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1.
Arch Pediatr ; 2024 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-39261202

RESUMEN

OBJECTIVE: This study was designed to examine the mediator role of resilience in the relationship between chronotype and mental toughness in adolescents. METHODS: The descriptive correlational study was completed with 342 high school students from one school in Türkiye (mean age 17.25±1.11 years). Data were collected with the Morningness-Eveningness Scale for Children, Child and Youth Resilience Measure, and Mental Toughness Scale for Adolescents. Hierarchical regression analyses with PROCESS Model 4 were used to evaluate the mediator effect. RESULTS: It was observed that the morning chronotype tendency increased resilience (p < 0.001) mental toughness (p < 0.001). Higher resilience led to increased mental toughness. When the mediation effect was examined, resilience was a full mediator in the relationship between chronotype characteristics and mental toughness (ß=0.396; p = 0.000). CONCLUSIONS: According to these results, a morning chronotype tendency in adolescents increases their resilience and, therefore, mental toughness. These results suggest that effective methods for enhancing mental toughness in adolescents should be multifaceted. Additionally, it highlights the importance of identifying and regulating chronotype tendencies among adolescents, while also emphasizing the need to increase resilience in this demographic.

2.
Int J Sex Health ; 36(3): 406-414, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39148914

RESUMEN

Objectives: This study aimed to evaluate the performance, comprehensiveness, reliability, and quality of English-language YouTube videos addressing the subject of multiple sclerosis and sexuality. Methods: In August 2023, a search was conducted on a computer using the keywords "multiple sclerosis and sexuality," "multiple sclerosis and sexual health," "multiple sclerosis and sexual health problems," and "multiple sclerosis and sexual dysfunction" for this descriptive study. According to predetermined inclusion and exclusion criteria, 38 videos that met the research purpose were examined. The related URLs were recorded. For each video, the following information was collected: content producers, performance with YouTube statistics, comprehensiveness with a form developed by researchers, reliability with Singh's Reliability Evaluation Form, and quality with Global Quality Scale. Two researchers independently evaluated the videos. Results: Eighty-nine and a half percent of the videos contained information presented by professionals. The average number of views was 2699.132 ± 3382.848, the comprehensiveness score was 4.2 ± 1.711, the reliability score was 3.184 ± 1.182, and the quality score was 3.421 ± 1.2. Nearly half (42.2%) contained good and useful information for viewers, and half (50%) had high video quality. The reliability and quality scores of videos containing each item in terms of comprehensiveness were higher compared to videos that did not include that item (p < 0.05). In addition, the videos with higher comprehensiveness scores had higher quality and reliability scores (p < 0.001). Conclusion: These results underscore the constrained performance attributes of YouTube videos addressing multiple sclerosis and sexuality, with their content exhibiting a moderate level of comprehensiveness, reliability, and quality. These results may provide a basis for increasing the effectiveness of YouTube videos on multiple sclerosis and sexuality.

3.
Arch Psychiatr Nurs ; 49: 47-54, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38734454

RESUMEN

BACKGROUND: Schizophrenia is a chronic condition that requiring maintenance treatment with antipsychotic medication. Medication adherence is essential to improve the symptoms of this health problem reduce relapses and readmissions and achieve treatment goals. The rate of challenges associated with medication adherence in schizophrenia is reported to be 26.5-85.1 %. PURPOSE: This study was conducted to determine factors associated with medication adherence in individuals diagnosed with schizophrenia. METHODS: A descriptive correlational research design was used. The study was completed with a total of 162 participants diagnosed with schizophrenia, between February-June 2021, at a Community Mental Health Center. Regression analysis (Model: enter and stepwise) was used to determine associated factors. RESULTS: The mean medication adherence score of individual diagnosed with schizophrenia indicated that more than half of the participants (52 %) had poor medication adherence. In individual diagnosed with schizophrenia, medication attitudes, level of internalized stigma, the status of regular attendance to appointments, belief in recovery, and using medicines as prescribed were complicating factors for medication adherence (p < 0.05). CONCLUSIONS: Medication adherence in individuals with diagnosed schizophrenia may be multifactorial. Mental health professionals should consider associated factors and implement a personalized treatment plan in this direction for strengthening adherence to medication treatment.


