Publications by authors named "Güler Duru Aşiret"

10 Publications

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The effect of progressive muscle relaxation on the adaptation of elderly women to depression and old age: a randomised clinical trial.

Psychogeriatrics 2021 Mar 4. Epub 2021 Mar 4.

Faculty of Health Sciences, Nursing Department, Aksaray University, Aksaray, Turkey.

Background: The changes that occur during the ageing process affect the mental health of individuals and their adaptation to old age. In this study, it was aimed to evaluate the effect of progressive muscle relaxation (PMR) exercises on the depression level of elderly women and their adaptation to old age.

Methods: A randomised controlled trial design was used. The sample consisted of 49 elderly women (21 intervention and 28 controls) from a family health centre of a city in Turkey. The research data were collected using the introductory information form, Mini-Mental State Examination, Barthel index, Geriatric Depression-15 Scale, and Assessment Scale of Adaptation Difficulty for the Elderly. Two home visits were made to women in the first and eighth week of the application. PMR was applied by women in the intervention group in 28 min sessions three times a week for 8 weeks. During the 8 weeks the women were called by the researcher once a week and PMR was reminded.

Results: As a result of the PMR exercises performed for 8 weeks, it was determined that there was a statistically significant difference in the mean Geriatric Depression-15 Scale and Assessment Scale of Adaptation Difficulty for the Elderly scores of the women in the intervention group compared to the control group (P < 0.05).

Conclusion: In this study, it was found that PMR exercises reduce the depression level of elderly women and increase their adaptation to old age.
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http://dx.doi.org/10.1111/psyg.12673DOI Listing
March 2021

The effect of back massage on physiological parameters, dyspnoea, and anxiety in patients with chronic obstructive pulmonary disease in the intensive care unit: A randomised clinical trial.

Intensive Crit Care Nurs 2021 Apr 6;63:102962. Epub 2020 Nov 6.

Aksaray University, Faculty of Health Science, Nursing Department, Turkey. Electronic address:

Objective: This study aimed to examine the effect of back massage on physiological parameters, dyspnoea and anxiety in patients with chronic obstructive pulmonary disease receiving noninvasive mechanical ventilation in the intensive care unit.

Design And Methods: This study was a randomised controlled trial. Patients in the intervention group received back massage (15 minutes) between 16.00 and 20.00 every day for four days in the intensive care unit. The control group received no intervention. The data was collected using a personal information form, Baseline Dyspnoea Index, State-Trait Anxiety Inventory and Physiological Parameters Chart.

Results: We found no statistically significant change between systolic-diastolic blood pressures, heart rates and respiratory rate, oxygen saturation and dyspnoea level of the intervention and control groups (p > .05), while there was a significant reduction in the anxiety scores of patients in the intervention group (p < .05).

Conclusion: This study found that back massage applied in patients with chronic obstructive pulmonary disease receiving noninvasive mechanical ventilation was effective in decreasing anxiety. Back massage is a low-cost intervention with benefits for patients, and it may be a useful intervention in the anxiety management of intensive care patients.
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http://dx.doi.org/10.1016/j.iccn.2020.102962DOI Listing
April 2021

The Effect of Doll Therapy on Agitation and Cognitive State in Institutionalized Patients With Moderate-to-Severe Dementia: A Randomized Controlled Study.

J Geriatr Psychiatry Neurol 2020 Jun 17:891988720933353. Epub 2020 Jun 17.

Nursing Department, Faculty of Health Science, Aksaray University, Aksaray, Turkey.

Trial Registration: ClinicalTrials.gov , ID: NCT04120103 Retrospectively registered on 8 April 2019.
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http://dx.doi.org/10.1177/0891988720933353DOI Listing
June 2020

Usage of complementary and alternative medicine in women with urinary incontinence at a hospital in Turkey.

Integr Med Res 2020 Jun 10;9(2):100403. Epub 2020 Mar 10.

Department of Nursing, Faculty of Health Sciences, Aksaray University, Aksaray, Turkey.

Background: Urinary incontinence (UI) is a health problem that is common in women of all ages. Besides pharmacological and surgical treatments, there are lifestyle changes and complementary and alternative medicine (CAM) to relieve UI symptoms. This study aimed to examine lifestyle arrangements and CAM use by women with UI.

Methods: We conducted a cross-sectional study using data from 352 women with UI. The study sample consisted of female patients that were aged 18 and above. We asked patients whether they experienced urine leakage, and included all patients with UI in the sample regardless of UI type or severity. We collected the study data by using the personal information form and Incontinence Severity Index (ISI).

