The effects of progressive muscle relaxation exercise applied to lung cancer patients receiving chemotherapy on dyspnea, pain and sleep quality: A randomized controlled trial.

PURPOSE: The aim of the present study is the analysis of how progressive muscle relaxation exercise affects dyspnea, pain and sleep quality in patients with lung cancer receiving chemotherapy. METHODS: Seventy-four patients diagnosed with lung cancer were included in this randomized controlled study. A total of 16 sessions of progressive muscle relaxation exercises were applied to the patients in the intervention group for a duration of 30 min, 2 days a week for 8 weeks. Patient Information Form, Medical Research Council Dyspnea Scale (MRC dyspnea scale), Pitssburg Sleep Quality Index (PSQI), Visual Analog Scale- Pain (VAS-P) were used to collect data. RESULTS: Socio-demographic and disease characteristics were found to be similar in control and intervention groups. Final scores indicated significant differences between the experimental and control groups in all variables. The experimental group showed significantly more favorable results in dyspnea (p < 0.001), pain (p < 0.003) and sleep (p < 0.001) symptoms. When the effect size values (Cohen's d) of these findings were analyzed, PMR exercise was found to have a moderate effect on mean VAS-P scores (0.548) and a large effect on mean MRC dyspnea scale (1.073) and PSQI (0.970) scores. These results indicated significant differences in pre and post intervention mean scores. CONCLUSION: Progressive muscle relaxation exercise applied to lung cancer patients receiving chemotherapy was found to be effective in reducing dyspnea and pain severity and improving sleep quality. Clinical trial registration at ClinicalTrials.gov. NCT04978805.

Effects of Virtual Reality on Pain, Anxiety, Patient Satisfaction in Coronary Angiography: A Randomized Trial.

BACKGROUND: Since patients are conscious during the coronary angiography procedure, they may experience pain and anxiety regarding possible complications and an uncertain outcome. AIM: This study was conducted to determine the effects of virtual reality application on pain severity, anxiety level, and patient satisfaction in patients who undergo coronary angiography. METHOD: This randomized controlled study was conducted with a total of 70 patients, including 35 patients in the intervention and 35 patients in the control group. Apart from their routine treatment, virtual reality glasses application was used in the intervention group patients during the procedure. The patients in the control group were given only routine treatment. Data were collected by using "Descriptive Information Form", "Visual Analogue Scale (VAS)", Anxiety Assessment Scale (AAS), "Physiological Symptoms of Anxiety Follow-up Form", and "Virtual Reality Glass Application Satisfaction Form". RESULTS: Mean post-intervention scores of VAS, AAS, heart rate, diastolic and systolic blood pressure, respiratory rate of the intervention group decreased significantly compared with the control group, while O2 saturation value was found to increase significantly. CONCLUSIONS: In this study, it was found that virtual reality application was effective in reducing pain and anxiety, increasing patient satisfaction, and normative regulation of vital signs in patients who undergo coronary angiography.

The Effect of Spiritual Well-Being on Self-care Agency in Chronic Obstructive Pulmonary Patients in Turkey: The Mediating Role of Psychological Resilience.

The aim of the present study was to determine the mediator role of psychological resilience in examining the effect of spiritual well-being on self-care agency in Chronic Obstructive Pulmonary Patients (COPD). The present cross-sectional and correlational study has a descriptive design, and it was conducted with 200 COPD patients admitted to the chest diseases outpatient clinic of a university hospital. "Spiritual Well-Being Scale (FACIT Sp-12)," "Brief Resilience Scale (BRS)" and "Self-Care Agency Scale (SCAS)" were used in the study for collecting the research data. STROBE recommendations were followed while reporting this study. FACIT Sp-12 total score average, the BRS total average score and the ASAS total average score of the patients were found to be 29.88 ± 1.44, 21.47 ± 66.31, and 84.81 ± 14.69, respectively. In addition, it was determined that both spiritual well-being (ß = 0.170) and psychological resilience (ß = 0.777) positively affected self-care agency. SCAS mediates the effect of FACIT-Sp-12 on self-care agency and strengthens the positive effect of FACIT-Sp-12 on self-care agency (ß = 0.843). It was seen that the predictive effect of these two variables in explaining self-care power was 60%. Spiritual well-being and self-care agency of the COPD patients were found to be moderate, and the psychological resilience was found to be high. In addition, spiritual well-being was found to affect self-care agency directly and the mediating role of psychological resilience indirectly.

