Predictors of Self Assessed Support Needs in Women with Breast Cancer: A Classification Tree Model

AbstractIntroduction: Evaluating predictors of the self-assessed support needs of women with breast cancer may guide care planning, counselling and education of the women. Therefore, this research was planned and studied. The researcher aimed to determine predictors of self-assessed support needs by classification tree in women with breast cancer.Methods: The sample consisted of 282 women with breast cancer. Data were collected by treatment characteristics and the self-assessed support needs of women with breast cancer scale in 2014. The researcher visited the oncology clinic two days (Monday and Saturday) in every week and conducted interviews with the patients. The participants read the questionnaire and they marked their answers on the sheets. The questionnaire took approximately 20 minutes to complete and could be understood by people with minimal reading ability. All of the participants completed the questionnaire.Results: The participants perceived the need for support needs in all categories; they expressed the highest support need in category of after care. Age of the women was important predictor for femininity and body image, and indirect effective on total support need in this study. Education level was an important predictor for information support need. Treatment characteristic was an important predictor for total support needs. Total demographic and disease/ treatment characteristics were predictor in 10% level for total support needs.Conclusions: The results of this study should increase awareness among cancer care professionals about a range of psychosocial needs

Predictors of Childcare Task Division and Shared Parenting Attitudes in Families with Youthful Children in Turkey

Abstract Introduction: The division of child-care tasks is a critical element of the family system that has already received considerable attention from researchers and practitioners. The psychological and relational dynamics involved in coping together and sharing in their roles as parents with young children are at the forefront of this study. The purpose of this research was to determine the predictors of child-care task division and shared parenting attitudes in families with youthful children. Methods: This study was utilized in a cross-sectional design. The study population has consisted of couples with at least one child three years or younger. The couples were selected by a random sampling method. Data were collected using the Child Care Tasks and Shared Parenting Attitudes in Families Scale and an additional form for demographic characteristics of participants. The CCTS was designed to measure what percentages of times specific child-care tasks are completed by the mother alone, the father alone, and parents together. Respondents were asked to estimate the percentages for each task jointly. The alpha coefficient for the total CCT was 0.74. A total of 177 parent couples self-completed the instruments. This procedure took approximately 20–30 min for each study participant. Predictor variables of the study were mother’s age, father’s age, mother’s education level, father’s education level, mother’s occupation, father’s occupation, monthly income, number of children, age of the youngest child, and gender of the youngest child. Pearson’s correlation, factor, and reliability analyses, paired t-tests, multiple regression analyses were used CCT. Results: Mothers in this study spent a significantly more significant proportion of their time completing independently child-care tasks more time alone than fathers. Considering all child-care tasks together, the average percentages of time that couples’ estimated mothers spent on child-care tasks were between 40 and 60%, fathers’ average percentages were 20 to 40%, and parents worked together approximately 20 to 40% in completing the tasks. Parenting goals of employee mothers were similar to their partners. Also, employed mothers were flexible with their partners regarding the division of child care. Conclusions: Demographic variables of the couples and their child were significant predictors for CCT and shared parenting attitudes in families. It is possible that mothers who tend to share this responsibility feel a greater sense of commitment to their families

The relationship between suicide attempt and self-care agency

Objective: This research was intended to determine the relationship between suicide attempt and self-care agency in individuals who did not present with any mental problem, depression or psychiatric diagnosis, using a case comparison group. What is the relationship between suicide attempt and self-care agency in a specified population?Method: The framework of the research consisted of 33 hospitalised people, and 33 peopleaccompanying them. The sample group consists of 31 cases and a control of 31 group people with a healthy body and without a significant psychiatric diagnosis, who agreed to join the research.Result: The results suggested that there was a relationship between the self-care agency and the tendency to commit suicide.Conclusion: This result can be used to in the public health and psychiatry nursing practices. Necessary improvement of self-care agency is recommended for those who have a history of suicide attempt. Also, more researches must be undertaken related this topic.Objective: This research was intended to determine the relationship between suicide attempt and self-care agency in individuals who did not present with any mental problem, depression or psychiatric diagnosis, using a case comparison group. What is the relationship between suicide attempt and self-care agency in a specified population?Method: The framework of the research consisted of 33 hospitalised people, and 33 peopleaccompanying them. The sample group consists of 31 cases and a control of 31 group people with a healthy body and without a significant psychiatric diagnosis, who agreed to join the research.Result: The results suggested that there was a relationship between the self-care agency and the tendency to commit suicide.Conclusion: This result can be used to in the public health and psychiatry nursing practices. Necessary improvement of self-care agency is recommended for those who have a history of suicide attempt. Also, more researches must be undertaken related this topic

