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Öğe Anger and Temperament Characteristics of a Group of Health Workers: A Relational Analysis(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2011) Keskin, Gulseren; Babacan Gümüş, Aysun; Engin, EsraAnger and temperament characteristics of a group of health workers: a relational analysis Objective: The aim of this cross-sectional, causal study was to determine the temperament characteristics, anger and associated variables of medical secretaries. Methods: The study population included medical secretaries working in a university hospital. The sample of the study included 95 individuals who agreed to participate in this research. Study data were obtained using the Socio-demographic Data Form, Temperament and Character Inventory, Trait Anger Expression Inventory. Results: Trait anger was higher in men and divorced ones. Outward anger was higher in individuals with higher level of education. A positive correlation was determined between inward anger and self-transcendence scores of participants. A negative correlation was determined between outward anger and self-transcendence, cooperation, persistence, reward dependence, harm avoidance, novelty seeking scores of participants. A positive correlation was determined between anger control and self-transcendence, cooperation, self-directedness, persistence, reward dependence, harm avoidance and novelty seeking scores of participants. Conclusion: These results show that medical secretaries have high trait anger and lack means to express anger healthily.Öğe Determining the Care Needs of Elderly Individuals Who Live in a Nursing Home According to the Functional Health Patterns Model(Kare Publ, 2012) Babacan Gümüş, Aysun; Sipkin, Sevinc; Keskin, GulserenObjectives: This study was conducted to determine the care needs of elderly individuals who live in a nursing home according to the Functional Health Patterns Model. Methods: This study was conducted in the Canakkale Cakader Danis Nursing Home with 66 elderly patients. Data were collected with an Introductory Information Form, a NANDA- Taxonomy II-Nursing Diagnosis List grouped under Functional Health Patterns, and a Standardized Short Mental Test. In the assessment of the data, number-percent distributions were used. Results: The mean age of the elderly was 76.35 years (SD=9.94). 56.1% of the elderly people were female, 93.9% of them were widows. The highest education level was primary school for 48.5% of them. 80.3% of the elderly live in the nursing home willingly, 59.1% of them have visitors, and 31.8% of them can go for visiting. 74.2% of the elderly have health insurance. The mean score of the Standardized Short Mental Test was 23.38 (SD=5.47). According to the nursing diagnosis, the most common problems in the elderly were sleep pattern disturbance (60.6%), impairment in social interaction (60.6%), fatigue (54.5%), loneliness (53%), pain (50%), self-care deficiency syndrome (50%), anxiety (40.9%), ineffective individual coping (36.4%), activity intolerance / the risk of activity intolerance (33.3%), risk of injury (33.3%), and memory impairment (30.3%). Conclusion: According to the Functional Health Pattern Model, the most common problem areas in the elderly were Activity-Rest, Coping-Stress tolerance, Cognitive-Perceptual, Security-Protection, and Self-perception. The Model of Functional Health Patterns can be used as an easy and convenient model for determining health care requirements and implementing nursing interventions for elderly people in nursing homes.Öğe Investigation of Depressive Symptoms and Related Variables with Depressive Symptoms in Alcohol and Substance Abusers(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2017) Keskin, Gulseren; Babacan Gümüş, AysunObjective: It is aimed to evaluate the bonding and personality traits which are thought to affect the level of depressive symptoms in alcohol and substance abusers. Methods: The study sample consists of 289 patients diagnosed with alcohol and substance dependence, that have been followed up at inpatient or outpatient units of Ege University, The Institute on Drug Abuse, Toxicology and Pharmaceutical Science and Ege University, Department of Psychiatry Alcohol/Drug Dependency Unit. In the study, sociodemographic data form, Beck Depression Inventory (BDI), the Temperament and Character Inventory (TCI), Experiences in Close Relationships Inventory (ECRI) were applied by means of face to face interviews. Results: The mean age of the patients in the study was 32.5 +/- 11.0 years. It was found that 76.8% of the patients had high levels of depressive symptoms (BDI>17). It was determined that there was a significant difference between the level of avoidant attachment scores and depressive symptoms scores of the patients. In the evaluation of TCI scores according to BDI cut-off scores, it was found that depressive patients (BDI>17) have significant differences on the harm avoidance, cooperate and self-transcendence scores than those non-depressive patients (BDI<17). Conclusion: Our study showed that certain personality and bonding characteristics of the patient affected the depressive symptoms levels.