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Öğe Daytime Sleepiness in University Students and Internet Addiction as the Determinant(Lippincott Williams & Wilkins, 2020) Demir, Gokce; Arslan, Selda; Kocoglu-Tanyer, DenizPurpose The aim of the study is to determine daytime sleepiness in university students and its relationship with internet addiction as the determinant. Method A descriptive cross-sectional design was used. Study population consisted of 1,150 first- and fourth-year students studying in some faculties at a university located in the Central Anatolia Region of Turkey. Findings In this study, it was determined that the students obtained a mean score of 5.9 +/- 2.1 points from the daytime sleepiness scale and the rate of those with daytime sleepiness problem was 17.9%. Furthermore, 52.3% of the students had a sleep duration of 7-8 hours. An increase in internet addiction mean score increases the risk of daytime sleepiness approximately one time. Conclusions Increase of internet addiction score increases the risk of daytime sleepiness approximately one time.Öğe The effect of audiobooks on sleep quality and vital signs in intensive care patients(Elsevier Sci Ltd, 2024) Mermer, Elmas; Arslan, SeldaObjective: Improving sleep quality in the intensive care unit is significant for the recovery process. This study investigated the effect of listening to audiobooks on sleep quality and vital signs in intensive care patients.Methods: This quasi-experimental study utilized the pre-posttest design, involving control and intervention groups. The study was conducted in the internal medicine intensive care unit of a hospital in Turkey between January-June 2022. Standard nursing care was given to both groups on the first night, and the Sleep Evaluation Form and Richard Campbell Sleep Scale were used to measure sleep quality in the morning. On the second day, the intervention group listened to a recorded story, and the control group had standard care. Sleep quality and vital signs were measured again.Results: Data from 56 participants were analyzed. Noise (96.4%), light (69.6%), unfamiliar environment (64.8%), concerns about illness (33.9%), and care and treatments (58.9%) are the main causes of sleep disruption. The effect of these factors decreased in the intervention group after the Audiobook Listening Practice, which significantly improved the sleep quality of the ICU patients (p < 0.001). Among the vital signs, a significant difference was found in pulse and blood pressure (p < 0.001), while no changes were observed in temperature and respiratory rate in time group interaction (p > 0.05).Conclusions: The Audiobook Listening Practice improved sleep quality and life parameters in the ICU. Nurses can use the practice to improve sleep quality in intensive care units.Implications for clinical practice: Evidence-based studies are needed to improve the sleep quality of patients in intensive care units, to ensure clinical improvement, and to reduce the length of stay at hospital. The practice is effective in manipulating environmental stressors. This low-cost method significantly improves patient care activities. It is recommended to integrate such complementary activities into intensive care units, to train nurses about the practice, and to support the practice with new studies.Öğe The effect of slow-stroke back massage on chemotherapy-related fatigue in women with breast cancer: An assessor blinded, parallel group, randomized control trial(Elsevier Sci Ltd, 2022) Bahceli, Pinar Zorba; Arslan, Selda; Ilik, YeterObjective: This randomized controlled parallel-group trial was conducted to investigate the effect of slow-stroke back massage (SSBM) on the level of fatigue in women with breast cancer undergoing chemotherapy. Methods: Sixty-four women with breast cancer receiving chemotherapy were randomly assigned to SSBMG (n:32), who received SSBM, and CG (n:32), who received routine treatment only. Women with breast cancer in the intervention group received SSBM for a total of 20 min, 10 min before and after each chemotherapy infusion (2nd, 3rd, and 4th cycle). The Brief Fatigue Inventory (BFI) was completed before and after three cycles of chemotherapy (2nd, 3rd, and 4th) to assess the level of fatigue in women with breast cancer. Results: After using SSBM, the BFI score was significantly lower in SSBMG than in CG (p 0.001) at all three-time points (1st, 2nd, and 3rd-time points). While the within-group change (delta) in SSBMG differed significantly between time points (p = 0.018, eta 2 = 0.14), in contrast, the within-group change (delta) in CG was found not to differ between time points. Conclusion: This study has shown that SSBM, one of the non-pharmacological methods, has a positive effect on the level of fatigue in women with breast cancer.