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Öğe 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, TugbaDisease-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.Öğe Kemoterapi Alan Kanser Hastalarının Taburculuk Öncesi Öğrenim Gereksinimlerininin Belirlenmesi: Tanımlayıcı/Kesitsel Bir Çalışma(İnönü Üniversitesi, 2022) Menekli, Tugbau çalışmanın amacı; kanser hastalarının taburculuk öncesi öğrenim gereksinimlerini belirlemektir. Tanımlayıcı ve kesitsel tipteki bu çalışma, onkoloji kliniğinde tedavi gören 106 hasta ile yürütülmüştür. Veriler, “Hasta Tanıtıcı Bilgi Formu” ve “Hasta Gereksinimleri Ölçeği” ile elde edildi. Veri analizi, tanımlayıcı istatistikler, Mann Whitney U Testi, Kruskal Wallis ve Linear Regresyon ile yapıldı. Hastaların yaş ortalaması 40.94±4.25’dir. Araştırmada; hastaların aldıkları toplam ölçek puan ortalamasının 188.41 ± 20.51 olduğu belirlendi. Ölçeğe ait tüm alt boyut puan ortalamalarının yüksek (ilaçlar; 35.78 ± 4.05, yaşam aktiviteleri; 29.63 ± 2.88, toplum ve izlem; 19.40 ± 2.36, duruma ilişkin duygular; 18.17 ± 3.55, tedavi ve komplikasyonlar; 36.90 ± 3.00, yaşam kalitesi; 34.15 ± 3.76, cilt bakımı; 16.38 ± 3.24) olduğu saptandı. Cinsiyet, yaş, eğitim düzeyi, gelir durumu, hastalık tanısı ve hastalık süresi ile toplam puan ortalaması arasında istatistiksel olarak anlamlı fark olduğu bulundu (p<0.05). Hastaların taburculuk öncesi öğrenim gereksinimlerinin yüksek düzeyde olduğu saptandı. Hemşirelerin taburculuk öncesi hasta öğrenim gereksinimlerini belirlenmesi ve bireye özgü eğitimler planlanması ve uygulanması önerilmektedir.Öğe Onkolojik Aciller ve Hemşirelik Yönetimi: Vena Kava Süperior Sendromu(2022) Menekli, Tugba; DOĞAN, FERHANKanserli hastalarda görülen, doğrudan kansere veya uygulanan tedavilere bağlı olarak gelişebilen onkolojik aciller tüm sistemlerle ilgili olarak ortaya çıkabilmektedir. Onkolojik aciller ilk tanı anında görülebileceği gibi, ileri dönemlerde hastalığın progresyon gösterdiği evrede veya uygulanan tedavilerin bir komplikasyonu olarak gelişebilmektedir. Zamanında ve doğru tedavi edilmedikçe ciddi sorunlara neden olmakta ve yaşamı tehdit etmektedir. Vena Kava Süperior Sendromu yaşamı tehdit eden önemli onkolojik acillerden biridir. Vena Kava Süperior Sendromu; baş, boyun, kollar ve üst torakstan gelen kanı sağ atriuma boşaltan vena kava dolaşımının obstrüksiyon nedeniyle kesintiye uğraması ve buna bağlı gelişen klinik semptomlar bütünüdür. Vena Kava Süperior Sendromu riski açısından hastalar değerlendirilerek hastaya destekleyici bakım verilmelidir. Bu noktada onkolojik acillerde onkoloji hemşiresinin bakımı koordine etmede rolü çok önemlidir. Bu derlemede, onkolojik acillerde Vena Kava Süperior Sendromu ve hemşirelik yönetiminin önemi ve yeri açıklanmaktadır.Öğe Pain behaviors and hemodynamic parameters of intubated and sedatized intensive care patients during aspiration(2021) Menekli, Tugba; Doğan, Runida; YAPRAK, BÜLENTThe study was conducted in a descriptive type to evaluate the pain behavior and hemodynamic parameters during aspiration of intubated and mildly sedatized patients in the intensive care unit. The study sample consisted of 100 intubated and sedatized patients who were hospitalized in the Anesthesia Intensive Care Unit of Harran University Faculty of Medicine Hospital between February 2018 and June 2018. \"Patient Information Form\", \"Hemodynamic Parameter Form\", \"Behavioral Pain Scale (BPS)\", \"Ramsay Sedation Scale\" and \"Glasgow Coma Scale (GCS)\" were used to collect the data. There is a significant difference between the BPS total and subscale scores, mean \"systolic and diastolic blood pressure\", \"heart rate\", \"respiratory rate\" and \"SpO2\" before, during and after aspiration (p=0.0001), it was determined that the difference was due to the average score after aspiration (p=0.0001). While the SpO2 averages of intubated and sedatized intensive care patients decrease during aspiration, the averages of the BPS scores and other hemodynamic parameters increase.Öğe The Effects of Taste Changes on the Quality of Life of Patients Receiving Chemotherapy Treatment(2023) DOLU, Sevim; Menekli, TugbaAim: The aim of this study is to determine the effect of taste changes on quality of life in cancer patients taking chemotherapy Material and Methods: This descriptive study was conducted between January 2020 and September 2020 with cancer patients receiving chemotherapy in the inpatient and outpatient unit of a university hospital. The sample consisted of 466 cancer patients who met the inclusion criteria and received the same treatment at the same university hospital. Data were collected using the Introductory Information Form, the European Organization for Cancer Research and Treatment Quality of Life Scale Version 3 (EORTC QLQ-C30 Version 3.0), and the Chemotherapy-Induced Taste Change Scale (CiTAS). Results: While the mean total score of EORTC QLQ-C30 was 62.97±13.31, the mean total score of CiTAS was found to be 40.43±17.84. Statistically significant correlations were found between total scores of EORTC QLQ-C30 and CiTAS scales and sub-dimension scores (p<0.001). In the regression analysis, it was found that the EORTC QLQ-C30 total score average of the individuals had a statistically significant and negative effect on the CiTAS total score average. Conclusion: As a consequence, it was determined that taste changes in cancer patients receiving chemotherapy treatment negatively affect the quality of life.