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    The Effect of Care Needs on Quality of Life and Chronic Disease Care in Patients with Diabetes
    (2020) Zuhur, Şenay; Özpancar, Nurhan
    Aim: The aim of this study was to investigate the effect of care needs on quality of life and chronic disease care in patients with type-2 diabetes. Methods:A cross-sectional and descriptive study. One hundred forty-five patients with type-2 diabetes who were followed-up between January 2016 and January 2017in the university hospital were included in the study. The "Patient Presentation and Care Management Evaluation Form", "Quality of Life Assessment Scale(EQ-5D-5L)" and "Chronic Illness Care Assessment Scale-Patient Form (PACIC)" were used for the collection of data. One-way ANOVA test, Tukey HDStest, independent two-sample t-test, Kruskal Wallis test, Mann Whitney U test and Pearson correlation analysis were used for the evaluation of data.Results: In this study, the average total PACIC score of patients with type-2 diabetes was found to be satisfactory (3.78±0.79). However, the EQ-5D-5Laverage score was found to be close to perfect (0.84±0.17). A positive correlation was found between EQ-5D-5L scores and PACIC decision support andgoal setting/guidance sub-scale scores, and a negative correlation was found between positive EQ-5D-5L score and body mass index and HbA1c values. Asignificant correlation was also found between current diabetes treatment compliance and the EQ-5D-5L general health score and PACIC total score. ThePACIC decision support and goal setting/guidance sub-scales were found to be significantly different based on the diabetes education status of patients withtype-2 diabetes. Conclusions: Planning health education and counseling programs for general care adjustment are recommended for chronic diseasemanagement of diabetes.
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    The use of nursing models in the management of chronic diseases in Turkey: A systematic review
    (Hemşirelikte Araştırma Geliştirme Derneği, 2017) Zuhur, Şenay; Özpancar, Nurhan
    Objective: The purpose of this systematic compilation is to systematically examine the researches who based on theories and models in chronic disease management of nurses in Turkey. Methods: In the this descriptor planned study; the key words of "Turkey, theory, model, nursing and chronic disease management" and the archives of 11 nursing magazines regularly published in our country, edited and accessible online are included in the PubMed database and the keywords of "nurse, model, theory, theory, chronic disease management" in the Turkish Medline, Ulakbim and National Thesis Screening databases were nursing studies published between years 2005-2015 were analysed. Results: As a result of the examination, 17 doctorate thesis, 17 master thesis studies, 12 case reports and 10 research articles work carried out based on theories / models in chronic disease management by nurses between 2005 and 2015 in Turkey were counted and totalled up to 56 studies. The most commonly used nursing theories / models were the Orem's Self-Care Deficit Theory 39.3% , the Roy’s Adaptation Model 17.9% , the Neuman's Systems Model 10.7% , the Pender's Health Improvement Model 8.9 % , Roper, Logan, Tierney's Nursing Model 7.1%, Case Management Model 7.1 % , the Watson’s Human Care Model 3.6% , the Health Belief Model 3.6% and Gordon’s Health Patterns of Patterns 1.8% . Conclusions: As a result, nursing theories and models are important for nursing applications and research because of their positive contribution in the treatment of chronic diseases. However, studies conducted by nurses in our country have shown that the use of theory and models in chronic disease management was limited
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    Türkiye'de kronik hastalık yönetiminde hemşirelik modellerinin kullanımı: sistematik derleme
    (2017) Zuhur, Şenay; Özpancar, Nurhan
    Amaç: Bu sistematik derlemenin amacı; Türkiye'de hemşireler tarafından yapılan kronik hastalık yönetiminde kuram ve modele dayalı araştırmaların sistematik olarak incelenmesidir. Yöntem: Tanımlayıcı olarak planlanan bu araştırmada; PubMed veri tabanında "Turkey, theory, model, nursing, chronic disease management" anahtar kelimeleriyle Türk Medline, Ulakbim ve Ulusal Tez Tarama veri tabanları ve ülkemizde düzenli olarak yayınlanan, editörlü ve online olarak ulaşılabilen 11 hemşirelik dergisinin arşivleri "hemşire, model, kuram, teori, kronik hastalık yönetimi" anahtar kelimeleriyle tarama yapılarak 2005-2015 yılları arasında yayınlanmış hemşirelik araştırmaları incelenmiştir. Bulgular: Yapılan inceleme sonucunda Türkiye'de 2005 ve 2015 yılları arasında hemşireler tarafından kronik hastalık yönetiminde kuram/modele dayalı olarak yapılmış 17'si doktora tezi, 17'si yüksek lisans tez çalışması, 12'si olgu sunumu ve 10'u araştırma makale çalışması olmak üzere toplam 56 çalışma olduğu saptanmıştır. En fazla kullanılan hemşirelik kuram/modellerinin Orem'in Öz Bakım Eksikliği Kuramı (%39,3), Roy'un Uyum Modeli (%17,9), Neuman'ın Sistemler Modeli (%10,7), Pender'ın Sağlığı Geliştirme Modeli (%8,9), Roper, Logan, Thierney'in Hemşirelik Modeli (%7,1), Vaka Yönetim Modeli (%7,1), Watson'ın İnsan Bakım Modeli (%3,6), Sağlık İnanç Modeli (%3,6) ve Gordon'un Sağlık Örüntüleri Modeli (%1,8) olduğu saptanmıştır. Sonuç: Sonuç olarak; hemşirelik kuram ve modelleri kronik hastalık yönetiminde sağladığı olumlu katkısı nedeniyle hemşirelik uygulama ve araştırmaları için önemlidir. Ancak ülkemizde hemşireler tarafından yürütülen araştırmalarda kronik hastalık yönetiminde kuram ve modellerin kullanımının sınırlıdır