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    Care dependency in individuals with chronic physical disease: Its relationship with compliance to treatment and life satisfaction
    (2020) Taskin Yilmaz, Feride; Yildiz, Ezgi; Cevik, Betul Esra; Unver, Zeynep
    Aim: The reasons such as the fact that individuals with chronic diseases are mostly in the old age and that the diseases lead to changes in physical and psychological fields may bring about an increase of dependence in meeting daily needs. This study aims to determine the relationship between care dependency and compliance to treatment and life satisfaction in individuals with chronic physical diseases.Material and methods: This research designed as a descriptive and relationship-seeking style includes 294 individuals with chronic physical diseases who were hospitalized for internal medicine clinics of a university hospital. After the ethics committee permission, the data were obtained by patient identification form, Care Dependency Scale, Modified Morisky Scale and Life Satisfaction Scale.Results: It was found out that the level of care dependency and motivation and knowledge levels of the individuals were positively weak (p0.05), and that there was a positive moderate relationship between care dependency and life satisfaction level (p0.01). In addition, individuals’ life satisfaction and motivation level in drug use account for 23% of the total variance in care dependence. In addition, 23% of the change in individuals’ dependency on care results from life satisfaction and motivation for medication use.Conclusions: As the levels of independence increases in fulfilling the care requirements of individuals with chronic physical disease, their compliance with drug and life satisfaction also tend to increase. Moreover, compliance to treatment and the life satisfaction of individuals are also important determinants in care dependency.
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    The relationship between preoperative depression and anxiety and postoperative recovery in patients undergoing gastrointestinal cancer surgery: a prospective cohort study
    (Routledge Journals, Taylor & Francis Ltd, 2026) Aldemir Atmaca, Kadriye; Unver, Zeynep
    Psychological distress, particularly anxiety and depression, is common among patients undergoing cancer surgery and may adversely affect recovery. However, the relationship between these factors and early postoperative outcomes in gastrointestinal (GI) cancer surgery has not been sufficiently investigated. This study aimed to examine the association of preoperative depression and anxiety symptoms with early postoperative recovery in patients undergoing oncological GI surgery. A prospective cohort study was conducted at a university hospital in Eastern T & uuml;rkiye between February 2023 and January 2025. A total of 162 patients scheduled for GI cancer surgery participated. Preoperative psychological status was assessed using the Hospital Anxiety and Depression Scale (HADS). On postoperative day three, recovery was evaluated using the Quality of Recovery-40 (QoR-40), pain with the Numeric Rating Scale (NRS), and data on gastrointestinal function and ambulation were collected. Patients who experienced depressive symptoms before surgery demonstrated poorer overall recovery, reduced physical independence, lower perceived psychological support, reduced emotional status, and limited ambulation compared to those without such symptoms. Similarly, individuals with anxiety reported reduced physical functioning and emotional support, along with more severe pain in the early postoperative phase. No meaningful differences were observed in gastrointestinal function between groups. Additionally, higher body mass index was generally associated with better perceived recovery. Preoperative anxiety and depression are associated with impaired early postoperative recovery among patients undergoing GI cancer surgery. Integrating routine psychological screening and targeted psychosocial interventions into preoperative nursing care may help identify vulnerable patients and improve recovery outcomes No patient or public contribution.