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GÝRÝÞ ve AMAÇ: Bu çalýþmanýn amacý, annelerin duygusal yakýnlýkta yaþadýklarý engeller ve kolaylaþtýrýcý faktörler ile ilgili deneyimlerini ve algýlarýný, onlarýn bebekleri Yenidoðan Yoðun Bakým Ünitesinde yattýðý zaman içerisinde duygusal yakýnlýk ile ilgili hissettiklerini açýklamaktýr.
YÖNTEM ve GEREÇLER: Çalýþmada odak grup yöntemi kullanýldý. Yenidoðan yoðun bakým ünitesinde anne odasýnda kalan ve çalýþmaya katýlmayý kabul eden toplam dokuz anne çalýþmaya katýldý. Verilerin toplanmasýnda yarý yapýlandýrýlmýþ duygusal yakýnlýk formu kullanýldý. Görüþme boyunca ses kaydý alýnarak anneler ile uygun bir ortamda yüz yüze görüþme tekniði kullanýldý.
BULGULAR: Çalýþmada anneler duygusal yakýnlýk hissetmelerini engelleyen, bebekleri ile olma ve onlara dokunabilmeyi engelleyen sýkýntýlý durumlar tanýmladýlar. Anneler özellikle bebekleri ile yüz yüze olma ve göz kontaðý kurmanýn önemini vurguladýlar. Dokunmak, bebekleri olduðunu hissetmenin ve duygusal yakýnlýk hissetmeyi artýrýcý bir faktör olarak bildirildi. Anneler emzirmenin bebeklerine karþý duygusal yakýnlýk hissetmenin en aktif yolu olduðunu vurguladý.
TARTIÞMA ve SONUÇ: Bu çalýþmadan elde edilen bulgular, annelerin bebeklerine duygusal yakýnlýðýný kolaylaþtýracak veya azaltabilecek koþullar ve ne zaman ve nasýl duygusal yakýnlýk hissedebilecekleri ile ilgili bilgi vermektedir.

INTRODUCTION: The aim of this study was to explore perceptions and experiences of mothers with regard to the barriers and facilitators to emotional closeness and mothers’ feelings of emotional closeness when their newborn infants are cared for in neonatal intensive care units.
METHODS: This study applied a focus group methodology. The study group included a total of nine mothers who were staying in the Mother Room of the neonatal intensive care unit and agreed to participate in the study. For collection of data, a semi-structured emotional closeness form was administered through face-to-face interviews conducted with the participants in a suitable physical environment. A voice-recording device was used during the interviews.
RESULTS: In this study, the mothers described the main barrier preventing them from feeling emotionally close to their newborn as the inability to touch and be with their newborn in the units. They defined emotional closeness as the mutual recognition achieved between mother and child through physical closeness. The mothers further emphasized the importance of being face-to-face and having eye contact with their child, and they believed that touching increased maternal feelings of emotional closeness, as it provided the reality that this was their baby. Breastfeeding was another feature highlighted by the mothers as being an activity that made them feel emotionally close to their newborn infants.
DISCUSSION AND CONCLUSION: The findings from this study overall showed that when and how mothers feel emotionally close is grounded in the experiences and conditions that serve to either facilitate or debilitate emotional closeness.

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GÝRÝÞ ve AMAÇ: Araþtýrma psikiyatri servisinde yatarak tedavi gören hastalarýn içselleþtirilmiþ damgalanma ve yalnýzlýk düzeyleri arasýndaki iliþkiyi incelemek amacý ile yapýlmýþtýr.
YÖNTEM ve GEREÇLER: Araþtýrmanýn evrenini doðuda bulunan bir ildeki araþtýrma hastanesinin psikiyatri servisinde yatarak tedavi gören hastalarýn tamamý oluþturmuþtur. Evrenden örneklem seçimine gidilmemiþ ve Mart 2017–Þubat 2018 tarihleri arasýnda psikiyatri kliniðinde yatarak tedavi gören, araþtýrmaya dahil olma kriterlerine uygun olan 77 hasta oluþturmuþtur. Verilerin toplanmasýnda “Kiþisel Bilgi Formu”, “Ruhsal Hastalýklarda Ýçselleþtirilmiþ Damgalanma Ölçeði (RHÝDÖ)” ve “UCLA Yalnýzlýk Ölçeði” kullanýlmýþtýr. Veriler yüz yüze görüþme tekniði ile toplanmýþ ve SPSS paket programý ile deðerlendirilmiþtir. Ýstatistiki analizler için yüzde, ortalama, standart sapma, t testi, Mann Whitney U, Kruskall Wallis ve korelasyon analizi kullanýlmýþtýr.
BULGULAR: Ölçekler arasýnda yapýlan korelasyon analizinde Damgalanmaya Karþý Direnç alt boyutu ile yalnýzlýk arasýnda istatistiksel olarak negatif yönde bir iliþkinin olduðu belirlenmiþtir. Yabancýlaþma, Kalýp Yargýlarýn Onaylanmasý, Algýlanan Ayrýmcýlýk, Sosyal Geri Çekilme ve içselleþtirilmiþ damgalanma toplam puan ortalamalarý ile yalnýzlýk puan ortalamasý arasýnda istatistiksel olarak pozitif yönde güçlü bir iliþki olduðu saptanmýþtýr.
TARTIÞMA ve SONUÇ: Psikiyatri hastalarý içselleþtirilmiþ damgalanma nedeni ile toplumdan daha izole bir yaþam sürebilmektedir. Araþtýrmada da hastalarýn içselleþtirilmiþ damgalanma düzeyleri yükseldikçe yalnýzlýk düzeylerinin arttýðý, aksine içselleþtirilmiþ damgalanmaya direnç gösterdikçe yalnýzlýðýn azaldýðý sonucuna varýlmýþtýr. Ýçselleþtirilmiþ damgalamayý azaltarak, direnci arttýrarak hastalarýn hayata uyumlarýnýn arttýrýlabileceði söylenebilir.

