Akıncı Akşit, Naile
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Akinci, N.
Akinci, Naile
Aksit, Naile
Akşit, Naile
Akinci, Naile
Akıncı, Naile
Akinci, Naile
Aksit, Naile
Akşit, Naile
Akinci, Naile
Akıncı, Naile
Job Title
Doktor Öğretim
Email Address
naile.akinci@fbu.edu.tr
Main Affiliation
Hemşirelik Bölümü
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Scholarly Output
10
Articles
9
Citation Count
1
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1
7 results
Scholarly Output Search Results
Now showing 1 - 7 of 7
Article Citation - WoS: 10Assessment of the Effectiveness of Patient Education and Interviews in Improving Medication Adherence of Renal Transplant Recipients(Springernature, 2022) Aksit, Naile; Ozbas, Ayfer; Akinci, SerkanBackground Non-compliance with immunosuppressive drugs has been reported as the most significant cause of graft loss. Since non-compliance with immunosuppressive drugs is preventable, certain approaches based on the risk factors and causes of non-compliance can help eliminate this problem. Aims The purpose of this study is to assess the effectiveness of patient education and interviews in improving medication adherence of renal-transplant recipients. Materials and methods This study was designed as a randomized controlled trial. Using the G*Power program, the sample size was calculated as 60 subjects, with 30 in both the intervention group and control group. Data collection tools included a patient information form, a pretest-posttest, a drug monitoring form for kidney transplant patients, the Immunosuppressive Therapy Adherence Scale, measurement of tacrolimus blood levels, and a training booklet. Results The mean knowledge score in the intervention group was 12.17 +/- 3.39 at baseline, and it increased to 20.73 +/- 1.57 after the intervention. The mean scores on the Immunosuppressant Therapy Adherence Scale were 11.67 +/- 0.55 and 10.70 +/- 0.99 in the intervention group and control group, respectively. There was a statistically significant difference between the pre- test and post-test means on the Immunosuppressant Therapy Adherence Scale in the intervention group. The mean Immunosuppressant Therapy Adherence Scale score was higher in the intervention group. In the measurement of tacrolimus blood levels, medication adherence was found the be higher in the intervention group. The difference between the groups was statistically significant. There was a positive correlation between the tacrolimus blood levels and the Immunosuppressant Therapy Adherence Scale scores in both groups. Conclusions To conclude, our results have demonstrated that patient education and interviews improve immunosuppressant medication adherence in renal transplant recipients. Using direct or indirect methods proved similar outcomes, suggesting that both evaluation methods are safe.Article Effect of Progressive Muscle Relaxation on Postoperative Pain in Laparoscopic Living Kidney Donors: A Randomized Controlled Trial(BMC, 2025) Akinci, NaileAim This study aimed to evaluate the effect of progressive muscle relaxation on postoperative pain in laparoscopic living kidney donors. Design This was a randomized controlled, single-blind trial. This study was conducted in accordance with the CONSORT statement. Methods This study was conducted between January and September 2023 and included 62 patients (study group = 31, control group = 31) who met the inclusion criteria and underwent laparoscopic living donor nephrectomy in the transplant service of a private hospital in Istanbul province. A power analysis was performed to calculate the sample size and the power of the study (G*Power 3.1). Study data were collected using a patient information form, a postoperative patient follow-up and evaluation form to record the total number of bolus requests and administrations via of boluses with the PCA device and additional analgesic needs, and the Visual Analog Scale (VAS). The data obtained in the study were analyzed on the SPSS 22.0 statistical software. Results Additional analgesic requirements did not differ significantly between groups where progressive muscle relaxation exercises were applied and the VAS score and bolus requirement were significantly lower than in the control group (p < 0.05). Anxiety levels were also significantly reduced in the experimental group compared to both their pre-test scores and the control group (p < 0.05). Although the time to resume oral intake did not differ significantly between the groups (X-2 = 5.020; p = 0.170 > 0.05), the time to start mobilization was significantly earlier in the experimental group (X-2 = 8.808; p = 0.012 < 0.05). As a result of the study, it was found that progressive muscle relaxation exercises reduced postoperative pain, bolus requirements, and anxiety in patients undergoing living donor nephrectomy. Additionally, these exercises facilitated earlier mobilization following surgery.Article Böbrek Nakli Yapılan Hastalarda Sosyo-demografik ve Klinik Özelliklerin İmmünosupresif Uyumuna Etkisinin Değerlendirilmesi: Tek