This study was carried out to assess the effects of reminiscence therapy that was supported with internet-based videos on the cognitive condition and apathy levels of older people with mild dementia living in nursing homes. This randomized controlled experimental study was conducted between May 15, 2016, and August 25, 2016, in two nursing homes in Adana, Turkey. A total of 32 people participated in this study, 16 individuals were in the intervention group and 16 individuals were in the control group. The data were collected using a Personal Information Form, the Standardized Mini-Mental State Examination (SMMSE) test, and the Apathy Rating Scale (ARS) Selfassessment Form. The individuals in the intervention group received group reminiscence therapy involving internet-based videos for 60 minutes once a week for 3 months. During this period, 25 to 30 minutes of unstructured interviews were carried out with individuals in the control group. The data were analyzed using descriptive statistics, Student t test, the Mann-Whitney U test, and Wilcoxon signed rank test. In this study, a significant difference was found between experimental and control groups' posttest mean scores on the SMMSE test and ARS (P < .01). The experimental group's SMMSE test and ARS posttest mean scores were higher than those of the control group (P < .01). This study found that group reminiscence therapy using internet-based videos improved the cognitive functions and apathy levels of older people with mild dementia of the Alzheimer type. It is recommended that group reminiscence therapy studies with Internet-based videos be conducted in care institutions that are responsible for managing older people with mild dementia of the Alzheimer type.

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BACKGROUND: Among women who have suffered loss of pregnancy, the level of grief decreases gradually. Age, mental health status and childlessness are the factors known to mostly affect women’s levels of grief. OBJECTIVES: To assess the levels of grief among women who experienced perinatal loss and the changes in their ruminative thought styles over the first year after their loss. DESIGN AND SETTING: One-year follow-up study carried out in a university hospital in Turkey. METHODS: The study population included 70 women who experienced loss of pregnancy in the hospital. The sample size was calculated using G*Power V3.1. Data were collected at 48 hours, at the third month, at the sixth month and at one year after pregnancy loss, between June 2018 and June 2019. A personal information form, the Perinatal Grief Scale and the Ruminative Thought Style Questionnaire were used for data collection. RESULTS: The women’s highest levels of grief and ruminative thought style were in the first 48 hours. Their tendency towards grief and ruminative thought styles decreased over the repeated measurements during the follow-up. Women aged 20-29 years had the highest levels of grief at the third month after perinatal loss. CONCLUSIONS: Nursing assessments regarding grief and ruminative thought style over the first 48 hours after perinatal loss should be integrated into nursing care for these women. Grief follow-up programs for these women can be developed through nursing research.

Lung cancer is most common and a leading cause of death in women and

Huzurevinde yaşayan yaşlıların bilişsel işlev düzeyi, depresyon ve yaşam kalitelerinin değerlendirilmesi Amaç: Bu çalışma, huzurevinde yaşayan yaşlı bireylerin bilişsel işlev düzeyi, depresyon ve yaşam kalitelerinin değerlendirilmesi amacıyla gerçekleştirilmiştir. Gereç ve Yöntem: Çalışma, kesitsel ve tanımlayıcı olarak Adana/Türkiye'deki bir Huzurevi Yaşlı Bakım ve Rehabilitasyon Merkezi'nde 1 Mayıs-1 Ağustos 2016 tarihleri arasında gerçekleştirilmiştir. Çalışmaya Basit Tesadüfi örnekleme formülü ile belirlenen toplam 118 yaşlı birey alınmıştır. Çalışmanın verileri Kişisel Bilgi Formu, Standardize Mini Mental Test (SMMT), Geriatrik Depresyon Ölçeği (GDÖ) ve Yaşlılar İçin Dünya Sağlık Örgütü Yaşam Kalitesi Modülü (DSÖYKM) ile toplanmıştır. Çalışmada elde edilen bulgular IBM SPSS Statistics 22 (IBM SPSS, Türkiye) programı ile değerlendirilmiştir. Tüm analizlerde anlamlılık p<0.05 düzeyinde değerlendirilmiştir. Bulgular: Çalışmaya katılan yaşlı bireylerin %36.4'ü (n=43) kadın, %63.6'sı (n=75) erkek olup yaş ortalaması 74.08±8.23 yıldır. Yaşlıların SMMT'den aldıkları puan ortalaması 20.37±7.08, GDÖ puan ortalaması 14.92±4.29 ve DSÖYKM puan ortalaması 69.76±11.54'dür. SMMT ile GDÖ puanları arasında negatif yönde; DSÖYKM toplam puanları arasında pozitif yönde (p<0.01), GDÖ puanları ile DSÖYKM toplam puanları arasında ise negatif yönde istatistiksel olarak anlamlı ilişki bulunmuştur (p<0.01). Sonuç: Çalışmamızın sonucunda; huzurevinde yaşayan yaşlıların yarısından fazlasında bilişsel bozulma ve depresyon yaşandığı, yaşlı bireylerde bilişsel durum, depresyon ve yaşam kalitesinin birbirleriyle anlamlı düzeyde ilişkili olduğu belirlenmiştir. Anahtar Sözcükler: Bilişsel işlev düzeyi; depresyon; yaşam kalitesi.