Aim: This study was designed to evaluate the effect of Chronic Care Model (CCM)-based interventions on primary outcomes (self-efficacy, quality of life/ QoL, patient satisfaction) and secondary outcomes (activities of daily living/ ADL, metabolic control variables, stroke knowledge level, healthy eating habits, physical activity, taking regular medication, measuring blood pressure regularly, living in harmony with the disease, outcomes regarding telephone interviews) in patients with ischemic stroke. Method:The intervention group (IG) received a 12-week StrokeCARE intervention protocol based on the four components of the CCM. The control group (CG) received only routine patient care. Changes between scores at two time points regarding self-efficacy, QoL, ADL, and metabolic control variables were calculated for each group, and then the mean changes were compared between the two groups.Results: The mean ages of the patients were 55.9 ± 11.44 and 58.9 ± 13.82 years (respectively IG; CG), and 64.7% of the patients were male in both groups. Most patients had other chronic diseases accompanying ischemic stroke. No significant differences were found between the two groups with respect to self-efficacy and QoL. Patient satisfaction was significantly higher in the IG. Positive feedback percentages of the patients in the IG regarding stroke knowledge level and consuming whole-grain food at the end of the 12 weeks increased significantly. This protocol had no significant effects on the secondary outcomes. Conclusion: The CCM-based interventions may increase the satisfaction level of the patients and help to raise awareness of the risk of a secondary stroke. More studies are needed to examine the effects of these interventions (ClinicalTrials.gov-Identifier Number:NCT04161820).

Objectives: Most of the Alzheimer's patients are looked after at home by family members. Caregivers who are not prepared for looking after these patients are under pressure because of their increasing needs. Both patients and family members need social support provided by not only healthcare professionals but also family, friends and neighbors in order to cope with their physical, psychological, social and economical problems. This study was conducted in order to determine the relationship between care burden and perceived social support of family caregivers who look after an Alzheimer's patient.Methods: This study was cross-sectional and conducted at a neurology outpatient clinic of a university hospital. 107 family members who take care of an Alzheimer's patient was included. Personal information form, Barthel Index (BI), Lawton-Brody Index (LBI), Multidimensional Scale of Perceived Social Support (MSPSS), and Zarit Burden Interview (ZBI) were used to collect data.

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ÖZET İnme sonrası dönemde, çeşitli nedenlerle ağız hijyeni bozulabilmektedir. Kötü ağız hijyeni sonucunda orofarengeal disfajiye bağlı olarak pnömoni gelişebilmektedir. Bu sistematik derlemenin amacı, inme geçiren hastalarda ağız hijyeni uygulamaların etkisinin incelenmesidir. Literatür tarama aşamasında, PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) akış şeması kullanılmıştır. Taramalar yapılırken yıl sınırlaması yapılmamıştır. "EBSCOhost/CINAHL Complete, PubMed, Scopus, Ovid MEDLINE, Web of Science ve Cochrane Library" veri tabanlarındaki İngilizce çalışmalar taranmış ve 10 randomize kontrollü çalışma sistematik derlemeye dâhil edilmiştir. Çalışmalarda, çoğunlukla ağız hijyeni bakım programlarının uygulandığı saptanmıştır. Bu programlar dâhilinde uygulamalı ağız hijyeni eğitimleri yapıldığı, eğitimler kapsamında ağız hijyeni önerileri verildiği, elektrikli diş fırçası ile gerçekleştirilen profesyonel diş fırçalama eğitimi sunulduğu, diş arayüz fırçası ve dil temizleyicileri kullanımı sağlandığı, günde 2 kez %0,2'lik klorheksidin glukonat ile ağız çalkalama ve günde 1 kez %1'lik klorheksidinli jel ile dişleri fırçalama gibi girişimler gerçekleştirildiği belirlenmiştir. Uygulanan girişimlerin plak düzeyini ve pnömoni gelişimini azaltma, hastanın yaşam kalitesini iyileştirme, bakım veren aile üyelerinin ağız bakımı bilgisi ve öz yeterliliğini geliştirme ve hemşirelerin ağız bakımı sağlama konusundaki tutum, öznel norm ve bilgi düzeylerini artırma gibi olumlu etkileri olduğu saptanmıştır. İnme geçiren hastalara yönelik gerçekleştirilen ağız hijyeni uygulamalarının, ağız sağlığının geliştirilmesinde etkili olduğu söylenebilir. İnme geçiren hastaların ve yakınlarının ağız sağlığı ile ilgili bilgi ve beceri düzeylerinin geliştirilmesine yönelik bakım programlarının uygulanması ve yaygınlaştırılması önerilebilir. Anah tar Ke li me ler: İnme; ağız sağlığı; ağız hijyeni; randomize kontrollü çalışma ABS TRACT Oral hygiene may be impaired due to several reasons after stroke. As a result of poor oral hygiene, pneumonia may develop due to oropharyngeal dysphagia. The aim of this systematic review is to investigate the effect of oral hygiene practices on stroke patients. PRISMA-P (Preferred Reporting Items for Systematic review and Meta-Analysis Protocols) flow chart was used in the literature review phase. No year limitation was made during the scanning and English studies in EBSCOhost/CINAHL Complete, PubMed, Scopus, Ovid MEDLINE, Web of Science, and Cochrane Library databases were searched. Ten randomized controlled trials were included in the systematic review. It was found that mostly oral hygiene care programs were applied in the studies. Within these programs, practical oral hygiene trainings were held, oral hygiene recommendations were given within the scope of the trainings, and professional toothbrushing training with an electric toothbrush was offered. In addition, it has been determined that using of tooth interface brushes and tongue cleaners are provided, and attempts suc...

