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1.
Psychogeriatrics ; 2024 May 29.
Article in English | MEDLINE | ID: mdl-38811353

ABSTRACT

BACKGROUND: Dementia is a worldwide public health concern. Implementing lifestyle changes that target modifiable risk factors is crucial for reducing the risk of dementia. The aim of this study was to investigate the effect of having family members with dementia on individuals' health beliefs and tendencies towards adopting healthier lifestyles and behaviours. METHODS: A cross-sectional, comparative study was conducted with 338 people aged 40 years and older, of whom 168 have the experience of having family members with dementia, and 170 have no such experience. Data were collected using a characteristics form, the Motivation to Change Lifestyle and Health Behaviours for Dementia Risk Reduction scale, and the modified Charlson comorbidity index. Descriptive statistics, Pearson's chi-square and independent t-tests, were used. RESULTS: Those with family members with dementia were more likely to have greater motivation to modify their lifestyle (perceived susceptibility, severity, benefits, and cues to action) to reduce their risk of developing dementia. Additionally, they had greater perceived barriers to gain by adopting a healthy lifestyle, in contrast to those without such family members. CONCLUSION: The presence of family members with dementia could be an important factor to consider when designing initiatives targeting health beliefs related to dementia prevention behaviours and lifestyle changes.

2.
Nurse Educ Pract ; 77: 103990, 2024 May.
Article in English | MEDLINE | ID: mdl-38733958

ABSTRACT

AIM: This study aims to investigate the efficacy of the aged simulation suit on undergraduate nursing students' attitudes and empathy toward older adults. BACKGROUND: A new approach to teaching to enhance nursing students' attitudes toward and empathy for older adults involves the use of an aging simulation suit. DESIGN: This systematic review and meta-analysis seeks to determine the efficacy of the aged simulation suit on the attitudes and empathy of undergraduate nursing students toward older adults. This protocol for a systematic review and meta-analysis was registered as CRD 42023393879 on the PROSPERO database. METHODS: In February-March 2023, a systematic review with meta-analysis of randomized controlled and quasi-experimental studies was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Population, Intervention, Control, Outcomes, Study Design (PICOS) structure was used for search strategy. Databases CINAHL, Cochrane Library, PubMed, PsycINFO, and Web of Science, as well as ULAKBIM, Turkish Medline, Turkiye Klinikleri, and YOK National Thesis Center, were searched for the articles. The Joanna Briggs Institute Critical Appraisal Tools were used to evaluate the methodological quality of a study and the extent to which its design, conduct, and analysis addressed the possibility of bias. RESULTS: The meta-analyses of attitudes toward older adults included six studies (including 535 nursing students). The intervention group's attitudes toward older adults were found to be similar to those of the control group (SMD: 15.84, Z= 1.98, p= 0.05). The subgroup analyses revealed similarities between intervention group's and the control group's mean score on attitudes toward older adults (SMD: 4.85, Z=0.70, p=0.48, for RCT; SMD: 23.05, Z= 2.02, p=0.04, for quasi-experimental). Three studies (involving 207 nursing students) revealed significantly higher mean empathy score for the control group compared with the intervention group following the intervention (SMD: 7.08, Z=4.82, p=0.00001). The subgroup analyses revealed statistically significantly higher mean level of empathy for the control group compared with the intervention group was after the intervention (SMD: 7.49, Z=3.15, p=0.002, for RCT; SMD: 6.83, Z= 3.65, p=0.0003, for quasi-experimental). CONCLUSIONS: Nursing students should be aware of older adults' feelings and experiences aging-related changes and aged simulation interventions can be a useful intervention to allow students to empathize with an older adult.


Subject(s)
Attitude of Health Personnel , Education, Nursing, Baccalaureate , Empathy , Students, Nursing , Humans , Students, Nursing/psychology , Education, Nursing, Baccalaureate/methods , Aged
3.
J Community Health Nurs ; 40(4): 289-297, 2023 Oct 02.
Article in English | MEDLINE | ID: mdl-37522835

