Browsing by Author "Bayram Değer, Vasfiye"

Now showing 1 - 12 of 12

ADÖLESAN DÖNEMDE ÜREME SAĞLIĞI, CİNSELLİK VE CİNSEL EĞİTİMİN ÖNEMİ
(Turkish Studies (Elektronik), 2018) Bayram Değer, Vasfiye; Balcı, Elçin
Dünyadaki tüm kültürel, sosyal, ekonomik ve politik yapılanmalarda, gençlerin ÜS/CS (üreme sağlığı ve cinsel sağlık) gereksinimleri sağlıklı büyüme ve gelişmenin bir parçası olarak kabul edilmektedir. Gençlerin ÜS/CS gereksinimleri, sorun ve hakları özelikle son 25 yılda gündemdedir ve karşılan(a)mayan üreme sağlığı gereksinimleri dünyada ve ülkemizde önemli halk sağlığı sorunları arasındadır. Karşılan(a)mayan üreme sağlığı gereksinimleri istenmeyen gebelikler, ergenlik dönemi gebelikleri, sağlıksız düşükler ve cinsel yolla bulaşan enfeksiyonlar (CYBE) ile sonuçlanmaktadır. Bu sağlık sorunlarının bedeli kimi kez çok ağır ödenmektedir. Bu risklerden korunmak sadece doğru bilgi ve olumlu davranışlarla mümkündür. Bunun en etkili, ucuz ve ulaşılır yolu ise ÜS/CS eğitiminin örgün eğitim içerisinde verilmesidir. Adölesanların yaşamı bilinçli seçeneklerle düzenleyebilmeleri için seçim yapma özgürlüğünü kullanabilmesi, yaptığı seçimlerin sorumluluğunu alabilmesi, cinselliğe karşı olumlu bir tutum içinde cinsel kimliklerinden hoşnut, bedenlerinin ve duygularının bilincinde erişkinler olabilmeleri cinsel sağlık eğitiminin başlıca amacıdır. Sosyal iletişim deneyiminin yetersizliği, kendi bedenleri hakkında ve nereden yardım alacakları konusunda bilgisizlik sıklıkla genç insanların gereksinimleri olan doğru hizmete ulaşmalarını sınırlamaktadır. Ayrıca özellikle ülkemizde sağlık olanakları gençler için ÜS/CS bilgisi/danışmanlığı ve hizmet sunumu yönünden çoğunlukla yetersiz kalmaktadır. Örgün eğitim programı içerisinde ÜS/CS ile ilgili konulara çok az değinilmektedir. Medyanın, gençlerin kendi cinsellikleri hakkında bilinçli karar vermelerini sağlayabilecek bir bilgi kaynağı olması bir seçenek iken, zaman zaman yanlış bilgiler vererek, olumsuz etkilere neden olabilmektedir. Çoğu aile geleneksel değerler nedeniyle cinsel konularda çocukları ile konuşmaya açık değillerdir ve çocukların ergenlik döneminde yaşadıkları sıkıntılar aileler tarafından göz ardı edilebilmektedir. Bu nedenlerle adölesan yaş grubuna verilen cinsellik hakkındaki eğitim programlarının yaygınlaştırılması gerekmektedir.