INTRODUCTION: This study aimed to investigate the relationship between internalized stigmatization and social loneliness in psychiatric inpatients.
METHODS: The study population consisted of all inpatients treated in the psychiatric ward of a research hospital in a province in the east of Turkey. There was no sample selection from the group of the 77 patients who received inpatient treatment at the psychiatry clinic between March 2017 and February 2018 and complied with the inclusion criteria. The Personal Information Form, Internalized Stigma in Mental Illness Scale, and Loneliness Scale were used to collect data by a face-to-face interview technique; the data were evaluated using the SPSS 23 package program. Percentage, mean, standard deviation, t test, Mann-Whitney U, Kruskal-Wallis, and correlation analysis were used for statistical analysis.
RESULTS: In the correlation analysis of the scales, it was determined that there was a statistically negative relationship between the Stigma Resistance subdimension and loneliness, and a statistically significant positive correlation between the loneliness score, mean scores of Alienation, Approval of Stereotypes, Perceived Discrimination, Social Retraction and Resistance against Stigma.
DISCUSSION AND CONCLUSION: Psychiatric patients may have a more isolated life because of internalized stigmatization. In this study, it was concluded that the level of loneliness increased as the internalized stigmatization levels of the patients increased, but that loneliness decreased as patients resisted internalized stigmatization. By decreasing the stigma and increasing the resistance to internalized stigma, patients can increase their adaptation to active social life.

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GÝRÝÞ ve AMAÇ: Vardiyalý iþ sistemi birçok fiziksel ve zihinsel saðlýk sorununa neden olmaktadýr. Bu çalýþmada, vardiyalý çalýþma sisteminin saðlýk çalýþanlarýnýn uyku kalitesi, ruhsal durumu ve yaþam kalitesi üzerine etkilerinin araþtýrýlmasý planlanmaktadýr. Ayrýca, depresyon ve anksiyete bozukluklarý açýsýndan risk altýndaki nüfusu ve meslek gruplarý arasýndaki farklýlýklarý belirlemeyi de amaçlamaktadýr.
YÖNTEM ve GEREÇLER: Bu çalýþma Gazi Üniversitesi Hastanesinde çalýþan 219 saðlýk çalýþanýnda yapýldý. Çalýþanlar en son çalýþma sistemlerine (vardiyalý, vardiyasýz) ve meslek gruplarýna (doktor, hemþire ve diðer) göre sýnýflandýrýldý. Çalýþanlara Beck Depresyon Envanteri (BDÖ), Beck Anksiyete Ölçeði (BAÖ), Pittsburg Uyku kalitesi Ýndeksi (PUKÝ), Sabahçýl-Akþamcýl Anketi (SAA), Algýlanan Stres Ölçeði (ASÖ) ve Çalýþanlarý için Yaþam Kalitesi Ölçeði (ÇYKÖ) uygulandý.
BULGULAR: Vardiyalý çalýþanlarda vardiyasýz çalýþanlara göre BDÖ (p<0.001), BAÖ (p<0.001), ASÖ stres algýsý alt boyutu (p=0.032), PUKÝ (p<0.001) ve ÇYKÖ tükenmiþlik alt boyutu (p<0.001) puanlarý anlamlý derecede yüksekti. Katýlýmcýlar meslek gruplarýna göre analiz edildiðinde, BAÖ puanlarý hemþirelerde anlamlý olarak daha yüksekti (p=0.001). Stres algýsý ve tükenmiþlik hekimlerde anlamlý olarak yüksek bulundu (sýrasýyla, p=0.003; p=0.005). Meslekler arasýnda BDÖ ve mesleki memnuniyet açýsýndan anlamlý fark yoktu (sýrasýyla p=0.101; p=0.778). Regresyon analizinde, BDÖ ve BAÖ puanlarýnýn en önemli yordayýcýsý 41 saat veya daha fazla çalýþmaktý. PUKÝ skorunun en önemli belirleyicisi vardiyalý çalýþma sistemi idi.
TARTIÞMA ve SONUÇ: Bu sonuçlara göre, özellikle vardiya halinde çalýþan hemþireler ve doktorlar, depresyon, anksiyete ve uyku bozukluklarý açýsýndan ciddi risk altýndadýr. Bir risk faktörü olan sigara içme konusunda çalýþanlarýn farkýndalýðý artýrýlmalýdýr. Saðlýk çalýþanlarý, ruhsal hastalýklarýn oluþmasýný önlemek için stres yönetimi ve uyku hijyeni konusunda eðitilmelidir.

