Sürdürülebilir Kalkınma Amaçları

  • MakaleYalnız künye2026
    Women's breast cancer prevention behaviors and cancer fears: the sample of post-earthquake

    Aydin, Aydanur

    In the event of a natural disaster, women who assume multiple roles within the family unit tend to postpone their health concerns and delay medical appointments. The present study aims to examine the relationship between the level of fear of breast cancer and the implementation of breast cancer preventive behaviours among women following an earthquake. The sample consists of 2,671 women aged 20 and over who participated voluntarily. The data were collected using two instruments: the Breast Cancer Fear Scale and the Women's Breast Cancer Prevention Behaviors Form. Following a comprehensive review of the extant literature, it was determined that women affected by earthquakes exhibited elevated levels of fear of breast cancer. A substantial decline was observed in the utilization of preventive measures necessitating institutional access, including mammography. The findings of this study indicate that education, occupation, and family history of breast cancer have a significant impact on women's post-earthquake fear levels in implementing preventive behaviours. However, given the cross-sectional design and the absence of pre-disaster baseline data, these findings reflect post-earthquake associations rather than temporal or causal trends. Natural disasters can result in the deterioration of health perceptions, exacerbated by heightened stress and health concerns. Consequently, there is an urgent need for innovative approaches to ensure the maintenance of health check-ups and continuous access to preventive care in the aftermath of large-scale natural disasters.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2026
    Immersive Virtual Reality as a Tool to Reduce Anxiety and Distress in Patients With Breast Cancer During Radiotherapy

    Aydin, Aydanur; Uslu, Gonca Hanedan; Gursoy, Ayla

    Background: – Virtual reality (VR) can be an innovative method to reduce patients’ anxiety and support their psychological health. Objective: – To evaluate the anxiety and distress-reducing effects of using immersive VR (IVR) intervention in breast cancer patients undergoing radiotherapy (RT). Methods: – Sixty breast cancer patients undergoing RT were recruited for the quasi-experimental study. The participants were divided into the intervention group and the control group. Anxiety and distress, the primary outcome measures, were assessed before the first and after the last radiation session using reliable scales. Patients in the intervention group watched a tranquil forest view with birdsong and meditation music during each RT session using IVR goggles. Results: – Both group patients had similar levels of anxiety and distress before the start of RT. After the intervention, the anxiety and distress of the patients in the intervention group decreased significantly compared with the control group. In addition, treatment-related comfort was higher in the intervention group. Overall, the majority of patients in the intervention group expressed a high level of satisfaction with this IVR experience. Conclusion: – Patients who experienced an IVR intervention showed less anxiety and distress, greater comfort, and higher satisfaction. This innovative technique can be used as a practical solution to alleviate anxiety and distress in various healthcare settings. Implications for Practice: – Immersive VR can be used in treatment and care interventions that cause anxiety and distress in oncology patients.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2026
    Nurse-Led Mobile App Effect on Quality of Life in Breast Cancer Patients After Surgery: Nonrandomized Controlled Prospective Cohort Study (Step 3)

    Aydin, Aydanur; Gürsoy, Ayla

    Background: – Following surgery, women with breast cancer (BC) frequently experience emotional and physiological negative consequences. Objective: – To evaluate the effect of a nurse-led mobile app (NL-Mapp) intervention on quality of life (QoL) in patients after surgery for BC. Methods: – This single-center, 12-month, nonrandomized controlled trial, with 2 parallel groups, represents the final stage of 3-step research. In this study, women were assigned to either the intervention (n = 45) or control (n = 45) group. The intervention group participated in the NL-Mapp, whereas participants in the control group received standard care. The main outcomes were measured using the Functional Assessment of Cancer Therapy—Breast at 3 time points (baseline and 1 and 12 months after the intervention). Clinical Trial number: NCT06505538 Results: – The intervention participants reported significant improvement in physical well-being, emotional well-being, and the BC-specific subscale compared with the control group at the 1-month postsurgery mark. Equally noteworthy, at the 1-year follow-up, consistent improvements were observed across all QoL subscale scores for the intervention group, except for the BC-specific subscale for additional concerns. Conclusion: – Our study revealed a notable enhancement in the QoL among postoperative women with BC who utilized the NL-Mapp. This program emerges as an effective intervention for providing short-term and longer-term supportive care to women affected by BC, leading to tangible improvements in their QoL. Implication for Nursing: – The study’s findings offer valuable evidence supporting the integration of mobile health services into clinical and transitional nursing care.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2026
    Effects of an Immersive Virtual Reality-Based Exercise-Rest on Mobilization in Knee Surgery Patients: A Single-Blind, Randomized Controlled Trial