Common and atypical otorhinolaryngological findings of Covid-19
(Cukurova Medical Journal, 2021) Sarı, Neslihan; Arslan, Nurgül; Bayram Değer, Vasfiye
Purpose: Several atypical presentations of COVID-19 like anosmia, conjuctivitis, and gastrointestinal findings are seen in the literature. The purpose of this study was to investigate the common and atypical symptoms of COVID-19 among the patients admitted to the otorhinolaryngology (ENT) outpatient clinic. Materials and Methods: This case series was conducted with 49 patients who applied to hospital between April 1, 2020 and April 30, 2020. Common and atypical otolaryngological findings were recorded. Sociodemographic findings and blood parameters were also evaluated. Results: Of the patients, 59.18% were aged 40 and over, 46.94% were of the A blood group, 55.10% were male and 24.49% were smokers, 51.02% had a chronic disease. Among typical symptoms; fever (71.43%), a dry cough (46.94%), shortness of breath (42.86%) was seen. Diarrhea (48.98%), runny nose (51.02%), nasal congestion (42.85%), sore throat (22.44%), headaches (32.65%), 18.36% olfactory disorder, 26.53% gustatory disturbance were noted. Olfactory and gustatory disturbances are found to be related to good prognosis and mild clinical course. The difference between Hg and D–dimer levels of the female and male patients were found to be statistically significant. The D-dimer levels determined in the present study were higher than those reported in the literature. Conclusion: While COVID-19 present with common symptoms, sometimes atypical symptoms can be the only finding during initial application to the hospital. Olfactory and gustatory disturbances point to the effects of COVID-19 on neurons. Neuronal effects like olfactory and gustatory disturbances should be closely monitored in COVID-19 patients in long term.
Discrimination Based on Sexual Orientation “Homophobia in Healthcare Employees”: a Cross-Sectional Study
(Springer, 2024) Bayram Değer, Vasfiye; Kaçan, Havva
Introduction: The study was conducted to examine the attitudes of healthcare employees toward homosexuals and the factors affecting them, while homophobic thoughts and behaviors are based on heteronormative cultural beliefs and gender stereotypes. Methods: This study was planned as a cross-sectional and completed with 720 healthcare employees. The Demographic Information Form and Hudson and Ricketts Homophobia Scale were used in the study. Data were collected between January 06 and January 10, 2022. Results: The mean homophobia total score of the employees was determined as 97,503 ± 25,807. Homophobia levels of male healthcare employees, those who thought homosexuality is a disease, and those who stated that homosexuality can be caused by taking an example had increasing homophobia levels. The level of homophobia decreases in the presence of homosexual friends, those who can talk freely about homosexuality, and healthcare employees who support same-sex marriage. Conclusions: Recognition of individuals with different sexual orientations by healthcare employees will reduce homophobic attitudes toward these individuals. Examining the level of homophobia in healthcare institutions and ensuring that discriminatory attitudes or behaviors toward individuals from different sexual orientations are determined to be effective on the quality of healthcare and access to healthcare services. Policy Implications: There is a healthcare system in which patients are generally assumed to be heterosexual; healthcare employees are not prepared to work with Lesbian, Gay, Bisexual, and Transsexual patients in general. Studies conducted on this subject indicate that more studies are needed on the subject to implement a healthcare policy focusing on sexual diversity in healthcare services and to discuss healthcare practices for the Lesbian, Gay, Bisexual, and Transsexual population.
Editorial: Anxiety, burnout, and stress among healthcare professionals
(Frontiers, 2023) Bayram Değer, Vasfiye
The technology, informatics and social fields are experiencing continuous changes and developments day by day. Such changes and developments influence human life and expand the fields of research. One of these fields is the world of work life. Work life is an area where people spend a significant part of their lives by spending time and effort. The willingness of employees to make quality use of their time and labor significantly affects the efficiency obtained as a result of their work (Burton, 2010). The nature of the work requirements and the quantity of communication with other people in the workplace create challenging situations for employees. In this context, when it comes to health in work life, health workers are seen as an important sample group in terms of researching variables in work life, since their field requires qualified labor force, is vital and is a profession that constantly involves face-to-face interaction with people. The health sector is one of the sectors where employees have the most difficulties due to various factors. The health sector differs from other working environments due to the difficulty of serving patients with severe stress and the fact that employees in this sector often face stressful situations in their daily working environment.
