Sağlık Bilimleri Fakültesi

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A simple magnetic resonance scoring system for predicting suitability for primary anterior cruciate ligament repair
(Erzincan Binali Yıldırım Üniversitesi, 2024-08) Kılızay, Yusuf Onur; Erdoğmuş Gülcan, Server; Yılmaz, Hazal Berfin; Yalçın, Gülay; 334080; 392815; 202217; 308202
Objective: This study developed a simple magnetic resonance imaging (MRI) scoring method to assess the suitability of the anterior cruciate ligament (ACL) remnant for primary repair and aimed to test the success of this scoring method on operative images of patients undergoing early ACL surgery. Methods: The video-recorded operative images of patients who underwent ACL reconstruction and the MRI images of the same patients taken in our hospital were retrieved from the hospital archive. Two surgeons evaluated whether the ACL could be primarily repaired on the video images recorded during the operation. Magnetic resonance primary repairability (MPR) scores and repairability status on video images were compared. Results: The mean age of the patients was 30.4 ± 8.6 years. The evaluation of remnant size on MRI showed moderate agreement between observers (P < .001, Cohen’s kappa = 0.605). The assessment of the repairability score based on MRI and video observation demonstrated substantial agreement between observers (P < .001, Cohen’s kappa = 0.743 and P < .001, Cohen’s kappa = 0.762, respectively). Conclusion: The MR primary repairability score (MPR score) is suitable for use in the decision-making process for the primary repair of the ACL.
An examination of the psychological resilience of preschool children with and without Montessori education
(Wiley, 2024-08) Sezgin, Elif; Şener, Tülay; 157389
This study aims to compare the psychological resilience of children who receive Montessori education with those who do not receive Montessori education(the group attends a school where education is provided according to the Preschool Education Programme of the Ministry of National Education). The study used the Relational Scanning Model Comparison Types to compare the psychological resilience of children who received Montessori education with those who did not. The research involved 99 children aged 3–6 years who received regular preschool and Montessori education during the 2021–2022 academic year. It is reported that no developmental or neurological defects were observed in any of the participants. The study group comprised 50 children aged 3–6 years from a private kindergarten affiliated with National Education in Nilüfer district and 49 children aged 3–6 years from a private Montessori kindergarten in Nilüfer district. According to the study, children who received Montessori education demonstrated comparatively higher levels of psychological resilience than those who did not receive Montessori education. It has been observed that there exists a weak but meaningful correlation between the psychological resilience of children and their social relationships/social performance, particularly in those who have received Montessori education for an extended duration. As a result, it can be inferred that Montessori education positively impacts children's psychological resilience.
Çocuğun hastane ortamına hazırlanması
(Eğiten Kitap, 2023) Sezgin, Esin; 230880
Çocukluk dönemi, bireyin gelişiminde kritik bir aşamadır. Ancak, bazı durumlarda bu süreç, hastalıklar, patolojiler, ağrılı ve invaziv prosedürler, travmalar veya uzun süreli hastanede yatışlar gibi olumsuz olaylarla kesintiye uğrayabilir (Gordiona-Iáñez ve diğerleri, 2020). Özellikle erken çocukluk döneminde hastalık, hastane ziyareti ve hastaneye yatış çocuklar için korkutucu bir deneyimdir (Burns-Nader & Hernandez-Reif, 2016; Delvecchio ve diğerleri, 2019; Gültekin & Baran, 2005; Kaminski, Pellino & Wish, 2002; Jeyamurugan & Basak, 2020). Bu deneyim, çocuğun yaşı, bilişsel ve duygusal özellikleri, mizacı, önceki hastane deneyimleri, hastalığın algılanma şekli, bilinmezlik, ayrılıklara tepkiler, hastalığın etkileri gibi bir dizi faktörden etkilenebilir. Çocukların ebeveynlerinden, günlük rutinlerinden ve güvenli ev ortamından uzaklaşması, yaşam tarzlarında değişikliklerin ortaya çıkması, tanıdık olmayan görüntü, ses ve kişilerin varlığı, ağrı ve işlem korkusu, normal yaşamdan uzaklaşma hastanede yatan çocuklarda stres ve kaygıyı tetikleyebilir (Kaminski, Pellino & Wish 2002; Burns-Nader & Hernandez-Reif, 2016) ve hastaneye yatma ve tedavi görmeye bağlı olarak fiziksel ve duygusal zorluklar yaşayabilirler. Çocukların hastaneye yatışı sırasında ve sonrasında gösterdikleri tepkiler arasında endişe, regresyon, bağlanma sorunları, aşırı hareketlilik, yalnız kalmak isteği gibi davranışlar bulunmaktadır (Li ve diğerleri, 2016). Bu davranış problemlerinin azaltılması için çocukların ve ailelerinin hastaneye, tedaviye ve girişimlere hazırlanması önemlidir. Bu hazırlık sürecinde güven oluşturmak, çeşitli yöntem ve teknikler kullanarak bilgi vermek, duygularını ifade etmeye teşvik etmek ve başa çıkma becerilerini geliştirmek amaçlanır.