The effect of nursing students' perceptions of ARCS motivational teaching on their academic self-efficacy and attitudes towards learning: A structural equation modeling.

BACKGROUND: Nursing education is a curriculum that assists individuals to manage nursing practices in health, illness, and rehabilitation processes. The curriculum aims to train nurses who will work in healthcare systems. OBJECTIVE: This study was conducted to examine the effect of the perception of Attention, Relevance, Confidence, and Satisfaction (ARCS) motivation-based teaching method on attitudes and academic self-efficacy of nursing students towards learning. DESIGN: A cross-sectional, correlational study. SETTINGS: This study was performed in the nursing department of a state university located in Elazig in the east of Türkiye. PARTICIPANTS: A total sample of nursing students (n = 344). METHODS: Data were collected using a personal information form, ARCS motivation theory-based teaching scale, academic self-efficacy scale and attitude towards learning scale. RESULTS: According to the research model, it was found that the perception of teaching with ARCS motivation positively and significantly affected the academic self-efficacy (ß = 0.301) and attitudes towards learning (ß = 0.242) of nursing students. In addition, their academic self-efficacy also had a positive and significant effect on their attitudes towards learning (ß = 0.289). The indirect effect of the perception of teaching with ARCS motivation on students' attitudes towards learning through their academic self-efficacy (ß = 0.087) was found to be positive and significant. The total effect of perception of teaching with ARCS motivation method on nursing students' attitudes towards learning (ß = 0.329) was found to be positive and significant. In the model, the perception of teaching with ARCS motivation method was found to explain 9 % of students' academic self-efficacy and the total of the model was found to explain 18 % of students' attitudes towards learning. Model fit indices values have been detected as; χ2/df = 2.16, RMSEA = 0.058, SRMR = 0.080, CFI = 0.821 and TLI = 0.814. CONCLUSIONS: It is seen that the perception of teaching with ARCS motivation supports the attitudes of nursing students towards learning. Moreover, it also shows that teaching with ARCS motivation positively affects the attitudes of students towards learning through their level of self-efficacy.

Effects of progressive muscle relaxation exercises on patients with epilepsy on level of depression, quality of sleep, and quality of life: A randomized controlled trial.

OBJECTIVE: This study aims to evaluate the effects of progressive relaxation exercises applied to patients with epilepsy on patients' depressive symptom severity, quality of sleep, and quality of life. METHODS: The study was designed as a randomized controlled interventional study with a control group and pre-and post-test intervention. It was conducted with 70 patients with epilepsy, 35 in the intervention group and 35 in the control group, between November 1, 2021, and April 15, 2022. The patients in the intervention group were required to perform 12 progressive muscle relaxation exercise sessions 3 days a week for a total of 4 weeks. No interventions were made in the control group during the study. The data were collected with a "Personal Information Form," "Pittsburgh Sleep Quality Index (PSQI)," "Beck Depression Inventory (BDI)," and "Quality of Life in Epilepsy Inventory (QUOLIE -31)." RESULTS: The mean PSQI total score, subscale scores, and mean BDI total scores of the patients in the intervention group decreased significantly compared to those in the control group after the intervention (p<0.05). Additionally, a significant difference was found between the mean QUOLIE-31 total scores and subscale scores of the patients in the intervention and control group after the intervention (p<0.05), the mean scores of the intervention group were significantly higher than those of the control group (p<0.05). CONCLUSION: Progressive muscle relaxation exercises decreased depressive symptoms severity and improved sleep and life quality in patients with epilepsy. Progressive relaxation exercises may be recommended as a complementary nursing intervention in treating epilepsy.

The Relationship Between Death Anxiety and Religious Coping Styles in Patients Diagnosed With COVID-19: A Sample in the East of Turkey.

