The effects of artistic and social activities during hemodialysis on the life quality, pain perception, anxiety status of the patients and intradialytic complications

Introduction: We aimed to investigate the effects of social and artistic activity support on quality of life, pain perception, and anxiety status in hemodialysis (HD) patients and the relation between occupational therapy and frequent complications of HD.Methods: Volunteer instructors trained 22 patients participated in this study for wood painting for 4 hours/day, 2-3 days a week for six months. The State-Trait Anxiety Inventory (STAI I and STAI II) and Visual Analog Scale were applied before the social activity and at the 6th month. The quality of life evaluated with Short Form-36.Results: The patients who participated in the social activity more than 25 hours formed the study group (n=9), and those participated less than 25 hours made control group (n=13). There were significant differences in initial and 6th month values in both STAI I and STAI II scores of the study group, and only in STAI II score in the control group (p=0.008, p=0.015, p=0.003, respectively). In the study group, while STAI I and II mean was 49.9 and 52.8 in the first month, respectively, it decreased to 30.0 and 38.8 in 6th month, respectively. In the control group, in the first month mean of STAI II score was 56.9 and it decreased to 45.3 in the sixth month. The mean of physical function capacity from SF-36 parameters increased from 73.9 to 84.4 (p=0.026) in the study group and from 47.7 to 75.8 (p=0.002) in the control group. The difference between study and control group was statistically significant (p = 0.029). Conclusions: Our results support that social and artistic activities during HD have positive effects on chronic HD patients in terms of physical functioning level

The Development of Family Medicine Identity Scale

Aim: It is to put a scale into the use of the academic community which measures how well the doctors can interiorize the features concerning family practice the training of family practice specialization in our country, by developing a family practice identity scale that is peculiar to Turkey. Methods: Our research is the study of developing a scale. A 5-point Likert scale is generated by creating the questionnaire and then the aforementioned scale is studied to verify the validation and reliability in Turkey. The scale has been performed on 351 people who work as academicians, specialists and residents in the field of family practice. Results: During the analyses, while the first four factors whose eigenvalues are the highest are kept fixed, the questions from the other factors are distributed according to their content similarities. As a result, forty-six questions is obtained. Kaiser-Meyer-Olkin value conformity assessment the result was obtained at a very good level (KMO: 0.940) and Cronbach's alpha value was calculated as 0.952. The sub-scales are named by the contents of the questions: Patient-doctor communication, professional satisfaction, the scope of the working area and comprehensive approach, and biopsychosocial approach. It has been concluded that the scale is a valid and reliable questionnaire in Turkey after these advanced statistical analyses. Conclusion: "The Scale of Family Practice Identification" is developed successfully. With the aforementioned scale, by observing the professional progress of residents, the doctors that have an occupational identity and sense of belonging can be trained for the community of family practice

Weight Loss Experiences Of Obese Individuals; Qualitative Study

Objective: Obesity is a leading preventable cause of death worldwide. Being overweight or obese has a serious impact on health. Treatment of obesity needs a comprehensive approach. Biopsychosocial approach of family physicians is invaluable in obesity management. In this study, we aimed to evaluate experiences of obese individuals during their weight-losing attempts and to explore the factors affecting success and failure of different approaches. Methods: We conducted indepth, semi-structured, face to face interviews with 30 participants whose Body Mass Index was higher than 30). Interviews were audio-recorded and transcribed, and qualitatively analysed using a thematic framework method. Results: 26 women and 4 men have accepted to join our study. Analysis of in depth interviews emerged 5 major themes which were: the different perception of obesity among individuals; awareness of obesity; loss of self-confidence; belief in treatment and effects on quality of life. Conclusions: Each patient has a different need and different expectation while controlling weight. As a part of biopsychosocial approach the family physician needs to understand the factors that bring the patient to current condition and see which approach would be the best for individual patient for weight management.Wo

A taboo in healthcare; life support decisions at the terminal stage

Public who are the target audience of health care system need to be actively involved in the system for more effective health care provision. Advance directives which are the important examples of participation in treatment decisions are written documents that, in the situation of a serious illness, either clarify an individual's wishes for health care or determine a person to make health care decisions for that individual who becomes unable to do so. Living wills, health care power of attorney, directive of do-not-resuscitate, withholding of life support and withdrawing of life support are included in advance directives. Advance directives are being implemented in the United States of America (USA) and some European countries. The legal status of advance directives vary by country. There is no data on the use and writing of advanced directives in our country. It is necessary to start discussing about people's decisions on terminal care and implementations by analyzing the material and moral broughts of patient care at the end of life in both individual and social terms