Öğe PAIN AND LIVING ACTIVITIES IN ELDERLY AT A NURSING HOME: AN INVESTIGATION IN TERMS OF DEPRESSION, ANXIETY AND SOMATIZATION(Gunes Kitabevi Ltd Sti, 2012) Babacan Gümüş, Aysun; Keskin, Gulseren; Orgun, FatmaIntroduction: The aim of this study was to examine pain and life activities in the elderly in terms of depression, anxiety and somatization. Materials and Method: The study was carried out in cakader Danis Nursing Home in canakkale The study was carried out with 77 elderly persons. Data were collected by Introductory Information Form, Geriatric Depression Scale, Beck's Anxiety Scale, Somatization Scale, Numerical Pain Scale, Katz Index of Independence in Activities of Daily Living and Lawton and Brody's Instrumental Activities of Daily Living Index. Results: Somatization level of the elderly having pain was higher than the ones without pain (z=-3.201, p<0.01). The elderly experiencing chronic pain had higher depression (z-2.042, p<0.05), anxiety (z=-1.995, p<0.05) and somatization (z=-3.508, p<0.01) levels than the ones experiencing acute pain. In terms of daily living activities, semi-dependent elderly persons had higher depression (z=-1.996, p <= 0.05), anxiety (z=-1.937, ps0.05) and somatization (z=-2.710, p<0.01) levels than the independent ones. Conclusion: Somatization, depression and anxiety levels of the semi-dependent elderly with chronic pain are higher.Öğe Quality of Life, Depression, and Anxiety Among Hepatitis B Patients(Lippincott Williams & Wilkins, 2013) Keskin, Gulseren; Babacan Gümüş, Aysun; Orgun, FatmaThis descriptive cross-sectional study was designed to determine the depression and anxiety levels, and their effects, on quality of life of patients with chronic Hepatitis B. Chronic infection with Hepatitis B virus has a profound effect on health-related quality of life. Medications, including interferon, that are commonly used to treat chronic viral Hepatitis B may cause depression as an adverse effect. However, little is known about the impact of depression and anxiety on quality of life in patients with Hepatitis B. A total of 96 patients aged between 15 and 61 years were included in the study. Slightly more than half of them (52%) were female. Three scales-the Beck Depression Inventory, Beck Anxiety Scale, and Short Form of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF)-were used in the study. The scores obtained from the BDS in 91.7% of the patients were above the cutoff value of 17. Moreover, 80 patients received interferon. There was a negative correlation between the physical, environmental, and cultural areas on the Beck Anxiety Scale and WHOQOL-BREF (Turkish) (p <.05). A high level of depressive symptoms was established in this study, and the physical, environmental, and cultural aspects of quality of life were determined to increase as the anxiety level increased.Öğe Sexual dysfunctions and related variables with sexual function in patients who undergo dialysis for chronic renal failure(Wiley, 2019) Keskin, Gulseren; Babacan Gümüş, Aysun; Yigitoglu, Gulay TasdemirAims and objectives To evaluate personality characteristics and psychological symptoms believed to have an effect on the sexual functions and performances of patients undergoing dialysis treatment. Background Chronic renal failure is a life-threatening condition which can often have a poor prognosis. The loss of vital kidney function and other complications can affect almost all age groups. Design A quantitative descriptive study. Methods The study sample included 225 patients selected randomly from patients who have undergone dialysis treatment for at least 3 months at a dialysis centre in a university hospital. In this study, the Golombok Rust Inventory of Sexual Satisfaction (GRISS), the Eysenck Personality Inventory (EPI) and the Brief Symptom Inventory (BSI) were used. Results In the correlation test, made to investigate the relation between the patients' sexual satisfaction and their personalities, a significant positive relation was found between the communication subscale of the GRISS and the Lie dimension of the EPI, and a significant negative relation was found between the Communication subscale of the GRISS and the Lie dimension of the EPI, and between the Vaginismus and Orgasm subscales of the GRISS and the Extroversion dimension of the EPI. Conclusion Results showed that sexual problems, in the areas of nonsensuality, anorgasmia, avoidance and communication, are associated with extroversion and psychological symptoms. Relevance to clinical practice Sexual health and the psychological well-being of patients with renal failure is an important issue that should be considered in nursing practice. Nurses should take the psychological problems of patients and their relations with partners into account and consider these problems in a holistic manner within the framework of nursing practice. They would then be able to play an effective role in intervening at an early stage and would be better equipped to help and control the psychological and sexual problems that some patients may experience.