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All Journal Universa Medicina
Cici, Remziye
Unknown Affiliation
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Limited health literacy is associated with poorer clinical outcomes in elderly with type 2 diabetes mellitus Yilmazel, Gulay; Cici, Remziye
Universa Medicina Vol 38, No 3 (2019)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (699.763 KB) | DOI: 10.18051/UnivMed.2019.v38.179-185

Abstract

BackgroundDiabetes mellitus is a significant global public health concern. Poor knowledge of disease and healthcare utilization is associated with poor health outcomes, leading to increasing burden of diabetes in many developing countries. The present study aimed to assess diabetes health literacy and clinical outcomes in elderly patients registered to the home health agency. MethodsA cross-sectional study was conducted in the city of Çorum, Turkey, with 160 type 2 diabetic patients of both sexes and aged between 50-91 years. To identify health literacy, the Rapid Estimate of Adult Literacy in Medicine test was administered to the patients. Clinical parameters were based on routine medical examinations by measuring blood pressure levels, glycosylated hemoglobin, and lipoprotein levels. In order to identify the risk of depression, the Beck Depression Scale was used. ResultsOf the patients, 85.0% had limited health literacy. The majority of patients (95.0%) had poor glycemic control and limited health literacy was associated with having high level of HbA1c (p<0.05). Adequate health literacy was associated with regular foot care (p<0.05). Also patients with limited health literacy were more likely to have depression (p<0.001). Limited health literacy increased the risk of poor glycemic control (OR=6.82;95% CI=1.34-9.78) and retinopathy (OR=6.91;95% CI=1.23-9.44). ConclusionLimited health literacy is consistently associated with poorer diabetes clinical outcomes in elderly type 2 diabetes melltius Contents of diabetes education should be arranged according to patients’ health literacy level which requires visual and auditory teaching materials for patients with limited health literacy.
Loneliness and depression levels as risk factors of pain in geriatric prostate cancer patients CICI, Remziye; YILMAZEL, Gulay; AYAZ, Nur Pınar
Universa Medicina Vol. 42 No. 3 (2023)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2023.v42.294-302

Abstract

BackgroundProstate cancer is the most prevalent malignancy among men, and psychological symptoms may affect many patients. Although much work has been carried out on loneliness, depression, and pain in geriatric prostate cancer patients, far less research has examined their associations. Therefore, the present study explored the association of loneliness and depression with pain in geriatric prostate cancer patients. MethodsA cross-sectional study was conducted involving 83 patients between the ages of 60 and 74 years, who were diagnosed with prostate cancer and were close relatives of students studying at a health sciences university. Data were collected with the Loneliness Scale for the Elderly, Beck Depression Inventory, and Numerical Rating Scale. The duration of prostate diagnosis was evaluated according to patient files. Simple and multiple logistic regression analyses were used to analyze the data. Results It was determined that the median age of the individuals included in the study was 66 years, and the median pain duration of these patients was two years. Severe pain was found in 62.7%, loneliness in 61.4%, and depression in 68.7% of the patients. Duration of diagnosis, loneliness, and depression were significantly associated with pain intensity. Depression increases the risk of pain intensity 3.41 times among patients (aOR=3.41;95% C.I.: 3.07-8.16; p=0.038) ConclusionIt was determined that duration of diagnosis, loneliness, and depression levels were risk factors for pain intensity in geriatric prostate cancer patients. Developing interventions for patients' mental states in rehabilitation studies may help alleviate the severity of pain.
Co-Authors AYAZ, Nur Pınar Yilmazel, Gulay