This study was conducted to find out the relationship between death anxiety and religious coping styles in patients diagnosed with COVID-19. This cross-sectional and relational study was carried out with snowball sampling technique between May 15 and June 15, 2021. It was found that the participants had a mean Death Anxiety Scale total score of 10.42 ±2.77, they had a mean positive religious coping sub-scale score of 23.44±2.66 and a mean negative religious coping sub-scale score of 12.82 ±3.08. Statistically significant positive association was found between Death Anxiety Scale and Religious Coping Questionnaire's both positive and negative coping sub-scale scores (p < .05). It was found that patients diagnosed with COVID-19 had high level of death anxiety and positive religious coping styles. It was also found that death anxiety levels increased in the patients as their use of positive and negative coping increased.

Age-friendly cities and communities questionnaire: A research on Turkish validity and reliability.

PURPOSE: This study has been conducted to test the Turkish Validity and Reliability of the Age-Friendly Cities and Communities Questionnaire. MATERIALS AND METHODS: This methodological research has been carried out in a health center in Istanbul between January and April 2021. Between the specified dates, 306 older adults who met the research criteria within the population of the research, who accepted to participate and returned the filled-out questionnaires have been included in the study. The items of the scale are scored between -2, 2 and the scale consists of 20 items and 8 sub-dimensions. After the scale was translated, the content and structure validity tests were carried out. RESULTS: As a result of the evaluations and analyses, the content validity index of the scale was found to be 0.96. In the explanatory factor analysis conducted in the adaptation of the scale to Turkish, the total variance rate explained was found to be 92.36%. The factor loads of all items ranged between 0.71 and 0.91. The Cronbach Alpha values of the sub-dimensions of the scale ranged from .899 to .969, and the total Cronbach Alpha value was determined as .954. EFA and CFA results showed that the scale consists of 8 sub-dimensions with 20 items and the factor structure is sufficient. Good coherence index values were obtained as a result of CFA. CONCLUSION: The Turkish version of the Age-Friendly Cities and Communities Questionnaire is a valid and reliable measurement tool to evaluate age-friendly practices in an area where older adults live.

Turkish validity and reliability study of disease-related fear scale in patients with epilepsy.

OBJECTIVE: This study was conducted to examine the validity and reliability of the Turkish disease-related fear scale (D-RFS) for adult patients with epilepsy. METHODS: This methodological study was conducted with 154 patients with epilepsy who were referred to the neurology clinic and outpatient clinic of Firat University Hospital between December 2021 and March 2022. Content and construct validity were evaluated after the scale was translated into Turkish. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted for construct validity. Item analyses and internal consistency analyses were conducted for reliability. Convergent validity was also evaluated. RESULTS: As a result of the evaluations and analyses, the content validity index of the scale was found to be 0.97. Exploratory factor analysis showed that the value of total variance explained by two factors was 74.77%. Factor loading of all items was found to be between 0.60 and 0.93. Cronbach's alpha values of the factors were found to be 0.97, while the total Cronbach's alpha value was found to be 0.95. As a result of the EFA and CFA, the 27-item, 2-factor disease-related fear scale was confirmed without changes to the original form of the scale. Good fit index values were obtained as a result of CFA. CONCLUSION: The Turkish version of the disease-related fear scale for adult patients with epilepsy is a valid and reliable measurement tool to evaluate the disease-related fear of adult patients with epilepsy and to use in clinical practice.

The Effects of Perceived Stigma on the Concealment of Disease and Satisfaction with Life in Patients with Epilepsy: An Example in Eastern Turkey.