INTRODUCTION: Shift work system causes many physical and mental health problems. This study aimed to investigate the effects of shift work on sleep quality, mental status, and quality of life of healthcare personnel. It also aimed to determine the population at risk for depression and anxiety disorders by assessing differences among the occupational groups.
METHODS: This study was carried out with 219 healthcare personnel at Gazi University Hospital. Employees were classified according to their more recent working schedule (shift, non-shift) and occupational groups (doctor, nurse, and other). Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Pittsburg Sleep Quality Index (PSQI), Morningness-Eveningness Questionnaire (MEQ), Perceived Stress Scale (PSS), and Professional Quality of Life Scale (ProQOL) were administered to the employees.
RESULTS: The BDI (p<0.000), BAI (p<0.001), PSS stress perception subscale (p=0.032), PSQI (p<0.001), and ProQOL burnout subscale (p<0.001) scores were significantly higher in shift personnel than non-shift personnel. When the participants were analyzed according to occupational groups, BAI scale scores were significantly higher in nurses (p=0.001) than doctors or others, whereas stress perception and burnout were significantly higher in physicians (p=0.003; p=0.005, respectively). There was no significant difference between the occupational groups in terms of BDI and occupational satisfaction (p=0.101; p=0.778, respectively). In the regression analysis, the most important predictor of the BDI and BAI score was working 41 hours or more. The most important predictor of the PSQI score was shift work.
DISCUSSION AND CONCLUSION: According to these results, especially nurses and doctors working in shifts are at serious risk for depression, anxiety, and sleep disorders. Employees’ awareness should be increased regarding the associated risk of smoking, which is a risk factor. Health care workers should be trained in stress management and sleep hygiene to prevent the occurrence of mental illnesses.

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GÝRÝÞ ve AMAÇ: Bu çalýþma hemþirelerin aleksitimi düzeylerini ve aleksitiminin tükenmiþlik, öfke ve somatizasyon ile iliþkisini incelemek amacýyla yapýlmýþtýr.
YÖNTEM ve GEREÇLER: Ýliþkisel tanýmlayýcý tipte olan çalýþma 3–28 Þubat 2014 tarihleri arasýnda, Ýstanbul Anadolu Kuzey Kamu Hastaneleri Birliðine baðlý tam teþekküllü dört eðitim ve araþtýrma hastanesinde çalýþan hemþireler ile yürütülmüþtür (n=339). Araþtýrma verileri “Kiþisel Bilgi Formu”, “Toronto Aleksitimi Ölçeði”, “Maslach Tükenmiþlik Ölçeði”, “Spielberger Sürekli Öfke ve Öfke Ýfade Tarzý Ölçeði” ve “SCl-90 Somatizasyon Alt Ölçeði” ile toplanmýþtýr. Verilerin deðerlendirilmesinde tanýmlayýcý istatistikler (ortalama, sayý, yüzde daðýlýmlarý) ve Kruskall Wallis testi, Mann-Whitney-U testi ve Spearman’s Korelasyon analizi kullanýlmýþtýr.
BULGULAR: Çalýþmaya katýlan hemþirelerin, yaþ ortalamasýnýn 30.8±7.3, %91.2’sinin kadýn ve %28.6’sýnýn orta düzeyde aleksitimik olduðu bulunmuþtur. Aleksitimik hemþirelerin tükenmiþlik puaný (p<0.05), öfke puaný (p<0.01) ve somatizasyon puan ortalamalarý (p<0.01) aleksitimik olmayan hemþirelerden daha yüksektir. Aleksitimi ile tükenmiþlik (r=0.18; p<0.01), öfke (r=0.34; p<0.01) ve somatizasyon (r=0.32 p<0.01) arasýnda pozitif bir iliþki olduðu saptanmýþtýr.
TARTIÞMA ve SONUÇ: Çalýþma bulgularý hemþirelerde aleksitimi düzeyinin yüksek olduðunu, aleksitimi puaný arttýkça tükenmiþlik, öfke ve somatizasyon düzeylerinin de arttýðýný göstermiþtir.

INTRODUCTION: The aim of the study was to evaluate the alexithymia levels of nurses and the relationship between alexithymia and burnout, anger, and somatization.
METHODS: This correlational descriptive study was conducted with 339 nurses working in four training research hospitals between February 3 and 28, 2014. Data were collected using the Demographic Questionnaire, Toronto Alexithymia Scale, Maslach Burnout Inventory, State-Trait Anger Expression Inventory, and SCl-90 somatization subscale. The analysis of the data was performed using descriptive statistics, the Mann-Whitney U test, Kruskal-Wallis test, and Spearman's correlation.
RESULTS: The mean age of the nurses participating in the research was 30.8±7.3, 91.2% were female, and 28.6% (n=97) had moderate alexithymia. The alexithymic nurses had higher burnout (p<0.05), anger (p<0.01), and somatization (p<0.01) scores than those who did not exhibit alexithymia. A positive weak relationship was found between the alexithymia scores and burnout (r=0.18; p<0.01), anger (r=0.34; p<0.01), and somatization (r=0.32; p<0.01) scores.
DISCUSSION AND CONCLUSION: The findings of the study showed that the level of alexithymia in nurses was high and the level of burnout, anger, and somatization increased as the alexithymia score increased.

