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Öğe Adherence Levels of Hypertensive Elderly Individuals and Associated Factors: A Cross-Sectional Study(Duzce Univ, Fac Medicine, 2023) Sezer, Onder; Cezik, Ezgi Sezin; Dagdeviren, Hamdi NezihObjective: Patient adherence, particularly in the management of chronic diseases, is an often overlooked but crucial aspect that is more important than medication treatment itself. It is also one of the major problems contributing to treatment failures. Our study aims to evaluate the adherence levels of elderly hypertensive individuals residing in the city center of Edirne, as well as the factors influencing adherence levels.Methods: The study sample consists of 421 elderly hypertensive individuals registered with 52 primary healthcare units in the city center of Edirne. Data were collected using a questionnaire comprising 75 questions. The questionnaire included socio-demographic characteristics, factors that may affect patient adherence, and the Adaptation to Chronic Illness Scale consisting of 25 questions.Results: Of the participants, 226 (53.7%) were female and 195 (46.3%) were male. The participants had an average adaptation score of 87.04 +/- 9.77, with a minimum score of 62 and a maximum score of 116. Younger elderly individuals had higher adaptation scores. Adaptation scores were lower for widowed individuals, illiterate individuals, and those living alone. Participants who were informed about their illness and treatment, involved their families, and had family support had higher adaptation scores.Conclusions: The adherence levels of the elderly participants in our study were found to be below the expected level. Existing studies in the literature predominantly focus on medication adherence. Conducting studies that specifically target disease adaptation would enable a better understanding of patients and the development of new strategies to improve adherence levels.Öğe Assessing health literacy, the factors affecting it and their relation to some health behaviors among adults(Allied Acad, 2017) Caylan, Ayse; Yayla, Kamil; Oztora, Serdar; Dagdeviren, Hamdi NezihIntroduction: Health literacy is an important factor in promotion of health and patient empowerment. This study aims at determining the health literacy levels and influencing factors in 20 to 64 years old individuals, registered to Family Health Centers in Edirne city center. Materials and methods: The study sample was comprised of 285 individuals, who were aged between 20 and 64 years and registered to 17 out of 20 Family Health Centers in Edirne city center. The participants completed a survey on their socio-demographic data as well as an Adult Health Literacy Measure including 23 questions. Descriptive statistics, Spearman correlation analysis, Mann-Whitney U, and Kruskall-Wallis H tests were used in analysing the results. A multivariate linear regression model was used to examine the independent effects of different predictors on health literacy. Results: Participants were 143 females (50.2%) and 142 males (49.8%). Their average age was 39.42 years. Their mean of Adult Health Literacy Measure scores was 13.26 where female participants had higher mean scores. The mean score for health literacy increased with an increase in education level, number of books read in a year, number of days reading a newspaper weekly and monthly household income. The findings of regression analysis indicated that male gender had 0.975 unit of negative effect on health literacy and decreased health literacy level. Being married and having university education had 1.079 and 1.445 units of positive effect respectively on health literacy thereby increasing its level. An increase of 1 unit in the number of days for reading a newspaper weekly led to a 0.241 unit of increase in health literacy. Conclusion: The mean score for health literacy which was calculated on a scale of 23, was 13.26 and it should be increased. The analysis indicated that education was the most important predictor.Öğe DO MORE EDUCATED PEOPLE HAVE LESS SEXUAL DYSFUNCTIONS: A POPULATION STUDY(Wiley-Blackwell, 2015) Dagdeviren, Hamdi Nezih; Nayir, Nihal[Abstract Not Available]Öğe An examination of cyberchondria's relationship with trait anxiety and psychological well-being in women of reproductive age: A cross-sectional study(Lippincott Williams & Wilkins, 2022) Sezer, Onder; Basoglu, Mehmet Akif; Dagdeviren, Hamdi NezihOnline environments have become the main sources of health-related information. However, if used incorrectly, this can decrease the level of well-being. Cyberchondria corresponds to the hypochondria in the digital age. We aimed to investigate the relationship between cyberchondria and trait anxiety, psychological well-being, and other factors in women of reproductive age. This study used a descriptive cross-sectional design. Face-to-face questionnaires were administered to women aged 18 to 49. The sample size was formed and stratified according to the population of the 47 family health centers to reflect the entire population. The questionnaire included a sociodemographic information form, the Cyberchondria Severity Scale (CSS), the State-Trait Anxiety Inventory, and the Psychological Well-Being Scale (PWBS). This study included 422 participants. The average daily use of the Internet was 2.14 +/- 1.837 hours, while that of social media was 2.69 +/- 2.027 hours. The mean CSS score was 89.42 +/- 21.688; the mean trait anxiety score was 44.34 +/- 8.791, and the mean PWBS score was 324.26 +/- 35.944. Factors that interacted with the level of cyberchondria were the trait anxiety score, PWBS score, alcohol consumption, and average daily use of the internet and social media. Increased online time, alcohol consumption, trait anxiety levels, and psychological well-being increase cyberchondria levels. Improvements must be made in the accuracy of online information, which is unsupervised and easily accessible to society as a source of information. Future studies should focus on the prevention, detection, and treatment of cyberchondriasis. Identifying and improving the factors affecting women's and mothers' cyberchondria will also increase the chances of providing primary protection against certain diseases.