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Yasemin Yildirim

    Yasemin Yildirim

    Aim: The Memorial Symptom Assessment Scale (MSAS) is a multidimensional tool developed to evaluate measure the prevalence, characteristics and distress of common symptoms related to cancer. A validated Turkish version has now become... more
    Aim: The Memorial Symptom Assessment Scale (MSAS) is a multidimensional tool developed to evaluate measure the prevalence, characteristics and distress of common symptoms related to cancer. A validated Turkish version has now become available. The aim of this study was to evaluate its reliability and validity. Methods: One hundred-twenty patients were included into this study. The MSAS, The Rotterdam Symptom Checklist (RSCL), and Karnofsky Performance Status Scale (KPSS) were used for data collection. Content and criterion validities were examined. Reliability analyses of the MSAS were performed using internal consistency reliability and test-retest reliability. Results: The most frequently reported symptom (90%) was problems with sexual interest or activity. Item-total correlations ranged between 0.03 and 0.64. There was a high correlation between total MSAS and the RSCL (r=0.875, p<0.01). The internal consistency reliabilities of subscales of the MSAS and total MSAS were moderately high, with Cronbach alpha coefficients ranging from 0.71 to 0.84. The MSAS's test - re-test reliability was 0.78. Conclusion: The MSAS for cancer patients was determined to be a valid and reliable instrument for the use in the Turkish population. It is recommended that the MSAS-Turkish version can be used as a tool for comprehensive symptom assessment in planning nursing care for cancer patients.
    Pain is an important problem for patients with cancer, occurring in half of all cancer patients and more than 90% of patients with advanced disease. Pain related to cancer is a complex, multidimensional phenomenon composed of sensory,... more
    Pain is an important problem for patients with cancer, occurring in half of all cancer patients and more than 90% of patients with advanced disease. Pain related to cancer is a complex, multidimensional phenomenon composed of sensory, affective, cognitive, and behavioural components. The World Health Organization (WHO) has identified cancer pain as a major international problem and pain control has become a critical element in the comprehensive care of many cancer patients. Pain and quality of life are phenomena that share several fundamental characteristics. Pain control plays a key role in determining health-related quality of life (HRQOL). Pain, when it is ongoing and uncontrolled, has a detrimental, deteriorating effect on virtually every aspect of a patient&amp;amp;amp;amp;amp;#39;s life. It produces anxiety and emotional distress; undermines well-being; interferes with functional capacity; and hinders the ability to fulfill familial, social, and vocational roles. With such broad-based effects, it is apparent that pain would have the effect of diminishing quality of life. In patients with moderate or severe pain, interference with sleep, daily life activities, enjoyment of life, work ability, and social interactions have been reported.
    İİnflamatuar bağırsak hastalıkları genetik, çevresel, immün sistem gibi birçok faktörün sorumlu tutulduğu nedeni tam olarak bilinmeyen gastrointestinal sistemin kronik inflamasyonudur. Dünya genelinde inflamatuar bağırsak hastalıklarının... more
    İİnflamatuar bağırsak hastalıkları genetik, çevresel, immün sistem gibi birçok faktörün sorumlu tutulduğu nedeni tam olarak bilinmeyen gastrointestinal sistemin kronik inflamasyonudur. Dünya genelinde inflamatuar bağırsak hastalıklarının insidans ve prevelansının gün geçtikçe artması, kronik olması, ömür boyu ilaç kullanımını gerektirmesi, rölapsların önlenmesi ve remisyonun sağlanabilmesi için ilaç uyumunun üst düzeyde olması önemlidir. Bu derlemenin amacı inflamatuar bağırsak hastalıkları olan bireylerde ilaç uyumu ve yaşam kalitesi arasındaki ilişkiyi incelemektir. Sağlık profesyoneli olan hemşireler ekip işbirliği ile hastaların ilaç uyumunun arttırılmasına yardımcı olarak yaşam kalitesinin yükseltilmesine katkıda bulunabilir.
