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Aims and Objectives This study aims to investigate the relationship between stress‐coping strategies of individuals with chronic diseases and their self‐efficacy. Background Self‐efficacy and coping with stress in chronic diseases affect the course of the disease. Design The sample of this methodological study consisted of 178 patients who were hospitalised in a university hospital between November 2017 and November 2018. Methods Data were collected by the face‐to‐face interview method using a Patient Information Form, Stress‐Coping Styles Scale and Self‐Efficacy Scale. This study followed STROBE checklist for cross‐sectional studies. Results The study found that there was a strong relationship between patients’ coping strategies and their self‐efficacies and that the variables that predict self‐efficacy in order of importance were self‐confident approach (β = .41), the helpless approach (β = −0.24) and the submissive approach (β = −0.15), respectively. The study also found that the optimistic approach and the seeking social support approach had no significant contribution to the model. Conclusions The most important predictor of self‐efficacy in individuals with chronic disease was the self‐confident approach, which was one of the problem‐oriented coping strategies. Therefore, patients should be taught to use effective methods to cope with stress to increase their self‐efficacy, and their self‐confidence should be supported. Relevance to clinical practice In individuals with chronic disease, self‐efficacy has an important role to get better psycho‐social adaptation. To determine patients’ self‐efficacy levels and predictors will guide nursing initiatives.

ÖzetAmaç:Bu araştirma kadinlara ev ortaminda verilen bireysel eğitimin kendi kendine meme muayenesi uygulamasina yönelik sağlik inançlarina etkisini belirlemek amaciyla yari deneysel olarak yürütülmüştür. Gereç ve yöntem: Araştirmanin örneklemini 100 kadin oluşturmuştur. Veri toplama araci olarak, "tanitici özellikler soru formu" ve Champion'un Sağlik İnanç Modeli Ölçeği kullanilmiştir. Eğitimden önce ön test veriler toplandiktan sonra kadinlara ev ortamlarinda araştirmacilar tarafindan meme kanseri ve kendi kendine meme muayenesine yönelik eğitim verilmiştir. Eğitim verildikten bir ay sonra kadinlarin kendi kendine meme muayenesi uygulamasina ilişkin inançlari Champion'un Sağlik İnanç Modeli Ölçeği ile tekrar değerlendirilmiştir. Verilerin istatistiksel analizinde sayi ve yüzde dağilimlari, kendi kendine meme muayenesine ilişkin puan ortalamalari ve paired samples test kullanilmiştir. Bulgular: Araştirmaya katilan kadinlarin yaş ortalamasi 28.73± 8.17'dir. Kadinlarin %11.1'inin her ay düzenli olarak kendi kendine meme muayenesi yaptiği belirlenmiştir. Eğitim sonrasinda kadinlarin Champion Sağlik İnanç Modeli ölçeğinden aldiklari puan ortalamalarinin arttiği belirlenmiştir. Eğitim öncesi ve eğitim sonrasi Sağlik İnanç Modeli Ölçeği puan ortalamalari arasindaki farkin anlamli olduğu bulunmuştur (p<0,001). Sonuç: Eğitimin kendi kendine meme muayenesi uygulamasina ilişkin engel algisini azalttiği, duyarlilik, ciddiyet, yarar, sağlik motivasyonu ve öz-etkililik algisini arttirdiği belirlenmiştir. Bu nedenle kadinlarin kendi kendine meme muayenesi konusunda bilgilendirilmeleri gerekmektedir. Pam Tıp Derg 2017;(1):7-13Anahtar sözcükler: Bireysel eğitim, kendi kendine meme muayenesi, sağlik inanci. AbstractPurpose:This research aimed to determine the impact of individual training given to women in the home environment on health beliefs for breast self-examination was half experimentally carried out. Materials and methods: The research sample consisted of 100 women. "Descriptive characteristic data form" and "Champions' Health Belief Model Scale" were used as data collection forms. Before the training, data of preliminary test was collected. After that, in the home environment, women were given trainings on breast cancer and breast self-examination by researchers. One month after training, women's beliefs about application of breast self-examination were re-evaluated with Champions' Health Belief Model Scale. For statistical analysis, the number and percentage distributions, mean score distribution and paired sample test were performed. Results:The mean age of the women who participated in the research was 28.73± 8.17 years. It has also been determined that 19.7% of the participants make their regular Breast Self-Examination monthly. After the training, an increase in average scale scores obtained from Champions' Health Belief Model was determined. The difference between pre and post-training Health Belief Model Scale scores were found to be significant (p<0.001). Conclusion: It was found that training reduces the perce...