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GÝRÝÞ ve AMAÇ: Bu çalýþma, Türk radyasyon onkolojisi hemþirelerinin otonomi düzeyi, iþ doyumu ve iþle ilgili özellikleri arasýndaki iliþkiyi ortaya koymak amacýyla yapýlmýþtýr.
YÖNTEM ve GEREÇLER: Bu tanýmlayýcý, kesitsel çalýþma, üniversite, devlet ve özel hastanelerde görev yapan 138 radyasyon onkolojisi hemþiresinin katýlýmý ile gerçekleþtirilmiþtir. Veriler, demografik özellikler ve 30-maddeli Hemþirelik Aktivite Ölçeði’ni içeren soru formu kullanýlarak elde edilmiþtir. Hemþirelerin mesleki otonomi ve iþ doyumu algýsý üzerine etki eden etmenler çoklu lojistik regresyon analizi ile incelenmiþtir.
BULGULAR: Radyasyon onkolojisi hemþirelerinin mesleki otonomi algýsý ve iþ doyumu orta düzeyde bulunmuþtur. Hemþirelerin mesleki otonomisi üzerine deneyim, yönetici/eðitimci olma ve eðitimin etkili olduðu (sýrasýyla OR: 2.90, 2.62, 2.56) belirlenmiþtir. Hemþirelerin iþ doyumuna ise çalýþtýklarý hastane türü, algýlanan profesyonel otonomi düzeyi ve çalýþtýklarý pozisyonun etkili olduðu (sýrasýyla OR: 4.05, 3.23, 2.35) ortaya konmuþtur.
TARTIÞMA ve SONUÇ: Genel olarak radyasyon onkolojisi hemþirelerinin algýladýðý mesleki otonomi ve iþ doyumunun orta düzeyde olmasý ve lisans/lisansüstü düzeyde eðitim almýþ hemþirelerin otonomi düzeyini diðerlerine göre düþük algýlamasý önemli bir sorundur. Bu durum, iþ stresine ve tükenmiþliðe yol açabileceðinden, saðlýk ve hemþirelik yöneticilerinin, radyasyon onkolojisi hemþirelerinin yaptýklarý iþin gerekleri ve sorumluluklarýna uygun olacak þekilde yetkilerini artýrmalarý önerilir.

INTRODUCTION: This study analyzed the relationship between work-related variables, job satisfaction, and perceived professional autonomy in Turkish radiation oncology nurses.
METHODS: This descriptive cross-sectional study was conducted with 138 radiation oncology nurses employed at university, public, and private hospitals. Data were collected using a data collection form that included demographic variables and the 30-item Nursing Activity Scale. Multiple logistic regression analysis was used to evaluate the impact of independent variables on the perceived professional autonomy and job satisfaction of nurses.
RESULTS: The nurses’ perceptions of professional autonomy and job satisfaction were moderate. Experience, being a ward head/outpatient clinic nurse, and training affected the level of professional autonomy of nurses (OR: 2.90, 2.62, and 2.56, respectively). Additionally, the type of hospital, perceived level of professional autonomy, and position affected the level of job satisfaction (OR: 4.05, 3.23, and 2.35, respectively).
DISCUSSION AND CONCLUSION: Radiation oncology nurses with a moderate level of professional autonomy and job satisfaction and those completing undergraduate and graduate education perceived lower levels of autonomy than other nurses did, indicating a significant clinical problem. It is recommended that healthcare and nursing directors increase radiation oncology nurses’ professional autonomy based on job requirements and responsibilities because low autonomy may cause job stress and burnout.

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GÝRÝÞ ve AMAÇ: Kanser tedavisi gören adölesanlarýn benlik saygýsý geliþimi olumsuz etkilenebilir ve algýladýklarý ebeveynlik tutumlarý benlik saygýlarýný etkileyebilir. Bu çalýþma kanser tanýsýyla izlenen adölesanlarýn benlik saygýsý ve algýladýklarý ebeveynlik tutumlarý arasýndaki iliþkinin belirlenmesi amacýyla yürütülmüþtür.
YÖNTEM ve GEREÇLER: Kantitatif-tanýmlayýcý türdeki araþtýrmanýn örneklemini kanser tansýyla izlenen 12-18 yaþ arasýndaki 55 adölesan oluþturmuþtur. Araþtýrma 01.11.2012–01.06.2014 tarihleri arasýnda Gazi Üniversitesi Hastanesi Çocuk Hematoloji ve Onkoloji Servisinde yürütülmüþtür. Verilerin toplanmasýnda adölesan ve ebeveynlere yönelik tanýmlayýcý özellikler formu, hastalýk ve tedaviye iliþkin veri toplama formu, Rosenberg Benlik Saygýsý Ölçeði ve Anne Baba Tutum Ölçeði kullanýlmýþtýr.
BULGULAR: Adölesanlarýn çoðunun benlik saygýsý puanlarýnýn yüksek olduðu saptanmýþtýr (%85.5). Adölesanlarýn algýladýklarý ebeveyn tutumlarý incelendiðinde ebeveynlerin %58.2'sinin demokratik tutum gösterdiði ve %41.8'inin müsamahakâr tutum gösterdiði belirlenmiþtir. Adölesanlarýn anne baba tutum ölçeði alt boyutlarýndan aldýklarý puanlar ile benlik saygýsý puanlarý arasýnda anlamlý iliþki olmadýðý görülmüþtür.
TARTIÞMA ve SONUÇ: Adölesanlarýn benlik saygýsý düzeyleri ve algýladýklarý ebeveyn tutumlarý hastalýk ve tedavi sürecine uyumlarýný etkileyebilir. Bu nedenle adölesanlarýn fiziksel ve psikolojik iyilik hallerini etkileyen faktörlerin deðerlendirilmesi hemþirelik giriþimlerinin önemli bir bölümünü oluþturmaktadýr.

