Sürdürülebilir Kalkınma Amaçları
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- MakaleAçık Erişim2025Scopus SJRQ1The effect of dietary education on attitudes and behaviors in hemodialysis patients: A randomized trial
Akeren, Zahide; Çakmak, Vahide Semerci; Kalyoncuo, Servet
Background: Hemodialysis patients are at high risk for poor dietary status, primarily due to limited adherence to complex dietary regimens. Inadequate adherence may lead to complications and negatively adversely affect treatment outcomes. Promoting positive dietary attitudes and behavioral change is essential to improve health in this population. Aim: This study aimed to evaluate the impact of a structured dietary education program on dietary attitudes, daily diet intake, and vital signs in hemodialysis patients. Methods: The study was conducted between December 15, 2023, and March 27, 2024, with 34 patients (17 experimental, 17 control) receiving treatment at a public hospital in northeastern Turkey. Data were collected using the Patient Information Form, 24-Hour Diet Recall, Attitude Scale for Dietary Therapy of Hemodialysis Patients (ASDTHP), and Vital Signs Form. The experimental group received structured dietary education in two weekly 40-min sessions. Analyses were performed using BeBIS 9.0 and SPSS 25. Results: The mean age of participants in the experimental group was 59.94 ± 11.80 years; 64.7 % were male, and 64.7 % were primary/middle school graduates. In the experimental group, significant improvements were found in the total ASDTHP score, including the cognition-influenced and diet culture-related behavioral subdimensions (p < 0.05). Additionally, post-intervention analysis showed showed statistically significant reductions in systolic blood pressure, and pulse rate and increase in potassium intake (p < 0.05). Conclusion: Dietary education improved dietary attitudes and positively influenced certain vital signs, including blood pressure, in hemodialysis patients. However, it did not lead to statistically significant changes in other macronutrient and micronutrient intake variables.
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İncele - MakaleAçık Erişim2024Scopus SJRQ1The Effects of Virtual Reality Intervention Before Total Knee Arthroplasty on Pain, Anxiety, and Vital Signs
Güneş, Hüseyin; Sarıtaş, Serdar
Objective: In this study, the effects of a virtual reality intervention before total knee arthroplasty on pain, anxiety, and vital signs were investigated. Methods: This randomized controlled study with a pretest-posttest design was conducted with 130 patients included in experimental (n = 65) and control (n = 65) groups. Data were collected using a patient information form, the numeric rating scale (NRS), a vital signs form, and the state anxiety inventory. The patients in the experimental group watched a 20-minute video consisting of sea, forest, waterfall, and animal visuals using virtual reality goggles. Vital signs were recorded before and after the intervention. Vital signs were recorded on the same timeline in the control group, without any intervention. Results: The patients in the experimental group displayed lowered anxiety and pain levels and improvements in their vital signs, except for temperature. There were statistically significant differences between the experimental and control groups, except for temperature and diastolic blood pressure (p < .05). Conclusion: The virtual reality intervention reduced pain, anxiety, systolic and diastolic blood pressure, heart rate, and respiratory rate. It is recommended to be implemented before surgery.
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