    Aydin, Aydanur; Menekşeoğlu, Ahmet Kıvanç; Dilaver, İrem; Taş, Süleyman Kasım

    Purpose This study aimed to evaluate the impact of immersive virtual reality (IVR) interventions on enhancing mobilization in patients undergoing total knee arthroplasty. Design A randomized, single-blinded, two-arm, parallel-group controlled trial. Methods A randomized controlled trial was conducted on 30 patients who underwent total knee arthroplasty for the first time. Participants were divided into two groups: the intervention and control groups. The primary outcome, mobilization distance, was measured at the first postoperative mobilization using validated scales. Before mobilization, patients in the intervention group experienced a simulated walk through a tranquil forest accompanied by birdsong and meditation music via IVR goggles. Results All surgeries were performed by the same surgeon, and postoperative medical care was standardized across both groups. The intervention group demonstrated significantly greater mobilization distances and shorter initial walking times than the control group. Moreover, patients in the intervention group reported reduced postmobilization pain and expressed high satisfaction with the IVR experience. Conclusions The findings indicate that patients who experienced IVR intervention exhibited reduced postmobilization pain, increased mobilization distance, and higher satisfaction. This innovative technique has the potential to serve as a practical solution to enhance clinical improvement in various healthcare settings. Clinical Implications This study demonstrated the effectiveness of IVR-assisted mobilization in enhancing walking distance among patients undergoing knee surgery. The use of IVR presents an innovative and engaging approach to support postoperative mobilization in this patient population. Further research in this area may contribute to the development of more comprehensive and effective IVR interventions.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • Derleme MakaleYalnız künye2026
    A systematic review of studies evaluating immersive virtual reality applications to support nursing education for nursing students

    Aydin, Aydanur; Güler, Sevil; Bulut, Hülya

    Objectives: Virtual reality (VR)-based interventions are widely used in education. However, it is necessary to systematically examine the outcomes of immersive virtual reality (IVR) applications in nursing education, clarifying their impact on knowledge, skills, and attitudes among nursing students. Methods: This review utilized the methodological framework of the Joanna Briggs Institute. A search was conducted of the Ovid MEDLINE, PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Web of Science, and Scopus databases for the period from 2013 to 2023. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) protocol informed the review and screening of the literature. The articles were assessed for eligibility via first screening by abstract review, followed by a full-text review. The first two authors reviewed the articles, assessing qualification for inclusion and evaluating the content. Data from eligible articles were analyzed and synthesized to answer the research question. Results: Of the initial 667 articles, 11 articles met the inclusion criteria for final analysis. The findings indicate that IVR applications in clinical practice positively impact nursing students, as IVR provides effective results in increasing their knowledge. Nursing educators should avoid comparing the results of students’ IVR practice with classical clinical practice. Nursing students should continue to engage in clinical practice, as it remains an essential aspect of their education. While technological applications such as IVR may be useful, they should not be used as a substitute for clinical practice. This review highlights the reported outcomes and benefits of clinical teaching methods in nursing. Conclusion: A limited number of articles were found that evaluated the education of nursing students in IVR applications. The analyzed articles found that nurse educators experienced meaningful knowledge exchange with students after IVR implementation. Further research is needed to identify effective outcomes in clinical education. It is essential to advance science to transform clinical education and use it more consciously to teach practical thinking and decision-making about patient care.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 4 · Nitelikli Eğitim
  • Derleme MakaleYalnız künye2026
    Virtual reality as a non-pharmacological adjuvant for anxiety in oncology care: a systematic review and meta-analysis

