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GÜR, KAMER

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    PublicationOpen Access
    Okul Yaralanmalarını Önlemede Sağlık İnanç Modeli Temelli Girişimlerin Etkisi
    (2018-10-10) GÜR, KAMER; EDA KILINÇ;Kamer GÜR
    Okul çağı çocukları, dış etkenlerle oluşabilecek zararlara karşı kendini korumada savunmasız gruplardandır.Bu nedenle yaralanmalara sıklıkla maruz kalmaktadırlar. Kaza sonucu meydana gelen yaralanmalar çoğunlukla bugruplarda, özellikle çocuk ve adölesanlarda görülmektedir. Ancak bu konuda alınan önlemlerin çoğu zaman yetersizolduğu ve göz ardı edildiği bilinmektedir. Ülkemizde özellikle öğrencilere sunulan okul sağlığı hizmetlerininoldukça sınırlı olduğu bir gerçektir; oysaki okul kazalarına yönelik basit kişisel ve çevresel tedbirlerle istenmeyenyaralanmaların önlenebileceği bildirilmektedir. Okullarda geliştirilecek programların çevre değişimi, davranışdeğişimi, denetim ve politikaların geliştirilmesi konularını kapsaması, ders müfredatına entegre edilmesiönerilmektedir. Programların etkililiğini artırmada modeller her zaman yol gösterici olmuştur. Sağlığı geliştirmemodellerinden biri olan Sağlık İnanç Modeli (SİM), kişilerin sağlığını; bireysel özellikler (sosyo-demografiközellikler), algılar (duyarlılık, durumun ciddiyeti, yarar, engeller, öz-etkililiği) ve eyleme geçiriciler (hazır oluşluk)ile etkilendiğini belirtmektedir. Bu derleme makalede amaç, okul sağlığı hemşireleri olarak; yaralanma riski yüksekolan öğrenci toplumunda okul yaralanmalarını önlemede bir rehber olan Sağlık İnanç Modelini tanıtmak; modelinokul yaralanmalarını önlemedeki etkisini yapılmış araştırmalarla ortaya koymak ve bu model ile yapılacakçalışmalara yol göstermek amaçlanmıştır.
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    PublicationOpen Access
    Sağlık İnanç Modeli Temelli Yaralanma Ölçeği’nin Türkçe Geçerlilik ve Güvenirliliği
    (2019) GÜR, KAMER; EDA KILINÇ;KAMER GÜR
    Amaç: Ergenlik dönemi, ergenlerin riskli sağlık davranışları denemeye ve bunların olumsuzsonuçlarına maruz kalmaya daha açık oldukları bir dönemdedir. Davranış değişikliği teorileri, yaralanma önleme girişimlerinin nasıl etkili olabileceğini anlamamıza yardımcı olabilmektedir. Yaralanmanın önlenmesi için en yaygın olarak uygulanan davranış teorilerinden biri de Sağlık İnançModeli’dir. Bu model ve modele dayalı bir ölçüm aracının kullanımı yaralanmalara yönelik bilgitoplamamız için iyi bir fırsat sağlayacaktır. Bu çalışmada Sağlık İnanç Modeli (SİM) Temelli Yaralanma Ölçeği'ni Türkçe'ye uyarlamak ve geçerlilik-güvenirliliğini analiz etmek amaçlanmıştır.Gereç ve Yöntemler: Metodolojik tipte olan bu araştırma, 2017-2018 eğitim-öğretim yılında İstanbul’da iki devlet lisesinin 9-12. sınıf öğrencileri ile yürütülmüştür (n=481). Veriler, sosyodemografik veri formu ve SİM Temelli Yaralanma Ölçeği kullanarak kâğıt-kalem yöntemi ile toplanmıştır.Ölçek, beşli likert tipi 22 madde ve beş faktörden oluşmaktadır. Ölçeğin, geçerliliğinde kapsam geçerliliği indeksi, yapı geçerliğinde açıklayıcı ve doğrulayıcı faktör analizi, güvenirliliğinde iç tutarlılık katsayısı ve test-retest analizleri kullanılmıştır. Bulgular: Ölçeğin Türkçe uyarlaması 22 maddeve beş faktörden (duyarlılık, ciddiyet, yarar, engeller ve eyleme geçiriciler) oluşmuş olup, Cronbach’s alfa katsayısı 0,92, alt boyutların Cronbach’s alfa katsayısı ise sırasıyla 0,89; 0,84; 0,77; 0,83ve 0,77’dir. Doğrulayıcı faktör analizi sonucunda X2/sd: 2,67, AGFI: 0,87, GFI: 0,90, CFI: 0,91, IFI:0,91, RMSEA: 0,06 değerinde ve kabul edilebilir düzeydedir. Test-tekrar test korelasyon değeri tümölçek için 0,48’dir (p<0,05). Sonuç: Türkçe SİM Temelli Yaralanma Ölçeği 22 maddeden ve beş altboyuttan oluşan, yeterli geçerlilik ve güvenirlilik göstergeleri olan bir ölçüm aracıdır.