INTRODUCTION: The development of self-esteem may be negatively affected in adolescents receiving cancer treatment and perceived parenting styles may also effect their self-esteem. This study aims to determine the relationship between adolescents’ self-esteem and perceived parenting styles.
METHODS: The quantitative-descriptive study was conducted with 55 adolescents diagnosed with cancer between the ages of 12 and 18. The study was conducted in the Pediatric Hematology and Oncology Service at Gazi University Hospital between 01.11.2012–01.06.2014. Data were collected with a Descriptive Characteristics Form related to the adolescents and families, the Rosenberg Self-Esteem Scale(RSES), the Parenting Style Questionnaire (PSQ)Scale.
RESULTS: Most of adolescents had a high self-esteem score (85.5%). When the adolescents’ perceptions of parenting styles were assessed, it was determined that 58.2% of the parents exhibited democratic behavior, and 41.8% exhibited permissive behavior. There was no significant correlation between the parenting style sub-scale scores and the self-esteem scores of the adolescents (p>0.05).
DISCUSSION AND CONCLUSION: Self-esteem and perceived parenting styles of adolescents may have a significant impact on their adaptation to the illness. Therefore, assessing factors affecting the physical and psychological well-being of adolescents is an important part of nursing interventions.

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GÝRÝÞ ve AMAÇ: Bu çalýþma, bir bölge psikiyatri hastanesinin çocuk ve ergen polikliniðine tedavi olmak amacýyla baþvuran ruhsal bozukluðu olan ergenlerin tedaviye uyumlarýný deðerlendirmek amacýyla yapýldý.
YÖNTEM ve GEREÇLER: Tanýmlayýcý ve kesitsel türdeki çalýþma, Kasým 2018-2019 Kasým aylarý arasýndaki on iki aylýk süreçte bir bölge psikiyatri hastanesi çocuk ve ergen psikiyatri polikliniðinde takip edilen ve en az üç aydýr psikotrop ilaç kullanan 142 ergen ile yürütüldü. Çalýþmada verilerin toplanmasýnda Bilgi Formu kullanýldý. Verilerin deðerlendirilmesinde sýklýk, yüzdelik, ortalama ve standart sapma kullanýldý.
BULGULAR: Bu çalýþmaya katýlan ergenlerin %55.6’sý kadýn ve yaþ ortalamasý 14.51±1.98’dir. %70.4’ü çekirdek aile yapýsý içerisinde yaþayan ergenlerin %93.7’si öðrenimine devam etmektedir. Dikkat eksikliði ve hiperaktivite bozukluðu (DEHB), anksiyete bozukluðu, duygudurum bozukluðu ve psikotik bozukluk tanýlarýyla takip edilen ergenler stimulan (%50.7), antidepresan (%50.7) ve antipsikotik grubu ilaçlar kullanmaktadýr. Ergenlerin ilaçlarýný düzenli kullandýðý, çoðunlukla (%50.7) ilaç yan etkisi yaþamadýðý, ilaç yan etkisi yaþayanlarýn daha sýklýkla etkili olmayan baþ etme yöntemleri kullandýklarý, %37.3’ünün ilaçlarýný almayý hatýrlamakta zorlanmadýðý ve %24.6’sýnýn ilaç almayý kesinlikle unutmadýðý saptandý. Düzenli ilaç kullanmayý önemli bulan ergenler, kendilerini iyi ya da kötü hissettikleri zamanlarda çoðunlukla ilaçlarýný býrakmadýklarýný ifade ettiler. Ýlaçlarýný düzenli almak için sýklýkla sosyal çevrelerinden destek alma ve hatýrlatma sistemlerini (alarm, not gibi) kullandýklarý bulundu. Ergenlerin %61.3’ü randevularýna her zaman düzenli geldiðini, bazýlarý ise sýklýkla derslerine/okula devamsýzlýk yapmamak için randevularýný aksatabildiklerini belirttiler.
TARTIÞMA ve SONUÇ: Ruh saðlýðý ve psikiyatri hemþirelerinin, farklý hastalýk gruplarýnda ve daha büyük örneklemli gruplarda çocuk ve ergenlerin tedaviye uyumu etkileyen faktörleri belirleyen, bu konuda standart ölçüm araçlarý geliþtiren ve tedaviye uyumu arttýran giriþimlerin uygulandýðý müdahale çalýþmalarý yapmalarý önerilebilir.