Background: Stigma and exclusion are common features of epilepsy in both developed and developing countries, and they cause a significant burden associated with the condition. At the same time, although it varies from country to country depending on cultural differences and economic conditions, having epilepsy causes significant social consequences. Objective: This study was conducted to examine the effects of perceived stigma on the concealment of disease and satisfaction with life in patients with epilepsy living in the east of Turkey. Methods: This cross-sectional and descriptive study was carried out with 150 patients who met the study criteria and who agreed to participate in the study between March and July 2021 in a university hospital in Elazig, east of Turkey. The data were collected using a personal information form, an Epilepsy Stigma Scale (ESS), a Concealment of Epilepsy Scale (CES), and a Satisfaction with Life Scale (SWLS). Results: The total mean ESS score of the patients was 40.7 ± 9.04, the total CES mean score was 57.19 ± 12.57, and the total SWLS mean score was 6.68 ± 2.86. When the regression coefficients were examined, it was found that the ESS variable had a positive and significant effect on the CES, while the ESS and the CES had a negative and significant effect on satisfaction with life (p < 0.001). Conclusion: It was found that the patients had high levels of perceived stigma and concealment of epilepsy and low satisfaction with life levels. It was also found that the patients concealed their disease for fear of stigma, which negatively affected their satisfaction with life.

Effectiveness of lemon essential oil in reducing test anxiety in nursing students.

PURPOSE: This study examines the effectiveness of lemon essential oil in reducing test anxiety in first-year nursing students. METHOD: A randomized, pre-test-post-test design was used in this study. The study included 46 first-year students from the Faculty of Medical Sciences of a private university in Istanbul, Turkey. Students were divided into two groups through randomization (Intervention, N = 22; Control, N = 24). In the pre-test, a personal information form, State Test Anxiety Scale (STAS) and Test Anxiety Schedule (TAS) were administered to students in both groups. The students in the intervention group smelled lemon essential oil for 15 min. The study was completed by applying STAS and TAS as post-test. RESULTS: After smelling lemon essential oil, a significant difference was found between the mean pre-test and post-test scores for STAS, its sub-dimensions and TAS (p < 0.01) in the intervention group. It was observed that the nursing students' mean scores for STAS, its sub-dimensions and TAS decreased after smelling lemon essential oil (p<0.05). It was found that the intervention group's mean post-test scores for STAS, cognitive sub-dimension and TAS were lower than those of the control group. Mean post-test scores of physiological sub-dimension in the intervention group were also significantly lower than the control group. It was concluded that lemon essential oil reduced test anxiety by 43.3%. CONCLUSION: Lemon essential oil was found to be effective in reducing test anxiety in nursing students.

Evaluation of care burden and preparedness of caregivers who provide care to palliative care patients.

OBJECTIVE: Caregivers have a great role in palliative care. Considering the difficult process of palliative care, the caregiver undertakes an extra burden with the responsibility of the patient. This study was carried out to evaluate the care burden and preparedness of caregivers who provide care for palliative care patients. METHOD: This study was conducted in the palliative care unit of a state hospital in Turkey between January and May 2019. No sample was selected in the study, and the study was carried out with individuals who were hospitalized in the palliative care unit and who volunteered to participate in the study between the specified dates. The data were collected with Patient Relative Questionnaire Form, Burden Interview, and Preparedness for Caregiving Scale. RESULTS: The average Burden Interview score was found as 33.6, SD 13.03 in the study. Patient relatives perceived the patients they cared for as a burden at moderate levels. The Preparedness for Caregiving score average was found as 18.55, SD 6.83. It was found that patient relatives were moderately prepared to undertake the role of caregiver. It was found that care burden decreased as preparedness for caregiving increased and burden increased as preparedness for caregiving decreased (p = 0.001). SIGNIFICANCE OF RESULTS: As a result of the study, it was found that caregivers of palliative patients had the moderate levels of care burden and preparedness for caregiving. It was found that as the preparedness levels of caregivers increased, their burdens decreased. Accordingly, it is important that nurses will plan nursing interventions by considering the factors that affect the care burden and preparedness of caregivers.

Evaluation of medication adherence and medication beliefs among patients with epilepsy.

