Sağlık ve Bakım Hizmetleri Bölümü Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12514/160
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Browsing Sağlık ve Bakım Hizmetleri Bölümü Koleksiyonu by Author "Vural Doğru, Birgül"
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Article The Effect of Reiki on Anxiety, Stress, and Comfort Levels Before Gastrointestinal Endoscopy: A Randomized Sham-Controlled Trial(ScienceDirect, 2022) Utli, Hediye; Vural Doğru, BirgülPurpose: This study’s aim is to determine the effect of Reiki when applied before upper gastrointestinal endoscopy on levels of anxiety, stress, and comfort. Design: This single-blind, a pretest and post-test design, randomized, sham-controlled study was held between February and July 2021. Methods: Patients who met the inclusion criteria were separated by randomization into three groups: Reiki, sham Reiki, and control. A total of 159 patients participated in the study. In the intervention groups (Reiki and sham Reiki), Reiki and sham Reiki were applied once for approximately 20 to 25 minutes before gastrointestinal endoscopy. Findings: When the Reiki group was compared to the sham Reiki and control groups following the intervention, the decrease in the levels of patient stress (P < .001) and anxiety (P < .001) and the increase in patient comfort (P < .001) were found to be statistically significant. Conclusions: Reiki applied to patients before upper gastrointestinal endoscopy was effective in reducing stress and anxiety and in increasing comfort.Article The effect of the COVID-19 pandemic on self-management in patients with type 2 diabetics(Elsevier, 2021) Utli, Hediye; Vural Doğru, BirgülAims: The research was conducted with the aim of determining the effect of the COVID-19 pandemic on levels of self-management in individuals with type 2 diabetes. Methods: This cross-sectional descriptive type of study was conducted between 21 December 2020 and 1 April 2021. It was performed with 378 individuals with type 2 diabetes attending the endocrinology clinic and outpatients' department of a government hospital who agreed to participate in the research. In the collection of data, a Patient Identification Form, Visual Analog Scales (an Anxiety VAS and a Stress VAS), and the Diabetes Self-Management Questionnaire (DSMQ) were used. The Wilcoxon test, Independent Sample t test, One-Way Anova and binary logistic regression were used in the analysis of data. Results: The Diabetes Self-Management Questionnaire (DSMQ) total mean score of the individuals with type 2 diabetes participating in the study during the COVID-19 pandemic was 5.25 ± 1.04. Their anxiety total mean score was 0.32 ± 1.56, and their total mean stress score was 7.06 ± 1.62. Being male, over the age of 65, married and having a diagnosis of diabetes for 6-11 years, increased smoking, the COVID-19 pandemic, reduced physical activity (not walking) and support obtained from health professionals, and increased anxiety and stress levels were found to be risk factors affecting diabetic self-management. Conclusions: The findings show that the COVID-19 pandemic has had a negative effect on the self-management levels of individuals with type 2 diabetes.Article Multi-Faceted Evaluation of Psychosocial Function of Elderly Subjects(Cyprus Journal of Medical Sciences, 2022) Vural Doğru, Birgül; Utli, HediyeBACKGROUND/AIMS: With aging, physical, psychological and social changes occur and individuals lose their independence and become semi-or full dependent. Accordingly, physical, psycho-social problems can be seen in the older people and their functionality decreases. For this reason, the study was carried out for the purpose of multidimensional evaluation of cognitive and psycho-social functions of older people. MATERIALS and METHODS: The study was conducted between April 2018 and November 2018. This descriptive and cross-sectional study was performed in two different family health centers in Mardin province. The research was completed with a total of 200 older people who agreed to participate in the study. The data were collected using “Patients Information Form”, “Katz Index of Independence in Activities of Daily Living (Katz ADL)” and “Multidimensional Observation Scale for Elderly Persons (MOSES)”. The number, percent, mean, Mann-Whitney U, Kruskal-Wallis test and Spearman correlation analysis were used in the data analysis. RESULTS: The mean age of participants was 70.03±8.48 years. 54.2% of older people were female and 45.8% were male. The mean score of Multidimensional Observation Scale for Elderly Persons was 24.36±22.38. The mean score of the Katz Index of Independence in Activities of Daily Living was 16.32±3.14. There was a weak positive correlation between age and Multidimensional Observation Scale for Elderly Persons (p<0.001, r=0.43), and a moderate negative correlation was found between Katz Index of Independence in Activities of Daily Living and MOSES (p<0.001, r=-0.56). CONCLUSIONS: This study revealed that older people had high functional and independence levels, and this is due to the fact that older people who come to family health care centers form a sample group. However, multidisciplinary studies periodically are needed to evaluate the cognitive, psychological and social functioning of older people living at home.