INTRODUCTION: The aim of this study was to evaluate adherence to treatment by adolescents with mental disorders who applied to the child and adolescent psychiatry outpatient clinic of a regional psychiatric hospital.
METHODS: This descriptive and cross-sectional study was conducted with 142 adolescents who were followed while attending the child and adolescent psychiatry outpatient clinic of a regional psychiatric hospital for twelve months between November 2018 and November 2019. They had been using psychotropic medications for at least three months. In this study, an Information Form with 31 open- and closed-ended questions was used to collect the data. Frequency, percentage, mean, and standard deviation were used to evaluate the data.
RESULTS: In this study, 55.6% of the adolescents who participated were female, and the mean age was 14.51±1.98 years. 93.7% of adolescents continued their education and 70.4% lived in a nuclear family structure. Adolescents were followed up with Attention Deficit-Hyperactivity Disorder (ADHD), and the Anxiety, Mood, and Psychotic Disorders, respectively. Among them, 50.7% use stimulants, 50.7% use antidepressants, and antipsychotic medications. Adolescents used their medications regularly, most (50.7%) did not experience any side effects; those who experienced side effects more often used ineffective coping methods. 37.3% had no difficulty in remembering to take their medications and 24.6% did not forget to take them. Adolescents who found that using regular medication is important often stated that they did not give up whether they felt good or bad; they frequently used support and reminder systems (such as alarms or notes) to get their medications regularly. 61.3% of the adolescents stated that they always came to their appointments regularly; however, some stated that they could often interrupt their appointments in order not to miss classes.
DISCUSSION AND CONCLUSION: It is recommended that mental health and psychiatric nurses perform experimental studies in different groups of adolescents with mental disorders, using a larger sample in which interventions increase the adherence with treatment, determine the factors affecting the adherence to treatment, and develop standard measurement tools.

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GÝRÝÞ ve AMAÇ: Bu araþtýrmanýn amacý adölesan bireylerde irrasyonel düþünme ile öznel iyi oluþ, öz yeterlik ve engelli sosyal kabul arasýndaki iliþkiyi incelemektir. Araþtýrma iliþkisel tarama türünde bir araþtýrmadýr.
YÖNTEM ve GEREÇLER: Araþtýrma 25 Ekim 2017–17 Ocak 2018 tarihleri arasýnda 212 öðrenci ile yapýlmýþtýr. Araþtýrma verilerinin elde edilmesinde “Ergen Mantýkdýþý Ýnanç Ölçeði”, “Ergen Öznel Ýyi Oluþ Ölçeði, “Genel Öz-Yeterlik Ölçeði” ve “Sosyal Kabul Ölçeði” kullanýlmýþtýr. Ýstatistiksel analizde iliþki-korelasyon düzeyi Spearman korelasyon katsayýsý ile yorumlanmýþtýr.
BULGULAR: Adölesanlarýn irrasyonel inanýþ düzeyi ile; öznel iyi oluþ düzeyi (r=-0.265), öz yeterlik düzeyi (r=-0.265) ve engelli sosyal kabul düzeyi (r=-0.162) arasýnda negatif yönlü zayýf düzeyde doðrusal iliþki bulunmuþtur. Buna göre adölesanlarda irrasyonel inanýþlar arttýkça öznel iyi oluþ düzeyleri, öz yeterlik düzeyleri ve engelli bireylere karþý sosyal kabul düzeyleri azalmaktadýr. Ayrýca adölesanlarýn sosyal kabul düzeyi ile öznel iyi oluþ düzeyi (r=0.205) ve öz yeterlik düzeyi (r=0.260) arasýnda pozitif zayýf düzeyde doðrusal iliþki bulunmuþtur.
TARTIÞMA ve SONUÇ: Bu araþtýrmada adölesanlarda öz yeterlik, öznel iyi oluþ ve sosyal kabul arasýnda pozitif yönde iliþki bulunmuþken, irrasyonel inanýþlar ile negatif yönde bir iliþki bulunmuþtur. Bu bulgular ýþýðýnda adölesanlarda felsefik öðeleri içeren rasyonel düþünme becerisinin geliþtirilmesi önerilmektedir.