Öğe The practice of self-medication in an urban population(Allied Acad, 2017) Oztora, Serdar; Nepesova, Gulnar; Caylan, Ayse; Dagdeviren, Hamdi NezihAim: The aim of this study was to determine the drug utilization of patients without consulting a doctor in Edirne. Methods: Out of 6133 patients over 18 y of age admitted to 19 Family Health Centers located in the city center, 36.8% (n=1781) agreed to participate. Patients with communication problems were excluded. A questionnaire prepared by the researchers was filled out face-to-face. Results: According to patient's responses, 62.5% (n=1113) of patients did not use any drugs without consulting a doctor, while 37.5% of them did (n=668). There was no significant difference between genders. Students, high-income group and postgraduates had the highest proportion of self-medication. For the reason of using drugs without consulting (n=668), 53.3% (n=356) said I used a previously successful drug, 25.6% (n=171) said it was an emergency and 10.8% (n=72) said drug is cheaper than consultation. Of these drugs, 88.5% (n=591) were pain killers, 51.5% (n=344) were cold medicines and 12.7% (n=85) were vitamins. Conclusion: Self-medication and over-the-counter drugs are significant problems resulting in irrational drug use. People with higher education and economic level seem to have a tendency in self-medication and irrational drug use, thus health education and health literacy should be emphasized and included in the curriculum in every education level, apart from formal education. While doctors play a key role in rational drug use, other health professionals like pharmacists should also be involved.Öğe Prediction of a 10-year risk of type 2 diabetes mellitus in the Turkish population A cross-sectional study(Lippincott Williams & Wilkins, 2021) Sezer, Onder; Lafci, Neslihan Ozdogan; Korkmaz, Selcuk; Dagdeviren, Hamdi NezihAccording to the International Diabetes Federation, Turkey will be among the top 10 countries in the world with the highest prevalence of diabetes mellitus (DM) by 2045, with a speculated number of cases of 10.4 million. This study aimed to predict the 10-year risk of type 2 DM in a Turkish population, assess potential factors of the 10-year risk of DM, and assess the outcomes of Turkey's 2015 to 2020 program for DM. Individuals aged 20-64 years were categorized and stratified according to age (in ranges of 5 years), sex, and populations of family medicine centers to reflect the whole population. The Finnish Diabetes Risk Score, sociodemographic characteristics, body fat, muscle, bone ratio, blood pressure, and waist-to-height ratio were evaluated. We found that 9.5% (n = 71) of the population aged 20 to 64 years will have DM within the next 10 years. Low levels of education (odds ratio [OR]: 2.054; 95% confidence interval [CI]: 1.011-4.174), smoking cessation (OR: 2.636; 95% CI: 1.260-5.513), a waist-to-height ratio >0.5 (OR: 6.885; 95% CI: 2.301-20.602), body fat percentage (OR: 1.187; 95% CI: 1.130-1.247), high systolic blood pressure (OR: 1.025; 95% CI: 1.009-1.041), and alcohol consumption (beta-estimation: -0.690; OR: 0.501; 95% CI: 0.275-0.914) affect the 10-year risk of type 2 DM. Individuals at risk for DM can be easily identified using risk assessment tools in primary care; however, there is no active screening program in the healthcare system, and only proposals exist. In addition to screening, preventive measures should focus on raising awareness of DM, reducing body fat percentage and systolic blood pressure, and decreasing the waist-to-height ratio to <0.5.Öğe The Prevalence and Associated Factors of Elderly Abuse: A Cross-Sectional Study(Duzce Univ, Fac Medicine, 2021) Sezer, Onder; Atas, Ceyda Akbas; Dagdeviren, Hamdi NezihObjective: The prevalence of elderly abuse varies between 2.2% and 30.1% in European countries. There is a limited number of studies that have investigated elderly abuse in Turkey. The aim of this study is to detect the prevalence and risk factors of elder abuse, identify the factors that can affect elderly abuse, and assess the possible measures to prevent this problem. Methods: We stratified the districts enrolled in family health centers to ensure that participants were from diverse social, cultural, and economic backgrounds of Edirne and formed a representative sample of 211 people. In addition to sociodemographic characteristics, our survey consisted of the Hwalek-Sengstock Elder Abuse Screening Test, the Geriatric Depression Scale-short form, the Standardised Mini-Mental State Examination, the Barthel Index for activities of daily living, and the Lawton-Brody instrumental activities of daily living scale. Results: The prevalence of elderly abuse was determined as 9.9%, and high abuse risk was 15.2%. We found that abuse risk was higher among older people who had no social security, lived alone, were abused physically or emotionally before, reported having bad family relations, and had fewer rooms at home which leads to a lack of privacy. Furthermore, we found significant relationships between abuse risk and the depression score. Conclusions: Elderly abuse is a risk for every person regardless of gender, education level, and economic status. As an invisible problem for societies, elderly abuse brings a great burden by leading to the loss of physical, mental, and psychological health. Preventive measures should be the primary goal. All results suggest that governments, non-governmental organizations, and health care providers should combat this problem by increasing patient literacy and ensuring lifestyle changes.Öğe QUALITY OF LIFE AMONG WOMEN REFERRED TO TRAKYA UNIVERSITY CENTRE FOR ASSISTED REPRODUCTIVE TECHNIQUES(Wiley-Blackwell, 2015) Dagdeviren, Hamdi Nezih; Cetinbas, Ayca[Abstract Not Available]
