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    Are levels of coping with stress in pregnancy with gestational diabetes worse than in healthy pregnancy?
    (Taylor & Francis Ltd, 2019) Surucu, Hamdiye Arda; Besen, Dilek Buyukkaya; Duman, Mesude; Erbil, Elif Yeter; Ay, Ishak
    Purpose: The purpose of this study was to analyze the levels of coping with stress in healthy pregnant women in comparison with the levels of coping with stress in pregnant women with gestational diabetes mellitus (GDM).Materials and methods: In the study, the descriptive cross-sectional research design was used. The study was carried out with 218 pregnant women in total.Results: It was found that the healthy pregnant women had a higher total score for coping with stress and used the self-confident coping style, one of the effective coping styles, more frequently when compared to the pregnant women with GDM (p<.001). In addition, the pregnant women with GDM used the desperate coping style, one of the ineffective coping styles, more frequently than the healthy pregnant women (p<.001).Conclusions: Diabetes education that nurses give should allow not only the nurses to evaluate the coping levels of pregnant women with GDM, but also to teach these pregnant women how to use effective coping styles.
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    Empowerment and Social Support as Predictors of Self-Care Behaviors and Glycemic Control in Individuals With Type 2 Diabetes
    (Sage Publications Inc, 2018) Surucu, Hamdiye Arda; Besen, Dilek Buyukkaya; Erbil, Elif Yeter
    This study investigated empowerment, social support, and diabetes-related characteristics as predictors of self-care behaviors and glycemic control in individuals with type 2 diabetes in Turkey. Descriptive cross-sectional and relational research designs were used in this study. The study was carried out with a cohort of 220 individuals with type 2 diabetes. Linear regression analysis revealed that patient empowerment was a statistically significant predictor of diet ( = .30; p < .001), exercise ( = .19; p = .003), blood glucose monitoring ( = .27; p < .001), foot care ( = .27; p < .001), and A1c ( = -.19; p = .004). Social support was a statistically significant predictor of diet ( = .24; p < .001), exercise ( = .26; p < .001), blood glucose monitoring ( = .16; p = .011), and foot care ( = .19; p = .003). These results indicate that social support and empowerment are important for nurses to consider when planning interventions that increase the self-care behavior of individuals with type 2 diabetes and for improving glycemic control.
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    Is spirituality an important variable as the predictor of emotional labour for nursing students?
    (Churchill Livingstone, 2019) Baksi, Altun; Surucu, Hamdiye Arda
    In the present study, the purpose was to examine nursing students' spirituality and their sociodemographic and professional characteristics as the predictor of emotional labour. In the study, the descriptive cross-sectional and relational research design was used. The study was carried out with 167 2nd, 3rd and 4th grade students from the School of Health at a state university located in Southeast of Turkey. For the analysis of the data, descriptive statistics, correlations and stepwise multilinear regression analysis were used. The results revealed that spirituality (beta = 0.198), the average academic achievement score ranging between 80 and 100 (beta = 0.152), perception of the school atmosphere to be poor (beta = -0.367) and average (beta = -0.269, p =.048) and a) increasing one's motivation by doing his or her job (Yes) (beta = 0.154) and c) being in a peaceful environment (Yes) (beta = 0.188) for psychological relaxation were found to be important predictors for the sub-dimension of in-depth behaviours of the nurses (p <.05). For the sub-dimension of superficial behaviour, perception of the school atmosphere to be poor (beta = -0.204) was a statistically significant predictor (p <.05). As for the intimate behaviour, spirituality (beta = 0.254), c) being in a peaceful environment (Yes) for psychological relaxation (beta = 0.241) and gender (being female) (beta = 0.230) were statistically significant predictors (p <.05). In order for nursing instructors and nurses to manage the nursing students' emotional labour process well, an appropriate educational and clinic environment should be established. Also, strategies considering nursing students' spiritual values and development should be developed.
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    Postcraniotomy Patients' Readiness for Discharge and Predictors of Their Readiness for Discharge
    (Lippincott Williams & Wilkins, 2020) Baksi, Altun; Surucu, Hamdiye Arda; Inal, Gulsah
    BACKGROUND: Postcraniotomy individuals should be monitored because of the direct influence on brain function as well as constraints caused by underlying illness. The relationship between demographic and clinical characteristics of postcraniotomy individuals and their readiness for discharge was examined. METHODS: A descriptive correlational study included 150 individuals. The Readiness for Hospital Discharge Scale and demographic variables were examined using descriptive statistics, correlation, and stepwise multiple linear regression. RESULTS: The mean postcraniotomy score for the subdimension of knowledge related to readiness for discharge was 5.13 +/- 3.04, and mean score for the whole scale was 7.76 +/- 1.48. The individuals' age, employment status, presence of a person to provide care at home, poor financial status, and first hospitalization during the lifetime of the patient were statistically significant predictors of their readiness for discharge. This model was statistically significant (F = 25.572, P < .001) and accounted for 57% of the variance in discharge readiness. CONCLUSION: Patients had moderate levels of readiness for discharge and low levels of discharge-related knowledge. The findings point to the importance of individual approach to the discharge planning.
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    Predictors of Empowerment in Individuals With Type 2 Diabetes Mellitus
    (Sage Publications Inc, 2018) Surucu, Hamdiye Arda; Besen, Dilek Buyukkaya
    Introduction: Type 2 diabetes is a chronic, progressive disease that has reached pandemic proportions. In Turkey, the frequency of diabetes in individuals aged 20 years or older has been reported to be 13.7% compared with the worldwide prevalence of 8.5%. Empowerment has been correlated with improvement in diabetic self-management capabilities and glycemic control. The purpose of this study was to examine predictors of empowerment in individuals with type 2 diabetes from Turkey. Method: This was a secondary analysis with a cross-sectional correlation design using stepwise linear regression to evaluate previously collected data from 220 type 2 diabetic individuals in Turkey from January through July 2014. Demographic and Disease-Related Information Form, Diabetes Empowerment Scale, and Multidimensional Scale of Perceived Social Support were used to collect the research data. Results: Being educated about diabetes (beta = .22, p < .001), high school (beta = .16, p = .007), university ( beta = .12, p =.046), age (beta = -.18, p = .003), social support (beta = .15, p =.027), employment status (beta = .13, p = .045), and A1C (beta = -.12, p = .046) were statistically significant predictors of empowerment of type 2 diabetic individuals, and these variables explained 30% of the common variance. Discussion: It is important for nurses to assess sources of social support and integrate the results of this assessment to ensure the empowerment of the patient during diabetes education. For the empowerment of diabetic individuals, attempts should be made to increase the diabetes literacy levels of diabetic individuals who have low level of education and who are in the older age group, and patients who can get employed could be directed to work life.