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.
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 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.
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.
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.
The effect of an educational video on patients' bowel preparation before colonoscopy: a single-blind randomized controlled study
(Termedia Publishing House LTD, 2023) Güneş, Ayşegül; Tekin, Yasemin Eda; El, Çiçek; Bektaş, Hasan; 292320
Background. The objective of this research was to assess the efficacy of bowel preparation (BP) and colonoscopy compliance of video training given to patients prior to colonoscopy. Material and methods. In this single-blind randomized controlled study, patients in the control group received traditional written instructions with the same content as oral instructions. A total of 139 patients were included in the study, 70 of whom were allocated to the video education group, and 69 to the traditional education group. After the procedure, both groups’ BP quality and satisfaction with education were measured. Sociodemographic Characteristics Form, Boston Bowel Preparation Scale, Colonoscopy Preparation Compliance Form, and Education Satisfaction Form were used in the study. Results. The BP quality scores of the patients in the video group were found to be higher than the traditional method (p<0.05). In addition, it was found that the educational satisfaction scores, general BP compliance score, solid diet compliance scores, and liquid diet compliance scores were higher in the video group than in the traditional method patients (p<0.05). Conclusions. Video-based colonoscopy preparation training is an effective alternative to traditional methods.
The effect of conscious mindfulness-based program (MBP) applied to emergency nurses on their anxiety and quality of life: A randomized controlled study
(Kare, 2024-09) Çalışkan, Behice Belkıs; Güneş, Ayşegül; Tekin, Yasemin Eda; Ayvaz, Meryem Yıldız; Kızıl, Hamiyet; 292320
Objectives: This study aimed to examine the effect of a mindfulness-based program applied to nurses working in the emergency department on their anxiety and professional quality of life. Methods: The study was conducted as a randomized controlled experimental study with 50 nurses working in the emergency department. Data were collected with a sociodemographic information form, state-trait anxiety & imath;nventory (STAI), and quality of life scale for employees (ProQOL-30). Mindfulness-Based Program (FTP), which lasted for 8 weeks and was an application of 2.5 h/week, was applied to the experimental group. A pre-test before the application and a post-test after the application (1 week after the application was completed) were administered to the experimental and control groups. In evaluating the data, number, percentage, mean, standard deviation, Kurtosis, Skewness, Chi-Square, and Fisher's exact tests were used. Results: It was found that the STAI state and trait anxiety pre-test mean scores of emergency nurses were not significantly different between the experimental and control groups (p>0.05), but the STAI state anxiety post-test mean score was significantly lower in the experimental group (t=-3.527, p=0.01). In addition, no significant difference was detected between the ProQOL-30 scale general and all subscale pre-test scores of the experimental and control groups (p>0.05). In addition, while there was no significant difference between the ProQOL-30 scale general and sub-dimension pre-test and post-test scores of the control group (p>0.05), it was found that the ProQOL-30 general score average increased significantly after the application (t=-2.113). Conclusion: It was concluded that the mindfulness-based program is a program that reduces the anxiety levels of emergency room nurses and increases their work-life satisfaction levels.
The effects of two different cold application times on edema, ecchymosis, and pain after rhinoplasty: a randomized clinical trial
(Elsevier, 2024-01) Tekin, Yasemin Eda; İyigün, Emine; Karakoç, Ömer; 292320
Purpose: This study was performed to determine the effects of different cold application times to the periorbital area after rhinoplasty on edema, ecchymosis, and pain. Design: A randomized clinical study. Methods: Patients were divided into two groups, and cold application was applied to one group for 4 hours and to the other for 48 hours. The cold application was applied with ice packs for 20 minutes every hour to the periorbital region in both groups. Data were collected with the Patient Information Form, Scoring Diagram for Edema, the Scoring Diagram for Ecchymosis, and the Visual Analogue Scale for Pain. Findings: Periorbital edema, eyelid ecchymosis, and pain were not significantly different between the two groups. The mean edema score of the 48-hour group was 0.87 ± 0.93, while the mean edema score of the 4-hour group was 0.70 ± 0.87 (P = .48) on the 2nd day. The mean ecchymosis score was found as 2.03 ± 1.12 in the 48-hour group and 2.10 ± 1.09 in the 4-hour group (P = .817). The mean pain score was 12.50 ± 17.40 in the 48-hour group and 13.00 ± 16.00 in the 4-hour group (P = .98). Conclusions: The effects of 48-hour and 4-hour cold applications are similar. Cold application for 4 hours may be recommended to patients who undergo rhinoplasty, as it is more practical and easier to apply than the 48-hour practice.
