Hacettepe University Faculty of Health Sciences Nursing Journal - 2018; 5(3)

De�erli Okurlar�m�za

Serg�l DUYGULU — 2018-12-01

The Relationship Between Sugar- Sweetened Beverage Consumption and Obesity in Adolescents

Ay�e Nur G�REL, Filiz H�SAR — 2018-12-01

Aim: This research was conducted to determine the relationship between sugar-sweetened beverage consumption and obesity in adolescents. Material and Methods: The universe of this research, which is planned as descriptive and relationship-seeker type, consists of all students in a state high school and a private high school in Konya. It was aimed to reach all the students (N:412) constituting the universewithout going to the sample selection in the research but 361 students were reached. A questionnaire form, beverage consumption information form and anthropometric measurement form were used in order to collect the data. In the analysis of the data; number, percentage, mean, standard deviation, Mann Whitney U, Kruskal Wallis, Chi square test and Spearman correlation analysis were used. Results: The average age of adolescents was 15.88 � 1.06 and 52,9% were male. The obesity prevalence was determined as 9,7%. The adolescents reported that they consumed the most tea (88.4%), cola (82.0%), ready-made fruit juice (75.9%) and coffee (75.1%). Adolescents who havesugar-sweetened beveragesin the fridge, and who have a habit of consuming sugarsweetened beverage between meals consume significantly more sugar-sweetened beverages. Conclusion: A statistically significant relationship was found betweenweightand consumption of sugar-sweetened beverages. Adolescents and the people around them should be educated on the effects of sugar-sweetened beverage consumption.

Investigation of Nurses� and Patients� Perceptions Regarding Nursing Care

�enay G�L, Leyla D�N� — 2018-12-01

Aim: The study was carried out to examine the patients� and nurses� perception of nurse care and to show the difference between them. Material and Methods: In this descriptive study, 140 patients who were treated in surgical and internal medicine clinics and 140 nurses who provided care to these patients constituted the sample of the study. A data collection form and Caring Behaviors Scale-30 were used in the data collection. Results: In our study in which we determined the perception of patients and nurses using the BDI-30, it was found that the mean total scores and subscale scores were fairly high and there was no difference between the mean total scores. In the study, it was determined that the majority of the patients were satisfied with nursing care and that as the satisfaction with the nursing increased, the scale total score and subscale scores increased. According to our study findings, nurses� and patients� perceptions of care were positive, and nurses emphasized that many factors affect quality of care in a negative way. Conclusion: In the study, it was determined that the average scores of BDI-30 total scores and subscale scores of patients and nurses were very high. It may be advisable to repeat the study with a wider sample with the participation of patients and nurses taking care in different clinics.

Assessment of the Marital Satisfaction of Pregnant Women

Tu��e S�NMEZ, Serap EJDER APAY, Elif Ya�mur G�R — 2018-12-01

Aim: This study was conducted to determine the marital satisfaction of pregnant women. Material and Methods: The universe of this descriptive, cross-sectional study was composed of all pregnant women who applied to a maternity/university hospital in eastern Turkey between December 2014 and February 2015. A total of 203 pregnant women were included in the study. The ethical approval was obtained from the Ethics Committee of the Faculty of Health Sciences. The necessary permission was received from the hospitals where the study conducted. Verbal informed consent was also obtained from the participants. The data were collected using a questionnaire and the Golombok-Rust Inventory of Marital State (GRIMS). The data were analyzed by using percentage distributions, mean, analysis of variance (ANOVA), t-test and non-parametric tests (Kruskal Wallis, MannWhitney-U). Results: It was determined that the GRIMS mean score of pregnant women was 45.90�5.76. According to the cut-off scores of the inventory, 45.8% of the pregnant women experienced serious problems in their marriage. Women who were literate, had a marriage duration of 19- 24 months and were responsible for the household had higher mean scores of the GRIMS. The difference between the mean scores of groups was statistically significant. Conclusion: The pregnant women involved in the study had serious problems with marital satisfaction. It was found that the educational status, the duration of marriage, and the domestic responsibilities affect the satisfaction of marriage. In this context, married couples should receive the necessary support from health professionals and marriage counselors whenever they need support at all times of their relationship.

Determination of Relationship of Nursing Students� Internalized Weight Bias, Depression and Eating Behavior

Emine YILMAZ, Meryeme AKSOY — 2018-12-01

Aim: The aim of study was to evaluate relationship between level of nursing students� internalized weight bias, depression and eating behaviour. Material and method: This descriptive study was carried out with 329 students. Weight Bias Internalization Scale, Eating Behavior Questionnaire, and Beck Depression Inventory have been using during the data collection. Number, percentage mean, standard deviation, t test and Pearson�s correlation test were used in the analysis of data. Results: It was found that 73.5% were female, 15.1% of participants�body mass indeks were <18.5, 61.7% were 18.5-24.9, and 23.2 % were between 25.0-40.0. A statistically significant difference was found between eating behaviour total scores, sub-scales emotional eating and student�s gender. It was found that the higher the average score of female students. A statiscially significant correlation was also found between body mass index and weight bias, we can assert that not only obese individuals but also slim individuals stigmatize themselves because of their weights. A positive and significant correlation was found between students� total weight bias scores and total depression scores, eating behaviour�s sub-scales emotional eating, restrained eating, eating behaviour total scores and weight bias. Conclusion: In this study, a positive significant correlation was found between internalized weight bias, depression, and emotional eating and restrained eating which are among eating behaviors. When total scale scores in different weight categories were examine, we can assert that not only obese individuals but also slim individuals stigmatize themselves because of their weights. Fed to weigh the level of prejudice in the community, especially with the weight of internalized prejudice that should not be ignored in the struggle with it is considered.

