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Öğe Awareness of health sciences students about colorectal cancer risk factors(Wiley, 2019) Ustundag, Hulya; Zengin, Neriman; Andsoy, Isil Isik; Gul, AsiyeObjective This descriptive study was conducted in order to determine the risk factors, symptoms and awareness of health sciences students with regards to colorectal cancer (CRC). Methods This study included 1,028 health science students from two different universities. Data for this study were collected via a questionnaire form that included questions about CRC risk factors, protective approaches and symptoms. Frequencies, percentages and averages of the data were assessed with Kruskal-Wallis and Mann-Whitney U tests. Results The most frequent risk factors of the students (mean age: 21.25 years) were smoking (90.5%), excessive alcohol consumption (87.4%), family history of cancer (84.2%) and obesity (82.6%), while the most common protective approaches were smoking cessation, avoiding alcohol, regular physical activity and a low-fat diet. There was a significant difference in the CRC awareness of students in terms of gender, the department and grade level at which they were studying, and having a family history of cancer. Conclusion Results of this study revealed that students had a sufficient awareness about risk factors and what they could do to diminish their risk, but their knowledge about CRC symptoms was less than expected. We believe that health sciences students should be given more education on CRC symptoms.Öğe Breast, Cervix and Colorectal Cancer Knowledge among Nurses in Turkey(Asian Pacific Organization Cancer Prevention, 2014) Andsoy, Isil Isik; Gul, AsiyeBackground: Cancer is one of the most common causes of death in Turkey. Nurses are essential providers of preventive care for patients, especially breast, cervical and colorectal cancer screening as part of routine preventive practice. The aim of this study was to assess knowledge of these cancers among nurses in Karabuk State Hospital. Materials and Methods: This cross-sectional and descriptive study was performed from April 1 to July 30, 2013. The study sample consisted of 226 nurses working in Karabuk State Hospital. Results: Mean age of the nurses was 32.07 +/- 8.39. 62.4% of nurses practiced breast self examination when they remembered it, while 39.8% of them did not take a Pap smear test since they did not think it was necessary. 64.2% of nurses would like to receive information about cancer and screening tests. Majority of them had given true answers to questions on breast, cervical and colorectal cancer. There were significant relationships between cancer knowledge scores and marital status, working experience, and level of education. Conclusions: Nurses possess adequate knowledge about breast cancer but they need more information on cancer risk estimation. Awareness may be raised in nurses by establishing continuing education programs regarding the risk factors, symptoms, protection methods, early diagnosis, and scanning of breast, cervix and colon cancers.Öğe Comparison of four different pain scales in the evaluation of postoperative acute pain intensity(Cukurova Univ, Fac Medicine, 2020) Gurkan, Aysel; Aldemir, Kadriye; Andsoy, Isil Isik; Gul, AsiyePurpose: This study was conducted in order to compare the level of compliance and patient preferences among the Visual Analogue, Numerical Rating, Verbal Descriptor and Facial Pain Rating scales that are commonly used in adults, including the elderly. Materials and Methods: The study was conducted using a descriptive research model at the surgery clinics of a university hospital between March 17 and June 17, 2016. A total of 120 adult patients, being 40 in each group, were included in the study. Individual Characteristics Form, Visual Analogue Scale, Numerical Rating Scale, Verbal Descriptor Scale and Facial Pain Scales were used to collect the data. Result: In this study, the correlation coefficients between 0.71 - 0.83 and four pain scales were found to be in conformity with each other. Numerical Rating Scale was the most simple scale that was preferred to be used in the future by all patients with the least error rate, while the Visual Descriptor Scale was the least simple and least preferred scale by the patients with the highest error rate. The most simple and more preferred scale to use by young and middle-aged patients was the Numerical Rating Scale, while the elderly selected the Visual Descriptor Scale as the most simple and more preferred scale to use. Conclusion: The four scales are in good agreement with each other and Numerical Rating Scale is the first choice, the Verbal Descriptor Scale is the second choice, and the Visual Analogue Scale is the last choice in evaluating the postoperative acute pain intensity.