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    Psychosocial Care Needs of Individuals Receiving Hemodialysis Treatment: A Qualitative Study
    (Ataturk Univ, 2024) Ozyer Guvener, Yasemin; Gumustekin, Kubra
    Objective: This study was conducted to determine the psychosocial care needs of individuals undergoing hemodialysis. It is important to assess and identify the needs of this specific population. Methods: A semi-structured questionnaire form was used in the study and 12 participants were included in the study. This qualitative descriptive study has a phenomenological design. Results: In the study, 3 contexts, 6 themes and 38 sub-themes emerged. The contexts were as follows: problems developing due to the disease (complications and symptoms), healthcare-related needs (the health worker the patient wants to care for him or her, treatment- and care-related needs, the characteristics of the caregiver), and the mechanisms for coping with the disease (support systems and coping behaviours related to the disease). Conclusion: In the study, hemodialysis patients stated that they suffered many psychosocial and physical problems. Determining the psychosocial needs of hemodialysis patients and implementing related interventions can positively affect the course of the disease. Nurses assume the most important role in the determination of these psychosocial problems and implementation of the necessary interventions. Nurses have crucial roles and responsibilities in the care of dialysis patients. Effective nursing care can reduce disease-related side effects and improve patients' quality of life. Patient-centered care can improve the quality of dialysis care and patient satisfaction.
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    The Effect of Comfort Theory-Based Nursing Care on Intolerance of Uncertainty and Comfort Levels in Individuals Undergoing Hemodialysis: A Randomized Controlled Trial
    (Springer Publishing Co, 2025) Gumustekin, Kubra; Guvener, Yasemin Ozyer
    Background and Purpose: Chronic renal failure is a common public health problem worldwide, and hemodialysis has become the standard treatment. During this long and exhausting process, it is extremely important that individuals undergoing hemodialysis receive effective and high-quality nursing care so that accurate prognoses can be made and complications prevented. This study aimed to determine the effect of comfort theory-based nursing care on intolerance to uncertainty and comfort levels in hemodialysis patients. Methods: The sample of this randomized controlled study consisted of individuals receiving hemodialysis at a private dialysis center. The sample comprised a total of 60 patients, 30 in the experimental group and 30 in the control group. Patients in the experimental group received training during an 8-week dialysis period using nursing care interventions based on Katharine Kolcaba's comfort theory for health care needs. The training content covered holistic nursing care and consisted of physical, psychospiritual, sociocultural, and environmental dimensions in order to reduce uncertainty and increase comfort levels in the individuals receiving dialysis. This care was based on Kolcaba's comfort theory. A Personal Information Form including the individuals' descriptive, disease, and treatment characteristics, the Intolerance of Uncertainty Scale (IUS), and the General Comfort Questionnaire (GCQ) were used for data collection. Independent two-sample comparisons were performed using the chi(2) test for qualitative variables and the t test for quantitative variables. Results: In the comparison of the groups, there were significant results for the total GCQ and its subdimensions except for the relief subdimension (p < 0.05). The scores for the total IUS and its subdimensions were significant (p < 0.01). Implications for Practice: It was determined that comfort theory-based nursing care interventions were effective in reducing the level of intolerance of uncertainty and increasing the comfort level. It is recommended that comfort theory-based nursing care guidelines should be used to reduce the sense of uncertainty and increase the comfort levels of individuals receiving hemodialysis.
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    Öğe
    The effect of social support on anxiety, depression, stress and quality of life in obesity surgery Quality of life in obesity surgery
    (Bayrakol Medical Publisher, 2023) Ozyer, Yasemin; Gumustekin, Kubra; Yildirim, Kadir
    Aim: Determining the effect of social support on anxiety, depression, stress and quality of life in patients undergoing bariatric surgery is important for the health of individuals. This study was conducted to determine the effect of social support on anxiety, depression, stress and quality of life after bariatric surgery. Material and Methods: This retrospective study included 155 patients who underwent bariatric surgery. Data were collected using the Introductory Information Form, Multidimensional Scale of Perceived Social Support (MSPSS), Depression, Anxiety, Stress Scale-21 (DASS-21), SF 12 Short Form of Quality- of- Life Scale. Results: The mean total score of depression was 6.75 +/- 5.76, the mean total score of anxiety was 6.90 +/- 5.38, the mean total score of stress was 6.72 +/- 5.91, the mean total score of the MSPSS was 58.30 +/- 22.54, the mean total score of Physical Component Summary Score (PCSS) was 44.52 +/- 8.75, and the mean total score of Mental Component Summary Score (MCSS) was 49.95 +/- 8.35. Discussion: There was a difference between the mean subscale scores of stress and a special person according to gender, between the total MSPSS scores and PCSS -12 subscale scores of the patients according to marital status, and between the mean scores of the PCSS -12 and MCSS-12 subscale scores of the individuals according to having a chronic disease, reflecting the quality of life. In improving the quality of life of patients undergoing bariatric surgery, it is important to understand the social support, physical and mental experiences of the patients in this process and to determine their quality-of -life levels.