Rukiye Pinar | Istanbul Sabahattin Zaim University / İstanbul Sabahattin Zaim Üniversitesi (original) (raw)

Papers by Rukiye Pinar

DergiPark (Istanbul University), Feb 17, 2010

Bu araştırma kemoterapi (KT) hazırlama ve uygulama sırasında hemşirelerin çevreyi, kendilerini ve... more Bu araştırma kemoterapi (KT) hazırlama ve uygulama sırasında hemşirelerin çevreyi, kendilerini ve hastaları korumaya yönelik lulum/anm belirlemek amacı ile gerçek/eş-ıiri/nıişıir. 65 hemşirenin kaıddığı araştırmada veriler 35 ifade içeren, koruyucu önlem/erin üç başlık altında (çevreye, kendine ve hastaya yönelik) gruplandmlarak yer aldığı ve her bir grubun puanının O ile LO() arasında değişliği form ve gözlem yolu ile toplanmıştır. Sonuçların yorumlanmasında yüzdelik, orıalama/ar, i. pearson korelasyon lesli ve varyans analizi kullanılmıştır. Olguların %36.9'u KT konusunda özel eğitime katılmıştır. Çevreyi, kendini ve hastayı korumaya yönelik önlemlerden alınan puanlar sırasıyla 39.30:t26.07, 6030:tI7.49 ve 6605:tJ736'dır Öğrenim düzeyi yüksek olan. biründe çalışma deneyimi fazla olan ve KT eğilimi alan hemşireler KT'ye yönelik koruyucu önlemleri daha fazla almaktadırlar. Bu nedenle fılksek öğrenimli hemşirelerin KT gibi f'.-ct dallarda çalışıınlması. çalış"an ser ı::>!erin sık sık değiştirilmemesi ve KT ııe ilgili özel eğitim alma/arının sağlanr..... sl önerilmekıedir.

DergiPark (Istanbul University), Jul 12, 2012

Hastaların aktivite düzeyini ve yaşam kalitesini düşüren dispne hemen hemen tüm Kronik Obstrüktif... more Hastaların aktivite düzeyini ve yaşam kalitesini düşüren dispne hemen hemen tüm Kronik Obstrüktif Akciğer Hastalığı (KOAH) olan hastaların yaşadığı en önemli semptomdur. KOAH'lı hastaların yaşadıkları en önemli semptomun dispne olması nedeniyle son zamanlarda dispneyi ortadan kaldırmaya yönelik programlar ve bunların etkinliği üzerinde durulmaktadır. KOAH'lı hastalara yönelik pulmoner rehabilitasyon programları pulmoner hastalığın fizyo ve psikopatolojisini düzeltmeye yönelik bir çok girişimi kapsayan kapsamlı bir programdır. Oysa dispneye yönelik bir rehabilitasyon programı sadece dispneyi kontrol altına almaya yönelik girişimleri kapsamaktadır. Dispneyi kontrol altına almak için farmakolojik ajanlar yanında dispne nedeniyle ortaya çıkan psikolojik ve davranışsal sorunları ortadan kaldırmak, kişilerin aktivite düzeyini ve yaşam kalitesini arttırmak amacıyla dispneye yönelik rehabilitasyon uygulanmalıdır. Dispne oluşumunda fizyolojik faktörler yanında bilişsel ve emosyonel faktörler de etkili olduğundan rehabilitasyon uygulamaları hem fizyolojik hem de bilişsel ve emosyonel faktörlere odaklanmalıdır. Bu makalede dispneye yönelik rehabilitasyon uygulamaları ele alındı.

