Background: This prospective randomized controlled study is the first study that evaluates the disease-specific gamification through virtual reality (VR) glasses on pain, disability, functionality, and balance in knee osteoarthritis (OA). Materials and Methods: The demographic data of the patients were recorded. A total of 73 patients were divided into two groups (35 in experimental group and 38 in control group). All patients were evaluated with pain (visual analog scale [VAS]), functionality (Lysholm functional knee score [LFKS], 6 minutes walking test [6MWT]), disability (Western Ontario and McMaster Universities Arthritis Index [WOMAC]), and balance ( Berg Balance Scale [BBS] ) before treatment, after treatment (3th weeks), and 4 weeks after treatment (7th weeks). In the experimental group, plus the conservative treatment, a total of 15 sessions of a disease-specific gamification through VR glasses were applied. Results: VAS and WOMAC scores of the experimental group were lower at the 3th and 7th weeks than those of the control group ( P = 0.005, P = 0.000), ( P = 0.000). LFKS of the experimental group was higher at the 3th and 7th weeks than that of the control group ( P = 0.005, P = 0.013). No difference was found between the groups in terms of 6MWTs ( P > 0.05). BBS score of the experimental group was higher in the 7th week than that of the control group ( P = 0.021). Conclusion: In knee OA, the disease-specific gamification through VR glasses added to the conservative treatment has a positive effect on pain, functionality, and balance. Side effects such as mild nausea, headache that did not last long, require additional treatment. In light of this, disease-specific gamification through VR glasses is effective and safe in knee OA, more studies that reveal the long-term effect on structural healing must be planned.

Aim: Aim of this study is to investigate the effects of interactive telerehabilitation exercises in office workers with chronic nonspecific neck pain. Methods: Office workers ( n = 120) were randomly divided into three groups between February and July 2022, taking into account the inclusion and exclusion criteria, and office ergonomics training was given to all of the participants. Group 1 participants were given an interactive telerehabilitation program (strengthening, motor control, and posture correction exercises) for 45 min per day, 3 days a week, for a total of 6 weeks. Group 2 participants were trained to do the home exercise program on their own for 45 min per day, 3 days a week, for a total of 6 weeks. Only office ergonomics training was given to Group 3 patients. Results: Statistically significant improvement in pain ( p < 0.001), range of motion (ROM) ( p < 0.001), neck disability status ( p < 0.001), functional status ( p < 0.001), and quality of life ( p < 0.001) of 6-week interactive telerehabilitation application in office workers was found. Discussion: In addition to office ergonomics training, interactive telerehabilitation program is the most effective method on pain, ROM, and neck disability compared with home exercise program and office ergonomics training alone, and studies are needed on the long-term effectiveness of telerehabilitation applications and telerehabilitation treatment diversity.

Summary: It is important for postmenopausal women to acquire bone health protective behaviors to protect them from fractures. For this reason, it is necessary to evaluate bone health during menopause and to inform women. Purpose: This study was conducted to examine osteoporotic fracture protection behaviors, quality of life, and self-efficacy in postmenopausal women. Methods: In the study, the data were evaluated with the socio-demographic data form, Osteoporotic Fracture Protection Scale, Osteoporosis Self-Efficacy-Efficacy Scale, European Osteoporosis Foundation Quality of Life Questionnaire-41, which includes introductory information on socio-demographic characteristics. Results: It was determined that the postmenopausal women included in our study were between the ages of 45–92; more than half of them had chronic diseases; their average BMI was 29; and their DEXA score was − 3.00 ± 0.41. Among the people included in our study, those with a history of fractures had lower self-efficacy scores. It was determined that the fracture prevention scale scores of the participants were above the average, and the average of the osteoporosis-related quality of life score was high. In addition, it was determined that there was a strong positive correlation between self-efficacy and fracture prevention scale. Conclusion: It is important to determine behaviors to prevent osteoporotic fractures in postmenopausal women, to raise the necessary awareness and to inform patients about the precautions to be taken. It is thought that it will increase patients’ quality of life by increasing their disease-related self-efficacy. Therefore, there is a need for research on providing education to op patients and examining the results.