AIM: This study explored medication adherence and medication beliefs of patients with epilepsy and evaluated the relationship between these two factors. METHODS: This descriptive, cross-sectional, correlational study was conducted with 174 patients with epilepsy who were referred to the neurology outpatient clinic of a university hospital in Erzurum, Turkey, between February 10, 2020 and December 30, 2020. The data were collected using the Descriptive Information Form, The eight-item Morisky Medication Adherence Scale (MMAS-8), and the Beliefs about Medicines Questionnaire (BMQ-T). RESULTS: The mean age of the patients was 33.06 ±â€¯11.94 years, and the mean duration of time since diagnosis was 12.91 ±â€¯10.73 years. In terms of demographic information, 60.3% of the patients were single, 58% had low income or were unemployed, 53.4% had five or more seizures within the last year, 40.8% had focal onset seizures, 69% had no other chronic disease, and 76.4% used more than one medicine. The patients' mean MMAS-8 score was 3.25 ±â€¯2.13. The mean scores for the specific concern subscale was 3.65 ±â€¯0.85, 1.81 ±â€¯0.75 for the specific necessity subscale, 4.19 ±â€¯0.76 for the general overuse subscale, and 3.14 ±â€¯1.41 for the general harm subscale. The regression analysis revealed that general overuse and general harm negatively affected the MMAS-8 total score. CONCLUSION: Patients with epilepsy reported low medication adherence and were found to have concerns about the harms and side effects of the medicines they were using; they had negative perceptions of the purpose of medicines; they had high beliefs about the harms of medicines; and they had low beliefs about their personal treatment needs. The patients were generally found to have negative beliefs about medicines, which negatively affected their medication adherence.

Turkish validity and reliability of the Personal Impact of Epilepsy Scale.

AIM: This study evaluated the validity and reliability of the Turkish Personal Impact of Epilepsy Scale (PIES). MATERIALS AND METHOD: This methodological study was carried out at a university hospital in Erzurum, eastern Turkey between January and April 2021. The data were collected from 126 patients who agreed to participate in the study within these dates via face-to-face interviews, a personal information form, and the Turkish PIES. The PIES consists of 25 items, scored between 0 and 4, and three subscales. The scale itself is a 5-point, Likert-type scale. Following the scale's translation process, its content and construct validity were evaluated. Exploratory and confirmatory factor analysis were conducted for construct validity and item analysis, and internal consistency analysis took place to confirm the scale's reliability. RESULTS: As a result of the evaluations and analyses, the Turkish PIES's content validity index was 0.94. In the exploratory analysis, the scale's total variance rate was 70.82%. The Cronbach's alpha value of the Seizures subscale was 0.728, that of the Medication Side Effects subscale was 0.947, for the Comorbidities subscale it was 0.929, and the total scale's Cronbach's alpha value was 0.954. The results of the EFA (Exploratory Factor Analysis) and CFA (Confirmatory Factor Analysis) showed that the Turkish PIES, per its 25 items and three-factor structure, is a sufficient measurement instrument. Good fit index values were also obtained as a result of the CFA. CONCLUSION: The Turkish version of the PIES is a valid and reliable instrument to evaluate the effects of seizures, medication side effects, mood/social state, and quality of life of patients with epilepsy.

Evaluation of care burden and caregiving preparedness in caregivers of patients with epilepsy: A sample in eastern Turkey.

AIM: This study was conducted to evaluate the care burden and caregiving preparedness in caregivers of patients with epilepsy. METHODS: This descriptive, cross-sectional study evaluated the caregivers of patients with epilepsy who were referred to the neurology outpatient clinic of a university hospital in Erzurum, eastern Turkey, between February 2020 and February 2021. The study was carried out with 147 volunteers among the patients with epilepsy who were referred to the neurology outpatient clinic between the specified dates. The data were collected with Caregiver Question Form, the Brief Disability Questionnaire (BDQ), the Burden Interview (BI), and the Preparedness for Caregiving Scale (PCS). RESULTS: The mean BI score of the caregivers who participated in the study was 43.14 ±â€¯18.08, their mean PCS score was 14.12 ±â€¯7.76, and their mean BDQ score was 10.53 ±â€¯4.65. In the regression analysis conducted, it was found that being married, having little knowledge of patient care, undertaking all of the roles in caregiving and having caregiving duration of 24 months and longer had a negative effect on PCS total score, while having an undergraduate degree and higher had a positive significant effect. It was found that having an undergraduate degree and higher had a negative effect on BI total score, while all of the roles undertaken in caregiving had a positive significant effect on BI total score. It was found that PCS had a negative significant effect on BI total score (p < 0.001). CONCLUSION: Caregivers of patients with epilepsy had a moderate level of burden and caregiving preparedness, and the patients cared for had a moderate level of disability. Caregiver burden increased as disability of patients with epilepsy and the tasks undertaken in caregiving increased, whereas burden decreased as caregiver education and caregiving preparedness increased.