Çocuk edebiyatı eserlerinde yer alan arketiplerin incelenmesi
(Esma Dumanlı Kadızade, 2023) Musuloğlu, Büşra Nur; Sezgin, Esin; 230880
Arketip sözcüğünü psikoloji literatürüne kazandıran isim Carl Gustav Jung olmuştur. Zaman içerisinde, Jung’un, evrendeki varlıkların miktarı kadar, söylemiyle ifade ettiği arketipler üzerine birçok farklı tanım ve kategori oluşturulmuştur. Çocuk edebiyatı, arketipler için geniş bir çalışma alanı sunmaktadır. Çocuk edebiyatında yer alan edebi eserlerde basit bir dil kullanılmasına karşın yorumlamayla açığa çıkarılacak derin anlamlar bulunmaktadır. Bu araştırmada birçok farklı disiplinin üzerinde çalışmalar yürüttüğü ve son derece önemli görülen arketip kavramına yönelik yayınlanmış olan çalışmalar aracılığıyla çocuk edebiyatında arketip kavramını incelemek amaçlanmıştır. Çalışmada, nitel araştırma yöntemlerinden olan, doküman inceleme yöntemi kullanılmıştır. Veri toplama işlemi DergiPark veri tabanı üzerinden gerçekleştirilmiştir. Çalışma kapsamına 17 makale dahil edilmiştir. Elde edilen veriler doküman analiz yöntemiyle analiz edilmiştir. Arketip kavramını temel alarak çocuk edebiyatı eserlerini inceleyen çalışmaların; edebi eser türlerine, yayın yıllarına, incelemiş oldukları arketiplere, kolektif bilinçdışı kavramına yer verme durumlarına bakılmıştır. Yayınlanan makalelerin edebi türlerinin yalnızca masal ve öykü olduğu görülmüştür. İncelenen 17 makalede yer alan eserlerin 9’unun masal, 8’inin ise öykü olduğu tespit edilmiştir. Konu hakkında en yakın tarihli makalelerin 2022 yılında yayınlandığı ve bunların sayısının 3 olduğu görülmüştür. Bu alanda en fazla makale ise 5 makaleyle, 2021 yılında yayınlanmıştır. 2017, 2016, 2015, 2012, 2011 ve 2010 yıllarında konu hakkında makale yayınlanmamıştır. İncelenen makalelerde toplam 12 farklı çeşit arketipe ulaşılmıştır ve en sık ele alınan arketipin gölge arketipi olduğu tespit edilmiştir. Gölge arketipini sırasıyla, anne, yaşlı bilge, animus, kahraman, anima, persona, yeniden doğuş, baba, self, hilebaz ve asi arketipi takip etmiştir. İncelenen 17 makaleden 15’inde arketiplerin incelenmesinde önemli bir kavram olarak görülen kolektif bilinçdışı kavramı incelenmiş, 2’sinde ise kolektif bilinçdışı kavramı incelenmemiştir. Gelecekte çocuk edebiyatı alanında yapılacak olan çalışmalarda arketip kavramının masal ve öykü türünden farklı edebi türlerde de ele alınarak incelenmesinin literatürde tespit edilen bir eksikliğin giderilmesine katkı sağlayacağı düşünülmektedir. Gelecekte, çocuk edebiyatı alanında yerli ve yabancı daha fazla edebi eserin incelenmesiyle de literatürdeki çeşitliliğin artırılmasına katkı sunulabilir.