    Günümüzde sağlık bakımı, hastaların bakımda bağımsız olmalarını ve öz yönetimlerini sağlayabilmelerini amaçlamaktadır. Bu noktada hemşirenin eğitimci rolü önem kazanmakta ve hasta eğitim sürecinin bireyin ihtiyaçları ve özellikleri... more
    Günümüzde sağlık bakımı, hastaların bakımda bağımsız olmalarını ve öz yönetimlerini sağlayabilmelerini amaçlamaktadır. Bu noktada hemşirenin eğitimci rolü önem kazanmakta ve hasta eğitim sürecinin bireyin ihtiyaçları ve özellikleri doğrultusunda yürütülmesi gerekmektedir. Bu nedenle hasta eğitiminin planlanması ve uygulanmasında hemşirelik model ve teorilerini kullanmak; sistematik şekilde eğitim verilmesini sağlayarak eğitimin kalitesini arttıracaktır. Hemşirelik kuramlarından Hildegard E. Peplau’nun Kişilerarası İlişkiler Kuramı, bireyi eğitimin tüm aşamalarına dahil etmekte, bireyin benliğine saygı duyarak bağımsızlığını ve sağlıklı davranış yapısını teşvik etmektedir. Bu nedenle kuram, yetişkin eğitimi (androgoji) ilkeleriyle birçok açıdan örtüşmektedir. Derleme türünde olan bu makale, Peplau kuramına dayalı yetişkin bir hastanın eğitimine odaklanmakta ve bundan sonra yapılacak olan hasta eğitimlerinin planlanması ve uygulanmasında yol gösterici olmayı amaçlamaktadır.
    Amac: Bu arastirma, hemodiyaliz hastalarinda uyku sorunlarini ve hastalarin bu sorunlarina yonelik uygulamalari ni incelemek amaciyla tanimlayici olarak planlanmistir. Gerec Yontem: Calisma Ekim 2003- Mart 2005 tarihleri aras›nda alti... more
    Amac: Bu arastirma, hemodiyaliz hastalarinda uyku sorunlarini ve hastalarin bu sorunlarina yonelik uygulamalari ni incelemek amaciyla tanimlayici olarak planlanmistir. Gerec Yontem: Calisma Ekim 2003- Mart 2005 tarihleri aras›nda alti diyaliz merkezinde yapilmistir. 202 hasta arastirmanin orneklemini olusturmustur. Veri toplama formu olarak; Hasta Tanitim Formu, Uyku Sonrasi Degerlendirme Formu (USD), Uyku Anketi ve Uykuyu Etkileyen ve Kolaylastiran Faktorleri Saptama Formu kullanilmistir. Verilerin degerlendirilmesinde; student t testi ve Spearman korelasyon analizi kullanilmistir. Bulgular: Hemodiyalizden onceki gece (HG) hastalari n %95.5’inde, diger gece (DG) ise hastalarin %93.6’sinda uyku sorunu oldugu belirlenmistir. Toplam USD puanlari yonunden sabah ve oglen diyalize giren grup arasinda HG ve DG ‘de fark saptanmamisti r (p&gt;0.05). Kadinlarda ve uyku ilaci kullananlarda toplam USD puanlarinin daha yuksek oldugu ve yafl ile toplam USD puanlar› arasinda pozitif yonde anlamli...
    Inflamatuar barsak hastaliklari; yasam kalitesini ciddi duzeyde etkileyen, atak ve remisyonlarla seyreden kronik hastaliklar olup; coklu ilac kullanimi ve surekli izlem gerektirmektedir. Bu nedenle klinik acidan yakin takip onem... more
    Inflamatuar barsak hastaliklari; yasam kalitesini ciddi duzeyde etkileyen, atak ve remisyonlarla seyreden kronik hastaliklar olup; coklu ilac kullanimi ve surekli izlem gerektirmektedir. Bu nedenle klinik acidan yakin takip onem tasimaktadir. Ingiltere, Amerika, Birlesik Krallik, Avustralya gibi gelismis ulkelerde IBH alaninda uzman hemsirelerin yetistirilmesi ve sayilarinin arttirilmasina yonelik cesitli aktiviteler planlanmaktadir. Ancak ulkemizde IBH hemsireligi alaninda “uzmanlik” yetkisi kazandiracak herhangi bir lisansustu veya sertifika programi bulunmamaktadir. Inflamatuar barsak hastaliklari hemsireligi gastroenteroloji alaninda henuz cok yeni bir gelisme oldugundan dolayi, ulkemizdeki saglik kurumlarinda IBH konusunda ozel egitim almis ve sadece IBH olan hastalarla calisan hemsireler bulunmamaktadir. Tum bunlarin sonucunda IBH yonetiminde multidisipliner ekip icerisinde aktif rol alacak, bu konuda yeterli bilgi ve beceri ile “uzmanlik” yetkisine sahip “IBH Hemsiresi”ne ger...
