Emotional status of breast cancer patients: a qualitative study.

Breast cancer is the most frequent female cancer worldwide. People who have breast cancer may find the physical, emotional, and social effects of the disease stressful. The purpose of this study is to identify the emotional status of patients with breast cancer after prognosis. Target population of the study which is descriptive in nature was all breast cancer patients (n = 15) who had treatment in the oncology clinics of various hospitals located in Adana/Turkey. Average age of the 15 women with breast CA participating in the study was 47.67±2.36. Of all the patients, 12 of them were married and average number of children was 2.46±0.49. Besides, 8 participants (53.3%) graduated from primary school, 100% knew their diagnosis, 80% learned the diagnosis from their doctors, and all of them had both surgery and chemotherapy. Most of the participants stated that they were shocked and tried to deny the diagnosis at first, they were angry with themselves, some of them isolated themselves from the people around and made promises to themselves to be conducted upon getting better. They also stated that they regretted for not having treated themselves better in the past, they did not quit treatment and they did not have the feelings of social exclusion. Seven participants stated that having breast cancer did not change their strong beliefs, four participants began to have stronger beliefs, and three participants first revolted but then returned to normal. One patient said her beliefs became weaker and she revolted against the disease. Three patients indicated that they fought against the disease all by themselves while the others expressed that the strongest support they had came from their husbands and children. Average age of the participants was found 47.67±2.36. Social support can be an important source in decreasing the negative psychological reactions of patients with breast cancer who have had surgical operation and who are undergoing chemotherapy and radiotherapy

Emotional status of breast cancer patients: a qualitative study

Breast cancer is the most frequent female cancer worldwide. People who have breast cancer may find the physical, emotional, and social effects of the disease stressful. The purpose of this study is to identify the emotional status of patients with breast cancer after prognosis. Target population of the study which is descriptive in nature was all breast cancer patients (n = 15) who had treatment in the oncology clinics of various hospitals located in Adana/Turkey. Average age of the 15 women with breast CA participating in the study was 47.67 ± 2.36. Of all the patients, 12 of them were married and average number of children was 2.46 ± 0.49. Besides, 8 participants (53.3%) graduated from primary school, 100% knew their diagnosis, 80% learned the diagnosis from their doctors, and all of them had both surgery and chemotherapy. Most of the participants stated that they were shocked and tried to deny the diagnosis at first, they were angry with themselves, some of them isolated themselves from the people around and made promises to themselves to be conducted upon getting better. They also stated that they regretted for not having treated themselves better in the past, they did not quit treatment and they did not have the feelings of social exclusion. Seven participants stated that having breast cancer did not change their strong beliefs, four participants began to have stronger beliefs, and three participants first revolted but then returned to normal. One patient said her beliefs became weaker and she revolted against the disease. Three patients indicated that they fought against the disease all by themselves while the others expressed that the strongest support they had came from their husbands and children. Average age of the participants was found 47.67 ± 2.36. Social support can be an important source in decreasing the negative psychological reactions of patients with breast cancer who have had surgical operation and who are undergoing chemotherapy and radiotherapy

An Investigation of Patients’ Perceptions of Nursing Care: Case of Intensive Care

Introduction: Intensive care units are different from other hospital areas due to the nature of patients and illnesses, treatment methods, and physical and emotional environment. This difference can also create differences in nursing care and patients’ perceptions of this care. The present study aims to identify intensive care patients’ perceptions of nursing care. Method: Target population of this descriptive and cross sectional study was all patients who were in the intensive care units of five hospitals (1 research hospital, 1 training hospital, 3 state hospitals) with different status in Adana/Turkey. The participants were 368 patients who met the research criteria. The data were collected through “Personal Information Form” and “Patient Perception of the Quality of Nursing Care (PPQNC)” which identified patients’ perceptions of nursing care. Results: The participants were 368 patients, 148 (40.2%) female and 220 (59.8%) male, the average age of the participants was 56.9±15.7. The median of the PPQNC total score was found 73 (70.56±6.80). There was a statistically significant relationship between PPQNC scores and the hospitals where the study was conducted (p=0.016). Mean rank values were higher in married patients when compared to single patients (p=0.031), in patients with income higher than expenses when compared to patients with income less than expenses (p=0.013) and with income equal to expenses (p=0.017), in illiterate patients when compared to the patients who graduated from primary school (p=0.023) and high school (p=0.040), and in patients who graduated from university when compared to the patients who graduated from primary school (p=0.029). Conclusion: It was found that PPQNC scores were high and patient’s satisfaction levels with the nursing care they received were good

An investigation of patients’ perceptions of nursing care: case of intensive care.

Introduction: Intensive care units are different from other hospital areas due to the nature of patients and illnesses, treatment methods, and physical and emotional environment. This difference can also create differences in nursing care and patients’ perceptions of this care. The present study aims to identify intensive care patients’ perceptions of nursing care. Method: Target population of this descriptive and cross sectional study was all patients who were in the intensive care units of five hospitals (1 research hospital, 1 training hospital, 3 state hospitals) with different status in Adana/Turkey. The participants were 368 patients who met the research criteria. The data were collected through “Personal Information Form” and “Patient Perception of the Quality of Nursing Care (PPQNC)” which identified patients’ perceptions of nursing care. Results: The participants were 368 patients, 148 (40.2%) female and 220 (59.8%) male, the average age of the participants was 56.9±15.7. The median of the PPQNC total score was found 73 (70.56±6.80). There was a statistically significant relationship between PPQNC scores and the hospitals where the study was conducted (p=0.016). Mean rank values were higher in married patients when compared to single patients (p=0.031), in patients with income higher than expenses when compared to patients with income less than expenses (p=0.013) and with income equal to expenses (p=0.017), in illiterate patients when compared to the patients who graduated from primary school (p=0.023) and high school (p=0.040), and in patients who graduated from university when compared to the patients who graduated from primary school (p=0.029). Conclusion: It was found that PPQNC scores were high and patient’s satisfaction levels with the nursing care they received were good

