TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14365/4
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Article Exploration Into Donor-Recipient Relationship After Living-Donor Liver Transplantation Using Gift-Exchange Theory(2021-06-18) Kilic, Murat; Karayurt, Ozgul; Taylor, Laura; Kul, Gülay Aksu; Ordin, Yaprak SarıgölAIM: This qualitative study aimed to explore the donor-recipient relationships following living-donor liver transplantation.METHOD: A 1-time cross-sectional qualitative interview was conducted with liver transplant recipients (n = 17) and living liver donors (n = 11) post-transplant. The interviews were transcribed verbatim and analyzed manually by using thematic content analysis.RESULTS: The mean age of the recipients and the donors was 54.41 ± 8.0 (range 39–71) and 36.6 ± 7.69 (range 28–57) years, respectively.Followingtheinterviews,2overarchingthemesemerged:(1)Becamecareproviders,and(2)differentiationin relationships after transplantation. A total of 3 sub-themes were explained under “differentiation in relationships after transplantation;” feeling guilty, becoming closer and more intense owing to a feeling of indebtedness, and putting some distance owing to a feeling of indebtedness. CONCLUSION: The study focused on the reciprocation stage according to gift-exchange theory. During reciprocation, although recipients expressed positive feelings such as gratitude, closer relationships, and special bonds; they also reported negative feelings like guilt and indebtedness resulting in a purposeful distancing from their donors. Most donors understood what the recipients felt, but they wanted their relationship to return to normal. Married female donors had worse experiences, such as divorce or a weakened marital relationship after donatiArticle Self-Care Practices, Patient Education in Women with Breast Cancer-Related Lymphedema(Turkish Society of Physical Medicine and Rehabilitation, 2021-05-25) Karayurt, Ozgul; Eyigor, Sibel; Deveci, ZeynepObjectives: This study aims to evaluate self-care practices, sociodemographic and clinical factors that affect self-care and patient education among women with breast cancer-related lymphedema (BCRL). Patients and methods: This descriptive, cross-sectional study included a total of 102 women with BCRL (median age: 59 years; range, 35 to 80 years) who received lymphedema (LE) treatment at least once between July 2014 and May 2016. A Sociodemographic and Clinical Characteristics Form and the Lymphedema Self-care Survey were used to collect data via face-to-face interviews. Results: The median LE self-care practices score for women was 10 (range, 5 to 14). A total of 39.1% of the women implemented regular self-care. A statistically significant relationship was found between the score for perceived benefit of LE self-care and the score for self-care practice. No statistically significant difference was found among the self-care scores of the women with LE in terms of sociodemographic and clinical factors, except for education status. A total of 90.2% of the women with LE received self-care education, mostly from a physical therapy specialist and a physiotherapist. There was a statistically significant difference among self-care scores between patients who were educated and uneducated about LE. Conclusion: It is recommended that healthcare professionals should educate patients diagnosed with breast cancer to reduce LE risk and promote the implementation of self-care practices following the breast cancer surgery. Interventions should be made to increase the perceived benefits and reduce the perceived barriers and burden towards self-care behaviors to prevent and manage LE.Article SistemDeğişimiTM Müdahalesinin İmmünosupresif İlaç Uyumunun Etkisi: Türk Bir Böbrek Nakli Alıcısının Olgu Çalışması(2025-06-14) Kankaya, Eda Ayten; Ordin, Yaprak Sarıgöl; Çelik, Buket; Karayurt, Ozgul; Yıldız, Serkan; Russell, CynthiaBöbrek nakli alıcılarında immünosupresif ilaçlara uyumsuzluk, nakledilen organın işlevini olumsuz etkileyen rejeksiyona yol açmakta ve ölüm oranları ile sağlık bakım maliyetlerini artırmaktadır. Bu makalenin amacı, SistemDeğişimiTM müdahalesinin uyumsuz Türk yetişkin böbrek nakli alıcılarında 6. ve 12. aylarda ilaç uyumu üzerinde bir dikkat kontrol müdahalesine kıyasla etkinliğini test etmek için tasarlanan ana çalışmadan bir vakayı bildirmektir. Bu çalışma, daha önce yayınlanmış olan yetişkin böbrek nakli alıcıları ile yürütülen Medication Adherence Given Individual Change (MAGIC) çalışmalarının yöntemlerini yansıtan Türk ebeveyn çalışmasından bir vaka raporudur. Bu çalışma, altı aylık yenilikçi bir SistemDeğişimiTM müdahalesine kaydolan, ilaç uyumu zayıf yetişkin bir böbrek nakli alıcısının vaka çalışmasını rapor etmektedir. İlaçlara bağlılık hemen artmış ve müdahale ve idame aşamaları boyunca sürdürülmüştür. SistemDeğişimiTM müdahalesi, ilaç uyumunda anında ve sürekli iyileşmelerle sonuçlanmıştır. Hasta, dozların zamanlamasını düzenli olarak gerçekleşen bir davranışa bağlayarak iyileştirerek ilaç uyumunda klinik olarak anlamlı bir artış (%23) yaşamıştır. Bu çalışma, farklı bir kültürde gerçekleştirilen ilk vaka çalışması ve uluslararası literatürde bu konuda yapılan ikinci vaka çalışmasıdır. SistemDeğişimiTM müdahalesi bu bireyde ilaç uyumunu ve yaşam kalitesini artırmada etkili olmuştur.Research Project Böbrek Nakli Alıcılarında İlaç Uyumunu Arttırmak için Yeni Bir Girişim: Sistem Değişimi Girişiminin Etkisinin İncelenmesi(2022) Ordin, Yaprak Sarıgöl; Karayurt, Ozgul; Çelik, Buket; Yıldız, Serkan; Kankaya, Eda AytenTüm organ nakli alıcılarında, kullanılan immunosupresif ilaçlar; rejeksiyonun önlenmesi, nakledilen organ (greft) ve hasta sağkalımı açısından önemlidir. Organ nakli alıcılarında ilaç uyumunu arttırmak amacıyla yapılan çalışmalarda, uygulanan girişimlerin dayandırıldığı bir teorinin olmadığı, etki büyüklüğünün düşük olduğu ve metodolojik olarak güçlü dizayn edilmediği vurgulanmaktadır. Bu araştırmanın birincil amacı; böbrek nakli alıcılarında uygulanan SistemDEĞİŞİMİ? girişiminin ilaç uyum düzeyi üzerine etkisinin değerlendirilmesidir. Araştırmanın ikincil amacı; SistemDEĞİŞİMİ girişiminin böbrek nakli alıcılarının sağlık sonuçlarına (enfeksiyon, akut/kronik rejeksiyon, greft kaybı, ölüm, BUN ve Kreatinin) ve yaşam kalitesine etkisinin incelenmesi amaçlanmıştır. Bu araştırma randomize kontrollü, tek kör araştırma dizaynına uygun olarak yapılmıştır. Bu araştırmada, girişim grubuna SistemDEĞİŞİMİ girişimi; kontrol grubuna rutin klinik bakımında verilen hasta eğitimi uygulanmıştır. Toplamda 42 hasta araştırmanın girişim ve kontrol aşamasına dahil edilmiştir. SistemDEĞİŞİMİ girişimi altı ay uygulanmış ve girişimin bitiminden altı ay sonra araştırma sonuçları değerlendirilmiştir. Girişim grubu yaş ortalaması 47.19 (SS= 12.44 yıl), kontrol grubunda 45.00 (SS= 14.05) yıldır. Girişim grubunun 6.ay ve 12.ay uyum düzeyleri sırasıyla; 93.69 (SS= 9.29) ve 87.83 (SS= 13.96); kontrol grubunun 6. Ay ve 12. Ay uyum düzeyleri sırasıyla; 77.60 (SS=14.92) ve 77.29 (SS=12.25) bulunmuştur. Girişim grubunun 6. Ay ve 12. Ay ilaç uyum düzeyleri kontrol grubundan daha yüksektir (p = 0.001; p= 0.013). Girişim ve kontrol grubunun yaşam kalitesi düzeyleri arasında fark yoktur. Güçlü araştırma dizaynı ile yapılmış bu araştırmada SistemDEĞİŞİMİ girişiminin hastaların ilaç uyumlarını iyileştirmede ve klinik anlamlılık açısından da etkili olduğunu göstermiştir.Article Citation - WoS: 14Citation - Scopus: 16Self-Care Practices, Patient Education in Women With Breast Cancer-Related Lymphedema(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2021-05-25) Deveci, Zeynep; Karayurt, Ozgul; Eyigor, SibelObjectives: This study aims to evaluate self-care practices, sociodemographic and clinical factors that affect self-care and patient education among women with breast cancer-related lymphedema (BCRL). Patients and methods: This descriptive, cross-sectional study included a total of 102 women with BCRL (median age: 59 years; range, 35 to 80 years) who received lymphedema (LE) treatment at least once between July 2014 and May 2016. A Sociodemographic and Clinical Characteristics Form and the Lymphedema Self-care Survey were used to collect data via face-to-face interviews. Results: The median LE self-care practices score for women was 10 (range, 5 to 14). A total of 39.1% of the women implemented regular self-care. A statistically significant relationship was found between the score for perceived benefit of LE self-care and the score for self-care practice. No statistically significant difference was found among the self-care scores of the women with LE in terms of sociodemographic and clinical factors, except for education status. A total of 90.2% of the women with LE received self-care education, mostly from a physical therapy specialist and a physiotherapist. There was a statistically significant difference among self-care scores between patients who were educated and uneducated about LE. Conclusion: It is recommended