Browsing by Author "Avdal, Elif Ünsal"

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An analysis of the association between HbA1c levels of patients with type 2 diabetes and nutritional habits
(Discovery Publication, 2018-03-01) Avdal, Elif Ünsal; Arkan, Burcu; Atalay, Nesil Gönen; Uran, Berna Nilgün Özgürsoy; Pamuk, Barış Önder; Özyazıcıoğlu, Nurcan; Çınar, Havva Gökdere; ARKAN, BURCU; ÖZYAZICIOĞLU, NURCAN; Çınar, Havva Gökdere; Uludağ Üniversitesi/Sağlık Yüksekokulu/Hemşirelik Bölümü.; EKJ-6560-2022; AAI-6835-2021; IJR-3146-2023
Objective: This study aims to identify the association between the nutritional habits of patients with type 2 diabetes and their HbA1c levels, and to determine the influences of nutritional habits on HbA1c levels.Methods: This descriptive, correlational, cross-sectional study was based on Type 2 diabetes and nutritional habits. A total of 110 individuals with type 1 diabetes were randomly selected from Uludag University Hospital, Bursa, Turkey. The sample power was found to be 92%. The data collection tools were an Information Form for Diabetes Patients and a Nutritional Habits Form. The study data were analyzed with descriptive, Pearson correlation and multiple regression statistics.Results: The study results illustrated a statistically significant relation between the HbA1c levels and nutritional habits of diabetes patients (r = -.88) and further suggested that 72% of changes in HbA1c levels may result from patients' nutritional habits (R2:.72, p=.000).Conclusion: Diabetes patients can better manage a nutritional therapy and control HbA1c levels when their nutritional habits have been identified in detail. Nutritional habits are proven to be influential in maintaining glycemic control, which consequently emphasizes the significance of the nutritional habits of patients with diabetes. In summary, this small-scale cross-sectional study indicates the potential role of nutritional habits in glycemic control.
Clinical presentation of children in emergency department diagnosed as type-1 diabetes mellitus
(Professional Medical Publications, 2014-08-05) Avdal, Elif Ünsal; Tokem, Yasemin; Korkmaz, Medet; Kırbıyıkoğlu, Fatma Iltus; Arkan, Burcu; Uludağ Üniversitesi/Sağlık Yüksekokulu/Hemşirelik Bölümü.; 26322343100
Objectives: This retrospective study evaluates, the clinical and laboratory values of children with type 1 diabetes at the time of first admission to the emergency service. Methods: It is a retrospective study to examine the clinical Et laboratory findings of children visiting the emergency service between 2009 & 2012. The sample of the study included 111 children with newly diagnosed type 1 diabetes. Student t test and chi-square test were used in the analysis. Results: HbA1c and blood glucose levels and ketoacidosis frequency was found significantly changed (p < 0.05). It was detected that the frequency of ketoacidosis at the time of diagnosis was 60% in the children with type 1 diabetes while it was 45% in the second group and 34% in the third group. This difference at the time of admisison was found to be statistically significant (p < 0.05). Conclusion: It became possible to diagnose children with type 1 diabetes much earlier over the course of time, and the number of patients that could be treated before severe diabetic ketoacidosis developed increased. This results is of great importance as it will provide a guide for all medical professionals including nurses.
The effect of self-directed learning abilities of student nurses on success in Turkey
(Churchill Livingstone, 2013-08) Avdal, Elif Ünsal; Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Bölümü.; ABE-9593-2021; 37010254200
SDL-self-directed learning is a learning method used increasingly in adult education. This study was carried out as an instructive effort to examine the effects of SDL on the success of students from nursing school. The sample of this study was composed of 220 students attending in Nursing School of Dokuz Eyul University during the fall semester of 2006. SDL scale including 40 questions was used to obtain the data. Kocaman et al. verified and validated the reliability of scale in Turkey. The data was evaluated by using Pearson correlation analysis. As a result of research, a positive meaningful average relation was found between the points of SDL and success of the students. (p<0.01, r: .60).
The effects of web-based diabetes education on diabetes care results: A randomized control study
(Lippincott Williams & Wilkins, 2011-02) Kızılcı, Sevgi; Demirel, Neslihan; Avdal, Elif Ünsal; Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/İç Hastalıkları Hemşireliği Anabilim Dalı.; ABE-9593-2021; 37010254200
This study aimed to test the effects of providing Web-based diabetes education to individuals with type 2 diabetes on the A(1c) level and health check attendance. The study participants comprised 122 individuals with type 2 diabetes, who had access to the Internet, had completed their basic diabetes education, and had similar basic situational factors. Using a randomization method, these participants were chosen from the patients being monitored by the diabetes nurses. The experimental group (n = 61) was monitored via the Web. From measurements recorded in the sixth month of monitoring, we found that A1c levels of the individuals with diabetes who were monitored through the Web decreased (t = 6.63; P G.05), and the rate of attending health check visits increased (z= 5.97; P <.05), while no difference was detected in the control group (t = -0.63; P =.534; z = -0.80; P =.426). To maintain glycemic control, Web use could be adopted as a complementary tool for monitoring individuals with diabetes.
