Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2025Invisible Warriors in the Struggle Against Cancer: Social Support and Spiritual Care—A Phenomenological Study on Patient Experiences †
Özmaya, Esma; Uzun, Sevda
Objective: The aim of this study is to examine the effect of social support on the mental state of cancer patients using a phenomenological approach. Materials–Methods: In this study, a phenomenological research orientation was used, and semi-structured in-depth interviews were conducted with 14 people diagnosed with cancer living in a province in central Turkey. The criterion sampling method, one of the purposeful sampling methods, was used for the sample group. The interviews continued until data saturation was achieved, and all interviews were recorded and later transcribed verbatim. The data were analyzed using thematic analysis, and the study was conducted and reported according to the COREQ checklist. Results: Two categories (effects of cancer and needs of the cancer patient (invisible components)) and five themes (psychological effects, social effects, physical effects, social support, and spiritual care) were identified in the analysis of the data. Conclusions: It has been determined that individuals are affected by cancer mentally, physically, and socially, and have difficulty coping. In particular, it has been found that social support and thinking about the purpose of life, supporting hope, and self-acceptance are quite important in increasing individuals’ spirituality.
- MakaleAçık Erişim2025The Effect of a Mindfulness-Based Stress Reduction Program on Depression and Quality of Life in Cancer Patients
Özmaya, Esma; Uzun, Sevda; Aytaç, Tufan
Mindfulness-based interventions have been receiving growing attention in cancer care. This study was performed to determine the effect of a mindfulness-based stress reduction program on depression and quality of life in cancer patients. The screenings in the study were performed in January to May 2023 through the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Web of Science, Science Direct, and YÖK Thesis Center databases. After the reviews, 14 studies were included in the study. This meta-analysis showed that mindfulness-based stress reduction programs were effective on depression (SMD: −0.363; 95% CI: −0.711 to 0.015; Z = −2.042; P = .041; I2 = 85.229%) and quality of life (SMD: 0.363; 95 CI%: 0.111-0.615; Z = 2.822; P = .005; I2 = 75.222%). The type of cancer (SMD: 0.385; CI: between 0.005 and 0.528; P = .000); duration of therapy (SMD: 0.243; CI: between 0.093 and 0.393; P = .002); the person providing therapy (SMD: 0.335; CI: between 0.133 and 0.507; P = .001); scale used (SMD: 0.290; CI: between 0.148 and 0.432; P = .000); and the origin of the study (SMD: 0.298; CI: between 0.158 and 0.438; P = .000) moderators were found to play a role in the effectiveness of a mindfulness-based stress reduction program on the quality of life of cancer patients. The mindfulness-based stress reduction program yields positive outcomes by reducing depression, enhancing the quality of life in cancer patients, and promoting overall mental well-being in individuals.
- MakaleAçık Erişim2025Patients' Experiences With Complementary and Alternative Treatments to Manage Chemotherapy Symptoms: A Phenomenological Study
Özmaya, Esma; Uzun, Sevda
This phenomenological study aims to explore the experiences of individuals undergoing chemotherapy, focusing on their symptoms and the use of complementary and alternative treatments to cope with these challenges. Thirteen individuals diagnosed with cancer in a city in the central region of Turkey were interviewed using a semi-structured, in-depth approach in this phenomenological study. The criterion sampling method was employed to select participants, and interviews continued until data saturation was achieved. Thematic analysis was applied to the audio-recorded and transcribed interviews. The study adhered to the COREQ checklist for reporting qualitative research. The data analysis revealed 2 main categories (effects of cancer and chemotherapy on individuals, the use of complementary and alternative treatments to cope with the symptoms of patients receiving chemotherapy) and 6 themes (psychological effects, social impacts, physical effects, social practices, psychological practices, and physical practices). The study demonstrated that individuals faced significant psychological, physical, and social challenges due to cancer, posing difficulties in coping. The symptoms had a substantial negative impact on individuals. The research identified the use of various alternative methods, such as yoga, the Mediterranean diet, and music therapy, as coping strategies. It is recommended that individuals undergoing chemotherapy explore complementary and alternative treatment methods to effectively manage symptoms.