Öğe The Relationship between Attitudes of Relatives of Terminal Stage Patients towards Death and Principles about Dying with Dignity(2022) Menekli, Tugba; Şentürk, SibelAim: The aim of this study is to determine the relationship between the attitudes of the relatives of terminal stage patients towards death and principles about dying with dignity. Material and Method: This descriptive cross-sectional study was carried out with 308 patient relatives between 20 December 2021 and 21 March 2022. The data were collected using a “Patient Information Form”, ‘Death Attitude Profile-Revised (DAP-R)’ and ‘Assessment Scale of Attitudes towards Principles about Dying with Dignity’ (ASAPDD). Descriptive statistics, Student t test, One-Way ANOVA test, Kruskal Wallis test, Mann Whitney-U test, Pearson correlation and regression analysis were used to analyze the data. Results: The mean age of the relatives of the patients participating in the study was 34.88±2.32, 86.0% were female. 38.6% of the relatives of the patients stated that the patient in the intensive care unit was their mother/father, and 44.1% stated that the patient stayed in the intensive care unit for 3-7 days. The mean DAP-R total score was 107.30±25.1 and the ASAPDD total score was 30.62±10.70. A positive and highly significant relationship was found between DAP-R and ASAPDD. Conclusions: It was determined that as the attitudes of the relatives of the patients towards death became negative, the level of adopting the principles about die with dignity increased. Health professionals should provide death counseling to the relatives of patients in order to increase the quality of life of patients in the terminal period.Öğe THE RELATIONSHIP BETWEEN HYPOGLYCEMIC CONFIDENCE AND HYPOGLYCEMIA FEAR IN TYPE 2 DIABETES MELLITUS PATIENTS(2022) Menekli, Tugba; Şentürk, SibelObjective: This study aims to identify the relationship between hypoglycemic confidence and hypoglycemia fear in type 2 diabetes mellitus patients. Method: Designed as a descriptive and cross-sectional study, this research was conducted with 306 type 2 diabetes patients who visited the diabetes polyclinic to have an examination in period December 2021 and February 2022. The research data were collected by using the “Patient Identification Form”, the “Hypoglycemic Confidence Scale”, and the “Hypoglycemia Fear Survey”. Descriptive statistics, the Independent Samples t-test, the One-Way ANOWA test, the Pearson’s correlation test, and the linear regression analysis were used in the evaluation of research data. Results: In the research, 60.8% of the participant type 2 diabetes patients were female, their mean age was 55.14±8.10 years, and their mean duration of having the disease was 10.35±4.77 years. Means of type 2 diabetes patients’ Hypoglycemic Confidence Scale (HCS)’ score 1.65±0.47 and ‘Hypoglycemia Fear Survey (HFS)’ scores were 3.02±0.56 points. Type 2 diabetes patients’ HCS scores had moderately negative relationships with scores obtained by them from the HFS and its Behavior Sub-scale and Worry Sub-scale (pÖğe The Relationships between the Pain Beliefs and Coping Strategies of Palliative Care Patients(2021) Menekli, Tugba; Doğan, Runida; ERCE, ÇİĞDEM; atik, deryaBACKGROUND/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 collected 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 6 9.38. Of them, 65.1% were female, and 89.7% were married. Of the patients, 56.3% had completed primary school, and 75.3% were unemployed. Of the patients, 70.5% believed that pain is controlled by God. Their mean organic beliefs score was 3.04 6 0.38, and their mean psychological beliefs score was 4.83 6 1.00. Their mean scores for self-management, helplessness, conscious cognitive attempts, and medical remedies were 19.07 6 5.18, 10.72 6 3.00, 13.85 6 4.05, and 11.54 6 3.08, respectively. Their organic beliefs scores had a negative relationship with self-management scores (P < .001, r ¼ –392) and conscious cognitive attempts scores (P < .001, r ¼ –.350), and they had a positive weak relationship with helplessness scores (P < .001, r ¼ .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.
