Turkey: styles of coping with stress and metabolic variables

Background The study was conducted to examine the relationship between metabolic control variables and the coping strategies of type 2 DM patients with stress perception. Methods The study design was a descriptive and cross-sectional survey. The study sample consisted of 153 patients who reported to the Internal Medicine Outpatient Clinic. Data were collected using the descriptive characteristic form, perceived stress scale, and the coping styles inventory. Results Patients' mean BMI was 28.82 +/- 7.14, and the mean HbA1c level was 10.31 +/- 2.75. The prevalence of metabolic syndrome identified in patients with type 2 DM was 68%. A negative correlation was determined between perceived stress and age and the problem-focused coping method, whereas a positive correlation was found between BMI, number of accompanying chronic diseases, insulin use period, waist circumference, and emotion-focused coping method and perceived stress. Conclusions The variable that most affects the stress perception levels of patients with diabetes mellitus is problem-focused coping. Following these results, teaching patients how to use efficient techniques for stress coping and providing support for psychosocial care is necessary.C1 [Bakan, Gulcan] Pamukkale Univ, Internal Med Nursing Dept, Fac Hlth Sci, Kinikli Campus,Univ St 11, TR-20160 Denizli, Turkey.[Inci, Fadime Hatice] Pamukkale Univ, Dept Publ Hlth Nursing, Fac Hlth Sci, Kinikli Campus,Univ St 11, TR-20160 Denizli, Turkey

The effect of the support program on the resilience of female family caregivers of stroke patients: Randomized controlled trial.

AIM: The purpose of the study was to determine the effect of a support program on the resilience of female family caregivers of stroke patients. METHODS: This is a randomized controlled trial. The sample consisted 70 female family caregivers (34 experimental, 36 control group). Data were collected three times (pretest-posttest, follow-up test). Data were collected using the demographical data form, the Family Index of Regenerativity and Adaptation-General. RESULTS: A significant difference was determined between the experimental and control group's follow-up test scores for relative and friend support, social support and family-coping coherence. A significant difference was determined between the experimental group's mean pretest, posttest and follow-up test scores in terms of family strain, relative and friend support, social support, family coping-coherence, family hardiness and family distress. CONCLUSIONS: These results suggest that the Support Program contributes to the improvement of the components of resilience of family caregivers of stroke patients

A cross-sectional survey of self-perceived health status and metabolic control values in patients with type 2 diabetes.

BACKGROUND: The prevalence of diabetes is increasing worldwide. Diabetes and other chronic disorders play an important role in how patients perceive their health status, this perception being an important component of general health. OBJECTIVES: The purpose of this study is to determine self-perceived health status and metabolic control in patients with type 2 diabetes and to understand the relationship between perceived health status and metabolic control in diabetic participants. DESIGN: This is a cross-sectional survey. SETTING: The research population was diabetes sufferers registered with the Turkish Diabetes Society in Denizli Province, Turkey. PARTICIPANTS: A convenience sample composed of 110 patients with type 2 diabetes mellitus. METHODS: The research data were collected using three tools. The first of these was a "Socio-demographic Data Form" to gather information on the diabetes patients. The second was a survey on the patients' self-perceived health (how do rate your state of health in general) in which the patients were asked to rate their own health in one of five categories: very good, good, fair, bad and very bad. For the statistical analysis, the study group was divided into two groups: "good", consisting of those who classified their health as either very good or good; and "poor", those who gave other responses. The third type of data was collected by measuring metabolic control outcomes [glycosylated hemoglobin (HbA(1C)), fasting blood sugar (FBS), non-fasting blood sugar, total cholesterol, high-density lipoproteins (HDL) and triglycerides] for each participant. RESULTS: Approximately half of the diabetic participants surveyed have poor self-perceived health. In terms of the values of HbA(1C), an important indicator of metabolic control levels, it was found that only 24.5% of the participants surveyed had good metabolic control. There was found to be a statistically significant difference between self-perceived health and levels of HbA(1C); 68% of participants who had high HbA(1C) values evaluated their health as good, whereas 63.9% of those who had poor HbA(1C) values evaluated their health as bad. Age, level of education, mode of treatment, adherence to treatment and level of exercise were factors that were found to have statistically significant differences from, and therefore an influence on, self-reported health. CONCLUSION: When working with diabetes patients, as soon as the diagnosis has been made, it is recommended that information both on subjective perceptions of health and on perceptions of the illness (health perceptions, health beliefs related to the illness) are evaluated and objective data (metabolic control values) are gathered

