Browsing by Author "Bakir, Ercan"

Now showing 1 - 3 of 3

The Effect of Ramadan Fasting on Fluid Control, Dietary Adherence, and Interdialytic Weight Gain in Patients Undergoing Hemodialysis: A Quasi-Experimental Study
(Springer, 2025) Bakir, Ercan; Karasu, Fatma; Koyunoglu, Bedriye Cansu
Aim This study compared fluid control, dietary adherence, and interdialytic weight gain (IDWG) between fasting and non-fasting hemodialysis (HD) patients during Ramadan. Materials and methods This quasi-experimental study, data were collected from 128 HD patients (56 fasting, 72 non-fasting) at a single center. Pretest data were gathered 1 month before Ramadan, and post-test data on the final day of Ramadan. Data collection tools included a Patient Information Form, the Fluid Control in Hemodialysis Patients Scale (FCHPS), and the Dialysis Diet and Fluid Non-adherence Questionnaire (DDFQ). Data were analyzed using paired and independent samples t-tests. Findings A significant time-by-group interaction was observed. Fasting patients showed a significant decrease in IDWG from pretest to posttest (p < 0.05), whereas non-fasting patients maintained more stable IDWG. However, fasting patients also demonstrated a significant decline in FCHPS total scores and its Knowledge, Behavior, and Attitude subscales (p < 0.05), indicating poorer fluid management adherence and awareness. DDFQ scores also indicated poorer dietary adherence in the fasting group compared to the non-fasting group. Conclusion Fasting patients were found to have lower adherence to fluid management, and their knowledge, behavior, and attitudes were negative. Non-fasting patients were found to have higher adherence to fluid management, diet, and fluid management than fasting patients.
Invitation to Self-Compassion: Reshaping Burden of Care in the Light of Self-Compassion Training Given to Relatives of Patients Hospitalised in Palliative Care
(Wiley, 2025) Karakurt, Nurgul; Erden, Yasemin; Turan, Gulcan Bahcecioglu; Bakir, Ercan
Aim: This study was conducted to investigate the effects of self-compassion training given to the relatives of patients hospitalised in the palliative care unit on the care burden and self-compassion of patient relatives. Method:The study is a randomised, controlled experimental study in pretest-posttest design. The study was conducted between February 2024 and June 2024 with the relatives of the patients who received care and treatment in the palliative care unit of a hospital in eastern Turkey. The study was completed with 30 patient relatives in the intervention group and 32 patient relatives in the control group. The patient relatives in the intervention group received 40-50 min of self-compassion training for 8 weeks. No intervention was given to the control group. Personal Information Form, Self-Compassion Scale, and Caregiver Burden Scale were used to collect the data. Results: While there was no significant difference in the total mean scores of the caregiver burden scale and self-compassion scale of the intervention group before the intervention compared to the control group (p > 0.05), a significant difference was found after the intervention (p < 0.05). When the regression coefficients were analysed, it was found that self-compassion training negatively affected the total mean score of the caregiver burden scale and explained 55% of its variance, while it positively affected the total mean score of the self-compassion scale and explained 55% of its variance. Conclusion:This study shows that self-compassion training given to the relatives of patients hospitalised in the palliative care unit is effective in terms of reducing the burden of care and increasing their self-compassion. Relatives of patients who received self-compassion training experienced a decrease in their care burden and an increase in their self-compassion. These findings emphasise the importance of self-compassion training in supporting the relatives of patients in palliative care.
The Relationship Between Self-Efficacy, Illness-Related Fear, and Intolerance of Uncertainty in Patients Who Have Epilepsy in Eastern Türkiye: A Path Analysis
(Academic Press Inc Elsevier Science, 2025) Erden, Yasemin; Turan, Gulcan Bahcecioglu; Karakurt, Nurgul; Bakir, Ercan
Background: The effects of psychological factors such as self-efficacy, illness-related fear, and intolerance of uncertainty on illness management and quality of life of patients who have epilepsy have important roles in understanding the health behaviors of individuals. Aim: The present study was conducted to examine the relationship between self-efficacy, illness-related fear, and intolerance of uncertainty in patients who have epilepsy and to investigate the mediating role of illness-related fear in the relationship between self-efficacy and intolerance of uncertainty. Method: This cross-sectional and correlational study had a descriptive design and was conducted with 150 epilepsy patients who met the inclusion criteria and applied to the neurology clinic of a university hospital. The study population comprised epilepsy patients who applied to the Neurology Clinic of a university hospital in eastern Turkiye between May 2024 and August 2024. The data were collected by using the Personal Information Form, Epilepsy Self-Efficacy Scale, Illness-Related Fear Scale, and Mishel Uncertainty in Illness Scale - Community Form. The Structural Equation Modeling and Bootstrapping Methods were used to analyze the study data. The study was reported following the STROBE Recommendations. Results: Based on the findings, self-efficacy was found to negatively affect intolerance of uncertainty about the illness (b = -0.384, 95 % CI [-0.462 to -0.306], p < 0.01) and illness-related fear (b = -0.449, 95 % CI [-0.544 to -0.344], p < 0.01). Also, illness-related fear was found to positively affect intolerance of uncertainty (b = 0.688, 95 % CI [0.586 to 0.789], p < 0.01). The indirect effect of self-efficacy on intolerance of uncertainty through illness-related fear (b = -0.309, 95 % CI [-0.444 to -0.210], p < 0.01) was found to be negative and significant and the total effect (b = -0.693, 95 % CI [-0.789 to -0.597], p < 0.01) was also negative and significant. Self-efficacy explained 34 % of the illness-related fear and 59 % of the total intolerance of uncertainty in the model. The estimated effects were calculated with 5000 repeated operations and were evaluated to be significant because the indirect effects did not include zero in the 95 % Confidence Interval. Conclusion: The results of the present study showed that self-efficacy has a direct negative impact on intolerance of uncertainty in patients who have epilepsy and that fear related to the illness plays mediating roles in this effect.