A taboo in healthcare; life support decisions at the terminal stage

Public who are the target audience of health care system need to be actively involved in the system for more effective health care provision. Advance directives which are the important examples of participation in treatment decisions are written documents that, in the situation of a serious illness, either clarify an individual's wishes for health care or determine a person to make health care decisions for that individual who becomes unable to do so. Living wills, health care power of attorney, directive of do-not-resuscitate, withholding of life support and withdrawing of life support are included in advance directives. Advance directives are being implemented in the United States of America (USA) and some European countries. The legal status of advance directives vary by country. There is no data on the use and writing of advanced directives in our country. It is necessary to start discussing about people's decisions on terminal care and implementations by analyzing the material and moral broughts of patient care at the end of life in both individual and social terms

Impact of Individual, Familial and Parental Factors on Adolescent Smoking in Turkey

The burden of adolescent cigarette smoking is substantial. We assess mothers’ and fathers’ attitudes and behaviours on adolescent smoking using a cross-sectional study of n = 707 adolescents. Associations between parental attitudes and behaviours in adolescent smoking were assessed using logistic regression separately for boys and girls. Occasional alcohol use by both parents increased odds of smoking once a day (OR = 2.44, 95% CI 1.26, 4.71, OR = 1.51, 95% CI 0.97, 2.35, respectively). Fathers smoking increased odds for girls (OR = 1.59, 95% CI 1.01, 2.52). A democratic mother decreased odds for boys (OR = 0.32, 95% CI 0.10, 0.93) whereas a protective, demanding mother increased the odds for girls (OR = 8.65, 95% CI 1.38, 54.22). Public health smoking prevention programs could support changing parental behaviours and attitudes in early years to address this burden in countries with authoritarian parenting styles

Hemodiyaliz sırasında gerçekleştirilen sanatsal ve sosyal faaliyetlerin hastaların yaşam kalitesi, ağrı, kaygı durumları ve intradiyalitik komplikasyonlar üzerindeki etkileri

Introduction: We aimed to investigate the effects of social and artistic activity support on quality of life, pain perception, and anxiety status in hemodialysis (HD) patients and the relation between occupational therapy and frequent complications of HD.Methods: Volunteer instructors trained 22 patients participated in this study for wood painting for 4 hours/day, 2-3 days a week for six months. The State-Trait Anxiety Inventory (STAI I and STAI II) and Visual Analog Scale were applied before the social activity and at the 6th month. The quality of life evaluated with Short Form-36.Results: The patients who participated in the social activity more than 25 hours formed the study group (n=9), and those participated less than 25 hours made control group (n=13). There were significant differences in initial and 6th month values in both STAI I and STAI II scores of the study group, and only in STAI II score in the control group (p=0.008, p=0.015, p=0.003, respectively). In the study group, while STAI I and II mean was 49.9 and 52.8 in the first month, respectively, it decreased to 30.0 and 38.8 in 6th month, respectively. In the control group, in the first month mean of STAI II score was 56.9 and it decreased to 45.3 in the sixth month. The mean of physical function capacity from SF-36 parameters increased from 73.9 to 84.4 (p=0.026) in the study group and from 47.7 to 75.8 (p=0.002) in the control group. The difference between study and control group was statistically significant (p = 0.029). Conclusions: Our results support that social and artistic activities during HD have positive effects on chronic HD patients in terms of physical functioning level

Does activity held on World Asthma Day have an impact on the asthma knowledge and awareness of family physicians?

OBJECTIVE: Annually, certain activities are performed on World Asthma Day (WAD) for the awareness of both patients and physicians about asthma. The study aimed to observe the effects of asthma education on the skills and knowledge of family physicians on WAD, which basically includes updated information of the international asthma guideline. MATERIALS AND METHODS: Our quasi-experimental study was started on May 3, 2016, WAD. Education was provided by the Global Initiative for Asthma, 2016. A questionnaire including 25 questions was applied for family physicians before and 6 months after the education. RESULTS: In the investigation of 32 family physicians, 62.5% were women, with 32.6 ± 26.0 months in family physician practice. 59.4% of the family physicians had received education about asthma in their postgraduate period. Twenty-five percent of the participants were using asthma guidelines in their daily practice. In pre- and posteducation, the percentage of accuracy in the tests was 58.4%–77.6% among specialists and 62.3%–75.9% among trainees of family physicians. The percentage levels of accuracy developed in the questions of focusing asthma treatment and correct inhaler medication use after the education program were 62.5%–93.8% (P = 0.002) and 56.2%–90.6% (P = 0.007), respectively. CONCLUSIONS: Our study revealed that family physicians did not have a tendency to use guidelines for asthma diagnosis and treatment. With the aid of the education program, their attitude changed positively. We believe that family asthma physicians should also be trained in “WAD” activities