Journal of pain and symptom management, 2017

Previous studies have supported the psychometric properties of the 22-Item Zarit Burden Interview... more Previous studies have supported the psychometric properties of the 22-Item Zarit Burden Interview (ZBI-22) scale among family caregivers of people with various disorders, including Parkinson's disease (PD). However, its short forms have not been psychometrically tested among PD family caregivers, and available psychometric analyses have not accounted for the ordinal nature of item-level data. To assess the psychometric properties of the ZBI-22 and its short forms among family caregivers of people with PD, while taking account for the ordinal nature of data. Cross-sectional postal survey ZBI-22 data from 66 family caregiver members (59% women; mean age 69.6 years) of a local Swedish PD society branch were analyzed according to classical test theory methods based on polychoric/polyserial correlations. Missing item responses were ≤ 5%. Corrected item-total correlations were ≥ 0.42 and floor/ceiling effects were <20%, besides for the briefest (4- and 1-item) short forms (20% and ...

DergiPark (Istanbul University), Jun 1, 2022

Aim: This study was conducted to determine the relationship between compassion, burnout and job s... more Aim: This study was conducted to determine the relationship between compassion, burnout and job satisfaction levels of nurses and health care personnel working in geriatric care center. Materials and Methods: A crosssectional, descriptive design was adopted. This study was carried out in June-July, 2019 in three elderly institutions in Istanbul. The sample consisted of 133 health workers who accepted to participate in the study. Data were collected with the General Information Form (GIF), the Compassion Scale (CS), the Minnesota Satisfaction Questionnaire (MSQ), and the Maslach Burnout Inventory (MBI). Results: Participants had average age of 30.7±9, 72.2% were female, 53.4% were care personnel and 39% worked in night shift. The mean scores of the participants on the Compassion Scale and the scales' kindness, indifference, common humanity, separation, mindfulness, and disengagement subscales were 4.11±0.49, 4.28±0.63, 4.00±0.80, 4.15±0.69, 4.00±0.80, 4.09±0.66, and 4.14±0.86 respectively. The results showed that the mean scores of the participants on Burnout Inventory's emotional exhaustion, depersonalization, and personal achievement subscales were 1.43±0.70, 0.78±0.63, and 1.38±0.50 respectively. When participants were evaluated for job satisfaction, more than half of the participants (57.9%) were found to have high internal job satisfaction and 66.9% had intermediate external job satisfaction. There was a negative correlation between CS-and-subscales and MBI-and-subscales, and a positive correlation between personal success and awareness of sharing. Conclusion: Participants of this study had high compassion scores, good job satisfaction and low burnout scores. Increasing compassion levels decrease burnout levels of personnel giving elderly care.

International Journal of Nursing Practice, Mar 24, 2011

Changes in blood pressure in the sitting and standing positions in hypertensive patients Most gui... more Changes in blood pressure in the sitting and standing positions in hypertensive patients Most guidelines for management of hypertension do not give special preference to a specific position of patient during blood pressure (BP) measurement, suggesting that BP readings taken with patients sitting, supine and standing are equivalent. The objective of this study was to examine whether there was any difference between BP readings with hypertensive participants comfortably sitting on chair and those with participants standing with the arm supported horizontally at the right atrial level. BP was measured twice each for 168 hypertensive patients (medicated and unmedicated) at sitting, standing and sitting positions, respectively, with a mercury-filled column sphygmomanometer. We found significantly lower in systolic and diastolic BP readings in standing position than in sitting position. The present study indicates that the BP readings are related to the posture; thus, BP measured in different positions cannot automatically be regarded as equivalent.

Journal of Clinical Nursing, May 1, 2010

The aim of this study was to examine whether there is any difference between BP readings with pat... more The aim of this study was to examine whether there is any difference between BP readings with patients crossing a leg at the knee level and uncrossing during BP measurement. Background. It is clear that numerous factors influence an individual's blood pressure (BP) measurement. However, guidelines for accurately measuring BP inconsistently specify that the patient should keep feet flat on the floor. Design. Repeated measures. Method. Using a mercury-filled column sphygmomanometer, BP was measured at uncrossed leg position, crossed leg position and again at uncrossed leg position in 283 unmedicated or medicated patients. Three experienced nurses specially trained for the study performed BP measurements. Results. The results indicated that BP increased significantly with the crossed leg position. Systolic and diastolic BP significantly increased approximately 10 and 8 mmHg, respectively. Conclusion. Crossing the leg at knee results in a significant increase in BP. Relevance to clinical practice. Leg position during measurement of BP should be standardised and mentioned in publications.

