Browsing by Author "Avci, Dilek Kusaslan"

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Evaluation of the Relationship Between Loneliness and Medication Adherence in Patients With Diabetes Mellitus: a Cross-Sectional Study
(Sage Publications Ltd, 2018) Avci, Dilek Kusaslan
Objective The emotional status of patients with diabetes mellitus (DM) is important in the course of treatment. The present study aimed to determine the level of loneliness among patients with DM and to evaluate the relationship between the patients' level of loneliness and medication adherence. Method This cross-sectional study used a semi-structured questionnaire and the University of California, Los Angeles Loneliness Scale to collect data from 325 patients who were diagnosed with DM. Results We found that loneliness scores were significantly elevated in individuals with a low level of education, unmarried individuals, and students. Furthermore, these scores were elevated in patients diagnosed with type 1 DM, patients on insulin therapy, patients diagnosed with diabetic foot syndrome, patients who did not exercise regularly, and patients who reported being disturbed by reminders from their families or spouses to take their medications or they did not feel anything after such reminders. Conclusions Individuals with DM may encounter various problems in their daily lives. Evaluating the emotional status in these individuals, including loneliness and treatment adherence, is important in ensuring that their needs are being met.
Knowledge and Anticipated Attitudes of the Community About Bird Flu Outbreak in Turkey, 2007-2008: a Survey-Based Descriptive Study
(Springer Basel Ag, 2011) Edirne, Tamer; Avci, Dilek Kusaslan; Dagkara, Burcak; Aslan, Muslum
To determine factors associated with knowledge and anticipated attitudes to a foreseen avian influenza outbreak in a high-risk population from a Turkish remote region. A random, cross-sectional face-to-face survey of 1,046 Turkish adults. The proportion of participants concerned about contracting the virus was significantly lower amongst the less educated and rural located respondents. Significantly more rural than urban located participants declared not complying with quarantine policies and not handing out their poultry in case of an influenza outbreak. Factors associated with protective behaviours were higher level of education, urban location, not performing backyard farming of poultry, and preferring ready-to-eat products. Preparedness against bird flu endemic in remote regions could be hindered by factors, such as low levels of education and economic dependence on small-scale backyard farming. The baseline data collected in this survey will be useful in monitoring changes over time in the population's perceptions of threat, and its attitude towards compliance with specific public health recommendations.
Relationship Between Burnout Syndrome and Internet Addiction, and the Risk Factors in Healthcare Employees in a University Hospital
(Duzce Univ, 2017) Avci, Dilek Kusaslan; Sahin, Huseyin Avni
Objective: We aimed to evaluate the level of internet use and burnout syndrome among the physicians, nurses, and other employees working at a university hospital, to demonstrate the possible relationships between these two factors, and to define the relationships between both conditions and sociodemographic variables. Methods: The population of this study was selected by simple random sampling method and sample size was calculated considering a confidence interval of and an error rate of 0.05. A self-structured questionnaire, Maslach Burnout Inventory (MBI), and Internet Addiction Scale (IAS) were completed. Results: While emotional exhaustion and desensitization were significantly higher among surgical medicine physicians, emotional exhaustion levels were significantly lower among the participants who stated that their job selection was intentional. When the correlations between participants' age or their job experience and the scales were assessed, a significant negative correlation was found with internet addiction. There was a significant correlation between burnout sub-dimensions and internet addiction. Conclusion: This study suggests that factors such as method of preferring jobs, workload, and regular sleep, having hobbies, marriage and having children have significant effects on burnout and internet addiction.
Relationship Between Hba1c and Various Factors That Affect the Adaptation of the Patients To the Treatment in Patients With Diabetes Mellitus
(Carbone Editore, 2018) Avci, Dilek Kusaslan
Introduction: We aimed to investigate the relationship between HbA1c and various factors that affect the adaptation of the patients to the treatment in patients with Diabetes Mellitus. Material and methods: The method was based on semi-structured questionnaires. A total of 458 patients diagnosed with Diabetes Mellitus was selected by simple random sampling method. Data assessment for independent samples was performed by one-way analysis of variance (ANOVA) and Chi-Square test. Correlation analyses were carried out by the Spearman correlation analysis and Pearson correlation analysis. Results: The mean HbA1c (9.28 +/- 1.88) was found to be significantly high in married individuals who say that they feel uncomfortable for being warned related to treatment by their partners (p<0.001). It was found that the rate of blaming themselves, their families, their partners or other people was significantly high in females, compared to the males when they have difficulty in adaptation to diet (%34.7; p=0.012), exercise(%30.6; p=0.003) or drug therapy (%12.9; p<0.001). Conclusion: It is necessary to evaluate the diabetic individuals multidiciplinary. In the struggle of the individual which began with the diagnosis of diabetes, evaluation of the emotional reactions that they could experience in addition to considering physical problems could increase the adaptation to the disease and treatment.
The Use of Traditional and Complementary Medicine Among Diabetes Patients, and the Awareness and Attitudes of Physicians
(Pakistan Medical Assoc, 2018) Avci, Dilek Kusaslan
Objective: To determine the frequency and reasons for use of traditional and complimentary medicines in diabetic patients, and the attitudes and behaviours of physicians towards the issue. Methods: This cross-sectional study was conducted from April 2015 to April 2016 at Van Yuzuncu Yil University, Van, Turkey, and comprised people aged 18 or more with an existing diagnosis of diabetes. A semi-structured questionnaire was used as the data-collection tool. Results: There were 386 respondents, and 179(46.4%) of them said they had used at least one type of traditional and complimentary medicine related to their diabetic condition. A significant relationship was noted between such usage and age, educational level, type of diabetes, monthly income, duration of diabetes, diabetic complications, gylcated haemoglobin (HbA1c) levels <10 and ?10, and prescribed treatment. Besides, 135(75.41%) participants said they had not discussed their use of traditional and complimentary medicines with their physicians. Conclusions: When evaluating diabetic patients, physicians should ask their patients about their use of traditional and complimentary medicines, and should provide them with detailed information on the subject.