Öğe Cultural Beliefs of Turkish Women for Breast Cancer and Screening(Sage Publications Inc, 2021) Tosun, Hale; Andsoy, Isil Isik; Gul, AsiyeIntroduction: Breast cancer is an important health problem and early diagnosis is important in its treatment. Women's approach and cultural beliefs are effective in ensuring early diagnosis. This study examined psychometric properties of the Ferrans Cultural Beliefs Scale and assessed cultural beliefs on breast cancer and screening programs among Turkish women. Method: The study was performed in a descriptive and cross-sectional design with 420 women using the Ferrans Cultural Beliefs Scale that is considered reliable and valid in Turkey. Results: The mean total score of the Ferrans Cultural Beliefs Scale was 3.24 +/- 3.16. The highest yes responses were for the statement If breast cancer is treated correctly, it can be cured (n = 387, 92.1%). Discussion: This study, which is the first in Turkey, highlights the importance of measuring the effects of Turkish healthy women's cultural beliefs in breast cancer and screening for early diagnosis. Determining women's cultural beliefs will make known the attitudes and behaviors toward breast cancer, so that the nurse will provide sensitive and effective nursing care, develop nursing knowledge, and integrate this knowledge with clinical practice.Öğe A Descriptive, Cross-sectional Survey of Turkish Nurses' Knowledge of Pressure Ulcer Risk, Prevention, and Staging(H M P Communications, 2017) Gul, Asiye; Andsoy, Isil Isik; Ozkaya, Birgul; Zeydan, AytenNurses' knowledge of pressure ulcer (PU) prevention and management is an important first step in the provision of optimal care. To evaluate PU prevention/risk, staging, and wound description knowledge, a descriptive, cross-sectional survey was conducted among nurses working in an acute care Turkish hospital. The survey instrument was a modified and translated version of the Pieper Pressure Ulcer Knowledge Test (PUKT), and its validity and reliability were established. Nurses completed a Personal Characteristics Form, including sociodemographic information and exposure to educational presentations and information about and experience with PUs, followed by the 49-item modified PUKT which includes 33 prevention/risk items, 9 staging items, and 7 wound description items. All items are true/false questions with an I don't know option (scoring: minimum 0, maximum 49). Correct answers received 1 point and incorrect/unknown answers received 0 points. The paper-pencil questionnaires were distributed by 2 researchers to all nurses in the participating hospital and completed by those willing to be included. Responses were analyzed using descriptive statistics. Pearson's correlation test was used to examine the relationship between quantitative variables, and mean scores were compared using the Mann-Whitney U and Kruskal-Wallis tests. Among the 308 participating nurses (mean age 29.5 +/- 8.1 [range 19-56] years) most were women (257, 83.4%) with 7.3 +/- 7.8 (range 1-36) years of experience. The mean knowledge score for the entire sample was 29.7 +/- 6.7 (range 8-42). The overall percentage of correct answers was 60.6% to 61.8% for PU prevention/risk assessment, 60% for wound description, and 56.6% for PU staging. Knowledge scores were significantly (P <.05) higher for participants who attended at least 1 lecture/conference/course on PUs in the last year, read articles/books about PUs, cared for patients with PUs, or believed their patients were at risk for PU development. Most participants (180, 58.4%) scored 60% or more correct; 8 (2.6%) correctly answered 80% or more of the items. The lowest number of correct answers was for the item, Bunny boots and gel pads relieve pressure on the heels (22, 7.1%). The results of this study suggest education and experience caring for patients who are at risk for or have a PU affect nurses' knowledge. This study, and additional research examining nurse knowledge, will help the development of much-needed education programs.Öğe Knowledge and thoughts of nurses about brain death and vegetative state(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2018) Andsoy, Isil Isik; Gul, AsiyeObjective: This study was carried out as a descriptive study in order to determine knowledge and thought of nurses about brain death and vegetative state. Materials and Methods: Two hundred nurses who agree to participate were included in the research. In data collection, the questionnaire which included 36 items was used. The results were represented as frequency and percentage. Results: Twenty-four percent of nurses stated that organ transplantation was the main reason for diagnosis of brain death, 58% said they could donate their own organs when they had brain death, and 54% said they could donate their relatives' organs. In the study, it was stated that brain injury should be widespread and irreversible (83.5%) as a compulsory condition for brain death detection. Among the brain death criteria, pupillars were unresponsive to the light, midline, and dilated (71%), among the characteristics of herbal life can survive for years in an unaware status of the surroundings as long as the individual is provided with care (87%) were correctly answered. Conclusion: It has been confirmed that most of the nurses haven't donated organs as well as the lack of knowledge regarding the brain death. It is suggested that the nurses should be educated about vegetative state and brain death and their awareness about organ donation should be increased.