The research was performed to determine the problems that caregivers experience with patients with Alzheimer disease. The research was carried out qualitatively with those who were responsible for the care of eight Alzheimer patients who were being treated at the Neurology Polyclinics of Gevher Nesibe Hospital at Erciyes University in Kayseri, Turkey. Research data were collected through questionnaires designed to understand the characteristics of the individuals who provided care and focus group interviews. A written consent from the institution and an oral as well as written consent of the individuals were obtained. Focus groups were interviewed in the same setting at different times with two different groups, including four people who agreed to participate in the research. Each interview was conducted by three personnel: a moderator, a reporter, and an observer. Interviews were structured under four main titles: "The changes seen in the individual with Alzheimer disease"; "Physical, social, psychological, and socioeconomical problems that caregivers experienced"; "Precautions taken against the problems"; and "Patients' expectations of the care". The interviews lasted for approximately 2 hours. A voice recorder and a written registration form were also used to collect information. Six women and two men constituted the research group. The caregivers stated that the patients had such difficulties as forgetfulness, nervousness, jealousy, childish behavior, deterioration in speech, fear of water, hallucinations, and difficulty in carrying out daily life activities. Caregivers emphasized the fact that they perceived the changes in the patients as deliberate behaviors and thus became annoyed and quarreled with them before diagnosis; however, after diagnosis, they felt remorse and experienced guilt because of their ill-treatment of them. In addition, the caregivers hid the patients and their disease from social surroundings. Caregivers mentioned that they had felt as someone who was helpless, exhausted, and abandoned; they lost their freedom and lacked their taste for life. They felt no confidence in someone else caring for the patient; thus, they neglected their own personal needs. Caregivers reported that they often cried and started to smoke because of these problems. They took precautions, such as making identity cards, helping the patients with their daily life activities, not changing the current order at home, and not leaving the patients alone. Caregivers expressed a desire for assistance from home healthcare personnel, a reliable nursing home where they could leave the patient, and a support group to whom they could share their problems. It was found that the caregivers who provided care to patients with Alzheimer disease experienced multidimensional problems, could not find any professional support, and needed institutional assistance.
AMAÇ: Sigara ile mücadelede temel ilkelerden biri sigaraya baş-lama oranlarını düşürmektir. Bunun için gençlere en kolay ulaşabilecek grup olan öğretmenlere önemli görevler düşmektedir. Araştırma bir il merkezinde bulunan ilköğretim okullarında görev yapan öğretmenlerin sigara kullanım konusundaki davranışları ve görüşlerini belirlemek amacıyla tanımlayıcı olarak yapılmıştır. GEREÇ VE YÖNTEMLER:Çalışma, Kayseri il merkezinde bulunan 210 devlet okulundan tabakalı rastgele örnekleme yöntemiyle seçi-len 21 okulda çalışan ve çalışmaya katılmayı kabul eden 860 öğret-men ile gerçekleştirilmiştir. Çalışmada veriler, araştırmacılar tarafın-dan literatür doğrultusunda oluşturulan form aracılığıyla toplanmıştır. BULGULAR:Çalışmada, öğretmenlerin %31,5'inin sigara kullandığı ve sigara kullanan öğretmenlerin %54,2'sinin günde 11 adetten fazla sigara kullandığı, %93,7'sinin okul içindeki alanlarda sigara içtikleri belirlenmiştir. Çalışma kapsamına alınan öğretmen-lerden, öğrencilerine sigaranın sağlığa zararları konusunda bilgi verenlerin %69,8'inin (p<0,05), sigaranın zararlarını bilenlerin %69,8'inin (p<0,05), 4207 sayılı yasa hakkında bilgisi olanların %69,7'sinin (p>0,05), sigara kullanım oranını azaltmada öğretme-nin sorumluluğunun olduğunu düşünenlerin %69,2'sinin (p>0,05), sigaranın zararları hakkında seminere katılanların %75,2'sinin (p<0,05) sigara kullanmadığı tespit edilmiştir. SONUÇ: Çalışmada sigara içmeyen öğretmenlerin öğrencilerin sigara kullanımına karşı daha olumlu tutum sergiledikleri belirlenmiştir. Sigaranın sağlık üzerine etkileri konusunda öğretmenlerin bilgilendirilmesi ve eğitimler düzenlenmesi ayrıca sigara içen öğ-retmenlere sigara bıraktırma programları konusunda danışmanlık yapılması önerilmiştir.ANAhTAR SÖzcükLER: İlköğretim, öğretmen, sigara içme OBJEcTIVE: One of the fundamental principles in the fight against smoking is to reduce smoking initiation rates. Therefore, teachers, who are among the most accessible and influential people in the lives of young people, play an important role. Here, we report on a descriptive study that examined the behaviours and opinions of primary school teachers on the on the cigarette smoking. MATERIAL AND METhODS:A stratified random sampling method was used to select 21 schools from 210 public schools in Kayseri. The study surveyed 860 teachers who accepted to participate, and data were collected through a questionnaire created by the researchers according to the literature. RESULTS:Of the teachers surveyed, 31.5% were smokers. Of the active smokers, 54.2% smoked more than 11 cigarettes daily, 83.8% had smoked for more than six years, and 93.7% smoked in the school area. The majority of teachers were aware of the health hazards of smoking (69.8%), gave information to students about smoking (69.8%), had information about law "4207" (69.7%), and thought that they had a responsibility to reduce student smoking (69.2%). Most teachers who participated in a seminar about smoking did not smoke (75.2%). All of the above variables were statistically significant (p<0.05)....
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