The effect of music on pain and anxiety in patients receiving chemotherapy during COVID-19.

OBJECTIVE: This research has been conducted to determine the effect of music on pain and anxiety levels of patients receiving chemotherapy during COVID-19. METHODS: The research has been carried out in a real trial model with 92 adult patients (45 in the experimental group who received chemotherapy and 47 in the control group). The data have been collected by the researcher with Google Forms (using State and Trait Anxiety Inventory [STAI] and visual analogue scale [VAS]) through the links sent to the phones of participants on the day they received chemotherapy, between March 2020 and July 2020. RESULTS: The mean scores obtained from the post-test STAI (53.11 ± 4.77) and VAS (3.44 ± 2.53) in the experimental group have been determined to statistically significantly decrease when compared to the pre-test measurement data (STAI: 54.26 ± 4.26; VAS: 4.22 ± 2.41) (p < 0.05). No statistically significant difference has been determined between pre-test and post-test mean scores of the patients in the control group. CONCLUSION: It has been observed that music applications reduce the pain and anxiety levels of patients receiving chemotherapy during the COVID-19 process. It can be recommended to use music applications in the management of pain and anxiety symptoms.

Psychological well-being in patients undergoing stem cell transplantation

The aim of the study is to determine the psychological well-being of patients who underwent stem cell transplantation. This cross-sectional study was conducted with 100 patients. Data were collected face-to-face using an introductory information form and the Brief Symptom Inventory.When the results of the patients were examined, the interpersonal sensitivity of the sub-dimensions of the scale was found to be 5.0 ± 4.06, depression 7.60 ± 5.37, and anxiety disorder 7.90 ± 5.34. There was a significant difference between the diagnosistime of the patients and all sub-factors of the scale, except phobic anxiety. It was found that the psychological state of the patients was directly related to the time of first diagnosis. As a result, the importance of following the psychological processof the patients during the treatment process was revealed when planning nursing care.

The effects of group counseling based on the solution-focused approach on anxiety and healthy lifestyle behaviors in individuals with eating disorders.

PURPOSE: This study was conducted to determine the effects of group counseling based on the solution-focused approach (SFA) on anxiety and healthy lifestyle behaviors in individuals with eating disorders. DESIGN AND METHODS: The study was implemented with a pretest-posttest experimental (n:31) randomized controlled (n:45) design. Adults aged 25 and older were included in the study. FINDINGS: After the intervention, there was a decrease in the trait anxiety inventory scores, while there was an increase in the healthy lifestyle scores and subscale scores. Additionally, the mean weight of the individuals in the experiment group and their body mass indices decreased, and their weekly hours of exercise increased. PRACTICAL IMPLICATIONS: SFA counseling provided to the individuals with eating disorders decreased the anxiety of the individuals and increased their healthy lifestyle behaviors.

The effect of exercise training based on the health promotion model on menopausal symptoms.

PURPOSE: This study was conducted to determine the effect of exercise training provided based on the health promotion model on menopausal symptoms. DESIGN AND METHODS: The sample size was identified as 156 women. The women who were given exercise training applied a 30-min daily exercise program for 12 weeks, while those in the control group were not trained and did not exercise. FINDINGS: The difference between the mean scores of the groups was statistically significant (p = 0.000). PRACTICE IMPLICATIONS: Exercise training given to women in the experimental group based on a health promotion model reduced menopausal symptoms.

The effect of anxiety levels of elderly people in quarantine on depression during covid-19 pandemic.

This study aims to determine the effect on depression of elderly people's anxiety levels in quarantine during the COVID-19 pandemic. This is a descriptive study, in which data were collected using the online survey method, an introductory information form, a semistructured data form for COVID-19, the Trait Anxiety Inventory, and the Geriatric Depression Scale. Data were collected during the period when a curfew was imposed for the elderly. Data were analyzed using a structural equation model. According to the structural equation model, anxiety was determined as a predictor of depression. The anxiety levels of the elderly who were 65-74 years old, female, single; had insufficient knowledge about the pandemic; and had not encountered a similar outbreak before considered that family relationships were affected negatively so they became lonely and reported that they became bored, exhausted, and distressed during the pandemic, which increased their depression levels. Anxiety affects depression in the elderly. Therefore, it is recommended to provide them with appropriate psychological support interventions and understandable information about the pandemic so that their anxiety and depression levels can be reduced during the pandemic.

