Psychosocial Rehabilitation Programs Applied to Patients with Schizophrenia by Psychiatric Nurses: Systematic Review

The purpose of this review is to review the studies related to psychosocial rehabilitation programs applied by psychiatric nurses to patients diagnosed with schizophrenia. The study was conducted on the Turkish Psychiatric Index (1) and Pubmed (7) databases between 15-31 May 2019 and 8 quantitative studies published between 2008-2019. The 27-item PRISMA Statement was used to evaluate the reporting characteristics. In this review which was written as a result of systematic screening, findings/results of 8 articles were presented as tables. In published studies, psychosocial rehabilitation programs which applied by psychiatric nurses to patients with schizophrenia; it was determined that there were trainings aimed at improving emotional expression, information technology programs including emotional recognition, psychoeducation programs after discharge, Auditory Hallucinatory symptom management program, music therapy and home visits. Also in the studies; with these psychosocial rehabilitation programs, it was determined that patients had many positive effects such as increase in social-cognitive functionality, quality of life and adherence, decrease in hospital stay and relapse, coping with Auditory Hallucinations, and improvement in emotional recognition. In the studies, it was found that there are limited number of studies conducted by psychiatric nurses in the psychosocial rehabilitation of the patient with schizophrenia and it is necessary to evaluate the results of the interventions performed by psychiatric nurses in this field

Determining the relationship between Q angle and foot plantar pressure

Amaç: Çalışmamızın amacı Q açısı, taban altı basınç değerleri, naviküler kemik düşme testi, kalkaneo-tibial açı ve femoral anteversiyon açısı arasındaki ilişkiyi incelemektir. Yöntem: Çalışmaya yaş ortalamaları 22,3±2.53 yıl olan sağlıklı 64 kişi (33 erkek, 31 kadın) dahil edildi. Katılımcılar Dokuz Eylül Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu Denge ve Yürüme Analizi Laboratuarı?nda değerlendirmelere alındı. Antropometrik değerlendirmeler için kalkaneo-tibial açı, Q açısı, naviküler kemik düşme testi ve femoral anteversiyon açısı kullanıldı. Dinamik plantar basınç değerlendirmesi için EMED-m (Novel gmbh, Almanya) kullanıldı. Bulgular: Katılımcıların ortalama Q açısı değerleri ayakta 110±3.98, sırtüstü yatışta ise 120±3.64 olarak bulunmuştur. Cinsiyetler arası Q açısı farkı anlamlı çıkmamıştır (p=0.697). Q açısının 1. Metatars ve parmak, 2. Metatars ve parmak, 5. Metatars ve parmak, total ayak ve orta ayak maksimum kuvvetlerini, tepe basınçlarını, basınç-zaman integrallerini ve kuvvet zaman integrallerini anlamlı olarak değiştirdiği bulunmuştur. Sonuç: Q açısının ölçülmesi ölçüm tekniği nedeni ile düşük hassasiyet ve iç tutarlılık seviyelerine sahip olmasına rağmen farklı klinik durumlarda ayak altındaki potansiyel risklerin öngörülebilmesi açısından önemli bir kinematik veri olduğunu düşünmekteyiz. Yine de Q açısı ölçüm tekniklerinin standardizasyonu ve klinik problemlerde nasıl yorumlanacağı konularında ileri araştırmalar gerekmektedir. Objective: The aim of this study was to determine relationship between Q angle, foot plantar pressure, navicular drop test, calcaneo-tibial angle and femoral anteversion angle. Method: 64 healthy participants with an average age of 22,3±2.53 (33 male, 31 female) were included in the study. Evaluation were conducted at Dokuz Eylul University School of Physical Therapy and Rehabilitation Balance and Gait Analysis Laboratory. Calcaneo-tibial angle, navicular drop test, femoral anteversion angle, Q angle were measured as for anthropometric EMED-m (Novel gmbh, Almanya) was used for dynamic foot plantar pressure measurements. Results: The average Q angle values in standing and supine positions were 11± 3.980 and 12±3.640, respectively. There was no significant difference in Q angles between male and female participants (p=0.697). Stepwise-backward regression analysis showed that Q angle values contributed to peak pressures, maximum forces, force-time integrals and pressure-time integrals of 1st toe and metatars, 2nd toe and metatars, 5th toe and metatars, midfoot and total foot. Conclusion: Although Q angle measurement has low sensitivity and reliability levels due to measurement technique, we think it may be considered as an important kinematic data to predict potential risks under the foot in various clinical conditions. Still, standardization of Q angle measurements and how it is interpreted in clinical problems may require further research