Hemşirelikte Araştırma Geliştirme Dergisi, Aug 1, 2008

Sağlık eğitiminin metabolik, psikolojik ve yaşam kalitesi parametreleri üzerine etkisini inceleme... more Sağlık eğitiminin metabolik, psikolojik ve yaşam kalitesi parametreleri üzerine etkisini incelemektir. Yöntem: Araştırma 80 deney, 80 kontrol, 160 obez olguda yapılmıştır. Deney grubuna üç ay süre ile altı eğitim oturumu yapılmış; kontrol grubuna çalışma süresince hiçbir müdahalede bulunulmamış, hastalar rutin yaşamlarını sürdürmüşlerdir. İlk görüşmede ve eğitim bittikten 6 ay sonra iki değerlendirme yapılmıştır. Metabolik parametre olarak, obezite değerleri (beden ağırlığı, beden kitle indeksi, bel çevresi), açlık kan şekeri, HbA1c, trigliserid, total kolesterol, sistolik kan basıncı ve diyastolik kan basıncı değerlendirilmiştir. Psikolojik parametre olarak depresyon, benlik saygısı, beden imajı ve sürekli kaygı düzeyi ele alınmıştır. Yaşam kalitesi fiziksel ve mental boyutları içeren 8 alt başlıkta incelenmiştir. Bulgular: Eğitim sonunda deney grubundaki olgular ortalama 6.7 kg kaybetmiş, beden kitle indeksi 1.87 kg/m2, bel çevresi 4.45 cm (p<0.001), total kolesterol 8.35 gr/dl (p<0.01), HbA1c %0.82 (p<0.01), sistolik kan basıncı 1.68 mmHg (p<0.05) azalmış; depresyon azalmış ve benlik saygısı artmış (p<0.001), yaşam kalitesi ölçeğinde yer alan 8 alt gruptan 5'inde anlamlı artışlar olmuştur. Kontrol grubunda ikinci görüşmede metabolik parametreler kötüleşme yönünde değişmiş; bu değişim trigliserid (p<0.001), açlık kan şekeri, HbA1c (p<0.01) ve sistolik kan basıncı (p<0.05) alanında anlamlı fark yaratmış; durumluluk kaygı puanı artmış (p<0.01), yaşam kalitesi ölçeğinde yer alan 8 alt gruptan, emosyonel rol güçlüğü boyutu hariç, tümünde düşüş görülmüştür. Sonuç: Verilen eğitim obez bireylerin metabolik, psikolojik parametreleri ve yaşam kalitelerinin geliştirilmesi/iyileştirilmesinde etkili olmuştur.