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    PublicationOpen Access
    Females' Attitudes Toward Mental Illness: A Sample From Rural Istanbul, Turkey
    (KOWSAR PUBL, 2016-02-17) GÜR, KAMER; Gur, Kamer; Kucuk, Leyla
    Background: The beliefs, attitudes and behaviors of the society toward mentally ill patients may prevent these people from seeking help and accessing a successful treatment. Objectives: The current study aimed to investigate mental illness among Turkish females residing in rural areas and their attitudes toward mental illness. Patients and Methods: The current study was inferential cross-sectional. The population of this study consisted of 1000 households registered at the primary healthcare centre in Ademyavuz area who met the study inclusion criteria. The sample size was 387 females. Using the simple random sample selection method, certain females living in these households were included in the study. The socioeconomic status of the population in this region is low and middle-class. The adult population of the region is 10,960. Females comprise 39.8% of Ademyavuz population. The prevalence of mental illness in the district is unknown. Data were collected by face-to-face interviews using a researcher made questionnaire and the opinions about mental illness scale (OMI) in autumn 2008. The interviews were conducted at the participants' houses and lasted for 20 - 30 minutes. The females gave their informed consent and were assured that their information would be treated as strictly confidential. Results: The females in the rural research area had negative attitudes and stigmas about mental illness. The subject of the current study exhibited a total mean score of 155.6 +/- 24.5 in terms of their attitudes toward mental illness. Mean scores in the unsophisticated benevolence sub-scale were 42.5 +/- 8.2, 34.2 +/- 7.9 in the authoritarianism sub-scale, 25.5 +/- 6.3 in the mental illness ideology sub-scale, 34.0 +/- 7.4 in the social restrictiveness sub-scale, and 20.0 +/- 6.0 for the interpersonal etiology sub-scale. The current study found that individuals exhibited more positive attitudes towards mental illnesses as they got older ((Kvx2) = 19.42; P < 0.0001), married people exhibited a more positive attitude towards mental illnesses than singles did (Kvx(2) = 19.42; P < 0.0001), those who considered themselves to have a good economic status exhibited a more negative attitude towards mental illnesses compared to the ones who thought their economic status as poor or average (Kvx(2) = 5.11; P = 0.024). Conclusions: Nurses have an important role in creating and maintaining a mentally healthy society. It is advisable to provide the public with training and consultancy services within the context of primary healthcare services, especially during home visits to change the negative attitudes of individuals against the mentally ill and prevent approaches that promote social isolation and denouncement.