Effect of individual psychoeducation for primary caregivers of children with autism on internalized stigma and care burden: a randomized controlled trial
(Taylor & Francis Online, 2023) Kaçan, Havva; Gümüş, Funda; Bayram Değer, Vasfiye
This study aims to determine the effects of a six-week individual psychoeducation program provided to primary caregivers of children with autism on stigma and care burden. The study was conducted with 88 primary caregivers (experimental group n ¼ 45, control group n ¼ 43) of children diagnosed with autism. The study, prepared in an experimental design with a pretest, posttest, and control group, was performed between 17 June 2021 and 17 January 2022. In the study, a six-week individual psychoeducation was given to the experimental group. Study data were collected using a personal information form, the Internalized Stigma of Parents in Mental Illness Scale (ISPMIS), and the Caregiver Burden Scale (CBS).The mean pretest ISPMIS total score of the experimental group was X ¼105.756 and the posttest total score after the psychoeducation was X¼66.489,which was a significant decrease (t ¼ 25.571; p < 0.05). The mean CBS pretest total score of the experimental group was X¼61.067 and the posttest total score was X¼31.667, which was a significant decrease (t ¼ 17.499;p < 0.05). The study revealed that the six-week individual psycho education provided to primary caregivers of children with autism decreased the participants’ internalized stigma and perceived care burden.
Evaluation of the organizational innovation and self-efficiency levels of health workers
(Acta Scientiarum. Health Sciences, 2023) Bayram Değer, Vasfiye; Vural Doğru, Birgül; Arslan, Nurgül
The aim of this study was determine whether the personal features of the participants create a difference in terms of organizational innovation. This study was conducted with 1234 nurses and midwives. A multiple regression model was created to see and predict the effect on individuals' total innovative scores and self-efficacy scores. The total innovative and the self-efficacy score are predicted with multiple regression analyses. It was observed that the variable that most affected both the total innovative score and the self-efficacy score of the individuals was the education level of the individuals. The fact that midwives and nurses have a certain level of innovative and self-confidence is important for the society to receive better and faster health services. In this study, it was observed that the education level was important for the development of innovative and self-confidence in both groups.
Health literacy, health perception and related factors among different ethnic groups: a cross-sectional study in southeastern Turkey
(BMC Health, 2021) Yiğitalp, Gülhan; Bayram Değer, Vasfiye; Çifçi, Sema
Background: Low levels of health literacy are associated with increased hospitalization rates, problems regarding the proper intake of medications, poor general health and increased mortality rates. It is a well-known fact that health literacy differs among ethnic groups and ethnic minorities, in particular, are known to have a low level of health literacy. The present study aimed to reveal the levels of health literacy among different ethnic groups and the affecting factors as well as the relationship between health literacy and health perceptions. Methods: This cross-sectional study was carried out with different ethnic groups (Kurdish, Arab, Turkish and Assyrian origin), between 18 and 65 years old in the province of Mardin in Turkey. The study was conducted with a total of 600 people. The European Health Literacy Scale-Turkish Adaptation (EHLS-TR) and Health Perception Scale (HPS) were used for measurement. Descriptive analysis, Mann Whitney U Test, Kruskal Wallis Test and Spearman correlation were used in the data analysis. Results: It was found that 80.7% of the participants had relatively low levels of health literacy. The lowest levels of health literacy were among those of Kurdish origin. There were correlations between sufficient levels of health literacy and several factors including being of Assyrian origin, being 50–65 years old, living in a nuclear family, being a secondary school graduate, having a high financial status, being retired, evaluating one’s own health status as good, obtaining health information from healthcare professionals, preferring to visit a state hospital to seek medical assistance first, smoking and drinking alcohol. A positive correlation was also identified between the levels of health literacy and health perception. Conclusions: It is essential to develop programs to increase health literacy for the public and, in particular, for the ethnic groups that are disadvantaged in many aspects in the context of health literacy.