ABSTRACT

PURPOSE: To examine the role of perceived social support and knowledge of dementia in family caregivers of people with dementia (PwD) regarding caregiving self-efficacy. DESIGN: Descriptive, cross-sectional, and predictive design was used. METHODS: The study was conducted with caregivers of PwD (n:102) between March and May 2022. Data was collected using the following forms: a socio-demographic characteristics form, the revised scale for caregiving self-efficacy (RSCSE), the dementia knowledge assessment scale (DKAS) and the revised form of the multidimensional scale of perceived social support (RFMSPSS). Data was assessed through descriptive statistics and multivariate regression analysis. FINDINGS: The participants' RSCSE, DKAS and RFMSPSS mean scores were 1125.89 ± 417.18 (range:0-1800), 15.70 ± 6.06 (range:0-34), and 52.72 ± 20.07 (range:12-74), respectively. Analysis indicated that DKAS and RFMSPSS predicted positive caregiving self-efficacy scores but it was not statistically significant for DKAS (R2:0.209, F:13.077, p < 0.001). These variables accounted for 21% of total variance of caregiving self-efficacy. RFMSPSS predicted positively and statistically significantly (ß:0.461, p < 0.001) the total score of the self-efficacy scale. CONCLUSIONS: The perceived social support of caregivers of PwD is an important predictor of the self-efficacy level of caregivers. CLINICAL EVIDENCE: In order to enhance improving the quality of the caregiving process, caregivers should be strengthened, and caregiving self-efficacy should be comprehensively evaluated to enable assistance to the caregiver. The social support of caregivers is an important predictor of caregiving self-efficacy. Therefore, social support should be taken into consideration when engaging in appropriate initiatives.


Subject(s)
Caregivers , Dementia , Humans , Self Efficacy , Cross-Sectional Studies , Social Support
4.
Geriatr Nurs ; 49: 178-192, 2023.
Article in English | MEDLINE | ID: mdl-36565592

ABSTRACT

BACKGROUND: The effectiveness of telehealth applications for family caregivers of individuals with dementia remains unclear. The aim of this study is to investigate how telehealth-based interventions applied for family caregivers of individuals with dementia affect their self-efficacy levels, caregiving burden, stress, depression, and quality of life. MATERIALS AND METHODS: This was a systematic review. Screening took place between April 30 and May 5, 2022, for the scope of the past 10 years (January 2012/May 2022). The related studies were screened over ten (10) databases and search engines both in English and Turkish, including CINAHL, Cochrane Library, MEDLINE, PsycINFO, PubMed and Web of Science, ULAKBIM, Turkish Medline, Türkiye Klinikleri, and YOK National Thesis Center. Keywords included in various medical topic titles identified upon consultation with literature review experts from a library. Methodological quality of the studies was evaluated using Critical Appraisal Checklists developed by the Joanna Briggs Institute for experimental and quasi-experimental studies. The data were synthesized by meta-analysis. RESULTS: Two hundred and twelve (212) records were accessed in the databases. Of that, 12 studies (covering 1,013 caregivers) were selected for the meta-analysis. Statistically, the self-efficacy mean score was significantly higher in the intervention group than the control group after the intervention (SMD: 1.08, Z= 3.12, p= 0.002). The effectiveness of telehealth-based applications for caregivers' caregiving burden, stress, depression and quality of life -- except for self-efficacy - was evaluated. The results of the intervention and control groups were similar after the intervention (SMD: -0.17, Z= 0.82, p= 0.41; MD: -0.60, Z= 0.49, p= 0.63, SMD: -0.04, Z= 0.13, p= 0.98; SMD: 0.15, Z= 0.47, p= 0.64, respectively). CONCLUSIONS: This systematic review and meta-analysis showed that telehealth applications were effective in elevating the self-efficacy levels of caregivers of individuals with dementia. However, no statistically significant difference was observed in terms of caregiving burden, stress, depression, or quality of life for caregivers.


Subject(s)
Dementia , Telemedicine , Humans , Caregivers , Quality of Life , Self Efficacy
5.
Eur. j. psychiatry ; 36(4): 252-259, octubre 2022.
Article in English | IBECS | ID: ibc-212344

