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Factors affecting anxiety, depression, and self-care ability in patients who have undergone liver transplantation

World Journal of Gastroenterology 2021年第40期27卷 6967-6984页

作者： Sami Akbulut Ali Ozer hasan saritas Sezai Yilmaz Liver Transplant Institute Inonu University Faculty of MedicineMalatya 44280Turkey Department of Public Health Inonu University Faculty of MedicineMalatya 44280Turkey Department of Surgical Nursing Siirt University Faculty of NursingSiirt 56100Turkey

BACKGROUND Depression,anxiety,and altered self-care ability are among the most important factors affecting the quality of life of liver transplant *** on the severity of the underlying liver disease,signs and symptoms of anxiety and depression may become more *** To evaluate the factors affecting depression,anxiety and self-care abilities of liver transplant *** Recipients who are≥18 years and who underwent liver transplantation at Inonu University Liver Transplantation Institute were included in this descriptive and cross-sectional *** size analysis showed that the minimum number of recipients should be 301(confidence level=95%,confidence interval=2.5,population=1382).Three hundred and twenty recipients were interviewed and 316 recipients that have answered the questionnaires accurately were *** dependent variables were the Beck Depression Scale,State-Trait Anxiety Scale(Form I and II),and Self-Care Agency *** independent variables of the study were sociodemographic characteristics,biliary complications,hepatocellular carcinoma,recommending liver transplantation to other patients,and the interval of out-patient clinic *** Self-care ability scores were lower(P=0.002)and anxiety scores were higher(P=0.004)in recipients with biliary *** the other hand,in recipients with hepatocellular carcinoma,self-care scores were lower(P=0.006)while depression(P=0.003)and anxiety scores(P=0.009)were *** transplantation recipients with a monthly income<3000 Turkish liras had higher depression(P<0.001)and anxiety(P=0.003)*** recipients who stated that they would not recommend liver transplantation to others had lower self-care scores(P=0.002),higher depression(P<0.001),higher state anxiety(P=0.02),and trait anxiety(P<0.001)*** Presence of biliary complications and hepatocellular carcinoma,low income level,and an obligation for monthly visits to the outpatient clini

关键词： Liver transplantation Biliary complications Hepatocellular carcinoma Socioeconomic status Depression Anxiety Self-care capabilities

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Attitudes,awareness,and knowledge levels of the Turkish adult population toward organ donation:Study of a nationwide survey

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World Journal of Clinical Cases 2020年第11期8卷 2235-2245页

作者： Sami Akbulut Ali Ozer Ayse Gokce Khaled Demyati hasan saritas Sezai Yilmaz Department of Public Health Inonu University Faculty of MedicineMalatya 44280Turkey Liver Transplant Institute Inonu UniversityMalatya 44280Turkey Department of Surgery An-Najah National University HospitalAn-Najah National UniversityNablus 11941Palestine Department of Surgical Nursing Inonu University Faculty of NursingMalatya 44280Turkey

BACKGROUND The most important factors affecting attitudes on organ donation are socioeconomic, educational, cultural, and religious factors in many *** To evaluate the attitudes, awareness, and knowledge levels of the Turkish adult population toward organ *** This nationwide study surveyed 3000 adults(≥ 18 years) in Turkey. To ensure a representative sample, the Nomenclature of Territorial Units for Statistics-Ⅱ(modified for Turkey) was used. Turkey was divided into 26 regions based on social, economic, and geographic criteria as identified by the Turkish Statistical Institute. A stratified sampling method was used with an even distribution of adults across cities and towns based on population data. Data were collected by the PRP Research and Consultancy Company using computer-assisted personal *** Out of 3000 individuals represented in the study population, 1465(48.8%) were male and 1535(51.2%) female. The results showed that most participants were under 45 years(59.0%) and married(72.1%), some had a bachelor’s degree or higher(21.9%), and very few(1.5%) had any direct experience with organ transplantation-whether in the family, or a family member on a transplantation waiting list. Most of the study population(88.3%) had not considered donating an organ, however, most(87.9%) said that they would accept an organ from a donor if they needed one. Among the individuals surveyed, 67% were willing to donate an organ to a close relative, while 26.8% would donate an organ to an unrelated person. Only 47.2% said they had adequate information about brain death, and 85.2% refused to consent to donating organs of family members declared brain dead. Only 33.9% thought they had adequate information about organ donation. The main source of information was the television. The two main reasons for refusing organ donation were that it was too soon to think about organ donation and the importance of retaining the integrity of the dead person’s bo

关键词： Organ donation Adult population Attitudes Knowledge levels Awareness Barriers to the organ donation

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Attitudes, knowledge levels and behaviors of Islamic religious officials about organ donation in Turkey: National survey study