Hemşirelikte Araştırma Geliştirme Dergisi, Apr 1, 2011

Amaç: Çalışmanın amacı, hemşirelik uygulamaları sırasında hemşirelerin etik kodlara uyma düzeyler... more Amaç: Çalışmanın amacı, hemşirelik uygulamaları sırasında hemşirelerin etik kodlara uyma düzeylerini ve etkileyen faktörleri değerlendirmekti. Yöntem: Bu tanımlayıcı araştırma Marmara Bölgesi'ndeki bir ilimizde yatak kapasitesi 200 ve üzerinde bulunan devlet hastanelerinde çalışan 810 hemşire üzerinde yapıldı. Hemşirelerin etik kodlara uyma düzeyi ICN'in etik kodları 14 madde haline getirilerek değerlendirildi. Bulgular: Hemşirelerin en çok uyduğu iki madde "hemşire olarak insan yaşamına, onuruna ve haklarına saygı duyarım" (%87) ve "topluma hizmet verirken ırk, din, yaş, renk, cinsiyet, siyasal ve sosyal durum ayırımı yapmam" (%86.3) idi. Hemşirelerin en az uyduğu iki madde "hemşire olarak, toplumun sağlık ve sosyal gereksinimlerini karşılamak için girişilen etkinliklerin sorumluluğunu diğer vatandaşlarla paylaşırım" (%34.3) ve "hemşire olarak, mesleksel örgütüm aracılığı ile hemşireliğin sosyal ve ekonomik çalışma koşullarının dengeli bir şekilde yürütülmesi için çalışmalara katılırım" (%35.9) idi. Hemşirelik mesleğini isteyerek seçen, meslekten memnun olan, poliklinikte ve yönetimde çalışan, sadece gece çalışan hemşireler etik kurallara daha çok uymakta idi. Ayrıca poliklinik hemşireleri etik kurallara daha çok uymakta idi. Mezun olunan okul, yaş, cinsiyet ve çalışma süresine göre hemşirelerin etik kodlara uyma düzeyi farklılık göstermemekte idi. Sonuç: Bu bulgular doğrultusunda hemşirelerin etik kurallara uygun hareket etmeleri için etik kurallar konusunda bilgilendirilmeleri ve mesleki memnuniyet düzeylerinin artırılmasına yönelik girişimlerde bulunulması önerilmektedir.

Yoğun Bakım Hemşireliği Dergisi, Dec 1, 2015

Ventilatorle iliskili pnomoni (VIP) cok yuksek morbidite, mortalite ve maliyetiyle, yogun bakim u... more Ventilatorle iliskili pnomoni (VIP) cok yuksek morbidite, mortalite ve maliyetiyle, yogun bakim unitelerinde onemli bir sorun olmaya devam etmektedir. VIP’in onlenmesi yogun bakimindaki en onemli konulardan biridir. VIP diger yas gruplariyla karsilastirildiginda yaslilarda daha sik olusmaz, ancak bu hastalarda mortalite daha yuksektir. Yaslilara ozel bir uygulama olmamakla birlikte VIP oranlarinin azaltilmasi icin VIP onleme paketi uygulanmasi onerilir. Yasli hastalarda VIP’in basarili bir sekilde kontrolu multidisipliner bir yaklasimla mumkundur.

journal of anatolia nursing and health sciences, 2003

Araştırma; 100 hemodiyaliz hastasının yaşam kalitesi ve yaşam kalitesini etkileyen faktörleri bel... more Araştırma; 100 hemodiyaliz hastasının yaşam kalitesi ve yaşam kalitesini etkileyen faktörleri belirlemek amacıyla yapılmıştır. Yaşam kalitesi SF-36 Yaşam Kalitesi Ölçeği ile değerlendirilmiştir. Araştırma bulgularına göre; hastalar yaşam kalitelerini düşük düzeylerde algılamaktadırlar, yaş, öğrenim durumu, medeni durum ve gelirin gideri karşılama durumu, hastalık ve diyaliz süresi, hastalık ve hemodiyalize ilişkin eğitim alma, önerilen diyet programına ve ilaç tedavisine uyma ve eritropoetin tedavisi alma durumu yaşam kalitesinin bazı boyutlarını etkilemektedir. Araştırmadan elde edilen sonuçlar doğrultusunda; hemodiyaliz hastalarının yaşam kalitesini yükseltmeye yönelik önerilerde bulunulmuştur.