ABSTRACT

Background and Objectives: The number of people living with dementia is increasing globally, particularly in middle-income countries like Turkey. To reduce risk of dementia, the implementation of lifestyle changes targeting modifiable risk factors are important. This study aimed to translate and validate the Turkish version of the Motivation to Change Lifestyle for Dementia Risk Reduction (T-MOCHAD-10).MethodsCross-sectional psychometric study design was used. After translation and back translation, we assessed face and content validity. For construct validation and reliability assessment, we conducted a survey with 601 individuals aged 40 and above using a socio-demographic form and the T-MOCHAD-10. We used Exploratory Principal Axis Factoring with Oblimin rotation to explore the factor structure. We then confirmed the factor structure using fit indices. Reliability was established using test-re-test, Cronbach's alpha coefficient, item-total and item-subdimensions correlations, ceiling and floor effects, and the Hotelling's T-squared test.ResultsThe T-MOCHAD-10 showed adequate face and content validity (Kendall W=0.09, p=0.60). As in the original scale, a two-factor solution was obtained. All fit indices were ≥0.95, and RMSEA was 0.06. A Cronbach's alpha of 0.79 was obtained and no significant differences were found between test and re-test measures (p>0.05). We found no evidence of ceiling or floor effects, nor response bias (Hotelling's T-squared=4683.80, p<0.001).ConclusionT-MOCHAD-10 is a short measurement tool which provides valid and reliable scores concerning the motivation to change lifestyle for reducing dementia risk among Turkish individuals aged 40 and over. (AU)


Subject(s)
Humans , Dementia , Life Style , Surveys and Questionnaires , Turkey
6.
Perspect Psychiatr Care ; 58(4): 1651-1656, 2022 10.
Article in English | MEDLINE | ID: mdl-34822172

ABSTRACT

PURPOSE: To assess the psychometric properties of the Turkish version of the Scale for Positive Aspects of Caregiving Experience (SPACE). DESIGN AND METHODS: The methodological descriptive study was conducted with 228 family caregivers of people with dementia (PwD) in Turkey, Izmir, between March 2018 and December 2019. FINDINGS: The Turkish version of SPACE is a valid and reliable measurement tool to evaluate the positive experiences of caregivers of PwD in the Turkish society. PRACTICE IMPLICATIONS: It is thought that this measurement tool will be useful for researchers working with primary caregivers in Turkey.


Subject(s)
Caregivers , Humans , Psychometrics , Surveys and Questionnaires , Turkey , Reproducibility of Results
7.
Nurse Educ Today ; 107: 105098, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34464908

ABSTRACT

OBJECTIVES: This study aimed to describe the experiences of nursing interns in the intensive care unit (ICU). DESIGN: This study was a descriptive qualitative research. SETTINGS, PARTICIPANTS, METHODS: The study data were collected via focus group interviews of 25 nursing interns in the two different ICUs of a university hospital who had volunteered to participate in the study. There were four focus group interviews in all, one for each of four different groups of nursing interns. The semi-structured interview form was used in the study. RESULTS: Seven themes emerged in the study: fear, awareness of nurses' roles, finding opportunities for self-improvement, difficulty in caregiving, difficulty in communicating with the patients and the care team, experiencing ambivalent feelings related to death, and adaptation to the clinical environment. CONCLUSIONS: Doing one's internship in the ICU was evaluated by the nursing interns in this study as a beneficial practice despite the difficulties involved in it. It is recommended, that intensive-care practices be included in the undergraduate education program for nurses and that appropriate guidance and monitoring be given to the nursing interns in ICUs.


Subject(s)
Critical Care , Intensive Care Units , Focus Groups , Humans , Qualitative Research , Students
8.
Dement Geriatr Cogn Disord ; 50(2): 170-177, 2021.
Article in English | MEDLINE | ID: mdl-34350883

ABSTRACT

BACKGROUND: The incidence of dementia is increasing dramatically worldwide. It is important to determine knowledge about the dementia for it's prevention, early diagnosis, treatment, and care. The psychometric properties of the Turkish version of the Dementia Knowledge Assessment Scale (DKAS-T) were evaluated in this study. METHODS: The psychometric study was conducted. A total of 1592 participants were recruited between November 2019 and March 2020. The data were collected using a sociodemographic form and DKAS-T. The language and content validity, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to assess the validity of the scale. The scale's reliability was obtained using Cronbach's alpha coefficient, a paired sample t-test, item-total score correlation, and Hotelling's T-squared test. RESULTS: The mean age of the sample was 29.38 (±11.50) years; 66.8% (n = 1064) were female, and 54.1% (n = 861) reported their income status as income equal to expenditure. The DKAS-T demonstrated content validity and adequate sensitivity (Kendall W = 0.155, p = 0.093). The scale consisted of seventeen items and was unidimensional, which explained 28.705% of the variance. All the factor loadings were found to be >0.30 in factor analysis. In CFA, all of the fit indexes were >0.95 and root mean square error of approximation (RMSEA) was 0.033. A Cronbach's alpha value of 0.836 was obtained for the entire scale. It was determined that the scale has invariance according to time (t = -1.362, p = 0.181). Homogeneity of the scale was 3.26%, and there was no absence of reaction bias (Hotelling's T-squared = 2573.681, p < 0.001). CONCLUSION: The results demonstrated that the instrument is reliable and generates valid data for the Turkish sample. This scale can be used to determine knowledge about dementia and planning educational interventions in the issue.