How Counseling Based on Acceptance and Commitment Therapy and Supported with Motivational Interviewing Affects Levels of Functional Recovery in Patients Diagnosed with Schizophrenia: A Quasi-Experimental Study.

This study aimed to determine how counseling based on acceptance and commitment therapy (ACT) and supported with motivational interviewing (MIs) affected functional recovery in individuals diagnosed with schizophrenia (IDSs). A quasi-experimental design was used. The participants of this study were 87 individuals diagnosed with schizophrenia (36 in the experimental group and 51 in the control group). The experimental group received counseling based on ACT and supported with MIs. The data were collected between September 2018 and May 2019 using a Descriptive Information Form and the Functional Remission of General Schizophrenia Scale (FROGS). The participants in the experimental group were given a group counseling program of eight sessions at community mental health centers in downtown Malatya, Turkey. The results revealed a statistically significant difference in the mean scores on FROGS between those in the IDS experimental group and those in the control group. The scores increased on both groups.

The relationship of mindfulness-based psychoeducation provided to schizophrenic patients with their sociodemographic characteristics in increasing insight.

PURPOSE: The aim of this study is to determine the relationship between sociodemographic characteristics and mindfulness-based psychoeducation given to schizophrenic patients for increasing insight. DESIGN AND METHODS: This study was conducted as pre-experimental single group pretest-posttest model in a Community Mental Health Center (CMHC) located in the city center of Balikesir, Turkey, with 55 patients. FINDINGS: In patients graduating from university, posttest mean score of overall Beck Cognitive Insight Scale was higher than its pretest mean score and the difference between the mean scores was statistically significant (P < .05). PRACTICAL IMPLICATIONS: It is recommended to place mindfulness-based psychoeducation programs into routine treatment in CMHCs to increase the insight of schizophrenic patients.

How Counseling Based on Acceptance and Commitment Therapy and Supported With Motivational Interviewing Affects the Perceptions of Treatment Motivation in Patients Diagnosed With Schizophrenia: A Qualitative Study.

BACKGROUND: Lack of motivation is a common phenomenon in treatment of schizophrenia. Despite information that various psychosocial approaches may help overcome lack of motivation, their content and nature remain uncertain. However, in recent years, there is an increasing interest in psychosocial interventions such as acceptance and commitment therapy (ACT) and motivational interviewing (MI) techniques in approaching individuals diagnosed with schizophrenia (IDSs). In this study, the therapeutic models of ACT and MI were combined to create an innovative integrative approach to address the problem of lack of motivation in IDSs. AIMS: This study was conducted to determine how a counseling program based on ACT and supported with MI affected the perceptions of treatment motivation in IDSs. METHOD: This study addressed the qualitative aspects of a doctoral dissertation designed as a quasi-experimental study that gathered both quantitative and qualitative data. RESULTS: As a result of the content analysis, three main themes and 10 categories that motivated IDSs for compliance with regular treatment were developed. The participants in the experimental group expressed a focused treatment motivation to participate in daily life activities and social relations, acceptance of illness, satisfaction with life despite side effects and leading a value-oriented life in comparison with the control group. CONCLUSIONS: Counseling based on ACT and supported with the MI technique is effective in improving treatment motivation in IDSs. This counseling may be implemented as an effective psychiatric nursing intervention for IDSs.

The effect of mindfulness-based education given to individuals with substance-use disorder according to self-efficacy theory on self-efficacy perception.

