GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES

The Effect of Perceived Stress Related to Covid-19 Pandemic on Dyspnea and Sleep Quality in Patients with Chronic Obstructive Pulmonary Disease

Meryem YILDIZ AYVAZ — 2024-05-29

Objectives: This descriptive study was planned to evaluate the effect of perceived stress related to the COVID-19 pandemic on dyspnea and sleep quality in individuals with chronic obstructive pulmonary disease (COPD).

Methods: The study was conducted with 141 COPD patients who met the inclusion criteria from home care patients affiliated with a state hospital in Istanbul between July and October 2021. “Sociodemographic Characteristics Form” “Perceived Stress Scale (PSS)” “Dyspnea-12 Scale” “Pittsburgh Sleep Quality Index (PSQI)” was used to collect data.

Results: The mean age of the participants was 75.82±10.43. The stress scores associated with the pandemic of the individuals with chronic obstructive pulmonary disease were 27.87±3.59. The dyspnea score was 17.20±8.76 in total. The mean Pitsburg Sleep Quality Index score was found to be 7.50±3.21.

Conclusions: It was determined that the stress perceptions associated with the pandemic were high in the individuals with COPD who participated in the study, the severity of dyspnea was moderate and their sleep quality was poor. It was determined that smoking increased the severity of dyspnea, decreased sleep quality, and advanced age increased perceived stress.

Protective Effects of Montelucast and N-Acetlycystein Activity on Doxorubicin-Induced Liver Damage in Animal Model: Paraoxonase and Arylesterase

Suat ÇAKINA — 2024-05-29

Objective: Doxorubicin (DOX) is a chemotherapeutic agent and is widely used in cancer treatment. There are some studies suggesting oxidative stress-induced toxic changes in the liver due to DOX administration. The aim of this study was to reveal the oxidative damage of DOX in liver tissue at molecular level and to evaluate the protective effect of N-acetyl cysteine and Montelukast against DOX oxidative damage.

Methods: Thirty-six male rats were equally divided into 6 groups. The first group was used as control. The second group received a single dose of DOX. The third and fourth groups received N-Acetylcysteine and Montelukast respectively for 28 days. The fifth and sixth groups received a single dose of DOX, followed by N-Acetylcysteine and Montelukast for 28 days. NAC was given for 10 days. At the end of the experiment, liver tissues were taken from all animals under anesthesia. Malondialdehyde (MDA), Paraoxanase and Arylesterase levels were determined in these samples by spectrophotometric methods.

Results: It was determined that MDA level increased, paraoxanase and arylesterase levels decreased in the group given Doxo compared to the control group. In addition, MDA and Paraoxanase levels increased in the Doxorubicin+N-Acetylsitein group, but did not approach the control group levels.

Conclusion: It was concluded that Doxorubicin administration increased oxidative stress and NAC administration could prevent the increased oxidative stress. NAC caused modulatory effects on oxidative stress and antioxidant redox system in Doxorubicin-induced liver toxicity in the rat.

Investigation of The Life Experiences of Obese Patients

Melis Merve ÇETİNKAYA — 2024-05-29

Objective: The aim of this study was to determine the life experiences of obese patients and the reasons for their decision to undergo metabolic surgery.

Methods: This research is of qualitative phenomenological type. The research sample consisted of nine individuals with a body mass index of 30 and above, obese for at least one year, who decided to undergo metabolic surgery. Data were collected by face-to-face interviews using a participant identification form and a semi-structured data collection form. Consolidated Criteria for Reporting Qualitative Studies (COREQ) guidelines were used as a guide.

Results: The youngest of the nine participants was 20 years old and the oldest was 51 years old. When analyzed in terms of gender, it was determined that six of them were female, one of them was married and they worked in different professions. Other characteristics were that all but one of them lived with their families, all but two of them had obese individuals in their families, most of them had a stressful life according to their own statements, and all but one of them had tried dieting many times until the metabolic surgery and had not been successful. Three themes were determined by examining the statements of the patients followed up with a diagnosis of obesity regarding their experiences. These themes are social isolation, effects of obesity and surgical process.

