sema üstündağ - Academia.edu (original) (raw)
Papers by sema üstündağ
Turkiye Klinikleri Journal of Medical Ethics-Law and History
Journal of Education and Research in Nursing
Kanser hastalarında düşmeler ve düşmeye bağlı yaralanmalar hayati ve önlenebilir sorunlar olarak ... more Kanser hastalarında düşmeler ve düşmeye bağlı yaralanmalar hayati ve önlenebilir sorunlar olarak var olmaya devam etmektedir. Düşmeler ciddi fizyolojik ve psikolojik problemlere neden olarak hastaların yaşam kalitelerini azaltmaktadır. Hastalar kanserin semptomları ve tedavinin yan etkilerine bağlı olarak düşme ile ilişkili birçok risk faktörüne sahiptir. Kanser hastalarında önemli düşme risk faktörleri olarak; anemi, yorgunluk, yürüyüş ve denge bozukluğu, depresyon, fonksiyonel durumda azalma, metastaz varlığı, antidepresan ve antipsikotik ilaçlar yer almaktadır. Düşmelerin yönetiminde ilk önce yüksek riskli hastaların saptanması, ardından düşmeyi önleyici özel girişimlerin uygulanması yer alır. Bu makalede kanserli bireylerde görülen düşme oranları, düşmeye neden olanrisk faktörleri (içsel ve dışsal faktörler) ve düşmeyi önlemeye yönelik girişimler ele alınmıştır.
Holistic nursing practice
This descriptive and cross-sectional study was conducted to determine the use and effects of comp... more This descriptive and cross-sectional study was conducted to determine the use and effects of complementary and alternative medicine on cancer patients receiving chemotherapy. The research was conducted in Daytime Chemotherapy Unit of the College District Outpatients in the Ankara Numune Education and Research Hospital and comprised 397 patients in the oncology outpatients. Written informed consents were obtained from all participants. Among the participants, 52.6% were women, 85.1% married, 10.6% illiterate, 41.1% housewife, and 8.8% civil servants. Among the patients participated in the study, 27.7% had cancer in the family, 22.6% had gastrointestinal cancer, and 22.1% had breast cancer. Most of the patients (92.2%) resorted to religious and cultural approaches, and some patients (33.8%) used nutritional and herbal products besides medical treatment. The nutritional and herbal products used as remedy included stinging nettle (22.3%), fennel flower (20.1%), and herbal products that ...
Asia-Pacific Journal of Oncology Nursing, 2015
Objective: This descriptive and cross-sectional study was undertaken to determine the factors aff... more Objective: This descriptive and cross-sectional study was undertaken to determine the factors affecting cancer patients' quality of life. Methods: We collected data from 352 chemotherapy patients of an Outpatient Chemotherapy Unit in a state hospital. We included volunteered chemotherapy patients with a signed informed consent and at least 50 Karnofsky Performance Scale points. We gathered data by Personal Information Form and Nightingale Symptom Assessment Scale (N-SAS) and analyzed via basic descriptive statistics and linear regression analysis. Results: Patients were women (54.8%), married (83.5%), elementary school graduates (57.1%), housewives (44.6%) and undergoing fluorouracil-based therapy (47.2%), and almost all patients had religious and cultural rituals for the disease. Women experienced worse physical and social well-being than men (P = 0.001, P = 0.0001). Singles had worse psychological and general well-being (P = 0.0001, P = 0.0001). Housewives had the worst physical and social well-being (P < 0.05). No relationship existed between education level and life quality (P > 0.05). Breast cancer and sarcoma patients had the worst social well-being than other cancer patients. The N-SAS points of patients were not affected by blessings/ prays, vow/sacrifice, consulting local herbalists and visiting "ocaks (folk physicians)" (P > 0.05). Patients with bad quality of life practiced lead pouring and amulets (P < 0.05). Gender was the first factor affecting the quality of life. Conclusion: Advanced studies on individual quality of life factors affecting cancer would empower nurses for better personal care techniques and patients for easily overcoming the disease.