INTRODUCTION: The research aims to examine the relationships between irrational thinking and subjective well-being, self-efficacy, and social acceptance of adolescents with disabilities. The study was designed as a descriptive and correlational study.
METHODS: The research was conducted between October 25, 2017, and January 17, 2018, with 212 students. Data were collected using the “Adolescent Irrational Belief Scale”, “Adolescent Subjective Well-being Scale”, “General Self-Efficacy Scale”, and “Social Acceptance Scale”. The Spearman correlation coefficient was used in statistical analysis to determine the relationships and correlations.
RESULTS: The level of irrational beliefs in adolescents revealed that there was a negative linear correlation between the subjective well-being level (r=-0.265), self-efficacy level (r=-0.265), and social acceptance of disability level (r=-0.162). Thus, the irrational belief levels of adolescents increased with decreasing levels of subjective well-being, self-efficacy, and social acceptance of disabled people. The results obtained from the social acceptance scale revealed that there was also a positive correlation between the subjective well-being (r=0.205) and self-efficacy (r=0.260) levels of adolescents.
DISCUSSION AND CONCLUSION: Positive relationships between adolescents’ self-efficacy, subjective well-being, and social acceptance were determined in the study, while they had a negative relationship with irrational beliefs. The findings suggested that adolescents develop rational thinking skills that include philosophical items.

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GÝRÝÞ ve AMAÇ: Bu araþtýrma, hemþirelerin ve öðretmenlerin kiþilik özellikleri ile yaþam amaçlarý arasýndaki iliþkiyi belirlemek amacýyla gerçekleþtirildi. Bu çalýþmanýn bir diðer amacýný ise hemþireler ve öðretmenler arasýnda kiþilik özellikleri ve yaþam amaçlarý açýsýndan farklýlýklarý belirlemek oluþturdu.
YÖNTEM ve GEREÇLER: Tanýmlayýcý ve iliþkisel tarama modeline dayalý olarak gerçekleþtirilen bu araþtýrmanýn katýlýmcýlarýný 2015-2016 eðitim yýlýnda Van’da görev yapan 184 öðretmen ve 124 hemþire olmak üzere toplam 308 kiþi oluþturdu. Araþtýrmanýn verileri, Kiþisel Bilgi Formu, Yaþam Amaçlarý Ölçeði ve Hýzlý Büyük Beþli Kiþilik Testi aracýlýðýyla toplandý. Verilerin analizinde korelasyon ve iki yönlü ANOVA tekniði kullanýldý. Verilerin normal daðýlýma uygunluðu Kolmogorov-Smirnov analizi ile deðerlendirildi.
BULGULAR: Araþtýrma sonucunda elde edilen bulgulara göre, öðretmenlerin ve hemþirelerin kiþilik özellikleri ile yaþam amaçlarý arasýnda pozitif yönde anlamlý iliþki olduðu görüldü. Öðretmenler ve hemþireler arasýnda karþýlaþtýrma yapýldýðýnda meslek grubu ve mesleki mutluluk deðiþkenlerinin birlikte katýlýmcýlarýn duygusal denge kiþilik özelliði üzerinde anlamlý etki oluþturduðu belirlendi. Katýlýmcýlar arasýnda dýþsal amaçlar açýsýndan anlamlý farklýlýk olduðu, hemþirelerin dýþsal amaç puanlarýnýn öðretmenlerin dýþsal amaç puanlarýndan daha yüksek olduðu bulundu.
TARTIÞMA ve SONUÇ: Hemþirelerin dýþsal amaçlarýnýn öðretmenlerin dýþsal amaçlarýna göre daha yüksek düzeyde bulunduðu göz önüne alýndýðýnda ileriki araþtýrmalarda hemþirelerin dýþsal motivasyonlarý, dýþsal amaçlarý ve bu alt amaçlara etki eden deðiþkenlere yönelik çeþitli çalýþmalara yer verilmesinin yararlý olacaðý düþünülmektedir. Sonuçlara bakýldýðýnda öðretmenlerin "dýþadönüklük" ve "duygusal denge" kiþilik özelliklerinin herhangi bir alt yaþam amacýyla anlamlý iliþki göstermediði sonucu elde edildi. Bu baðlamda öðretmenlerin “dýþadönüklük” ve “duygusal denge” kiþilik özelliklerinin yaþam amaçlarý ve mesleki mutluluða etkisi nitel ve nicel bilimsel çalýþmalarla ortaya konulabilir.

INTRODUCTION: This research was carried out to determine the relationship between the personality traits and life goals of nurses and teachers, as well as determining the differences between nurses and teachers in terms of personality traits and life goals.
METHODS: This study was based on the relational screening model and consisted of 308 participants, 184 teachers and 124 nurses working in Van, Turkey during the 2015–2016 academic year. Study data were collected using a personal information form, the Life Goals Scale (LGS) and the Quick Big Five Personality Test (QBFPT). Correlation and two-way ANOVA technique were used to analyze the data. Normal distribution of the data was assessed by Kolmogorov-Smirnov analysis.
RESULTS: According to the results of the research, there was a significant positive correlation between personality traits and life goals of teachers and nurses. According to the comparison between teachers and nurses, both occupation and occupational happiness had a significant effect on the emotional stability personality trait. There was a significant difference between the participants in terms of extrinsic life goals; the extrinsic life goals scores of the nurses were higher than those of the teachers.
DISCUSSION AND CONCLUSION: The extrinsic life goals scores of the nurses were higher than those of the teachers; therefore, further research of nurses’ extrinsic motivations, extrinsic life goals and other variables affecting these sub-goals would be beneficial. The study illustrated that the teachers’ extraversion and emotional stability personality traits did not show any meaningful relationship with any subfactors of life goals. Consequently, the effects of teachers’ extraversion and emotional stability personality traits on life goals and occupational happiness can be demonstrated through qualitative and quantitative scientific studies