    Aydin, Aydanur; Bağcivan, Gülcan; Özkan, Aleyna

    Background: Despite its growing presence in healthcare settings, research on the effectiveness of virtual reality (VR) interventions for symptom experience of patients with cancer remains varied and requires a comprehensive synthesis to reach definitive conclusions. Objective: This systematic review and meta-analysis aimed to assess the effectiveness of VR interventions in managing anxiety among individuals diagnosed with cancer. Methods: A comprehensive search of Ovid MEDLINE, PubMed, CINAHL, Web of Science, and Scopus databases was conducted for studies published from 2000 to November 2025. Publications were evaluated by independent reviewers for inclusion. The methodological quality of the included studies was assessed via Joanna Briggs Institute (JBI) critical appraisal tools for randomized controlled trials and quasi-experimental studies. Results: Twenty-one publications satisfied the requirements for review inclusion. The meta-analysis demonstrated that VR-based interventions were significantly effective in the management of patients’ anxiety, yielding a moderate-to-high effect size (SMD = −0.793, 95% CI = −1.403 to −0.184; Z = −2.551; p = 0.011). Most studies reported statistically significant decreases in anxiety scores across various cancer types, including breast, prostate, and ovarian cancers. No major side effects were reported, although minor instances of cyber sickness were managed by adjusting session durations. User satisfaction was exceptionally high, with satisfaction scores reaching 4.47/5 and 7.35/10. Implications for practice: The results support the use of VR as an effective and safe non-pharmacological intervention for anxiety management. The findings highlight the potential for VR to be integrated into routine oncology nursing and palliative care to improve the patient experience during stressful treatments like chemotherapy. Conclusion: VR-based interventions are an effective, safe, and highly acceptable approach for managing anxiety in patients with cancer. Further research is needed to support wider clinical implementation and to investigate the potential benefits of VR for other physical and psychological symptoms over longer follow-up periods. Trial registration: PROSPERO International Prospective Register of Systematic Reviews CRD42022351573.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2026
    Positive attitudes toward and perceived importance of wearable display technology as an effective learning tool among nursing students: Turkish validity and reliability study

    Aydin, Aydanur; Mese, Sevinc; Ay, Ali; Sezer, Hale; Rizalar, Selda; Güler, Sevil; Gürsoy, Ayla

    Objective This research aimed to adapt Positive Attitudes Toward and Perceived Importance of Wearable Display Technology (PATPIWDT) as an Effective Learning Tool Among Nursing Students into Turkish and to examine the validity and reliability of its translation.Methods This methodological study included 698 nursing students recruited via convenience sampling. Construct validity was evaluated using Confirmatory Factor Analysis (CFA) with the Maximum Likelihood (ML) estimation method. Internal consistency was assessed using Cronbach's Alpha and McDonald's Omega coefficients.Results The model demonstrated excellent fit according to the confirmatory factor analysis results. The CFA results for the Positive Attitudes subscale indicated a good model fit (CMIN/DF = 4.79, GFI = 0.93, CFI = 0.97, RMSEA = 0.07, SRMR = 0.03). For the Perceived Importance subscale, the single-factor structure showed acceptable fit indices (CMIN/DF = 5.82, GFI = 0.98, SRMR = 0.03). As a result of examining the standardized loadings of the items, it was seen that the item factor loadings were 0.40 and above, indicating sufficient factor loading. Cronbach's alpha coefficients were 0.91 for the positive attitudes subscale and 0.84 for the perceived importance subscale. The respondents also demonstrated an above-average overall score, with a mean of 3.40 (SD = 0.69).Conclusion The Turkish version of the scale provides a dependable measure of nursing students' positive attitudes toward wearable screens and how important they consider this technology for future educational use.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 4 · Nitelikli Eğitim
  • EditoryalAçık Erişim2025
    Technological Products in Cancer Care: Challenges for Nurses and Patients

    Aydin, Aydanur

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025
    The First Surgery Experienced Through Virtual Reality: A Knee Surgery Case Report