Asunto(s)
Antipsicóticos , Cumplimiento de la Medicación , Esquizofrenia , Humanos , Esquizofrenia/tratamiento farmacológico , Cumplimiento de la Medicación/psicología , Masculino , Femenino , Antipsicóticos/uso terapéutico , Adulto , Estigma Social , Encuestas y Cuestionarios , Persona de Mediana Edad
4.
J Eval Clin Pract ; 30(4): 687-692, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38623997

RESUMEN

AIM: Determining patients' perceptions of multiple sclerosis, a disease with varying symptoms and prognosis for each individual, can significantly contribute to directing care and treatment. Metaphors may be an opportunity to determine perceptions of this unique illness experience. The aim of this study was to reveal the perceptions of patients with multiple sclerosis about "multiple sclerosis" through metaphors. METHODS: This study was conducted with metaphor analysis technique based on phenomenological method. The sample included 184 patients with multiple sclerosis. Data was collected face-to-face between July 2022 and January 2023. Each participant was interviewed individually and was asked to fill in the blanks in the sentence, "multiple sclerosis is like… because…". Content analysis was performed for metaphors. RESULTS: The study revealed five main themes and twelve subthemes that provided insight into the participants' multiple sclerosis perceptions. The themes address (i) Manipulator multiple sclerosis; ambiguous multiple sclerosis, attritive multiple sclerosis, controller multiple sclerosis, demander multiple sclerosis, and conditional multiple sclerosis (ii) Temporal multiple sclerosis; cyclical multiple sclerosis and perpetual multiple sclerosis (iii) Follower multiple sclerosis; unaccepted multiple sclerosis, partner multiple sclerosis and ambusher multiple sclerosis (iv) Different multiple sclerosis; bittersweet multiple sclerosis and unique multiple sclerosis (v) Restorative multiple sclerosis. CONCLUSION: This study demonstrated that patients with multiple sclerosis mostly had negative perceptions regarding their relationship with multiple sclerosis. The results place a responsibility on healthcare professionals to improve how patients adapt to multiple sclerosis. This study's results can bridge theoretical knowledge and practice.


Asunto(s)
Metáfora , Esclerosis Múltiple , Esclerosis Múltiple/psicología , Autoevaluación (Psicología) , Humanos , Masculino , Femenino , Adulto Joven , Adulto , Persona de Mediana Edad
5.
Artículo en Inglés | MEDLINE | ID: mdl-37196751

RESUMEN

Tardive dyskinesia (TD) is a persistent involuntary complex movement disorder that is known to occur with long-term antipsychotic treatment. Despite being a well-recognized complication of this treatment, its symptoms are often masked by the antipsychotic agents, only to become apparent upon reducing or terminating the treatment. In an effort to advance our understanding of TD pathophysiology and to identify potential therapies, the current study aimed to establish an animal model of TD by administering haloperidol to rats and to evaluate the efficacy of fluvoxamine, a selective serotonin reuptake inhibitor (SSRI), in ameliorating TD symptoms. The study compared the behavioral and biochemical parameters of rats that were treated with either fluvoxamine, tetrabenazine, haloperidol, or saline (control group). The biochemical parameters of interest included the brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), superoxide dismutase (SOD), and malondialdehyde (MDA). To achieve the study objectives, 32 male Wistar Albino rats were assigned to four different groups. The control group received physiological saline for six weeks. The haloperidol group received 1 mg/kg/ip haloperidol for the first three weeks, followed by two weeks of saline. The haloperidol+fluvoxamine group received 1 mg/kg/ip haloperidol for the first three weeks, followed by 30 mg/kg/ip fluvoxamine. The haloperidol+tetrabenazine group was administered 1 mg/kg/ip haloperidol for the first three weeks, followed by 5 mg/kg/ip tetrabenazine. Behavioral assessments of the rats were performed by measuring vacuous chewing movements. Subsequently, samples were collected from the hippocampus, striatum, and frontal lobe tissues of the rats, and BDNF, NGF, SOD, and MDA levels were measured. The results of the study demonstrated significant differences between the groups with respect to behavioral observations. Furthermore, SOD levels in the hippocampus, as well as BDNF, NGF, and SOD levels in the striatum of the haloperidol+fluvoxamine group were significantly higher than those observed in the haloperidol group. Conversely, MDA levels in the hippocampus were significantly lower in the haloperidol+fluvoxamine group than in the haloperidol group. These findings provide evidence of the beneficial effects of fluvoxamine, acting as a sigma-1 agonist, in treating TD symptoms induced experimentally. The observed benefits were supported by the biochemical investigations performed on brain tissue samples. Therefore, fluvoxamine may be considered as a potential alternative treatment for TD in clinical practice, although further research is needed to corroborate these findings.


