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Öğe Complementary and alternative medicine and self-efficacy level in Turkish adults with type 2 diabetes mellitus(CUKUROVA UNIV, FAC MEDICINE, 2019) Tosun, Alime Selçuk; Zincir, Handan; Eliş, ElifPurpose: This study was conducted to determine the complementary and alternative medicine (CAM) used for blood glucose control, their self-efficacy level and the factors affecting the use of CAM. of individuals with type 2 diabetes mellitus. Materials and Methods: This cross-sectional study was conducted with a total of 350 individuals with diabetes mellitus in a university hospital. In order to collect the data, Personal information form including descriptive and disease characteristics of the individuals, Self-efficacy Scale for patients with Type 2 Diabetes, and the complementary and alternative medicine questionnaire were used. Results: The average age of all individuals participated in the study was 55.83 +/- 8.82 (min:. 29-max:. 78) years. The prevalence CAM use of the patients was 38.3%. According to the logistic regression analysis, self-efficacy total score, fasting blood glucose, and going to physician control after 6 months were found to be the important determinants for the use of CAM. Conclusion: Especially herbal products from the complementary and alternative medicine methods were determined to be commonly used. Majority of the patients did not inform the healthcare professionals about the use of CAM during their routine controls. In this respect, especially the nurses, who have important roles in diabetes management should question the use of CAM and the importance of informing the healthcare professionals by the individuals about the use of CAM should be emphasized.Öğe Ebelik son sınıf öğrencilerinin aile planlaması eğitimi etkinliğinin değerlendirilmesi(2005) Ege, Emel; Timur, Şermin; Zincir, HandanAraştırma, topluma aile planlaması konusunda danışmanlık yapacak olan ebelik öğrencilerinin, aile planlaması yöntemleri konusuna bakış açılarını değerlendirmek ve eğitimin etkinliğini saptamak amacıyla planlandı. İnönü Üniversitesi 2002-2003 öğretim yılında Malatya Sağlık Yüksekokulu ebelik bölümünde eğitim gören 30 öğrenci evreni oluşturmuş ve evrenin tamamı örnekleme alınmıştır. Eğitim öncesi yapılan uygulamada aile planlamasının tanımını tam olarak bilen öğrenci oranı %6.9 iken, bu oran eğitim sonrası %93.1'e çıkmıştır. Sağlık personelinin danışmanlık rolü ile ilgili yapılan değerlendirmede; eğitim öncesi öğrencilerin %58.6'sı, personelin rolünü yöntem seçimine yardım olarak tanımlarken, eğitim sonrası %89.7'si danışmanlık şeklinde tanımlamıştır. Sonuç olarak, aile planlaması kadının üreme sağlığını sürdürmede en önemli unsurlardan biridir. Bu bağlamda etkin danışmanlık öncelikle sağlık personelinin eğtiminden geçmektedir.Öğe The effect of a transtheoretical model-based motivational interview on self-efficacy, metabolic control, and health behaviour in adults with type 2 diabetes mellitus: A randomized controlled trial(WILEY, 2019) Selçuk-Tosun, Alime; Zincir, HandanAim This study aimed to determine the effect of a transtheoretical model-based motivational interview method on self-efficacy, metabolic control, and health behaviour in adults with type 2 diabetes mellitus. Methods A randomized controlled study design was used. The study was conducted with 50 individuals with type 2 diabetes mellitus, divided into an intervention group and a control group. The researcher held motivational interviews with the patients in the intervention group. Both groups were observed at the beginning of the study and 6 months after the baseline interview. The study data were collected between January 8 and November 18, 2014. Results Comparing the intervention and the control groups, the differences in the level of self-efficacy and participants' metabolic values were significant (P < .05). The number of participants in the action stage of the intervention group for nutrition, exercise, and medication use significantly increased compared with the control group (P < .05). Conclusion The transtheoretical model-based motivational interview method increased the self-efficacy level of participants with type 2 diabetes mellitus, which helped them improve their metabolic control and health behaviour stages over this 6-month period.