The effects of web-based diabetes education on diabetes care results: A randomized control study
(Lippincott Williams & Wilkins, 2011-02) Kızılcı, Sevgi; Demirel, Neslihan; Avdal, Elif Ünsal; Uludağ Üniversitesi/Sağlık Yüksekokulu/İç Hastalıkları Hemşireliği Anabilim Dalı.; 37010254200
This study aimed to test the effects of providing Web-based diabetes education to individuals with type 2 diabetes on the A(1c) level and health check attendance. The study participants comprised 122 individuals with type 2 diabetes, who had access to the Internet, had completed their basic diabetes education, and had similar basic situational factors. Using a randomization method, these participants were chosen from the patients being monitored by the diabetes nurses. The experimental group (n = 61) was monitored via the Web. From measurements recorded in the sixth month of monitoring, we found that A1c levels of the individuals with diabetes who were monitored through the Web decreased (t = 6.63; P G.05), and the rate of attending health check visits increased (z= 5.97; P <.05), while no difference was detected in the control group (t = -0.63; P =.534; z = -0.80; P =.426). To maintain glycemic control, Web use could be adopted as a complementary tool for monitoring individuals with diabetes.
Güncel tıp etiğinin felsefi temelleri üzerine bir deneme
(Uludağ Üniversitesi, 2011) Kılıç, Mineş; Avdal, Elif Ünsal; Bursa Uludağ Üniversitesi/Sağlık Yüksekokulu
Gelişen teknolojiyle birlikte sağlık alanında meydana gelen yenilikler, tıbbın etik boyutuna yeni bir çehre kazandırmıştır. Bir yandan hasta haklarının kapsamının genişletilmesi, diğer yandan paralelinde sağlık profesyonellerinin meslek hatalarının artması sağlık camiasında genel bir güvensizliğe ve huzursuzluğa yol açmıştır. Bu olumsuz ruh hali, sorunlara karşı bir tür önlem niteliği taşıyan etik yaklaşımlara yönelik ilgiyi arttırmıştır. Bilimsel bilgi üretimine yarar sağlayan, dünyanın çeşitli bölgelerinde yaşayan bilim insanlarını bağlayıcı, etik ikilemleri aşmaya yönelik karar alma sürecinde başvurulan etik yaklaşımlar vardır. Kapsamı genişletilerek yeniden bir düzenlemeyle etik yaklaşımlar günümüzde 4 temel başlık altında ele alınmıştır. Bu güncel yaklaşımlar; erdem etiği, yararcılık etiği, ödev etiği ve haklar etiğidir. Klinik ortamda sağlık profesyoneliyle hasta arasındaki ilişkinin etik yönden değerlendirilmesinde ve çözüm seçeneklerinin hazırlanmasında bu yeni yaklaşımlar zemin hazırlamaktadır. Sonuçta tıp etiğindeki güncel yaklaşımların yaşama geçirilmesi, hem mesleki hem de evrensel ilkelerin korunması ve yükseltilmesi yolunda önemli bir katkı sağlayacaktır.
Panik atak tanısı alan hastaların acil servise başvurma sıklıkları ve başlatan stres etkenleri
(Bursa Uludağ Üniversitesi, 2019-02-21) Avdal, Elif Ünsal; Uran, Berna Nilgün Özgürsoy; Arkan, Burcu; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Psikiyatri Hemşireliği Anabilim Dalı.
Panik atak tanısı alan hastaların acil servise başvurma sıklıkları ve başlatan stres etkenlerinin incelenmesi amacıyla retrospektif olarak planlanmıştır. Çalışmanın örneklemini, 2010 ile 2016 arasında bir üniversite hastanesinin acil servisine panik atak nedeniyle başvuran 20 ile 79 yaş arası toplam 300 hasta oluşturmuştur. Tanımlayıcı verilerin analizinde sayı yüzde analizleri kullanılırken; kategorik değişkenlerin gruplar arasındaki oranları ise ki-kare analizi ile değerlendirilmiştir. Araştırmaya dâhil edilen 300 panik atak tanısı almış hastanın %69,1‘i kadın, %30,9‘u erkektir. Panik atak nedeniyle acil servise başvuran hastaların yıllara göre başvurma sıklıkları arasında anlamlı bir fark bulunmuştur (p=0.001). Panik ataklarını başlatan stres etkenleri geriye dönük incelendiğinde ise; %35 oranında yeni kanser tanısı almış olma olduğu belirlenmiştir. Araştırma ülkemizde ilk kez acil servislerde panik atak tanılı hastalara yönelik yapılan bir kohort çalışması niteliğindedir. Bu nedenle; çok merkezli, geniş katılımlı toplum temelli araştırmaların yapılmasına ihtiyaç duyulmaktadır.
Validity and reliability of the diabetes family support and conflict scale in Turkish
(Carbone Editore, 2016-11-02) Sofulu, Funda; Avdal, Elif Ünsal; Arkan, Burcu; Uludağ Üniversitesi/Sağlık Yüksekokulu/Psikiyatri Hemşireliği Anabilim Dalı.; 57193346604
Objectives: This research was achieved methodologically for testing if "The Diabetes Family Support and Conflict Scale" is a reliable and validated instrument for the Turkish society. Materials and methods: The research was achieved in the Endocrinology and Diabetes policlinics of the university hospital in Izmir. The universe of the research was created by the sample of the individuals with the type 2 diabetes that has been consulted to the endocrinology and diabetes polyclinics. In assessing the data of the research; language and content validity, structure validity and reliability analysis were made. For testing the internal consistency of the scale the Cronbach Alpha coefficient was determined. Results: The Cronbach Alpha value that was determined for the whole scale was 0.735. By the outcome of the "material analysis" that has been made; the correlation coefficient of the correlation of the total score of the "family support" sub format of the scale and total scores of the scale as 0.79; "family conflict" as 0.64 were found out. Conclusions: it was deduced that "the Diabetes Family Support and Conflict Scale" is an instrument with high level of reliability and validity on the purpose of being used in Turkish Society.