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.
No abstract
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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