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    Evaluation According to the Functional Health Pattern Model and NANDA Diagnoses of Patient Care Plans Made by Nurses in a Psychiatry Department
    (Kare Publ, 2011) Sabanciogullari, S.; Ata, Elvan E.; Kelleci, Meral; Dogan, Selma
    Objectives: The aim of the study was to analyze patient care planning prepared by nurses in a psychiatry clinic according to the Functional Health Pattern (FHP) model and to evaluate the NANDA (North American Nursing Diagnosis Association) nursing diagnoses based on the data collected. Methods: This retrospective and descriptive research was carried out in a psychiatry clinic of a university hospital. The sample of this research was the nursing plan of 80 inpatients hospitalized in the psychiatry clinic between September 2008 and June 2009 and the determined nursing diagnoses in the direction of Gordon's (1982) FHP model and NANDA. Care plans made by nurses were retrospectively analyzed by researchers taking into consideration the FSO model and NANDA diagnosis system. The data were evaluated with percentage distribution. Results: Nurses collected the most data related to perceiving and managing the health (98.8%) function and activity-exercise (91.3%) function, and the least data concerning sexuality and reproduction (20%) function. When NANDA diagnoses were evaluated according to data collected by nurses, 23 different NANDA diagnoses were determined among 80 patients, and 402 NANDA diagnoses in total. When the determined diagnoses were analyzed, the most frequently observed were: 12.9% inadequacy in individual coping, 11.2% decrease in self-esteem, 10.4% failure in role performance, and 9% disorder in sleep pattern. Conclusion: It may be considered that nurses, when they used the FHP model, did not overlook the important data in evaluating the problems the psychiatric patients frequently experienced, such as inadequacy in individual coping, decrease in self-esteem, disorder in sleep pattern, and ineffective management of therapeutic regimen. However, it was observed that nurses evaluate fields such as sexual pattern and values and beliefs to a lesser degree and detect fewer problems in these areas.
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    Ideas Regarding Psychotropic Drug Use among Inpatients in a Psychiatry Clinic and after Their Discharge from the Hospital with Follow-Up by Telephone
    (Kare Publ, 2011) Kelleci, M.; Dogan, Selma; Ata, Elvan E.; Avci, Dilek; Sabanciogullari, Selma; Basegmez, Filiz; Iskey, Meral
    Objectives: This study aimed to examine the need for training among inpatients in a psychiatric clinic and their families on psychotropic drug use and to determine the drug compliance status after the patient's discharge from the hospital. Methods: The study was conducted at a psychiatric clinic of a university hospital. The respondents were 92 patients who were hospitalized from July 2008 to March 2009, who were willing to respond and who did not have any problems in comprehending or replying to the questions. The data were collected through a form covering details of the patients and their families. The form consisted of 56 questions regarding the patients' demographic details, drug therapies, and the views of the patients and their families about drug therapies and drugs. The data were collected face-to-face after the acute stage. The patients were contacted by telephone at one month and six months following their discharge from the hospital. Results: The patients were identified with the symptoms of bipolar affective disorder (31.5%), schizophrenia (26.1%), psychotic disorders (26.1%), paranoid disorders (5.4%), and psychotic depression (2.2%). It was discovered that 40.2% of the patients did not know their diagnosis, 12% did not think drugs were necessary, 17.4% did not know the names of their drugs, 23.9% did not know the dose of their drugs, 19.6% believed the drugs would cause addiction, 17.4% did not plan to use the drugs after being discharged from the hospital, and 64.1% did not know for how long they should continue taking the drugs. In the first monitoring by telephone, 70.6% of the patients said they used their drugs regularly. 39.1% of the patients were rehospitalized in the first six months after discharge due to not using the drugs regularly. In the second monitoring by telephone, 54.3% of those who were not re-hospitalized in the first six months stated that they used their drugs regularly. Conclusion: The results of this study indicate the need for training among patients on drug management. This training should not be limited to inhospital; there is a need for counseling at home after discharge from the hospital, and the current system remains inadequate.