- MakaleAçık Erişim2025The evaluation of the mediation role of life engagement in resilience and trauma levels of individuals experiencing the earthquake in Kahramanmaraş, Türkiye
Özmaya, Esma; Erkoç, Beyza; Kalaycı, Sami; Uzun, Sevda; Lotfi, Sayra
The aim of this study is to evaluate the mediation role of life engagement in resilience and trauma levels of individuals experiencing the earthquake on February 6, 2023 in the city of Kahramanmaraş in Türkiye. The sample of this descriptive and correlational study included 1406 individuals. The questionnaire data was obtained through Google Forms and other data collection tools were Socio-demographic Information Form, Trauma Level Determination Scale, Short Resilience Scale and Life Engagement Scale. To analyse the data, frequency (percentage, arithmetic mean) and correlation analyses were used. Depending on the findings of the study, the resilience and trauma levels were negatively correlated, whereas the resilience and life engagement levels were positively correlated. Furthermore, the life engagement levels were negatively correlated with trauma levels while they were positively correlated with resilience. It was found that the life engagement played an mediation role in resilience and trauma levels of individuals experiencing the earthquake in Kahramanmaraş, Türkiye. In this study, we found that the life engagement has an important role in resilience and trauma levels of individuals. We are of the opinion that the findings of this study might help researchers and conductors to plan and perform effective strategies for post-impact phase of an earthquake.
- MakaleAçık Erişim2023Şizofreni Tanılı Bireylerin TSH Düzeyi Yönünden Değerlendirilmesi: 10 Yıllık Retrospektif Çalışma
Geniş, Bahadır; Uzun, Sevda; Arıkan, Zehra; Gürhan, Nermin; Bingöl, Tülay Yılmaz; Karakas, Didar; Özmaya, Esma; Altun, Elif
Araştırma şizofreni tanılı bireylerin TSH düzeyinin hastalığa olan etkisini belirlemek amacıyla yapılmıştır. Bu retrospektif çalışmada Gazi Üniversitesi Tıp Fakültesi Psikiyatri Kliniğine 2010-2020 yılları arasında yatarak tedavi gören 2552 hastanın dosyası geriye dönük olarak taranmıştır. Araştırma verilerini toplamak için “Kişisel Bilgi Formu” kullanılmış olup bu form 2010-2020 yılları arasında ki arşiv kayıtlarından elde edilmiş olan yaş, cinsiyet gibi verilere ek olarak TSH düzeyi olmak üzere on üç sorudan oluşmaktadır. Örneklemin yaş ortalaması 38,92±10,80 olup, %74’ünün (n=77) erkek, %40,4’ünün (n=42) lise mezunu, %67,3’ünün (n=70) bekar ve %54,8’inin (n=57) çalışmadığı saptanmıştır. Kan TSH değerlerinin sosyodemografik değişkenlere göre karşılaştırıldığında cinsiyet (U=963,5, Z=-0,564, p=0,573), eğitim durumu (X2=0,353, p=0,838), medeni durum (U=974,5, Z=-1,494, p=0,135), ve mesleklere (X2=3,334, p=0,504) göre anlamlı farklılık göstermediği bulunmuştur. Kan TSH değerleri kullanılan ilaç tedavisine (U=52,0, Z=-1,351, p=0,177) göre anlamlı bir farklılık göstermezken, ailede psikiyatri hastalık bulunması durumuna (U=858,0, Z=-2,502, p=0,012) göre anlamlı farklılık göstermiştir. Sonuç olarak, TSH değerinin şizofreni hastalığı olan bireylerde önemli bir hormon olduğu bulunmuştur. Özellikle TSH değerin ruhsal hastalıklara göre düşük ya da yüksek değer gösterdiğini değerlendirebilmek adına daha fazla araştırmaya ve verilere ihtiyaç duyulmaktadır.
- MakaleAçık Erişim2022Hemşirelik Öğrencilerinin Bağımsız Kelime İlişkilendirme Testi ve Yazma Çizme Tekniğiyle Psikolojik Şiddet Algısının Belirlenmesi
Uzun, Sevda; Gürhan, Nermin; Karakas, Didar; Kulakaç, Nurşen; Özmaya, Esma; Altun, Elif
Amaç: Bu çalışmada hemşirelik son sınıf öğrencilerinin sahip olduğu psikolojik şiddet algısının, boyutunun, nedenlerinin ve sonuçlarının bağımsız kelime ilişkilendirme testi ve yazma çizme tekniğiyle detaylı incelenmesi amaçlanmıştır. Yöntem: Araştırmada öğrencilerin psikolojik şiddete ilişkin görüşlerini derinden incelemek için nitel araştırma yaklaşımlarından durum çalışması deseninden yararlanılmıştır. Çalışma grubunu çalışmaya katılmayı kabul eden gönüllü 26 hemşirelik son sınıf öğrencisi oluşturmuştur. Veri toplama aracı olarak; bağımsız kelime ilişkilendirme testi ve yazdırma–çizdirme tekniği kullanılarak, katılımcıların “psikolojik şiddet” kavramıyla ilgili bilişsel yapılarında ayrıntılı veri toplanması hedeflenmiştir. Çizimler ise öğrencilerin mevcut bilgilerini, inançlarını kelimelere bağlı kalmaksızın ifade etmesini sağlar. Elde edilen veriler içerik analizine göre değerlendirilerek kategoriler belirlenmiştir. Bulgular: Elde edilen bulgulara göre hemşirelik adaylarının psikolojik şiddet ile ilgili zihinlerindeki kavramlardan bağımsız kelime ilişkilendirme testiyle ve yazma çizme tekniğiyle toplam altı kategori oluşturulmuştur.. Bu kategoriler psikolojik şiddetin özellikleri, psikolojik şiddetin etkileri, psikolojik şiddetin nedenleri, psikolojik şiddeti gösterme biçimleri ve psikolojik şiddeti uygulayanlardır. Sonuç: Çalışmamızda hemşirelik öğrencilerinin psikolojik şiddeti sözel şiddetle aynı kavram olarak algıladığı, psikolojik şiddetin nedenleri arasında ilk sırada öfkeyi gördüğü ve psikolojik şiddetin etkilerini ise değersiz hissetme, depresif duygudurum ve korku olarak değerlendirdiği bulunmuştur.