Attitudes of individuals in Eastern Turkey toward epilepsy and the factors associated with these attitudes.

AIM: This study was performed to analyze the attitudes of individuals in eastern Turkey toward epilepsy and the factors associated with these attitudes. METHODS: Designed as a cross-sectional descriptive study, this study was performed from January 28 to February 8, 2021. A snowball sampling technique was used to select the study sample, and a survey was sent online to individuals aged 18 or above. A total of 617 individuals who filled in this online survey form were included in this research. Data were collected via a personal information form and the Public Attitudes Toward Epilepsy (PATE) scale. RESULTS: The results showed that the mean scores of the participants on the PATE scale, on its general domain, and on its personal domain were 1.79±0.63, 1.70±0.63, and 1.96±0.77, respectively. Comparing the participants' mean PATE scale scores on the basis of their descriptive characteristics revealed statistically significant differences in the mean scores on the scale and its two domains in terms of age, place of residence, educational level, knowing anyone who had epilepsy or experienced epileptic seizures, and witnessing a person having an epileptic seizure (p < 0.05). CONCLUSION: Individuals living in eastern Turkey have positive attitudes toward epilepsy. Moreover, it was found that, among all the participants, those who were relatively young, those who lived in a provincial center, those who had a relatively high educational level, those who knew an individual with epilepsy, and those who had witnessed an epileptic seizure have more positive attitudes toward epilepsy than their counterparts. IMPLICATIONS: It is recommended to design educational programs focusing on raising the level of public awareness and knowledge regarding epilepsy.

Elders health empowerment scale: Turkish translation and psychometric testing.

PURPOSE: The aim of this study is to adapt "Elders Health Empowerment Scale" (EHES) to Turkish and to find out the validity and reliability of the scale. DESING AND METHODS: This methodological study was conducted with 300 patients who agreed to participate in the study in Turkey. FINDINGS: It was found that Cronbach's α reliability coefficient of the scale was .90, item factor loads of the scale ranged between 0.30 and 0.89 and item-total correlation coefficients ranged between 0.30 and 0.84. The one-factor structure of the scale was supported as a result of the CFA and EFA conducted. Good fit index values were obtained as a result of CFA. PRACTICE IMPLICATIONS: EHES is a valid and reliable measurement tool for the evaluation of the empowerment states of elders in Turkish society.

Effect of social support on the treatment adherence of hypertension patients.

This descriptive study was conducted to determine the effect of social support on drug treatment adherence in patients with hypertension. The sample of this study consisted of 259 patients who met the research criteria, agreed to participate in the research, and admitted to the cardiology clinic of a university hospital in Turkey between January and June 2017. Data were collected by "Patient Information Form", "Adherence to Drug Treatment Self-Efficacy Scale", and "Multidimensional Perceived Social Support Scale". It was determined that 48.3% of the patients participating in the study were in the 61-75 age group, 58.7% were female, 91.9% were married, and 66.4% were living in the city. It was also found that 71% of the patients had at least one relative or person with hypertension in the family, 79.2% were using at least one blood pressure medication, 61% adhered to his/her diet, and 72.2% adhered to the disease. The average score of the Medication Adherence Self-Efficacy Scale was calculated as 64.24 ± 16.89, whereas the total score average of the Multidimensional Perceived Social Support Scale was calculated as 53.74 ± 23.30. Besides, a statistically significant positive correlation was found among Medication Adherence Self-Efficacy Scale score average, Multidimensional Perceived Social Support Scale total score, and all subgroup score averages (P = .000).In conclusion, in this study, treatment adherence and social support levels of the patients were found to be substantially good; besides, adherence to drug treatment was found to increase positively as the social support of patients with hypertension increase.