Hypoglycemia Fear and Self-efficacy of Turkish Patients Receiving Insulin Therapy

Purpose: The purpose of this study was to determine hypoglycemia fear and self-efficacy levels of patients receiving insulin and the factors affecting these levels

Quality of life in chronic haemodialysis and peritoneal dialysis patients in Turkey and related factors

Turkey is the fifth country in Europe with regard to the number of patients receiving haemodialysis (HD). However, only a limited number of studies have comparatively investigated the factors that affect quality of life in haemodialysis and peritoneal dialysis (PD) patients in Turkey. The purpose of the study was to investigate the factors that affect quality of life in haemodialysis and peritoneal dialysis patients, as well as providing a comparison of quality of life between these groups. In this cross-sectional study, Quality of Life Scale and a data form was completed by 300 dialysis patients who received treatment at five hospital-based dialysis units in Istanbul, Turkey. The data were evaluated using arithmetic mean values, standard deviations, minimums, maximums, percentages, independent groups t-tests, Spearman correlation analyses and one-way variance analyses. The quality of life values in peritoneal dialysis patients were found to be higher than those of haemodialysis patients (P<0.05). It was concluded that the quality of life in chronic dialysis patients was affected by various factors

Comparison of two blood sampling methods in anticoagulation therapy: venipuncture and peripheral venous catheter

Aim. To compare prothrombin time and activated partial thromboplastin time values in concurrent blood samples obtained by direct venipuncture and from a peripheral venous catheter

Hypoglycemia Fear and Self-efficacy of Turkish Patients Receiving Insulin Therapy

Purpose: The purpose of this study was to determine hypoglycemia fear and self-efficacy levels of patients receiving insulin and the factors affecting these levels

Evaluation of foot care and self-efficacy in patients with diabetes in Turkey: an interventional study

Ulceration of the feet, which can result in loss of limbs and even death, is one of the major health problems for people with diabetes mellitus. The aim of this study was to evaluate the impact of foot care education on patient awareness of the importance of foot care, their foot care-related behavior and sense of self efficacy in being able to take care of their own feet in Turkey. The study was a randomized controlled study. Ninety patients with diabetes mellitus were followed. Cases were stratified by the presence and absence of education on foot care. Foot care education relevant to the needs of the study group was developed on the basis of Bandura's social learning theory. The diabetic foot care self efficacy scale (DFCSES), the foot self-care behavior scale (FSCBS), and the diabetic foot knowledge subscale (DFKS) were used to evaluate, at 3-month intervals, the knowledge patients had about foot care before and after receiving the education. The scores for DFCSES, FSCBS, and DFKS of the experimental group increased during follow-up in the study group receiving foot care education while the scores of the cases in control group did not change. Education is a major tool for improvement in awareness of foot care in cases with diabetes mellitus. Self-efficacy levels of individuals regarding foot care should be evaluated, and accordingly, individual strategies should be developed to provide efficient foot care

Nursing care in elderly patients with cardiovascular disease

Aging is a process that has biological, physiological, psychological, sociological and chronological dimensions and can be defined from different directions. The incidence of cardiovascular diseases such as hypertension, coronary heart disease, heart failure, dysrhythmia and heart valve diseases is increasing with age. Cardiovascular diseases are the most common cause of death in people over 65 years of age. It also causes serious health problems and poses a significant burden on the health care system. Nurses have important responsibilities in the care of the elderly patients with cardiovascular system disease. Appropriate nursing care for elderly patient provides positive contributions to patient care outcomes

Effect of training provided to patients with chronic obstructive pulmonary disease on drug management

Aim Wrong use of an inhaler arising from a lack of knowledge can negatively affect treatment management. Therefore, this study was performed with the aim of determining the effects on treatment management of inhaler training carried out under the leadership of a nurse in individuals with medium and advanced stage chronic obstructive pulmonary disease (COPD). Methods This was an experimentally designed pre-test post-test study with a control group. Participants were interviewed four times in 1 year. The experimental group performed inhaler training. A Patient Description and Follow-Up Form, an Inhaler Drug Use Skill Chart, the Morisky eight-item Medication Adherence Scale, the COPD Assessment Test, and the St. George Respiration Questionnaire were used to collect data. Data analysis was performed by SPSS, using nonparametric tests. Results Although there was no significant difference between the groups, a reduction in hospital visits and admissions because of attacks was seen in the experimental group (p= .239,p= .492). It was found there was a greater increase in the correct use of the inhaler in the experimental group than in the control group, and that correct use of the handihaler increased significantly (p= .008). Also, the increases in adherence to treatment (p= .006) and quality of life (p= .010) in the experimental group were significantly different from the control group. In the control group, the annual decline in forced expiratory volume in 1 s increased significantly (p= .016). Conclusions It was seen that long-term inhaler training given by nurses at regular intervals made a significant contribution to treatment management