Öğe The investigation of patients with epilepsy in terms of alexithymia, sleep quality and mental symptoms(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2011) Keskin, Gulseren; Babacan Gümüş, Aysun; Engin, EsraObjective: The aim of this study was to investigate the relationships among alexithymia, sleep quality and mental symptoms in patients with epilepsy. Methods: This study was conducted with 96 patients admitted to the Epilepsy Unit of Celal Bayar University Medical Faculty Hospital as a descriptive cross-sectional study. Data were collected from Socio-demographic Data Form, The Pittsburgh Sleep Quality Index (PSQI), Toronto Alexithymia Scale (TAS) and Symptom Check List (SCL-90-R). In the analysis of data, Student's t-test, ANOVA and Pearson Correlation analysis were used. Results: The level of sleep quality of 49% of patients was poor. 41.8% of the patients was alexithymic. It was found that alexithymic patients had poor sleep quality by taking higher scores from PSQI (t=1.99, p=0.040). Alexithymic patients SCL-90-R (general symptom level) was higher than non-alexithymic patients. A positive correlation (p=0.000, r=0.560) was determined between PSQI and SCL-90-R (general symptom level) scores of patients with epilepsy. Conclusion: As a result, the level of alexithymia in patients' sleep quality was worse. Moreover deterioration in mental status of patients was found to lead to deterioration of sleep quality. (Anatolian Journal of Psychiatry 2011; 12:114-120)Öğe Turkish hysterectomy and mastectomy patients - Depression, body image, sexual problems and spouse relationships(Asian Pacific Organization for Cancer Prevention, 2011) Keskin, Gulseren; Babacan Gümüş, AysunThe aim of this study was to compare hysterectomy and mastectomy patients in terms of depression, body image, sexual problems and spouse relations. The study group comprised 94 patients being treated in Ege University Radiation Oncology Clinic, Tülay Aktaş Oncology Hospital, İzmir Aegean Obstetrics and Gynecology Training and Research Hospital for breast and gynecological cancer (42 patients underwent mastectomy, 52 patient underwent hysterectomy). Five scales were used in the study: Sociodemographic Data Form, Beck Depression Scale, Body Image Scale, Dyadic Adjustment Scale, Golombok Rust Sexual Functions Scale. Mastectomy patients were more depressive than hysterectomy patients (t=2.78, p<0.01). Body image levels of the patients were bad but there was no significant difference between the two patient groups (p>0.05). Hysterectomy patients had more problems in terms of vaginismus (t=2.32, p<0.05), avoidance of sexual intercourse (t=2.31, p<0.05), communication (t=2.06, p<0.05), and frequency of sexual intercourse than mastectomy patients (t=2.10, p<0.05). As compared with compliance levels between patients and spouses; hysterectomy patients had more problems related to expression of emotions than mastectomy patients (t=2.12, p<0.05). In conclusion, body image was negative, mastectomy was associated with more depression and hysterectomy with greater sexual problems and difficulties with spouse relationships.Öğe Turkish Hysterectomy and Mastectomy Patients - Depression, Body Image, Sexual Problems and Spouse Relationships(Asian Pacific Organization Cancer Prevention, 2011) Keskin, Gulseren; Babacan Gümüş, AysunThe aim of this study was to compare hysterectomy and mastectomy patients in terms of depression, body image, sexual problems and spouse relations. The study group comprised 94 patients being treated in Ege University Radiation Oncology Clinic, Tulay Aktas Oncology Hospital, Izmir Aegean Obstetrics and Gynecology Training and Research Hospital for breast and gynecological cancer (42 patients underwent mastectomy, 52 patient underwent hysterectomy). Five scales were used in the study: Sociodemographic Data Form, Beck Depression Scale, Body Image Scale, Dyadic Adjustment Scale, Golombok Rust Sexual Functions Scale. Mastectomy patients were more depressive than hysterectomy patients (t=2.78, p<0.01). Body image levels of the patients were bad but there was no significant difference between the two patient groups (p>0.05). Hysterectomy patients had more problems in terms of vaginismus (t=2.32, p<0.05), avoidance of sexual intercourse (t=2.31, p<0.05), communication (t=2.06, p<0.05), and frequency of sexual intercourse than mastectomy patients (t=2.10, p<0.05). As compared with compliance levels between patients and spouses; hysterectomy patients had more problems related to expression of emotions than mastectomy patients (t=2.12, p<0.05). In conclusion, body image was negative, mastectomy was associated with more depression and hysterectomy with greater sexual problems and difficulties with spouse relationships.Öğe Variables affecting interpersonal relationship styles in the emergency department: Female male nurses difference in Turkey(Elsevier Sci Ltd, 2025) Keskin, Gulseren; Gumussoy, Sureyya; Gumus, Aysun BabacanBackground: The COVID-19 pandemic has affected not only people's daily lives but also their interpersonal relationships. Aims: It is aimed to evaluate the anxiety levels and ways of distress tolerance of female and male nurses in terms of their interpersonal relationship styles during the COVID-19 pandemic period. Methods: This descriptive and comparative study was conducted with 525 nurses. Interpersonal Relationship Styles Scale (IRSS), Beck Anxiety Inventory (BAI) and Distress Tolerance Scale (DTS) were used to collect study data. Results: A significant difference was found between male and female nurses in terms of BAI (p >0.05) and DTS (p > 0.05) scale scores. A weak, positive and statistically significant relationship was found between IRSS, dominant, avoidant, insensitive, manipulative, belittling styles and BAI in women. Conclusion: It was found that the anxiety scores of female nurses were higher than those of male nurses, while male nurses had higher distress tolerance scale scores than female nurses. Implications for nursing practice and policies: Therapeutic and gender-sensitive interventions that strengthen nurses' interpersonal relationship skills during crises can reduce distress and anxiety, improve team communication, and support emotional resilience in clinical settings.