Aim: Experienced by many older adults, insomnia is a significant public health problem that requires the attention of health-care professionals and researchers. This study aimed to identify insomnia and its risk factors among community-dwelling older adults. Methods: This cross-sectional study was conducted in Denizli, Turkey. The study sample consisted of 360 elderly individuals aged 60 years and older who were admitted to one of six family health centres for any reason between 29 March 2016 and 17 June 2016. Data were collected by using a descriptive form for the elderly and the Insomnia Severity Index. The χ 2 test was used to compare independent variables and insomnia status. Logistic regression analysis was used for the variables that were found to be significant at the end of the single-variable analysis. Results: The mean age of the subjects, all of whom lived at home, was 69.52 AE 8.36 years. Insomnia was quite common among them (51%), and its severity was low (8.51 AE 5.56). At the end of logistic regression analysis, a moderate perception of health (OR = 10.859, 95%CI: 3.532-33.385) and the number of medications used (OR = 3.326, 95%CI: 1.014-10.907) were identified as risk factors for insomnia. Conclusion: Based on the results of this study, we can state that insomnia is common among older adults. Therefore, older adults who are admitted to health-care institutions should be evaluated for insomnia. Factors identified as affecting insomnia were health perception and the number of medications used. Given that health perception and polypharmacy are associated with chronic disease management, helping the elderly to effectively manage chronic diseases may alleviate insomnia.

The aim is to adapt the Cancer Information Overload Scale to Turkish and to establish its validity and reliability. Material and Methods: The study is a methodological one. The sample consists of 144 women aged between 18-49 registered to a family health center between March-July 2015. The center is affiliated to the Denizli Provincial Health Center. The data were collected using the sociodemographic characteristics questionnaire, Cancer Information Overload, Scale Breast Cancer Health Belief Model. Language equivalence and content validity of the scale were established. Concurrent validity, Exploratory and confirmatory factor analysis was used to estimate the validity of the scale. Cronbach alpha and item-total correlations were measured to evaluate the reliability of the scale Results: In the exploratory factor analysis, the factor loadings were between 0.51-0.67, and the explained variance (38.35%) was considered sufficient. In the confirmatory factor analysis, the ratio of the postmodification of the chi square to the degrees of freedom was 2.04. Other compliance indices (RMSEA=0.085, GFI=0.94, AGFI=0.88, CFI=0.95, NFI=0.91, NNFI=0.92) were found to be at the desired level. In the reliability analysis, the internal consistency coefficient was α=0.77, which suggested that the scale was quite reliable, the item-total correlations of the scale varied between 0.38-0.52. Conclusion: It was determined that the validity and reliability of the Cancer Information Overload Scale was established and it could be used in the Turkish society. Amaç: Amaç Kanser Bilgi Yükü Ölçeğini Türkçeye uyarlamak, geçerlilik ve güvenilirliğini incelemektir. Gereç ve Yöntem: Metodolojik bir araştırmadır. Örneklemi Mart-Temmuz 2015 tarihlerinde Denizli ili Merkezefendi Toplum Sağlığı Merkezi'ne bağlı bir aile sağlığı merkezine kayıtlı 18-49 yaş grubu 144 kadın oluşturmaktadır. Veri toplama aracı olarak Kadınları Tanıtıcı Bilgi Formu, Meme Kanseri Sağlık İnanç Modeli Ölçeği, Kanser Bilgi Yükü Ölçeği kullanılmıştır. Dil eşdeğerliği ve kapsam geçerliliği sağlanmıştır. Ölçeğin geçerliliği için benzer ölçek geçerliliği, açımlayıcı ve doğrulayıcı faktör analizi kullanılmıştır. Ölçeğin güvenilirliğini değerlendirmek için Cronbach alfa ve madde toplam puan korelasyon analizi kullanılmıştır. Bulgular: Geçerlilik analizlerinde; açımlayıcı faktör analizi bulgularına göre ölçeğin faktör yüklerinin 0.51-0.67 arasında, açıklanan varyansın (%38.35) yeterli düzeyde olduğu, doğrulayıcı faktör analizinde modifikasyon sonrası Ki karenin serbestlik derecesine oranı 2.04 olarak bulunmuştur. Diğer uyum indekslerinin (RMSEA=0.085, GFI=0.94, AGFI=0.88, CFI=0.95, NFI=0.91, NNFI=0.92) istendik düzeyde olduğu saptanmıştır. Güvenilirlik analizinde; iç tutarlılık katsayısının (α=0.77) oldukça güvenilir olduğu, ölçeğin madde toplam korelasyonlarının 0.38 ile 0.52 arasında değiştiği bulunmuştur. Sonuç: Kanser Bilgi Yükü Ölçeği'nin geçerli ve güvenilir olduğu ve Türk toplumunda kullanılabileceği belirlenmiştir.

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