Results: In this study, 7.1% of women with UI used CAM while 92.9% did not. We found that only the women with mixed incontinence used CAM more (p < 0.05). The CAM techniques commonly preferred by women included prayer (48.0%), hot application (36.0%) and herbal teas (24%). While 52.2% of women stated that they benefited from CAM use, all of them (100%) stated that they experienced no side effects of CAM. The most common lifestyle changes was losing weight.

Conclusion: Turkish women with UI had a low rate of CAM use in this study. The use of CAM was related to age and education, and women with mixed UI used CAM more.
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http://dx.doi.org/10.1016/j.imr.2020.100403DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160565PMC
June 2020

Relationship between the nursing students' attitudes towards spiritual care and the principles of a good death.

Perspect Psychiatr Care 2020 Oct 13;56(4):913-919. Epub 2020 Apr 13.

Department of Nursing, Faculty of Health Sciences, Aksaray University, Aksaray, Turkey.

Purpose: This descriptive study aims to identify the relationship between the nursing students' attitudes towards spiritual care and the principles of a good death.

Design And Methods: A total of 224 nursing students took part in this study. A personal data from, the "assessment scale of attitudes towards principles about dying with dignity" and the "spiritual support perception scale" were used in the data collection.

Findings: This study found that the nursing students' attitudes towards spiritual care and the principles of a good death were positive. As the students' attitudes towards the principles of a good death increased, their attitudes towards spiritual care also increased.

Practice Implications: It is recommended that the principles of a good death and spiritual care should be included in the nursing curriculum.
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http://dx.doi.org/10.1111/ppc.12511DOI Listing
October 2020

The effect of reminiscence therapy on the adaptation of elderly women to old age: A randomized clinical trial.

Complement Ther Med 2018 Dec 21;41:124-129. Epub 2018 Sep 21.

Aksaray Ahmet Lütfi Efendi Family Health Centre, 68100, Aksaray, Turkey. Electronic address:

Background And Aim: The changes and limitations that occur in the aging process effect people's adaptation to old age. This study aimed to assess the effect of reminiscence therapy on the adaptation levels of non-institutionalized elderly women to old age.

Methods: We used a randomized controlled trial design. We conducted the study with 50 elderly women, including 27 women in the intervention group and 23 women in the control group. Study data were recollected by using an introductory information form, Mini-Mental State Examination (MMSE) and Assessment Scale of Adaptation Difficulty for the Elderly (ASADE). Reminiscence therapy was applied to the participants in the intervention group through individual sessions for 8 weeks by making house visits once a week.

Results: At the end of reminiscence therapy made through weekly house visits, we compared the mean ASADE and MMSE scores of intervention and control groups and found that there was a statistically significant difference between the mean ASADE and MMSE scores of the participants in the intervention group (p < 0.05).

Conclusions: This study found that reminiscence therapy increased the elderly women's adaptation to old age and cognitive level.
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http://dx.doi.org/10.1016/j.ctim.2018.09.018DOI Listing
December 2018

Effect of progressive muscle relaxation on the caregiver burden and level of depression among caregivers of older patients with a stroke: A randomized controlled trial.

Jpn J Nurs Sci 2019 Apr 11;16(2):202-211. Epub 2018 Sep 11.

Nursing Faculty, Hacettepe University, Ankara, Turkey.

Aim: This study aimed to investigate the effect of progressive muscle relaxation on the caregiver burden and level of depression among the caregivers of older patients with a stroke.

Methods: This randomized, controlled experimental study was conducted between December, 2015 and July, 2017 with the caregivers of older patients with a stroke who had been admitted to the home care unit of a state hospital. The caregivers were randomly assigned to intervention (n = 23) and control (n = 21) groups, based on the study's inclusion criteria. The caregivers in the intervention group practiced progressive muscle relaxation exercises at home 3 days per week for 8 weeks. The control group had no intervention.

Results: The mean age of the older patients with a stroke was 80.15 ± 9.86 years and the mean duration of the disease was 39.07 ± 44.69 months. The mean age of the caregivers was 50.29 ± 12.62 years, 84.1% of whom were female, 38.6% were elementary school graduates, and 86.4% were married. It was found that there was a statistically significant decrease in the mean Zarit Caregiver Burden Scale and Beck Depression Scale scores of the caregivers in the intervention group after practicing progressive muscle relaxation, but this decrease was not statistically significant when the intervention and control groups were compared.

