Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleYalnız künye2026Tip 2 Diyabet Mellituslu Bireylerde Diyabet Farkındalığı ve Kabul Düzeyleri ile Sağlık Okuryazarlığı Arasındaki İlişki: Tanımlayıcı-Kesitsel Bir Çalışma
Demirağ, Hatice; Cosar, Dilan Aktepe; