Effects of patient education and counseling about life style on quality of life in patients with coronary artery disease

WOS: 00029304500001

A Case Control Study: Comparison of Nutrition Habits of Healthy Individuals with Coronary Artery Patients

WOS: 00048026270210

The Effect of Dietary Supplement Use on Quality of Life and Depression in Patients with Chronic Liver Disease

WOS: 00048026270112

Effects of patient education and counseling about life style on quality of life in patients with coronary artery disease

Amaç: Bu çalışma; koroner arter hastalarına (KAH) yaşam tarzı değişikliği konusunda yapılacak olan eğitim ve danışmanlık müdahalesinin hastaların aldıkları medikal, invaziv veya cerrahi tedavi tiplerine göre yaşam kalitesine etkisini saptamak amacıyla yapıldı. Yöntemler: Araştırmanın örneklemini KAH tanısı konulan 102 hastadan 18 yaşın üzerinde, algılama bozukluğu, iletişim sorunu olmama kriterleri karşılayan ve çalışmaya katılmayı kabul eden 82 hasta (%80.3) oluşturmuştur. Araştırma dizaynı prospektif kohorttur. Hastalara ‘Hasta Bilgi Formu’, ‘SF-36 Yaşam Kalitesi Ölçeği’ uygulanmış ve sağlıklı beslenme, fiziksel aktivite, sağlıklı vücut ağırlığının korunması, sigara ve alkolün bırakılması konularında eğitim ve danışmanlık müdahalesi yapılmıştır. Üç ay sonra hastalara tekrar ‘Hasta Bilgi Formu’, ‘SF-36 Yaşam Kalitesi Ölçeği’ uygulanarak müdahalenin etkinliği değerlendirilmiştir. Elde edilen verileri tekrarlı ölçümler için varyans analizi (ANOVAR), Ki-kare önemlilik testi ve nonparametrik testlerden Wilcoxon işaret ve Kruskal-Wallis varyans testleriyle analiz edilmiştir. Bulgular: Hastalara verilen eğitim ve danışmanlık sonrasında, diyete uyumları ve egzersiz süreleri artmış, diyastolik kan basınç ortalaması düşmüş ve SF-36 yaşam kalitesi alan puanları yükselmiştir (tümü için p<0.05). Ancak eğitim ve danışmanlıktan sonra sistolik kan basınç ortalaması, hastaların beden kitle indeks ortalamaları, lipit düzeyleri, günlük içilen sigara sayısı ve alınan alkol kadeh miktarı anlamlı düzeyde değişmemiştir. Sonuç: KAH hastalarına yapılan eğitim ve danışmanlık müdahalesiyle, fiziksel aktivite artışının sağlandığı, diyete uyum düzeyinin arttığı, diyastolik kan basıncında anlamlı düzeyde azalma olduğu, SF-36 yaşam kalitesi ölçeğinin 8 skalasında da, pozitif yönde artma olduğu görülmüştür.Objective: The aim of this study is to investigate the effects of patient education and counseling intervention success on quality of life (QoL) in patients with coronary artery disease patients. Methods: Sample of this study included 82 (80.3%) of total 102 patients diagnosed with coronary artery disease. Patients were older than 18 age and they had no perception and communication problems. QoL was measured by means of the Short Form-36 (SF-36) and then subscale scores were calculated in before getting the education and counseling intervention. Subject of education and counseling intervention consists of healthy nutrition, physical activity, maintaining healthy body weight, smoking and alcohol quit issues. After educations and counseling intervention three months later, Short Form-36 was administered. One way analyses of variance for repeated measures (ANOVAR), Chi-square significance test, t-test and nonparametric tests (Wilcoxon sign and Kruskal Wallis Variance) were used to compare demographic and clinic characteristic values of the patient&amp;#8217;s groups. Results: After education and counseling intervention, SF 36 QoL points, mean exercise duration and number of patients with well -adjusted diet program increased, and diastolic blood pressure decreased (p<0.05 for all). However, mean body mass index, mean number of cigarettes and alcohol drinks per day, systolic blood pressure, lipid levels did not significantly change after education and counseling intervention. Conclusion: Education and counseling intervention in patients with coronary artery disease was accompanied by improvement in physical activity, increase in diet compliance level, significantly reduction of diastolic blood pressure and positive increasing trend in 8 scales of SF-36 quality of life scale

