Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2026Quality of Life in Patients with Hematological Malignancy Receiving High-Dose Chemotherapy : A Descriptive Study
Çakmak, Seher; Nural, Nesrin
Introduction: Hematological malignancies reduce quality of life due to aggressive treatments and related complications. Aim: The aim of this study was to evaluate the quality of life of hematologic cancer patients receiving high-dose chemotherapy. Methods: This descriptive cross-sectional study was conducted with 158 patients selected by simple random sampling method who were treated in the hematology clinic of a university hospital. Data were collected using a personal information form and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30. Results: 51.3% of the patients were aged 18 - 50 years, 52.5% were female, and 67.1% had a diagnosis of leukemia. The mean scores of the quality of life scale were 74.47 ± 19.92 for the functional scale, 71.31 ± 19.31 for the symptom scale, and 39.82 ± 26.31 for the global quality of life. These findings indicate that patients had relatively good functional status, high symptom burden, and low overall quality of life. Among the functional subscales, the highest mean score was observed in cognitive functioning (85.7 ± 18.8), while the lowest was in social functioning (68.9 ± 32.5). Patients diagnosed with lymphoma had significantly lower functional scale scores (p = 0.002), whereas patients with leukemia and those with a history of chemotherapy had significantly higher symptom scale scores (p = 0.017 and p = 0.026, respectively). Conclusion: In conclusion, it was determined that patients had a low quality of life, particularly in the areas of physical and social functioning, and a high symptom burden. Higher symptoms in patients with leukemia and prior chemotherapy underscore the need for symptom control and functional assessment.
- MakaleYalnız künye2024Efficacy of Propolis in the Prevention of Oral Mucositis in Patients Undergoing High-Dose Chemotherapy
Çakmak, Seher; Nural, Nesrin
Background: Oral mucositis is one of the most common symptoms in adults with a hematological cancer who are receiving high-dose chemotherapy. Propolis is a complementary and alternative method used to prevent oral mucositis in these patients. Objective: The aim of this study was to determine the efficacy of propolis in the prevention of oral mucositis in patients receiving high-dose chemotherapy and/or hematopoietic stem cell transplantation. Methods: A total of 64 patients, 32 in the propolis group and 32 in the control group, were enrolled in this prospective randomized controlled experimental study. Whereas the standard oral care treatment protocol was administered to the control group, aqueous propolis extract was applied to the propolis intervention group in addition to the standard oral care treatment protocol. Data collection forms included a Descriptive Information Form, the Karnofsky Performance Scale, the Cumulative Illness Rating Scale-Geriatric, Patient Follow-up Form, the World Health Organization Oral Toxicity Scale, and the National Cancer Institute Common Terminology Criteria for Adverse Events. Results: The incidence and duration of oral mucositis were statistically significantly lower in the propolis intervention group than the control group, and the onset of oral mucositis and grade 2 to 3 oral mucositis occurred later (P < .05). Conclusion: Propolis mouthwash combined with standard oral care treatment delayed the onset of oral mucositis and decreased its incidence and the number of days it lasted. Implications for Practice: Mouthwash with propolis can be used as a nursing intervention to decrease oral mucositis and its symptoms in hematological cancer patients receiving high-dose chemotherapy.
- MakaleAçık Erişim2022Koroner Arter Hastalarında Tanrı Algısının Psikososyal Uyum Üzerine Etkisinin Değerlendirilmesi
Çakmak, Seher; Nural, Nesrin; Gürses, Songül
Amaç: Bu araştırma, koroner arter hastalarında Tanrı algısının psikososyal uyum üzerine etkisini belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı ve ilişkisel olarak yapılan araştırma, bir devlet hastanesinin Kardiyoloji kliniklerinde yatarak tedavi gören 138 hasta ile yürütülmüştür. Verilerin toplanmasında, ′′Tanıtıcı Özelikler Formu′′, ′′Tanrı Algısı Ölçeği′′ ve ′′Psikososyal Uyum Öz-Bildirim Ölçeği′′ kullanılmıştır. Veriler SPSS 21 paket programı ile analiz edilmiştir. Bulgular: Araştırmaya alınan hastaların Tanrı algısı puan ortalamasının 100.2±6.7, hastalığa psikososyal uyum-öz bildirim puan ortalamasının 35.3±18.1 olduğu ve %52.2’sinin hastalığa “iyi” düzeyde psikososyal uyum gösterdiği tespit edilmiştir. Hastalığa Psikososyal Uyum-Öz Bildirim Ölçeği’nin geniş aile ilişkileri, aile çevresi ve psikolojik distress alt boyut puan ortalamaları daha düşük bulunmuştur. Tanrı Algısı Ölçeği puanının Psikososyal Uyum Öz- Bildirim Ölçeği puanı üzerinde istatistiksel açıdan anlamlı bir etkisinin bulunmadığı saptanmıştır (p>0.05). Sonuç: Bu çalışmada, koroner arter hastalarının seven ya da sevgi yönelimli Tanrı algısına sahip oldukları ve hastalığa orta düzeyde psikososyal uyum sağladıkları tespit edilmiştir. Hastalığa psikososyal uyum geniş aile ilişkileri, aile çevresi ve psikolojik distress alanlarında daha yüksek bulunmuştur. Hastaların Tanrı algısının hastalığa psikososyal uyumları üzerinde etkili olmadığı belirlenmiştir.
- MakaleYalnız künye2014Nonmedical Methods to Relieve Low Back Pain Caused by Lumbar Disc Herniation: A Descriptive Study in Northeastern Turkey
Cilingir, Dilek; Hintistan, Sevilay; Yigitbas, Cagla; Nural, Nesrin
Low back pain due to the effects of lumbar disc herniation is a common complaint of patients who often subsequently seek help from medical professionals. It is also a significant health problem which is quite difficult to treat. This descriptive study was conducted to determine nonmedical methods used by patients with lumbar disc herniation to relieve low back pain; the patients' intensity of low back pain when they were admitted to the hospital was also explored. Ninety-two patients with lumbar disc herniation participated in this study, which was carried out at a university hospital in northeastern Turkey. Data were collected using a patient information form and the visual analog scale (VAS). When the patients were admitted to hospital, their mean VAS score was 6.56 ± 2.45. The study results showed that as a first choice nearly all of the patients (94.6%) with lumbar disc herniation preferred consulting with their physicians before to obtain relief for low back pain. However, in addition to seeing their physician, more than one-half of these patients (57.6%) also used nonmedical methods. The primary nonmedical methods were hot/cold compresses, wrapping various substances on the back, and herbal preparations. An increase in pain was noted by 17.0% of patients after using nonmedical methods. Findings indicated that more than two-thirds of patients experienced either no change or an increase in pain after using nonmedical methods to find relief.