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Öğe Application of heat and a home exercise program for pain and function levels in patients with knee osteoarthritis: A randomized controlled trial(Wiley, 2019) Karadag, Songuel; Tasci, Sultan; Dogan, Nurhan; Demir, Hueseyin; Kilic, ZueleyhaAim This study aimed to determine the effect of application of superficial local heat and a home exercise program on pain and function levels to patients with bilateral knee osteoarthritis. Methods This study was conducted in Turkey between January 2014 and February 2015. The sample group of the study consisted of 62 patients with osteoarthritis; 15 assigned to heat application, 15 to exercise, 15 to exercise after heat application, and 17 for the control group. While the patients in the control group received routine treatment only, the patients in the intervention group were treated with heat application, exercise, or exercise after heat application, suggested for 5 days a week for 4 weeks in addition to routine treatment. Results In this study, all of the intervention groups had decreases in Visual Analogue Scale Pain and Western Ontario and McMaster Universities Osteoarthritis Index pain, stiffness, and function scores when compared with the control group. It was found that this decrease in Visual Analogue Scale Pain and Western Ontario and McMaster Universities Osteoarthritis Index scores was mostly in the exercise group, but this condition was not statistically significant. Conclusions As a result, it is recommended that nurses train patients with osteoarthritis on heat application and home exercises and encourage them to apply these practices.Öğe Health literacy and attitudes to holistic, complementary and alternative medicine in peritoneal dialysis patients: A descriptive study(Elsevier Science Inc, 2022) Uzdil, Nurcan; Kilic, ZueleyhaIntroduction: Chronic renal failure (CRF) patients use many complementary and alternative medicine (CAM) practices to manage their symptoms. This research was conducted descriptively to determine the relationship between the attitudes of peritoneal dialysis patients toward holistic CAM and their health literacy (HL) levels. Methods: The study was conducted with 91 peritoneal dialysis patients who were treated in the adult peritoneal dialysis unit of a university, who met the study inclusion criteria and who agreed to participate. Data were collected using a survey form, the Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ) and the Health Literacy Scale (HLS). Ethics committee approval, institutional permission and informed consent of the participants were obtained. Results: It was observed that 72.5% of peritoneal dialysis patients used CAM, and the mean HCAMQ score was 24.03 +/- 7.94. Moreover, 76.9% of the patients implementing CAM used herbal methods, with 92.3% prefering CAM to strengthen immunity. In addition, 63.6% patients did not inform healthcare personnel about their CAM use. In the present study, the mean HLS score of peritoneal dialysis patients was 102.88 +/- 21.06, and a statis-tically significant and negative correlation was observed between the mean HCAMQ and HLS scores (r =-0.240; p < 0.05). Patients who reported their use of CAM to their healthcare personnel had higher HLS scores than those who did not. Perceived health status had a significant effect on both HCAMQ and HLS. Conclusion: The majority of peritoneal dialysis patients included in the study used CAM, and their attitudes to-ward CAM use were positive. Most of the patients did not report the use of CAM to healthcare personnel. The HL levels of the patients were high. A positive attitude toward HCAMQ increased as the HLS level increased.Öğe The relationship between perception of COVID-19, fear of COVID-19 and self-care management in individuals with chronic diseases during the pandemic process in Turkey(Wiley, 2024) Kilic, Zueleyha; Gunaydin, Yurdagul; Yildirim, Tekin; Aydinli, AyseAims: To determine the relationship between perception of COVID-19, fear of COVID-19 and self-care management in individuals with chronic diseases during the pandemic process.Background: Individuals with chronic diseases are a sensitive group during the COVID-19 pandemic process; it is thought that self-care management may be adversely affected as a result of their more intense exposure to the psychological, physiological and economic effects of the pandemic. In the literature, there is no study examining the effect of perception of COVID-19 and fear of COVID-19 on self-care management in individuals with chronic diseases.Design: Descriptive study.Methods: The study was conducted with 322 individuals who applied to the internal medicine outpatient clinics of a university's Health Practice and Research Center, met the inclusion criteria, agreed to participate in the study and had a chronic disease. Questionnaire form, Perception of COVID-19 Scale (P-COVID-19), The Fear of COVID-19 Scale (FCV-19S) and Self-Care Management Process in Chronic Illness Scale (SCMP-G) were used to collect data. STROBE checklist was used to report the present study.Results: In the study, it can be stated that individuals with chronic diseases had a moderate to the high perception of contagiousness and dangerousness of COVID-19, they had a moderate-high level of fear of COVID-19 and their self-care care management was above moderate level. There was a significant positive correlation between P-COVID-19, FCV-19S and SCMP-G in the study.Conclusions: It was found that the perception of COVID-19 contagiousness and the fear of COVID-19 had a positive effect on the self-care management of individuals with chronic diseases.Relevance to clinical practice: Determining the level of COVID-19 perception and fear of COVID-19 and their effects on the life of the individual, and evaluating self-care management during the difficult pandemic process will increase the success in the holistic nursing care and management of chronic diseases.