    Tamamlayici ve alternatif tip (TAT) kullanimi genel populasyonda ve tibbi hastaligi olan bireylerde onemli bir hizda artmaktadir. Bobrek hastaligi olan bireylerin TAT kullanimindan fayda gorebilecegi alanlar bobrek yetmezliginin ilerleme... more
    Tamamlayici ve alternatif tip (TAT) kullanimi genel populasyonda ve tibbi hastaligi olan bireylerde onemli bir hizda artmaktadir. Bobrek hastaligi olan bireylerin TAT kullanimindan fayda gorebilecegi alanlar bobrek yetmezliginin ilerleme suresini uzatmak, artrit, kasi nti, kardiyovaskiler risk faktorleri, kas kramplari, anksiyete, depresyon, uykusuzluk ve yorgunluk gibi eslik eden problemleri tedavi etmektir. Bununla birlikte, bu hastalarda TAT kullanimi hakk›nda cok az bilgi bulunmaktadir. Bu derlemenin amaci; nefroloji hastalari tarafindan kullanilan tamamlayici ve alternatif tedavi yontemleri ve hemsirelik yaklasimi hakkinda bilgi vermektir.
    Burnout, is frequently seen in healthcare professionals, resulting in a decline in the quality of healthcare itself. Some of the reasons for burnout are caregiving in patients’ homes, communication difficulties between caregivers, and... more
    Burnout, is frequently seen in healthcare professionals, resulting in a decline in the quality of healthcare itself. Some of the reasons for burnout are caregiving in patients’ homes, communication difficulties between caregivers, and long-term care. Burnout in home care nurses causes problems in individual and care oriented outcomes. The first step in prevent burnout is identify of stressors which causing burnout, then planning and performing practices to reduce the stressors. For these reasons, we organized this review to identify and prevent the factors causes burnout in home care nurses.
    Telehealth is described as transferring the medical information of more than one person by continuity of the provision of health; Telenursing, using telecommunications services to improve of patient care services. The common purpose of... more
    Telehealth is described as transferring the medical information of more than one person by continuity of the provision of health; Telenursing, using telecommunications services to improve of patient care services. The common purpose of using telenursing and telehealth practice in home care can be summarize like reducing hospitalization, increasing the management of chronic disease and quality of life and ensuring the coordination and communication between health professionals. Expectations about the use of tele-health in home care and benefits parallel and are suitable for use. It’s success can be proved with studies and results of the application can be observed clearly. Therefore telehealth and telenursing applications is used widely today in many developed countries. Purpose of this article is to examine; the benefits of telenursing and telehealth applications which is being common nowadays,ıt’s use in home care and the situation in our country and around the world.
    Hemşirelik mesleği, insan ve onun karmaşık süreci ile çalıştığı için insana yönelik yasaları formüle etmesi gerekmektedir. Bu durumda yapılabilecek en iyi yol insan davranışlarını teorilere başvurarak açıklamaya çalışmaktır. Bu amaçla... more
    Hemşirelik mesleği, insan ve onun karmaşık süreci ile çalıştığı için insana yönelik yasaları formüle etmesi gerekmektedir. Bu durumda yapılabilecek en iyi yol insan davranışlarını teorilere başvurarak açıklamaya çalışmaktır. Bu amaçla çalışmamızda hemşireliğe öncülük etmiş hemşire kuramcılardan Virginia Henderson’ın Teorisini bir olgu çerçevesinde tartışmaya çalıştık. Bu makalede, Tip I Diabetes Mellitus olan bir hasta, Henderson Hemşirelik Teorisine göre incelenmiş ve bu teori bireylerin bütüncül olarak ele alınmasını sağlayarak, hemşirelere bir çerçeve sunup hasta verilerinin daha kolay toplanmasını dolayısıyla hastanın memnuniyetini ve güvenliğini de arttırmaktadır. Bu nedenle bu teori özellikle veri toplama konusunda etkin olabileceği düşünülmektedir.
    The objective of this study was to examine the effects of inhaler aromatherapy on the level of pain, comfort, anxiety, and cortisol during trigger point injection in individuals with myofascial pain syndrome. Lavender oil inhalation was... more
    The objective of this study was to examine the effects of inhaler aromatherapy on the level of pain, comfort, anxiety, and cortisol during trigger point injection in individuals with myofascial pain syndrome. Lavender oil inhalation was found to reduce pain and anxiety during trigger point injection and to improve patient comfort, but it did not affect the saliva cortisol level.
