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    The Effectiveness of Evidence-Based Aromatherapy Interventions in Uremic Pruritus; [Üremik Kaşıntıda Kanıt Temelli Aromaterapi Uygulamalarının Etkinliği]
    (Turk Nefroloji Diyaliz ve Transplantasyon Hemsireleri Dernegi, 2025) Töyer Şahin, Nilhan; Pehlivan, Seda
    Uremic pruritus is a common symptom observed in patients with end-stage renal disease undergoing dialysis treatment, impairing their quality of life. Due to the kidneys' inability to perform their functions, nitrogenous waste products accumulate in the body, leading to skin itching. The discomfort caused by itching, along with associated symptoms such as sleep disturbances, contributes to a deterioration in the overall quality of life. Although pharmacological treatments for uremic pruritus are available, their adverse pharmacodynamic and pharmacokinetic effects in patients with kidney disease make non-pharmacological approaches the preferred option for managing symptoms such as itching. Among Complementary and Integrative therapy methods, aromatherapy stands out as one of the most commonly used approaches due to its accessibility and ease of use. This article aims to discuss evidence-based aromatherapy practices for managing uremic pruritus and to discuss the findings of relevant studies. A literature review was conducted using the keywords “uremic pruritus,” “aromatherapy,” and “hemodialysis symptoms” in the MEDLINE, PUBMED, and DergiPark databases. After applying inclusion and exclusion criteria, 14 full-text studies were included in the review. The findings of the reviewed studies demonstrate that aromatherapy has a positive effect on uremic pruritus in patients undergoing dialysis. © 2025, Turk Nefroloji Diyaliz ve Transplantasyon Hemsireleri Dernegi. All rights reserved.
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    The Relationship Between Discomfort Intolerance And the Fear Of Self-Injection And Testing In Patients With Diabetes Using Insulin: A Cross-Sectional Study
    (Wiley, 2024) Sahin, Nilhan Toyer; Ek, Hulya; Pehlivan, Seda
    Background: Diabetes is a global problem. Diabetes nurses, in particular, take great responsibility in reducing and controlling the fears of individuals using insulin and increasing their capacity to tolerate discomfort. Aim: This study was conducted to examine the effects of the capacity to tolerate discomfort on the fear of self-injection and the status of testing blood glucose levels in patients with type 1 and type 2 diabetes using insulin. MethodsThis cross-sectional study was conducted between December 2022 and February 2023 with 320 adult patients with type 1 and type 2 diabetes using insulin who were followed up in the Endocrinology and Internal Medicine Clinics of a university hospital in Turkey. The data analysis process included analyses of the frequency, independent-samples t-tests, one-way ANOVA, the Kruskal-Wallis H test, and Pearson's correlation analysis. Data were analysed using the IBM SPSS v27.0 software, considering alpha as 0.05. Results: The mean total Discomfort Intolerance Scale score of the patients was 22.78 +/- 6.74, and the mean Fear of Self-Injecting and self-testing was 21.1 +/- 6.7. A negative significant correlation was found between the discomfort intolerance levels of the patients and their levels of fear of self-injection and self-testing (p < 0.05). Conclusion: Individuals with a higher capacity to tolerate discomfort have lower levels of fear of self-testing and self-injection. Therefore, the fear of self-testing and self-injection in patients using insulin injections may affect diabetes self-management. Relevance to Clinical PracticeIndividuals with low tolerance for discomfort should be identified, interventions to increase tolerance in individuals at risk should be planned, and diabetes self-management should be better supported. Reporting MethodThe reporting of the results of the study adhered to the STROBE guidelines.
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    The Turkish version of the self-care behaviors scale for rheumatoid arthritis patients: cross-cultural adaptation and psychometric evaluation
    (BMC, 2025) Dalli, Oznur Erbay; Pehlivan, Seda; Misirci, Salim; Sahin, Nilhan Toyer; Pehlivan, Yavuz
    BackgroundSelf-care behaviors play an important role in disease management and improving the health outcomes of rheumatoid arthritis (RA) patients. However, currently available Turkish instruments to measure self-care behaviors in RA patients are not disease-specific or have low reliability. The aim of this study was to adapt the Self-Care Behaviors Scale (SCBS), developed specifically for RA patients, into Turkish and evaluate its psychometric properties. MethodsThe study was conducted with 378 RA patients admitted to the Rheumatology Outpatient Clinic of a university hospital. Content validity, construct validity, internal consistency and test-retest reliability examined the psychometric properties of the scale. ResultsThe SCBS-T with its seven factors and 25 items was found to be valid (KMO = 0.957; Bartlett's test chi 2 = 6614.69, p < 0.001), to explain 67.80% of the total variance, and to have good fit indices (chi 2/df = 2.920; GFI = 0.861; CFI = 0.925; RMSEA = 0.078; TLI = 0.912; SRMR = 0.045). The scale's overall Cronbach's alpha coefficient was 0.86, while the subscales ranged between 0.74 and 0.81. One-week interval test-retest reliability was 0.81. ConclusionsThe high validity and reliability results of the SCBS-T indicate that the scale will form a strong basis for its routine use by health professionals in clinical settings and for the development of educational programs on the self-care of RA patients.