AGGRESSION POTENTIAL AND EFFECTED FACTORS IN A GROUP OF PSYCHIATRY INPATIENTS

Amaç: Bu araştırma psikiyatri kliniğinde yatan bir grup hastada saldırganlık potansiyeli ve etkileyen bazı etkenlerin belirlenmesi amacıyla tanımlayıcı olarak yapıldı. Yöntem: Çalışma bir üniversite hastanesinin psikiyatri kliniğinde Haziran 2010-Mayıs 2011 tarihleri arasında klinikte yatarak tedavi gören 157 hasta üzerinde gerçekleştirildi. Çalışmanın verileri araştırmacılar tarafından ilgili literatür doğrultusunda hazırlanan “Bilgi Formu” ve “Saldırganlık Ölçeği” ile toplandı. Veriler, bilgisayar ortamında SPSS 16.0 paket programı ile değerlendirildi. Verilerin değerlendirilmesinde sayı-yüzde dağılımları, ortalama ve standart sapma değerleri, Mann-Whitney U tesi ve Kruskal Wallis testi kullanıldı. Bulgular: Çalışmadan elde edilen bulgulara göre, hastaların yaş ortalaması 32.49±10.20 olup %59.2’si erkek, %45.9’u ilköğretim mezunu, %51’i bekar, %67.5’i çekirdek ailede yaşamakta ve %23.6’sı çalışmaktadır. Hastalık özellikleri incelendiğinde, hastaların %26.8’nin depresyon ve intihar girişimi, %25.5’nin bipolar bozukluk, %21.7’sinin şizofreni hastası olduğu; ortalama 3.17±3.63 kez hastaneye yatarak tedavi gördükleri ve ortalama 6.02±5.63 yıldır hasta oldukları saptandı. Hastaların Saldırganlık Ölçeği toplam puanının 78.15±25.92 olduğu ve %58.6’sının saldırganlık potansiyelinin “çok yüksek” olduğu bulundu. Hastaların şiddet görme öyküsü, son bir yıl içinde kayıp yaşama durumu, geçmişte saldırganlık öyküsü, yasalarla sorun yaşama ve ceza alma durumu saldırganlık potansiyelini artıran etkenler olarak belirlendi. Tartışma: Hastaların! yarıdan! fazlasının! çok! yüksek! düzeyde! saldırganlık! potansiyeli! taşıması,! üzerinde! düşünül9mesi! gereken!bir!sorundur.!Bu!durum!hastaların!kliniğe!kabul!edildikleri!ilk!andan!itibaren!tanılanmalarına!olan!gereksinimi! göstermesi!açısından!önemlidi

Determination of Antidepressant Drug Use Among Inpatients in Medical and Surgical Clinics

WOS: 000462818200001Objective: This cross-sectional study was performed to determine antidepressant drug use among inpatients in medical and surgical clinics. Methods: The study sample consisted of 478 inpatients from a state hospital, between December 1, 2015 and January 1, 2016. The information form was applied to the patients. Number and percentage distribution were used for data analysis. Results: Of the 478 patients, 34.5% had visited a psychiatrist once in their lifetime, 13.6% were diagnosed with depression, and 13.8% did not know the diagnosis of mental disease; 32.2% were suggested medication by their doctor, 16.7% did not know the name of this medication, and 13.2% stated that the suggested drug was antidepressant. Moreover, 24.9% of the patients were known to use antidepressant at least once in their lifetime, and 16.3% were still using antidepressants. Among patients using antidepressants, 32% continued using this drug upon doctor's recommendation and 13.6% continued with the diagnosis of depression. Conclusion: It might be concluded that one-fourth of the patients used antidepressant once in their lifetime; more than one-half of these patients were still using antidepressants, and most of them were using the drug upon doctor's recommendation without any knowledge about antidepressants

Determining the Relation Between the Burden of Caregivers for Individuals With Neurological Disease and Caregivers' Ways of Coping With Stress

ata, elvan emine/0000-0002-5920-8207WOS: 000415132200004Objectives: This analytical study was done to determine the relation between the burden of caregivers for individuals with neurological disease and caregivers' ways of coping with stress. Methods: This study was conducted in the neurology clinic of Giresun Professor Doctor A. Ilhan Ozdemir Public Hospital from October 1 to December 31, 2015. The sample of the study consists of 64 people who care for patients with neurological problems and who agreed to participate in the research. An information form, the Zarit Caregiver Burden Scale and the Stress Coping Styles Scale were administered to the participants. Results: The participants' mean caregiver burden score was 31.90 +/- 15.56. Their self-confident approach score was 2.41 +/- 0.54, their optimistic score approach was 2.42 +/- 0.59, and their helpless approach score was 1.49 +/- 0.63. Their yielding approach score was 1.64 +/- 0.49, and their social support seeking approach score was 1.79 +/- 0.66. Care giving burden was found to be higher for primary caregivers, for individuals who have another patient requiring care and for female caregivers (p<0.05). A significant negative relation was found between caregiver burden, self-confident approach and optimistic approach scores, while a positive moderate relation was found between helpless and yielding approach scores. Conclusion: Caregivers for patients with neurological problems use less self-confident and optimistic approaches and more helpless and yielding approaches as their caregiver burden increases. Female caregivers and caregivers having another patient who requires care have greater caregiving burden