Merkezli Çalışma(2022) Akıncı, Serkan; Akıncı, NaileAmaç: Bu araştırmada böbrek nakli yapılan hastaların ilaç uyum oranlarını, sosyo-demografik ve klinik özelliklerin immünosupresif uyumuna etkisini değerlendirmek amaçlanmaktadır. \r\rMateryal ve Metot: Araştırma tek merkezli olarak kesitsel tanımlayıcı planlandı ve gerçekleştirildi. Araştırmaya organ nakli merkezinde son 6 yılda (2015-2021) böbrek nakli yapılan 210 hasta dahil edildi. Araştırmada veri toplama araçları olarak; “Hasta Bilgi Formu”, Böbrek Nakli Hastaları İçin İlaç İzlem Formu”, “İmmünosüpresif Tedaviye Uyum Ölçeği” kullanıldı. \r\rBulgular: Çalışmaya alınan hastaların İmmünosüpresif Tedaviye Uyum Ölçeği toplam puanları ortalama 11,16±0,82 olarak bulundu ve %57,9’unun immünosupresif ilaç kullanımına çok iyi uyum gösterdiği belirlendi. Sosyodemografik özelliklerden evli, üniversite mezunu, yüksek gelire sahip olanlarda İmmünosüpresif Tedaviye Uyum Ölçeği toplam puanları yüksek bulundu. Klinik özelliklerden ise bir günde kullanılan ilaç adedi arttıkça katılımcıların İmmünosüpresif Tedaviye Uyum Ölçeği puanlarının azaldığı saptandı. İlaç kullanımına yönelik eğitim alanlarda, immünosupresif ilaçların yan etkileri olmayan katılımcılarda İmmünosüpresif Tedaviye Uyum Ölçeği toplam puanları daha yüksek bulundu. \r\rSonuç: Böbrek nakli yapılan merkezlerde hastaların immünosupresif ilaç uyumlarının düzenli olarak kontrol edilmesi, uyumsuzluğa etki eden faktörlerin belirlenerek uyumu arttırıcı doğru yaklaşım yöntemlerinin geliştirilmesi, yaygınlaşması, süreklilik kazanması ve bunun hastane protokollerine eklenmesi gerektiğini düşünmekteyiz.Article Citation - WoS: 1Citation - Scopus: 2Investigating Body Image and Self-Esteem in Kidney Transplant Patients: a Qualitative Study(Wolters Kluwer Medknow Publications, 2024) Akinci, N.; Varisoglu, Y.Background:Kidney transplantation is one of the life-saving therapies for patients with end-stage renal disease, which affects a person's psychological, social, and physical well-being. How transplanted patients perceive their illness and their body can affect their physical and psychological recovery.Aim:This qualitative study was designed to evaluate self-esteem and body image in kidney transplant patients.Methods:The study involved 16 female renal transplanted patients. Data were collected using a two-part interview form developed by the investigators in accordance with the literature. We used Lundman's method to transcribe the interviews and coded the data from the interviews. The results of the study were discussed using the themes. The first three interviews were entered into MAXQDA, and then, additional interviews were analyzed.Results:Six main themes and 15 subthemes were generated based on the thematic analysis of the interviews with participants about body image and self-esteem. Themes included body acceptance, changes in body image, deterioration of social relationships, changes in self-esteem, spousal concerns, and organ perceptions. This study collected detailed data on body image, self-esteem, social relationships, and spouse/partner relationships after kidney transplantation.Conclusion:The change in participants' body image and self-esteem after kidney transplantation caused having negative feelings regarding sexual life, relationships, and social life and feeling unfamiliar with the transplanted organ.Master Thesis Kolcaba'nın Konfor Kuramına Göre Temellendirilmiş Hemşirelik Eğitiminin Anjiyografi Sonrası Yoğun Bakımda Hastaların Konfor Düzeyine Etkisinin Değerlendirilmesi(2025) Çakın, Zelal; Akıncı, NaileBu teze konu olan alan araştırması, randomize kontrollü bağımsız iki grup arasında prospektif olarak yapılmıştır. Kolcaba'nın konfor kuramına göre temellendirilmiş hemşirelik eğitiminin anjiyografi sonrası yoğun bakımda hastaların konfor düzeylerine etkisinin değerlendirilmesi amaçlanmıştır. Etik kurul ve kurum onayının ardından 01.04.2023-31.07.2023 tarihleri arasında İstanbul Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi'nin yoğun bakım ünitesinde koroner anjiyografi yapılan tüm hastalar çalışmanın evrenini, örneklemini ise dahil etme kriterlerini karşılayan 30 kontrol 30 girişim grubunda olmak üzere 60 hasta oluşturmuştur. Örneklem büyüklüğü 'G. Power-3.1.9.2' ile belirlenmiştir. Veriler Hasta Tanılama Formu ve Genel Konfor Ölçeği Kısa Formu ile toplanmıştır. Girişim grubundaki hastalara koroner anjiyografi öncesinde Genel Konfor Ölçeği Kısa Formu uygulanarak işlem süreci hakkında eğitim verilmiştir. İşlem sonrası ölçek tekrar uygulanmıştır. Kontrol grubunda ise Genel Konfor Ölçeği Kısa Formu, işlem öncesinde ve sonrasında uygulanmıştır. Girişim grubunda verilen eğitim, literatür taranarak ve uzman görüşü alınarak oluşturulmuştur. Her iki grubun ön-test son-test puanlarının karşılaştırılmasında Wilcoxon İşaretli Sıralı Testi ve Mann Whitney U Testi kullanılmıştır. Genel Konfor Ölçeği Kısa Formu uygulanması sonrasında, girişim ve kontrol grubundaki hastaların almış oldukları puanlar arasında istatistiksel açıdan anlamlı fark bulunmuştur (z:-1,40 - p:,047). Genel puan