Holistic Nursing Practice, 2015
Turkiye Klinikleri Journal of Medical Ethics-Law and History
Journal of Education and Research in Nursing
Kanser hastalarında düşmeler ve düşmeye bağlı yaralanmalar hayati ve önlenebilir sorunlar olarak ... more Kanser hastalarında düşmeler ve düşmeye bağlı yaralanmalar hayati ve önlenebilir sorunlar olarak var olmaya devam etmektedir. Düşmeler ciddi fizyolojik ve psikolojik problemlere neden olarak hastaların yaşam kalitelerini azaltmaktadır. Hastalar kanserin semptomları ve tedavinin yan etkilerine bağlı olarak düşme ile ilişkili birçok risk faktörüne sahiptir. Kanser hastalarında önemli düşme risk faktörleri olarak; anemi, yorgunluk, yürüyüş ve denge bozukluğu, depresyon, fonksiyonel durumda azalma, metastaz varlığı, antidepresan ve antipsikotik ilaçlar yer almaktadır. Düşmelerin yönetiminde ilk önce yüksek riskli hastaların saptanması, ardından düşmeyi önleyici özel girişimlerin uygulanması yer alır. Bu makalede kanserli bireylerde görülen düşme oranları, düşmeye neden olanrisk faktörleri (içsel ve dışsal faktörler) ve düşmeyi önlemeye yönelik girişimler ele alınmıştır.
Holistic nursing practice
This descriptive and cross-sectional study was conducted to determine the use and effects of comp... more This descriptive and cross-sectional study was conducted to determine the use and effects of complementary and alternative medicine on cancer patients receiving chemotherapy. The research was conducted in Daytime Chemotherapy Unit of the College District Outpatients in the Ankara Numune Education and Research Hospital and comprised 397 patients in the oncology outpatients. Written informed consents were obtained from all participants. Among the participants, 52.6% were women, 85.1% married, 10.6% illiterate, 41.1% housewife, and 8.8% civil servants. Among the patients participated in the study, 27.7% had cancer in the family, 22.6% had gastrointestinal cancer, and 22.1% had breast cancer. Most of the patients (92.2%) resorted to religious and cultural approaches, and some patients (33.8%) used nutritional and herbal products besides medical treatment. The nutritional and herbal products used as remedy included stinging nettle (22.3%), fennel flower (20.1%), and herbal products that ...
Asia-Pacific Journal of Oncology Nursing, 2015
Objective: This descriptive and cross-sectional study was undertaken to determine the factors aff... more Objective: This descriptive and cross-sectional study was undertaken to determine the factors affecting cancer patients' quality of life. Methods: We collected data from 352 chemotherapy patients of an Outpatient Chemotherapy Unit in a state hospital. We included volunteered chemotherapy patients with a signed informed consent and at least 50 Karnofsky Performance Scale points. We gathered data by Personal Information Form and Nightingale Symptom Assessment Scale (N-SAS) and analyzed via basic descriptive statistics and linear regression analysis. Results: Patients were women (54.8%), married (83.5%), elementary school graduates (57.1%), housewives (44.6%) and undergoing fluorouracil-based therapy (47.2%), and almost all patients had religious and cultural rituals for the disease. Women experienced worse physical and social well-being than men (P = 0.001, P = 0.0001). Singles had worse psychological and general well-being (P = 0.0001, P = 0.0001). Housewives had the worst physical and social well-being (P < 0.05). No relationship existed between education level and life quality (P > 0.05). Breast cancer and sarcoma patients had the worst social well-being than other cancer patients. The N-SAS points of patients were not affected by blessings/ prays, vow/sacrifice, consulting local herbalists and visiting "ocaks (folk physicians)" (P > 0.05). Patients with bad quality of life practiced lead pouring and amulets (P < 0.05). Gender was the first factor affecting the quality of life. Conclusion: Advanced studies on individual quality of life factors affecting cancer would empower nurses for better personal care techniques and patients for easily overcoming the disease.
Holistic Nursing Practice, 2015