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World Journal of Clinical Cases 2020年第9期8卷 1620-1631页

作者： Sami Akbulut Ali Ozer Betul Firinci hasan saritas Khaled Demyati Sezai Yilmaz Department of Public Health Inonu University Faculty of MedicineMalatya 44280Turkey Liver Transplant Institute Inonu UniversityMalatya 44280Turkey Department of Surgical Nursing Inonu University Faculty of NursingMalatya 44280Turkey Department of Surgery An-Najah National University HospitalAn-Najah National UniversityNablus 11941Palestine

BACKGROUND The most important factors affecting the decision of organ donation are socioeconomic,educational,cultural,and religious *** To evaluate Islamic religious officials’attitudes and behaviors toward and level of knowledge on organ donation and *** This study surveyed 2350 Islamic religious officials in *** ensure a representative sample,we used and modified the Nomenclature of Territorial Units for *** on the Nomenclature of Territorial Units for Statistics-II,Turkey was divided into 26 *** number of Islamic religious officials in each city and town in each of the 26 regions was proportionate to the population.A stratified sampling method based on demographic factors,such as age,marital status,and educational level,was *** were collected by PRP Research and Consultancy Company using computer-assisted personal *** Of the 2350 religious officials surveyed,59.9%were in the age group of 35-54 years;84.7%had either a bachelor’s or a master’s degree;99.7%never donated an organ;and 75.4%were not considering donating in the *** 22%of the religious officials said religious belief was their reason for not donating;45.3%did not indicate any *** 41.5%of participants considered cadaveric organ donation as the best source of organ transplantation,36.3%deemed living donor transplantation as the best ***,52.9%of participants considered donating an organ from a brain dead relative in case they were asked for permission;80.1%considered donating to a relative,if necessary;81.6%considered undergoing organ transplantation,if *** 83.7%of participants deemed organ donation as a proper human behavior;60.5%believed that it is allowed by Islam;55%said they preach for organ donation at their mosque;and 41.1%said their views of organ donation were influenced by their leaders in *** Religious officials are unsure whether or not organ donation is resp

关键词： Organ transplant Organ donation Islamic religious officials Religious beliefs Barriers to organ donation Awareness

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Differences in parents of pediatric liver transplantation and chronic liver disease patients

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World Journal of Clinical Cases 2020年第11期8卷 2162-2172页

作者： Sami Akbulut Gulsen Gunes hasan saritas Bahar Aslan Yunus Karipkiz Khaled Demyati Sukru Gungor Sezai Yilmaz Department of Surgery and Liver Transplant Institute Inonu University Faculty of MedicineMalatya 44280Turkey Department of Public Health Inonu University Faculty of MedicineMalatya 44280Turkey Department of Surgical Nursing Inonu University Faculty of Nursing'sMalatya 44280Turkey Department of Nursing Care Inonu University Faculty of Medicine Malatya 44280Turkey Department of Surgery An-Najah National University HospitalAn-Najah National UniversityNablus 11941Palestin Department of Pediatric Gastroenterology Inonu University Faculty of MedicineMalatya 44280Turkey

BACKGROUND With advancements in the treatment of chronic liver disease(CLD),including liver transplantation(LT),quality of life and satisfaction after LT have become an important issue for pediatric patients and their *** evidence-based information is needed to describe and assess the impact of pediatric CLD on parents and the satisfaction of parents with treatment to better understand their *** To assess the satisfaction of parents of pediatric LT patients and that of parents of pediatric CLD patients METHODS During this survey,data were collected from parents of pediatric patients who underwent LT between January 2010 and April 2017(LT group;n=91)and parents of pediatric patients with chronic liver disease(CLD group;n=94).Group comparisons were made based on the pediatric health-related quality of life(PedsQL)health care parent satisfaction scale,impact on family scale(IFS)and demographic *** PedsQL was administered to parents during a phone interview and the results were used to assess the health carerelated satisfaction of *** IFS was used to assess the impact of the child’s CLD status on the *** variables such as education level(elementary vs middle vs high vs university),monthly income(low vs middle vs high),and place of residence(village vs town vs city)were compared between CLD and LT parent ***,PedsQL and IFS results were also analyzed according to demographic *** A total of 185 parents aged 19 to 65 years were *** were statistically significant differences between the LT and CLD groups in terms of career(P<0.001),monthly income(P=0.016),and education level(P=0.041).According to the PedsQL results,family inclusion,communication,technical skills,emotional needs,and overall satisfaction were significantly different between the groups;the LT group had consistently higher scores(P<0.001).Additionally,scores for the IFS parameters of financial impact,familial-social impact,

关键词： Liver transplantation Pediatric liver transplantation Chronic liver disease Parent satisfaction Health-related quality of life health care parent satisfaction scale Impact on family scale

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