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    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 Nezih
    Objective: 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.
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    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 Nezih
    Online 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.
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    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 Nezih
    According 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.
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    The Prevalence and Associated Factors of Elderly Abuse: A Cross-Sectional Study
    (Duzce Univ, Fac Medicine, 2021) Sezer, Onder; Atas, Ceyda Akbas; Dagdeviren, Hamdi Nezih
    Objective: 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.
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    What do we Know about Music Therapy?
    (Duzce Univ, 2015) Sezer, Binnur Tagtekin; Sezer, Onder; Toprak, Dilek
    Aim: In this study, we aimed to investigate the knowledge of people about musicotherapy, the methods they use to deal with stress, the kind of music they listen and the relationship between musicotherapy and socioeconomic features. Methods: This cross-sectional study is conducted in Sisli Etfal Training and Research Hospital and Istanbul Medeniyet University Goztepe Training and Research Hospital between November 2011 and January 2012. One hundred two volunteers, in different socioeconomic and education status, working in these hospitals were included the study. The data (socioeconomic, sociocultural status, knowledge about musicotherapy and subquestions) were collected with a questionnaire. SPSS for Windows 19.0 was used for statistical analysis. Results: In 102 volunteers (68 females, 34 males) 60 people (58.8%) were university graduate. Sixty three (61.8%) people spend their time with friends for managing stress. In our study 74 (72.5%) volunteers have heard about musicotherapy and 95 (93.1%) of them think that it can be used in medical treatment like autizm, oncologic and psychiatric diseases. The most known music kind for musicotherapy was sufi music (n=69, 67.6%). Socioeconomic status and gender were not statistically important factors for the awareness of musicotherapy and its use for some diseases (p>0.05). Education level was statistically important factors for the awareness of musicotherapy and its use for some diseases (p=0.003). Conclusion: In this study we learned that although people do not know everything about musicotherapy, they look optimistically and curious for therapeutic effect of this method. We need to practice other studies to see the detailed effects of musicotherapy.