Life Style Education and Counseling Improved Quality of Life and Renal Function in Patients with Chronic Kidney Disease

AIM The purpose of this study was to describe of life-style modifiying education and counseling to examine their effect on renal function and quality of life. METHODS Eighty four patients with Chronic Kidney Disease (CKD) were enrolled in the study. Quality of life (QoL) was measured by means of Short Form-36 (SF-36) and subscale scores were calculated prior to the education and counseling . The education and counseling program focuses on behaviour style including excersize and diet issues and also cessation of smoking and alcohol consumption. These programs has been conducted by a nurse twice a week, throughout eight weeks. After this program, the patients have been evaluated by means of SF-36 and a questionary for CKD patients. Data were analysed by SPSS pocket program. RESULTS All dimensions of QoL of patients were signicicantly better after the education and counseling, as compared with that of prior to the intervention. The mean of exercize duration and percent of patients who adjusted diet programme were increased and serum albumin means were increased, serum urea and serum creatinine means were decreased after the education and counseling compared with that of prior to the education and counseling. Systolic tension arteriel means were lower after the education and counseling compared with that of prior to the education and counseling. However, the number of cigarette in a day, the glass of alcohol in a week and the diastolic tension arteriel means were not different after the education and counseling compared with that of prior to the intervention. CONCLUSION The patients with chronic kidney disease positevely improved their health-related quality of life and some renal functions after the education and counseling. [TAF Prev Med Bull 2012; 11(6.000): 667-672