that healthcare professionals should educate patients diagnosed with breast cancer to reduce LE risk and promote the implementation of self-care practices following the breast cancer surgery. Interventions should be made to increase the perceived benefits and reduce the perceived barriers and burden towards self-care behaviors to prevent and manage LE.Article Citation - WoS: 8Citation - Scopus: 9Evaluation of Adherence To Immunosuppressive Treatment With Different Methods in Kidney Transplant Recipients(Turk Nefroloji Diyaliz Transplantasyon Dergisi, 2018-05-03) Sarigol Ordin, Yaprak; Karayurt, Ozgul; Ertan, Nermin; Yildiz, Serkan; Ordin, Yaprak SarıgölOBJECTIVE: This study was conducted to compare the medication adherence levels of kidney transplant recipients using different measures. MATERIAL and METHODS: This descriptive, cross-sectional study was carried out with 147 kidney transplant recipients. The study data were collected between April and November 2017 using the Immunosuppressant Therapy Adherence Scale (ITAS), Immunosuppressive Medication Use Adherence Scale (IMUAS) and biological assay method. For the biological assay, the last five tacrolimus blood plasma levels were assessed and the standard deviation level for each patient was calculated. Patients whose standard deviation level was > 2.48 were considered to have inadequate adherence to medication. Descriptive and Spearman correlation analysis was used. RESULTS: The patients' mean age was 45.00 +/- 12.60. Of the 147 patients, 73 (49.6%) received treatment including tacrolimus. The biological assay revealed that 88.82% of the patients were in the group that complied with the medication. The mean scores obtained from the ITAS and IMUAS values for all the participating patients (n = 147) were 11.17 +/- 1.22 and 48.66 +/- 4.71 respectively. CONCLUSION: In the present study, medication adherence was evaluated using three different measures. The participating patients' self-report demonstrated that they gave higher scores for medication adherence when the ITAS was used. Several methods as appropriate to the characteristics of patients should be used simultaneously when assessing medication adherence.Article Citation - WoS: 4Citation - Scopus: 4Evaluation of Psychosocial Outcomes of Living Liver Donors in Liver Transplantation(Aves, 2022-04-15) Ordin, Yaprak Sarigol; Seren, Arzu Kader Harmanci; Karayurt, Ozgul; Kul, Gulay Aksu; Kılıç, Murat; Bozoklar, Cemal Ata; Tokat, Yaman; Harmancı Seren, Arzu KaderBackground: The purpose of this study was to evaluate the risk factors affecting psychosocial outcomes of living liver donors after liver transplantations. Methods: This was a descriptive, cross-sectional study. The sample consisted of living liver donors followed by 2 liver transplantation centers in 2 private hospitals in 2 different provinces, between August 2017 and October 2019. All the living liver donors were contacted without a time frame after donation and all the participants were evaluated once. The Beck Depression Scale, SF-36, General Self-Efficacy Scale, and Perceived Available Support Scale were used to collect data. The t-test, Kruskal-Wallis test, Mann-Whitney U-test, and Pearson correlation analysis were used for data analysis. Results: The mean age of the patients was 34.31 +/- 8.22 years. There was a positive, weak correlation between age and physical function. Gender, marital status, financial status, and education levels significantly affected physical components, social function, vitality, depression, and self-efficacy scores. High depression levels negatively affected the physical component, self-efficacy, and social support scores of the living liver donors. High self-efficacy positively affected social support. Conclusion: The study revealed that gender, marital status, employment status, and education levels were associated with psychosocial outcomes. The financial status was the main factor affecting each psychosocial variable. Financial status needs to be assessed in detail before and after the operation.Article Citation - Scopus: 1Affecting Factors in Medication Adherence in Kidney Transplant Recipients(Aves, 2022-05-18) Ordin, Yaprak Sarigol; Karayurt, Ozgul; Ertan, Nermin; Edeer, Aylin Durmaz; Yildiz, SerkanObjective: This study aimed to determine the risk factors related to immunosuppressive medication adherence in kidney transplant recipients. Methods: The study adopted a retrospective design. It was carried out on 208 kidney transplant