Subject(s)
Cross-Cultural Comparison , Dementia , Dementia/diagnosis , Female , Humans , Psychometrics , Reproducibility of Results , Surveys and Questionnaires
9.
Holist Nurs Pract ; 35(2): 81-91, 2021.
Article in English | MEDLINE | ID: mdl-33555721

ABSTRACT

The support group process effect on caregiver burden on family members of dementia patients based on Watson's theory of human caring was that a significant difference was found between caregivers and control groups. Qualitatively, the support group process could reduce caregiver burden and improve coping skills.


Subject(s)
Caregivers/psychology , Empathy , Group Processes , Social Support , Aged , Caregivers/education , Caregivers/statistics & numerical data , Female , Humans , Male , Middle Aged
10.
Health Qual Life Outcomes ; 18(1): 304, 2020 Sep 10.
Article in English | MEDLINE | ID: mdl-32912233

ABSTRACT

BACKGROUND: Quality of life (QoL) is a growing area of interest in dementia research. However, it remains a controversial topic. This study aimed to determine the QoL of people with Alzheimer's disease (PwAD) and investigate the factors affecting patients' and caregivers' QoL scores. METHODS: A cross-sectional study design was used. A total of 98 home-dwelling PwADs and their primary caregivers were recruited in the study. Sociodemographic characteristics and QoL scores, activities of daily living (ADL) and instrumental ADL (IADL), Mini-mental State Examination (MMSE) scores, neuropsychiatric inventory (NPI), and NPI-distress were determined to assess the relevant outcomes. All statistical analyses were performed using SPSS version 22.0. Descriptive statistics, t-test, Pearson correlation, and multinomial regression were used for analysis. RESULTS: The patients' ratings of their QoL were higher than those of the caregivers. Caregiver education, patients' ADL, and IADL were associated with the patients' score on the Quality of Life in Alzheimer's Disease (QoL-AD) scale. In addition to these variables, MMSE, NPI, and NPI-distress were associated with the caregiver scores on QoL-AD. CONCLUSION: From a clinical point of view, the proxy-rated scores of QoL cannot replace the self-ratings of the patients. This study suggests that both self- and proxy-rated QoL scores should be applied whenever possible. Focusing on the management of behavioral problems and supporting functionality and cognitive functions may be modifiable factors that may represent targets for intervention to improve the QoL. The findings of this study should also be used to design caregiver educational programs about the determinants of QoL.


Subject(s)
Alzheimer Disease/psychology , Caregivers/psychology , Quality of Life , Activities of Daily Living/psychology , Aged , Aged, 80 and over , Alzheimer Disease/therapy , Cross-Sectional Studies , Female , Humans , Male , Mental Status and Dementia Tests , Middle Aged
11.
Noro Psikiyatr Ars ; 57(2): 120-125, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32550777

ABSTRACT

INTRODUCION: Apathy is an important factor in the clinical management of dementia, as it has been associated with poor disease outcome, reduced daily functioning and caregiver distress. Considering apathy as a problem that needs to be managed and knowing the factors affecting apathy will enable appropriate initiatives to be planned. This study was conducted to compare apathy across three types of dementia and determine the factors affecting apathy for each of the three types of dementia. METHODS: The sample consisted of 46 patients with Alzheimer's disease (AD), 31 patients with frontotemporal dementia (FTD) and 29 patients with vascular dementia (VaD). Apathy was assessed using the Neuropsychiatric Inventory-apathy subscale (NPI), dementia severity was assessed using the Clinical Dementia Rating Scale (CDR), cognitive status was assessed using the Mini Mental Status Examination (MMSE) functional ability was measured with the Katz Index of Independence in Activities of Daily Living (ADL) and the Lawton-Brody Instrumental Activities of Daily Living (IADL). This is a descriptive and cross-sectional study. RESULTS: Significant differences were found between the apathy score of three types of dementia. Cognitive impairment correlated significantly with the apathy score in AD and VaD. Functionality scores and severity of dementia showed a significant correlation with apathy in each group. No statistically significant relationship was detected between age, gender and apathy. Multiple regression analyses show that apathy scores correlated with IADL in patients with AD. CONCLUSION: This study demonstrated that apathy is very common symptom in patients with FTD as well as patients with AD and VaD. Health professionals need to be aware of recognize apathy. Patients should be assessed for apathy regardless of dementia types, age and gender.