Conclusion: Based on the data obtained in this study, it can be considered that obese individuals experience social isolation, psychological disorders, restriction of clothing preferences, feeling unhealthy and limitations in physical activity due to their excess weight. In addition, it was determined that the participants tried diet therapy many times, but they were not successful, so they considered metabolic surgery as a last resort.

Investigation of the Relationship between In Care Difficulties and Compassion Fatigue of Palliative Care Nurses

Gülcan BAHCECIOGLU TURAN — 2024-05-29

Objective: It is to examine the relationship between in care difficulties and compassion fatigue of palliative care nurses

Method: This study is descriptive type, and it was conducted between 1-15 April 2021. The questionnaire scales were sent to the nurses online. 105 nurses who answered to the forms were included in the study. In collection of data were used the Personal Information Form, Palliative Care Difficulties Scale (PCDS), and Compassion Fatigue Short Scale (CF-SS).

Results: Average age of palliative care nurses 29.43±7.16, mean the working year was determined to be 2.88±2.46. It was determined that 80% of the nurses were women, 45.7% were married, and 74.3% were undergraduates. PCDS total score average 43.98±8.27; Communication sub-dimension 8.74 in multidisciplinary teams±2.27, patient and family communication sub-dimension 9.64±2.57, expert support sub-dimension 7.61±2.28, symptom reduction sub-dimension 9.47±2.73 and communication coordination sub-dimension 8.49±It was found to be 2.51. CF-SS total score average 65.34±21.68; secondary trauma sub-dimension 25.65±10.49 and occupational burnout sub-dimension 39.68±was found to be 13.48. It was found that as compassion fatigue and professional burnout levels of nurses increased, symptom management in palliative care was found to become more difficult (p<0.05).

Conclusion: It was found that the compassion fatigue and care difficulty of the palliative care nurses were moderate. It was found that as the nurse’s professional burnout and compassion fatigue level increased, symptom management in palliative care became more difficult.

The influence of patient demographics, stage of disease, and history of corticosteroid injections on the effectiveness of platelet-rich plasma in the treatment of knee osteoarthritis

Yasemin ÖZKAN — 2024-05-29

Osteoarthritis is the predominant form of non-inflammatory arthritis, and it frequently affects the knee joint. The basis of platelet-rich plasma (PRP) treatment is to obtain supraphysiological doses of growth factors by concentrating the platelets. Thus it is intended to accelerate wound healing and achieve better functional improvement (2, 3, 4). For knee osteoarthritis treatment, PRP is administered as repeated intraarticular injections.

Our study aimed to determine the impact of two PRP administrations, with an interval of four weeks, on pain, Cincinnati Knee Rating System and the Lysholm Knee Score evaluation in patients with knee osteoarthritis. In addition, we wanted to explore the relation of PRP treatment with the stage of osteoarthritis, obesity, age, gender, and intraarticular steroid administration within the last 6 months.

The Effect of Perceived Organizational Support on Psychological Resilience in Executive Nurses

Suna AKPINAR AY — 2024-05-29

Aim: The effect of the support of the organization they work on on psychological resilience is an important issue for nurses. The aim of this research is to examine the effect of perceived organizational support on psychological resilience in manager nurses working in public and private hospitals affiliated with the Ministry of Health.

Method: The population of this research, which was conducted with a quantitative research method and cross-sectional research design, consisted of 'manager nurses' working in public and private hospitals in the province of Mardin Purposeful sampling was not chosen as the sampling method, and a total of 120 nurse managers who voluntarily agreed to participate in the research were asked online, which included demographic information created by the researcher (gender, age, marital status, educational status, working hours, weekly working hours and the institution they worked for). It was reached through a survey. In addition, as a data collection tool in the research; “Psychological Resilience Scale for Adults” developed by Friborg et al. (2003) and adapted to Turkish by Basım and Çetin (2011) and “Perceived Organizational Support Scale” developed by Eisenberger et al. (1986) and adapted to Turkish by Türe and Yıldırım (2018). It was collected with . In the first stage of data analysis, the normality distribution of the data was examined, and frequency and percentage (%) analysis was performed for demographic information. Upon determining that the data did not show a normal distribution, the Mann Whitney u test was used for non-parametric tests for two groups, and the Kruskal Wallis test was used to detect the difference between more than two groups.

