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    Determining the Relationship Between Intolerance of Uncertainty and Attitudes Toward Complementary and Alternative Medicine in Patients With Cancer
    (Lippincott Williams & Wilkins, 2023) Akkus, Yeliz; Menekli, Tugba
    Disease-related uncertainty and the factors associated with uncertainty in patients with cancer have not been adequately investigated. This study aimed to determine the relationship between intolerance of uncertainty and attitudes toward complementary and alternative medicine (CAM) in patients with cancer. This cross-sectional descriptive study included 351 patients treated in the oncology clinic of a university hospital. All participants completed the Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ) and the 12-item Intolerance of Uncertainty Scale (IUS-12). Most patients (84.3%) said that they had information about CAM, 39.7% reported obtaining this information from their social environment, 83.2% said that they believed that CAM methods are effective, and 76.0% reported not telling health care professionals about their CAM use. Mean IUS-12 and HCAMQ total scores were 46.53 & PLUSMN; 2.05 and 32.11 & PLUSMN; 2.32, respectively, and showed a weak negative correlation. The patients in our study showed high intolerance of uncertainty and a moderately positive attitude toward CAM, and most patients did not notify health care professionals of their CAM use. Therefore, we recommend assessing intolerance of uncertainty and CAM use in this patient group. By identifying patients experiencing uncertainty and seeking different treatment, nurses can support patients physiologically, psychologically, and socially, and can explain the effects of CAM use.
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    The Effect of Educational Intervention on Care Dependency and Symptom Management After Hematopoietic Stem Cell Transplantation: A Theory-Based Randomized Controlled Study
    (Ivano-Frankivsk Natl Medical Univ, 2021) Menekli, Tugba; Yaprak, Bulent
    The objective of the research was to determine the effect of educational intervention based on Bandura's Social Cognitive Learning Theory on care dependency and symptom management after hematopoietic stem cell transplantation. Methods. This randomized controlled trial was conducted between January 2019 and February 2020 at the Hematopoietic Stem Cell Transplantation Center. All the patients were randomly divided into two groups: 53 individuals in the intervention group and 53 individuals in the control group. The sociodemographic data collection form, the Edmonton Symptom Assessment Scale and the Care Dependency Scale were used for data collection. Data were collected from the patients one day after hematopoietic stem cell transplantation and 12 weeks later. Results. There were no statistically significant differences between the groups regarding the mean scores of the Edmonton Symptom Assessment Scale and the Care Dependency Scale at baseline. Twelve weeks after intervention, there were statistically significant differences between the groups regarding the mean scores of the Edmonton Symptom Assessment Scale and the Care Dependency Scale. Conclusions. Educational intervention along with telephone counseling based on Bandura's theory was found to be an effective way to reduce symptom severity and care dependency in patients who underwent hematopoietic stem cell transplantation and is recommended for all patients after hematopoietic stem cell transplantation.
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    Effect of educational intervention on nurses knowledge about palliative care: Quasi-experimental study
    (Elsevier Sci Ltd, 2021) Menekli, Tugba; Dogan, Runida; Erce, Cigdem; Toygar, Ismail
    The aim of the study was to determine the level of knowledge of registered nurses about palliative care and to determine the effect of educational intervention on this level of knowledge in Turkey. The study was a quasi-experimental study and consists of 136 nurses. The study was conducted between April and June 2019 in a university hospital in Malatya, Turkey. Nurse are educated on the definition, history, and philosophy of palliative care, the responsibilities of palliative care nurses, symptom management, and end of life care. The education was applied in five sessions. Each session took approximately 40 min and sessions were conducted once a week. Data were collected before and after the education via nurse identification form developed by the research team and the Palliative Care Knowledge Test. It was determined that the nurses received 8.9 +/- 1.1 out of 20 points before and 17.5 +/- 1.9 points after the education. There was a statistically significant difference between the mean scores of nurses before and after training (p < 0.001). It was found that educational intervention has a large effect (Cohen's d = 5.540) on nurses' knowledge about palliative care. It was determined that educational intervention was an effective way to improve nurses' knowledge about palliative care.
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    Effect of neuro-linguistic programming on COVID-19 fear in kidney transplant patients: A randomized controlled study
    (Elsevier Sci Ltd, 2022) Dogan, Aysel; Dogan, Runida; Menekli, Tugba; Berktas, Haci Bayram
    This study was conducted experimentally to evaluate the effect of neuro-linguistic programming (NLP) on fear of COVID-19 in kidney transplant patients. The study was carried out between June 2021 and October 2021. The Personal Information Form and COVID-19 Fear Scale (FCV-19S) were used to collect data. The obtained data obtained were evaluated using the SPSS 25 software. NLP was found to reduce the fear of COVID-19 in kidney transplant patients. Clinical nurses can use NLP techniques to support patients with fear in similar patient groups. Patients can be provided with access to training programs where they can learn NLP techniques. Clinicaltrials.gov: NCT05115435.