12.
Am J Alzheimers Dis Other Demen ; 35: 1533317519898996, 2020.
Article in English | MEDLINE | ID: mdl-32048860

ABSTRACT

BACKGROUND: Global population is getting older and the prevalence of dementia continuously increases. Understanding the related health beliefs is bound to enable lifestyle-based interventions that maximize public engagement in dementia risk reduction behaviors. The aim of this study was to determine health beliefs on dementia prevention behaviors and lifestyle changes and to determine the factors influencing these beliefs among middle-aged and older people in Turkey. MATERIALS AND METHODS: This descriptive and cross-sectional study was conducted with 284 individuals aged 40 years and older, using nonprobability convenience sampling. Data were collected using a demographic characteristic form and the Turkish version of the Motivation for Changing Lifestyle and Health Behavior for Reducing the Risk of Dementia scale. The study utilized the value, mean, percentage frequency distribution, correlation, independent t test, and the one-way analysis of variance test. RESULTS: The mean age of the participants included in the study was 56.99 ± 12.05, 68.7% of individuals were males. The mean education years of the participants were 11.22 ± 4.55. The majority (72.2%) of participants expressed subjective memory complaints. Presence of family history of dementia was 28.2%. Age, gender, education years, subjective memory complaints, presence family history of dementia, prior experience as a caregiver of dementia, and willingness to know their own risk were determined as essential factors that influence several health belief factors related to dementia risk reduction. CONCLUSION: Our findings indicate that males, older adults, and lower-educated and income are priority groups that should be guided for lifestyle and behavioral changes regarding dementia risk reduction.


Subject(s)
Culture , Dementia/prevention & control , Health Behavior , Life Style , Risk Reduction Behavior , Cross-Sectional Studies , Female , Genetic Predisposition to Disease , Humans , Longitudinal Studies , Male , Memory Disorders , Middle Aged , Surveys and Questionnaires , Turkey
13.
Eur J Ageing ; 16(1): 53-62, 2019 Mar.
Article in English | MEDLINE | ID: mdl-30886560

ABSTRACT

Adapting and providing quality services for people as they age is a common challenge across Europe. The perspective of older people is fundamental in a person-centred care approach. Expanding research at the European level that explicitly includes their views can offer a relevant contribution to the development of evidence-based guidelines that can be shared in education and training across health and social care professions. This study aimed to identify common meaningful dimensions of professional competence in health and social care emphasised by older people from six countries in different regions of Europe according to their experiences. A qualitative approach was chosen with a total of 95 semi-structured interviews conducted in Austria, Finland, Lithuania, Portugal, Turkey and UK, following a common topic guide. Participants in this study were aged 60 and above, and recruitment considered age, gender, level of education and living arrangements. Results identified a set of universal skills and practices that according to older people, health and social care professionals should meet. Competences at the interpersonal level were central in older people's discourses, and its core dimensions are anchored in relational, communication and socio-emotional skills of professionals. These findings reinforce the aspiration of establishing best practices in care that relies on the harmonisation of a competence framework that can be shared in the training and education of health and social care professionals across Europe and that voices older people's preferences, expectations and needs.

14.
J Neurosci Nurs ; 51(3): 119-124, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30801447

ABSTRACT

OBJECTIVE: This methodological study evaluates the validity and reliability of the Motivation for Changing Life Style and Health Behavior for Reducing the Risk of Dementia scale in Turkish. METHODS: The study enrolled 220 individuals aged 40 years and older between September 2017 and June 2018. The Kendall W analysis and content validity index were used for validity; test-retest and confirmatory factor analyses were used for the reliability analysis. RESULTS: The Turkish version of the Motivation for Changing Life Style and Health Behavior for Reducing the Risk of Dementia scale has valid content. The Cronbach α coefficient of the scale was .809, and the subscales were in the ranges of .781 to .609. A statistically significant, positive correlation was found between the test and retest scores. CONCLUSIONS: These results show that the scale has validity and reliability for use in the Turkish population.


