Health educational needs of the patients and their relatives with schizophrenia [Şizofreni hastalarinin ve yakinlarinin saglik egitimi gereksinimleri]

Objective: The aim of this study was to determine the health educational needs of the patients with schizophrenia and their relatives. Methods: The sample of this study consisted of 80 patients with schizophrenia, and 80 relatives. Data was collected with the Identity Data Form and the Form of Assessment of Health Educational Needs. Results: The health educational needs of the patients and their relatives were studied under six sub-title. These are defined as the dimensions of the most important health educational needs of the patients and their relatives, general information about schizophrenia, coping with the symptoms of schizophrenia, communication and social relations. According to the results of statistical analyses, there is a significant relationship between the health educational needs of the patients and their employment status, income level, the location they inhabited the longest. The relationship between health educational needs of the relatives, and their marital status, the degree of relationship, level of education, income level, status of membership of a group or an association, the status of having been educated about schizophrenia is found significant as well. Conclusion: Personal interests and the needs of the patients and their relatives should be defined and educational programs should be prepared regarding those needs and interests; in order to enable the patients and their relatives with schizophrenia benefit from health education maximally

Pain and living activities in elderly at a nursing home: An investigation in terms of depression, anxiety and somatization [Huzurevinde yas ¸ayan yaşlilarda agri ve yaşam akti·vi·teleri·: Depresyon, anksi·yete ve somati·zasyon yönünden bi·r i·nceleme]

Introduction: The aim of this study was to examine pain and life activities in the elderly in terms of depression, anxiety and somatization. Materials and Method: The study was carried out in Çakader Danifl Nursing Home in Çanakkale The study was carried out with 77 elderly persons. Data were collected by Introductory Information Form, Geriatric Depression Scale, Beck's Anxiety Scale, Somatization Scale, Numerical Pain Scale, Katz Index of Independence in Activities of Daily Living and Lawton and Brody's Instrumental Activities of Daily Living Index. Results: Somatization level of the elderly having pain was higher than the ones without pain (z=-3.201, p<0.01). The elderly experiencing chronic pain had higher depression (z=-2.042, p<0.05), anxiety (z=-1.995, p<0.05) and somatization (z=-3.508, p<0.01) levels than the ones experiencing acute pain. In terms of daily living activities, semi-dependent elderly persons had higher depression (z=-1.996, p?0.05), anxiety (z=-1.937, p?0.05) and somatization (z=-2.710, p<0.01) levels than the independent ones. Conclusion: Somatization, depression and anxiety levels of the semi-dependent elderly with chronic pain are higher

Evaluation of sleep pattern characteristics of the elderly without a cognitive disorder living in a nursing home [Bi·r huzurevi·nde yaşayan ve bi·li·şsel bozuklugu olmayan yaşlilarin uyku düzeni· özelli·kleri·ni·n i·ncelenmesi·]

Introduction: The aim of this research was to examine the sleep pattern characteristics of elderly individuals who live in a nursing home and who do not have a cognitive disorder. Materials and Methods: This research was conducted at Izmir Zübeyde Hanim Gürçeşme Nursing Home among 132 elderly individuals. Data were collected by a Descriptive Information Form and the Sleep Pattern Characteristics Questionnaire. Results: The sleep related problems frequently experienced by the elderly were "waking up frequently after falling asleep" (58.3%), "feeling sleepy/not well rested after waking up" (56.1%), "dozing off after waking up" (56%), "having difficulty going back to sleep after waking up" (49.3%), and "having difficulty falling asleep" (47.8%). It was determined that there were statistically significant differences in the elderly individuals' sleep pattern characteristics according to their gender (t=4.643, p<0.01), physical health perception (F=9.621, p<0.01), emotional health perception (F=9.045, p<0.01), status of using medications for physical complaints (t=2.776, p<0.05), sleep quality perception (F=63.540, p<0.01), medication use for staying in nursing home by choice (t=-2.468, p<0.05). Conclusion: Elderly individuals living in a nursing home were found to have difficulty in falling asleep, staying asleep and dozing off

Sexual dysfunctions and related variables with sexual function in patients who undergo dialysis for chronic renal failure

Aims and objectives: To evaluate personality characteristics and psychological symptoms believed to have an effect on the sexual functions and performances of patients undergoing dialysis treatment. Background: Chronic renal failure is a life-threatening condition which can often have a poor prognosis. The loss of vital kidney function and other complications can affect almost all age groups. Design: A quantitative descriptive study. Methods: The study sample included 225 patients selected randomly from patients who have undergone dialysis treatment for at least 3 months at a dialysis centre in a university hospital. In this study, the Golombok Rust Inventory of Sexual Satisfaction (GRISS), the Eysenck Personality Inventory (EPI) and the Brief Symptom Inventory (BSI) were used. Results: In the correlation test, made to investigate the relation between the patients’ sexual satisfaction and their personalities, a significant positive relation was found between the communication subscale of the GRISS and the Lie dimension of the EPI, and a significant negative relation was found between the Communication subscale of the GRISS and the Lie dimension of the EPI, and between the Vaginismus and Orgasm subscales of the GRISS and the Extroversion dimension of the EPI. Conclusion: Results showed that sexual problems, in the areas of nonsensuality, anorgasmia, avoidance and communication, are associated with extroversion and psychological symptoms. Relevance to clinical practice: Sexual health and the psychological well-being of patients with renal failure is an important issue that should be considered in nursing practice. Nurses should take the psychological problems of patients and their relations with partners into account and consider these problems in a holistic manner within the framework of nursing practice. They would then be able to play an effective role in intervening at an early stage and would be better equipped to help and control the psychological and sexual problems that some patients may experience. © 2018 John Wiley & Sons Lt

Characteristics associated with self-esteem and body image in pregnancy [Gebelikte benlik saygisi ve beden imaji ile ilişkili özellikler]

This study was conducted to investigate characteristics associated with self-esteem and body image in pregnancy. This study has been carried out between October 2008 - February 2009 in 4 different primary health care and Obstetrics and Gynecology Service of Bahattin-Huriye Demircioglu Obstetrics and Gynecology Hospital in Çanakkale. Data were collected from 150 pregnant women by Introductory Information Form, Rosenberg Self-Esteem Scale and Body Cathexis Scale. Data were analized by Mann Whitney U, Kruskal Wallis, t test ve Pearson Correlation analysis. A negative relationship was determined between self-esteem mean score and the mean age of marriage in pregnant women (r =-0.257, p<0.01). It was determined that there were statistically significant differences in pregnant women's self-esteem according to their educational status (KW=26.622, p=0.000), profession (KW= 13.373, p= 0.001), family type (z=-2.462, p=0.014), the age of marriage (r=-0.257, p<0.01), intermarriage status (z=-2.184, p=0.029), husband's educational status (KW=16.139, p=0.001), the nature of the relationship with her husband (KW=10.917, p=0.004). Statistically, there have been significant differences in pregnant women's body image according to their income status (KW=13.202, p<0.01), the nature of the relationship with their husband's educational status (KW=6.295, p<0.05), negative change in sexual life (t=-4.688, p<0.01), the request to birth type (z=-2.245, p<0.05). According to the results obtained, pregnant women who describe themselves as both they and their husbands have low level of education, living in large families, the age of marriage is low, having intermarriage and having bad relations with their husbands have lower self-esteem. The body image of pregnant women having low-income, describing relations with their husbands are bad, indicating a negative change in their sexual lives and wanting cesarean section are more negative