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  • Küçük Resim Yok
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    DİYABET TANISI ALMIŞ BİREYLERDE PARMAK DELME VE İNSÜLİN ENJEKSİYONU YAPMA KORKUSUNUN TEDAVİYE UYUM ÜZERİNE ETKİSİ
    (2022) Dağdelen, Merve; Muz, Gamze; Çırpan, Rabiye
    Bu çalışma, Diyabet tanısı almış bireylerin parmak delme ve insülin enjeksiyonu yapma korkusunun tedaviye uyum üzerine etkisini belirlemek amacıyla yapılmıştır. Çalışma, Kasım 2018- Nisan 2019 tarihleri arasında 450 diyabetli birey ile yürütülmüştür. Verilerin toplanmasında; anket formu, Diyabetlilerde Kendi Kendine Enjeksiyon ve Test Yapma Korkusu Sorgulama Formu ve Tip 2 Diyabet Tedavisinde Hasta Uyum Ölçeği kullanılmıştır. Çalışmada bireylerin yaş ortalamasının 61.71±10.39 olduğu, %62.4'ünün kadın, %38.4'nün tanı yılının 10 yıl ve üzeri olduğu ve %57.3'ünün evde kan şekeri ölçümü yaptığı tespit edilmiştir. Kurulan regresyon modelinde bireylerin Tip 2 Diyabet Tedavisinde Hasta Uyum Ölçeği toplam puanı üzerine etki eden kendi kendine enjeksiyon yapma korku puanının istatistiksel olarak anlamlı olmadığı(p>0.05) ve kendi kendine test yapma ölçüm puanlarının etkisinin istatistiksel olarak anlamlı olduğu belirlenmiştir (p<0.05).Kendi kendine test yapma korkusunun tedaviye uyum üzerinde etkili olduğu belirlenmiştir. Bu nedenle bireylerin yaşadığı korkuların hemşireler tarafından detaylı bir şekilde ele alınması önerilmektedir.
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    Effect of Inhaler Training on Self-Care Agency and Self-Efficacy of COPD Patients: A Randomized Controlled Trial
    (Erciyes Univ Sch Medicine, 2022) Ergin, Cigdem; Muz, Gamze; Ozcelik, Hanife
    Objective: The aim of this randomized controlled trial was to investigate the effect of inhaler technique training on the selfcare agency and self-efficacy level of patients with chronic obstructive pulmonary disease (COPD). Materials and Methods: Sixty-seven patients were randomized and recruited. Thirty-four patients were allocated to an intervention group and 33 to a control group. The study data were collected using a questionnaire form, the COPD Self-Efficacy Scale (CSES), the Exercise of Self- Care Agency Scale (ESCAS), the Medical Research Council Dyspnea Scale, and the modified Borg Dyspnea Scale. Interim and final follow-up was conducted with both groups 1 month and 3 months after the initial visit. Results: In the final follow-up, it was observed that the majority of the patients (91.2%) in the intervention group used their inhaler drugs correctly. The intervention group dyspnea scores were better than those of the control group (p<0.05). In addition, the mean score of all subdimensions of the CSES and the total ESCAS score showed increased in the intervention group (p<0.05). Conclusion: The findings indicated that inhaler training reduced the incorrect use of inhaler medication and the dyspnea experienced patients with COPD, and also improved self-care agency and self-efficacy.
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    The Effect on the Care Behaviors of Nurses Working in Intensive Care Clinics of Moral Distress Experienced During End of Life Patient Care
    (Sage Publications Inc, 2024) Elcelik, Ufuk Ercan; Ozcelik, Hanife; Muz, Gamze
    This research was conducted as a descriptive study in order to examine the effects of the moral problems experienced by nurses working in intensive care clinics on their end of life care behaviors. The data were collected using the Moral Distress Scale and Caring Behaviors Inventory. It was found that 74.5% of the nurses were women and their mean age was 32.60 +/- 6.6 years. The frequency of moral distress in the nurses was 44.27 +/- 16.25 and total score was 111.02 +/- 63.85. There were significant differences in the scores of the concept the use of futile treatment by nurses, the decision not to begin life-support treatment being made only by physicians, and moral distress and discomfort felt by pediatric intensive care nurses (p < .05). A statistically significant relationship was found between total scores of discomfort on moral distress and assurance, knowledge and skills, connectedness, and being respectful on the end of life care behaviors (p < .05).