttraumatic growth (F = 39.600; p < 0.05; Adjusted R-2= 0.256), while perceived social support together with primary school-level education and low economic status explained 32.3% of the variance in posttraumatic growth (F = 17.954; p < 0.05; Adjusted R-2=0.323).Conclusion: The results on perceived social support revealed that liver transplant recipients had a subjective feeling of being understood, respected and supported by their families more than friends and significant other in a social environment. This study showed that high perceived social support contributes to posttraumatic growth in liver transplant recipients. Apart from perceived social support, other factors affecting posttraumatic growth included individuals' perceptions of their education level and economic situation.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.Öğe The relationship between anxiety and stress levels with quality of sleep in patients after living donor liver transplantation(Elsevier, 2022) Demir, Bilsev; Saritas, SerdarObjective: This research study was carried out as a descriptive and cross-sectional study to determine the relationship between anxiety and stress levels with quality of sleep in patients after living donor liver transplantation (LDLT). Methods: The research population was composed of all of the adult patients who underwent surgery in these clinics. The sample of the study consisted of 98 patients who were selected from among these patients by using the non-random sampling method, who were able to communicate and volunteered to participate in the study. Personal Information Form, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale (ESS), Beck Anxiety Inventory (BAI) and Perceived Stress Scale (PSS) were used in data collection. The data analysis was performed with IBM SPSS (Statistical Package for the Social Sciences) Statistics 16. Results: It was determined that 34.7% of the patients were 55 years old and over, and 79.6% of them were male and 92.9% were married. It was found that patients were a poor quality of sleep. Patients' perceived stress and anxiety levels after liver transplantation were found to be moderate. It was determined that as the patients were increased anxiety level, their sleep quality decreased. Conclusions: Training programs should be planned to strengthen communication in order to increase the sleep quality of the patients and to reduce their anxiety levels.Öğe The risk of postoperative constipation in liver transplant patients(2019) Demir, BilsevAim: This research study was carried out as a descriptive study to determine the risk of postoperative constipation in liver transplant patients.Material and Methods: The study was conducted between September 2018 and November 2018 in the Liver Transplant Clinics of Liver Transplant Institute at İnönü University. The research population was composed of all of the adult patients who underwent surgery in these clinics. The sample of the study consisted of 95 patients who were selected from among these patients by using the non-random sampling method, who were able to communicate and volunteered to participate in the study. The data were collected through the face-to-face interview method using the Patient Information Form and the Constipation Risk Assessment Scale. Counts, percentages, mean scores, standard deviations, Kruskal-Wallis variance analyses, and independent samples t-tests were used to analyze data.Results: TOf the patents participating in the study, 65.3% were found to be in the moderate-risk group in terms of the development of constipation. Total CRAS score was found to be 12.15±3.06 (moderate risk). The risk of constipation was found to be significantly higher in patients who were aged 18–34, male, and high school graduates. Conclusion: More than half of the liver transplant patients who participated in the study were found to be at moderate risk for the development of postoperative constipation.
