Experiences of women with gestational diabetes about fear of having diabetes in their babies: A qualitative study.

Gestational Diabetes Mellitus is an important public health problem that often occurs during pregnancy. This study aimed to reveal the experiences of women with gestational diabetes regarding the fear of having diabetes in their babies. A qualitative research method was carried out with a phenomenological approach. The interviews had a semi-structured form and were recorded on an online/face-to-face voice recorder, and thematic content analysis was performed on the MAXQDA22. Following the inclusion criteria, 12 women with gestational diabetes from the 2 hospitals in the study were included, and in this way, the study reached saturation. As a result of the interviews, 4 main themes and one subtheme were obtained from coding. The main themes were "sugar baby," "risky child," "raising a fearful baby," and "problematic gene carrier." From the main theme of "problematic gene carrier," the subtheme of "pregnancies with problematic genes" was created. This research sheds light on the problems women with gestational diabetes experience with themselves and their babies, and how they deal with these problems. Women with gestational diabetes try to accept and cope with the diagnosis. This research shows that the women were worried about both themselves and their babies. Illuminating the experiences of women with gestational diabetes is part of an integrative care approach that will help increase quality care and treatment in endocrine clinics. More qualitative studies are needed to learn more about the experiences of women with gestational diabetes in endocrine clinics.

Perspective on insulin use in gestational diabetes: A phenomenological study.

Gestational diabetes mellitus (GDM) is characterized by carbohydrate metabolism intolerance during pregnancy in individuals with normal blood glucose levels before pregnancy. The first-line treatment for GDM is nutrition and exercise, and insulin therapy is initiated when these are insufficient. Pregnant women who are started on insulin often think that they use drugs that may be harmful to the baby. Therefore, this study aimed to examine the perspectives of women diagnosed with gestational diabetes on insulin use using a phenomenological approach. Qualitative research was conducted using phenomenological patterns. The interviews were recorded on an online/face-to-face voice recorder in a semi-structured form, and thematic content analysis was performed using MAXQDA22. Based on the inclusion criteria of the 2 hospitals specific to the study, 15 patients were included, and the study reached saturation. Three main themes and 2 subthemes were obtained from the coding. The main themes were derived from, "fear," "baby protector," and "last remedy" coding. Pregnant women diagnosed with GDM can define gestational diabetes because of the training provided. Because the pregnancy period is sensitive, pregnant women delay control and insulin application for the health of their babies. Moreover, they sometimes experience pain during the injection, and believe that it may harm their babies.

A Phenomenological Analysis of Experiences and Practices of Nurses Providing Palliative and End of Life Care.

The aim of this study was to describe the experiences and practices of nurses providing palliative and end of life care. The study was conducted in the palliative care unit of a territory hospital in Turkey. The sample consisted of 11 nurses who had been working as palliative care nurses for at least one year. The face to face interview method was used to collect data, with a semi-structured in-depth individual interview. 5 main themes and 24 sub-themes were emerged in relation to the experiences and practices of the nurses. The majority of participant nurses pointed that inadequacy in the number of nurses, secondary nursing care activities, refusal of treatment, cultural and ethical problems were barriers in the provision of nursing care. They frequently experienced ethical issues when caring for end of life patients, and for this reason they felt the need for ethics counselling which they could consult.

Effect of Music on Pain in Cancer Patients in Palliative Care Service: A Randomized Controlled Study.

This study aimed to investigate the effect of music on pain, anxiety, comfort, and functional capacity of cancer patients who received care in a palliative care unit. The population of this randomized controlled trial consisted of cancer patients hospitalized in the palliative care service between July 2018 and July 2019. The study included 60 patients (30 interventions/30 controls). The patients in the intervention group were given a total of six music sessions, 10 minutes each with the Turkish classical music in maqams of their choice (Hejaz or Rast accompanied by an expert tambour (drum) player). There was a significant difference between the mean total pain scores, anxiety, comfort, and functional capacity scores of the patients in the intervention and control groups before and after music therapy. Music therapy decreased the level of pain. It is demonstrated that Turkish classical music therapy improved the pain, anxiety, comfort, and functional capacity in the palliative care unit.

Assessment of Frailty in the Elderly.

AIM: This study aimed to evaluate frailty in older individuals and to identify factors related to frailty. METHOD: The descriptive, and cross-sectional study was conducted with 111 elderly patients who received inpatient treatment in a university hospital between January and September 2016. Ethics committee approval, institutional consent, and informed patient consent were obtained for the study. Along with the Edmonton Frail Scale, a data form was used to collect data about the patient's sociodemographics, disease status, and fall incidents. The data were collected through face-to-face interviews. RESULTS: The prevalence of severe frailty was 19.8%. Significant relationships were found between frailty and advanced age, low education, low income, continuous use of medicines, and a history of falls within the last year. CONCLUSION: Elderly individuals included in the study were categorized as "vulnerable" (Edmonton Frail Scale score of 6.84±3.83) and were at the borderline for "mild frailty" (Edmonton Frail Scale score of 7-8). The factors associated with frailty were advanced age, low education, and income level, continuous use of medicines, and the history of falls within the last year.

Effect of Natural Sunlight on Sleep Problems and Sleep Quality of the Elderly Staying in the Nursing Home.

This study was designed as an intervention study to determine the effect of light therapy on sleep problems and sleep quality of elderly people. The study sample was composed of a total of 61 elderly persons from Social Security Institution Narlidere Municipal Nursing Home, 30 in the test group and 31 in the control group. Those 65 years and older, not diagnosed with major depression, not exercising regularly, not having sun allergy, not using sleeping pills, independent in activities of daily living, and having bad sleep quality were included in the study. The Pittsburgh Sleep Quality Index, the Demographic Data Form, and the Follow-up Form for Elderly were used for data collection, whereas the Pittsburgh Sleep Quality Index was used for sample selection. It was found that exposure to direct sunlight between 8 AM and 10 AM for 5 days seems to be effective in increasing the global sleep quality score (P < .001). In light of the findings in this study, it is suggested that allocating living places in the institution's architectural setting and providing social opportunities for elderly persons to get direct sunlight exposure can help increase the sleep quality of older adults.