Öğe Gebelikte Beslenmenin Değerlendirilmesi(2005) İrge, Emel; Timur, Sermin; Zincir, Handan; Oltuluoğlu, Hatice; Dursun, SelvihanBu çalışma gebelikte beslenmeyi değerlendirmek amacıyla kesitsel olarak planlanmıştır. Bu çalışmaya 15-49 yaş grubunda Malatya il merkezinde yaşayan 202 gebe kadın alınmıştır. Veriler Statistical Package for Social Sciences (SPSS) 10.0 programında yüzdelik, ortalama, student t test ve tek yönlü varyans analizi ile değerlendirilmiştir. Araştırmada beden kitle indeksinin sonuçlarına göre, gebelerin yüzde 17.3'ü hafif şışman, yüzde 9.9'u şışman ve yüzde 4.5'i zayıf bulunmuştur. Gebelerin gebelik ve doğum sayısı ile beden kitle indeksi arasında anlamlı bir ilişki saptanmıştır. Çalışmada gebelerin yüzde 81.2'sinin gebelikte beslenme sorunu yaşadığı belirlenmiştir. Ayrıca gebelerin yüzde 53.5'i vitamin ve mineral almamaktadır. Ek olarak, gebelerin yüzde 14.9'u kil, toprak ya da sıva alçı yeme eğilimleri olduğunu belirtmişlerdir. Gebe kadınların yüzde 20.8'inin gebelikleri sırasında sigara kullandıkları saptanmıştır.Öğe I?nönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Hemşirelik ve Ebelik Programı Öğrencilerinin Cinsel Yolla Bulaşan Hastalıklar Hakkındaki Bazı Bilgilerinin ve Bunu Etkileyen Faktörlerin Değerlendirilmesi(2002) Ok, Şenay; Zincir, Handan; Ege, EmelBu araştırma, öğrencilerin CYBI konusunda bilgi durumlarını, bunu etkileyen faktörleri değerlendirmek, eğitim alan ve almayan öğrenciler arasında karşılaştırma yapmak amacıyla yapılmıştır. Öğrenciler örgün eğitimleri sırasında eğitim almıştır. CYBI konusunda eğitim alan ve almayan öğrencilerin bilgi puanları değerlendirildiğinde, eğitim alan öğrencilerin %45'inin, eğitim almayanların %11'inin, 50 ve üzerinde puan aldığı saptanmıştır. Eğitim alan ve almayan öğrenciler arasında bilgi puan açısından karşılaştırma yapıldığında aradaki fark anlamlıdır (p0.001). Öğrencilerin %71.6' sının genital sistemi tutan ve cinsel yolla bulaşan hastalıklardan korunmak için dikkat edilmesi gereken kuralları bildikleri saptanmıştır. CYBI lardan korunmada en etkin yöntem olan kondomun kullanım şeklini bilen öğrenciler ile öğrencilerin programları, sınıfları arasında fark anlamlıdır (p0.05). Öğrencilerin sınıfının artmasına paralel olarak kondomun kullanılmasında dikkat edilecek noktaları bilen öğrencilerin sayısı artmıştır. Öğrencilerin mezun olduğu okul (p0.01), eğitim alma durumu ile AIDS' in tanı yöntemini bilmeleri arasında fark anlamlıdır. Sonuç olarak; Öğrencilerin CYBI lar hakkında eğitim alıp almaması, mezun olduğu okul, öğrencinin bulunduğu program ve sınıfı CYBI larda bilgi düzeyini etkilemiştir.Öğe Internet addiction and risk of obesty in primary education students (Preliminary study)(2018) Özen, Betül; Tosun, Alime Selçuk; Zincir, Handan; Demir, GökçeIntroduction: The aim of this study was to determinethe rate between internet addiction and risk of obesityrisk in primary school students.Materials and Methods: This study was conductedwith a total of 358 students. Ethics committee approvaland institutional permission as well as verbal and writtenconsents of the students and their parents wereobtained to conduct the study. Mann-Whitney U andKruskal Wallis tests were used to carry out statisticalanalyses of the data.Findings: The average age of the students included inthe study was 13.750.64 and they started using internetat age of 7.712.02. It was found that 44.3% usedinternet for more than five hours. While 51.7% of thestudents did not have breakfast on the internet, 32.8%skipped eating while using the internet. Also, it wasfound that while 13.4% of the students were obese, and14.2% were overweight. The total score obtained by thestudents from the internet addiction test was20.3616.16.Conclusion: When scores of the internet addiction testwere examined; a statistically significant difference wasdetermined between the scores of the internet addictiontest and the students’ percentile value, age, gender,period of internet use, the state of getting hungry atcomputer/ internet, and their mothers’ educationalbackground.