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    Evaluation of foot care and self-efficacy in patients with diabetes in Turkey: an interventional study
    (Springer India, 2016) Bicer, Emine Kir; Enc, Nuray
    Ulceration of the feet, which can result in loss of limbs and even death, is one of the major health problems for people with diabetes mellitus. The aim of this study was to evaluate the impact of foot care education on patient awareness of the importance of foot care, their foot care-related behavior and sense of self efficacy in being able to take care of their own feet in Turkey. The study was a randomized controlled study. Ninety patients with diabetes mellitus were followed. Cases were stratified by the presence and absence of education on foot care. Foot care education relevant to the needs of the study group was developed on the basis of Bandura's social learning theory. The diabetic foot care self efficacy scale (DFCSES), the foot self-care behavior scale (FSCBS), and the diabetic foot knowledge subscale (DFKS) were used to evaluate, at 3-month intervals, the knowledge patients had about foot care before and after receiving the education. The scores for DFCSES, FSCBS, and DFKS of the experimental group increased during follow-up in the study group receiving foot care education while the scores of the cases in control group did not change. Education is a major tool for improvement in awareness of foot care in cases with diabetes mellitus. Self-efficacy levels of individuals regarding foot care should be evaluated, and accordingly, individual strategies should be developed to provide efficient foot care.
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    Pressure Ulcer Prevalence, Incidence, Risk, Clinical Features, and Outcomes Among Patients in a Turkish Hospital : A Cross-sectional, Retrospective Study
    (Hmp, 2019) Bicer, Emine Kir; Gucluel, Yasemin; Turker, Mujgan; Kepicoglu, Nurcan Aslan; Sekerci, Yasemin Gumus; Say, Aysun
    Pressure ulcers (PUs) are a common problem with serious health care implications. PURPOSE: This study was conducted to assess PU prevalence, incidence, clinical features, nursing care measures, and patient variables and outcomes among inpatients admitted to 13 internal medicine departments at a university hospital in Turkey between 2010 and 2014. METHODS: Using a cross-sectional, retrospective design, records of all hospitalized patients were reviewed and records from patients with a PU abstracted. Patient demographics, diagnosis, Braden Scale score, and PU information were abstracted from patient files/electronic records. Data were collected to an electronic data collection form between January and December 2015 and analyzed using descriptive statistics, chi-squared, one-way analysis of variance, and Student's t test. RESULTS: From a population of 20 175 patients, the records of 664 patients showed the presence of a PU; the total PU prevalence rate was 3.3% and the overall PU incidence rate for 5 years was 1.8%. Ulcers were most often Stage 1 (326. 49.1%), located at the sacrum (364, 54.8%), and hospital-acquired (370, 55.7%; 175 (56%) of PU patients were oncology patients, followed by dementia/Alzheimer's patients (31, 9.2%). A significant relationship between Braden scores and general diagnoses was found (P <.01). CONCLUSION: PU incidence was highest in patients with cancer and patients >65 years old, and patients with a diagnosis of dementia/Alzheimer's were at highest risk. Many patients outside of acute care settings have a PU. Risk assessments should be conducted and appropriate nursing interventions should be provided during facility admission and follow-up care. Prospective studies on the prevention of PU development in patients at risk are warranted.
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    Skin assessment
    (Nova Science Publishers, Inc., 2023) Bicer, Emine Kir
    The skin is one of the largest and most versatile organs of the human body, accounting for approximately 16% of body weight. It is the main interface between the internal organs and the external environment. Although it is the outer covering of the body, the skin can provide information about what is going on inside the body. Therefore, assessing the skin and maintaining its integrity are important independent tasks of nurses. © 2023 by Nova Science Publishers, Inc. All rights reserved.