recipients. The social cognitive theory was used for understanding and addressing the issues of nonadherence to immunosuppressive medication. Data were collected with a self-reported-Immunosuppressant Therapy Adherence Scale and biological assays. Descriptive analyses and logistic regression were used to analyze data. Results: According to the self-reported assessment, medication adherence of the patients receiving transplants from live donors was 0.503 times lower than that of the patients receiving transplants from deceased donors. The biological assays did not show any affecting factors in medication adherence. Conclusion: The results of the study showed the importance of combining methods to assess medication adherence. In the self-reported assessment, live donor transplantation was found to negatively affect medication adherence. Turkiye is the country with the highest number of kidney transplantations from live donors in the world. Health professionals must be more careful in assessing medication adherence after live donor transplantations.Article Citation - WoS: 1Exploration Into Donor-Recipient Relationship After Living-Donor Liver Transplantation Using Gift-Exchange Theory(Istanbul Univ-Cerrahpasa, 2021-06-18) Ordin, Yaprak Sarigol; Karayurt, Ozgul; Kul, Gulay Aksu; Kılıç, Murat; Taylor, Laura A.AIM: This qualitative study aimed to explore the donor-recipient relationships following living-donor liver transplantation. METHOD: A 1-time cross-sectional qualitative interview was conducted with liver transplant recipients (n = 17) and living liver donors (n = 11) post-transplant. The interviews were transcribed verbatim and analyzed manually by using thematic content analysis. RESULTS: The mean age of the recipients and the donors was 54.41 +/- 8.0 (range 39-71) and 36.6 +/- 7.69 (range 28-57) years, respectively. Following the interviews, 2 overarching themes emerged: (1) Became care providers, and (2) differentiation in relationships after transplantation. A total of 3 sub-themes were explained under differentiation in relationships after transplantation; feeling guilty, becoming closer and more intense owing to a feeling of indebtedness, and putting some distance owing to a feeling of indebtedness. CONCLUSION: The study focused on the reciprocation stage according to gift-exchange theory. During reciprocation, although recipients expressed positive feelings such as gratitude, closer relationships, and special bonds; they also reported negative feelings like guilt and indebtedness resulting in a purposeful distancing from their donors. Most donors understood what the recipients felt, but they wanted their relationship to return to normal. Married female donors had worse experiences, such as divorce or a weakened marital relationship after donation.Article Citation - WoS: 20Citation - Scopus: 20The Incidence of Pressure Ulcer in Patients on Mechanical Ventilation and Effects of Selected Risk Factors on Pressure Ulcer Development(Tubitak Scientific & Technical Research Council Turkey, 2016) Karayurt, Ozgul; Akyol, Ozay; Kilicaslan, Necmiye; Akgun, Nuray; Sargin, Umran; Kondakci, Melike; Ekinci, Hanim; Kondakçı, B Melike; Sarı, B NeslihanBackground/aim: This study aimed to determine the incidence of pressure ulcers in patients on mechanical ventilation and selected risk factors likely to play a role in pressure ulcer development. Materials and methods: The study included 110 patients recruited from an anesthesia critical care unit of a university hospital. Data were collected with a demographic and clinical characteristics form. The form was composed of questions about demographic characteristics and clinical features including diagnosis, duration of mechanical ventilation, general well-being, oxygenation, perfusion, and skin condition. Results: The incidence of pressure ulcer was 15.5%. Duration of mechanical ventilation was longer and the body mass index was higher in patients developing pressure ulcers than in those without pressure ulcers. Additionally, 90.11% of patients with pressure ulcers had edema and 82.35% of patients with pressure ulcers received vasopressin. The patients with pressure ulcers had higher PH levels, lower PaO2 levels, higher PCO2 levels, lower SaO2 levels, and higher urine output. Conclusion: It can be recommended that nurses and other health professionals should be aware of factors playing a role in pressure ulcer development and should be able to conduct appropriate interventions to prevent pressure ulcers.