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Öğe Breast Cancer Risk and Early Diagnosis Applications in Turkish Women Aged 50 and Over(Asian Pacific Organization Cancer Prevention, 2013) Ceber, Esin; Mermer, Gulengul; Okcin, Figen; Sari, Dilek; Demireloz, Mahide; Eksioglu, Aysun; Ogce, Filiz; Cakir, Dilek; Ozenturk, GulsunBackground: The aim of the study was to determine breast cancer risk and early diagnosis applications in women aged >= 50. Materials and Methods: This cross-sectional, descriptive field study focused on a population of 4,815 in Mansuroglu with a 55.1% participation rate in screening. In the study, body mass index (BMI) was also evaluated in the calculation of breast cancer risk by the Breast Cancer Risk Assessment Tool (BCRA) (also called the "Gail Risk Assessment Tool"). The interviewers had a three-hour training provided by the researchers, during which interactive training methods were used and applications were supported with role-plays. Results: The mean age of the women participating in the study was 60.1 +/- 8.80. Of these women, 57.3% were in the 50-59 age group, 71.7% were married, 57.3% were primary school graduates and 61.7% were housewives. Breast-cancer development rate was 7.4% in the women participating in the study. When they were evaluated according to their relationship with those with breast cancer, it was determined that 73.0% of them had first-degree relatives with breast cancer. According to the assessment based on the Gail method, the women's breast cancer development risk within the next 5 years was 17.6%, whereas their calculated lifetime risk was found to be as low as 0.2%. Statistically significant differences (P=0.000) were determined between performing BSE - CBE and socio-demographic factors. Conclusions: It was determined that 17.6% of the participants had breast cancer risk. There was no statistically significant difference between the women with and without breast cancer risk in terms of early diagnosis practices, which can be regarded as a remarkable finding. It was planned to provide training about the early diagnosis and treatment of breast cancer for people with high-risk scores, and to conduct population-based breast cancer screening programs.Öğe Breast Cancer Risk and Early Diagnosis Applications in Turkish Women Aged 50 and Over(Asian Pacific Organization Cancer Prevention, 2013) Ceber, Esin; Mermer, Gulengul; Okcin, Figen; Sari, Dilek; Demireloz, Mahide; Eksioglu, Aysun; Ogce, Filiz; Cakir, Dilek; Ozenturk, GulsunBackground: The aim of the study was to determine breast cancer risk and early diagnosis applications in women aged >= 50. Materials and Methods: This cross-sectional, descriptive field study focused on a population of 4,815 in Mansuroglu with a 55.1% participation rate in screening. In the study, body mass index (BMI) was also evaluated in the calculation of breast cancer risk by the Breast Cancer Risk Assessment Tool (BCRA) (also called the "Gail Risk Assessment Tool"). The interviewers had a three-hour training provided by the researchers, during which interactive training methods were used and applications were supported with role-plays. Results: The mean age of the women participating in the study was 60.1 +/- 8.80. Of these women, 57.3% were in the 50-59 age group, 71.7% were married, 57.3% were primary school graduates and 61.7% were housewives. Breast-cancer development rate was 7.4% in the women participating in the study. When they were evaluated according to their relationship with those with breast cancer, it was determined that 73.0% of them had first-degree relatives with breast cancer. According to the assessment based on the Gail method, the women's breast cancer development risk within the next 5 years was 17.6%, whereas their calculated lifetime risk was found to be as low as 0.2%. Statistically significant differences (P=0.000) were determined between performing BSE - CBE and socio-demographic factors. Conclusions: It was determined that 17.6% of the participants had breast cancer risk. There was no statistically significant difference between the women with and without breast cancer risk in terms of early diagnosis practices, which can be regarded as a remarkable finding. It was planned to provide training about the early diagnosis and treatment of breast cancer for people with high-risk scores, and to conduct population-based breast cancer screening programs.Öğe Changes in Functional Status and Physical and Psychological Symptoms in Women Receiving Chemotherapy for Breast Cancer(Asian Pacific Organization Cancer Prevention, 2008) Ogce, Filiz; Ozkan, SevgiAims: This study was planned to determine whether there were changes in breast cancer women's functional status and presence of physical and psychological symptoms before and after chemotherapy. Methods: The research sample comprised 101 women with breast cancer receiving oncology services at university hospitals (Pamukkale and Ege Universities) in two cities in western Turkey (Izmir and Denizli) who volunteered to participate in the study. The Patient and Medical Information Questionnaire, Symptoms List, and the Inventory of Functional Status-Cancer (IFS-CA) were used for data collection to determine the functional status. Results: According to the IFS-CA in the examination of the women's functional status the after chemotherapy scores were lower and significantly different for household and family activities (p<0.0001), social and community activities (p<0.0001), personal care activities (p<0.0001) and occupational activities (p<0.003). Similarly there was also a statistically significant increase in presence of physical and psychological symptoms after chemotherapy, particularly affected the personal care activities subscale of the functional status inventory. Conclusions: It was determined that the worsening of the functional status of breast cancer women was associated with chemotherapy and more physical and psychological discomforts were experienced.