Comparison of clinical and radiological results of lateral retinacular release or lateral retinacular lengthening methods combined with medial retinaculum plication in patellofemoral instability
(Cureus INC, 2022) Saylık, Murat; Bilgin, Yücel; Atıcı, Teoman
Introduction In this study, we aimed to compare the clinical and radiological results of patients who underwent medial retinaculum plication (MRP) combined with lateral retinacular release (LRR) or lateral retinacular lengthening (LRL) with the diagnosis of patellofemoral (PF) instability. Methods In our study, we retrospectively analyzed 75 knees of 75 adult patients (43 females and 32 males) who underwent MRP+LRR or MRP+LRL due to PF instability without osseous pathologies. Patients were divided into two groups (MRP+LRR and MRP+LRL) according to the surgical method. The clinical and radiological results of the two groups were compared. Results MRP+LRL surgery was performed on 45 knees and MRP+LRR surgery on 30 knees. The mean age was 26.5 (18-43) years. There was no significant difference between the two groups in the change in patellar lateral shift (PLS) (p=0.429) and congruence angle (CA) (p=0.218) values. However, there was a significant difference between the two groups in the change in patellar tilt angle (PTA) (p=0.009) and lateral patellofemoral angle (LPFA) (p<0.001) values. The change in PTA and LPFA values was higher in the MRP+LRL group. There was no significant difference between the two groups in terms of pre-operative and post-operative Lysholm knee scoring scale (p=0.205, p=0.228), Kujala pain scale (p=0.393, p=0.596), and Tegner activity level scale values (p=0.121, p=0.899). Conclusions MRP+LRR or MRP+LRL provided successful results for correcting the instability in PF instability without osseous pathologies such as patella alta, tibial tubercle-trochlear groove (TT-TG) dysplasia, trochlea dysplasia, genu valgus, and tibial-femoral torsion. While PTA and LPFA values improved more with the MRPLRL method, clinical results were similar in both methods.
Comparison of the quality of life of mentally and physically disabled children and their healthy siblings
(Hacettepe Üniversitesi, 2024-09) Kavlak, Erdoğan; Erdoğmuş, Server; Kavlak, Ebru; Yalçın, Gülay; 392815; 308202
Purpose: It is known that the health-related quality of life of children with neurological problems is adversely affected. But these problems also have a negative impact on the whole family. This study was conducted to examine the quality of life of children with mental and physical disabilities and their healthy siblings. Material and Methods: 82 children with mental and physical disabilities between the ages of 2-18 and their healthy siblings were included in the study. The sociodemographic data of the participants were recorded. The Pediatric Quality of Life Inventory was used to measure health-related quality of life, and the Gross Motor Function Classification System was used to evaluate the gross motor functions of children with disabilities. Results: 82 (48 boys, 34 girls) mentally and physically disabled children with a mean age of 9.87±5.06 years and 82 (34 boys, 48 girls) healthy siblings with a mean age of 12.68±3.65 were included in the study. When the quality of life of mentally and physically disabled children was examined, it was seen that there was no significant difference between the two groups (p>0.05). There was no significant difference between the quality of life of the healthy siblings of mentally and physically disabled children (p>0.05). Discussion: It was observed that the quality of life of healthy siblings of mentally and physically disabled children was similarly affected. It should not be forgotten that the quality of life of their families and healthy siblings will also be adversely affected during the treatment process of disabled children.