    Aydin, Aydanur; Menekşeoğlu, Ahmet Kıvanç; Öner, Kerim; Ertürk, Engin

    The decision to undergo surgery and the significance of the operating theater environment are influenced by several factors, which vary from person to person. Negative perceptions of the operating room environment can influence the decision to undergo surgery and the process of treatment. Virtual reality (VR) technology offers the potential to alter individuals' environmental encounters through the provision of diverse environmental perceptions. This case study evaluates the results of a VR simulation applied during surgery to an individual with no previous surgical experience. A male patient scheduled for arthroscopic meniscus surgery was the subject of a VR simulation. The patient's perception of the simulated environment was transmitted through VR goggles from the time he entered the operating room until he left. However, the VR application was terminated during the administration of anesthesia, and no premedication was administered to the patient. The VR application included nature walks in various regions, including forests, lakeshores, and meadows, accompanied by the sound of birds. Data were collected using a visual analog scale to assess pain levels and a walking test form. The patient, a 35-year-old male, is a high school graduate and is undergoing his first surgical procedure. The patient expressed concerns and fears regarding the decision to undergo surgery. The patient's preoperative anxiety was rated at 9 out of 10 but subsequently decreased to 1 out of 10 following the surgical procedure. The patient rated his satisfaction with the surgical experience as 9 out of 10. The patient did not require sedatives or analgesics during the intraoperative period or for the first 10 hours following the operation. The patient was successfully mobilized at the 15-hour mark following surgery. The patient was highly satisfied with the application. The utilization of VR during surgical procedures has the potential to reduce the necessity for premedication and enhance postoperative compliance among patients.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025
    Protocol for an umbrella review of systematic reviews evaluating the efficacy of digital health solutions in supporting adult cancer survivorship care

    Keane, Danielle; Calbimonte, Jean-Paul; Pawlowska, Ewa; Kassianos, Angelos P.; Medina, Joan C.; Gregório, Joao; Serra-Blasco, Maria; Celebic, Aleksandar; Di Meglio, Antonio; Asadi-Azarbaijani, Babak

    Introduction The growing number of people living with, through and beyond cancer poses a new challenge for sustainable survivorship care solutions. Digital health solutions which incorporate various information and communication technologies are reshaping healthcare; offering huge potential to facilitate health promotion, support healthcare efficiencies, improve access to healthcare and positively impact health outcomes. Digital health solutions include websites and mobile applications, health information technologies, telehealth solutions, wearable devices, AI-supported chatbots and other technologically assisted provision of health information, communication and services. The breadth and scope of digital health solutions necessitate a synthesis of evidence on their use in supportive care in cancer. This umbrella review will identify, synthesise, and compare systematic reviews which have evaluated the efficacy or effectiveness of digital solutions for adult cancer survivorship care with a particular focus on surveillance and management of physical effects, psychosocial effects, new cancer/ recurring cancers and supporting health promotion and disease prevention.Methods and analysis An umbrella review of published systematic reviews will be undertaken to explore the types of digital health solutions used, their efficacy or effectiveness as a form of supportive care, and the barriers and enablers associated with their implementation. The umbrella review will be reported according to the Preferred Reporting Items for Overviews of Reviews (PRIOR) checklist. A search will be conducted across key databases. Records will be assessed independently by two review authors for eligibility against predefined criteria and will undergo two stage title, abstract and full text screening. All systematic reviews that meet the inclusion criteria will be assessed for quality using the AMSTAR 2 checklist with quality assessment and data extraction by two reviewers. The degree of publication overlap of primary studies across the included reviews will also be calculated and a mapping of the evidence will also be presented.Ethics and dissemination As this research proposes using systematic reviews that are already published, ethical approval is not required. Results from this umbrella review will be published in a peer-reviewed journal where any significant deviations from the protocol will be justified.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Nurse-led support impact via a mobile app for breast cancer patients after surgery: a quasi-experimental study (step 2)

    Aydin, Aydanur; Gürsoy, Ayla

    Breast cancer patients may experience some health issues following surgery. Training patients about self-care plays a vital role in managing these symptoms. Mobile applications are a contemporary and appropriate approach to support patients about the potential symptoms following breast cancer surgery. This quasi-experimental study aimed to assess the impact of nurse-led support mobile application (NL-Mapp) delivered on breast cancer patients after surgery. Ninety participants were recruited, with 45 assigned to the intervention group and 45 to the control group. Subjects in the intervention group received NL-Mapp in addition to routine care, while those in the control group received only routine care over four weeks. The intervention included educational content on the postoperative period of breast cancer. Outcomes were assessed at baseline (M0), before discharge (M1), and one month after surgery (M2). The intervention group patients had significantly improved pain, affected shoulder functions, and anxiety owing to the effects of group, time, and group-time interaction. Body image and sexual adjustment were enhanced based on time and group-time interaction effects. During the follow-up period, experimental group patients experienced an improvement in body image and sexual adjustment, while those in the control group showed a decrease. This suggests that NL-Mapp may play a significant role in training breast cancer patients to manage their symptoms after surgery.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Changes in acute and late toxicity and patient-reported health-related quality of life following radiotherapy in women with breast cancer: A 1-year longitudinal study

    Uslu, Gonca Hanedan; Aydin, Aydanur; Gürsoy, Ayla

    Objective: The objective of this study was to investigate the frequency of acute and late toxicities, as well as changes in the quality of life (QOL) for breast cancer patients following radiotherapy (RT). Materials and Methods: A total of 108 breast cancer women were recruited for this prospective study. Data were collected at various intervals; prior to, and 1, 3, 6 months, and 1 year after radiation therapy. The primary outcomes were toxicity radiation therapy oncology group/European Organization for Research and Treatment of Cancer (EORTC) criteria. Our secondary outcome was QOL, measured using EORTC QLQ-C30 and Edmonton Symptom Assessment Scale. We employed Friedman's two-way analysis to evaluate the changes in QOL over the course of 1 year. Results: The early toxicities that are most commonly experienced include pharyngeal, skin, and mucous membrane toxicity. Late toxicities frequently involve skin and submucosal toxicity. To measure patient functionality, all functional subscale scores except for the patient's emotional state increased over time compared to pre-RT. Symptoms of the patients, which were included in the QOL symptom scale, decreased during the follow-up period, except for fatigue; however, changes in pain, insomnia, and loss of appetite did not significantly change. We identified the analogous symptom profiles in Edmonton. Although patients' overall health scores declined in the 1 st and 3 rd months after radiotherapy (RT), they rebounded at 6 and 12 months. Conclusion: For breast cancer patients, RT did not adversely affect functional capacity or exacerbate symptoms, but persistent fatigue did increase during the observation period. Health-care professionals ought to devise strategies to assist patients with skin toxicity and fatigue.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • Derleme MakaleAçık Erişim2024
    Effect of eHealth Interventions on Symptom Management in CABG Surgical Patients: A Systematic Review

    Aydin, Aydanur; Celik, Sevilay Senol

    This study aimed to evaluate the effectiveness of eHealth interventions on symptom management outcomes of patients undergoing CABG surgery. A systematic review was performed on CINAHL, PubMed, Web of Science, Ovid MEDLINE, and Scopus from 2006 to June 2022. The Joanna Briggs Institute's evaluation tools for RCT and quasi-experimental studies were used to assess the methodological quality of the publications included in this review and to determine the extent to which each publication addressed the possibility of bias in its design. The raters' agreement was determined by using Cohen's kappa test, which yielded a kappa coefficient of 0.51. (PROSPERO registration number: CRD42023398498). A systematic analysis of 11 publications involving 2.586 patients showed that the eHealth intervention effectively increased activity and self-management. eHealth interventions, which are also effective in the management of psychological problems, had results that were partially effective in pain management and effective in quality of life. Digital healthcare has become an important component of patient care. Nurses providing care should be aware that eHealth interventions are showing promising results in patient care.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2024
    The data analysis of the functional health patterns model for nursing care plans