Asunto(s)
Antipsicóticos , Discinesias , Discinesia Tardía , Ratas , Masculino , Animales , Discinesia Tardía/inducido químicamente , Discinesia Tardía/tratamiento farmacológico , Haloperidol/farmacología , Fluvoxamina/farmacología , Fluvoxamina/uso terapéutico , Factor Neurotrófico Derivado del Encéfalo , Tetrabenazina/farmacología , Tetrabenazina/uso terapéutico , Ratas Wistar , Factor de Crecimiento Nervioso , Antipsicóticos/uso terapéutico , Discinesias/tratamiento farmacológico , Superóxido Dismutasa/metabolismo
6.
J Child Adolesc Psychiatr Nurs ; 34(4): 276-282, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34053147

RESUMEN

PROBLEM: Social Jetlag (SJL) is a condition leading to many important physical, mental, behavioral, and cognitive problems in adolescents. METHODS: The sample of this study, which used a descriptive and correlational design, consisted of 247 high school students. The SJL parameters were informed by the literature, while chronotype was identified using the Morningness-Eveningness Scale for Children. The factors associated with SJL were determined using a structured questionnaire. FINDINGS: Students' SJL value was 2 h 10 min ± 01:11. As students' tendency to be an evening chronotype increased, the SJL value increased, as well (r = -0.472; p < 0.001). In terms of SJL, student's grade level (ß = -0.167; p = 0.004) and chronotype (ß = -0.438; p < 0.001) were a negative risk factor, while spending time in bed with TV/computer/smartphone before sleeping (ß = 0.127; p = 0.031) was a positive risk factor. CONCLUSIONS: The students had a high SJL value. The results might be useful for nurses to develop intervention strategies to improve adolescents sleep habits.


Asunto(s)
Relojes Circadianos , Ritmo Circadiano , Conducta Social , Adolescente , Niño , Humanos
7.
Perspect Psychiatr Care ; 57(2): 948-952, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32730666

RESUMEN

PURPOSE: This review was written to examine the incidences of inappropriate sexual behavior (ISB) and to study the responsibilities of nurses in the management of ISB. CONCLUSIONS: When nurses experience ISB, they tend to describe this situation as harassment. However, the use of the phrase "harassment" indicates inadequate professionalism because although disturbing, not every incidence of ISB is an expression of adult sexuality. Some patients are also likely to use this type of behavior to mask their existing life stress. As a result, nurses have difficulty interpreting and managing behavior that falls in this gray zone. PRACTICE IMPLICATIONS: To support nurses, we recommended that studies that define ISB, determine its prevalence, evaluate it, and guide nurses in the management of ISB should be carried out.


