Journal of Psychiatric Nursing - J Psy Nurs: 5 (3)
Volume: 5  Issue: 3 - 2014
1. Frontmatter

Pages I - III

2. Editorial

Page IV

EXPERIMENTAL RESEARCH
3. The Effects of Progressive Relaxation Exercises Applied with Music Before Coronary Angiography and Percutaneous Transluminal Coronary Angioplasty on the State and Trait Anxiety of People
Özgür Demir, Hülya Arslantaş
doi: 10.5505/phd.2014.78942  Pages 113 - 121
OBJECTIVE: This study was carried out to identify the effects of progressive relaxation exercise that is applied with music before coronary angiography and percutaneous transluminal angioplasty on the state and trait anxiety of people.
METHODS: It is a semi-experimental investigation and preliminary test- ultimate test is designed in the control group order. The sample size was 50 for each group and it was applied to a total of 150 patients that consisted of 50 coronary angiography patients in the experimental group, 50 percutaneous transluminal coronary angioplasty patients in the experimental group and 50 patients in the control group. The patients taking part in the research completed a Personal Information Form and State and Trait Anxiety Scale before the procedure. After completing these forms, progressive relaxation exercise with music was applied on coronary angiography and percutaneous transluminal coronary angioplasty patients in the experimental group for 30 minutes of the process, with no therapy applied to the control group. The researcher was with the patient during the attempt that is applied on experimental group without talking or any intervention. 30 minutes later of the process, state and permanence anxiety scales are filled again by all three groups.
RESULTS: After the progressive relaxation exercise with music, a decrease was seen on the state and trait anxiety levels of people in the coronary angiography and percutaneous transluminal coronary angioplasty experimental group members, but there was no change for control group.
CONCLUSION: Progressive relaxation exercise with music was applied before coronary angiography and percutaneous transluminal coronary angioplasty procedures at Cardiology Service and can decrease the anxiety levels of these individuals dramatically. We believe it must be part of the Cardiology Service routine. The nurses must be responsible for it as primary implementers.

QUALITATIVE RESEARCH
4. An Identification of Mental Problems Experienced by Adults in a Rural Area
Ebru Dığrak, Deniz Koçoglu, Belgin Akın
doi: 10.5505/phd.2014.35220  Pages 122 - 128
OBJECTIVE: The purpose of this descriptive study was to identify the mental state of 18 to 65-year-olds in a rural area and to analyze associated factors.
METHODS: The sample of the study was selected through simple random sampling and contained 190 individuals. The data were collected via two instruments, namely a descriptive form, which was designed to reveal the participants’ socio-demographic characteristics and overall health status, and the Brief Symptom Inventory (BSI), which was used for identifying their mental state. The T test, one-way ANOVA and multiple regression analysis were used.
RESULTS: According to BSI, the symptoms of depression that the participants in the study had the highest mean scores in were obsessive-compulsive, interpersonal sensitivity, supplementary item and hostility in descending order whereas the ones they got the lowest mean scores in were phobic anxiety and psychoticism. The participants had low mean scores in Global Severity Index (GSI) while they had nearly intermediate mean scores in Positive Symptom Distress Index (PSDI) and Positive Symptom Total (PST). The results of multiple regression analysis suggested that the predictive factors for the three global indices of distress were as follows: monthly income and being a member of a nuclear family for GSI, income and having a chronic disease for PST, and monthly income for PSDI.
CONCLUSION: In this study it is founded that mental disorders are much more common in rural areas; and that income and family structure are the important determinants factor that may be responsible for the occurrence of these mental disorders.

5. Investigating the Effectiveness of Education of the Fight Against Stigma on Mental Illness to Headmen
Mahire Olcay Çam, Ayşegül Bilge, Esra Engin, Zehra Baykal Akmeşe, Emel Öztürk Turgut, Nurcan Çakır
doi: 10.5505/phd.2014.22931  Pages 129 - 136
OBJECTIVE: The aim of this study was to investigate the effectiveness of education of the fight against stigma on mental illness to headmen as leaders of public.
METHODS: This study was a pretest-posttest study without a control group. Individual Identification Form and Beliefs Toward Mental Illness Scale which was validated by Bilge and Çam (2008), and Scale of The Community Attitudes Towards The Mentally Illness which was validated in the study by Bağ and Ekinci (2005) were used as data collection tools. After ethics committee approval was obtained and the necessary permissions were taken from the institution the study was performed. The scales were administered before education and again after education of the fight against stigma.
RESULTS: It was found that 72.2% of headmen rarely met individuals with mental and psychological problems and 66.7% of them didn’t take action to individuals with mental problems. 33.3% of headmen expressed the first mental illness had come back to their mind as ‘insane, mental alienation, lunacy’. Statistical significant differences were found on the Goodwill Subscale between average points before and after education (Z=-2.350, p=0.019). The Community Mental Health Ideology Subscale had higher average points, and Shame Subscale had lower average points after education.
CONCLUSION: As a conclusion, the education against the stigma of mental illness in headmen was found to be effective because of positive changings in headmen’s sense of shame and attitudes towards the mentally ill.

