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Yayın The effect of loneliness and perceived social support on medication adherence self-efficacy in hypertensive patients: An example of Turkey(Elsevier Science Inc, 2020) Özsoy Aşılar, Rabia; Yıldırım, Arzu; Saglam, Rabia; Selcuk, Ezgi Demirturk; Erduran, Yeliz; Sarihan, ÖzlemThis study was conducted to investigate the effect of loneliness and perceived social support on medication adherence self-efficacy in hypertensive patients. This descriptive cross-sectional study was conducted between March and June 2015 at 5 Family Health Centers in central Erzincan in eastern Turkey. The data were collected through face-to-face interviews using a descriptive questionnaire, the UCLA Loneliness Scale, the Multidimensional Scale of Perceived Social Support, and the Medication Adherence Self-Efficacy Scale Short Form. The mean score obtained from the UCLA Loneliness Scale was 38.35 +/- 9.85, from the Multidimensional Scale of Perceived Social Support 64.10 +/- 18.31, and from the Medication Adherence Self-Efficacy Scale 40.27 +/- 11.97. The mean UCLA Loneliness Scale score was found to have a low negative correlation with the mean Medication Adherence Self-Efficacy Scale score and a highly significant negative correlation with the mean Multidimensional Scale of Perceived Social Support score (P < .001). There was also a very low positive significant correlation between the mean scores of the Multidimensional Scale of Perceived Social Support and the Medication Adherence Self-Efficacy Scale (P < .001). This study revealed that individuals with hypertension perceived a moderate level of loneliness, and their perceived social support and medication adherence self-efficacy were higher than the moderate level. Perceived loneliness and perceived social support were significant indicators of perceived medication adherence self-efficacy. Therefore, effective consultancy services should be provided to hypertensive patients to increase their social support and to make positive changes in their perceived loneliness so that their perceived medication adherence self-efficacy can be improved. (C) 2020 Society for Vascular Nursing. Published by Elsevier Inc. All rights reserved.Yayın Knowledge, Beliefs and Practices of University Students Regarding Testicular Cancer and Testicular Self-Examination(Marmara Univ, Inst Health Sciences, 2020) Yurt, Seher; Saglam, Rabia; Kadioğlu, HasibeObjective: Although seen rarely, testicular cancer remains to be a public health problem as it is the most common cancer type in males aged between 15 and 35 years. The aim of this study is to evaluate knowledge, beliefs and practices of male university students regarding testicular cancer and testicular self-examination. Methods: This descriptive study was conducted with 681 first-year university students between November and December 2016. The data were collected using a Descriptive Form, Testicular Cancer Questionnaire and the Champion's Health Belief Model Scale (HBMS). Results: It was found that 91% of the students had no previous knowledge on testicular cancer, 88.3% had never heard of Testicular Self-Examination (TSE). Most of the students stated that they obtained information on testicular cancer and TSE from the internet. Students were found to have moderate level of perceived benefit, susceptibility, barrier, motivation/seriousness and self-efficacy with respect to testicular cancer and TSE. Conclusion: As a result of this research, it was found that university students lacked sufficient knowledge on testicular cancer and TSE. In order to improve the level of knowledge on testicular cancer and TSE, health professionals may provide trainings at universities, awareness may be raised among university students through elective courses and information may be disseminated via mass media.Yayın Symptoms and Care Satisfaction in Patients Who Underwent Coronary Artery Bypass Graft Surgery(Marmara Univ, Inst Health Sciences, 2021) Bozkurt, Tuğçe; Saglam, RabiaObjective: This study was conducted to investigate of symptoms and care satisfaction in patients who had a coronary artery bypass graft (CABG) surgery. Methods: The study population consisted of patients who had a coronary artery bypass graft surgery in a public and a foundation hospital in Istanbul between December 2018 and May 2019 and the study sample 176 patients who met the inclusion criteria and agreed to take part in the study. The study data were collected using the self-report method with the help of a Patient Description Form, the Heart Surgery Symptom Inventory (HSSI) and the Newcastle Satisfaction with Nursing Care Scale (NSNS). The data were analysed on the SPSS version 22.0 software. The data were analysed using numbers, percentages, minimum and maximum values, means and standard deviations, t-test, variance analysis and Pearson correlation analysis. Results: The patients were found after their CABG surgery to experience pain, shortness of breath, fatigue, lack of appetite, nausea and woundrelated symptoms. The most common complaint of the patients after the surgery was sleep problems and the least common wound-related symptoms. The mean HSSI score of the participating patients was 71.22 +/- 31.39 and the mean NSNS score 52.87 +/- 22.54, which meant that the severity of their post-surgery symptoms and their satisfaction with care were at a moderate level. Post-surgery pain, lack of appetite, nausea and wound-related symptoms were found to have a statistically significant moderate negative correlation with care satisfaction (p<0.05) and shortness of breath, fatigue and insomnia to have a statistically significant strong negative correlation with care satisfaction (p<0.05). Conclusion: The results of this study revealed that patients who experienced less symptoms of pain, shortness of breath, fatigue, sleep disorders, lack of appetite, nausea, vomiting, and wound infection after a CABG surgery were more satisfied with the nursing care.Yayın Symptoms Experienced by Women at Home and Self-Care Agency after Breast-Conserving Surgery(Sage Publications Inc, 2021) Çankaya, Gül; Saglam, RabiaThis study was conducted to determine the symptoms experienced by women at home and self-care agency after breast-conserving surgery. The study was carried out in a public hospital in Istanbul between January and June 2018. The sample of the study consisted of 65 women. The data were collected through face-to-face interviews using Patient Description Form, Symptom Check List and Self-Care Agency Scale during outpatient check-ups in the first and third weeks following discharge. The mean age of the women was 52.68 +/- 13.24. Fatigue, weakness, pain and insomnia were mostly experienced symptoms in the first and third weeks after discharge while fever, discharge from the wound area and nausea-vomiting symptoms were the least experienced symptoms in these weeks. It was determined that women had moderate self-care agency in the first and third weeks of discharge. Women who were married and whose income was equal to their expenses had higher self-care agency, and those living alone had lower self-care agency than those living with their spouses and children (p < 0.05). The self-care agency scores of those who did not have a chronic disease were higher than those with chronic diseases (p < 0.05). It is found that women with breast-conserving surgery experience symptoms related to the operation in the first and third weeks of discharge. Women's self care agency was moderate during the follow up period, meaning that these patients should be supported by nurses with regard to self care agency and symptoms experienced at home.
