Türkiye Cumhuriyeti’nin kuruluş yılları, birçok savaştan yeni çıkmış olan bir devletin, aynı zamanda birçok sağlık sorunu ve bulaşıcı hastalıkla da baş etmek zorunda olduğu bir dönemdir. Bu dönemde bulaşıcı hastalıklardan en sık rastlanılan verem, sıtma, frengi, trahom, çiçek ve kuduz hastalıkları ile mücadele, o dönemin Sağlık ve Sosyal Yardım Bakanlığı’nın önemli gündem maddesi olmuştur. Daha sonraki yıllarda da Sağlık ve Sosyal Yardım Bakanları, bu hastalıklardan korunma ve tedavide büyük başarılar göstermiştir. Cumhuriyetin kuruluş döneminde, olanakların yetersizliğine rağmen başarıyla yürütülen sağlık çalışmaları, daha sonraki dönemlere de örnek olmuştur.

Amaç: Bebeklik ve erken çocukluk döneminde pek çok faktör dil gelişimini etkilemektedir. Bu çalışmada 16-36 ay arasındaki çocukların ekran maruziyetinin, ailesel bazı sosyodemografik verilerle ilişkisi ve çocuğun dil ve konuşma gelişimi üzerindeki etkisi Türkçe İletişim Gelişimi Envanteri-II (TİGE-II) ile değerlendirilmiştir. Ekran maruziyeti ve maruziyet sürelerinin, çocuktaki dil ve konuşma gelişimine etkisi incelenmiştir.Yöntem: Çalışma tek merkezli, kesitsel bir çalışmadır. 1 Ekim 2022- 1 Aralık 2022 tarihleri arasında Genel Pediatri Servislerinde takip ve tedavi edilen, çalışmaya katılma kriterlerini karşılayan 90 hasta çalışmaya dahil edilmiştir. Hastaların ve anne-babalarının sosyodemografik verileri ve ekran kullanım özellikleriyle ilgili tarafımızca oluşturulan 25 soruluk anket uygulanmıştır. Çocukların dil gelişimi düzeylerini ölçmek için TİGE-II kullanılmıştır. Veri analizi için SPSS 25.0 paket programı kullanılmıştır ve istatistiksel anlamlılık düzeyi p

Objective: In parallel with the increase in the prevalence of chronic diseases in the world, there is an increase in cancer cases. When the patients admitted to the oncology polyclinics were examined; these patients were found to be receiving support from traditional and alternative medicine methods. In this study, we aimed to analyse the factors, results, cost, and especially the status of informing physicians before using traditional and complementary medicine (TCM) in the palliative care clinic in cancer patients hospitalized in our clinic and using TCM practices. Method: The study was cross-sectional and monocenter. The questionnaire was applied to the cancer patients who were between the ages of 18-80, who were hospitalized in the Palliative Care Center of Haydarpasa Numune Training and Research Hospital, who gave verbal and written consent to participate in the study, who were hospitalized for more than three days, and who were conscious and not currently receiving curative treatment. Results: Of the patients, 29.7% stated that they applied TCM (n: 22). There was no correlation between the status of using TCM practice and age, gender, educational status and cancer stage. The most common method of TCM is phytotherapy. Of the patients, 50% used TCM method for the treatment of fatigue. Of the patients, 63.6% consulted their doctors before applying TCM method. Conclusion: The fact that patients have prejudices that they will be evaluated negatively when they inform the health personnel about the TCM method they use makes it difficult to reach the real prevalence of TCM method use. In our study, the rate of patients telling TCM use to their doctors was found to be higher than the literature. We think that the biopsychosocial patient approach in palliative care increases the incidence of patients and their complaints in the treatment process.

Introduction: The aim of this study was to investigate the impact of the COVID-19 pandemic on the anxiety level of smokers and the relationship between smoking behavior and COVID-19 anxiety level. Methods: Our study was planned as a descriptive cross-sectional survey. A 32-question...

Introduction: The need for care and palliative care increased with the prolongation of mean life expectancy. One of the most frequently observed symptoms in palliative care is pressure ulcers. We aimed to measure the knowledge levels of caregivers serving hospitalized patients in the palliative care service and to investigate their relationship with socio-demographic characteristics, especially the knowledge levels.Methods: This study enrolled 109 people providing care to patients who received inpatient palliative care between November 1 and December 31, 2018. A questionnaire including questions about socio-demographic characteristics and knowledge about pressure ulcers was administered. The pressure ulcer status of the patients was evaluated by a physician. Results: The mean age of the caregivers was 49.49 ± 10.91 years (22-69). The mean knowledge level of the participants was 70.09 ± 18.58%. The minimum score was 0, and the maximum score was 100. It was found that 62.4% of the caregivers received information about pressure ulcers in the past, 30.3% of them didn’t receive any information about pressure ulcers, and 7.3% received partial information.Conclusion: The knowledge level of the caregivers who were informed about pressure ulcers was significantly higher than those who were not informed (p=0.005). Therefore, we think that continuous education has an essential place in preventing pressure ulcers.

Objectives: Palliative care patients struggle to cope with many symptoms. Malnutrition and dehydration may develop either as a consequence of the disease itself or as a result of its treatment. Parenteral methods, such as the intravenous method, are advanced treatment options, but sometimes patients experience problems related to venous depletion. Although hypodermoclysis (HDC) has been known for a long time, it is often overlooked in clinical practice. The aim of this study was to analyse the clinical differences between the HDC method and the intravenous hydration method. Methods: This prospective, randomised clinical trial was conducted with patients treated at a Palliative Care Centre. Thirty-one patients with symptoms of venous depletion constituted the study group, while 30 patients with no venous depletion constituted the control group. After training the nurses at the Centre on the HDC method, rehydration therapy was initiated in both groups, and patient characteristics, infusion indications, the application time for both methods, infusion duration and complications were examined and analysed. Results: Complications were observed at a rate of 12.9% in the study group, compared with 36.7% in the control group. The preparation time for the HDC in the study group was 2.13±0.56 min, while in the control group, it was 8.5±4.76 min. The cost in the study group was 114.93±0 Turkish Lira, while in the control group, it was 141.73±0.05 Turkish Lira. Conclusions: The HDC method was found to be easier to perform by healthcare professionals, caused fewer complications and was less expensive than the intravenous fluid infusion method. Further prospective studies are needed.