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PubMed, Dec 1, 2004

Objective: This study has been performed in order to define the prevalence of sexual dysfunction ... more Objective: This study has been performed in order to define the prevalence of sexual dysfunction (SD) in patients with myocardial infraction (MI), and to identify potential correlations between sexual dysfunction and socio-demographical attributes, cardio-vascular diseases, and factors that pose risks for SDs, as well as to define whether there is a relationship between sexual dysfunction and quality of life. Methods: In this study, which was carried out with a total of 102 patients with MI (36 women, 66 men), the data were gathered via an information form that assesses socio-demographical attributes and risk factors related to cardiovascular diseases and sexual dysfunction; international sexual dysfunction assessment forms; Short Sexual Index Inventory for women (IFSF); Erection Function International Assessment Form (IIEF) for men; and SF-36 Quality of Life Scale. Obtained data were evaluated using statistical evaluations, Student t-test, Chi-square, Fisher precise Chi-square, Yates corrected Chi-square, and Pearson correlation tests. Results: Sexual dysfunction was defined in 80% of women, and 37% of men. Its prevalence was higher than expected in women. Reductions in the frequency of intercourse and sexual satisfaction were reported by 53.9% and 32.4% subjects, respectively. The most important reason associated with the decreased prevalence of sexual intercourse was the fear of re-infarction, with a rate of 85.5%. All quality of life sub-dimension scores, other than social functioning (p>0.05), were low showing statistical differences. Of the subjects, 97.1% were not given information before being discharged. On the other hand, only 57.8% of them desired to be informed on the subject. Conclusion: Sexual dysfunction prevalence is high in patients with MI history; SD is more frequent in women than in men, and the patients are not assessed on this aspect.

EDTNA-ERCA journal, Jan 3, 2005

In this study quality of life perceived by 100 haemodialysis patients with family members&amp... more In this study quality of life perceived by 100 haemodialysis patients with family members&amp;#39; viewpoints on the patients&amp;#39; quality of life was studied. The SF-36 was used as the main measurement tool. According to the findings of the study the quality of life scores, perceived by patients, usually ranged between average and below average. The family members perceived patients&amp;#39; social functioning and functional status in the SF-36 more pessimistically but vitality and well-being in the SF-36 more optimistically, when compared to the patients. In the light of the findings obtained from the study, it is suggested to periodically assess the quality of life of haemodialysis patients considering the viewpoints of family members on the patients&amp;#39; quality of life.

Journal of Clinical Nursing, Apr 7, 2010

Aims. To test whether there is any difference between blood pressure readings with patients weari... more Aims. To test whether there is any difference between blood pressure readings with patients wearing clothes under the manometer's cuff and not wearing clothes. Background. The few studies published on this subject have shown that blood pressure measurements give similar results whether the patients' arm is covered by clothing or not. However, it has not been clarified whether this is also true in hypertensive patients. Method. Blood pressure was measured on non-sleeved arm, sleeved arm and again on non-sleeved arm in 258 hypertensive patients using a mercury-filled column sphygmomanometer. Three nurses who were experienced and specially trained for the study performed blood pressure measurements. They were unaware of the purpose of the research. Results. Measuring blood pressure with the manometer's cuff over participant's sleeved arm did not differ significantly from non-sleeved arm measurements. Relevance to clinical practice. Sleeves have no effect on blood pressure results. Blood pressure readings taken over the sleeves will be much more practical and time saving in busy departments like emergency rooms, during disasters like earthquake where decisions have to make in minutes. Additionally, it will be time saving for general health screening surveys. Finally, it may have preferable because of hygiene concerns, patient privacy and religious beliefs.

British journal of nursing, Nov 1, 2002

In the UK, Islam is the second largest religion after Christianity and there are about 2.5 millio... more In the UK, Islam is the second largest religion after Christianity and there are about 2.5 million Muslims living in the UK. Fasting is obligatory for all healthy adult Muslims during the holy month of Ramadan. During Ramadan, no food, drink, or medication is allowed between dawn and sunset. As a result of different research results there is no agreement on whether it is safe for Muslim diabetics to fast. Through dialogue between health professionals and patients, it is usually possible to facilitate at least some safe fasting for those who wish to observe this annual ritual. In this article some key pointers will be given for health professionals to consider with the aim of improving the quality of care of Muslim patients with diabetes during Ramadan.

