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Öğe Determine symptoms experienced by the patients with advanced cancer and the factors affecting them(KARE PUBL, 2015) Ozcelik, Hanife; Guzel, Yasemin; Fadiloglu, Cicek; Aksoy, Fatma; Uslu, RuchanOBJECTIVES The objective of this study is to determine the symptom distributions of patients with advanced cancer as well as the factors affecting these symptoms. METHODS As a descriptive study, it was carried out in the palliative care and medical oncology clinics of a University located in Izmir between 2011-2012 and 164 cancer patients. Research data were obtained by using Edmonton Symptom Assessment Scale (ESAS) and Karnofsky Performance Scale (KPS). RESULTS 52.4% of the patients participating in the research were male. Total score of ESAS scale was 45.58 +/- 12.41. A relationship was found between the symptoms of pain and drowsiness and performance levels of the patients (p<0.05). It was determined that total score of ESAS scale was not affected by age, sex, education level and performance level (p>0.05). CONCLUSION It was determined that total symptom levels of patients were high, they experienced the pain and fatigue symptoms intensively.Öğe Determining the satisfaction levels of the family members of patients with advanced-stage cancer(CAMBRIDGE UNIV PRESS, 2015) Ozcelik, Hanife; Cakmak, Deniz Ezgi; Fadiloglu, Cicek; Yildirim, Yasemin; Uslu, RuchanObjective: The objective of our study was to determine the satisfaction levels of family members of patients with advanced-stage cancer. Method: This descriptive study was conducted in the palliative care and medical oncology clinics of a university hospital in the province of Izmir between April of 2011 and January of 2012. The study sample consisted of a total of 145 family members, who were selected from among the family members of patients with advanced-stage cancer receiving palliative treatment. The study data were obtained using the Patient Description Form and Family Satisfaction Scale during face-to-face interviews with patients. Results: Some 67% of patients were female and 33% male, 70% were married, 35% were high school graduates, and 34.5% were housewives. The average total family satisfaction score was 76.87 +/- 1.14, and the average scores for the component variables were as follows: information giving 74.37 +/- 1.28, availability of care 78.40 +/- 1.17, physical care 78.99 +/- 1.09, and psychosocial care 74.52 +/- 1.30. We found a relationship between the level of satisfaction of family members and (1) gender, (2) occupation, (3) presence of someone supporting the care, and (4) possession of sufficient information about the patient (p < 0.05). Significance of Results: Satisfaction levels of participants were determined to be high. We found that family member satisfaction levels were affected by gender and occupation, the existence of someone supporting the care, and possession of sufficient information about the patient.Öğe Examining the Effect of the Case Management Model on Patient Results in the Palliative Care of Patients With Cancer(SAGE PUBLICATIONS INC, 2014) Ozcelik, Hanife; Fadiloglu, Cicek; Karabulut, Bulent; Uyar, MeltemPurpose We aimed to investigate the improvement in symptoms, quality of life, patient and family satisfaction with care, and direct costs resulting from a palliative care program based case management model. Methods The research was implemented at the Medical Oncology Clinic hospital of a University between September 2009 and September 2011. The research sample consisted of a total of 44 patients (22 control and 22 intervention group). The research tools were the Edmonton Symptom Diagnosis System, the Karnofsky Performance Scale, the EORTCQLQ-C30 Quality of Life Scale, a patient and family satisfaction form, and a patient cost record form. Results The difference between total symptom mean scores and the sub-dimension symptoms of pain, fatigue, nausea, depression, anxiety, lack of appetite, lethargy, well-being, dyspnea, and constipation post-hospitalization and post-discharge of patients in the control and experimental groups were found to be statistically significant (p < 0.05). The level of decrease in symptom severity in the experimental group patients was more than in the control group (p < 0.000). The satisfaction level of patients and family in the palliative care based case management service was higher than that for conventional service in the control group (p < 0.05). No statistical difference was detected between the experimental and control groups regarding health costs and duration of hospitalization (p > 0.05). Conclusion We provided a better symptom control, improved the patient s quality of life (excluding physical and congnitive functions), and patient and family satisfaction levels were higher in the palliative care based case management intervention group, but direct health costs were not affected.Öğe NURSING STUDENTS' APPROACHES TOWARD EUTHANASIA(SAGE PUBLICATIONS INC, 2014) Ozcelik, Hanife; Tekir, Ozlem; Samancioglu, Sevgin; Fadiloglu, Cicek; Ozkara, ErdemBackground: In Turkey, which is a secular, democratic nation with a majority Muslim population, euthanasia is illegal and regarded as murder. Nurses and students can be faced with ethical dilemmas and a lack of a legal basis, with a conflict of religious beliefs and social and cultural values concerning euthanasia. The aim of this study was to investigate undergraduate nursing students' attitudes towards euthanasia. Method: The study, which had a descriptive design, was conducted with 600 students. The 1st, 2nd, 3rd, and 4th year nursing students at a school of nursing were contacted in May 2009, and 383 students (63.8% of the study population of a total of 600 students) gave informed consent. Two tools were used in accordance with questionnaire preparation rules. Results: The majority of students were female and single (96.9%), and their mean age was 21.3 +/- 1.5 years. A majority (78.9%) stated they had received no training course/education on the concept of euthanasia. Nearly one-third (32.4%) of the students were against euthanasia; 14.3% of the students in the study agreed that if their relatives had an irreversible, lethal condition, passive euthanasia could be performed. In addition, 24.8% of the students agreed that if they themselves had an irreversible, lethal condition, passive euthanasia could be performed. Less than half (42.5%) of the students thought that discussions about euthanasia could be useful. There was a significant relation between the study year and being against euthanasia (p < 0.05), the idea that euthanasia could be abused (p < 0.05), and the idea that euthanasia was unethical (p < 0.05). Conclusion: It was concluded that the lack of legal regulations, ethical considerations, religious beliefs, and work experience with dying patients affect nursing students' attitudes towards euthanasia.
