The Educational Needs of the Patients who Take Treatment in Psychiatric Clinic in Kars

AbstractThis study was done with the aim of to determine the educational needs of the patients who take treatment in psychiatric clinic in Kars. The study which is a cross-sectional was made in Kars Government Hospital's Psychiatric Clinic with 50 patients, between 02.01.2012 - 30.04.2012. In collecting data, a questionnaire and the Educational Needs Questionnaire (EDQ) were used. The participants who takes place in the survey, the patients includes who have depression diagnosis are (40%) and men (66%). When we look to the points mean average that they get from the EDQ is 29.04 ± 5.59. According to the EDQ: the 3 articles which they get the highest marks in order are: “Anger, violence, assaultive behaviour”, “Sleeping problems”, “Problems with concentration” and “Patients self-help organizations”. Educational Needs, it was seen that; the ones who has nuclear family, who has social guarantee, who applies to non-medical people, who has social supporters from their family, who lose their job because of mental illness, who has a belief that they will be get well, have a higher point of mean average. According to these results, it is supposed that the educational programs must be planned due to the fact that the patients have needs for information and when doing this the needs of the patients must be remembered

Psychoeducation Intervention to Improve Adjustment to Cancer among Turkish Stage I-II Breast Cancer Patients: A Randomized Controlled Trial

Psycho-educational interventions are not a substitute for analgesics, but they may serve as adjuvant therapy. Nurses can provide psychoeducational programmes to cancer patients to assist them in optimizing behavior that strengthen adjustment. The aim here was to determine the effects of psychoeducation on levels of adjustment to cancer in stage I-II breast cancer patients who met the study criteria (experimental group: 38 women, control group: 38 women). The psychoeducational program consisted of eight 90 minute weekly sessions and data were collected using a questionnaire and the Mental Adjustment to Cancer Scale three times: before, six weeks and six months after the intervention. Data analysis was performed using descriptive statistical methods as well as the Chi square test, the Mann Whitney U test, repeated measures analysis of variance, the matched pairs t test and the Post Hoc Bonferroni test. The results at 6 weeks and 6 months after the program revealed that the experimental group had higher levels of "fighting spirit", lower levels of "helplessness/hopelessness, anxious preoccupation and fatalism" but there was no significant change in levels of "avoidance/denial" compared to the control group with regard to adjustment to cancer. In this study, psychoeducation was shown to cause positive changes in levels of adjustment to cancer in breast cancer patient

Depression and Anxiety Levels in Early Stage Turkish Breast Cancer Patients and Related Factors

Psychiatric disorders such as depression and anxiety are common among cancer patients. If left untreated, these disorders can lead to poor treatment compliance, prolonged hospital stay and reduced life quality. In this prospective study, we aimed determine anxiety and depression levels and related factors among female breast cancer patients presenting to a breast surgery clinic in Istanbul and who met the inclusion criteria. Data were collected using a questionnaire and the Hospital Anxiety and Depression Scale (HAD). The mean age was 48.2 years and the mean post-operative period was 17.9 months. It was found that 46.3 % of the patients had stage I, and 53.7 % stage II, 59.3 % of them undergoing breast conserving surgery and 40.7 % mastectomy. When evaluated according to the HAD Scale, it was found that anxiety scores of 35.1 % of the patients and depression scores of 17.1 % of the patients were higher than their cut-off points. With regard to the affecting factors, depression scores of those with no family history of breast cancer were significantly higher than those with no family history of breast cancer (t= 1.53; p= 0.03); that the depression scores of the patients who underwent mastectomy were significantly higher than those who underwent breast conserving surgery (t= 1.75; p= 0.04). Additionally, it was found that low income was an important risk factor for anxiety; whereas a history of breast cancer in the family and mastectomy was an important risk factor for depression. These results indicate the importance of determining psychiatric problems and appropriate approaches in addition to medical treatment in breast cancer patients

Cognitive And Dynamic Effects Of Training Given To Women At Risk Of Breast Cancer

Background: Breast canceris an important public health problem. Although the disease is widespread, the prognosis is good, especially with early diagnosis. For this to occur, a consciousness of protection of breast health for all women is necessary, and risk groups need to be particularly targeted. Aim: This study was conducted to determine dynamic and cognitive effects of training given to women in a risk group. Method: This study that is planned as an intervention study has been carried out in a city that is on the eastern part of Turkey between February and June in 2009. The data weregathered through a question form aimed at diagnosing the knowledge and applications of women about breast cancer, and hospital reports of women and control lists of BSE skills. The women in the risk group were given five sessions of training split into groups of 12-13 persons. For the purpose of realizing the cognitive effects of the training, pre-test and post test measures were assessed. The data were evaluated using number percentages and the McNemar test. Results: At the end of the training program, compared to previous training period, women's knowledge, at the cognitive level, related with the risk factors, symptoms and the early diagnosis methods of the breast cancer was seen to have been expressively increased. As for effects at the dynamic level, one month after the training program had been completed, women re-evaluated and 77.5% had conducted breast self-examination ( BSE) at least one time, and 65.0% of them have passed through medical breast diagnosis and scanning tests by applying to hospital. Conclusion: In a study aimed to increase the conscious level and awareness related with breast health in women, variation at both cognitive and dynamic levels were evident at the end of the training program.Wo