ortalaması, girişim grubunda daha yüksek çıkmıştır. Araştırmanın sonucuna göre katılımcılara uygulanan anjiyografi öncesi eğitimin, anjiyografi sonrası yoğun bakımdaki konfor düzeyini arttırdığı tespit edilmiştir. Hemşirelerin eğitici rolleri göz önüne alınarak koroner anjiyografi öncesi hastalara eğitim verilmesi önerilmektedir. Anahtar Kelimeler: Eğitim, genel konfor, hemşirelik bakımı, koroner anjiyografiArticle Effects of Combined Triflow, Deep Breathing and Coughing Exercises on Postoperative Pulmonary Function After Mitral Valve Replacement: A Randomized Controlled Trial(BMC, 2026) Akinci, Naile; Eren, EsraBackground Postoperative pulmonary complications remain a major cause of morbidity after cardiac valve surgery. Although incentive spirometry (Triflow) is routinely used in postoperative care, evidence regarding the additional benefits of combining Triflow with deep breathing and coughing exercises remains limited. This study aimed to evaluate the effects of combined Triflow, deep breathing, and coughing exercises on postoperative pulmonary function in adult patients undergoing mitral valve replacement. Methods This randomized controlled, single-blind trial was conducted between May and August 2025 in a private hospital in Istanbul. A total of 60 adult patients undergoing mitral valve replacement were randomly allocated to an experimental group (n = 30) or a control group (n = 30) using simple randomization. The experimental group performed Triflow combined with deep breathing and coughing exercises, while the control group performed Triflow alone. Results Postoperative SpO(2) levels were significantly higher in the experimental group at T1 (p = 0.009; 95% CI: 0.46-3.14), T2 (p < 0.001; 95% CI: 1.57-3.43), and T3 (p < 0.001; 95% CI: 2.72-4.54). The FEV1/FVC ratio increased significantly in the experimental group compared with the control group at discharge (p < 0.001; 95% CI: 4.46-6.41). Respiratory rate was significantly higher in the experimental group at T1 (p < 0.001; 95% CI: 1.68-4.45), T2 (p < 0.001; 95% CI: 3.34-6.26), and T3 (p < 0.001; 95% CI: 5.23-8.37). Hematocrit levels were significantly lower in the experimental group at T1 (p = 0.039; 95% CI: -8.32 to - 0.24), T2 (p = 0.007; 95% CI: -8.29 to - 1.40), and T3 (p = 0.034; 95% CI: -6.54 to - 0.28). Pain scores were significantly lower in the experimental group at T1 (p < 0.001; 95% CI: -2.82 to - 1.71) and T2 (p < 0.001; 95% CI: -1.98 to - 1.08). Time to first mobilization was significantly shorter in the experimental group (p < 0.001; 95% CI: -2.94 to - 1.26). No postoperative pulmonary complications were observed in either group. Conclusion The combined application of Triflow, deep breathing, and coughing exercises was associated with significant improvements in postoperative pulmonary function, oxygen saturation, pain reduction, and earlier mobilization compared with Triflow alone in patients undergoing mitral valve replacement. These findings suggest that a structured, combined respiratory exercise protocol may provide additional clinical benefits in the early postoperative period.Article Sexual Problems of Women with Kidney Transplant: A Qualitative Study(Galenos Publ House, 2026) Akinci, Naile; Varisoglu, Yeliz Yildirim; Dogan, BayramObjective: This qualitative study aimed to explore the experiences, perspectives, and challenges faced by women who underwent kidney transplantation, particularly regarding the impact of transplantation on their own and their partner's sexual lives. Methods: The study was conducted with 15 women who had received kidney transplants at a private hospital in & Idot;stanbul. Data were gathered using a two-part semi-structured interview form developed by the researcher based on a review of the relevant literature. The data obtained from the interviews were analyzed using content analysis. Data analysis was carried out concurrently with data collection. This study adhered to the consolidated criteria for reporting qualitative research. Results: Based on a thematic analysis of the interviews, four main themes emerged: concerns about reproductive health, including subthemes of fear of infertility and anxiety about pregnancy; disease-associated sexual reluctance, including subthemes of reduced sexual interest, fatigue, weakness, sleep disturbances, and depression; perception of femininity and body image, including subthemes of feelings of incompleteness and inadequacy; concerns about the spouse/partner, including subthemes of fears about being unable to meet the sexual needs of the spouse/partner and feelings of guilt related to their partner's sexual dissatisfaction. Conclusion: In conclusion, sexual dysfunction continues to persist among women even after kidney transplantation due to various physical and psychological factors. To support patients in maintaining a healthy sexual life as part of their overall well-being, sexual health should be routinely assessed by a multidisciplinary team, including transplant surgeons, surgical and obstetric/ gynecology nurses, and psychologists.