Determining the effect of diet quality on nutritional status and type 2 diabetes risk in adult females
(Bayrakol Medical Publishing, 2024-10) Uray, Ecem Özge; Batar, Nazlı; Tuna Tuğba; 256218; 336342
Aim: This study aimed to determine the effect of diet quality on nutritional status and type 2 diabetes risk in adult females. Material and Method: This study was conducted between January and March 2022 with the participation of 120 adult females who applied to Özel Maltepe Ersoy Hospital, Nutrition, and Diet Polyclinic for body weight control. The researchers recorded participant information form, IPAQ-SF, 24-hour retrospective food consumption record form, and FINDRISK data through face-to-face interviews. NAR and MAR scores were used to determine the diet quality of individuals. Results: It was determined that as body weight, BMI, waist circumference, waist-height ratio, neck circumference, body fat percentage, and fat mass values increased, the diabetes risk scores of individuals increased (p<0.05). It was determined that decreasing lean body mass and percentage increased the risk of diabetes (p<0.05). Biochemical parameters FBG, Insulin, HOMA-IR, TC, LDL-C, and TG values were found to be higher in individuals with high and very high diabetes risk compared to other individuals (p<0.05). It was determined that the risk of diabetes decreased as the physical activity levels of individuals increased (p<0.05). Diabetes risk score, and it was determined that there was no correlation between the biochemical parameters (p>0.05). Discussion: It has been determined that individuals’ anthropometric values, body composition, and physical activity level are important factors in the risk of diabetes. Appropriate health policies should be developed considering this situation.
Effect of Limosilactobacillus reuteri DSM17938 to prevent antibiotic-associated diarrhea in children: prospective, multi-center, randomized, placebo-controlled clinical trial (PEARL Study)
(Springer, 2025-06) Dinleyici, Ener Çağrı; Özen, Metehan; Güven, Şirin; Dalgıç, Nazan; Karbuz, Adem; Sütçü, Murat; Yazar, Ahmet Sami; 243394
Antibiotic-associated diarrhea (AAD) is one of the side effects that occur during and after antibiotic use. Some probiotics have strain-specific beneficial effects on AAD development when used in combination with antibiotics. The aim of this study was to evaluate the effect of Limosilactobacillus reuteri DSM 17938 on the prevention of AAD in children. This is a prospective, multicenter, randomized, double-blind, placebo-controlled clinical trial in T & uuml;rkiye between 2017-2019, among outpatient children with acute otitis media (AOM) or acute rhinosinusitis (ARS). Group 1 (n = 330) received amoxicillin-clavulanate and L. reuteri DSM 17938 (2 x 10(8) CFU) and Group 2 (n = 324) received amoxicillin-clavulanate and a placebo during the antibiotic treatment or continued for 21 days after antibiotic cessation. The primary end point of this study was the percentage of children with AAD in the first 14, 21, and 56 days of follow-up. Secondary endpoints are the percentage of children with AAD regarding the AOM vs ARS, amoxicillin-clavulanate dose, age groups, and the comparison between 14- and 21-days use of L. reuteri. The percentage of children with AAD was significantly lower in the L. reuteri group compared to the placebo group at 14 days (7.9% vs. 16.7%; RR: 0.47, 95%CI 0.30-0.7; p < 0.001); at 21 days (8.8% vs. 17.9%; RR: 0.49, 95%CI 0.32-0.74;p < 0.001); and at 56 days (9.1% vs. 19.6%; RR: 0.46, 95%CI 0.30-0.69;p < 0.001). The incidence of AAD was also significantly lower in the L. reuteri group at 14, 21 and 56 days among children aged between 6-24 months (p < 0.01, p < 0.01, p < 0.001) or children with AOM (p = 0.0001,p < 0.0001,p < 0.0001). When AAD was observed, the mean duration of diarrhea was longer in the placebo group(p < 0.05). Conclusions: This first study with L. reuteri DSM 17938 in a large pediatric outpatient setting showed significant reduction of AAD during the first 14 days of antibiotic use and the 8-week follow-up period. Trial Registration: NCT02765217 (First Submitted 02.05.2016) (https://clinicaltrials.gov/study/NCT02765217?term=NCT02765217&rank=1).