Öğe The Effect of Using Eye Masks and Earplugs on Intensive Care Patients Quality of Sleep and Vital Signs(Lippincott Williams & Wilkins, 2021) Kocak, Ayyuce Tuba; Arslan, SeldaBACKGROUND: Intensive care unit (ICU) patients with severe health problems experience a high rate of sleep deprivation that harms their psychological and physiological health. Environmental factors are considered to be the greatest cause of sleep deprivation in the ICU, and noise and light are leading among these factors. This study aimed to investigate the effect of eye masks and earplugs on the sleep quality and vital signs of conscious ICU patients. METHODS: This study used a quasi-experimental, in similar groups, pretest-posttest design with a control group. The Richards-Campbell Sleep Questionnaire (RCSQ) was used to collect data, and vital signs were recorded every 2 hours. On day 1, standard care was provided to the experimental group (n = 32), and they were provided with eye masks and earplugs on day 2. The control group (n = 32) was provided with standard care on both days. Chi-square, t, and McNemar and McNemar-Bowker tests were used to analyze the data. Multiple regression analysis was used for predictive analysis. RESULTS: The RCSQ mean (SD) pretest and posttest scores were 50.21 (16.02) and 68.50 (17.57), respectively, for the experimental group and 55.34 (16.62) and 49.03 (15.53), respectively, for the control group. In the experimental group, the posttest RCSQ score was significantly higher than the pretest RCSQ score (P < .01). No differences in vital signs were observed in the control group. All the vital signs were found to be similar in the experimental group, except for the mean daily pulse rate. CONCLUSION: The use of earplugs and eye masks may help reduce sleep deprivation. Eye masks and earplugs can be used by nurses to improve the sleep quality of patients in ICUs.Öğe The Effect of Using Virtual Reality Glasses on Anxiety and Fatigue in Women with Breast Cancer Receiving Adjuvant Chemotherapy: A Pretest-Posttest Randomized Controlled Study(Elsevier Science Inc, 2023) Uslu, Arzu; Arslan, SeldaObjective: To determine the effect of using virtual reality glasses on anxiety and fatigue in women with breast cancer receiving adjuvant chemotherapy.Data Sources: A total of 66 women with breast cancer receiving adjuvant chemotherapy. The intervention group watched and listened to beach and nature content with virtual reality glasses for 30 minutes. The con-trol group also received standard care. An Introductory Information Form, the State Anxiety Scale, and the Cancer Fatigue Scale were used for data collection. The scales were administered to the groups before the intervention, followed by practice or standard care, and then the scales were re-administered. All patients were evaluated for each cycle over four cycles. Conclusion: In the intervention group, the mean post-application anxiety scores decreased compared with the mean pretest scores, and the mean posttest anxiety scores decreased from the first cycle to the last cycle. In addition, the mean post-test anxiety scores of the intervention group were found to be lower in all four cycles than the mean post-test anxiety scores of the control group. In the intervention group, the mean post -test fatigue and subscales scores decreased in all cycles compared with the mean pre-test scores. Implications for Nursing Practice: This research has shown that the use of virtual reality glasses is effective in reducing anxiety and fatigue scale scores and their subscales in patients with breast cancer. For this reason, it is recommended to introduce the use of virtual reality glasses to patients and to present their use according to patients' preferences.(c) 2023 Elsevier Inc. All rights reserved.Öğe Nursing Students' Views and Suggestions About Case-Based Learning Integrated Into the Nursing Process: A Qualitative Study(Istanbul Univ-Cerrahpasa, 2021) Burucu, Rukiye; Arslan, SeldaAIM: This study aimed to evaluate students' views and suggestions about case-based learning. METHOD: The research was planned by using qualitative method of phenomenological type. Case-based learning was integrated into the nursing process and implemented in four sessions, and then, students' views and suggestions were collected. In the interview, a semi-structured interview form was used, in-depth interviews were made, and the data were evaluated by qualitative data analysis. Phenomelogical approach of Colazzi was used in the analyzes and Huberman method was applied. The COREQ was used to analyze and report the qualitative data. The sample consisted of second-year students in the nursing department of a public university in Anatolia in the academic year 2017-2018. Participants attended the case-based learning program. A focus group interview was conducted with 10 of the participants. RESULTS: Participants are 10 students with a mean age of 19.86 +/- 0.78 years. A total of 65 opinions and suggestions were presented during the focus group meeting. These were grouped under two main and seven sub-themes. Participants had positive views on the program and gave practical suggestions. CONCLUSION: Case-based learning integrated into the nursing process is a practical nursing method that helps students learn and understand the nursing process better and approach patients from a holistic perspective.