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GÝRÝÞ ve AMAÇ: Bu çalýþma gebelikte algýlanan sosyal destek düzeyi ile saðlýklý yaþam biçimi davranýþlarý arasýndaki iliþkinin incelenmesi amacýyla yapýlmýþtýr.
YÖNTEM ve GEREÇLER: Tanýmlayýcý ve iliþki arayýcý tipte olan araþtýrma Ýstanbul'da bir kamu hastanesinin gebe polikliniklerinde ve Non Stres Test (NST) odasýnda gerçekleþtirilmiþtir. Araþtýrmanýn örneklemini zihinsel engeli olmayan, okuma-yazma bilen, gebelikle ilgili herhangi bir riski bulunmayan 329 gebe oluþturmuþtur. Veriler Saðlýk Bakanlýðý Risk Deðerlendirme Formu, Gebe Tanýlama Formu, Çok Boyutlu Algýlanan Sosyal Destek Ölçeði (ÇBASDÖ), Saðlýklý Yaþam Biçimi Davranýþlarý Ölçeði II (SYBDÖ) ile gebelerle yüz yüze görüþülerek toplanmýþtýr. Verilerin deðerlendirilmesinde; tanýmlayýcý istatistiklerde sayý, yüzde, ortalama ve korelasyon testleri kullanýlmýþtýr.
BULGULAR: Çalýþmada gebelerin %69’u 25 yaþ üzerinde, %65.7’si 4 yýl ve üzerinde evli, %56.6’sý lise ve üzerinde eðitim düzeyinde, %75.4’ü sosyal güvenceye sahip ve %87.5’i çalýþmamaktadýr. Gebelerin ÇBASDÖ toplam puan ortalamasý 53.86±20.21 bulunurken, alt boyutta ‘‘ Aile Desteði’’ 23.06±5.75 puan ile en yüksek düzeyde saptandý. Gebelerin SYBDÖ II toplam puan ortalamasý ise 124.44±24.87 bulunurken, alt boyutta ortalama 25.11±4.63 puan ile en yüksek “Manevi Geliþim” bulunurken ortalama13.08±4.57 puan ile en düþük “Fiziksel Aktivite” bulunmuþtur. ÇBASDÖ ve alt boyut puan ortalamalarý ile SYBDÖ II toplam puan ve alt boyut puan ortalamalarý arasýnda pozitif yönlü anlamlý bir iliþki belirlenmiþtir (p<0.05).

TARTIÞMA ve SONUÇ: Bu sonuçlara göre sosyal destek ile saðlýklý yaþam biçimi davranýþlarý arasýnda olumlu iliþki saptanmýþtýr. Olumlu aðlýk davranýþlarýnýn geliþtirilmesinde hekim, hemþire, aile ve arkadaþ çevresinin etkili olduðu söylenebilir. Hemþirelerin, eðitim ve danýþmanlýk hizmeti kapsamýnda; saðlýklý yaþam biçimi davranýþlarý geliþtirmede sosyal destekten yararlanmasý ve konu ile ilgili müdahale çalýþmalarýnýn yapýlmasý önerilir.

INTRODUCTION: This study was performed to determine the effects of perceived social support on the healthy lifestyle behaviors of pregnant women.
METHODS: This descriptive study was conducted in a gestational outpatient clinic and a non-stress test room at a state hospital in Istanbul. The study sample included 329 literate pregnant women who did not suffer from any psychosocial issues or have any pregnancy related risks. The data were collected in face to face interviews using a Risk Assessment Form of the Turkish Ministry of Health, the Pregnant Women Identification Form, Multidimensional Scale of Perceived Social Support, and the Health Promotion Lifestyle Profile II. Statistical analyses of obtained data were analyzed with the descriptive statistics numbers, percentages and mean and correlation tests.
RESULTS: In the study, 69% of the pregnant women were over 25 years of age, 65.7% had been married for 4 years or more, 56.6% were high school graduates or had a higher level of education, 75.4% had health insurance and 87.5% were unemployed. The mean score for the Multidimensional Scale of Perceived Social Support was 53.86±20.21 and the highest score of 23.06±5.75 was for the familial support subscale. The mean score for the Health Promotion Lifestyle Profile II was 124.44±24.87. The highest score of 25.11±4.63 was on the spiritual growth subscale and the lowest score of 13.08±4.57 on the physical activity subscale. The scores for the Multidimensional Scale of Perceived Social Support and its subscales had a significant positive relation with the scores for Health Promotion Lifestyle Profile II and its subscales (p<0.05).
DISCUSSION AND CONCLUSION: According to these results, a positive relationship was found between social support and healthy lifestyle behaviors of pregnant women. It can be said that the environment with physicians, nurses, families and friends is effective in developing positive health behaviors. Within the scope of education and consultancy services of nurses; forming this positive relationship is recommended in order for pregnant women to benefit from social support in helping to develop healthy lifestyle behaviors and to conduct intervention studies on the subject.

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