Subject(s)
Dementia/prevention & control , Health Behavior , Healthy Lifestyle , Motivation , Female , Humans , Male , Middle Aged , Psychometrics , Reproducibility of Results , Risk Factors , Surveys and Questionnaires , Turkey
15.
Geriatr Nurs ; 39(2): 151-156, 2018.
Article in English | MEDLINE | ID: mdl-28826975

ABSTRACT

The aim of this qualitative and quantitative study was to understand the effects of support group interventions on the caregiving burden of individuals providing care for people with dementia. This study used the Caregiver Burden Inventory, and focus group interviews (18 caregivers), which were conducted using a semi-structured interview form. The initial study sample was 37 primary caregivers; however, the final analysis included 30 caregivers. The quantitative data were analyzed by paired sample t-test. The interviews being analyzed using content analysis. It was found that there was a significant decrease in the scores for total burden (p = 0.049), social burden (p = 0.008) and emotional burden (p = 0.000) after the intervention. The content analyze revealed three main themes ("having knowledge," "calming down," and "acceptance"). Overall, it was concluded that support groups are effective in reducing caregiver burden.


Subject(s)
Adaptation, Psychological , Caregivers/psychology , Self-Help Groups , Dementia/nursing , Female , Humans , Middle Aged , Surveys and Questionnaires
16.
Am J Alzheimers Dis Other Demen ; 32(4): 200-206, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28403621

ABSTRACT

This study was conducted to compare the caregiver burden with regard to Alzheimer's disease (AD) and frontotemporal dementia (FTD) and to determine the factors affecting the caregiver burden of patients with AD and FTD. A comparative descriptive study design was used. The sample consisted of 90 patients with AD and 44 patients with FTD and their caregivers. Sociodemographic questionnaire, Mini-Mental State Examination (MMSE), the Caregiver Burden Inventory (CBI), Neuropsychiatric Inventory (NPI), and Functional Activities Questionnaire (FAQ) were used. Descriptive statistics, t tests, χ2 test, and multinominal regression were used for analysis. No difference was found with subscales and the total score of the CBI, except time dependency scale. The total NPI and FAQ scores correlated significantly, and the MMSE score did not show a significant correlation with the AD and FTD caregiver burden. The presence and frequency of neuropsychological symptoms differ among patients with FTD and AD, and different symptoms affect the caregiver burdens in both groups.


Subject(s)
Alzheimer Disease/psychology , Caregivers/psychology , Frontotemporal Dementia/psychology , Adaptation, Psychological , Aged , Female , Humans , Male , Middle Aged , Neuropsychological Tests/statistics & numerical data , Surveys and Questionnaires , Time Factors
17.
J Gerontol Nurs ; 42(7): 44-54, 2016 Jul 01.
Article in English | MEDLINE | ID: mdl-27064606

ABSTRACT

The Progressively Lowered Stress Threshold (PLST) is a conceptual model for reducing behavioral symptoms in individuals with dementia. The aim of the current study was to evaluate the effectiveness of the PLST-based intervention on burden, symptoms of depression, and quality of life (QOL) of caregivers, as well as neuropsychiatric symptoms and QOL of individuals with dementia. A randomized controlled trial was used. Sixty-five participants completed the study. Although variables examined in caregivers in the intervention group showed statistically significant improvement throughout follow up, there was no statistically significant difference between the intervention and comparison groups. In addition, no statistically significant difference was noted between groups for patient variables. Care based on the PLST model was clinically effective in decreasing caregiver burden and depression of family members, and in increasing their QOL, but no more effective than routine care. [Journal of Gerontological Nursing, 42(7), 44-54.].


Subject(s)
Caregivers/psychology , Models, Psychological , Stress, Psychological , Aged , Female , Humans , Male , Middle Aged
18.
West J Nurs Res ; 34(7): 902-16, 2012 Nov.
Article in English | MEDLINE | ID: mdl-21098145

ABSTRACT

The aim of this study was to investigate use of complementary and alternative medicines, and factors that affect use of these agents, in individuals with diabetes. This cross-sectional and descriptive study was performed at the outpatient clinics of four hospitals in Turkey with 396 diabetic individuals between October 2006 and March 2007. In this study, 34.6% of the participants were using complementary and alternative medicine in addition to conventional medicine; 73% of these individuals had not informed their doctors and nurses about their complementary and alternative medicine practice. Nurses, as health care providers, should not ignore complementary and alternative medicine options. Instead, they should try to determine the rate of complementary and alternative medicine use among their patients and understand their effects and the reasons for use of these agents. Nurses should learn more about these medicines and educate their patients.