Öğe Peripheral neuropathy and lifestyle factors in women with breast cancer receiving taxane-based chemotherapy: Pathway analysis(Elsevier Sci Ltd, 2023) Ellikci, Rabia; Arslan, SeldaPurpose: Peripheral neuropathy adversely affects the treatment process of cancer, and thus it is important to reveal the factors leading to peripheral neuropathy and to take the necessary precautions to avoid it. This study was conducted to investigate the relationship between chemotherapy-induced peripheral neuropathy (CIPN) and lifestyle factors (nutrition, physical activity and sleep quality).Methods: This descriptive and correlational study was conducted with 108 individuals who were treated in the chemotherapy unit of a hospital between April 2021 and April 2022 in Turkey. Data were collected using the Chemotherapy-Induced Peripheral Neuropathy Assessment Tool (CIPNAT), the International Physical Activity Questionnaire (IPAQ), the Mini Nutritional Assessment Test (MNA), and the sleep level Visual Analog Scale. Number, percentages, means, and standard deviations were calculated, and multiple linear regression analysis and path analysis were conducted to analyze the data.Results: The results indicate that the total MET score significantly and positively predicted the sleep scale score (beta = 0.24, p < 0.01), while it negatively and significantly predicted the CIPNAT score (beta =-0.30, p < 0.001). In addition, both the MNA screening score and the sleep scale score significantly and negatively predicted the CIPNAT score (beta =-0.25, p < 0.01, beta =-0.29, p < 0.001, respectively).Conclusions: Lifestyle factors (exercise, nutrition, sleep) were found to have an effect on peripheral neuropathy. It is thought that increasing the level of exercise improves sleep quality, and regular nutrition, quality sleep and increased physical activity may be effective in reducing peripheral neuropathy.Öğe Posttreatment Experiences of Breast Cancer Survivors in Turkey: A Qualitative Study(Elsevier Science Inc, 2022) Kocak, Ayyuce Tuba; Arslan, Selda; Ilik, YeterObjectives: This study aimed to explore the posttreatment experiences of breast cancer survivors in Turkey. Data Sources: The study was conducted in Turkey between February 2020 and April 2020 with 18 breast can-cer survivors who completed the treatment process. The data were collected using the individual in-depth interview method with the semi-structured interview form. The interviews were transcribed verbatim, and the data were analyzed using the seven-step Colaizzi method. The Consolidated Criteria for Reporting Quali-tative Research (COREQ) checklist was used to report the study.Conclusion: Four main themes emerged in the study which are symptom management, emotional responses, change in life, and challenges in health care. The cancer survivors in Turkey reported that moral values had more meaning for them after treatment, they started to feel extremely worried about their children, they tried to manage their own processes with the information they themselves gained and with some support systems, and they experienced radical changes in their family and social relations. In addition, cancer survi-vors criticized the inadequacy of health care services, including relapse follow-up after the treatment process.Implications for Nursing Practice: This study provides an overview of the lived experiences of posttreatment breast cancer survivors in Turkey. The findings of this study can be used to better understand breast cancer survivors, identify their needs based on their experience, and develop interventions to improve patient out-comes.(c) 2022 Elsevier Inc. All rights reserved.Öğe The preliminary effects of henna on chemotherapy-induced peripheral neuropathy in women receiving oxaliplatin-based treatment: A parallel-group, randomized, controlled pilot trial(Elsevier Sci Ltd, 2020) Arslan, Selda; Bahceli, Pinar Zorba; Ilik, Yeter; Artac, MehmetPurpose: Chemotherapy-induced peripheral neuropathy (CIPN) may frequently occur in patients receiving oxaliplatin-based treatment. The aim of the present parallel-group, randomized, controlled pilot trial was to investigate the effect of henna on CIPN in women receiving oxaliplatin-based treatment. Method: Sixty female patients receiving oxaliplatin-based treatment were randomly divided into two groups, i.e., one intervention group (n = 30) where henna was applied topically and one control group (n = 30) that received routine treatment and care. Women in the intervention group were provided a pack of henna prepared by the investigators following each treatment course (2nd, 3rd, and 4th courses) and were instructed to apply the henna on their palms, fingers, and soles. The chemotherapy-induced peripheral neuropathy assessment tool (CIPNAT) was completed by women subsequent to the 2nd (baseline), 3rd, and 4th courses of treatment. Results: The intragroup assessment performed for the intervention group revealed that the total CIPNAT score significantly declined in the intervention group (p < 0.05). The score changes by time in the intervention and control groups were in favour of the intervention group, and the effect size for group x time interaction was eta(2) = 0.169. Similarly, regarding the symptoms intervention section of the tool, a positive change by time in the intervention group was observed, and the effect size concerning this change was large, i.e., eta(2) = 0.284. Conclusions: The present study results showed that henna application on hands and feet has a beneficial effect on peripheral neuropathy. Applying henna is a promising approach in CIPN management.