1990 sonrası Türkiye’de sokak hayvanları için atılan adımlar ve etkileri

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2015.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by Özer, Abdürrahim

Gastrostomy in hospitalized patients with acute stroke: "NoroTek" Turkey point prevalence study subgroup analysis

Objective: Nutritional status assessment, dysphagia evaluation and enteral feeding decision are important determinants of prognosis in acute neurovascular diseases. Materials and Methods: NöroTek is a point prevalence study conducted with the participation of 87 hospitals spread across all health sub regions of Turkey conducted on 10-May-2018 (World Stroke Awareness Day). A total of 972 hospitalized neurovascular patients [female: 53%, age: 69±14; acute ischemic stroke in 845; intracerebral hematoma (ICH) in 119 and post-resuscitation encephalopathy (PRE) in 8] with complete data were included in this sub-study. Results: Gastrostomy was inserted in 10.7% of the patients with ischemic stroke, 10.1% of the patients with ICH and in 50% of the patients with PRE. Independent predictors of percutaneous endoscopic gastrostomy (PEG) administration were The National Institutes of Health Stroke Scale score at admission [exp (β): 1.09 95% confidence interval (CI): 1.05-1.14, per point] in ischemic stroke; and mechanical ventilation in ischemic [exp (β): 6.18 (95% CI: 3.16-12.09)] and hemorrhagic strokes [exp (β): 26.48 (95% CI: 1.36-515.8)]. PEG was found to be a significant negative indicator of favorable (modified Rankin’s scale score 0-2) functional outcome [exp (β): 0.032 (95% CI: 0.004-0.251)] but not of in-hospital mortality [exp (β): 1.731 (95% CI: 0.785-3.829)]. Nutritional and swallowing assessments were performed in approximately two-thirds of patients. Of the nutritional assessments 69% and 76% of dysphagia assessments were completed within the first 2 days. Tube feeding was performed in 39% of the patients. In 83.5% of them, tube was inserted in the first 2 days; 28% of the patients with feeding tube had PEG later. Conclusion: The NöroTek study provided the first reliable and large-scale data on key quality metrics of nutrition practice in acute stroke in Turkey. In terms of being economical and accurate it makes sense to use the point prevalence method.Amaç: Akut nörovasküler hastalıklarda nütrisyonel durum ve disfaji değerlendirmesi ve enteral beslenme kararı önemli prognoz belirleyicilerindendir. Gereç ve Yöntem: NöroTek, 10 Mayıs 2018’de (Dünya İnme Farkındalık Günü) Türkiye’nin tüm sağlık alt bölgelerine yayılmış 87 hastanenin katılımıyla gerçekleştirilen bir nokta prevalans çalışmasıdır. Hastanede yatan ve bu alt çalışma için toplanan verisi tam olan toplam 972 nörovasküler hasta (kadın: %53, yaş: 69±14 yıl; 845’i akut iskemik inme; 119’u intraserebral hematom ve 8’i post-resüsitasyon ensefalopatisi) analiz edildi. Bulgular: Gastrostomi iskemik inmeli hastaların %10,7, intraserebral kanamalıların %10,1 ve post-resusitasyon ensefalopatisi olanların %50’sine uygulanmıştır. Perkütan endoskopik gastrostomi (PEG) gereksiniminin bağımsız belirleyicileri, iskemik inme grubunda kabul NIHSS [exp (β): 1,09, %95 güven aralığı (GA): 1,05-1,14, puan başına] ile hem iskemik hem de hemorajik inmelerde mekanik ventilasyon uygulanmış olmasıdır [iskemik için: exp (β): 6,18, %95 GA: 3,16- 12,09] ve hemorajik inme için: [exp (β): 26,48, 95% GA: 1,36-515,8]. İnme olgularında PEG uygulaması hastane içi mortalite için bağımsız belirleyici değildi [exp (β): 1,731, 95% GA: 0,785-3,829]. Ancak, PEG uygulanmış olması taburculuk esnasında iyi prognoza (modifiye Rankin skoru 0-2) sahip olabilme için anlamlı bir negatif etmen olarak bulundu [exp (β): 0,032, %95 GA: 0,004-0,251]. Hastanede yatan nörovasküler hastaların yaklaşık üçte ikisinde malnütrisyon ve yutma bozukluğu açısından değerlendirme yapılmıştı. Nutrisyonel status değerlendirmesinin %69’u ve disfaji değerlendirmesinin %76’sı ilk 48 saat içinde gerçekleştirilmişti. Tüple enteral nütrisyon uygulama oranı %39’du. Beslenme tüplerinin %83,5’i ilk 2 gün içinde yerleştirilirken beslenme tüpü olan hastaların %28’ine daha sonra PEG açılmıştı. Sonuç: NöroTek çalışması ile Türkiye’de hastanede yatan akut inme hastalarında nutrisyonel uygulamaların temel kalite ölçütlerine ilişkin ilk güvenilir ve büyük ölçekli veri sağlanmıştır. Ekonomik olması ve doğruluğu açısından nokta yaygınlık yönteminin bu tip verilerin temini için daha fazla kullanılması mantıklıdır