- MakaleAçık Erişim2022Determination of the Care Needs of Individuals Over 65 in\rthe COVID-19 Pandemic: A Qualitative Study
Uzun, Sevda; Kulakaç, Nurşen; Özmaya, Esma
Objective: The purpose of this study was to determine the\rcare needs of individuals over 65 during the coronavirus disease-2019\r(COVID-19) pandemic. Material and Methods: The study was carried\rout phenomenologically with a qualitative approach using semi-structured\rinterviews. It was conducted with 15 individuals over 65 living in various\rgeographical regions in Türkiye. The data were collected through phone\rinterviews and analyzed using Colaizzi’s seven-step method. Results: The\rsociodemographic data of the individuals demonstrated that eight participants\rwere male and seven were female. The mean age was 71.4±6.25\r(minimum-maximum, 65-82). Ten of them were single, seven were 65-70\ryears old, and ten were retired. Eleven of them were primary school graduates.\rAll individuals over the age of sixty-five have health insurance. In\raddition, 14 of the individuals have chronic physical illness and 2 have\rchronic mental illness. In this study, the findings of COVID-19 were analyzed\rand it is divided into 2 categories as properties and unmet needs. In\rthe category of characteristics of COVID-19, perceived characteristics, experienced\rwhile results and management/coping styles were the determined\rthemes, physical, psychological, social, and information themes were the\rthemes identified in the unmet needs category. Over the age of 65 in the\rprocess of the COVID-19 pandemic shopping, paying the bills and walking\rcodes are in the first place on the theme of physically unmet needs of\rindividuals, while reputation and independence codes are in the first place\ron the theme of spiritually unmet side needs has been identified. Finally, the\rcodes of not being able to communicate with loved ones and participate in\rthe community were included in the socially unmet needs. Conclusion:\rThe study revealed that individuals over 65 need support to improve their\rquality of care during the pandemic. They found COVID-19 deadly and\rdangerous, and they experienced anxiety and fear during this period. They\rhad difficulties in activities such as shopping, paying the bills, and taking\rmedicine, and their needs are met by others. They experienced problems\rabout independence, dignity, lack of satisfaction of love needs, and limited\rcommunication with loved ones, leading to disruptions in the quality\rof life.
- MakaleAçık Erişim2022The effect of motivational interview conducted by nurses on quality of life: Meta-analysis
Uzun, Sevda; Özmaya, Esma
Purpose: The aim of the study is to examine the effect of the motivational interviewing method conducted by nurses on the quality of life of patients with chronic diseases. Design and Methods: The studies examined in this meta-analysis study were obtained by scanning the PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK thesis databases between January and May 2021 without any year limitation. After the elimination, 16 studies were included in the study. The data were synthesized with meta-analysis and narrative methods. The total sample size of the studies was 14,425. Findings: This meta-analysis demonstrated that the motivational interviewing method applied by nurses in individuals with chronic diseases changed their quality of life (SMD: 0.258, 95% confidence interval: 0.076–0.441; Z = 2.775, p = 0.006, I2 = 89.97%). The variance between studies was statistically significant (p < 0.05) for the moderator of the measurement tools, the duration of the motivational interviews, and the country/continent of the studies were conducted (p < 0.05), suggesting that the measurement tools, the duration of the motivational interview, and the country/continent of the studies changed the effect size of the motivational interview method on the quality of life. Practice Implications: It has been concluded that the motivational interview method applied by nurses who are in a critical position in the protection and development of health improves the quality of life of individuals with chronic diseases.