    Aydin, Aydanur; Serpici, Ayse; Simsek, Perihan; Gürsoy, Ayla; Çilingir, Dilek; Yavuz, Melek Erturk; Altinbas, Bahar Candas

    Introduction:Clinical practices constitute an important part of nursing education and students are expected to gain the ability to plan patient care during nursing education.Aim:It aimed to construct North American Nursing Diagnosis Association (NANDA) nursing diagnoses in nursing students' patient care plans according to the Functional Health Patterns model and to evaluate them according to the Nursing Intervention Classification (NIC) and Nursing Outcomes Classification (NOC) classification systems.Methods:The descriptive study's population included 198 second-year nursing students from a university. Students' care plans were used as a data gathering form, and 176 care plans were included in the research. The data was gathered from functional health patterns, NIC, and NOC system questionnaires.Results:Nursing diagnoses were listed as infection risk (88.6%), fall risk (79.5%), and bleeding (56.8%). Nursing diagnoses belonging to sexuality-reproductive, coping-stress tolerance, and value-belief sub-categories of functional health patterns could not be reached from the care plans.Conclusion:There is a need for classification methods to objectively evaluate nursing practices, make quantifiable contributions to care, and improve the profession's scientific underpinnings. It is hoped that evidence-based care can be provided by raising pupils' knowledge of classification systems.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 4 · Nitelikli Eğitim
  • MakaleAçık Erişim2023
    Patient Safety Culture Perception Among Surgical Nurses

    Aydin, Aydanur; Gürsoy, Ayla; Candas Altinbas, Bahar; Cilingir, Dilek; Bulut, Enes; Ertürk Yavuz, Melek

    Background: Human and technology factors in healthcare can lead to errors that threaten human life. A strong patient safety culture in hospitals may be linked to better patient outcomes. Because of the potential for mistakes in surgical departments, surgical nurses are critical to establishing and maintaining a patient safety culture. Aim: The aim of this study was to explore the patient safety culture perceptions of surgical nurses. Methods: This descriptive study was performed with 206 nurses working in the surgical clinics and operating rooms of 1 university hospital, 2 public hospitals, and 1 private hospital. A “Questionnaire” and the “Hospital Survey on Patient Safety Culture” were used for data collection. The data were analyzed using mean, number, and percentage values, 1-way analysis of variance, Tukey Honestly Significant Difference (HSD), and chi-square tests. Results: The study revealed that surgical nurses’ patient safety culture perception was at a medium level. The highest mean rate of positive responses in The Hospital Survey on Patient Safety Culture came from “Teamwork within units” and the lowest mean rate of positive answers came from the “Non-punitive response to errors” subdimension. In addition, 85.7% of the surgical nurses did not report any errors in the previous 1 year, and nurses who had been working for ≥11 years submitted more error reports (P = .001). Conclusion: Nurses’ patient safety culture perception was at a medium level. Recommendations for improving patient safety culture should include on-the-job training programs and improvements in employees’ working conditions.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • BildiriYalnız künye2023
    VIRTUAL REALITY TO IMPROVE CANCER PATIENTS' QUALITY OF LIFE: A SYSTEMATIC REVIEW

    Bagcivan, Gulcan; Aydin, Aydanur; Ozkan, Aleyna

  • Derleme MakaleAçık Erişim2023
    Climate change in Türkiye and its impact on oncology nurses