The mediating role of emotion lability and emotion regulation in the relationship between social-emotional adaptation with behavior regulation and social skills among preschool children
(Muhammed Yıldız, 2023-12) Sezgin, Esin; Bilge, Yıldız; Çelik, Burçin; Sevuk, Esma Nur; 230880
Self-regulation is defined as an individual's ability to control and regulate their own behavior; this skill, forming the foundation of social adjustment, influences one's ability to interact with their environment and manage relationships. Emotion regulation, on the other hand, involves the ability to manage emotional responses and is believed to establish a critical connection between social adjustment and self-regulation. In this study, the aim is to determine the mediating role of emotion regulation in the relationship between behavioral regulation, social skills, and social-emotional adjustment skills using two different models.The study included a total of 216 children aged 5 and 6. Data were collected using the Socio-Demographic Information Form, Emotion Regulation Scale (ERS), Child Behavior Rating Scale (CBRS), and Marmara Social-Emotional Adaptation Scale (MSEAS). When socio-demographic variables were evaluated in terms of social competence and social-emotional adjustment scores according to gender, significant differences were found in favor of girls. Significant differences were also found in favor of children with working mothers when evaluated based on the mother's employment status. There were moderate significant correlations found between emotion regulation, child behavior assessment, and social-emotional adjustment. According to the mediation analyses, there was a partial mediating effect of emotion variability/negativity and emotion regulation in the relationship between behavior regulation and social-emotional adjustment. Similarly, there was a partial mediating effect of emotion variability/negativity and emotion regulation in the relationship between social competence and social-emotional adjustment. It is thought that the finding that children's emotion regulation and emotion variability/negativity mediate the relationship between social-emotional adjustment, social competence, and behavior regulation will contribute to the literature.
The predictive role of eating disorders and physical activity in findrisc diabetes risk: the sample of nutrition and dietetics students
(Pontificia Universidade Catolica Campinas, 2024-06) Hamurcu, Pınar; Batar, Nazlı; 256218
Objective The aim of this study was to investigate the effect of eating disorder risk and physical activity level on diabetes risk in students enrolled in the Department of Nutrition and Dietetics. Methods This cross-sectional descriptive study was conducted with 313 students enrolled in the Department of Nutrition and Dietetics at a private foundation university during the academic year of 2021-2022. Data was collected through face-to-face interviews using the Information Form, International Physical Activity Questionnaire, SCOFF Eating Disorders Scale, and Finnish Type-2 Diabetes Risk Questionnaire. The data was analyzed using IBM®SPSS® v.26 statistical software. Results Among the Nutrition and Dietetics students, 91.1% were female, mean age was 21.42±3.62 years, and mean body mass ındex was 21.72±3.25 kg/m2. According to International Physical Activity Questionnaire assessment, 8.9% of the students were categorized as inactive. The SCOFF Eating Disorders Scale assessment revealed that 25.6% of the students were at risk of developing an eating disorder. The Finnish Type-2 Diabetes Risk Questionnaire assessment indicated that 90.7% of the students had a low to slight risk of diabetes. The results of the correlation analysis showed that as International Physical Activity Questionnaire scores increased, Finnish Type-2 Diabetes Risk Questionnaire scores decreased by 16.8% (p=0.003), and as SCOFF Eating Disorders Scale scores increased, Finnish Type-2 Diabetes Risk Questionnaire scores also increased by 28% (p<0.001). The results of the multiple regression analysis showed that International Physical Activity Questionnaire significantly predicted Finnish Type-2 Diabetes Risk Questionnaire score, accounting for 3.8% of the variance, while SCOFF Eating Disorders Scale predicted Finnish Type-2 Diabetes Risk Questionnaire score, accounting for 8% of the variance (p<0.001). Conclusion The findings of this study suggest that physical activity level and susceptibility to eating disorders have a significant effect on the development of diabetes mellitus.
The role of nutrition and nutritional supplements in the prevention and treatment of malnutrition in chronic obstructive pulmonary disease: current approaches in nutrition therapy
(Springer, 2025-01) Tuna, Tuğba; Samur, Gülhan; 336342
Purpose of Review Malnutrition is a significant comorbidity in Chronic Obstructive Pulmonary Disease (COPD), contributing to disease progression and reduced quality of life. This narrative review examines the role of nutritional therapy in the prevention and management of malnutrition in COPD, emphasizing evidence-based approaches and their clinical implications. Recent Findings COPD patients face increased metabolic demands, systemic inflammation, and reduced dietary intake, resulting in muscle wasting, sarcopenia, and cachexia. Recent evidence highlights the efficacy of targeted nutritional strategies, including essential amino acid supplementation, omega-3 fatty acids, vitamin D, and antioxidants, in improving respiratory function, muscle strength, and patient well-being. Comprehensive nutritional assessments and personalized interventions are increasingly recognized as critical components of COPD care. However, long-term efficacy data remain limited. Summary Nutritional therapy plays a pivotal role in managing malnutrition and improving clinical outcomes in COPD. This review synthesizes the latest evidence, identifies gaps in current research, and proposes strategies for integrating personalized nutrition into COPD care. Future studies are needed to establish the long-term benefits of these interventions and to develop tailored nutritional guidelines for COPD patients.
Value education in elementary ages
(IGI Global, 2023) Sayan, Hamiyet; 140851; Demircioğlu, Aytekin
Value education is the teaching and learning of values as empathy, respect, responsibility, etc. in schools. It aims to feed moral development and ethical advances to array students and equip them with the skills to navigate complex social situation. As an important part of education, value education is interested in developing moral values and ethics of the students. It also helps these students develop understanding and evaluating of the importance of these values like respect, honesty, empathy, and the like. They understand how to manage and live satisfactory quality lives.

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