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    The Effect of Virtual Reality Distraction Intervention on Pain, Anxiety, and Vital Signs of Oncology Patients Undergoing Port Catheter Implantation: A Randomized Controlled Study
    (Elsevier Science Inc, 2022) Menekli, Tugba; Yaprak, Bulent; Dogan, Runida
    Background: Although the port catheters have many beneficial effects on the patient's quality of life, it was reported in the literature that patients experience pain in the incision area after the implantation or anxiety before, during or, after the implantation.Distraction is a simple and effective method in the management of pain and anxiety. Aims: To determine the effect of virtual reality (VR) distraction intervention on pain, anxiety, and vital signs of oncology patients undergoing port catheter implantation. Design: Randomized controlled study Methods: The study was carried out with 139 participants (69 intervention, 70 control) between September 2019 and January 2020. Data were collected before, during, and after the implantation by using a patient identification form, State Anxiety Inventory (SAI), a table for vital signs, and a visual analog scale for pain severity. In the intervention group, a virtual reality device, movies, and relaxing music were provided and patients were instructed to use it during the implantation and when they felt pain after the implantation. There wasn't any blinding for patients or researchers throughout the study. Results: There was an increase in pain scores of both groups after the implantation; however, pain scores in the intervention group were lower and there was a statistically significant difference between the groups after the implantation. In the intervention group, there was a decrease in anxiety, systolic blood pressure, diastolic blood pressure, heart rate, and respiratory rate, and an increase in SpO2. VR use has a great effect on pain scores (Cohen's d = 3.023) and a great effect on SAI scores (Cohen's d = 8.770). Conclusions: VR distraction intervention was found an effective way to reduce pain, anxiety, systolic blood pressure, diastolic blood pressure, heart rate, and respiratory rate and increase the SpO2 of the patients undergoing port catheter implantation. (c) 2022 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
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    Investigation of COVID-19 fear, treatment compliance, and metabolic control of patients with type 2 diabetes mellitus during the pandemic
    (Elsevier Sci Ltd, 2022) Menekli, Tugba; Yaprak, Bulent; Tureyen, Aynur; Senturk, Sibel
    Aims: This study was carried out to investigate fear levels, treatment compliance, and metabolic control of type II Diabetes Mellitus patients during the COVID-19 pandemic.Methods: The study employed a single-center, observational design and was conducted between January and April 2021. The study consisted of 303 patients who attended the internal medicine outpatient clinic of a uni-versity hospital in Turkey. For data collection, the Patient Identification Form, COVID-19 Fear Scale, and the Type II Diabetes Treatment Compliance Scale were used. The study complied with the Helsinki Declaration criteria. IBM SPSS v25.0 statistics package program was used for data analysis.Results: The mean age of the patients was 45.8 +/- 7.5 years, the mean duration of illness was 8.2 +/- 3.6 years. Moreover, 40.6% of patients presented with poor levels of treatment compliance. In addition, the mean FCV-19S score of the patients was 29.1 +/- 3.05. It was noticeable that those with high mean scores of FCV-19S had poor compliance with treatment and metabolic control during the pandemic (p < 0.05). Practice implications: Fear of COVID-19 negatively affects treatment compliance and metabolic control of type II diabetes patients. The patients avoided attending their regular follow-ups at the hospital due to fear of con-tracting COVID-19. In order to reduce the fear of COVID-19 it is paramount to maintain optimum metabolic control and treatment compliance.
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    The Relationships between the Pain Beliefs and Coping Strategies of Palliative Care Patients
    (Galenos Publ House, 2021) Menekli, Tugba; Dogan, Runida; Erce, Cigdem; Atik, Derya
    BACKGROUND/AIMS This descriptive study aims to determine the relationships between the pain beliefs and coping strategies of palliative care patients. MATERIAL and METHODS This study was conducted in the Malatya Training and Research Hospital Palliative Care Clinic from March 10, 2019 to June 10, 2019. The sample consisted of 138 inpatients. The data were collecled using a personal information form, the Pain Beliefs Questionnaire, the Pain Coping Questionnaire, and the Palliative Performance Scale. Statistical Package for the Social Sciences (SPSS) version 18.0 (IBM SPSS Corp.; Armonk, NY, USA) software was used to analyze the data. The required ethical approvals were obtained. RESULTS The patients' mean age was 59.01 +/- 9.38. Of them, 65.1% were female, and 89.7% were married. Of the patients, 56.3% had compleled primary school, and 75.3% were unemployed. Of the patients, 70.5% believed that pain is conlrolled by God. Their mean organic beliefs score was 3.04 +/- 0.38, and their mean psychological beliefs score was 4.83 +/- 1.00. Their mean scores for self-management, helplessness, conscious cognitive attempts, and medical remedies were 19.07 +/- 5.18, 10.72 +/- 3.00, 13.85 +/- 4.05, and 11.54 +/- 3.08, respectively. Their organic beliefs scores had a negative relationship with self-management scores (P < .001, r = -392) and conscious cognitive attempts scores (P < .001, r = -.350), and they had a positive weak relationship with helplessness scores (P < .001, r = .380). CONCLUSION The pain beliefs of patients in palliative care affect their ability to cope with pain. The planning and implementation of nursing pain management interventions should consider the relationships between the pain beliefs and pain coping strategies of patients.