Subject(s)
Complementary Therapies , Diabetes Mellitus/therapy , Adult , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Turkey
19.
J Nurs Scholarsh ; 43(3): 248-54, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21884370

ABSTRACT

PURPOSE: This study was conducted to determine the effects of gender on caregiver burden among caregivers of persons with Alzheimer's disease. DESIGN: Comparative descriptive study. METHODS: Factors affecting the burden of female and male caregivers (age, total duration of caregiving, mean duration of daily caregiving, education, income, employment status, age of the patients cared for, and Mini-Mental State Examination [MMSE] and Neuropsychiatric Inventory [NPI] scores) were similar (p > .05). The sample consisted of 120 female and 72 male caregivers of patients with Alzheimer's disease. Data were collected from patients by means of the MMSE and demographic variables, and data from the Caregiver Burden Inventory [CBI] and NPI were obtained from caregivers, as well as from face-to-face interviews using a questionnaire. Descriptive statistics and t-tests were used to describe and analyze data. FINDINGS: Female caregivers had significantly higher scores for caregiver burden than their male counterparts (p= .002). Subscale analysis on the CSI revealed that female caregivers had significantly higher scores for caregiver burden than male caregivers on time dependence (p= .040), developmental (p= .002), physical (p= .001), and social burdens (p= .045). No difference was found with respect to emotional burden (p= .718). CONCLUSIONS: Results of this study suggest that female caregivers are subjected to a higher level of caregiver burden than male caregivers in Turkey. In subscales, female caregivers experienced more burden than male caregivers in the time dependence, developmental, physical, and social burdens. Emotional burden was similar in both genders. CLINICAL RELEVANCE: Although caregiver burden has been a much debated issue for many years, it is a relatively new topic in Turkey. In order to provide appropriate care for the patient's and family's cultural values and needs, more studies are needed to be conducted on family members giving care to Alzheimer's patients. It is thought that the findings of the present study will facilitate cross-cultural comparisons and culture-oriented care planning.


Subject(s)
Alzheimer Disease/nursing , Caregivers/psychology , Cost of Illness , Sex Factors , Aged , Aged, 80 and over , Female , Humans , Male , Turkey
20.
J Clin Nurs ; 20(21-22): 3196-203, 2011 Nov.
Article in English | MEDLINE | ID: mdl-21518058

ABSTRACT

AIMS AND OBJECTIVES: To assess the reliability and validity of a Turkish version of Kogan's Attitudes Toward Older People Scale. BACKGROUND: To explore nursing students' attitudes towards older people, standardised, well-tested instruments are needed. Kogan's Attitudes Toward Older People is a comprehensive instrument for assessment of attitudes toward older adults and has been validated in several languages. However, a validated Turkish version has not been available until now. DESIGN: The study used psychometric testing to establish reliability and validity of the Turkish version of Kogan's Attitudes Toward Older People Scale. METHODS: A convenience sample of 237 nursing students in Turkey was used to collect data regarding attitudes towards older people. Content validity, construct validity, internal consistency and stability reliability of the Kogan's Attitudes Toward Older People were assessed. RESULTS: Kogan's Attitudes Toward Older People scores were between 74-224. All of the 34 items were found to have significant item-to-total correlations (p < 0·05). Results of the confirmatory factor analysis established that the scale had a two-factor construct and was appropriate use in this student population. The Cronbach's alpha was 0·89 for the total scale (0·82 for negative, 0·85 for positive). In addition, test-retest correlation was 0·83 (negative subscale 0·77, positive subscale 0·73) (p < 0.001). CONCLUSIONS: The Turkish version of the Kogan's Attitudes Toward Older People was found to be a reliable and valid tool for assessing Turkish nursing students' attitudes toward older adults. RELEVANCE TO CLINICAL PRACTICE: This study provided evidence that the Kogan's Attitudes Toward Older People is a reliable and valid instrument for assessing Turkish nursing student's positive and negative attitudes toward older adults. It is easy and practical to use for both informants and investigators and acceptable for Turkish Culture.


Subject(s)
Attitude of Health Personnel , Students, Nursing/psychology , Humans , Psychometrics , Reproducibility of Results , Turkey
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