The effectiveness of illness management and recovery program in patients with schizophrenia.

AIM: This study was conducted to determine the effect of the illness management and recovery program in patients with schizophrenia. METHODS: This study was conducted using a pretest, posttest and follow up experimental design with randomized controlled. The sample of this study consisted of patients with schizophrenia (n = 50). The patients were assigned to intervention (n = 25) and control (n = 25) groups using the randomisation method. The intervention group consisted of 10 modules and 20 sessions of Illness Management and Recovery Program, while in the control group, a face-to-face interview. Data were collected by the Illness Management and Recovery Scale-Patient Form (IMRS-P) and Social Functioning Scale-Patient Form (SFS-P). RESULTS: There were significant differences in posttest and 1-month follow-up IMRS-P points between the intervention and control groups. There was no significant difference in post-test and 1-month follow-up SFS-P total points between the intervention and control groups. There were only significant differences for the pro-social activities' subscale of SFS-P. CONCLUSION: The Illness Management and Recovery Program have a positive effect on illness management and social functionality in patients with schizophrenia. In the light of this study, it was suggested that this structured program should be used by mental health and psychiatric nurses.

Eating Behaviors and Related Factors in Psychiatric Patients.

The aim of this study was to determine the risk of eating disorders and associated risk factors in individuals with psychiatric disorders. Patients who were hospitalized in a psychiatry clinic of the university hospital between the dates of February 2014 and July 2014 constitute sample for the study. The study sample consisted of a total of 216 patients. Data were collected using a questionnaire form and the Eating Attitude Test. The mean age of the patients was 37±0.5, and 56.9% of the patients were female. Problems in eating behavior were observed in 11.6% of the patients, and a statistically significant relationship was found between the risk of eating disorders and diagnosis, gender, exercise and self-perception of weight. The risk of eating disorders was more frequently observed in patients diagnosed with depression, in female patients with a self-perceived weight problem and do not exercise.

The Effectiveness of Psychoeducational Interventions in Reducing the Care Burden of Family Members Caring for the Elderly in Turkey: A Randomized Controlled Study.

OBJECTIVE: To examine the effectiveness of psychoeducational intervention that is based on the McGill Model of Nursing in reducing the burden of caregivers and improving self-efficacy and adaptive coping in people who provide care for the older person. METHODS: This study was conducted using a pre- and post-test control group and repeated measures experimental design in a family health center service area located in Istanbul. This study was conducted with 33 caregivers in each group. The data were collected using the questionnaire form, the Zarit Burden Interview, the General Self-Efficacy Scale and the Cognitive Emotion Regulation Questionnaire. RESULTS: According to the findings of the study, the post-test Zarit Burden Interview points of the intervention group trained for according to McGill Model of Nursing will decrease compared with the control group after the intervention hypothesis was accepted; the post-test General Self-Efficacy Scale and adaptive subscales of the Cognitive Emotion Regulation Questionnaire scores will increase after the intervention hypothesis was also accepted. CONCLUSION: It was found that the psychoeducational intervention based on the McGill Nursing Model was efficient.

Effectiveness of Adherence Therapy for People With Schizophrenia in Turkey: A Controlled Study.

OBJECTIVE: This study used a quasi-experimental design with a pretest-posttest control group and follow-up to determine the efficacy of adherence therapy in patients with schizophrenia in Turkey. METHODS: The sample of this study consisted of patients with schizophrenia (n=30). The Questionnaire Form, Medication Adherence Rating Scale, Internalized Stigma of Mental Illness Scale, and Beck Cognitive Insight Scale were used. The patients were assigned to experimental (n=15) and control (n=15) groups using the randomization method. The experimental group received adherence therapy in eight sessions. RESULTS: When the scores of the patients in the experimental and control groups were compared at the pretest, posttest, and 3- and 6-months follow ups, a significant difference was only found in the Medication Adherence Rating Scale posttest scores. CONCLUSION: Adherence therapy is effective in improving adherence to treatment but is not effective with regard to insight and internalized stigma in patients with schizophrenia.

Psychometric properties of the Turkish version of the Fraboni Scale of Ageism.

In this study, the reliability, validity, and psychometric properties of the Turkish version of the Fraboni Scale of Ageism were assessed. The psychometric properties of the scale were studied through a descriptive and correlational design. The study sample consisted of 231 healthy people living in the Marmara region of Turkey. In order to obtain three sets of data, a questionnaire was designed containing demographic questions and the Scale. The content validity index for the full scale was 0.98. The α coefficient for 25 items was 0.84, and the split-half reliability of the Fraboni Scale of Ageism was 0.81. The three factors represented 38.31% of the variance. In this study, we concluded that the Turkish version of the Fraboni Scale of Ageism is a suitable instrument for measuring ageism in the Turkish population.

The determination of blood pressure, anger expression and body mass index in adolescents in Turkey: a pilot study.

This study was planned to determine whether there is a correlation between blood pressure, anger expression and body mass index of 16-18 year-old-adolescents. A descriptive-correlation design was used in this study. The study population comprised 276 students from 4 public high school. A questionnaire form and Anger Expression Inventory were used, and measures of systolic and diastolic blood pressure, height and weight measures were noted to the questionnaire form. The systolic blood pressure of 3.3% of the adolescents and the diastolic blood pressure of 4.7% of the adolescents was found hypertensive. Anger-in score was 15.42 +/- 3.78; anger-out score was 17.70 +/- 4.55 and anger-control score was 19.39 +/- 4.53. Body mass index of 67.8% of the adolescents was found within the normal range and 7. 6% of students were obese. A positive correlation was found between anger-control and systolic blood pressure (r = 0.13; p < 0.05), body mass index and systolic blood pressure (r = 0.24; p < 0.01), body mass index and diastolic blood pressure (r = 0.16; p < 0.01) and anger-in and body mass index (r = 0.17; p < 0.01) of adolescents. As a conclusion, this study provided findings related to the importance of determination of blood pressure, anger expression and body mass index in school health studies.