    Background This study assessed the impact of Otago exercises on frailty and empowerment in older nursing home residents. Methods This randomized controlled trial included 72 individuals aged over 65 years residing in a single nursing home... more
    Background This study assessed the impact of Otago exercises on frailty and empowerment in older nursing home residents. Methods This randomized controlled trial included 72 individuals aged over 65 years residing in a single nursing home in Izmir, Turkey. The participants were randomly assigned to the Otago exercise group (OEG) or control group (CG). The Otago exercise group performed Otago exercises for 45 minutes, 3 days per week for 12 weeks plus a walking program the 3 other days of the week. In addition to Otago exercise training, the OEG received training based on empowerment consisting of 10 sessions lasting 30 minutes each. The CG received no intervention except routine care in the nursing home. The data collected were sociodemographic characteristics, Edmonton Frail Scale (EFS) scores, and Elderly Empowerment Scale (EES) scores before and 3 months after the intervention. Results We observed significant differences between the mean EFS (P = 0.0001) and mean EES (P = 0.0001)...
    Background: Skin cancer is increasing all over the world. In order to reduce the incidence of skin cancer and to prevent the negative effects of the sun, it is impo rtant to increase individual awareness. Aim: The aim of this study was to... more
    Background: Skin cancer is increasing all over the world. In order to reduce the incidence of skin cancer and to prevent the negative effects of the sun, it is impo rtant to increase individual awareness. Aim: The aim of this study was to determine the awarene ss of nursing students about skin cancer. Methods: A sample of this descriptive and cross-sectional s tudy; Between November 2018 and January 2019 there were 302 students studying in the nursing dep artment of a university in the middle of the countr y. The data were collected by using the ”Individual Information Form” and “Skin Cancer and Sun Knowledge Scale (SCSKS)”. To evaluate the data frequency, percentag , verage, Mann-Whitney and Kruskal-Wallis tests w ere used. Results: The mean age of the students was 20.52 ± 2.42 and 67.9% were female. 30.5% of the students are second year students. Approximately half (52.6%) of the students in the Fitzpatrick scale had type III skin type. The mean total score of SCSKS was 13.64 ± 2....
    To analyse the use of herbal supplements by individuals with diabetes mellitus. This cross-sectional study was carried out in the endocrinology clinics of two hospitals in Izmir, Turkey, between June and August 2016. The sample consisted... more
    To analyse the use of herbal supplements by individuals with diabetes mellitus. This cross-sectional study was carried out in the endocrinology clinics of two hospitals in Izmir, Turkey, between June and August 2016. The sample consisted of diabetic patients. Data was collected through face-to-face interviews guided by a questionnaire. SPSS 17 was used to analyse the data. There were 455 subjects with a mean age of 47.02±16.6 years. Of the total, 373(82%) were female, and 352(77.4%) were diagnosed with type-2 diabetes. Overall, 262(57.6%) subjects used herbal supplements like cinnamon, sage, thyme, turmeric and ginseng. Significant differences in the use of herbal supplements were found according to gender, marital status, and duration of diabetes (p&lt;0.05 each). About half of the diabetic patients used herbal supplements.
    Pain is an important problem for patients with cancer, occurring in half of all cancer patients and more than 90% of patients with advanced disease. Pain related to cancer is a complex, multidimensional phenomenon composed of sensory,... more
    Pain is an important problem for patients with cancer, occurring in half of all cancer patients and more than 90% of patients with advanced disease. Pain related to cancer is a complex, multidimensional phenomenon composed of sensory, affective, cognitive, and behavioural components. The World Health Organization (WHO) has identified cancer pain as a major international problem and pain control has become a critical element in the comprehensive care of many cancer patients. Pain and quality of life are phenomena that share several fundamental characteristics. Pain control plays a key role in determining health-related quality of life (HRQOL). Pain, when it is ongoing and uncontrolled, has a detrimental, deteriorating effect on virtually every aspect of a patient&#39;s life. It produces anxiety and emotional distress; undermines well-being; interferes with functional capacity; and hinders the ability to fulfill familial, social, and vocational roles. With such broad-based effects, it...
    Mitos Üyeleri. Ankara Üniversitesi Açık Erişim Sistemi; Atatürk Üniversitesi Açık Erişim Sistemi; Atılım Üniversitesi Açık Erişim Sistemi; Bahçeşehir Üniversitesi Açık Erişim Sistemi; Çukurova Üniversitesi Açık Erişim Sistemi; Dokuz ...

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