Objective:To identify the level of depression, the level of life quality, and the relationship between these, in patients applying to sleep centers for various sleep problems.Methods:This cross-sectional study included 229 patients who applied for polysomnography at sleeping centers under supervision of the Neurology and Chest Diseases Clinics of Kayseri Education and Research Hospital, Kayseri, Turkey between June and August 2013. The data collection tools were a socio-demographical data form, Beck Depression Inventory (BDI), Pittsburgh Sleep Quality Index (PSQI), and the World Health Organization Quality of Life Scale (WHOQOL-BREF). For statistical analyses, the Student t-test, Kruskal-Wallis-variant analysis, and chi-square tests were used. Significance level was considered as p<0.05.Results:In our study, patients who were older aged, married, not working, and who had a chronic disease, and a severe depressive symptom were observed to have significantly poorer sleep quality. While patients with any chronic disease had significantly higher scores for total PSQI and depression, their physical, mental, and social WHOQOL-BREF scores were significantly lower. The PSQI total scores, and depression scores of the smoking patients were significantly higher for physical, mental, and social WHOQOL-BREF fields. There was a positive correlation between PSQI scores and BDI scores while there was a negative correlation among BDI, PSQI, and WHOQOL-BREF life quality sub-scale scores.Conclusions:Sleep quality was significantly poorer in patients who were older aged, married, not working, and who had a chronic disease, and a severe depressive symptom. There was a significantly negative correlation among depression, sleep quality, and life quality, while there was a significantly positive correlation between life quality and depression.
Background: Breast self examination (BSE), performed regularly every month, is one of the most important methods in the early diagnosis of breast cancer. This study was performed with the aim of establishing the knowledge, attitudes, and behavior of women working in government hospitals within the province of Samsun regarding BSE. Materials and Methods: This cross-sectional study was conducted between January-March 2012, on a total of 550 women (500 health personnel, and 50 general administration services (GAS) workers) from 7 government hospitals and the Cancer Early Diagnosis, Screening, and Education Centre (CEDSEC). Percentages were used for the descriptive statistics, and the chi-square test for the evaluation of statistical importance. Values of p<0.05 were accepted as significant. Results: The mean age of the participants was 36.2± 15.3, and 42.5% were in the 30-39 year old age group, 78.0% being married. Seventy-eight point four percent (78.4%) of the health personnel and 76.0% of the GAS workers performed BSE. However, the rates of performing BSE regularly every month were only 25.6% and 5.0%. Within the health personnel, 1.4% stated that they did not perform BSE because they found it unnecessary as they had no history of breast cancer in their family, 3.6% did not do so due to fear and stress, 13.2% because they forgot, and 14.6% because they had no complaints. Some 22.2% of the health personnel and 52.0% of the GAS workers had undergone mammographic evaluation, the difference being significant (p<0.05), 84.1% of the health personnel and 61.9% of the GAS workers knowing symptoms of breast cancer. Conclusions: Women in society should be brought to a certain level of awareness and knowledge regarding BSE. It is of the utmost importance that health personnel, who carry the responsibility for counseling and enlightening society, should interiorize the necessary knowledge, attitudes and behavior.
Sağlık sektöründe kalite yönetimi, sağlık yöneticilerinin kalite anlayışı (Ankara İli örneği)* Quality management in health care industry and health care managers' perception of quality (case of Ankara province
Purpose-The aim of the study is to investigate the job satisfaction and the stress factors affecting the nursing service employees in the Akdeniz University Hospital and to determine the factors affecting job stress and job satisfaction levels. Methodology-The study is a questionnaire study and the universe is composed of 795 Nurses working in Akdeniz University Hospital. Simple Random Sampling Method A survey study was conducted on 308 people. Reliability and validity of the survey conducted in Turkey Baltas (1998) Job Stress Scale and Minnesota Job Satisfaction Scale was used by carried. The Cronbach Alpha value was found to be 0.84. In the analysis of the data, frequency, percentage, standard deviations were used. Analyzes were performed in SPS 22.0 program. Findings-Significance was determined statistically in the internal, external and general satisfaction dimensions according to the education levels of the participants, occupational seniority and income level. In addition, as levels of stress decreased in participants, job satisfaction levels also decreased. Participants' stress scores were negatively correlated with internal external and general satisfaction dimensions and internal, external and general satisfaction decreased as stress levels increased. Conclusion-As a result of the study, education status, seniority, income level and willingness factors were found to have a significant effect on job satisfaction. It was understood that job stress, which is at a positive level, increased job satisfaction.
It was aimed to determine the perception levels of nurse and medical secretary-data entry staffs who working in Adana Numune Training and Research Hospital Seyhan Application Center which constitutes the health records of Health Information Systems and actively uses Hospital Information Management Systems in the study. 249 nurses and 114 medical secretaries-data entry staffs who working in the Adana Numune Training and Research Hospital Seyhan Application Center constitute the universe of research. 83 of them are nurses and 38 of them are medical secretary-data entry staffs constitute the research sample. Survey method was preferred in the research and samples were randomly selected. Cronbach's alpha test was used for survey's validity and reliability. Dependent variable is level of perception; Independent variable is demographic characteristics in the study. Evaluation of the data was done in the SPSS 18 program. As a result of the study, it was determined that the perception of the hospital automation system was higher among the data entry staffs in those who graduated from high school. It was seen that nurses thought that they did not have all the authority to use the system, that they encountered frequent problems in the system, that the problems were not resolved in a short time, that the system did not make work easier enough and did not meet expectations, The data entry staffs stated that they were educated about the subject and the nurses did not take it. Both groups found that the system was useful for patient operations and laboratory operations. Keywords: Hospital information system, hospital staff, perception level, nurses, medical secretaries JEL Codes: I12, I19, O33 HASTANE YÖNETİMİ AÇISINDAN ÇALIŞANLARDA HASTANE OTOMASYON SİSTEMİNİN ALGILANMASI ÖZETÇalışmada Sağlık Bilişim Sistemleri'nin sağlık kayıtlarını oluşturan ve Hastane Bilgi Yönetim Sistemleri'ni aktif kullanan Adana Numune Eğitim ve Araştırma Hastanesi Seyhan Uygulama Merkezi'nde çalışan hemşire ve tıbbi sekreter-veri giriş elemanlarının Hastane Bilgi Yönetim Sistemi uygulamasındaki algı düzeylerinin belirlenmesi amaçlanmıştır. Adana Numune Eğitim ve Araştırma Hastanesi Seyhan Uygulama Merkezi'nde çalışan 249 hemşire ve 114 tıbbi sekreter-veri giriş görevlisi araştırma evrenini; bu kişilerden 83'ü hemşire, 38'i tıbbi sekreter-veri giriş elemanı olmak üzere 121 kişi örneklemi oluşturmaktadır. Araştırmada anket yöntemi tercih edilmiştir ve örneklemler rastgele seçilmiştir. Anketin geçerlilik ve güvenilirliğinde Cronbach Alpa testi kullanılmıştır. Çalışmanın bağımlı değişkeni, algı düzeyi; Bağımsız değişkeni demografik özelliklerdir. Verilerin değerlendirilmesi SPSS 18 programında yapılmıştır. Çalışmanın sonucunda, hastane otomasyon sisteminin algılanmasının, veri giriş elemanları arasında, lise mezunu olanlarda daha yüksek olduğu tespit edilmiştir. Hemşireler sistem kullanımı için gereken tüm yetkilere sahip olmadığını, sistemde sık sık sorunlarla karşılaştıklarını, sorunların kısa zamanda çözülmediğini, sistemin işleri yeterince ko...
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