Öğe Self-Efficacy and Its Association with Locus of Control in Diabetes in Turkey(Marmara Univ, Inst Health Sciences, 2021) Kilic, Mustafa; Arslan, SeldaObjective: This descriptive-relational study was conducted to determine self-efficacy levels of individuals with type 2 diabetes, relationship between these levels both some sociodemographic characteristics and health locus of control. Methods: The sample of this study was occurred 325 patients with diabetes who applied to the health care center constituted. Data were collected via 'Questionnaire Form', 'Self-efficacy in Diabetes Scale' and 'Multidimensional Health Locus of Control Scale'. Results: The average age of participants was 53.3 +/- 8 years, 51.4% of participants were women. It was found that the diagnosis time 8.7 +/- 7.2 years, the level of HbA1c was 8.2 +/- 1.1. In the sub dimensions of Diabetes Self-efficacy Scale, the patients got points as follows; sub dimension of Diet+Foot Control 39.4 +/- 12.5, sub dimension of Medical Treatment 22.6 +/- 3,1, sub dimension of Physical Exercise 9.0 +/- 4.5. It was determined that in Multidimensional Health Locus of Control Scale, the patients got the highest points from the sub dimension of Powerful Others Locus of Control. A positive but weak level relation was determined between self-efficacy both total and subdimensions grades dimensions of health locus of control scale (p<0.05). According to mulltiple regression analysis, variables in the model were the age range of 30-40 years, not exercising, not obeying the diabetes regimen has been detected. Conclusion: It is seen that patients with DM have medium level of self-efficacy and tend to believe the effects of external forces at a higher rate in the management of the disease.Öğe Sleep of Intensive Care Patients A Qualitative Study Based on Experiences of Nurses(Lippincott Williams & Wilkins, 2022) Kocak, Ayyuce Tuba; Arslan, SeldaBackground: Intensive care patients experience a high rate of poor sleep quality. As the sleep quality is improved with nursing practices, patients' recovery and the length of stay in the intensive care unit (ICU) may be positively influenced, and patients may benefit from treatment and care at the highest level. Therefore, it is important to explore the experiences and evaluation of nurses working in ICUs. Objectives: This study was carried out to explore the experiences and evaluations of ICU nurses about patients' sleep. Methods: The study is a qualitative study conducted in a descriptive phenomenological design. The data were collected using the individual in-depth interview method with the semistructured interview form. Thematic analysis was performed to analyze the data. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used. Results: The analysis revealed 4 main themes, which are (1) importance of sleep, (2) evaluation of sleep, (3) reasons for poor sleep, and (4) sleep promotion interventions. Conclusions: This study revealed that nurses are aware of the importance of sleep; however, they do not evaluate sleep and try to improve sleep quality only based on their own knowledge and experience rather than on evidence-based approaches. However, their interventions are not sufficient and they are restricted because of physical conditions and intensive care procedures.Öğe Validity and Reliability of the Turkish Version of the Parkinson Disease Sleep Scale-2(Galenos Publ House, 2023) Kocak, Ayyüce Tuba; Arslan, SeldaObjective: Sleep problems are one of the most common non-motor symptoms of Parkinson's disease (PD). To better manage sleep problems, they must first be identified and evaluated. The study aimed to evaluate the validity and reliability of the Turkish version of the Parkinson Disease Sleep Scale-2 (PDSS-2). Materials and Methods: The study was conducted with 135 individuals with PD, between April 2019 and January 2021. The data were collected using the patient information form and the PDSS-2. The confirmatory factor analysis, psycholinguistic evaluation, and content validity testing were conducted to test the construct validity of the scale. Item total score correlation, Cronbach's alpha coefficient, and test-retest analyses were performed to test the reliability of the scale.Results: The content validity ratio of the scale was calculated as 0.875 and 1. When the model related to the scale was examined with the confirmatory factor analysis, it was observed that the fit indices were at a good level. The Cronbach's alpha was found to be 0.90 for the scale and between 0.71-0.81 for the sub-dimensions, indicating high reliability. The item-total correlations were found to be sufficient (between 0.31 and 0.78). The test-retest reliability coefficient was 0.91, indicating high consistency.Conclusion: It has been determined that the Turkish version of the PDSS-2 is a valid and reliable measurement tool.