The intercultural sensitivity levels of primary health care workers in a city in Eastern Turkey
(Journal of the Pakistan Medical Association, 2021) Çifçi, Sema; Bayram Değer, Vasfiye
Objective: To assess intercultural sensitivity levels and related factors of primary healthcare workers providing care to a variety of socio-ethnic groups. Methods: The descriptive cross-sectional study was conducted from March 1, 2019, to February 1, 2020, in the city of Mardin, Turkey, and comprised primary healthcare workers. Data was collected using a questionnaire about socio-demographic characteristics and the Turkish version of the Intercultural Sensitivity Scale. Data was analysed using SPSS 24 software version. Results: Of the 150 subjects approached, 131(87.3%) volunteered to participate. Of them, 80(61%) were females and 51(39%) were males. The largest age group was 25-34 years having 77(59%) subjects. The total mean score of the intercultural sensitivity scale was 73.30±16.7. There was a strong relationship between the subscales of 'Responsibility and Interaction Attentiveness' and 'Respect for Cultural Differences' (p<0.01). Significant difference was found between the sensitivity levels and the job titles of the participants, their status of friendship in different countries, the opportunity to be with people in other cultures for any reason, the status of willingness to work in different cultures and their intercultural sensitivity scale scores (p<0.05). Conclusions: The level of cultural sensitivity of the healthcare professionals was overall moderate. © 2021 Pakistan Medical Association. All rights reserved.
Knowledge of Tuberculosis Among Health Higher School Students'
(DERMAN MEDICAL PUBL, 2015) Bayram Değer, Vasfiye; Inanc, Betul Battaloglu; Cifci, Sema
Aim: Aimed to determine students' tuberculosis (tbc) knowledge level and effectiveness of education. Material and Method: A questionnaire form which consisting of 10 questions was applied to Mardin Artuklu University Health School students in 18-19 April 2013 to determine their level of knowledge before and after a two-day training for tuberculosis. Results: 196 students' data were included. After training, most common right answers rate were initially 22.4% whose vaccinated necessary, 13.7% whose control after tbc patient close contact and 13.3% what was the tbc illness agent were learned by students. After training, the way of diagnosis to patient was remained basically same, right answers rate decreased 1.5% which organs influence with tbc, 0.5% increased right answer rate for risk of spread tbc but remained lowest among the other right answers. Tbc disease agent is a bacteria, smudge with airway is agreed by the students' (p= 0.0001). Whose risk of developing tbc and how was treat patients was learned increasingly by students after training (p= 0.0001). Before training, awareness of the spread of tbc to lung, lymph node and brain membrane was known and was found significantly (p= 0.0001). After training, vaccination of infants (p< 0.001), and most common symptom of pulmonary tuberculosis (p= 0.0001) is shown statistically significant. After training was thought to diagnosed tbc with skin test was statistically significant (p < 0.001). Training was not change student's knowledge and approach this two points; whose control was necessary with tbc close contact persons' (p= 0.065) and what was the directly observed treatment (p= 0.058). Discussion: Although, our students' knowledge about tuberculosis is enough but continuing education programs, and updating of information must provide.
Knowlodge of tuberculosis among health higher school students
(2015) Bayram Değer, Vasfiye; Battaloğlu İnanç, Betül; Çifçi, Semra