Results: In the findings of the study, participants scored a minimum of 9, a maximum of 45, and an average of 29.05 (±7.84) on the perceived organizational support scale; On the psychological resilience scale, they received a minimum score of 81, a maximum score of 159, and an average score of 122.8 (±19.80).

Conclusion: In the research; It was concluded that the education levels of the participants and the institutions they work in affected their psychological resilience, and their weekly working hours affected their perceived organizational support.

Examination of The Stigmating Attitudes, Behaviors and Affecting Factors of Women and Men Toward Abortion: The Example of A Muslim Country

Ummahan YÜCEL — 2024-05-29

The aim of this study is to determine the stigmatizing attitudes and behaviors of men and women towards abortion in Turkey, a Muslim country. Another aim of the study is to examine the factors affecting stigmatizing attitudes and behaviors. A total of 982 people, 701 women and 281 men over the age of 18, were included in the cross-sectional analytical study. In the study, convenience sampling, one of the non-random sampling types, was preferred to reduce costs and save time. Research data was collected through Google Forms and social media in 17 of Turkey's 81 provinces. Having participants from different provinces is a strong aspect of the research. Individual Information Form, Questionnaire for Determining Thoughts About Abortion, Stigmatizing Attitudes, Beliefs and Behavior Scale towards Abortion were used in data collection. In the study, it was found that participants with low education levels and living in rural areas, men, married people and those with more than two children had higher levels of stigmatizing attitudes towards abortion. It is thought that our research will contribute to the evaluation of the perspective on stigma regarding abortion

Wellness-Spa Center Users' "Quality of Life" Evaluation: A Thermal Hotel Sample

Murat DEMİREZEN — 2024-05-29

Purpose: In this study, it was aimed to investigate the quality of life levels of those using wellness-spa centers.

Methods: This study is a cross-sectional study conducted on 182 people who received service from a thermal hotel wellness-spa center between January and February 2020. Study data were collected using a questionnaire developed by the researchers to evaluate sociodemographic information and Wellness-Spa usage characteristics, and Short Form 36 (SF-36), which evaluates quality of life.

Results: When the scores of the participants from the sub-factor of the SF-36 scale were compared according to their use of the wellness-spa center; It was found that those who used the wellness-spa center for a long time had higher energy and vitality scores but lower general perception of health scores. It was found that individuals had higher physical functioning, role limitation due to physical problems, energy and vitality, social functioning, bodily pain and general perception of health scores, and age was negatively correlated with physical functioning and general perception of health sub-factors.

Conclusion: It is seen that people who continue the physical exercise program for a long time have a healthier life. It is thought that these centers, where the perceived quality of life of the applicants in the wellness and spa center is low, will create opportunities for both treatment and health promotion with balneotherapy opportunities, and it is thought that this center should focus on interventions to health promotion.

Evaluation of Uterine Artery Doppler Findings for Pregnant Women in 3rd Trimester with Pelvic Girdle Pain

Nihan Erdoğan Atalay — 2024-05-29

Objective: The aim of our study is to examine the changes in uterine artery Doppler flow of pregnant women with pelvic girdle pain compared to pregnant women without pelvic girdle pain.

Material-method: 54 volunteer pregnant women, who were in the third trimester of their pregnancy and applied to the Department of Gynecology and Obstetrics of Abant İzzet Baysal University Faculty of Medicine between April 2021 and August 2021, were included in the study. Two groups were defined as pregnant women with pelvic girdle pain (n=27) and pregnant women without pelvic girdle pain (n=27). Evaluation questionnaires and uterine artery Doppler ultrasonography were applied to both groups. Systole/diastole (S/D) and pulsatility index (PI) of the two groups that underwent uterine artery Doppler ultrasonography were measured and recorded.

