The goal of this study was to determine the effectiveness of nurse-led, home-based pulmonary rehabilitation in patients with stage 3 or 4 chronic obstructive pulmonary disease (COPD), according to the Global Initiative for COPD (GOLD) staging system. The study consisted of 32 patients--a nurse-led, home-based pulmonary rehabilitation group (16) and a control group (16). In the rehabilitation program, patients received education about their diseases and performed breathing exercises and lower- and upper-extremity aerobic exercises at their homes during the 3-month period of the study. There was meaningful improvement in the rehabilitation group in terms of pulmonary function tests (FEV1 % predicted value), artery blood gases (PaCO2), quality of life, dyspnea, and functional capacity. On the other hand, no meaningful change was observed in the control group. The study showed that the nurse-led, home-based pulmonary rehabilitation program had positive effects on the patients with COPD.
This study aimed to evaluate the fear of COVID-19, loneliness, resilience, and quality of life levels in older adults in a nursing home during the pandemic, and the effects of these variables and descriptive characteristics on their quality of life.
Data were collected using a participant information form, the Mini Mental State Exam (MMSE), the Brief Resilience Scale, the Fear of COVID-19 Scale (FCV-19S), the Loneliness Scale for Elderly (LSE), and the World Health Organization Quality of Life-BREF Turkish Version (WHOQOL-BREF-TR). Regarding the WHOQOL-BREF-TR scale, being male, history of chronic disease, MMSE score, and the changes in sleep pattern significantly affected the physical dimension (R
2
=0.353, p<0.01) while age, and MMSE and LSE scores significantly affected the psychological dimension (R
2
=0.364, p<0.01). Also, the MMSE, FCV-19S, and LSE scores significantly affected the social relations dimension (R
2
=0.234, p<0.01) while MMSE, FCV-19S, and LSE scores significantly affected the environmental dimension (R
2
=0.351, p<0.01).
The aim of this descriptive study was to investigate the complementary and alternative medicine (CAM) applications and factors associated and its use among asthma and chronic obstructive pulmonary disease (COPD) patients in the southern region of Turkey. The study sample consisted of 197 patients. A percentage of 86.3 of asthma and COPD patients used at least one type of CAM. The most commonly used CAM methods are deep inhalation (51.8%), herb or herbal tea (46.7%), praying (41.1%) and applying vapour (36%). Patients generally use CAM methods for breathing comfortably, improving respiration, reducing dyspnoea, and relaxing. Patients frequently use CAM methods together with medical treatments, and they benefit from these methods without getting any harm. The rate of CAM usage is higher among patients who have a longer period of asthma and COPD and more than five symptoms of asthma and COPD. In conclusion, CAM is used commonly by asthma and COPD patients. The CAM usage rate is higher among patients who have a longer period of asthma and COPD and more than five symptoms of asthma and COPD.
We conclude that dyspnoea will be evaluated in the most accurate and short way with the Basal Dyspnea Index. In addition, the effects of dyspnoea on quality of life and functional capacity will be predicted by Basal Dyspnea Index.
The burden experienced by people who provide care for patients with chronic diseases can be evaluated with the Caregiver Burden Scale. Additionally, the Caregiver Burden Scale can be used in the evaluation of the effectiveness of attempts to decrease caregiver burden.
To determine the comfort levels of nurses and factors affecting their comfort levels during clinical experiences which include sexual topics. The sample of this descriptive study consisted of 141 nurses who work at the medical or surgical units. Nurses are uncomfortable with taking care of patients who engaged in sexuality related activities (78.1%), informing male patients on sexual life who experiences erectile dysfunction during intercourse (66.6%), examining the genital organs of male patients (63.1%), asking male patients about their sexual life (61%), and answering the questions of male patients about sexuality (57.5%). Nurses who find it appropriate to talk to patients about sexuality during routine nursing care (P = 0.003) and who can answer patients' questions about sexual problems (P = 0.000) feel more comfortable during clinical experiences which include sexual topics. Nurses should be prepared in either pre or post-registration programs to incorporate sexuality as a dimension of patient care.
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