Öğe Comparison of Mediterranean, Western and Japanese Diets and Some Recommendations(Asian Pacific Organization Cancer Prevention, 2008) Ogce, Filiz; Ceber, Esin; Ekti, Rabia; Oran, Nazan TunaDuring the past thousands of years, food systems, and thus human diets, have been and are shaped by climate, terrain, seasons, location, culture, and technology. In this context, many types of diet patterns have emerged. Nowadays, numerous epidemiological studies are being conducted in many countries in order to find relationships between empirically identified dietary factors and the occurrence of illnesses. Today, some dietary patterns are described as healthy eating models while others are generally qualified as unhealthy.Öğe The effect of overactive bladder syndrome on the sexual life in asymptomatic continent women(Australian Nursing Federation, 2013) Alatas, Erkan; Ozkan, Sevgi; Ogce, FilizObjective Overactive bladder syndrome (OAB) is a very common problem, particularly in women, and has an effect on their daily lifestyle and sexual activity. The purpose of this study was to evaluate the effect of overactive bladder syndrome on sexual life in asymptomatic continent women who are considered to be sexually active. Design Descriptive and cross-sectional study. Setting Gynaecology and obstetrics outpatient clinic, Pamukkale University Medical Faculty, Turkey. Subject A total of 1,504 patients as research population were examined and 117 patients without gynaecological symptoms presenting to the Obstetric and Gynaecology Clinic were included in the study. Main outcome measures For data collection a questionnaire to gather socio-demographic and medical information, an assessment tool (OAB-at) and the Female Sexual Function Index (FSFI) for evaluating sexual dysfunction were utilised. Results Patients were determined as 28 continent women with OAB, 89 women without OAB. In line with this information we found the mean score of OAB positive continent women was 13.00 +/- 5.06 and the mean score of OAB negative women was 3.57 +/- 2.15. Patients with OAB had negatively impacted sexual function in the areas of arousal, lubrication, orgasm and pain. Conclusion OAB syndrome adversely affects sexual life even in continent women.Öğe Evaluation of Quality of Life of Breast Cancer Patient Next-of-kin in Turkey(Asian Pacific Organization Cancer Prevention, 2013) Ogce, Filiz; Ozkan, Sevgi; Okcin, Figen; Yaren, Arzu; Demiray, GokcenIntroduction: Quality of life (QoL) issues are of importance in relatives of women with breast cancer (BC) as caregivers in neglecting their own needs due to care of a patient and also as women regarding the potential risk of themselves developing BC. The objectives in the present study were to compare the QoL of female relatives of women in treatment for breast cancer. To date, no study had examined multi-dimensional QoL in accompanying people as compared them into two groups of female relatives whose first degree and second degree. Methods: QoL of female relatives was assessed using the Quality of Life-Family Version (QOL-FV) scale. Relationships between socio-demographic characteristics and QoL scores were analyzed using the Mann-Whitney U, Kruskal Wallis and Crosstabs tests. Results: The mean age of the female relatives was 37.6 years, and nearly 48% had a university education. It was found that first degree relatives had worse QoL in all domains except physical wellbeing than second degree relatives. Conclusion: This study showed that being female relatives of BC, especially first-degree, affect QoL negatively. Health care providers are of an important role in the stage of information related to genetic influence of BC.Öğe Evaluation of Quality of Life of Breast Cancer Patient Next-of-kin in Turkey(Asian Pacific Organization Cancer Prevention, 2013) Ogce, Filiz; Ozkan, Sevgi; Okcin, Figen; Yaren, Arzu; Demiray, GokcenIntroduction: Quality of life (QoL) issues are of importance in relatives of women with breast cancer (BC) as caregivers in neglecting their own needs due to care of a patient and also as women regarding the potential risk of themselves developing BC. The objectives in the present study were to compare the QoL of female relatives of women in treatment for breast cancer. To date, no study had examined multi-dimensional QoL in accompanying people as compared them into two groups of female relatives whose first degree and second degree. Methods: QoL of female relatives was assessed using the Quality of Life-Family Version (QOL-FV) scale. Relationships between socio-demographic characteristics and QoL scores were analyzed using the Mann-Whitney U, Kruskal Wallis and Crosstabs tests. Results: The mean age of the female relatives was 37.6 years, and nearly 48% had a university education. It was found that first degree relatives had worse QoL in all domains except physical wellbeing than second degree relatives. Conclusion: This study showed that being female relatives of BC, especially first-degree, affect QoL negatively. Health care providers are of an important role in the stage of information related to genetic influence of BC.