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Purpose The study aimed to develop a web-based education program among cancer patients undergoing treatment with systemic chemotherapy and to evaluate the efficacy of the program on symptom control, quality of life, self-efficacy, and depression. Methods A web-based education program was prepared in line with patient needs, evidence-based guidelines, and expert opinions and tested with 10 cancer patients. The single-blind, randomized controlled study was conducted at a medical oncology unit of a university hospital. Pretests were applied to 60 cancer patients undergoing treatment with systemic chemotherapy, and the patients (intervention: 30, control: 30) were randomized. The intervention group used a web-based education program for 3 months, and they were allowed to communicate with researchers 24/7 via the website. The efficacy of a web-based education program at baseline and after 12 weeks was evaluated. The CONSORT 2010 guideline was performed. Results In the first phase results of the study, it was found that most of the patients with cancer wanted to receive education about symptom management and the side effects of the treatment. Expert opinions on the developed website were found to be compatible with each other (Kendall’s Wa = 0.233, p = 0.008). According to the randomized controlled study results, patients who received web-based education reported significantly fewer symptoms ( p = 0.026) and better quality of life ( p = 0.001), but there was no statistically significant difference in the self-efficacy and depression levels during the 3-month follow-up period ( p ˃0.05). The most frequently visited links in the web-based education program by the patients with cancer were the management of chemotherapy-related symptoms (62.6%). Conclusion A web-based education program was found to be efficacy in remote symptom management and improving the quality of life of cancer patients. Trial registration www.clinicaltrials.gov , NCT05076916 (October 12, 2021, retrospectively registered). Supplementary Information The online version contains supplementary material available at 10.1007/s00520-022-07039-w.

Pandemi dönemi, akut iskemik inmenin değerlendirilmesinde ve hastaların tedavi ve bakım sürecinde değişiklere neden olmuştur. Bu nedenle yeni koronavirüs hastalığı şüphesi veya varlığı durumunda, akut iskemik inme yönetiminin her aşamasında önemli sorumlulukları bulunan hemşireler tarafından gerçekleştirilen bakımın modifiye edilmesi önem taşımaktadır. Bu derlemede, pandemi döneminde akut iskemik inmenin değerlendirilmesi ve tedaviye özgü bakım yönetimi ele alınmıştır.