Amaç: Öğrencilerin, tüberküloz (tbc) bilgi düzeyinin belirlenmesi ve verilen eğitimin etkinliğinin tespit edilmesi amaçlanmıştır. Gereç ve Yöntem: Mardin Artuklu Üniversitesi Sağlık Yüksekokulu’ndaki 420 öğrenciye, 18-19 Nisan 2013’ te iki günlük tbc eğitimi öncesi ve sonrası bilgi düzeylerini belirlemeye yönelik 10 sorudan oluşan anket uygulandı. Bulgular: 196 öğrencinin bilgileri değerlendirmeye alındı. Eğitim sonrası doğru yanıtlama oranı en sık %22,4’lük artış ile aşılamanın kimlere yapılması gerekliliğinin, %13,7 ile tbc temaslısı olarak, kontrol edilmesi gerekenlerin ve %13,3 ile tbc etkeninin öğrenildiği gözlendi. Tanı koyma yolu, eğitim sonrası aynı seyretmekte, hangi organlarda görülebileceğinin doğruluğu %1,5 oranında azalmış, tbc’a yakalanmaktaki risk artışı % 0,5 düzeyinde artmış, ancak diğer cevaplara göre düşük kalmıştır. Öğrencilerin eğitim öncesi ve sonrası ankete verdikleri cevaplarda, tbc hastalık etkeninin bakteri olduğu, bulaş şeklinin hava yolu ile olduğu önemli derecede anlaşılmıştır (p=0,0001). Tbc’a yakalanma riski olanlar ve tedavilerinin nasıl yapıldığının öğrenilmesi eğitim sonrası artarak an- lamlılık göstermektedir (p=0,0001). Tbc’un akciğer, lenf bezi ve beyin zarını tutacağının bilinci, eğitim öncesinde daha anlamlı bulunmuştur (p=0,0001). Bebeklerin aşılanması (p<0,001) ve akciğer tbc’unun görülen en sık bulgusu (p=0,0001) eğitim sonrası anlaşılarak istatistiksel farklılık göstermektedir. Tbc eğitimi sonrası tüberkülin testi ile tanı koyulabileceğinin düşünülmesi anlamlıdır (p<0,001). Eğitim, tbc hastası ile temasta olan, hangi kişilerin kontrol edilmesi gerektiği (p=0,065) ve doğrudan gözetimli tedavinin ne olduğunun anlaşılması noktalarında (p=0,058), öğrencilerin bilgi ve tutumlarında değişiklik oluşturamamıştır. Tartışma: Öğrencilerin, tbc hakkında bilgileri yeterli düzeyde olmakla birlikte, sürekli eğitim programları ile gereksinimlerinin karşılanması ve bilgilerinin güncellenmesi sağlanmalıdır.
Outcomes of genital hygiene and anxiety training for mothers of girls with profound intellectual disabilities: A randomized controlled experiment
(Taylor & Francis Online, 2022) Kaçan, Havva; Bayram Değer, Vasfiye; Sakız, Halis
Female children with profound intellectual disabilities (IDs) may experience symptoms of urinary tract infections (UTIs) and depend on others’ care. However, their caregivers may lack general hygiene skills and experience heightened anxiety when their care is expected. This study reports outcome of a training that aims to enhance genital hygiene skills and decrease anxiety levels of mothers of girls diagnosed with profound ID. The study was conducted in a city located in Turkey in 2020. It was designed with a randomized controlled experimental approach based on a pre-test and post-test model with experimental and control groups. The sample consisted of 66 mothers of girls who were diagnosed with profound ID, did not have UTI but were at high risk of developing it. A 6-week program with 24 sessions was implemented. After the training, mothers in the experimental group changed the sanitary pad and the underwear during menstruation and gave their daughters a bath more frequently; had a higher knowledge of recognizing and preventing UTI symptoms and cleaning of the perineum area; and had significantly lower levels of anxiety. A carefully designed simulator-based training can enhance the knowledge and skills of mothers to recognize the UTI symptoms, apply their knowledge to prevent the symptoms and implement genital hygiene practices, which in turn have a positive effect on reducing their level of anxiety.
The Social Significance of Vaccination and Infodemia in the Context of COVID-19
(STED/Sürekli Tıp Eğitimi Dergisi, 2022) Bayram Değer, Vasfiye
The most important preventive health services for the individuals, one of the fundamental steps in protection and promotion of public health, is immunization. Vaccination has many benefits for both public health and socioeconomic aspects. Vaccines rank at the top of the most important breakthroughs in public health in the twentieth century. Currently, humanity is afflicted with a new pandemic. Today, humanity is in trouble with a new pandemic. There is no medication known to cure COVID-19 completely. It is currently treated symptomatically. Besides the social struggle such as social isolation, hygiene, mask, distancing, our sole weapon is vaccination and herd immunity. In countries succeeding in vaccinating against Covid-19 in the world, the rates of infection, need for intensive care and hospitalization and death toll are decreased with increases in vaccination rates above a certain level. However, recently, anti-vaccine attitudes, discourses and behaviors have started to constitute the agenda. It is vital to be vaccinated to protect the population from vaccine-preventable infectious diseases. Therefore, vaccine hesitancy, anti-vaccine and infodemic must be combated.