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Öğe ASSESSMENT OF A DIABETES EDUCATION PROGRAM ON KNOWLEDGE OF DIABETES AMONG DIABETICS ATTENDING A GOVERNMENT HOSPITAL IN TURKEY(Southeast Asian Ministers Educ Organization, 2019) Soylar, Pinar; Ozer, AliIt is important for diabetics to understand their disease and how to prevent its complications. The aim of this study was to assess the efficacy of a diabetes education program on knowledge of diabetes among diabetic patients attending a government hospital in Turkey in order to inform program organizers about deficiencies and strengths of the program and how to improve it. A multidisciplinary team at a government hospital developed a diabetes educational program for diabetic patients following the 5 modules of the Turkey Diabetes Program (2015-2020). The study subjects consisted of patients with diabetes mellitus type 2 (T2DM) attending the diabetes outpatient clinic, Malatya State Hospital and were willing to participate in the all sessions of the education program and willing to complete the pre- and post-program questionnaire. All the eligible subjects were invited to participate (n=276) whom 185 completed the program and filled out the questionnaire. The mean [+/- standard deviation (SD)] age of study subjects was 56.3 (+/- 9.9) years; 54.6% males. The mean questionnaire score prior the program was 6.3 points and after the program was 11.7 points; this difference was significant (p<0.001). The mean questionnaire score in males prior to the program (6.6 points) was significantly higher (p=0.020) than the female subjects (6.0 points) but after the program the mean questionnaire score among males (11.8 points) was not significantly higher than the female subjects (11.5 points) (p=0.334). The mean questionnaire score prior to program among subjects with a higher education level (7.2 points) was significantly higher (p=0.002) than among subjects with a lower education level (5.9 points) but the questionnaire score after the program among subjects with a higher education level (11.9 points) was not significantly different (p=0.323) from those with a lower education level (11.6 points). We conclude the diabetes education program was effective in improving knowledge about T2DM and it corrected disparities in knowledge level by gender and education level. Further studies are needed to determine if this improved in knowledge level is retained over time and if it results in a measurable effect on the level of diabetes control and the prevelance of complications.Öğe The effect of spirituality and health perception on screening behavior of people with and without a family history of cancer(Springer Heidelberg, 2024) Soylar, Pinar; Ozer, AliAim This study explored the role of health perceptions and spirituality on cancer screening participation among people with and without cancer history in first degree relatives (FDRs). Subject and methods A cross-sectional study was conducted in Elazig, Turkey, with 150 individuals (75 individuals without a family history of cancer and 75 individuals with a family history of cancer). Spirituality and health perception of participants were measured using the Perception of Health Scale and Spirituality Scale at Firat University Hospital. Univariate analysis (independent t-test/chi-square test) was applied first to identify the candidate independent variables. Then, multivariate logistic regression was used to examine the association between independent variables and participation in cancer screenings. Results People with cancer history in FDRs participated in more cancer screening such as mammography and colonoscopy than those without FDRs (p = 0.002 and p = 0.001, respectively). People with cancer history in FDRs participated have a better health perception than without FDRs (p = 0.001). Women (OR 3.694; 95% CI, 1.207-11.301; p = 0.022), health perception (OR 1.480; 95% CI, 1.290-1.697; p = 0.001), and spirituality (OR 1.074; 95% CI, 1.028-1.122; p = 0.001), were positively associated with the likelihood of participating in cancer screening. Conclusion Our study emphasized that spirituality and health perception promote the participation in cancer screening. Future studies with large sample size are suggested to examine cancer screening behaviors for Turkish at-risk populations due to family history.Öğe Evaluation of the prevalence of musculoskeletal disorders in nurses: A systematic review(2018) Soylar, Pinar; Özer, AliNurses exposure many risk factors in the hospital setting. Musculoskeletal disorders (MSDs) is a common health problem between work related disabilities and injuries in nurses. The aim of this review was to examine the prevalence of MSDs in nurses and also summarize risk factors, outcomes, solutions. An electronic search was conducted in Pub Med in January 2017. Publications in the last ten years were researched using the key words: “Work Related Musculoskeletal Disorders” and “Nurses”. The initial electronic search identified 111 papers. Some articles were excluded since they were not related to our study topic (7 articles were review, 15 of them were related to the roles of nurses in some musculoskeletal disorders, 14 articles were about nurses who working outside the hospital or new graduated/student, 28 articles addressed work related other health problems, 3 of them