Karadağ, Ezgi; İnkaya Vardar, Bahar; Kunduraci, Ersin

Aim: The study was performed to explore therelationship between the status of disability and thelevel of depression among the patients with ChronicObstructive Pulmonary Disease. Method: The sample of the study consisted of 100patients. The data were collected using aquestionnaire on socio-demographic factors anddisease symptoms, Beck Depression Inventory (BDI)and Brief Disability Questionnaire (BDQ). KruskallWallis Analysis of Variance, t-test, Mann Whitney-Utest, Pearson's Correlation and Cronbach's alphainternal consistency test were used to analyse data. Findings: When the BDI scores of the patients wereexamined, it was seen that 19% of the patientsexperienced minimal level of depression; 40% hadmild, 33% had moderate and 8% had severedepression. The distribution of the BDQ scale scoresshowed that 10.0% of the patients had no disabilitywhereas the severity of the disability among thepatients was mild, moderate and severe in 5.0%,23.0% and 62.0%, respectively. Higher levels ofdisability were found in male patients. The disabilityand depression scores of the patients who statedthat COPD didn't affect their mental health werehigher compared to those of others expressing thatCOPD had an effect on their mental health.Conclusion: It was found that there was anextremely significant positive correlation betweenthe level of depression and disability in the patientswith COPD and as the level of depression increasedso did the disability. Therefore, the nurses providinghealthcare for patients with COPD should notignore their psychological problems and shouldassess the patients' mental states routinely.

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Karadağ, Ezgi; Aylaz, Rukuye; Işık, Kevser; Bayir, Berna; Yetıs, Gülsüm

Amaç: Bu araştırma Malatyada yaşayan 60 yaş ve üzeri kadınların jinekolojik sorunlarını belirlemek amacıyla planlanmıştır. Gereç-Yöntem: Kesitsel tipte olan bu çalışmanın örneklemini, Malatya İnönü Üniversitesi Turgut Özal Tıp Merkezi Kadın Sağlığı ve Hastalıkları Servisinde 15 Aralık 2011 ile 30 Ocak 2012 tarihleri arasında tedavi gören ve çalışmaya katılmayı kabul eden 214 kadın oluşturmuştur. Veri toplama aracı olarak araştırmacılar tarafından geliştirilen soru formu kullanılmıştır. Veriler bilgisayar ortamında değerlendirilerek, istatistiksel analizlerde; sayı, yüzdelik, ortalama, ki-kare ve Fisher kesin testi yöntemleri kullanılmıştır. Bulgular: Araştırmaya katılan kadınların %57,0ının jinekolojik yakınması olduğu ve bu yakınmaların sırasıyla kaşıntı %31,3, ağrı %22,0, akıntı %20,1, kanama %17,8 olduğu; ayrıca kadınların %25,7sinin jinekolojik sorunlara bağlı cinsellikle ilgili sorunlar yaşadığı belirlenmiştir. Kadınların %83,2sinin düzenli jinekolojik muayene yaptırmadıkları ve büyük çoğunluğunun (%74,3) jinekolojik sorunların gelişmesinin önlenmesi için koruyucu amaçlı bilgilendirilmedikleri saptanmıştır. Kadınların bazı doğurganlık özellikleri ile jinekolojik sorun bulunma durumları incelendiğinde; doğum yapma durumu, doğum sayısı, doğumu yaptıran kişi ve doğum şekli arasındaki ilişki istatistiksel olarak önemli bulunmamıştır (p>0,05). Sonuç: Bu çalışma sonucunda, geriatrik yaş grubundaki kadınların çoğunluğunun jinekolojik sorunlar yaşadığı, buna karşın düzenli jinekolojik muayene yaptırmadıkları saptanmıştır.

İncele

Aksoy Derya, Yeşim; Karadağ, Ezgi; Oltuluoğlu, Hatice

Objective: The aim of the study is to assess the health management in women with gestational diyabetes mellitus. Method: Designed as descriptive and crosssectional, the study was performed in the pregnancy clinic of a university hospital between 1st January and 31st August 2010. All patients applying to the clinic during the study with gestational diyabetes via oral glucose tolerance testing (n=149) constituted the universe of the study. Not using insulin, pregnant were included in the study that participating in the educational program at least for two months between the weeks 24 and 38 during their pregnancies. Totally 120 individuals were recruited, 60 as insulin-diet-exercise health management program, and 60 in only diet-exercise health management program. Findings: The mean age of the women were 32,8±5,1 and 47,5% were primary school graduates. Of the women, 80.8% were housewives. It was determined that the mean HbA1c (p=0,016) and postprandial blood glucose levels (p=0,034) of women in insulin-diet-exercise health management program were statistically and significantly lower and controlled than those in onlydiet-exercise health management program. The mean fasting blood glucose level was lower in those using insulin, but this score was statistically insignificant (p=0,131). The comparison of the two groups revealed that the rate of compliance with the diet (p=0,003) and exercise (p=0.269) programs prescribed was lower in those using insulin. Conclusion: Forming life style changes by involving women into health management programs effectively plays a key role in decreasing the negative effects of gestational diyabetes mellitus to the lowest levels for both the mothers and the newborns.

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