Results: It is found that the pregnant women with and without pelvic girdle pain participating in the study were similar in terms of age, height, body weight, gestational week, CV, education level, obstetric history, smoking and occupation (p>0.05). Uterine artery S/D (p=0.006) was found to be significantly higher in the group with pelvic girdle pain than in pregnant women without pelvic girdle pain. There was no significant difference between the presence of bilateral notching (p = 0.096) and PI values (p = 0.051) in the uterine artery Doppler flow of pregnant women in both groups.

Conclusion: It is found that uterine artery Doppler S/D measurement was higher in pregnant women with pelvic girdle pain in the third trimester than in pregnant women without pelvic girdle pain.

Investigation of the Relationship between Pain, Kinesiophobia, Quality of Life in Patients after Spinal Surgery

İlker DEMİR — 2024-05-29

Aim: Our research was carried out to examine the relationship between pain, kinesiophobia and quality of life in patients who had undergone spinal surgery.

Materials and Method: The study was conducted as a descriptive and cross-sectional study with 110 patients who had spinal surgery and were hospitalized in the neurosurgery unit of a research and practice hospital in Malatya between October 2022 and November 2023. 'Patient Information Form', 'Visual Analog Scale', 'Tampa Kinesiophobia Scale' and 'SF-36 Short Form' were used as data collection tools in the study.

Results: In the study, the patients' Tampa Kinesiophobia Scale total mean score was 40.73±9.59 and their Visual Analogue Scale (VAS) mean was 4.68±1.79. The average total score of individuals' quality of life sub-dimensions are respectively; physical function 48.90±11.01, social function 36.70±19.62, physical role difficulty 27.04±23.00, emotional role difficulty 20.60±36.70, mental health 63.49±12.42, vitality 58.63±18.42, physical pain 51.97±18.93 and general health perception 51.22. as ±12.41 detected.

Conclusion: A positive significant relationship was found between the VAS average score and the total kinesiophobia score of individuals who had spinal surgery. The correlation coefficient was r: 0.214 (p<0.05). A significant negative relationship was detected between VAS and physical role difficulty and general health perception total score (p<.05). There was also a significant negative relationship between kinesiophobia and vitality and physical pain (p<.05).

The Relationship between Attitudes towards E-Learning and Success Motivations of Students in the Field of Health Sciences

Filiz ERSÖĞÜTÇÜ — 2024-05-29

Aim: In this study, it was aimed to determine the relationship between the attitudes towards e-learning and success motivation of students studying in the field of health sciences.

Methods: This study in a descriptive cross-sectional research design was completed with 575 students studying at the Faculty of Health Sciences between November 2020 and December 2020. By using the online survey method in collecting data; Personal Information Form, Achievement Motivation Scale Based on Expectation-Value Theory (BDTÖ) and Attitude Scale Towards E-Learning (EÖYT) were applied.

Results: It was determined that the average age of the participants was 20.92 ± 2.88, mostly women and students of the nursing department. It was found that the total score of BDTÖ was (28.87 ± 6.47), and the total score of EÖYT was (56.07 ± 9.29). It was observed that there was a two-way positive significant relationship between the total score of the BDTÖ and the total score of EÖYT, the susceptibility sub-dimension of EÖYT, and age (p <0.05).

Conclusion: The study showed that students' attitudes towards e-learning and their motivation for success are at average levels. It was observed that as the motivation level of students increased, their positive attitudes towards e-learning also increased. As a result, it has been observed that the motivation levels of the students studying in the field of health sciences are an important factor in continuing e-learning and being successful. For this reason, it may be suggested that students be supported with reward and incentive systems in order to ensure that students are successful in the e-learning process and to ensure the continuity of this success in case they are successful.