The aim of this research is to find the effect of mindfulness-based education given to individuals with substance-use disorder according to self-efficacy theory on self-efficacy perception. The research was planned as a test model with pretest-posttest control groups. Individuals who have been diagnosed with substance abuse in the substance abuse clinic of Turgut Ozal Medical Center, and at the Substance Abuse Treatment and Education Centre of Gaziantep 25 Aralik State Hospital formed the core of this study. The research was conducted between January 2018-May 2019. 112 patients, 56 in the treatment and 56 in the control group, participated in the study. Scientific research started after ethical approval. Mindfulness therapy was applied to experimental group patients. For the data collection, the Socio-Demographic Characteristics Questionnaire and Self-Efficacy-Sufficiency scale were used. t-Test for dependent variables to compare the mean scores of experimental and control groups and t-test for independent variables were used. It was seen that the average total Self-Efficacy-Sufficiency score of the patients in the treatment group was 76.50 ± 12.62 before the intervention and increased to 85.50 ± 14.95 after the intervention. There is a significant difference between the average scores. Even when the treatment and control groups are compared, a significant difference was still detected between the groups. There was no significant difference between the groups in two of the Self-Efficacy-Sufficiency steps after the intervention in the experimental group, but there were significant differences between the other two factors and total score averages.

Determining the Correlation Between Social Support and Hopelessness of Syrian Refugees Living in Turkey.

The current descriptive cross-sectional study was conducted to determine the correlation between perceived social support and hopelessness of 609 Syrian refugees age ≥16 residing in Gaziantep City, Turkey. A sociodemographic questionnaire, the Multidimensional Scale of Perceived Social Support, and Beck Hopelessness Scale were used for data collection. Descriptive statistics, analysis of variance, and regression and correlation analyses were used to analyze the data. Syrian refugees had high levels of hopelessness, particularly motivation loss, and moderate levels of perceived social support. As perceived social support increased, hopelessness, feelings, expectations about the future, and motivation loss decreased. In accordance with these results, hopes of Syrian refugees for the future can be increased by improving their social support system. [Journal of Psychosocial Nursing and Mental Health Services, 58(7), 27-33.].

The relationship between depression and loneliness levels of the students at the faculty of health sciences and the factors affecting them.

PURPOSE: The aim of this study is to determine the relationship between the loneliness and depression levels of students studying at Inonu University, Faculty of Health Sciences, Departments of Nursing, Midwifery, Physiotherapy, Audiology and Child Development and the factors that affect these levels. DESIGN AND METHODS: This descriptive cross-sectional study which used a socio-demographic information form, the UCLA Loneliness Scale and the Beck Depression Inventory included 1004 students. FINDINGS: According to the results of the research, there was a positive relationship between loneliness and depression levels among university students. Class year, family type, place of residence, mother's education level, and economic situation were important indicators of loneliness and depression. PRACTICE IMPLICATIONS: Psychiatric nurses can help students express their psychological difficulties and help them change their behaviors and lifestyles.

Evaluation of meaning of life and self-care agency in nursing care given to chronic obstructive pulmonary patients according to health promotion model.

The study was conducted to evaluate the meaning of life and self-care agency in nursing care given to chronic obstructive pulmonary patients according to the health promotion model. The sample of the study was determined by power analysis and 40 COPD patients were assigned to each group by simple random sampling method. Descriptive Information Form, Life Attitude Profile and Self-care Agency Scale were used to obtain the data. Nursing care was applied by the researcher 3 times in every 2 weeks according to the health promotion model in the houses of the patients in the experimental groups. Number, percentage, mean, standard deviation, dependent samples t-test, independent samples t-test, chi-square and ANOVA were used to analyze the data. It was determined that while posttest mean score of the patients in the Experimental group 1 for Self-care agency scale was 112.70 ±â€¯29.0; their posttest mean score for Life Attitude Profile was 156.37 ±â€¯13.5. Posttest mean score of the patients in the Control group 1 for Self-care agency scale was 81.35 ±â€¯17.7; whereas, their posttest mean score for Life Attitude Profile was 120.50 ±â€¯31.9. The difference between the posttest mean scores of the groups was statistically significant (p < 0.05). The care applied to the patients with COPD according to health promotion model was found to increase self-care agency and meaning of life of the patients.

The correlation of depression with neglect and abuse in individuals over 65 years of age.

PURPOSE: This study was conducted to evaluate the correlation of neglect and abuse with depression in individuals over 65 years of age. DESIGN AND METHODS: This descriptive study included 290 elderly people who were registered at 10 family health centers in Turkey. FINDINGS: It was determined that mental health problems were present in the sample, and elderly individuals were exposed to abuse and neglect. The levels of depression were found to be high in elderly individuals with no spouses, low level of education, low income, living with their children and unable to access personalized care. The depression levels were also found to be high in the elderly individuals who were subjected to abuse and neglect. PRACTICAL IMPLICATIONS: Awareness of healthcare professionals is of great importance in preventing abuse and neglect experienced by elderly individuals.