Aim: The study aimed to investigate the relationship between urinary incontinence quality of life and sleep quality in women over the age of 60 years. Method: This cross-sectional study was conducted between May 15 and July 5, 2013. Data were collected from a total of 332 women including 68 women from 3 nursing homes in a provincial center of Eskisehir and 269 women living alone or with family in their own homes in a street of that city. Women’s urinary incontinence quality of life was assessed using the incontinence quality of life scale and sleep quality was assessed using the Pittsburgh sleep quality index. Results: Mean age of the participating women was 71.00±7.42 years. Only 10.8% of the women had incontinence diagnosis; prevalence of anamnesis-based incontinence was 87.7%. Those who lived in their own homes, who had a urinary incontinence diagnosis, who experienced urinary incontinence according to their anamnesis, who were smokers, and who had a poor sleep quality had lower Incontinence Quality of Life Scale scores. Additionally, their quality of life was negatively affected (p<0.05). Poor sleep quality and diagnosis of urinary incontinence were important predictors of the Incontinence Quality of Life Scale of women over 60 years of age and explained 18% of the total variance. The Incontinence Quality of Life Scale scores of the women decreased by 5.67 points in the presence of poor sleep quality and 6.48 points in the presence of urinary incontinence diagnosis. Conclusion: Urinary incontinence is a common problem seen in older women, is considered as a usual problem due to aging, and is ignored or not taken care of. It also has a negative impact on the quality of life and sleep. Altmış Yaş Üstü Kadınlardaki Üriner İnkontinans Yaşam Kalitesi ile Uyku Kalitesi Arasındaki İlişkinin İncelenmesi Amaç: Bu araştırma, 60 yaş üzerindeki kadınların üriner inkontinans yaşam kalitelerinin uyku kaliteleri ile ilişkisinin incelenmesi amacıyla yapılmıştır. Yöntem: Çalışma, 15 Mayıs-5 Temmuz 2013 tarihleri arasında yürütülen kesitsel tipte bir araştırmadır. Çalışmanın verileri, Eskişehir il merkezinde bulunan üç huzurevinde (n=68) ve bu ilin bir mahallesinde kendi evlerinde ailesiyle ya da yalnız yaşayan (n=269) toplam 332 kadından toplanmıştır. Kadınların Üİ yaşam kaliteleri İnkontinans Yaşam Kalitesi Ölçeği ile uyku kaliteleri ise Pittsburg Uyku Kalitesi İndeksi ile değerlendirilmiştir. Bulgular: Çalışmaya katılan kadınların yaş ortalaması 71,00±7,42 yıldır. Çalışmamıza katılan kadınların yalnızca %10,8’inin tanısı konulmuş üriner inkontinansı varken, anamneze dayalı üriner inkontinans sıklığı %87,7’dir. Kendi evinde yaşayanların, üriner inkontinans tanısı olanların, anamnezlerine göre üriner inkontinans yaşayanların, sigara içenlerin ve kötü uyku kalitesine sahip olanların inkontinans yaşam kalitesi puanları anlamlı olarak daha düşük olup (p<0,05), yaşam kaliteleri negatif yönde etkilenmektedir. Kötü uyku kalitesi ve üriner inkontinans tanısına sahip olma değişkenleri altmış yaş üstü kadınların inkontinans yaşam kalitelerinin önemli yordayıcıları olup, toplam varyansın %18’ini açıklamaktadır. Kadınların inkontinans yaşam kalitesi puanları, kötü uyku kalitesi varlığında 5,67 puan, üriner inkontinans tanısı varlığında 6,48 puan azalmaktadır. Sonuç: Üriner inkontinans yaşlı kadınlar arasında yaygın görülen, yaşlanmaya bağlı olağan bir durum olduğu düşünülüp, saklanılan veya önemsenmeyen bir sorun olmakla birlikte, yaşam ve uyku kalitesi üzerinde olumsuz etkisi vardır. Cite this article as: Örsal, Ö., Duru, P., Ünver, G. (2020). The investigation of relationship between urinary incontinence quality of life and sleep quality in women over the age of 60 years. Florence Nightingale Journal of Nursing, 28(2), 155-163.

Objective: To investigate the impact of Complex Decongestive Therapy (CDT) on the severity of frailty and quality of life in individuals suffering from postmastectomy lymphedema syndrome.Methods: Participants who met the inclusion criteria were informed about CDT and informed consent was obtained. Edmonton Frailty Scale (EFS), extremity volüme (EV), lymphedema stage(LS), EQ-5D General Quality of Life Scale (EQ-5D-5L), and Quick Disabilities of Arm, Shoulder, and Hand (DASH) scores were evaluated by the same physician before and after treatment. A total of 15 sessions of CDT were performed for 3 weeks, five days a week. During the treatment period, hospitalized patients received guidance from a nurse on protecting the affected arm in their daily routine.Results: Eighty patients with breast cancer-related lymphedema who met the inclusion criteria were included in the study. Following a period of 3 weeks of practice and training, the specialist physician conducted the final evaluation and assessments. All patients showed a statistically significant reduction in EV, and regression in LS, EFS, and Quick DASH score (p<0.001). Statistically significant improvement was also observed in quality of life and general health status. (p<0.001).Conclusion: The application of 15 sessions of CDT and educational interventions to women with postmastectomy lymphedema syndrome due to breast cancer yielded positive outcomes. This approach led to an enhancement in patients’ functional capacity, improving their quality of life and a subsequent reduction in the severity of frailty.