Urgent measures were taken for those at the age of 65 and over who were at the risk group all over the world due to the COVID-19 pandemic. It is known that many individuals at the age of 65 and over have experienced anxiety due to the uncertainties. This study aimed to determine the anxiety and death anxiety in individuals aged 65 and over who were isolation at home due to being diagnosed with COVID-19 or being in contact during the pandemic process. The study is descriptive and cross-sectional. It was performed with 656 home-quarantined individuals aged between 65–80 years with positive or negative real-time polymerase chain reaction (RT-PCR) test result. A form including questions about the death anxiety and the Coronavirus Anxiety Scale Short Form prepared by the researchers were administered to the individuals by phone call. Of the participants, 49.5% were male. Median COVID-19 anxiety score was 4 (0–18). Anxiety scores of the male and female participants were similar. Participants with negative polymerase chain reaction (PCR) results and those with death anxiety had higher COVID anxiety scores. Death anxiety has increased by 1.661 times in male gender, 1.983 times in RT-PCR positivity and 0.146 times in the presence of symptoms. Individuals with positive COVID-19 test results or those aged 65 and over who had death anxiety and negative COVID-19 test result but who were in home-isolation due to being a contact had higher anxiety score. For this reason, those with death anxiety can be supported in line with their religious beliefs to reduce anxiety. Those with negative PCR test results in quarantine can be adequately informed about the COVID-19.

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.

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Background. With the onset of the COVID-19 pandemic, discussions regarding the prevalence of COVID-19 in children and the association of this with education have started. This study aimed to determine the prevalence of COVID-19 infection in asymptomatic school children within a limited period while face-to-face education continued. Methods. This is a descriptive and retrospective study. Screening was carried out in the schools in the three major districts of the metropolitan municipality when face-to-face education was practiced. COVID-19 RT-PCR swab samples were collected from 4,658 students from 46 schools at preschool, primary, secondary, and high school levels by using the stratified sampling method. Screening results were retrospectively analyzed by the researchers. Results. The mean age of the children included in the study was 10.6 +/- 3.2 (5-17). Only 46 students' COVID-19 RT-PCR results were positive; the positivity rate was higher in male students than in female students (p>0.05); the students living in the third region had a higher positivity rate than the other students, there was a statistical difference between them (p<0.001); there were no positive cases in 26 (56.7%) schools, and the spreader rate of the school children was 0.98%. Conclusions. We determined in the study that the prevalence of COVID-19 infection was not high in asymptomatic school children in the period when schools were open. This may play a role in directing the education and training during the pandemic.

Aim: In this study, it was aimed to evaluate the effect and severity of fatigue levels in hemodialysis patients. Methods: This cross-sectional study was conducted on 130 patients who applied to Hemodialysis units between 01 November-01 December 2019. Piper Fatigue Scale, Fatigue Impact Scale, and Fatigue Severity Scale were used as data collection tools. In statistical analysis, Student's t-test and variance analysis were used. Pearson correlation coefficient was calculated to evaluate the relationship between the variables. Results: It is found that hemodialysis patients got the highest score on Piper Fatigue Scale from Piper Fatigue Scale - Affect (5.48±2.85) and patients felt moderately tired. Of the patients, 43.1% stated that ‘dialysis’ was the most important reason that contributes directly or causes their fatigue, and 23.1% stated that the best thing they found to reduce their fatigue was to sleep. Hemodialysis patients got the highest score on the Fatigue Impact Scale from the psychosocial (35.42±18.67) effect dimension. The mean score of the patients' Fatigue Impact Scale was 4.84±1.93. The Piper Fatigue Scale - Behavior, Piper Fatigue Scale - Affective, Piper Fatigue Scale - Sensory and Piper Fatigue Scale - Cognitive Dimension Scores, Fatigue Impact Scale - Cognitive, Fatigue Impact Scale - Physical and Fatigue Impact Scale - Psychosocial Dimension and Fatigue Impact Scale Total Scores and Fatigue Severity Scale Scores in Chronic Renal Failure patients with a chronic disease were significantly higher than in patients without chronic disease. The Fatigue Impact Scale - Cognitive, Fatigue Impact Scale - Physical, and Fatigue Impact Scale - Psychosocial dimensions, Fatigue Impact Scale total scores, and Fatigue Severity Scale scores in patients diagnosed with anemia were significantly higher than in those without anemia. Conclusion: In our study, patients over 65 years of age and those with chronic diseases other than Chronic Renal Failure had higher levels and greater impact and severity of fatigue. Keywords: dialysis, fatigue, severity, hemodialysis

Kronik hastalıkların ve engelliliğin sıklığı yaşlılıkta artmaktadır. Bu durum sağlık hizmeti sunumunun da değiştirilmesini gerekli kılmıştır. Akut hastalıklardan kronik hastalıkların yönetimine, tedavi odaklı olmaktan bakım ve rehabilitasyona doğru bir yönelim olmuştur. Evde bakım hastaneye transferi zor olan bireyin sağlığını korumak veya iyileştirmek amacıyla sağlanan sağlık hizmetinin tamamıdır. Bu çalışma ile Kayseri’de evde sağlık hizmetleri kapsamında yapılan işlemler ve hasta profilinin değerlendirilmesi amaçlanmıştır. Çalışmamız retrospektif ve tanımlayıcı olarak planlanmıştır. Ocak 2018-Ağustos 2020 tarihleri arasında Kayseri’de verilen evde sağlık hizmetleri değerlendirilmiştir. Hizmet alan 18512 kişinin sosyodemografik özellikleri, kronik hastalıkları, birim tarafından aldıkları hizmetin özelliği dosya tarama yöntemi ile elde edilmiştir. Hastaların yaş ortalaması 76±18.4’dür. En fazla 65 yaş ve üzeri hasta grubu hizmet almıştır. Hastaların %46.6’sı erkektir. Evde sağlık hizmeti alan hastaların en çok nörolojik hastalıkları bulunmaktadır. Hastalara toplam 36749 işlem yapılmıştır. Yara bakımı %20.5 oranında en fazla yapılan işlemdir. Hastaların cinsiyete göre yaş ortalamaları ve ölüm oranları benzerdir. Sonuç olarak, evde sağlık hizmeti alan hastaların büyük kısmını nörolojik hastalıklar ve 65 yaş üzeri hasta grubu oluşturmaktadır. En sık yapılan işlem ise yara bakımıdır. İleri yaş ve nörolojik hastalıklar başta olmak üzere birçok hasta evde sağlık hizmetlerine ihtiyaç duymaktadır. Bu çalışmada olduğu gibi hasta profili ve hizmetlerin tanımlanması etkin bir hizmet sağlanması ve gelecek çalışmalara ışık tutması açısından önem arz etmektedir.