Asian Pacific Journal of Cancer Prevention, Jan 11, 2016

Background: The objective of this study was to evaluate the effect of back massage on the anxiety... more Background: The objective of this study was to evaluate the effect of back massage on the anxiety state, cortisol level, systolic/diastolic blood pressure, pulse rate, and sleep quality in family caregivers of patients with cancer. Materials and Methods: Forty-four family caregivers were randomly assigned to either the experimental or control group (22 interventions, 22 controls) after they were matched on age and gender. The intervention consisted of back massage for 15 minutes per day for a week. Main research outcomes were measured at baseline (day I) and follow-up (day 7). Unpaired t-test, paired t test and chi-square test were used to analyse data. Results: The majority of the caregivers were women, married, secondary school educated and housewife. State anxiety (p<0.001), cortisol level (p<0.05), systolic/diastolic blood pressure (p<0.001, p<0.01 respectively), and pulse rate (p<0.01) were significantly decreased, and sleep quality (p<0.001) increased after back massage intervention. Conclusions: The study results show that family caregivers for patients with cancer can benefit from back massage to improve state anxiety, cortisol level, blood pressure and heart rate, and sleep quality. Oncology nurses can take advantage of back massage, which is non-pharmacologic and easily implemented method, as an independent nursing action to support caregivers for patients with cancer.

Pediatric Diabetes, Dec 1, 2003

Objective: To explore the relationship between self-efficacy, family environment (cohesion and or... more Objective: To explore the relationship between self-efficacy, family environment (cohesion and organization) and metabolic control. Research design and methods: A total of 100 adolescents with diabetes were assessed on a single occasion. Eligibility criteria were an age range of 11-18 yr, diagnosis of type 1 diabetes of at least 1 yr duration, and ability to complete the questionnaire unaided. Adolescents completed self-efficacy and family environment questionnaires. Metabolic control was assessed by HbA1c. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) Version 10.0. Independent paired t-tests and Pearson's correlation coefficient were used as test methods. Results: Boys and girls were comparable on self-efficacy, and selfefficacy scores were quite satisfactory for both boys and girls. There was a significant positive correlation between self-efficacy and family cohesion in girls, but self-efficacy was not related to the family environment (cohesion and organization) and metabolic control in the total sample. Conclusion: In the present study, there was no relationship between selfefficacy, family environment, and metabolic control in the total sample, but in girls, self-efficacy and family cohesion was positively correlated.

Western Journal of Nursing Research, Mar 1, 2006

The authors examined the effects of a comprehensive lifestyle modification intervention on blood ... more The authors examined the effects of a comprehensive lifestyle modification intervention on blood pressure (BP) and other cardiovascular risk factors in hypertensive patients. A total of 70 participants were randomly placed into either a lifestyle intervention or a control group. Four education classes and individual counseling sessions were held for the intervention group. Participants in the control group were provided with routine outpatient services and were asked to maintain their usual lifestyle. Data were gathered at baseline and at the end of 6 months. At the end of 6 months, BP, body weight, body mass index, waist circumference, and fasting lipids, apart from high-density lipoprotein cholesterol, significantly declined in the intervention group. Healthpromoting lifestyle scores of the intervention group had increased significantly compared to those of the control group. In conclusion, the results demonstrate the feasibility of comprehensive lifestyle modification and show its beneficial effects.

Journal of Clinical Nursing, Oct 20, 2010

Quality of Life Research, Feb 1, 2005

In this study, we assessed the reliability and construct validity of the SF-36, Turkish version o... more In this study, we assessed the reliability and construct validity of the SF-36, Turkish version on 419 cancer patients. Cronbach's a coefficients surpassed the 0.70 criterions for all subscales indicating good internal consistency. Results of the test-retest method showed that the stability coefficients for the eight subscales of the SF-36 ranged between 0.81 and 0.94. Principal components factor analysis with varimax rotation confirmed the presence of seven factors in the SF-36: physical functioning, role limitations due to physical and emotional problems, mental health, general health perception, bodily pain, social functioning, and vitality. In conclusion, the Turkish version of the SF-36 is a suitable instrument that could be employed in cancer research in Turkey.