The effectiveness of planned health education given to climacteric women on menopausal symptoms, menopausal attitude and health behaviors

Objective: The research was made to assign the effect of planned health education given to climacteric women on menopausal symptoms, menopausal attitude and health behaviors. Methods: The research was carried between January 2002-February 2003 in the district of Abdurrahman Gazi Primary Health department which lies in the borders of metropolitan municipality of Erzurum. 2761 climacteric women between the age of 40-60 formed the population of the research. In sample selection, because of knowing the frequency of event and the number of individuals in the population; the formula of, n=N . t2 . pq / y2 .(N-1) + t2 . pq was used and samples are assigned as 337. Afterresearch problem had been assigned on 337 women, the research was made control group with pretest-posttest of quasi experimental design on 100 women who were selected proper to the aim of the research, 50 of which was experiment, the rest was control group. But 87 women 44 of which was control, 434 of which was experiment group completed the research. Results: According to the research results, after planned health education given by the researcher, decrease in common menopausal symptoms and increase in point averages of menopausal attitude (t=4.697, p=.000) and health promotion life style behaviors (t=7.127, p=.000) were determined. Conclusion: After planned health education given to the women in climacteric period, positive health behaviors can be developed so as to make women live a more peaceful life. According to these result, it can be suggested to health professionals to mind education programs about climacteric period

Determination of Knowledge, Attitudes and Behaviors Regarding Factors Causing Home Accidents and Prevention in Mothers with a Child Aged 0-5 Years

Objective: In this study, it was aimed to determine knowledge, “attitudes” and “behaviors” in mothers with a child aged 0-5 years regarding factors causing “home accidents” and prevention. Method: The target population of the study consisted of mothers with a child aged 0-5 years who were admitted to pediatrics ward of A County Hospital. The sample size was determined as 305 subjects by power analysis. Overall, 340 mothers were recruited. The data sheet developed by researchers and a questionnaire on parental attitudes about home accidents developed by Yalaki et al. were used for data collection. Before data collection, verbal consent was obtained from mothers. The study was approved by local Ethics Committee. Data were analyzed by using Kruskal-Wallis test, t test and chi-square test. Results: Mean age was 30.11 ± 5.8 years among mothers included. A significant association was detected between experiencing home accident and maternal age, maternal education level, number of child, number of person in the family and income of family (p<0.05). In this study, it was found that wrong attitudes and behaviors were more common among mothers of children experienced home accident (p<0.05). Conclusions: It was found that there is a significant association between home accident and maternal age, maternal education level, number of child, number of person in the family, residence and income level. In addition, it was found that mother of “children” experience home accident have inappropriate attitudes and behaviors regarding prevention of home accidents and that education is an important factor in prevention of home accidents. Keywords: Attitudes, behavior, home accident, childre

Immunologic mechanism at infertility

Infertility has been serious problem for couples that want to have a child. It is estimated that %10-15 of marriages are involuntary childless; that is, there is the serious problem of infertility. In more than 40% of infertility couples that is the reason of their infertility was unknown. In those couples, probably immunological factors were found to be responsible for the infertility. In the article, it was aimed to review the immunologic causes of male and female infertility in the light of the current scientific data.Infertility has been serious problem for couples that want to have a child. It is estimated that %10-15 of marriages are involuntary childless; that is, there is the serious problem of infertility. In more than 40% of infertility couples that is the reason of their infertility was unknown. In those couples, probably immunological factors were found to be responsible for the infertility. In the article, it was aimed to review the immunologic causes of male and female infertility in the light of the current scientific data

Učinak kućne njege bolesnika s moždanim udarom i izobrazbe njegovatelja na opterećenje i kvalitetu života njegovatelja