Öğe Social support and symptoms of postpartum depression among new mothers in Eastern Turkey(WILEY, 2008) Ege, Emel; Timur, Sermin; Zincir, Handan; Geckil, Emine; Sunar-Reeder, BulbinAim: The aim of the present study was to examine the relationship between symptoms of postpartum depression and social support in new mothers in a semi-rural province (Malatya) of Eastern Turkey. Methods: This is a descriptive, cross-sectional study. The study was conducted with a 12-item Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire, a 10-item Edinburgh Postnatal Depression Scale (EPDS) questionnaire, and a 16-item demographic/obstetric questionnaire designed by the authors. 364 women who were between 6 to 48 weeks postpartum were included in the study. Results: Symptoms of postpartum depression were negatively correlated with social support (-0.39, P = 0.000). The frequency of the prevalence of symptoms of postpartum depression was 33.2%. The study showed that EPDS mean score was related to several factors, including age, woman's education, woman's occupation, socioeconomic status of family, spouse's education, number of years married, parity, planned pregnancy, method of delivery, knowledge of infant care, sharing of problems with a close person, past psychiatric history and family support during the postnatal period in an Eastern province of Turkey. Conclusion: Symptoms of postpartum depression were negatively correlated among Turkish women living in the Malatya province of Eastern Turkey and were associated with the level of social support. The prevalence of postpartum depression was higher than in the published reports regarding most regions of Turkey, with the exception of Northeastern Turkey.Öğe Women's douching practices and related attitudes in eastern Turkey(BLACKWELL PUBLISHING, 2007) Ege, Emel; Timur, Sermin; Zincir, Handan; Egri, Mucahit; Reeder, Bulbin SunarAim: Vaginal douching is a common hygiene practice for many women all over the world, but it is associated with several health risks. Little is known about the beliefs and attitudes that promote and maintain douching practices. Therefore, the objective of the present study was to evaluate the status of vaginal douching practices of women in the Malatya province of eastern Turkey. Methods: This was a cross-sectional study. A sample of 465 Muslim women was interviewed to ascertain the status of vaginal douching practices. All participants were between 15 and 49 years of age and all were married. Data were collected by using a questionnaire in the process of conducting face-to-face interviews in June 2004. Data analysis included descriptive statistics and logistic regression modeling. Results: The present study revealed that the frequency of douching was 61.5% among women. The participants were frequently douching for feminine hygiene (47.6%). Vaginal douching practices were associated with several factors including education level (odds ratio [OR] = 1.991, 95% confidence interval [CI] = 1.154-3.434), family income (OR = 0.996, 95% CI = 0.994-0.998), marital age (OR = 0.402, 95% CI = 0.223-0.715), frequency of sexual intercourse (OR = 2.335, 95% CI = 1.532-3.554), and presence of genital syndromes/infections (OR = 1.813, 95% CI = 1.215-2.739). Conclusion: This study provides preliminary information about women's douching practices and attitudes in the Malatya region of Turkey. It may also provide information to health-care practitioners in their efforts to educate women on the adverse effects of vaginal douching.