were related to hospital ergonomics and risk factors and 7 articles were interventions studies). Three papers were not reached to full text or abstract. The total number of remaining articles was 34 and all of them were included the study. It was considered that reported musculoskeletal disorders in nurses were limited to the past 12 months. It had been found that the prevalence of MSDs varied between 33.0% and 88.0%. The most commonly affected body regions were lower back, shoulder, neck, knees, wrists/hands. Lower back pain complaints were found to vary between 49.0% and 84.0%. The findings indicated that the work related musculoskeletal disorders associated with cumulative trauma and repetitive tasks included: lifting, transferring or repositioning, prolonged standing and also awkward postures (stooping, bending and reaching). These work-related health problems in nurses were significantly associated with age, gender, body mass index, ward, shift working and working in a hospital. Studies showed that musculoskeletal disorders were most seen among the operation room nurses and intensive care nurses. Also, MSDs were found to be the main causes of absenteeism, demanding a change of duty or job and visiting a physician. The MSDs was more prevalent occupational health problem among nurses. The prevalence of MSDs was associated with both demographic characteristics of nurses and hospitals’ organizational factors. It was confirmed that making ergonomics interventions could improve the working environment in the hospital.Öğe Knowledge, Attitude, and Practice Regarding Cancer Screening Tests Among Health Workers in a University Hospital in Turkey(Springer, 2020) Soylar, Pinar; Ozer, Ali; Yuksekol, Ozlem Dogan; Ulucan, MihribanHealth workers play an important role in the early detection of cancer and encouraging people to participate in screening tests. This study aimed to analyze the knowledge, attitude, and practice of health workers regarding cancer screening and to determine variables that affect their behavior in undergoing in screening tests. This descriptive study was conducted among 475 health workers (84 assistant doctors, 306 nurses, 65 midwives, and 20 other professionals) in a university hospital. The questionnaire included sociodemographic questions (age, profession, years of experience, and family history of cancer) and questions about the workers' knowledge, attitude, and practice regarding cancer screening. It was found that half of the participants had inadequate knowledge of cancer screening methods (50.3% for Pap smear, 57.5% for mammography, 68.4% for colonoscopy, and 54.3% for fecal occult blood). Although the attitudes of the health workers were mostly positive (above 90% for all screening tests), their practice of screening methods was low (for example 25.7% of them practiced mammography and 4.2% pap smear). Older health workers, those with a family history of cancer, and those with more than 11 years of experience tended to participate in cancer screening tests more often than health workers who were younger, had no family history of cancer history, and whose experience was less than 10 years (p < 0.05). A health worker's profession was not an important factor in their practice of undergoing screening tests (p > 0.05).Öğe The Treatment Approach and Social Support Needs for Patients with Breast Cancer(Aves, 2016) Soylar, Pinar; Genc, Metin F.Objective: Breast cancer is the most common type of cancer in women both in developed and developing countries. It has a higher mortality rate in low and middle income countries due to the late-stage diagnosis. The principal aim of this study was to investigate what patients with breast cancer did before presenting to Turgut Ozal Medical Center and its relationship with late stage diagnosis. The study also aimed to identify the level of patients' perceived social support. Materials and Methods: The study included 200 patients with breast cancer who were treated at the chemotherapy unit during 2013 and 2014. Results: The mean age of the patients was 51.16 +/- 1.10 years and 60% of the women were graduates of elemantary school. The majority of patients (69.5%) noticed breast mass as the first symptom and 56.5% were diagnosed at later stages. Thirty-four percent of the patients delayed their visit to a health care centers after realizing the first symptom. No statistically significant relationship was determined between women's education level, residential area, age, the first symptom noticed, stages of tumor, and patients and system-related delay (p>0.05). In terms of family history of breast cancer, there was a significant difference between patient-related and system-related delays (p<0.05). The family support score (24.8 +/- 4.6) was higher than those of friends and husbands (23.8 +/- 5.5, 21.3 +/- 6.4, respectively). The husband support score was statistically different in terms of intimacy between women and their husbands after disease (p<0.001). Conclusion: It can be concluded that overcoming barriers related to patients and the system will lead to early-stage diagnosis, which in turn will result in higher survival rates of patients with breast cancer. As awareness and knowledge level of women about cancer increases, they will visit health care centers earlier where they can receive more comprehensive treatment.