    Kaya, Afşin Ahmet; Aydin, Aydanur; Bağcivan, Gülcan

    Climate change threatens human life and health by negatively affecting the basic components of health such as clean air, safe drinking water, nutritious food supply, and safe shelter. Türkiye is a country that is largely exposed to climate change with its cosmopolitan location, which is a bridge between Asia and Europe. Due to climate change, serious effects are seen in all sectors from energy to agriculture, from the economy to health. Climate change is defined as the most important global health threat of the next century, and the problems it brings are seen as the most important pressure factor for the life opportunities of future generations. Food and fresh water availability, rising sea levels, abnormal weather events, migration, and diseases are thought to affect human health. A multidisciplinary approach is required to adapt to climate change’s health effects and reduce its negative health effects. In addition, it is predicted that diseases that are about to disappear will re-emerge and become threats. It is thought that as a result of the contamination of food and water resources with the changing ecosystem, some infections will increase and society will face them. Nurses are both affected by climate change and its effects on public health. Nurses who remain in this situation have a great role in providing effective awareness for raising public awareness. In recent years, oncology clinics have not been affected by fire, earthquakes, and pandemics in our country. In this respect, it can be stated that the health service in Turkish oncology clinics is carried out uninterruptedly and by experts in the field. We learned during the pandemic that the whole world is unprepared for the future effects of climate change. In this direction, nurses should think about solutions for the problems related to climate change in the future.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 13 · İklim Eylemi
  • MakaleAçık Erişim2023
    Mobile care app development process: using the ADDIE model to manage symptoms after breast cancer surgery (step 1)

    Aydin, Aydanur; Gürsoy, Ayla; Karal, Hasan

    The use of mobile applications is widespread in patient monitoring or education today. This study aims to describe the design and development process of a mobile app that supports patient self-care after breast cancer surgery. We used the ADDIE model to develop and test the mobile app. ADDIE (Analysis, Design, Development, Implementation, Evaluation) is a systematic approach based on a standard instructional design model for creating training materials. The model consists of five phases, each with its own set of steps. Once the steps within each phase are completed, the model progresses to the next phase, ultimately resulting in a “usable” product. Different team collaborations were established within each phase, and support was obtained from multiple experts during the design process. Thanks to this model, the information that patients need was transformed into a technological product. This article, which explains the stages of the product design process for mobile applications, provides information that may be helpful to researchers working on similar products.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2023
    Breast cancer-related apps in Google Play and App store: evaluate their functionality and quality

    Aydin, Aydanur; Gursoy, Ayla

    Aim: This study aimed to evaluate the functionality and quality of breast cancer apps that can be accessed from Turkey. Methods: In this study, a systematic search strategy was used to identify free mobile apps on breast cancer available in the App and Google Play stores. According to the study’s PRISMA flowchart, 707 apps met the inclusion criteria. The Mobile App Rating Scale (MARS) assessed the quality of the apps. Results: Mobile apps focused on the categories of communication, education, and treatment order/plan. The mean MARS quality score for all apps was 3.4, and according to the mean score of the subscales, they were categorized as functionality, aesthetics, information quality, and participation. In addition, the mean scores of the subscales were listed on MARS as functionality, aesthetics, knowledge quality, and participation. Conclusion: Nowadays, “e-health” apps are attracting attention in the treatment of health problems. While the apps in download stores appear to provide basic information about breast cancer, they offer limited and personalized problem management related to prevention, early detection, and screening. Support from healthcare professionals and further efforts can be made to develop innovative technologies and apps that include evidence-based informational content about breast cancer. Implications for Cancer Survivors: In the process of breast cancer information, survivors can be encouraged to manage this process using e-health services.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2023
    Determining the coronavirus awareness of the Turkish society and the anxiety stress levels

    Aydin, Aydanur; Aktug, Cemile; Koçan, Sema; Erkaya, Reyhan; Yasak, Kubra; Cengiz, Burcu; Çalik, Kiymet Yesilcicek; Güler, Sevil; Erden, Sevilay; Karabulutlu, Ozlem

    The aim of the study is to determine the awareness of the Turkish society in COVID-19, and determine the anxiety stress levels. Research two months after the start of the outbreak in Turkey has reached 2163 individuals completed the online platform. The Integrated Anxiety Stress Scale significantly changed according to age, gender, marital status and working status after the pandemic. According to the results of multiple binary logistic regression analysis, individuals aged 50 and over, female gender, being single and not working after the pandemic for anxiety; female gender, being married, and post-pandemic study were found to be risk factors for Covid awareness. It is recommended that epidemic awareness studies and information sharing on controlled healing measures are planned considering the anxiety levels.

    • SDG 3 · Sağlık ve Kaliteli Yaşam