Conclusion: This study showed that there was a statistically significant decrease in the caregiver burden and level of depression among the caregivers in the intervention group after progressive muscle relaxation exercises, but that there was no statistically significant difference when the intervention and control groups were compared.
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http://dx.doi.org/10.1111/jjns.12234DOI Listing
April 2019

Cross-cultural adaptation and psychometric assessment of the Turkish version of the Vulnerability to Abuse Screening Scale

Turk J Med Sci 2017 08 23;47(4):1223-1228. Epub 2017 Aug 23.

Background/aim: The aim of this study was to evaluate the reliability and validity of the Turkish version of the Vulnerability to Abuse Screening Scale (VASS). Materials and methods: This was a methodological study. The sample included 140 elderly individuals. Data were collected by using a questionnaire form, the VASS, and the Geriatric Depression Scale (GDS). The Cronbach alpha value was calculated and test?retest reliability was tested for the reliability analyses. Results: The Cronbach alpha value calculated for the VASS (12 items) was 0.819. There was no difference between test and retest mean scores of the VASS. A statistically significantly positive and strong relationship was found between the test and retest scores of the individuals. A statistically significantly positive and moderate relationship was found between the VASS and GDS scores. Factor analysis revealed that a total of four factors accounted for 63.66% of the total variance with an eigenvalue of >1. These results show that the Turkish version of the VASS is a valid and reliable scale. Conclusion: This study showed that the adoption of the translated VASS in Turkey is reliable and valid to evaluate the risk of abuse in adults over the age of 65.
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http://dx.doi.org/10.3906/sag-1609-11DOI Listing
August 2017

The Effect of Reminiscence Therapy on Cognition, Depression, and Activities of Daily Living for Patients With Alzheimer Disease.

J Geriatr Psychiatry Neurol 2016 Jan 6;29(1):31-7. Epub 2015 Aug 6.

Aksaray University Health High School, Aksaray University, Aksaray, Turkey Faculty of Nursing, Hacettepe University, Ankara, Turkey.

The purpose of this study was, conducted with experimental design, to investigate the effect of reminiscence therapy on cognition, depression, activities of daily living of institutionalized mild and moderate Alzheimer patients. The study was conducted with a total of 62 patients (31 intervention group and 31 control group) in four home care in Ankara, Turkey. Study was done between the July 1, 2013 and December 20, 2014. Reminiscence therapy sessions were held with groups consists of 4-5 patients, once a week with 30-35 minute duration for 12 weeks. Standardized Mini Mental Test was used in sample selection. Patients were listed through their mini mental test scores, and randomized as odd numbers to control group and even numbers to intervention group. Data were collected with forms developed by researcher 'Data Sheet' and 'Activities of Daily Living Follow-up Form' as well as scales 'Standardized Mini Mental Test' and 'Geriatric Depression Scale'. Chi-square, Mann Whitney-U test, variance analyses in repeated measures and Bonferroni tests were used for analysis. The increase in mean Standardized Mini Mental Test score and the decrease in mean Geriatric Depression Scale score of the individuals in the intervention group compared to the control group at the end of the reminiscence therapy was statistically significant (P < 0.05). At the end of reminiscence therapy sessions, increase in cognition and decrease in depression were found statistically significant in intervention group.
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http://dx.doi.org/10.1177/0891988715598233DOI Listing
January 2016

Health-related adverse events and associated factors in recreational divers with different certification levels.

J Travel Med 2013 Sep-Oct;20(5):289-95. Epub 2013 Jul 29.

Faculty of Health Sciences, Department of Nursing, Hacettepe University, Ankara, Turkey.

Background: There is a paucity of research on diving-related health issues and associated factors. This study aimed to examine the health problems encountered during diving and to ascertain the factors associated with adverse events.

Methods: The sample of this descriptive study consisted of 132 recreational divers from diving schools in Ankara. The researchers collected the data using a questionnaire developed according to the relevant literature.

Results: Diving-related health issues including barotraumas, nitrogen narcosis, and decompression sickness were mostly dependent on depth. The divers with higher certification levels witnessed diving-related adverse events more frequently and a significant increase in health problems with greater depth attained (p < 0.05). More experienced divers with longer duration of diving (p < 0.05) and greater number of dives reported more health problems associated with diving between 41 and 65 m. Adverse events did not differ according to diving-related educational features (p > 0.05).

Conclusions: The finding implies the importance of adherence to the depth limit of 40 m for recreational divers, being a slow ascend diver, and utilization of a buddy system in order to prevent diving-related adverse events. A data recording system related to diving and regulations particularly for tourist divers in the countries attracting tourists is required.
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http://dx.doi.org/10.1111/jtm.12059DOI Listing
April 2014