Effect of motivational interviewing on medication adherence in patients with bipolar disorder: systematic review
(Lut Tamam, 2024-10) Erkuş, Şeyma; Babaoğlu, Elçin; 372023
This systematic review was conducted to examine the effect of motivational interviewing method on compliance with medication treatment in individuals diagnosed with bipolar disorder. In this systematic review, the literature was searched in the databases of ''Cochrane, SpringerLink, Ovid, Science Direct, PubMed, ProQuest, Networked Digital Library of Theses and Dissertations (NDLTD), ULAKBIM, YÖKTEZ'', published in the last 5 years, in English language, using the keywords and combinations of ''motivational interviewing'', ''bipolar disorder'', ''adherence''. The titles and abstracts of the studies were reviewed and 6 studies, including 4 randomized controlled trials and 2 nonrandomized studies, that met the inclusion criteria were included in the systematic review. As a result of this systematic review, it was determined that the motivational interviewing method was effective in increasing medication compliance in patients diagnosed with bipolar disorder. In the studies, it was determined that motivational interviewing was applied alone, with medication reminder system or with an educational program. It was determined that motivational interviewing was applied twice a week or twice a month, between 20-60 minutes and between 3-6 sessions. Subjective and objective measurement tools assessing medication adherence and symptoms were used to evaluate the effect of motivational interviewing. It is recommended to increase randomized controlled experimental research examining the effect of motivational interviewing method on medication adherence in patients diagnosed with bipolar disorder and to use motivational interviewing techniques and skills by mental health professionals to increase patients' medication adherence.
Evaluation of Nutritional Recommendations Provided by the ChatGPT Language Model to Bariatric Surgery Patients
(Sciendo, 2025-03) Kumru Yildirim, Merve; Bayam, Hikmet; Yildiz, Nida; Gök Kahraman, Fatma; Acar, Nazli; 256218
ChatGPT is recognized as a promising tool in healthcare by providing continuous support, quick accessibility, and personalized guidance for weight management [1]. In the field of bariatrics, the potential of ChatGPT in post-surgery weight management and nutrition is particularly noteworthy. In a study, the accuracy of the model’s general responses to bariatric questions was confirmed; however, the reliability of its responses to nutrition-specific issues has not yet been examined [2]. In this study, the aim is to evaluate the nutritional recommendations provided by the ChatGPT language model for patients following bariatric surgery through expert dietitians. This study was designed as a cross-sectional study. The responses provided by the free version of the ChatGPT 3.5 were evaluated by three experts in bariatric surgery. Initially, frequently asked postoperative nutrition questions were identified based on input from three experts who consult bariatric patients. This process led to the creation of 27 questions, which were then posed to ChatGPT in Turkish, with responses recorded immediately. For evaluation, responses were categorized as: '1: consistent with the guidelines', '2: consistent but incomplete', '3: consistent but contradictory', and '4: inconsistent'. The responses were assessed by two experts, with a third expert reviewing any disagreements.
Hemşirelik öğrencilerinin organ bağışı ve transplantasyon konusundaki bilgi ve tutumlarının belirlenmesi
(Türkiye Tabipleri Birliği, 2023) Tekin, Yasemin Eda; Güneş, Ayşegül; 292320
Giriş: Organ nakli alanında büyük gelişmeler yaşanmasına rağmen uzun yıllardır tüm dünyada organ bağışı sayıları istenen düzeye getirilememiştir. Geleceğin sağlık profesyonelleri olan hemşirelik öğrencilerinin bu konudaki bilgi ve tutumları, organ bağışı konusunda hasta ve yakınlarının farkındalığının artırılması açısından önemlidir. Amaç: Bu çalışmanın amacı, hemşirelik öğrencilerinin organ bağışı ve transplantasyon konusundaki bilgi ve tutumlarını belirlemektir. Gereç-Yöntem: Bu araştırma 257 hemşirelik öğrencisi üzerinde tanımlayıcı olarak yapılmıştır. Veriler araştırmacılar tarafında hazırlanan “Organ Bağışına Yönelik Davranış ve Tutum Belirleme Formu” ve “Organ-Doku Bağışı ve Transplantasyon Bilgi Ölçeği” kullanılarak toplanmıştır. Verilerin değerlendirilmesinde frekans, ortalama, yüzde, standart sapma ve Tukey testi kullanılmıştır. Bulgular: Öğrencilerin %84,4’ü organ bağışında bulunmak istediğini belirmektedir. Öğrencilerin çoğunluğu toplumun organ bağışı konusunda yeterince bilgilendirilmediğini düşündüğünü, %60,3’ü ülkemizde organ bağışı yapacak kişilerin haklarının yasalarla katı şekilde korunduğuna inanmadığını, yalnızca %24,0’ü okul eğitimi sırasında bilgi edindiğini belirtmiştir. Öğrencilerin %84,8’i karşı cinsten bir kişiye organını bağışlamak istemediğini belirtmiştir. “Organ-Doku Nakli ve Transplantasyon Bilgi Ölçeği” puan ortalaması 12,9±2,4, “Donör özellikleri” alt boyutu puan ortalaması 3,5±0,9, “Organ bağışı ile ilgili legal, etik ve medikal süreç” alt boyutu puan ortalaması 9,4±1,9’dir. Organ bağışında bulunmak isteyen öğrencilerin ve organ bağışında bulunmayı isteyenlerin ölçek toplam puanı anlamlı olarak daha yüksektir (p<0,05). Sonuç: Çalışmada öğrencilerin bilgi seviyesi organ bağışında bulunmak isteme durumunu etkilemektedir. Hemşirelik öğrencilerinin bu konudaki bilgi düzeyi artırılarak organ bağışı desteklenmelidir.