Öğe Performed Surgical Interventions After the 1999 Marmara Earthquake in Turkey, and Their Importance Regarding Nursing Practices(Lippincott Williams & Wilkins, 2015) Gul, Asiye; Andsoy, Isil IsikEffectively dealing with earthquakes is especially important for the people who live in areas prone to earthquakes such as the country of Turkey. Trauma related to earthquakes has specific relevance to nursing practice. The purpose of this review was to describe the types of surgical interventions after the Marmara earthquake and to evaluate the implications for nursing care. English and Turkish articles about the Marmara earthquake were reviewed between May and July 2013. A total of 7 studies were evaluated. The number of patients admitted to the units, types of injuries, and surgical treatments were recorded, with a total of 2378 patients with earthquake-related injuries. The most commonly traumatized parts of the body were the extremities. Fasciotomy operations were performed on 286 patients and 75 patients underwent extremity amputations. Predetermining surgical problems and interventions may be useful in planning for possible future problems in the case of a disaster.Öğe Preoperative Fasting and Patients' Discomfort(Springer India, 2018) Gul, Asiye; Andsoy, Isil Isik; Ozkaya, BirgulExcessive fasting times before surgery continue to be a widespread practice in Turkey. The aim of the study was to determine the relationship between traditional fasting policies and preoperative patient discomfort. Patients included were undergoing breast, hernia, thyroid, or abdominal operations at a general surgery clinic. Participants were classified as American Society of Anesthesiologists physical statuses I and II. A Likert-type scale was used to describe the effects of midnight fasting. Peripheral blood sugar and vital signs were measured immediately before induction of anesthesia. Of 164 participants, mean age was 53.56 +/- 13.47years. Mean preoperative fasting times were 13.34 +/- 3.07h for solids and 12.44 +/- 2.82h for fluids. Immediately before surgery, 6.1% of patients were extremely thirsty, 5.5% were hungry, and 39% had mild dryness of the mouth. There was a weak positive correlation between total duration of solid fasting and thirst, hunger, mouth dryness, and weakness immediately preoperatively. Prolonged fasting before surgery was associated with patients' discomfort. Current evidence-based guidelines for preoperative fasting may improve patients' satisfaction.Öğe Quality of Life in Women With Breast Cancer and the Use of Complementary and Alternative Medicine(Lippincott Williams & Wilkins, 2014) Gul, Asiye; Ustundag, Hulya; Andsoy, Isil IsikThe aim of this study was to evaluate quality of life and complementary and alternative medicine use among patients with breast cancer in Turkey. The sample consists of women who had modified undergone radical mastectomy or breast conserving surgery. Data were collected using a questionnaire addressing personal/medical characteristics use of complementary and alternative medicine and the 36-Item Short Form Health Survey (SF-36) to measure quality of life. A majority of subjects underwent modified radical mastectomy procedures. The social and physical mean scores were the highest and role physical and role emotional mean score were the lowest. The most common complementary and alternative methods were praying, exercise, and herbs use. In conclusion, women with breast cancer have a moderate level of quality of life, and that they use complementary and alternative methods widely.Öğe What Turkish Nurses Know and Do about Skin Cancer and Sun Protective Behavior(Asian Pacific Organization Cancer Prevention, 2013) Andsoy, Isil Isik; Gul, Asiye; Sahin, Aysegul Oksay; Karabacak, HanifeBackground: Skin cancer is a global health problem that can be prevented by protective behavior promoted by nurses. In Turkey, only few studies have examined current knowledge of nurses related to skin cancer and to reveal their attitudes towards sun exposure and current protective behavior. Materials and Methods: This descriptive cross-sectional study was performed from March 11 to May 30, 2013 with a study sample of 310 nurses working in two state hospitals located in Karabuk and Safranbolu. Results: Mean age of the nurses was 30.3 +/- 6.89 years and 96.1% of them had graduated with a Bachelor degree. The participants were predominantly female (n=284). Knowledge level about skin cancer was significantly higher for females compared to males. Conclusions: Nurses do not have sufficient knowledge about skin cancer and are not adequately protecting themselves from ultraviolet light, the primary risk factor for skin cancer. While they demonstrated a responsible attitude towards avoiding sunburn and the need for adequate sun protection, they do not fully appreciate the extent to which the sun can cause skin cancer and that they lack full understanding about the need to protect the skin from burning and to avoid long term sun exposure in Turkey.
