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Öğe Dialysis Symptoms on Exercise Perception of Hemodialysis Patients(Aves, 2023) Kilic, Zuleyha; Uzdil, NurcanObjective: Hemodialysis patients suffer from many symptoms which may affect the exercise perception. This research was conducted descriptively and relationally to determine the effect of dialysis symptoms on exercise perception in hemodialysis patients. Methods: The study was conducted with 120 hemodialysis patients, who have been treated at the Organ Transplantation and Dialysis Hospital of a university, met the inclusion criteria, and agreed to participate in the study. Questionnaire form, Dialysis Symptom Index, and Dialysis Patient-Perceived Exercise Benefits and Barriers Scale were used to collect data. Results: In the study, the mean Dialysis Symptom Index score of hemodialysis patients was 77 +/- 23.5, and the most common symptom was fatigue. The mean Dialysis Patient-Perceived Exercise Benefits and Barriers Scale score of the patients was 61.8 +/- 14, and the most stated that the perception of exercise benefit was improving appetite and perception of exercise barrier was fatigue. In the study, there was a moderately significant positive correlation between Dialysis Symptom Index and Dialysis Patient-Perceived Exercise Benefits and Barriers Scale (P =.01). Moreover, 21.3% of the patients' Dialysis Patient-Perceived Exercise Benefits and Barriers Scale scores are explained by Dialysis Symptom Index. Conclusion: It was found that the dialysis-related symptoms of the hemodialysis patients included in the study were frequent and the effects were intense. Most of them did not exercise regularly, and their positive perception of exercise was moderate.Öğe Emotional Reactivity and Death Anxiety in Dialysis Patients(2023) Uzdil, Nurcan; Kılıç, Züleyha; Şimşek, NurayAim: This study was conducted as a correlational and comparative pilot study to determine the relationship between emotional reactivity and death anxiety in dialysis patients. Method: The study was conducted with a total of 140 people, including 70 hemodialysis (HD) and 70 peritoneal dialysis (PD) patients. A questionnaire form, Turkish Death Anxiety Scale (TDAS) and Emotion Reactivity Scale (ERS) were used for data collection. Results: There was no difference between the mean ERS and TDAS scores of hemodialysis and peritoneal dialysis patients. A moderate positive correlation was found between the mean ERS and TDAS scores in HD and PD groups (p<0.05). It was determined that 15.3% of TDAS scores of hemodialysis patients and 26.2% of TDAS scores of PD patients are explained by ERS. Conclusion: It was observed that death anxiety and emotional reactivity were at a moderate level in hemodialysis and peritoneal dialysis patients and there was a similarity between dialysis modalities.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 effect of cognitive flexibility in nurses on attitudes to professional autonomy(Sage Publications Ltd, 2024) Kilic, Zuleyha; Uzdil, Nurcan; Gunaydin, YurdagulBackground: Professional autonomy, which directly affects the quality of professional nursing in patient care, and cognitive flexibility, which is an important factor for adaptation to change and developing nursing roles, are important concepts for nursing. Research objectives: This research was carried out to determine the effect of cognitive flexibility on attitudes towards professional autonomy in nurses. Research design: This was a descriptive study. Participants and research context: The research was conducted with 415 nurses working in a city hospital of a province, meeting the inclusion criteria and agreeing to participate in the study. A questionnaire form, The Cognitive Flexibility Inventory (CFI), and the Attitude Toward Professional Autonomy Scale for Nurses (APASN) were used to collect data. Ethical considerations Ethical approval was obtained from the university ethics committee before starting the study. Institutional permission was obtained from the city hospital where the study was conducted. Electronic informed consent was obtained from the nurses included in the study. Findings: In the study, the mean CFI score was 80.62 +/- 11.55 and the mean APASN score was 70.42 +/- 18.79. There was a weak positive correlation (r = 0.270; p < 0.05) between CFI and APASN scores. Moreover, the effect of the CFI mean score on the APASN mean score was found to be statistically significant (beta = 0.278; p < 0.001). Furthermore, CFI explains 7.7% of APASN. Conclusion: In the study, nurses' attitudes towards professional autonomy and cognitive flexibility scores were found to be at a good level. Cognitive flexibility has a positive effect on attitudes towards professional autonomy. Interventional studies that will increase the level of cognitive flexibility are recommended in the development of nurses' attitudes towards professional autonomy.