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Öğe Examination of factors affecting oral health in patients receiving haemodialysis(Wiley, 2021) Kılıç Akça, Nazan; Efe Arslan, Dilek; İn, HarunBackground Patients receiving haemodialysis suffer from oral problems, pain, deteriorated nutrition, and decreased self-confidence and quality of life. Nurses have a critical role in the evaluation and care of oral health. Objectives The aim was to investigate the associations between socio-demographic characteristics, medication use, and biochemical blood levels and oral health in adult patients receiving haemodialysis treatment. Design This study was conducted as a descriptive study. Participants The sample study was made up of one hundred and fifty individuals treated with haemodialysis between March and June 2018. Measurements Patient diagnosis and Bedside Oral Exam guide was the tool used to examine oral health. Results It was seen that patients' oral health worsened as the number of dental caries increased. It was found that low level of education, those with nonregular oral care and brushing teeth, those using parathyroid hormone-lowering agents and who stated they complied with the drug and diet therapy had higher mean Bedside Oral Exam guide scores, meaning their oral health was statistically significantly worse (p < 0.05). Bedside Oral Exam guide scores were weakly negatively correlated with predialysis serum potassium levels (r = -0.213; p = 0.009), weakly positively correlated with the daily fluid amount consumed (r = -0.185; p = 0.024), and decayed teeth (r = -0.224; p = 0.006). Conclusions Use of parathyroid hormone-lowering agents, low level of education, insufficient oral care, decayed teeth, compliance with diet and medication, daily liquid consumption, and low potassium levels could lead to an increased severity of poor oral health in patients receiving haemodialysis. Oral and dental health protocols should be developed for all haemodialysis units.Öğe Skin dryness in the elderly staying in a nursing homes and affecting factors(2022) Kılıç Akça, Nazan; Efe Arslan, Dilek; Aydın Akbuğa, GökçenObjective: This study is a descriptive study conducted to examine skin dryness, pH level, skin turgor and the affecting factors in the elderly staying in nursing homes. Method: The study population was composed of 53 elderly who stayed in a care and rehabilitation center. 50 elderly who met the participant selection criteria and who gave their consent to participate were included. Elderly Information Form and devices that measure skin moisture and pH were used as the data collection tools. Descriptive statistics, Man-Whitney U test and Spearman correlation test were used. Results: The results of the study revealed that the rate of arm dryness in the female elderly was higher compared to the male elderly and that skin turgor duration was longer in the elderly with cardiovascular diseases. When the relationship between water-fluid consumption of elderly and skin turgor duration was examined, it was seen that the duration of skin turgor extends as water-fluid consumption decreases. Conclusion: Dry skin was observed in all the elderly staying in the nursing homes; the duration of skin turgor extended; and skin pH was at normal levels. It was further revealed that daily water-fluid intake of the elderly affected the duration of skin turgor.