Öğe Importance of Social Support for Functional Status in Breast Cancer Patients(Asian Pacific Organization Cancer Prevention, 2008) Ozkan, Sevgi; Ogce, FilizThe role of social support in functional status to a diagnosis of cancer was examined in 84 patients with breast cancer. Multivariate techniques were used to assess the relationships among the dimensions of social support, as measured by the Multidimensional Scale of Perceived Social Support (MSPSS), and functional status, assessed with the Inventory of the Functional Status Cancer (IFSA-CA). The results indicated significant independent associations between support and functional status outcomes, underscoring the importance of examining social support to evaluate functional status of patients. Nurses cognizant of breast cancer survivors challenges and concerns in areas of social support and are in a unique position to enhance functional status.Öğe Psychometric Analysis of the Inventory of Functional Status-Cancer (IFS-CA) in Turkish Women(Sage Publications Inc, 2009) Ozkan, Sevgi; Ogce, FilizThe aim of this study was to test the reliability and validity of the Turkish version of the Inventory of Functional Status-Cancer (IFS-CA). The questionnaire was composed of four subscales that measured to what extent a woman maintained her usual household and family, social and community, personal care, and occupational activities. Internal consistency reliability using average correlations for the subscale item to subscale total scores ranged from .21 to .97. Construct validity was accomplished by examination of subscale correlations, which ranged from -.10 to .70. The Turkish version of the IFS-CA is found to be psychometrically reliable and valid.Öğe Psychosocial stressors, social support and socio-demographic variables as determinants of quality of life of Turkish breast cancer patients(Apocp, 2007) Ogce, Filiz; Ozkan, Sevgi; Baltalarli, BaharPurpose: The aim of the present study was to investigate the effects of psychosocial stressors, social support and socio-demographic variables on quality of life of breast cancer patients. Tools and methods: The study was conducted between December 2004 and May 2005 and included 101 patients, treated in the Oncology Departments of Ege and Pamukkale University Hospitals and Denizli State Hospital. Patients' demographic data were collected by questionnaire. The methods used in the interviews were the Rotterdam Symptom Checklist (RSCL), and the Multidimensional Scale of Perceived Social Support (MSPSS), the Karnofsky Performance Status (KPS). Psychosocial stressors were classified according to life events using the DSM-IV multi-axial diagnostic system. Results: It was found that increase of cancer stage triggers a decrease in psychological quality of life (p<0,05); overall global life quality (p<0,001), perceived social support and performance status (p<0,05), all of these being negatively affected by family stressors. The patients with increased social support, better psychological and overall quality of life (p<0,01) and younger age had more physical wellness besides overall quality of life (p<0,05); lower incomes negatively affected overall global life quality (p<0,01) and working at a job decreased the psychological stressors (p<0,05). Conclusion: From these results, it can be postulated that psychosocial stressors, social support and some socio-demographic variables mostly affected quality of life of the breast cancer patients.Öğe Quality of life and sexual function of women with urinary incontinence(Wiley, 2011) Ozkan, Sevgi; Ogce, Filiz; Cakir, DilekAim: The aim of this study was to examine the urinary incontinence (UI) types on the sexual function and quality of life (QOL) of women with UI and the correlation between sexual function and QOL. Methods: The sample for this descriptive study was comprised of 122 women who presented to obstetrics and gynecology and urology outpatient clinics at university hospitals in Denizli and Izmir, Turkey, who had UI, who were sexually active, who volunteered to participate in the study, and who were chosen by a convenience sampling method. A sociodemographic data collection form, the Female Sexual Function Index (FSFI), and the Incontinence Quality of Life (I-QOL) questionnaire were used for data collection in the study. Results: The mixed type of incontinence had an effect on the women's quality of life, mixed and stress incontinence affected the FSFI's pain subscale, and the total sexual functioning score was lower for the women with mixed incontinence. Even though the correlation values were low, it was clear that there was a positive correlation between sexual function and quality of life. Conclusions: Among the incontinence types, a significant difference was determined by the FSFI and I-QOL. Urinary incontinence seems to be the predictor of sexual function and quality of life. As a result, a comprehensive assessment of patients with UI is recommended because this condition has a negative influence on their sexual function and quality of life.Öğe Why Do Men Refuse Prostate Cancer Screening? Demographic Analysis in Turkey(Asian Pacific Organization Cancer Prevention, 2008) Ceber, Esin; Cakir, Dilek; Ogce, Filiz; Simsir, Adnan; Cal, Cag; Ozenturk, GuelsuenProstate cancer is one of the most common cancers in men, with a high incidence rates in Turkey. However, the early detection and diagnosis rates are considerably lower among Turkish men as compared with their counterparts in Western countries. This fact reflects a lack of awareness and fear of prostate cancer as well as low prevention activities. To reduce the disparities in prostate cancer survival, there is a great need to increase men's participation in screening programs. The present study was performed to assess why men do not seek screening or participate in screening programs, focusing on the demographics of men refusing a free screening program for prostate cancer.
