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    Effect of Music on Fatigue, Comfort, and Vital Signs in Patients After Liver Transplant Surgery A Randomized Controlled Trial
    (Lippincott, Williams & Wilkins, 2021) Demir, Bilsev; Kapιkιran, Gürkan; Özkan, Meral
    This randomized controlled clinical trial was conducted to determine the effect of music therapy on fatigue, comfort and vital signs of the liver transplant patients. The study sample comprised 120 adult patients (60 in the experimental and 60 in the control group) who met the inclusion criteria and agreed to participate in the study. In the experimental group, the researcher performed music therapy. After applying music therapy once to patients for 30 minutes, their fatigue, comfort, and vital signs were evaluated. No treatment was performed in the control group. According to music therapy follow-ups after liver transplantation, mean scores of fatigue levels were lower, comfort levels were higher, and vital signs were normal, with a statistical significance in the experimental group compared with the control group in all measurements before and after music therapy (P < .001). The study should be repeated using different parameters.
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    Effect of sleep hygiene education on sleep quality in patients with liver transplantation
    (Wolter Kluwer, 2022) Demir, Bilsev
    This study aimed to determine the effects of sleep hygiene education on sleep quality in liver transplant patients. In the literature, the efficacy of various pharmacological methods for reducing poor sleep quality associated with liver transplant patients and studies on nonpharmacological methods are limited. This study was conducted using a quasiexperimental design with a pre- and posttest, and a control group. When the power analysis was made, a sample size with 5% double-sided significance, 95% confidence interval, and 95% ability to represent the population was calculated to have a total of 100 liver transplant patients. The data were collected using a patient information form, and the Richard Campbell Sleep Quality Questionnaire. In the experimental group, the researcher gave a sleep hygiene training for 1 week. No treatment was performed in the control group. To analyze the data, descriptive statistics, a chi(2) test, a t test for dependent groups, and a t test for independent groups were used. According to sleep hygiene training follow-ups after liver transplantation, the mean scores of sleep quality was similarly poor, with a statistical significance in the experimental group compared with the control group in all measurements before and after sleep hygiene training (P < .001). The sleep hygiene training applied to liver transplant patients positively affected and decreased the severity of sleep quality.
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    The Effect Of Spırıtual Well-Beıng On Surgıcal Fear In Patıents Scheduled To Have Abdomınal Surgery
    (2021) Gürkan KAPIKIRAN , Semra BÜLBÜLOĞLU , Serdar SARITAŞ; Demir, Bilsev
    Abdominal surgery and the postoperative period are very risky experiences. Individuals with fear of surgery will be under high stress and in a state of depression. In this context, the state of spiritual well-being overcoming surgical fears in patients undergoing planned abdominal surgery was examined. This study was conducted to investigate the effects of the levels of the spiritual well-being of patients who are planned to have abdominal surgery on their surgical fear. The study was carried out with the participation of 150 patients at the General Surgery and Transplant clinics at a university hospital between January and May 2020. It was determined that there was a negative significant relationship between surgical fear and spiritual well-being, and the highest score for surgical fear was observed in the individuals who were 65 years old or older. The awareness of healthcare professionals about spiritual well-being should be raised, and they should provide healthcare that ensures supporting patients in spiritual and social aspects.
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    The effect of testicular cancer and testicular self-examination on knowledge, attitude and health beliefs in university students in Turkey
    (Emerald, 2021) Demir, Bilsev; Türkben Polat, Hilal
    Abstract Purpose: This research was planned and applied as a descriptive study in order to determine the knowledge, attitudes and behaviors about testicular cancer (TC) and testicular self-examination (TSE) of male students who receiving health education. Design/methodology/approach: This descriptive and cross-sectional study was conducted between May and August 2019 with male students. Early diagnosis of TC is quite important in terms of prognosis of the disease. The data were collected by using the questionnaire prepared by the researchers in accordance with the literature and the Turkish version of health belief model scale (HBMS) for TSE. The data were analyzed by number, percentage, mean and standard deviation and t test. Findings: TSE HBMS, it was observed that the mean score of susceptibility subscale was 11.23 ± 3.73, the mean score of seriousness subscale was 28.20 ± 7.66, the mean score of benefit subscale was 21.57 ± 5.90, the mean score of the barriers subscale was 22.74 ± 5.16, the mean score of self-efficacy subscale was 9.91 ± 3.13 and the mean score of the health motivation subscale was 8.92 ± 2.84. Originality/value: There was a statistically significant relationship between having heard of TC and health motivation (p < 0.05). There was a statistically significant relationship between the knowledge of TC and self-efficacy and health motivation (p < 0.05). There was a significant relationship between self-efficacy and TSE performing status (p < 0.05). There was also a significant relationship between the desire to obtain information about TSE and seriousness, barriers, self-efficacy and health motivation (p < 0.05). It was determined that majority of university students did not have any information about TC and TSE.
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    Effects of Illness Perception on Self-Care Agency and Hopelessness Levels in Liver Transplant Patients: A Descriptive Cross-Sectional Study
    (SAGE Publications, 2021) Demir, Bilsev; Demir, İlker
    Individuals with liver transplantation (LT), hopelessness, and lack of self-care may occur and change in the illness perceptions; however, no study has examined the effects of the illness perceptions on self-care agency and hopelessness levels in individuals with LT. This study was conducted to examine the effects of the illness perceptions of patients who had received LT surgery on their self-care agency and hopelessness levels. A descriptive cross-sectional study with a convenience sample (N = 120) was conducted at a center in eastern Turkey. The data were collected by using the "Brief Illness Perception Questionnaire" (B-IPQ), "Self-Care Agency Scale" (SCAS), "Beck Hopelessness Scale" (BHS). In the study, the mean total B-IPQ, SCAS, BHS scores was found as 57.50 ± 3.61, 83.83 ± 9.43, 10.19 ± 3.81, respectively. There was a positive and significant relationship between the B-IPQ and BHS total scores.
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    Perceived body image and distress after liver tansplantation in recipients
    (Elsevier, 2021) Demir, Bilsev; Bülbüloğlu, Semra
    Objectives: This study's aim was to determine the relationship between the perception of self-body image and the level of distress in patients who had liver transplantation surgery. Method: This study was performed as a descriptive and cross-sectional study with the attendance of 120 liver transplant patients hospitalized in the liver transplant center of a training and research hospital. Self-body image was measured based on the Body Image Questionnaire (BIQ) on a scale of 40 (lowest) to 200 (highest) with the optimal BIQ score of 135–200. The level of distress was evaluated by the Distress Thermometer (DT) on a scale of 0 (None) to 10 (High). The data analysis was performed with the IBM Statistical Package for the Social Sciences Statistics 25. Results: According to the data attained, 35.8% of the patients were 55 years old or older, 56.7% were male, and 61.7% were married. The mean BIQ score among all tested patients was 81.85 ± 27.31, and this was considered as a low level of self-image. The mean DT score of the patients was 5.45 ± 2.72, which indicated relatively high levels of distress in the transplant recipients. Comparing these two values together (BIQ + DT) by regression analysis, we found a moderate negative relationship between self-body image (BIQ) and distress (DT) in the patients (r: ?0.391, p < 0.001). Accordingly, when the distress levels of the patients decreased, their perceptions of self-body image increased. Conclusion: Even if their liver transplant operation is successful, the problems of the recipients after transplantation do not completely disappear. Liver transplant recipients should be helped in coping with their condition effectively. Patients undergoing liver transplantation should be provided with psychosocial and emotional support.