The Effect of Telephone Follow-Up on Drug Compliance in Cancer Patients Using Oral Anticancer Drugs: A Systematic Review

Huri Seval G�NDEREN �AKMAK, Sevgisun KAPUCU — 2018-12-01

Aim: Along with the increase in the incidence of cancer, treatment methods have also been developed. One of these developments is the increase of oral forms of chemotherapeutic drugs. In this study, it was aimed to systematically investigate the effect of telephone follow-up on drug compliance in cancer patients using oral anticancer drugs. Material and Methods: 4858 studies published between January 2007 and January 2017 were screened in order to determine the effect of telephone follow-up on drug compliance in cancer patients using oral anticancer drugs. Seven studies that met the research criteria were examined. The selected researches were evaluated according to the Joanna Briggs Institute (JBI) critical evaluation lists according to their type. Results: The quality of the seven studies (prospective study: 1, descriptive study: 2, cohort study: 1, randomize controlled study: 1,semi-experimental study:2) was moderate.In the articles reviewed, it was determined that the factors affecting the drug compliance of the patients and the methods for measuring compliance were unclear and uncommon.In addition, studies have shown that drug compliance rates vary depending on the patient sample, type of drug, followup period, evaluation scale, and compliance calculations. Conclusion: There is limited evidencefor improving drug compliance in patients receiving oral chemotherapy by telephone follow-up. Therefore high quality studies are needed in the future. The healthcare team should develop standard procedures for routine patient monitoring for patient education, reviewing and documenting treatment plans, and compliance with oral chemotherapy drug use.

A Model Proposal for the Prevention of Domestic Violence: Family Monitoring by Public Health Nurses Through Home Visit

Nilay ERCAN �AH�N, Funda ASLAN, Oya Nuran EM�RO�LU — 2018-12-01

Domestic violence, which manifests itself in physical, sexual, emotional and economic forms, is a widespread phenomenon worldwide that concerns not only the individual or family but also the whole society. For this reason, domestic violence is a human rights and public health problem. It is necessary to take action to prevent and eliminate violence because of the serious consequences of domestic violence on women�s health, quality of life and children. In the literature, it has been shown that nurses have an active role in the programs which have proven effective in preventing domestic violence. Nurses are required to assess family and family members regularly to fulfill these active roles. The most appropriate method that enables an effective evaluation and monitoring is home visits. With the home visits, the family can be evaluated closely, the presence or risk of violence can be determined, initiatives can be made and prevention of violence can be endured.There is no practice in the scope of primary health care services to prevent domestic violence in our country.Therefore, practices in the scope of primary health care services for the prevention of domestic violence are needed. This article was written to develop a model proposal based on home visits to prevent domestic violence by the public health nurses at the Family Health Center and Community Health Centers within the scope of primary health care services in Turkey.

Pain and Its Management in Geriatric Patients Diagnosed with Multiple Myeloma

�zlem OVAYOLU, Nimet OVAYOLU — 2018-12-01

Multiple myeloma (MM) is a malignant disease of plasma cells and the most common type of cancer a mong hematological cancers, and is also known as advanced age disease. Patients diagnosed with MM usually apply to the health institution due to pain regardless of their age group. The studies have shown that the most common symptom experienced by patients with MM other than geriatric individuals is pain. It is reported that the pain experienced especially by the geriatric cancer patients affect their activities of daily life and anxiety levels negatively and the anxiety level increases and the quality of life impairs with increasing pain level. When all of these are taken into account, it is extremely important to manage this symptom well in patients who are diagnosed with cancer. However, despite the improvements in cancer treatment and care in recent years, effective pain management continues to be a problem especially in geriatric patients with MM as in all cancer patients. Therefore, pain management in geriatric patients diagnosed with MM will be examined in this study.

Tracer Actions in Truelife Care Stories: An Analytic and Reflective Approach

Fadime Gamze TEK�N, Emine KOL, �lkay BOZ — 2018-12-01

Nursing care is a dynamic concept that shows continuous improvement. In the beginning, the concept of care encountered as a theoretical term becomes meaningful in terms of encountering and establishing relations with the patient in the clinic. Care can only begin when a nurse enters the living space and the existential space of the individual and thus the nurse detects the individual�s (spirit) state, it feels and reacts. Each care behavior in interpersonal care creates meaningful effects on the individual. Care behaviors defined as effective listening, eye contact, individual relieving, take responsibility for the individual, touching, being sensitive, respectful, offering verbal assurance, physical and mental availability, being emotionally open and accessible, individual-centered and informing creates a healing effect in the patient and impacts a mark on the individual. This article discusses the healing effects of the care with care stories that have been experienced.

Solid Organ Transplantation: An Ethical Dilemma � Case Report

2018-12-01

The shortage of cadaveric organ donors continues to be a major problem for solid organ transplantation in Turkey as well as across the world. Due to this shortage, the use of marginal and expanded criteria donors has become a current issue to increase the number of transplantation and to decrease waitlist mortality rates. The use of organs of marginal donors with a history of or active central nervous system tumor has been one possible solution to increase the number of donors in organ transplantation. While this is a lifesaving practice for waitlist patients, it constitutes a risk of malignancy originating from donors. This is an important issue that should be discussed in the field of transplantation and ethics. This case study aims to discuss an ethical dilemma of liver transplantation from a donor with a history of central nervous system tumor to a patient in need of emergency liver transplantation. It is considered that the decision-making process for the use of marginal donor grafts in solid organ transplantation should be managed in accordance with ethical principles.