Development Of The Smoking Cessation Scale According To Health Belief Model

Giriş ve Amaç: Gençlerin sigaraya başlamasını önlemek ve bırakmalarını sağlamak toplumdaki sigara ile mücadelenin en etkili yoludur. Sağlık İnanç Modeli (SİM) günümüzde koruyucu sağlık davranışlarının açıklanmasında en sık kullanılan yöntemlerdendir. Bu çalışmanın amacı “SİM’e Göre Sigara Bırakma Ölçeği”ni (SİM-SBÖ) geliştirerek öğrencilerin sigara bırakma konusunda davranışlarının açıklanmasını sağlamaktır. Yöntem: Bu çalışmanın örneklemini Bülent Ecevit Üniversitesi’nde 2017–2018 eğitim öğretim döneminde eğitim gören, sigara kullanan ve kullanıp bırakmış 417 öğrenci oluşturmuştur. SİM-SBÖ’nin geliştirilmesi için oluşturulan 96 maddelik taslak ölçek konu hakkında uzman olan 12 doktorun görüşü doğrultusunda kapsam geçerlik oranı 0,80’in altında değer alan maddeler çalışma kapsamından çıkarılarak 24 maddelik bir form elde edilmiştir. Faktör analizi sonrası; beş madde çıkarılmıştır. Böylece; öğrencilerin sigara bırakma davranışlarını sorgulayan altı alt boyut ve 19 maddeden oluşan SİM-SBÖ geliştirilmiştir. Veriler ortalama ± standart sapma şeklinde belirtilmiş ve istatistiksel değerlendirme bilgisayar ortamında SPSS 11.5 paket programı kullanılarak tek yönlü varyans analizi (ANOVA), post-hoc LSD testi, Kaiser-Meyer-Olkin (KMO) katsayısı ve Barlett Sphericity testi, madde-toplam korelasyonu (Cronbach alfa) kullanılmıştır. Faktör yapılarını incelemek için Direct Oblimin analizi kullanılmıştır. Bulgular: Yapı geçerliliği için açıklayıcı faktör analizine bağlı olarak ölçekteki 24 maddeden beş tanesi birden fazla faktörde yer aldığı için çıkarılmış ve ölçek 19 madde olarak değerlendirmeye alınmıştır. SİM-SBÖ İç tutarlığın gösterilmesinde Cronbach’s Alpha değerleri ölçeğin tamamı için Cr?=0,820’dir. Alt ölçeklerin Cr? değerleri 0,796–0,831 arasındadır. Toplam 171 (%41) öğrenci sigara bırakma polikliniğine başvurmayı düşündüğünü belirtmiştir. SİM alt boyutlardan duyarlılık algısı, önem algısı, yarar algısı ve eyleme yönlendiricler puanı yüksek olan öğrencilerin sigara bırakma polikliniğe başvurmayı anlamlı düzeyde daha çok istemektedirler. Engel algısı ve öz-etkililik alt ölçekleri ile ilgili anlamlı bir fark bulunmamıştır. Sonuç: SİM-SBÖ geçerli ve güvenilir bir ölçüm aracıdır. Bu ölçek sigara içen bireylerin bırakmalarını kolaylaştıracak etmenlerin belirlenmesinde, verilecek eğitim danışmanlık ve tedaviler konusunda kolaylıklar sağlayacaktır.Introduction and Objectives: Ensure that young people start smoking cessation is one of the most effective ways to prevent the fight against smoking in public. Today, the Health Belief Model (HBM) is one of the most common methods used to explain preventive health behaviors. The aim of this study was to develop the scale of “Smoking Cessation according to the HBM” (HBM-SSC) and to explain the perceptions and behaviors of students about smoking cessation. Materials and Methods: The sample of this study consisted of 417 students who studied, smoked and quit during the 2017–2018 academic year at Bülent Ecevit University. According to the opinion of 12 physicians who are experts on the subject of the draft scale which was created for the development of HBM-SSC, a 24-item form was obtained by subtracting the items whose content validity rate was below 0.80. After factor analysis; 5 items were removed. Thus; The scale of HBM-SSC which contains 19 items was developed. Data are expressed as mean ± standard deviation and one-way ANOVA using SPSS 11.5 software for statistical evaluation, post hoc LSD test, Kaiser-MeyerOlkin (KMO) coefficient, Bartlett Sphericity test, item-total correlation and Cronbach’s alpha were used. To examine the factor structure, Direct Oblimin rotation was used. Results: Five items were removed from the 24 items in the scale depending on the factor analysis for construct validity. The scale which contains 19 items was taken into consideration. According to the HBM-SSC, Cronbach’s Alpha value for the whole scale demonstration of internal consistency is Cr?=0.820. Cr? values of the subscales were between 0.796–0.831. A total of 171 (41%) students reported that they were considering smoking cessation. Students who have high perceived benefits, perceived severity, perceived susceptibility and cue to action from HBM subscales are more likely to apply to smoking cessation outpatient clinics. There was no significant difference in the perceived barriers and self-efficacy subscales. Conclusion: HBM-SSC is a valid and reliable measurement tool. This scale will provide ease of counseling and treatment, and ease in determining the factors that will make it easier for smokers to quit

Investigation of Intrafamilial Transmission in Hepatitis B Surface Antigen (HBsAg) Positive Cases in Harran University Hospital