Hope and psychological resilience in primary caregivers of patients with a chronic mental illness followed in a community mental health center
(Elsevier, 2024-03) Erkuş, Şeyma; Babacan Gümüş, Aysun; 372023
Purpose: The aim of this study is to examine hope and psychological resilience in primary caregivers of patients with a chronic mental illness. Design and methods: The descriptive study was conducted on 297 caregivers in community mental health centers in Turkey. Data were collected using the Introductory Information Form, Dispositional Hope Scale and the Resilience Scale for Adults. Findings: Hope and psychological resilience of primary caregivers of patients with a chronic mental illness were moderate. To sociodemographic and caregiver characteristics; caregivers who are over 40 years old, lost his/her spouse, low education level, housewife or retired, unemployed, who evaluated their incomes low, mother, living in the same house with the patient, caring for ten years or more, caring for another patient and not getting help in care had lower hope and resilience levels. Compared to patients with a diagnosis of bipolar disorder, caregivers of patients with schizophrenia had lower hope and psychological resilience levels. Conclusions: Primary caregivers of patients with a chronic mental illness should be supported in terms of hope and psychological resilience.
How close are interprofessional debriefers to meet the INACSL standards of debriefing practices? a qualitative study
(2023-12) Özata, Kevser; Caz, Büşra; Sarmasoğlu Kılıkçıer, Şenay; 167438
Aim: This study aims to determine whether the debriefings performed by different health professions for nearly a decade meet the INACSL standards of best debriefing practices. Methods: In order for learning to occur in simulation, there must be a adequate debriefing session. An adequate debriefing should be based on the criteria described in the standards of best practices published by the International Nursing Association for Clinical Simulation and Learning (INACSL). A high quality, adequate, and effective debriefing must be carried out in accordance with each standard. Results: Most of the debriefers are female. Over half had two years or less experience with simulation, and a quarter had training in simulation or debriefing. The results are presented in five contexts (Competent Debriefer, Environment, Effective Debriefing, Theoretical Framework, and Objectives and Outcomes.), which conform to the four standards covered by the INACSL standards of best practices. Conclusions: Except for the feedback, the debriefings do not meet the INACSL standards of best practices. However, the debriefers are aware of the importance of debriefing and are willing to improve their skills. Most of the debriefers have learned debriefing from observation or the literature. With this study, it was ensured that debriefers gained awareness in terms of INACSL standards. At the same time, this study will also provide awareness about the standards for the literature.
Kronik psikiyatri hastasının bakım vereni olmak: psikolojik dayanıklılığı nasıl etkiliyor?
