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    Effects of Reflexology on Pain, Fatigue, and Quality of Life in Multiple Sclerosis Patients: A Clinical Study
    (Innovision Communications, 2021) Dogan, Hatice Dilek; Tan, Mehtap
    Context . Multiple Sclerosis (MS), occupies the first row among the diseases which leads to loss of neurological ability without depending on a trauma in the adults. Reflexology is one of complementary therapies based on activating a body's power to recover itself by special hand techniques applied to feet and hands. Positive changes in spasticity, pain, fatigue, depression, cortisol levels, anxiety, and blood pressure levels have been observed in MS patients after reflexology. Objectives . This study was conducted to determine the effect of reflexology on pain, fatigue and quality of life in MS patients. Design . The study was conducted experimentally by taking pretest and repeated measurements on reflexology and control groups determined by simple randomization. Setting . The study took place in the neurology clinics at two university hospitals in Turkey. Participants . Potential participants were 685 patients at the clinics who had been diagnosed with MS 6 months at least prior to the study. Of that group, 66 patients were included in the study, 33 in the intervention group and 33 in the control group. Intervention . Reflexology was applied on each patient in the intervention group for 3 sessions a week for 12 weeks, and weekly pain and fatigue and monthly quality of life were evaluated. No intervention was made to the control group. Both groups received routine treatment. Outcome Measures . Measurements occurred at baseline, weekly and monthly throughout the trial, and postintervention. Pain and fatigue were evaluated weekly using a Visual Analogue Scale (VAS) and the Fatigue Severity Scale (FSS), respectively and quality of life was evaluated monthly using the Multiple Sclerosis Quality of Life-54 (MSQOL-54) scale. Results . In the intervention group, significant decreases were observed in the pain scores from the seventh week and in the fatigue scores from the fifth week (P < .001). In the assessment of quality of life, the combined physical health and combined mental health scores were found to be higher in the intervention group than in the control group (P<.001). Conclusion . The study indicates that reflexology can be used as a complementary and alternative therapy to reduce pain and fatigue and enhance quality of life in MS patients.
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    Examining Sleep Quality and Job Satisfaction of Critical Care Nurses
    (Marmara Univ, Inst Health Sciences, 2020) Dogan, Hatice Dilek
    Objective: Ensuring patient safety in intensive care units, which constitute the key area of nursing profession, depends on protecting the safety of nurses. Intensive care units providing nonstop treatment in challenging conditions change the sleep quality, psychological and physiological rhythm of nurses. In this units nurses need to work very carefully always. Based on this thought, we aimed to examine the sleep quality and job satisfaction of intensive care nurses. Methods: 234 nurses from different intensive care units in five different hospitals participated in this descriptive cross-sectional study. Personal information form, Pittsburgh Sleep Quality Index (PSQI) and Minnesota Satisfaction Questionnaire (MSQ) were used in data analysis. Results: No differences were found among Pittsburgh Sleep Quality Index scores of nurses with respect to intensive care units, whereas Minnesota Satisfaction Questionnaire scores were found to be different (p<0.005). The average Pittsburgh Sleep Quality Index score was found to be 8.99 +/- 3.45. The highest Minnesota Satisfaction Questionnaire scores were found at level 3 general surgery, anesthesia intensive care units and neonatal intensive care units. A significant relationship was found between the job satisfaction of nurses and the duration of work in intensive care units (p<0.001). Conclusions: Although nurses were happy to work in intensive care units, their sleep quality was found to be 'poor' and their job satisfaction was found to be at 'medium level'. In order to improve sleep quality of intensive care nurses, working hours should be revised. It is recommended that managers make improvements that increase motivation and take into account the feedback of employees.
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    Klasik Türk Müziği Makamları Uygulanarak Yapılan Hemşirelik Doktora Tezlerinin Değişkenler Açısından Sistematik İncelenmesi
    (2022) Dogan, Hatice Dilek
    Amaç: Bu çalışmada, Klasik Türk Müziği makamlarının hastalıklar ve semptomlar üzerine etkilerini araştıran, deneysel hemşirelik doktora tezlerinin sistematik incelenmesi amaçlanmıştır. Yöntem: Retrospektif ve tanımlayıcı tipteki çalışma, rehber PRISMA-P 'ye göre Ulusal Tez Merkezi taranarak, Ekim 2021-Mart 2022 tarihleri arasında yapılmıştır. Tezlerin alınma ölçütlerinde başlıkta “müzik terapi” “müzik tedavi” “müzikle tedavi” “müzikle terapi” kelimelerinin bulunması, hemşirelik alanında yapılması ve tezde Klasik Türk Müziği makamlarının uygulanması aranmıştır. Ölçütleri karşılayan 1999- 2021 yılları arasında yapılmış, 14 hemşirelik doktora tezi amaç, yöntem, bulgular ve sonuç değişkenleri açısından kronolojik sırayla değerlendirilmiştir. Çalışmanın analizinde sayısal değerlendirmeler kullanılmıştır. Bulgular: Tezlerin % 85.6’sı 2012- 2021 yılları arasında, en fazla oranla %21.42’si İç Hastalıkları Hemşireliği ve Cerrahi Hastalıkları Hemşireliği’nde, %14.28’i Psikiyatri Hemşireliği alanında yapıldığı belirlenmiştir. Hastalara sıklıkla Acemaşiran, Nihavent, Uşşak, Rast, Hüseyni, Segah, Buselik, Zirgu?leli Hicaz ve Zirefkend Makamlarının dinletildiği ve çoğunlukla psikolojik semptomlar üzerine makamların etkisinin incelendiği görülmüştür. Tezlerde en fazla Rast, Acemaşiran ve Hüseyni makamları uygulanmıştır. Çalışmalarda Rast ve Uşşak makamı’nın kaygı, korku gibi anksiyete faktörlerini azalttığı ve gevşemeye yardımcı olduğu; Zirgu?leli Hicaz ve Zirefkend makamları’nın uyku kalitesini etkilediği ve yorgunluğu azalttığı, Nihavent ve Rast makamları’nın hasta memnuniyetini ve yaşam kalitesini artırdığı, Acemaşiran, Hüseyni ve Nihavent makamlarının ağrı ve fizyolojik parametrelerde olumlu etkilerinin olduğu bulunmuştur. Sonuç: Tezlerin sonuçları doğrultusunda, Klasik Türk Müziği makamlarının öncelikle psikolojik semptomlar ve ağrı olmak üzere, uyku kalitesinin arttırılması ve yaşam bulgularının iyileştirilmesinde uygulanabileceği belirlenmiştir. Türk Müziği makam terapisinin deneysel çalışmalarla güçlendirilmesine ihtiyaç vardır. Bilimsel sonuçlar, makamların semptomlara yönelik tedavisinde kullanılabileceği gibi, Türk Müziği makamları’nın kültürlerarası hemşirelik ve sağlık uygulamalarına yön verebileceğine inanılmaktadır.