The effects of sleep hygiene education and reflexology on sleep quality and fatigue in patients receiving chemotherapy.

INTRODUCTION: This study was conducted to determine the effects of sleep hygiene education and reflexology on sleep quality and fatigue in the patients receiving chemotherapy. METHODS: The sample of the study consisted of 167 patients (84 in the experimental and 83 in the control group). The data were collected between October 2016 and November 2017 using an Introductory Information Form, the Pittsburgh Sleep Quality Index (PSQI) and the Fatigue Severity Scale (FSS). RESULTS: The mean -test score from the PSQI was 5.5 ± 2.1 for the experimental group and 13 ± 2.4 for the control group. The mean post- test score from the FSS was 22.6 ± 1.9 for the experimental group and 41.0 ± 4.2 for the control group. The difference between the mean scores of the groups was statistically significant (p = 0.000). CONCLUSION: The patients receiving chemotherapy had lower mean scores from the PSQI and the FSS while they had increased sleep quality and decreased fatigue after sleep hygiene education and reflexology.

The effect of mindfulness-based psychoeducation on insight and medication adherence of schizophrenia patients.

PURPOSE: This research was conducted to determine the effect of mindfulness based psychoeducation program on insight and medication adherence of schizophrenia patients. MATERIALS AND METHODS: The study was conducted in a true experiment design with pre-test and post-test control groups. The study population consisted of 369 schizophrenic patients enrolled in Community Mental Health Centers located in Balikesir and Eskisehir province centers. The sample consisted of 135 patients, 55 from experimental and 80 from control groups selected by randomized sampling. The data was collected between February and May 2016. The Descriptive Information Form, Beck Cognitive Insight Scale (BCIS) and Medication Adherence Rating Scale (MARS) were used. In the experimental group, the psychoeducation program was applied. Number, percentage, mean, standard deviation, chi-square, t-test in both dependent and independent groups, were used in the analysis of the data. RESULTS: The mean post-test score of the Beck Cognitive Insight Scale was 4.89 ±â€¯6.05 in the experimental group, 1.68 ±â€¯5.67 in the control group and the difference between the mean scores was statistically significant (p < 0.05). The mean post-test score of Medication Adherence Rating Scale was 1.76 ±â€¯0.42 in the experimental group, 1.50 ±â€¯0.50 in the control group and the difference between the mean scores was statistically significant (p < 0.05). CONCLUSION: It was determined that psychoeducation program was effective in increasing cognitive insight level and medication adherence of patients and can be used by nurses in addition to medication.

The care burden and coping levels of chronic psychiatric patients' caregivers.

PURPOSE: This descriptive study was conducted in order to determine care burden of caregivers of chronic psychiatric patients and their levels of coping with stress. METHODS: The study was conducted with 134 caregivers of chronic psychiatric patients. The following data collection tools were used: the personal information form, the ZBI and SCI. The study participants were selected from the population by using an improbable random sampling method. RESULTS: The average age of the caregivers was 49.95±13.68 and the majority were married and primary school graduates. CONCLUSION: This study determined that caregivers experienced a high level of burden. However, while the deal with their difficulties of providing effective care was found to have more coping methods they use.

The Relationship Between Treatment Adherence and Social Support in Psychiatric Patients in the East of Turkey.

This study was conducted to determine the relationship between the adherence to treatment and social support in psychiatric patients. The study was completed with a total of 324 psychiatric patients. The data gathering tools used were Demographics Questionnaire, Morisky Medication Adherence Scale and Multi-Dimensional Scale of Perceived Social Support. The study sample consisted of psychiatric patients who were selected from the population by using the simple random sampling method. Among the patients, 50.9% adhered to the treatment, and 14.5% did not. Patients living in city and country-town, with high income and living with family were found to have more social support. A positive, significant relationship was found among scales (p<0.05). As the mean scores of social support increased, patients' adherence to treatment increased.

