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Öğe Attitudes and behaviors of individuals aged 90 and over towards rational use of drugs: cross-sectional research(2023) Karakaş, Neşe; Deniz, Serdar; Bentli, RecepIntroduction: The current study was aimed to evaluate the attitudes and behaviors of individuals 90 years and older living in Malatya regarding rational drug use. Methods: This cross-sectional, descriptive study was carried out with people aged 90 and over (n=1022) living in Malatya province and its districts. Face-to-face interview method was used to collect study data. In the first part of the form used for data collection, the descriptive characteristics of the participants were questioned, and in the second part, the attitudes and behaviors towards rational drug use were examined. Rational drug use features are evaluated by World Health Organization (WHO) prescribing indicators. Results: The frequency of rational drug use was 84.1%, and the rate of over-the-counter drug use was 19.2% among individuals 90 years and older. 52.3% of the participants had over-the-counter medication at home for use, when necessary, without doctor's recommendation. The most commonly available over-the-counter group of drugs at home were painkillers. Conclusion: The frequency of rational drug use in individuals aged 90 and older has been determined higher than in the literature on individuals aged 65 and older. Education, guidance and counseling programs can be created to increase rational drug use within elderly people communities.Öğe Care burden and quality of life of home caregivers(2020) Karakaş, Neşe; Pehlivan, ErkanAbstract: This study was conducted to determine the care burden and quality of life of the primary caregivers of home care patients and to investigate the factors that affect them and the relationship between them. The study was designed as a descriptive, cross-sectional, and correlational study. The quality of life of caregivers who expressed that they had financial problems was lower than those who did not have financial problems (p<0.05). A moderate negative relationship was found between caregivers’ burden and quality of life (r=-0.312, p<0.001). According to the findings of the study, it was determined that the increase in the care burden negatively affected the caregivers’ quality of life.Öğe Investigation of the Relationship between Social Support and the Level of Hopelessness in Diabetic Patients: Descriptive Research(2023) Karakaş, Neşe; Aktura, Seher Çevik; Büyükbayram, Zeliha; Evren, Bahri; Sarıtaş, Seyhan ÇıtlıkStudy aimed to investigate the relationship between social support and the level of hopelessness in diabetic patients. The study was carried out as descriptive research in the internal medicine clinic and polyclinics of a state hospital located in the southeast of Turkey. The population of the research consisted of adult patients diagnosed with Diabetes Mellitus who were followed up in the internal medicine clinics of the said hospital. The sample of the research was composed of 252 patients through power analysis with 0.05 error, 0.95 confidence interval and 0.95 representative power of the universe. In the collection of the data, Personal Information Form developed by the researchers, Multidimensional Scale of Perceived Social Support, and Beck Hopelessness Scale were employed. In the analysis of the data, descriptive statistics, t-test in independent groups, One-Way ANOVA, Mann-Whitney U test, correlation and Cronbach’s alpha reliability analysis were used. In the study, the patients’ mean scores obtained from Multidimensional Scale of Perceived Social Support and Beck Hopelessness Scale were found to be 65.2±15 and 11.2±1.8, respectively. It was determined that the patients had high levels of perceived social support and moderate levels of hopelessness. In the study, a negative and significant relationship was found between the mean scores obtained from Multidimensional Scale of Perceived Social Support and Beck Hopelessness Scale. It was also determined that as the patients’ perceived social support levels increase, their levels of hopelessness decrease.Öğe Malatya’da iki hastanede düşük doğum ağırlıklı bebeklerde anneye ait doğurganlık ve prenatal dönem özelliklerinin incelenmesi(İnönü Üniversitesi Sağlık Bilimleri Dergisi, 2013) Karakaş, Neşe; Pehlivan, ErkanSağlıklı yaşamın ön koşulu dünyaya sağlıklı olarak gelmektir. Düşük doğum ağırlığını azaltmak, yalnızca bebek ölümlerini azaltmaz, ömür boyunca bireye birçok fayda sağlar. Bu araştırma; düşük doğum ağırlıklı yenidoğan annelerinin doğurganlık ve prenatal dönem özelliklerinin normal ağırlıklı bebeklere göre farklılık gösterip göstermediğini saptamak amacıyla yapılmıştır. Bu çalışma Malatya’da iki hastanenin kadın hastalıkları ve doğum kliniklerinde doğum yapan anneleri kapsamaktadır. Zamana göre kesitsel tipte planlanan bu araştırma bir vaka-kontrol (retrospektif) çalışmasıdır. Basit rastgele usulle seçilen araştırma kapsamındaki 350 bebeğin annelerine 45 soruluk anket yüz yüze görüşme yöntemi ile uygulandı. Doğum ağırlığı 2500 gramın altı 123 bebek vaka, 2500 gramın üstü 227 bebek kontrol grubu olarak alındı. Verilerin değerlendirilmesinde SPSS paket programı, analizinde ise bağımsız örneklerde Ki-Kare testi uygulanarak tahmini rölatif riskler (odds ratio) hesaplandı Araştırmada güven aralığı %95, yanılma düzeyi p=0.05 seçildi. Çalışmadaki annelerin %58’3’ü 20-30 yaş grubunda, % 28’i ilkokul ve daha az seviyede, %28,9’u ise yüksek eğitimlidir. Araştırma kapsamındaki annelerden iki doğum arasında bir yıldan az süre olanların 3 kat (%95 GA:1,2837,015), gebelik döneminde muayene sayısı dörtten az olanların 2,1 kat (%95 GA: 1,258Öğe Nutritional status of elderly people living in nursing