Asunto(s)
Relaciones Enfermero-Paciente , Acoso Sexual , Adulto , Comunicación , Humanos , Prevalencia , Conducta Sexual
8.
Perspect Psychiatr Care ; 56(1): 63-71, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30912160

RESUMEN

PURPOSE: Our aim was to determine the effects of "Telephone Intervention Problem Solving" (TIPS) on medication adherence among individuals diagnosed with schizophrenia. DESIGN AND METHODS: This randomized controlled trial was conducted with 45 patients. TIPS was applied to the intervention group for 2 months, whereas the control group received routine care. FINDINGS: We found that the rate of voluntary continuation of medicine (P < 0.001), belief in the necessity of medication (P = 0.008) and medication adherence scores were higher in the intervention group (P < 0.001). PRACTICAL IMPLICATIONS: This study may serve as a guide for applying telephone communication to clinical interventions in psychiatric nursing.


Asunto(s)
Antipsicóticos/uso terapéutico , Cumplimiento de la Medicación/psicología , Sistemas Recordatorios , Esquizofrenia/enfermería , Teléfono , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Solución de Problemas , Estudios Prospectivos , Esquizofrenia/diagnóstico , Turquía , Adulto Joven
9.
Turk Psikiyatri Derg ; 27(1): 47-56, 2016.
Artículo en Turco | MEDLINE | ID: mdl-27369685

RESUMEN

OBJECTIVE: This study is a systematic review that was conducted in an attempt to evaluate the tele-nursing interventions being used in the schizophrenia patient care and the efficiency of these interventions. METHOD: The study was conducted by checking the Pubmed, Cinahl, Science Direct, Wiley Interscience, Ulakbim Medicine Database and the Turkish Medline database. The English keywords were translated with "nursing by telephone" that is the only term involved in the MeSH (Medical Subject Headings) index for English keywords and TST (Turkish Scientific Terms) for Turkish keywords. A total of six articles that met the inclusion criteria were involved in the evaluation. RESULTS: According to the study findings that were evaluated within the scope of the systematic review, it was observed that the tele-nursing interventions were limited with Telephone Intervention Problem Solving-TIPS. It was determined that the TIPS intervention extended the time spent by schizophrenia patients in society and decreased the duration of days being spent at the hospital after every rehospitalization and the number of applications for rehospitalization. It was also observed to increase the adherence to the psychiatric medication and social functioning, decrease the level of psychiatric symptoms after the discharge. Besides, the face-to-face interviews being conducted before the TIPS intervention were observed to develop the verbal communication skills of patients. CONCLUSION: According to this systematic review, the quantitative limitation of relevant studies is limited with the phone applications of tele-nursing interventions; however, it has positive results.


Asunto(s)
Esquizofrenia/enfermería , Teleenfermería , Humanos , Servicios de Salud Mental
10.
Stud Health Technol Inform ; 205: 176-80, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25160169

RESUMEN

This study was conducted as a descriptive study in order to determine the views of nurses working a university hospital on web-based training. Population consisted of all the nurses working in the hospital. It was found out that nurses use computer at the moderate level (46.5 %), they benefit from Internet at a good level (46.5 %), almost all of them use Internet to make searches about professional issues (94.6%), they want to update their professional knowledge (90.1%) and they find it difficult to reach information on such grounds as time constraint (81.1 %) and lack of appropriate environment (62.1 %) and they want to receive a web-based training (87.1 %). It is important that web-based training programmes be generalised in the field of nursing where there exists a time problem, studies as regards to how to integrate these programmes into continuing education be increased and their results be reflected on the practices.


Asunto(s)
Actitud hacia los Computadores , Instrucción por Computador/estadística & datos numéricos , Educación a Distancia/estadística & datos numéricos , Educación en Enfermería/estadística & datos numéricos , Internet/estadística & datos numéricos , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/estadística & datos numéricos , Actitud del Personal de Salud , Alfabetización Digital/estadística & datos numéricos , Instrucción por Computador/métodos , Educación en Enfermería/métodos , Evaluación Educacional/estadística & datos numéricos , Turquía
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