Coffee and Women Health

Merve Sena TOPKAYA — 2024-05-29

Kahve, dünyada en çok tüketilen kafein içeren içeceklerden biridir. Önemli miktarda klorojenik asit ve kafein dahil olmak üzere birçok farklı kimyasal bileşen içerir. Ayrıca birçok popülasyonda kahvenin ana kafein kaynağı olduğu da bilinmektedir. Kafeinin en sık tüketilen psikoaktif uyarıcı olduğu bilinmektedir ve özellikle A1 ve A2A adenozin reseptör antagonisti olarak biyolojik aktivite göstermektedir. Klorojenik asit, kafeik asit ve melanoidin de kahvede bulunan antioksidanlar olarak gösterilmektedir. Önemli etkileri olan polifenollerin trans-sinnamik ve kinik asit yapıları arasında yer aldığı gösterilmiştir. Glikoz ve yağ metabolizmasında rol oynarlar ve diyabet, kardiyovasküler hastalıklar, obezite ve kanserle ilişkilidirler. Kahve, karbonhidratlar, yağlar, nitrojen bileşikleri, vitamin ve mineraller, alkaloidler ve fenolik bileşikler gibi birçok besin açısından zengin bir içecek olarak tanımlanmaktadır. Geçmişte yapılan çalışmalar kahve tüketiminin sağlığa olumsuz etkisi olduğunu gösterse de artık bazı kronik hastalıklara karşı koruyucu olabilecek bileşenler içerdiği kabul ediliyor. Fiziksel performansı arttırdığı, obezite ve tip II diyabete karşı koruduğu, felç, karaciğer, prostat ve kolorektal kanser riskini %20 azalttığı, Parkinson riskini %25 azalttığı, beyin fonksiyonlarını iyileştirdiği ve hastalıklara karşı koruduğu bulunmuştur. demansla mücadelenin yanı sıra depresyonla mücadeleye destek oluyor ve intihar riskini %50 oranında azaltıyor. Kahve tüketenlerde ölüm oranının, tüketmeyenlere göre daha düşük olduğu gösterilmiş olup, özellikle kadınlarda kahve tüketimi arttıkça endometriyum ve meme kanseri ile kalp-damar hastalıkları riskinin azaldığının altı çizildi. Kahvenin kadınlar üzerindeki olası faydalı etkilerinin yanı sıra kısırlık, hamilelikte düşük yapma riski, emziren annelerde aşırı anksiyete gelişimi, uykusuzluk, yenidoğanda sinirlilik, kemik kırıklarında artış gibi risk faktörlerini gösteren çalışmalar bulunmaktadır. Bu derlemenin amacı kahve tüketiminin kadın sağlığına etkilerini araştıran çalışmaları incelemek ve yorumlamaktır.

The Effects of Virtual Reality Simulation Use on Nursing Students during COVID-19: A Systematic Review

Yesim ISLER ISILDAK — 2024-05-29

Objective: This study was conducted to evaluate the effects of the use of virtual reality simulation on the education of nursing students during the Coronavirus-2019 (COVID-19) pandemic.

Methods: This systematic review scanned studies published in Pubmed, Cochrane and Ovid databases between November 2019 and September 2022 (last search date 16 September 2022) using the keywords “virtual reality” and “nursing education” or “nurse and education” and “COVID-19” and their combinations. The content of Medical subject headings (MeSH) was used to create keywords. Critical Appraisal Tools recommended by the Joanna Briggs Institute were used to assess the quality of the studies. Five studies out of 1648 studies scanned were included in this study.

Results: The sample in these studies, all conducted in a quasi-experimental design, ranged from 50 to 192. In the studies reviewed, the groups using virtual reality simulation had higher self-efficacy, perception, knowledge, learning motivation, problem-solving skills, self-confidence, learning satisfaction and practical performance than other groups.

Conclusion: The results indicated that virtual reality simulation could be used effectively in student nurse education during the COVID-19 pandemic.