WOS: 000273915500037Objective: Hepatitis B virus (HBV) is a public health problemowing to communicable and widespreant. In addition to It is important issue because of preventable and prevent to people from contaminated persons. Transmission of HBV may be connected to transmission carrecteristics such as horizontal, vertical, sexual and blood, priority. Aim of this study is to determine the possible route of HBV transmission throughout a family setting. Material and Methods: 173 members (29 spouses, 82 offspring, 11 mothers, 11 fathers and 40 siblings) of 40 index cases (HBsAg carriers and chronic active hepatitis cases) attending the Harran University Medical Faculty Hospital between Augst 2006 and March 2007 were screened prospectively for markers of HBV by using an ELISA. The chi-squared and Logistic regression analyses were used for statistical analysis. Results: Index cases was 18.8% of all family members, while HBsAg prevalence is 15.0% among family members except index cases. Among family members, the highest prevalences of antiHBc were in the mothers (54.5%) and sisters (45.5%), brothers (33.3%), sons (32.6%)and wifes (31.3%), the least prevalences of antiHBc were husbands (7.7%), fathers (18.2%), and doughters (22.2%) of all index cases. Transmission of HBV to both the mothers and sisters were positive was high, Transmission of HBV to fathers was low in all families. There was significant difference in cases where only the mother and husbands of index cases for HBV transmission (p=0.012). In the logistic regression model; living with chronic hepatitis B index case (OR=1.92; CI=1.03-3.57), to be illiterate (OR=6.81 CI=1.27-22.13), born at home with traditional methods (OR=3.70; CI=1.15-11.87) and born at home with the help of midwife (OR=3.44; CI=1.47-7.91) were higher risk for hepatitits B transmision. Conclusion: The family members of index cases with inactive HBV carriers, particularly in the case of chronic active hepatitis have a high risk of transmission

Knowledge, Attitudes, and Behaviors of Pregnant Women Regarding Smoking Who Were Admitted to the Obstetrics Clinic of the Bulent Ecevit University Hospital

WOS: 000421135200001Objective: Smoking in pregnancy and postpartum period causes serious healthy risks for fetuses, newborns, and children. The purpose of this study was to determine the prevalence of smoking and associated socio-demographic factors and knowledge, attitude levels, and behaviors of pregnant smokers. Methods: A descriptive study was performed on 335 pregnant women who were admitted to our clinic between March 1 and April 30, 2014. A questionnaire prepared by researchers comprising 24 questions was applied to eligible women. Statistical analysis was performed using SPSS 19 software program. Descriptive statistical data are presented as frequencies, and measurements are presented as mean +/- standard deviation. Chi-square test was used for comparison between categorical variables. Mann-Whitney U test and Kruskal-Wallis analysis of variance were used for comparisons between paired groups. Results: A total of 20.5% of pregnant women smoked throughout pregnancy. Education and income status of pregnant women did not have a significant association with smoking during pregnancy (p=0.172 and p=0.203, respectively). Smoking status was compared with pregnancy, breastfeeding, and total knowledge scores. While a significant difference did not exist between pregnancy and total knowledge scores (p=0.126, p=0.051), knowledge scores of breastfeeding was significantly lower in smoking women (p=0.031). Education status and knowledge scores were compared. Each of the three knowledge scores was higher in women with higher education levels (p=0.003, p=0.000, and p=0.001). Conclusion: Smoking during pregnancy is a major health problem. Control frequency should be increased for pregnant smokers and for their babies as well as to aid in the early diagnosis of potential problems. Doctors, nurses, and midwives should remind patients who quit smoking during pregnancy that they should take professional help to not start smoking again in the postpartum period

Six Months of Treatment with Risperidone May Be Associated with Nonsignificant Abnormalities of Liver Function Tests in Children and Adolescents: A Longitudinal, Observational Study from Turkey

Objective: Risperidone is a promising agent for the treatment of schizophrenia, Tourette's disorder, mood disorders, and disruptive behavior disorders in young populations. However, adverse effects of risperidone may take a long time to emerge. The objective of this study was to investigate the changes in the liver function tests (LFTs) associated with more than 6 months of risperidone treatment in children and adolescents

Comparison with the Pan Malaria IgG assays for malaria diagnosis and direct microscopy among suspected malaria patients in Sanliurfa

In this study, we evaluated the usage of the Pan Malaria IgG CELISA test in the diagnosis of malarial infection is endemic and there are minimal health services available. The Pan Malaria IgG CELISA (Cellabs) test, which uses recombinant antigens and detects exposure to all four forms of malaria (P falciparum, P. vivax, R ovale and P malariae) was used as individuals. Using the consensus microscopy results as the standard, sensitivity of ELISA for detection of any malarial infection in the rural populations was 83%, specificity was 85%. These results show that the performance of ELISA for the detection of any malarial infection is adequate for acute- and post-emergency situations and rural populations when the alternative is just clinical diagnosis