Relationship between social support and fatigue in patients with type 2 diabetes mellitus in the east of Turkey.

AIM: This study was planned to assess the levels of fatigue and social support in patients with diabetes and to determine the relationship between fatigue and social support in these patients. METHODS: A descriptive design was used in this research. The study was conducted between March and June 2013 with 300 sampled patients from 1657 studied participants with type 2 diabetes who presented to the diabetes polyclinics of Malatya State Hospital and Inonu University, Turgut Ozal Medical Center. The Multidimensional Scale of Perceived Social Support and the Fatigue Severity Scale were used in the study. RESULTS: When the correlation analysis carried out between fatigue severity and social support in patients with diabetes was examined, a significant relationship was found in the negative direction between fatigue severity and family support (r = -0.145, P < 0.05) as well as overall support (r = -0.132, P < 0.05). A statistically significant difference was found between the Fatigue Severity Scale score and sex, education status, occupation, cohabitation, presence of complications, and hemoglobin A1c (P < 0.05). Family support was significant only with respect to marital status, occupation, and being employed (P < 0.05). CONCLUSION: It was seen at the end of this research that social support reduced the level of fatigue in a number of patients with type 2 diabetes. Nurses of diabetes patients should carry out fatigue assessments routinely and reflect these in nursing care plans by also associating them with the social support sources of the patient.

Relationship between depression and loneliness in elderly and examination of influential factors.

This study was planned and conducted for the purpose of examining the relationship between depression and loneliness in elderly people and the influencing factors. The study was a descriptive and correlational study and its population consisted of 17,080 older individuals aged sixty and over who were registered at six Family Healthcare Centers (FHCs) located in the provisional center of Malatya. The sample of the study comprised of 913 elderly people who were chosen from the elderly people registered at the FHCs first by cluster sampling and then by simple random sampling from the clusters in proportion to the population. The data was collected between April and June 2011 using a questionnaire developed by the investigators in line with the literature, the Geriatric Depression Scale (GDS) and the UCLA Loneliness Scale (ULS). They had a mean score of 13.83 ± 7.4 from the GDS and 40.50 ± 12.1 from the ULS. A positive correlation was found between Geriatric Depression and loneliness (r=0.608, p<0.001). It was observed that there was a significant correlation between loneliness and depression in the elderly people living in a community, presence of social security and higher income, on the other hand, led to lower mean scores. In view of these results, it can be advised that a minimum income should be secured for elderly people whether they have social security or not, their families and the society should be trained not to leave elderly people alone.

Prospective study: reducing pressure ulcers in intensive care units at a Turkish medical center.

PURPOSE: The purpose of this study was to determine the impact of an educational intervention on the incidence of stage II pressure ulcers (PUs) in adult patients in intensive care units (ICUs) in a Turkish medical center. DESIGN: This was a prospective study of patients admitted to ICUs. Data were collected over a 3-month period. Subjects were assessed using the Braden Scale for Predicting Pressure Sore Risk to determine the risk for developing a PU; assessment was completed within the first 24 hours of admission and each 48 hours thereafter for a maximum of 12 weeks. Educational intervention was employed: Intervention included education of ICU nurses about PU prevention and risk assessment; and following the educational intervention and implementation of the PU prevention protocol in all ICUs, data were collected for study period II. SUBJECTS AND SETTING: The sample comprised 186 patients admitted to critical care units of a Turkish medical center. Ninety-three subjects participated in a preintervention comparison group, and 93 subjects participated in an intervention group. INSTRUMENTS: Data were collected using a demographic and clinical data form, a nursing intervention checklist, and the Braden Scale for Predicting Pressure Sore Risk. RESULTS: Stage II PUs were observed in a total of 50 patients for the overall sample. The most common site was the sacrococcygeal area, which accounted for 46% of ulcers. A statistically significant difference was observed when the rate of stage II PUs in the comparison group, 37% (34 of 93 patients), was compared to the rate in the intervention group, 17% (16 of 93 patients) (chi2 = 8.86, df = 1, P < .01). CONCLUSION: Education regarding preventive care can be effective in reducing the incidence of PUs in the ICU setting. Therefore, education about risk assessment and PU prevention should be a priority for nurses in critical care settings.