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Öğe Caregiving burden, depression, and anxiety in family caregivers of patients with cancer(Elsevier Sci Ltd, 2021) Unsar, Serap; Erol, Ozgul; Ozdemir, OzlemPurpose: The purpose of this cross-sectional study was to determine the caregiving burden, depression and anxiety of family caregivers of Turkish patients with cancer and the affecting factors. Methods: This cross-sectional study was conducted between January-May 2018 with one hundred and fifty-eight caregivers and one hundred and fifty-eight patients with cancer who were treated at a university hospital in Edirne, Turkey. Data were collected with a questionnaire form, Zarit Burden Interview (ZBI) Scale and the Hospital Anxiety Depression Scale (HADS). Results: This study found that 51.3% of the patients with cancer were male, 70.3% of the caregivers were female and more than half of them (57.0%) were the spouses of the patients. The mean ZBI score of the caregivers was 24.62 +/- 14.19. There was a positive relationship between the ZBI scores and HADS scores of family caregivers (p < 0.05). As the caregiving burden of caregivers increased, their anxiety and depression levels were increased too. It was found that as the caregiving duration of family caregivers increased, the caregiving burden increased, and caregivers' anxiety depression scores got worse (p < 0.05). In the multivariate analysis, the duration of care giving per day/hours, ECOG score and the age of the caregiver independently affected the caregiving burden (p < 0.05). As the functional status of the patient with cancer got worse, caregiving burden increased. Caregiving burden was found to be higher in those who were younger, female and giving care for longer times per day (p < 0.05). Conclusion: This study found that as the caregiving burden and caregivers' daily patient care duration increased, the level of anxiety and depression increased too. Caregivers of patients with cancer should take appropriate psychological intervention to decrease their distress. In addition, we thought that healthcare professionals must consider the factors affecting the caregiving burden which affect the patient care directly.Öğe The effect of education given to hemodialysis patients based on the Roy Adaptation Model on fluid management, symptom control, and quality of life(Wiley, 2024) Ozdemir, Ozlem; Unsar, SerapThis study aimed to determine the effect of fluid management, symptom control, and quality of life on education based on the Roy Adaptation Model. This randomized controlled study was conducted with the participation of 107 patients (53 intervention, 54 control). Data were collected using the Patient Data Collection Form, Fluid Control in Hemodialysis Patients Scale, Dialysis Symptom Index, and Nottingham Health Profile. The forms were filled out through face-to-face interviews with the patients in the intervention and control groups at the 0th (onset), 1st, and 3rd months. The patients in the intervention group were trained with an education booklet based on the Roy Adaptation Model. The results revealed that the education given according to the Roy Adaptation Model improved the compliance with fluid control, quality of life, and symptom control of hemodialysis patients. It is recommended that education based on the Roy Adaptation Model be systematically used by hemodialysis nurses. The results are limited to the population included in the study, and further research on hemodialysis populations is needed.Öğe Evaluation of nursing students' epilepsy-related knowledge and attitudes(Academic Press Inc Elsevier Science, 2020) Unsar, Serap; Ozdemir, Ozlem; Erol, Ozguel; Bikmaz, Zuelfiye; Bulut, Ecehan YeniciAim: This study evaluated the knowledge and attitudes of nursing students toward epilepsy. Method: The descriptive and cross-sectional study was conducted with the voluntary participation of 161 nursing students in their 2nd, 3rd, and 4th years of study who were registered at the summer school of Tralcya University, Faculty of Health Sciences in the 2017-2018 academic year. The data were collected through a research questionnaire form and the Epilepsy Knowledge and Attitude Scales. The normal distribution of the data was tested using the one-sample Kolmogorov-Smimov test. Nonparametric tests were used since the data were not normally distributed. Descriptive statistics (mean, standard deviation, range, numbers, and percentages), the Mann-Whitney U test, the Kruskal-Wallis test, and Spearman's correlation test were used in the data analysis. Findings: Half of the nursing students (55.9%) were females with a mean age of 22.14 +/- 1.81 years, and 43.5% of the students were third-year students. Of the students, 90.7% were informed about epilepsy from sources including their school/course/instructor (64%), the television/internet (10.6%), and healthcare professionals (6.8%). The mean scores obtained on the Epilepsy Knowledge Scale (EKS) and the mean score on the Epilepsy Attitude Scale (EAS) were 10.23 +/- 4.24 and 57.66 +/- 8.83, respectively. A significant positive correlation was found between the knowledge and attitude scores of the students regarding epilepsy (p < .001). As the students' knowledge increased, their attitudes also increased positively toward epilepsy. The female students had a more positive attitude toward epilepsy than did the male students. Further, the students who had knowledge about epilepsy and who provided care for patients with epilepsy had higher scores and displayed more positive altitudes toward epilepsy (p < .05). Conclusion: This study determined that the participating nursing students had a moderate level of knowledge regarding epilepsy. In addition to theoretical knowledge of epilepsy, the experience of caring fora patient with epilepsy had a positive effect on the students attitudes. The nursing education curriculum should place greater focus on epilepsy and interventions for epilepsy seizures. (C) 2020 Elsevier Inc. All rights reserved.
