Objective The aim of this study was to determine the effect of web-based education and counselling for patients with systemic lupus erythematosus on self-efficacy, fatigue and assessment of care. Methods The study was conducted as a randomized controlled trial. The study sample consisted of 80 patients divided into two groups: the experimental group ( n = 40) and a control group ( n = 40). Randomization was performed by simple random sampling. At the beginning of the study (month 0), data-collection forms were administered to both groups. Web-based education was carried out for the first three months, and counselling and information updates were given for the next three months for the experimental group. In the intervention process, the control group just received standard care. After six months, data-collection forms were administered to both groups again. Results The mean age of the participants in the experimental and control groups was 35.58 ± 8.40 years and 39.00 ± 12.71 years, respectively. In both groups, 95% of patients were women. Wilcoxon’s test was used for within-group comparisons before and after the study. The Mann–Whitney U-test was used to evaluate the difference between the two groups before the intervention and between the two groups after the intervention. We found that there was a significant improvement in fatigue, self-efficacy and assessment of chronic illness care in the experimental group at the end of the study ( p < 0.05). Conclusions The intervention had a positive effect on self-efficacy, fatigue and satisfaction with chronic illness. In accordance with the results, similar studies should be conducted for different patient groups in order to strengthen the results.

Objective This study aimed to assess the sleep quality and the factors affecting the sleep quality in patients with SLE. Methods This was a descriptive and cross-sectional study conducted in 105 patients with SLE who were admitted to the rheumatology polyclinic of a university hospital between May and July 2017. The data were collected using a “Patient Description Form” and the “Pittsburgh Sleep Quality Index (PSQI).” Results The total mean (standard deviation) PSQI score of the patients was 7.81 (3.11). Duration of disease, presence of comorbid diseases, side effects of drugs, and sleep disruption and related problems were identified as factors affecting sleep quality. The model of the regression showed that side effects of drugs, sleep disruption, and trouble falling asleep suffered higher PSQI score (bad sleep quality). Conclusions Results of this study showed that the sleep quality was generally poor in patients with SLE. Sleep quality was affected by some disease and sleep variables. Therefore, comprehensive sleep evaluation is necessary in the planning of treatment and care of SLE patients and to implement initiatives to improve sleep patterns in these patients.

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Purpose: The aim of this study was to examine the life experiences of women with systemic lupus erythematosus. Materials and Methods: This study design was qualitative design-phenomenological. Individual in-depth, semi-structured interviews were conducted with 18 women with systemic lupus erythematosus at the rheumatology outpatients’ department of a university hospital between January and April 2018. The patients were chosen with purposive sampling. Interviews were semi-structured, using a descriptive questionnaire and a semi- interview form. The interviews conducted with face-to-face in-depth interview method, were audio-taped and fully transcribed. Thematic analysis of data from semi-structured interviews were analysed using the steps of Colaizzi. Results: Five categories and 11 themes were identified by phenomenological data analysis. The categories were disease perception, self-perception, role-relationship, coping-stress tolerance, financial impact. Conclusions: In the treatment and care process of women with SLE, the effects of the disease and treatment on an individual’s life should be determined, taking into account individual characteristics and conditions, and the necessary improvement and support should be provided.

Purpose To evaluate the effects of clinical practicum on nursing students' self‐efficacy (perceptions of confidence and importance) in internal medicine wards and the factors affecting it. Design and Methods The single group pre‐post descriptive study was conducted with 134 final‐year nursing students practicing in internal medicine wards. Findings At the beginning of the practicum, the mean score of confidence and importance subscales were 3.72 ± 0.77 and 4.25 ± 0.57, respectively. At the end of the practicum, the mean score of confidence and importance subscales were 3.91 ± 0.70 and 4.81 ± 0.76, respectively. We found that there was a significant improvement in both subscales at the end of the practicum (p < 0.05). Practice Implications Clinical practicum positively affects students' self‐efficacy in internal medicine wards.