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    PublicationOpen Access
    The Psychometric Features of the Turkish Version of the Ageism Survey and the Frequency of Ageism
    (ELSEVIER TAIWAN, 2016-09) ERGÜN, AYŞE; Erol, Saime; Ergun, Ayse; Kadioglu, Hasibe; Gur, Kamer; Albayrak, Sevil; Sisman, Fatma Nevin; Sezer, Ayse; Kolac, Nurcan
    Background: This study was conducted to adapt the ageism survey to the Turkish language and culture and to determine the frequency of occurrence of ageism. Methods: The study population consisted of 236 individuals aged 50-95 years. The cultural adaptation of the ageism survey was carried out through the method of translation/back-translation and the validity of the instrument was tested for content and construct validity; its reliability was tested by internal consistency analysis. Results: The mean age of the respondents was 64.44 +/- 9.57. The content validity index for the ageism survey was found to be 0.89 and Cronbach a value was 0.86. Item-total correlation values for all of the items were over 0.31. Of the participants, 82.5% reported being confronted with some kind of discriminatory behavior at least once. Conclusion: It was established that the ageism survey is appropriate to the Turkish language and culture and that it is a valid and reliable instrument. Copyright (C) 2016, Taiwan Society of Geriatric Emergency & Critical Care Medicine. Published by Elsevier Taiwan LLC.
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    PublicationOpen Access
    Effects of the Social Responsibility for Health program on adolescents' empathic skills, altruistic and health perception
    (MARMARA UNIV, FAC MEDICINE, 2018-01-21) GÜR, KAMER; Sengel, Ayse; Gur, Kamer
    Objectives: This study aims to determine the effect of the Social Responsibility for Health (SRFH) program implemented under the leadership of a school nurse on adolescents' empathic skills, altruism and health perception. Materials and Methods: This semi-experimental study used the pre test-post test control group design. It was conducted among 116 adolescents attending a private high school in Istanbul. Fifty-six and 60 of the participants were randomly assigned to the control and experimental groups, respectively. The SRFH program was completed in 14 weeks. The data were collected with the Empathic Tendency Scale, the Scale of Altruism, and the Health Perception. Parametric tests (unpaired t-test and paired t-test) were utilized in the data analysis. Results: While there was no significant difference between the experimental and control groups' total pretest scores of empathic skills and health perception (P>0.05), a significant difference was found between both groups' total posttest scores (P=0.00; P=0.05). Furthermore, the experimental group's total posttest score of altruism and their score averages of social and helpfulness subdimensions increased (P=0.03; P=0.01; P=0.02). Conclusion: The SRFH program implemented under the leadership of a school nurse increased adolescents' empathic skills and health perception and created a difference between the experimental and control groups.
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    PublicationOpen Access
    Breast Cancer Risks and Effectiveness of BSE Training among Women Living in a District of İstanbul
    (2014) KADIOĞLU, HASİBE; Gür, Kamer; Kadıoğlu, Hasibe; Sezer, Ayşe
    OBJECTIVE: The purpose of this study to determine the risks associated with breast cancer in women who live in a neighborhood in Istanbul, and to evaluate the effectiveness of breast self-examination (BSE) training. MATERIALS AND METHODS: This study was designed by using a half-experimental model, with women over the age of 18 who visited the community health center in a district of Istanbul, during March/April 2012. Sample selection was not implemented, and 169 women who voluntarily participated in the study were included. Data was collected by face-to-face interview technique with "Demographic Survey Form", "Breast Cancer Risk Assessment Form" and "BSE Training Assessment Scale". After risk assessment, women who wanted to learn BSE (n=109) were given a practical training program lasting approximately 20 minutes that was prepared together with expert consults. RESULTS: 32.1% of the participants regularly performed BSE. Out of those who do not use regular self-examination, 15.4% thought BSE was unnecessary, 44% was afraid to examine herself, and 40.7% did not know how to apply BSE. The mean breast cancer risk score was 135.64±61.33. There were statistically significant differences between breast cancer risk score and the educational status, marital status, and menstrual status. A statistically significant difference was found in pre- and post-training BSE Training Assessment Scale scores. CONCLUSION: The breast cancer risk score was low among women included in this study. However, the vast majority of women did not perform BSE, and those who did were using either irregular or improper practice. It was detected that implementation of planned and in-person training programs were quite effective.