home and some related factors(2019) Bentli, Recep; Karakaş, Neşe; Firinci, Betul; Deniz, SerdarAbstract: The aim of this research is to evaluate the nutritional status of elderly people residing in a nursing home and to examine the relationship of the results with chronic diseases. The sampling of the descriptive and cross-sectional research consists of 65 nursing home residents. The data of the research were collected through the Personal Information Form, Mini Nutritional Assessment Test (MNA), Hand Grip Strength Test, Activities of Daily Living Scale and Geriatric Depression Scale. In the analysis of the data, p<0.05 value was accepted as statistically significant. The mean MNA score of the participants was calculated as 22.24±4.8; malnutrition was found in 15.4% and malnutrition risk was detected in 41.5%. There was a statistically significant positive relationship between the MNA scores and hand grip strengths of the participants (r=0.299, p<0.05). Low hand grip strength was discovered in 52.3% of the participants. There was no significant difference among the distribution of MNA scores according to the chronic diseases of the participants (p>0.05). MNA scores of the participants who had depression were found to be significantly low (p<0.05). As the dependency level in the activities of daily living increased, hand grip strength (r=-362, p?0.01) and MNA scores (r=-596, p?0.01) decreased significantly.Öğe The relation between the body perceptions and eating habits of the students in Inonu University(Turgut Özal Tıp Merkezi Dergisi, 2017) Tekin, Çigdem; Bozkır, Çiğdem; Karakaş, Neşe; Güneş, GülşenAbstract Objective: The study has been planned in order to examine the relation between the eating habits of university students and the other factors influencing this relation. Materials and Methods: The study was conducted in the cross-sectional design in Inonu University, and the sampling method, which is used in situations where the number of the universe is known, was used in the study, and the 573 students were contacted with the layered sampling method according to the faculty. The data were collected with face-to-face method by using the Body Perception Scale and Eating Habits Test, and with a questionnaire form that evaluated the demographic socio-cultural characteristics and eating habits of the students. Results: According to the Body Mass Index of the WHO, 78.4% of the students were at normal weight; 12.6% were found to be slightly overweight. 17.5% of the students received points that were below 135 from the Body Perception Scale, and were found to have lower body perception levels. It was determined that 32.3% of the students, who participated in the study, received over 26 points, which is the cutoff score of the eating habit test, and had obvious eating disorders. It was determined in the correlation that there was a positive and statistically significant relation between the Eating Habits and Body Perceptions Scales of the students(r=0.189;p<0.05). Conclusion: It was determined that the majority of the students were in normal weight according to Body Mass Index classification, and less than half of the students had obvious eating disorders. It was also determined that the students, who had eating disorders, had high body perception satisfaction levels. Keywords: Body Perception; Students; Eating Disorders.Öğe Turgut Özal Tıp Merkezi ve Malatya ilinde bir özel hastanedeki düşük doğum ağırlıklı bebeklerde anneye ait risk faktörlerinin incelenmesi(İnönü Üniversitesi, 2011) Karakaş, NeşeBu araştırma, araştırma kapsamındaki bebeklerin annelerinin sosyodemografik, doğurganlık ve sağlık özelliklerinin düşük doğum ağırlıklı ve normal ağırlıklı bebeklerde farklılık gösterip göstermediğini saptamak amacıyla yapılmıştır. Araştırma, Mart ve Temmuz 2010 tarihleri arasında Malatya ilinde bulunan İnönü Üniversitesi Turgut Özal Tıp Merkezi ve Özel Sevgi Hastane'sinin kadın hastalıkları ve doğum kliniklerinde yapıldı. Kesitsel tipte planlanan araştırmada, araştırma kapsamındaki bebeklerin annelerine 45 soruluk anket yüz yüze görüşme yöntemi ile uygulandı. Araştırma kapsamındaki 350 bebek basit rastgele örnekleme yöntemi ile seçildi. Bu araştırmadaki 2500 gram altı bebekler düşük doğum ağırlıklı kabul edildi. 2500 gram altı 123 bebek vaka, 2500 gram ve üstü 227 bebek ise kontrol grubu olarak kabul edildi. Vaka ve kontrol grubundaki bebekler ve anneleri risk faktörleri açısından karşılaştırmalı olarak incelendi. Araştırma verilerinin analizi SPSS for Windows 16.0 paket programı kullanılarak yapıldı. Verilerin analizinde Pearson Ki-Kare testi ve Fisher Kesin Ki-Kare testi kullanıldı. Sonuçlar % 95'lik güven aralığında, anlamlılık p<0.05 düzeyinde değerlendirildi. Araştırma sonucunda annenin 20 yaş ve altında olması [OR (95% CI) = 5,4 , GA :2,2 ? 13,3] , anne ve babanın öğrenim düzeyinin ilkokul ve altı olması, ailenin aylık gelir düzeyinin 1000 TL ve altında olmasının [OR (95% CI)=1,9 GA:1,1?3,0) düşük doğum ağırlığına neden olduğu kanaatine varıldı. Araştırma kapsamındaki annelerden yetersiz prenatal bakım alan, doğum aralığı 12 aydan kısa olan [ OR (95% CI)=3,0 GA:1,2-7,0], gebelik esnasında preeklemsi ve anemi tanısı alanların daha fazla oranda düşük doğum ağırlıklı bebeğe sahip oldukları bulundu. Ayrıca gebelikleri esnasında sigara içen annelerin içmeyenlere oranla daha fazla oranda düşük doğum ağırlıklı bebeğe sahip oldukları saptanmıştır, [OR (95% CI)=2,5 GA:1,5 - 4,5 ]. Elde ettiğimiz sonuçlar göstermektedir ki düşük doğum ağırlığına neden pek çok faktör az masraf ve basit önlemlerle ortadan kaldırılabilir. Sorunun çözümünde en gerçekçi yaklaşım birinci basamak sağlık hizmetlerinin kalite ve kantitesini yükseltip, sağlık eğitimini toplumun her kesimine ulaştırmaktır.