The Turkish validity and reliability of the Kiersma-Chen empathy scale.

PURPOSE: This study aimed to establish the Turkish validity and reliability of the Kiersma-Chen empathy scale (KCES) and determine its psychometric properties. DESIGN AND METHODS: This methodological study was carried out with 227 nursing students between April and May 2019. FINDINGS: The Cronbach's alpha coefficient of the total scale is 0.854, the test-retest coefficient was high for the total scale (r = 0.989), and total-item correlations ranged between 0.398 and 0.712. PRACTICE IMPLICATIONS: The KCES-TR is a valid and reliable scale to measure empathy in nursing students.

The Effect of Motivational Interviewing on Adherence to Treatment and Quality of Life in Chronic Hemodialysis Patients: A Randomized Controlled Trial.

The aim of this study was to determine the effect of motivational interviewing (MI) on adherence to treatment and quality of life in chronic hemodialysis patients. This study was conducted with a randomized controlled pretest, posttest, and follow-up design from March to July 2016 in the hemodialysis center. After the intervention (n = 30) and control groups (n = 30) completed a pretest, patients in the intervention group received four individual face-to face MI sessions per month. Then both groups participated in a posttest, 3 months after which a follow-up was conducted. A significant increase in adherence to treatment (according to both subjective and objective data) was observed in the experimental group compared to the control group. No significant difference was found between the two groups in their quality of life scores; however, within the experimental group, there was a significant increase in these scores between the posttest and the 3-month follow-up.

Psychometric properties of the Turkish version of Illness Management and Recovery Scale-Patient form.

PURPOSE: The aim of this study was to provide the Turkish version of the Illness Management and Recovery Scale-Patient (IMRS-P) form and to determine its psychometric properties. DESIGN AND METHODS: This is a descriptive and correlation study. The sample of this study consisted of 75 people with schizophrenia. Translation and content validity, confirmatory factor analyses were used to test the validity and reliability of the scales. RESULTS: The content validity index was found to be 0.93. The scale had a three-factor structure, which subscales were 0.69 for recovery, 0.69 for management, and 0.35 for substance. The Cronbach's alpha was determined as 0.76. PRACTICE IMPLICATIONS: The Turkish version of the IMRS-P form is a valid and reliable scale for Turkish patients.

Psychometric properties of the Turkish version of the Depression Coping Self-efficacy Scale.

Reliable and valid instruments are needed to assess and deal with the problems that are encountered by depressed patients in psychiatric nursing practice. The aim of this study was to assess the reliability and validity of the Turkish version of the Depression Coping Self-efficacy Scale. A descriptive and correlation design was used to determine the psychometric properties of the Scale. The study population was 105 depressed inpatients from acute psychiatry services. The study confirmed that the Scale is reliable and valid for assessing depression coping self-efficacy of depressed patients in acute psychiatric wards in Turkey.

Predictors of psychosocial adjustment in people with physical disease.

AIMS: The purpose of this paper was to examine the demographic, medical and psychosocial variables that result in the deterioration of psychosocial adjustment in patients with physical disease, the meaning their illness has for them and their coping style. METHODS: The study was carried out in inpatient clinics of the Istanbul Faculty of Medicine (n = 198). The following evaluation instruments were used: a semi-structured questionnaire, the Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR), the Meaning of Illness Questionnaire (MIQ), the Hospital Anxiety-Depression Scale, the Multivariate Perceived Social Support Questionnaire and the Ways of Coping Inventory (WCI). Variables to be related with psychosocial adjustment were analysed by using Forward Logistic Regression. RESULTS: The mean age of patients was 36.9 (SD 12.9) (18-65), 55% of which were women, the average PAIS-SR score was 1.02 (SD 0.41) (0.7-2.26); 47% of the patients had poor adjustment scores. Univariate analysis showed that psychosocial adjustment was affected by having children (p = 0.02), anxiety, depression, locus of control, perceived social support (p < 0.001), information level about their illness and its treatment (p = 0.01), the subscales of WCI [escape-avoidance (p < 0.001), distancing (p = 0.002), planned problem solving (p < 0.001), positive re-appraisal (p = 0.02)]. The psychosocial adjustment of patients with respiratory or infectious illnesses or bone-muscle-skeletal disorders was even less (p = 0.03). All 33 items of the MIQ were found to have a significant impact on psychosocial adjustment (p < 0.001). According to the regression analysis, the best predictors of psychosocial adjustment were: depression (p < 0.001) and the meaning of illness for patient (p < 0.01). CONCLUSIONS: Having a physical illness is an important stress factor. In providing assistance, a number of factors should be taken into consideration, including how the patient perceives his illness, the impact the illness has on the patient's life, and a determination of the degree of depression being experienced by the patient. RELEVANCE TO CLINICAL PRACTICE: The study indicated some predictors in the assessment of psychosocial adjustment and care of patients with physical illness. In daily clinical practice, among the patients with physical illness, those with a negative perception of their illness and those who define depression should be given special attention for psychosocial support.