(2023-10) Erkuş, Şeyma; Babacan Gümüş, Aysun; 372023
Kronik psikiyatri hastasına bakım vermek bakım verenlere fiziksel, duygusal, sosyal ve ekonomik alanlarda yük getirmektedir. Psikolojik dayanıklılık, bakım verenlerin bakım verme sürecinde karşılaştığı zorluklarla başarılı bir şekilde mücadele edebilmesini sağlar. Kronik psikiyatri hastasının bakım vereni olmak, psikolojik dayanıklılığı etkileyen bir risk faktörü olsa da psikolojik dayanıklılık geliştirilebilir bir özelliğe sahiptir. Bakım verenlerde psikolojik dayanıklılığın incelenmesi, psikolojik dayanıklılığı geliştirmeye yönelik müdahale programlarının planlanması ve uygulanması açısından önemlidir.
Kronik ruhsal bozukluğu olan bireylere bakım verenlerde umut: bakım veren özellikleri açısından bir inceleme
(Dalya, 2023-10) Erkuş, Şeyma; Babacan Gümüş, Aysun; 372023
Kronik ruhsal bozukluğu olan bireylere bakım verenler, bakım verme sürecinde pek çok zorlukla karşılaşmaktadır. Bu zorluklarla mücadele etmek bakım verenleri ruhsal hastalıklara yatkın hale getirmektedir. Yaşanılan stres bakım verenlerin umut düzeylerini olumsuz yönde etkilemektedir. Umut, bakım verenlere stres verici yaşantılarla baş edebileceği konusunda güç verir. Bakım verenlerin amaç belirlemesini, amacına ulaşmak için harekete geçmesini ve zorluklarla karşılaştığında alternatif yollar aramasını sağlar. Umut, bakım verenlerin bu zorlu süreçte güçlü kalabilmesi açısından hayati öneme sahiptir. Bakım verenlerde umudun geliştirilmesi bakım verdiği hastaların da umut geliştirmesinde, tedaviye uyumlarının artmasında ve bakım verme deneyiminin olumlu yanlarının keşfedilmesinde etkili olacaktır. Bakım verme deneyimi ne kadar zorlu olsa da bakım verenlerin kendilerine has özellikleri de umutlarının yüksek olmasında etkili olmaktadır. Bu araştırmanın yapılması bakım verenlerin umut düzeyinin ve umudu etkileyen bakım veren özelliklerinin ortaya çıkarılması açısından önemlidir.
Madde kullanım bozukluğu olan hastalarda çözüm odaklı terapinin psikososyal sorunların azaltılmasına etkisi: sistematik derleme
(Erkan Mor, 2024-10) Erkuş, Şeyma; Babaoğlu, Elçin; 372023
This systematic review aims to assess the impact of solution-focused therapy (SFT) on mitigating psychosocial issues among patients with substance use disorder. A comprehensive literature search was conducted using databases including PsycInfo, SpringerLink, Cochrane, PubMed, ProQuest, Science Direct, Networked Digital Library of Theses and Dissertations (NDLTD), and ULAKBIM. Articles published within the past decade in English were included, with search terms comprising “substance use disorder,” “solution-focused therapy,” and related combinations. After screening titles and abstracts, eight studies—four randomized controlled trials and four non-randomized studies—met the inclusion criteria and were included in the review. Findings suggest that SFT has a beneficial effect on reducing psychosocial challenges in substance use disorder patients. SFT demonstrated efficacy in alleviating symptom distress, interpersonal relationship issues, social role dysfunction, impulsivity, well-being deficits, and addiction-related symptoms. Additionally, it was found to support recovery processes, enhance self-efficacy, foster an internal locus of control, and reduce trauma and anxiety symptoms. SFT was administered in individual or group formats, with session durations ranging from 30 to 90 minutes, delivered either twice weekly or biweekly over 1 to 12 sessions. Subjective measures assessing psychosocial outcomes were predominantly used across studies to evaluate the impact of SFT. The review highlights the need for more randomized controlled trials to further validate the effectiveness of SFT in this population.