control values in patients with type 2 diabetes

Background: The prevalence of diabetes is increasing worldwide. Diabetes and other chronic disorders play an important role in how patients perceive their health status, this perception being an important component of general health.Objectives: The purpose of this study is to determine self-perceived health status and metabolic control in patients with type 2 diabetes and to understand the relationship between perceived health status and metabolic control in diabetic participants.Design: This is a cross-sectional survey.Setting: The research population was diabetes sufferers registered with the Turkish Diabetes Society in Denizli Province, Turkey.Participants: A convenience sample composed of 110 patients with type 2 diabetes mellitus.Methods: The research data were collected using three tools. The first of these was a "Socio-demographic Data Form" to gather information on the diabetes patients. The second was a survey on the patients' self-perceived health (how do rate your state of health in general) in which the patients were asked to rate their own health in one of five categories: very good, good, fair, bad and very bad. For the statistical analysis, the study group was divided into two groups: "good", consisting of those who classified their health as either very good or good; and "poor", those who gave other responses. The third type of data was collected by measuring metabolic control outcomes [glycosylated hemoglobin (HbA(1C)), fasting blood sugar (FBS), non-fasting blood sugar, total cholesterol, high-density lipoproteins (HDL) and triglycerides] for each participant.Results: Approximately half of the diabetic participants surveyed have poor self-perceived health. In terms of the values of HbA(1C), an important indicator of metabolic control levels, it was found that only 24.5% of the participants surveyed had good metabolic control. There was found to be a statistically significant difference between self-perceived health and levels of HbA(1C); 68% of participants who had high HbA(1C) values evaluated their health as good, whereas 63.9% of those who had poor HbA(1C) values evaluated their health as bad. Age, level of education, mode of treatment, adherence to treatment and level of exercise were factors that were found to have statistically significant differences from, and therefore an influence on, self-reported health.Conclusion: When working with diabetes patients, as soon as the diagnosis has been made, it is recommended that information both on subjective perceptions of health and on perceptions of the illness (health perceptions, health beliefs related to the illness) are evaluated and objective data (metabolic control values) are gathered. (C) 2010 Elsevier Ltd. All rights reserved

Birth preferences by nulliparous women and their partners in Turkey

Objective: The aim of this study was to examine the preferences of nulliparous women and their partners in giving birth and the reasons for these preferences.Methods: The sample in this cross-sectional study consisted of 162 pregnant women in the last trimester of pregnancy and their partners. Data collection was accomplished using a questionnaire.Results: It was found that most women (90.8%) and their partners (92%) preferred a vaginal birth. The couples' birth preferences were generally similar to one another. The main reasons for the choice of a vaginal birth were that it was natural and healthier for the mother and child and that recovery and discharge from the hospital were quicker. The main reasons for the choice of cesarean section were fear of childbirth and not putting the baby at risk.Conclusions: Antenatal education may help to reduce the number of elective cesarean sections by changing the negative perceptions of vaginal birth and reducing the fear of childbirth. (C) 2015 Elsevier B.V. All rights reserved

Information Overload Scale

Purpose: The aim is to adapt the Cancer Information Overload Scale to Turkish and to establish its validity and reliability.Material and Methods: The study is a methodological one. The sample consists of 144 women aged between 18-49 registered to a family health center between March-July 2015. The center is affiliated to the Denizli Provincial Health Center. The data were collected using the sociodemographic characteristics questionnaire, Cancer Information Overload, Scale Breast Cancer Health Belief Model. Language equivalence and content validity of the scale were established. Concurrent validity, Exploratory and confirmatory factor analysis was used to estimate the validity of the scale. Cronbach alpha and item-total correlations were measured to evaluate the reliability of the scaleResults: In the exploratory factor analysis, the factor loadings were between 0.51-0.67, and the explained variance (38.35%) was considered sufficient. In the confirmatory factor analysis, the ratio of the post-modification of the chi square to the degrees of freedom was 2.04. Other compliance indices (RMSEA=0.085, GFI=0.94, AGFI=0.88, CFI=0.95, NFI=0.91, NNFI=0.92) were found to be at the desired level. In the reliability analysis, the internal consistency coefficient was alpha=0.77, which suggested that the scale was quite reliable, the item-total correlations of the scale varied between 0.38-0.52.Conclusion: It was determined that the validity and reliability of the Cancer Information Overload Scale was established and it could be used in the Turkish society.C1 [Inci, Fadime Hatice; Baskale, Hatice Akgul; Ak, Pinar Sercekus] Pamukkale Univ, Saglik Bilimleri Fak, Hemsirel Bolumu Halk Sagligi Hemsireligi Anabilim, Denizli, Turkey

Birth preferences by nulliparous women and their partners in Turkey.

OBJECTIVE: The aim of this study was to examine the preferences of nulliparous women and their partners in giving birth and the reasons for these preferences. METHODS: The sample in this cross-sectional study consisted of 162 pregnant women in the last trimester of pregnancy and their partners. Data collection was accomplished using a questionnaire. RESULTS: It was found that most women (90.8%) and their partners (92%) preferred a vaginal birth. The couples' birth preferences were generally similar to one another. The main reasons for the choice of a vaginal birth were that it was natural and healthier for the mother and child and that recovery and discharge from the hospital were quicker. The main reasons for the choice of cesarean section were fear of childbirth and not putting the baby at risk. CONCLUSIONS: Antenatal education may help to reduce the number of elective cesarean sections by changing the negative perceptions of vaginal birth and reducing the fear of childbirth