The aim of this study was to determine the effect of home care provided for stroke patients and education of caregivers on the caregiver burden and quality of life. The study was conducted by using a true experimental method with pre-test and post-test control group. The study included 43 experimental and 43 control patients and their caregivers. The Patient and Caregiver Description Form, Patient Problem Identifying Form, Caregiving Burden Scale and SF-36 Quality of Life Scale were used to collect data in the study. Nursing care was provided to the experimental group patients according to the model of daily living activities, while their caregivers received training and consultancy. In the control group, there was no such intervention. Percentage distribution, χ2, independent sample t-test, paired t-test, Mann-Whitney U test, and Wilcoxon signed-rank tests were used on statistical analyses. There was no significant difference in pre-test score means between experimental and control group caregivers. However, a statistically significant difference was found in all sub-dimensions of the quality of life scale between pre-test and post-test score means in the experimental group caregivers. This study results indicated that home care provided for stroke patients and education of caregivers decreased the caregiver burden and increased their quality of life.Cilj ovoga istraživanja bio je utvrditi učinak kućne njege bolesnika s moždanim udarom i izobrazbe njegovatelja na opterećenje i kvalitetu života njegovatelja. Istraživanje je provedeno primjenom prave eksperimentalne metode s kontrolnom skupinom prije i poslije testiranja. U istraživanje je bilo uključeno 43 eksperimentalna i 43 kontrolna bolesnika i njegovatelja. Podaci su se prikupljali pomoću sljedećih upitnika: Patient and Caregiver Description Form, Patient Problem Identifying Form, Caregiving Burden Scale i SF-36 Quality of Life Scale. Sestrinska njega se bolesnicima eksperimentalne skupine pružala prema modelu svakodnevnih aktivnosti, dok u kontrolnoj skupini nije bilo nikakve intervencije. U statističkoj analizi primijenjena je distribucija postotka, χ2, t-test za neovisne uzorke, parni t-test, Mann-Whitney U test i Wilcoxon signed-rank test. Nije bilo statistički značajne razlike srednjih vrijednosti prije i poslije testiranja između njegovatelja eksperimentalne i kontrolne skupine. Statistički značajna razlika utvrđena je između srednjih vrijednosti svih pod-dimenzija ljestvice kvalitete života prije i poslije testiranja u njegovatelja eksperimentalne skupine. Ovo istraživanje je pokazalo da kućna njega bolesnika s moždanim udarom uz izobrazbu njegovatelja smanjuje opterećenje i poboljšava kvalitetu života njegovatelja

The effect of conscious mindfulness-based informative approaches on managing symptoms in hemodialysis patients

IntroductionThe research was conducted to determine the effect of conscious mindfulness based informative approaches applied in hemodialysis patients on reducing stress and managing symptoms.MethodsThis research was conducted as a real experimental model with a control group. Research population consisted of 160 hemodialysis patients. The sample of the study was determined as 120 hemodialysis patients in total, 60 in the experimental and 60 in the control group, as a result of the power analysis. After the pre-test application, a mindfulness-based stress reduction program was applied to the experimental group. In the analysis of the data collected in the research, percentage, frequency, chi-square analysis, t-test for independent groups, t-test for dependent groups were used by means of SPSS for Windows 22.00 statistical software package.ResultsThe t-test analyses of the differences between pre-test and post-test scores of hemodialysis patients in the experimental group were found to be significant in favor of the post-tests.DiscussionIt was found out that the conscious mindfulness-based informative approaches decreased the perceived stress and anxiety of the patients in the experimental group, whereas increased their levels of conscious mindfulness and symptom management

The effect of home care based on the Neuman systems model on symptomatic relief and quality of life in patients undergoing hemodialysis

Background: Chronic renal failure (CRF) is an important common health problem with high morbidity and mortality rate in the world and in Turkey. Objectives: This study was conducted to determine the effect of home care based on the Neuman Systems Model on relief of physical and psychological symptoms and quality of life in patients undergoing hemodialysis. Methods: This study was conducted as a pretest-posttest randomized controlled trial. The sample of the study was composed of 160 hemodialysis patients. The patients were randomly and sequentially assigned to experimental and control groups as 80 hemodialysis patients. Results: After the intervention, it was determined that the symptoms levels of the patients in the experimental group reduced and their quality of life increased. Conclusion: The care provided based on the Neuman Systems Model reduced the symptoms of the patients having hemodialysis treatment and enhanced their quality of life. Care given using a model is important in improving the quality of life of hemodialysis patients