6. Nurses’ Professional Values and Affecting Factors
Songul Göriş, Züleyha Kılıç, Özlem Ceyhan, Arzu Şentürk
doi: 10.5505/phd.2014.74046  Pages 137 - 142
Objectives: This study was descriptively conducted in order to determine nurses’ professional values and affecting factors.
Methods: A total of 120 nurses who work at a governmental hospital in a city, who met the study inclusion criteria and who accepted to participate in the study were recruited. Data for the research was collected by Information Form and Professional Values Scale.
Results: According to results of the research, it was found that 57.5% of the nurses were in the 30-39 age group, 85.8% were women, 79.2% were married and 56.7% had a graduate degree. In this research, the mean score of nurses’ professional values was found to be 90.7±14.7. It has been determined that nurses’ professional values in the 40 year and older group included males that were single, had a master’s degree, had administrative tasks, were members of an association, participated in scientific meetings and received training in professional values were higher than other groups but this was not statistically significant (p>0.05).
Conclusion: It was determined that mean score of nurses’ professional values was found to be above the middle level. According to these results, it is suggested that training on professional values should be planned for nurses and comprehensive studies should be conducted.

7. The Determination of Treatment Adherence and Affecting Factors Among a Group of Patients with Schizophrenia
Gül Dikeç, Yasemin Kutlu
doi: 10.5505/phd.2014.02886  Pages 143 - 148
OBJECTIVE: The aim of this study is to determine treatment adherence and related factors in patient with schizophrenia.
METHODS: The sample of the study was composed of 35 patients with schizophrenia, between the ages of 18-65 that were outpatient and accepted to take part in the study from March-April 2013 in 4 Schizophrenia Association in Istanbul. Study data was obtained with the Medication Adherence Rating Scale (MARS), Internalized Stigma of Mental Illness Scale (ISMIS), Beck Cognitive Insight Scale (BCIS) and Multidimensional Scale of Perceived Social Support (MSPSS).
RESULTS: The mean age of the sample was 40.83±7.25. 85.7% were male and 40% were high school graduates. The mean score of MARS was found to be 6.8±1.20. There were no significant differences between genders or education; however there was a significant difference between economical status and MARS. There is no correlation between age, duration of disorder, the total number of hospitalizations and MARS, and also there is no correlation between MARS and ISMI, BCIS, MSPSS. There was a significant correlation between ISMI and BCIS.
CONCLUSION: Treatment adherence was found to be poor in patients with schizophrenia who participated in this study. Therefore it is important that determination of the affecting factors of treatment adherence by mental health and psychiatric nurses and working with non-governmental organizations to improve treatment adherence.

8. Turkish Youth’s Perception of Sexuality / “Honor” in Relation to Women
Elif Gürsoy, Hediye Arslan Özkan
doi: 10.5505/phd.2014.18480  Pages 149 - 159
OBJECTIVE: This study was carried out to investigate senior year undergraduate students’ attitudes regarding the perception of honor in relation to women, and the factors influencing those attitudes in Turkey.
METHODS: This cross-sectional study was undertaken between the dates of March 1 and May 31, 2008 and included 1167 persons (5.17%) pursuing their undergraduate degrees at 8 different universities, all of whom agreed to participate in the study. The study data was collected by means of the “Attitude Scale for the Women-Related Conception of ‘Honor’” (ASWRCH), together with a Personal Information Form which sought to identify the socio-demographic characteristics of students.

RESULTS: It has been determined that the students’ attitudes regarding the perception of honor in relation to women are influenced by three main factors: their sex, the type of high school that they graduated from, and the educational status of their parents. Female students scored better compared to males, graduates of all other types of high schools scored better compared to religious vocational high school graduates, and those with parents of higher educational level scored better in terms of the points they received in the attitude scale regarding the perception of “honor” in relation to women.
CONCLUSION: These findings suggest that, in the case of women, the concept of “honor” is perceived as almost synonymous with abstinence from premarital and extramarital sexual activity, and that especially male students attach great importance to virginity. The findings also lead us to believe that the formation of such attitudes among students may be more directly linked to the established cultural conceptions around “honor” which are prevalent in their families and the society, rather than to the process of university education.

REVIEW
9. Resiliency and Creativity in Psychiatric and Mental Health Nursing
Olcay Çam, Emel Öztürk Turgut, Ayşe Büyükbayram
doi: 10.5505/phd.2014.64326  Pages 160 - 163
Resiliency can be defined as the power of a person to put the pieces of herself/himself together and adapt herself/himself to her/his new life after traumatic events. People may go through the same traumatic events but psychological problems and their intensity may differ. Resiliency plays an important role in such cases. Resiliency is closely related to creativity which comprises self-confidence, flexibility, critical thinking, inventiveness and high-level awareness. Creativity does increase resiliency. Nurses frequently experience and witness stressful life events which, indirectly, traumatize them. This is especially true of mental health nurses that work with patients who are stigmatized, have difficulties in communication and have experienced traumatic life events, with indirect trauma being significant. Therefore, the resiliency of mental health nurses must be improved in order to protect their own mental health and help them develop appropriate approaches to those who have been traumatized. This article aims to study the importance of these two terms for psychiatric and mental health nurses for themselves and patients and the relation between them.

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