Multisource reflections on assessment of nursing students' first clinical practice and predictions for 360-degree assessment: a qualitative study
(Hacettepe Üniversitesi, 2023-12) Bayzat, Çiğdem; Sarmasoğlu Kılıkçıer, Şenay; 167438
Aim: This study was conducted to explain the current situation regarding the assessment of nursing students during their first clinical practice and to determine the views on 360-degree assessment, an innovative approach, from a multi-source perspective. Material and Methods: In this qualitative case study, individual interviews were conducted with nine instructors, focus group interviews were conducted with twenty-three nursing students, and documents were examined. Data were collected between 7 August 2019–22 November 2020. The data were analyzed in line with the descriptive analysis approach. Results: While reflections on the current situation were generated in line with the findings obtained from three data sources, the context of predictions on 360-degree assessment was generated in line with the findings obtained from interviews with students and instructors. Reflections on the current situation context are analyzed under assessors, competencies, methods and tools, feedback, challenges, and suggestions themes. Predictions on 360- degree assessment context are analyzed under assessors, frequency, tools, setting, benefits, and challenges themes. Conclusion: According to the results of the data triangulation, the most important issues regarding the assessment of nursing students during first clinical practice were the high student/instructor ratio and the fact that only instructors are officially assessors. Instructors and students approached positively to the 360-degree assessment, but they also shared some concerns.
Nörodejeneratif hastalıkların önlenmesinde k vitamininin potansiyel rolü
(Hatiboğlu Yayıncılık, 2024) Tuna, Tuğba; Ayaz, Aylin; 336342; Muhittin, Tayfur
Patients' Expectations and Satisfaction Regarding to the Protection of Their Individual Dignity After Surgery: A Cross-Sectional Study
(Wiley, 2025-05) Güneş, Ayşegül; Eren, Esra; Tekin, Yasemin Eda; 292320
This study aimed to determine patients' expectations and satisfaction regarding protecting their dignity after surgery. This descriptive, cross-sectional study was conducted with 385 patients between December 2024 and February 2025. Research data was collected using the "Inpatient Dignity Scale" and socio-demographic information form. It was determined that the patient's dignity scale expectation and satisfaction total scores were 72.85 +/- 4.509 and 85.03 +/- 8.011. Accordingly, the expectation scores of the young, those with higher education levels, those whose income is lower than their expenses, those who have had surgery before, those who can perform activities of daily living those who can do it with assistance, those who can connect the head and neck are significantly stronger (p < 0.05). The satisfaction scores of the married, those with the highest and lowest education levels, those whose income is lower than their expenses, those who have had a longer hospital stay after surgery, and those who have had head and neck surgery are higher (p < 0.05). New studies should be conducted in surgical units where nursing activities to protect patient dignity are planned, and their results are evaluated.
Rinoplastide ödem, ekimoz ve ağrının önlenmesinde soğuk uygulama
(Yaz Yayınları, 2023-12) Tekin, Yasemin Eda; 292320; Karabulut, Şahin
Ödem, ekimoz ve ağrı rinoplastinin en sık görülen vebeklenen komplikasyonlarıdır. Ancak bu hastaların estetik kaygılarının yüksek olması ve çoğunluğunun genç olması sebebiyle, ameliyat sonrasında ödem, ekimoz ve ağrı oluşumu hastanın beden imajını ve estetik kaygıları olumsuz etkiler, iyileşme durumunu yavaşlatır, hastada stres yaratarak konfor üzerinde olumsuz etki yaratır. Tüm bu durumların esas nedeni genellikle ameliyat esnasındaki kanamadır (Hanci ve ark., 2020; Shin, Lim, Yun, ve Park, 2009; Yücel, 2005; Glass, Waterhouse ve Shakib, 2016; Rostami ve ark., 2020). Göz kapağı ödemi; burundaki yumuşak ve sert dokular ile paranazal bölgelerin travması ve manüplasyonu sebebiyle gelişir (Gutierrez ve Wuesthoff, 2012). Ameliyat sonrası ödem, vücudun doku travmasına verdiği enflamatuvar yanıt sonucu gelişir, özellikle ilk 24 saatte görmede azalmaya neden olurken, iyileşmenin yavaşlamasına yol açar. Hastanın sosyal ve iş ile ilişkili anksiyete yaşamasına ve memnuniyetsizliğinin artmasına neden olur (Taşkın ve ark., 2011; Gutierrez ve Wuesthoff, 2012; Gürlek, Fariz, Aydoğan, Ersöz-Öztürk ve Evans, 2009).

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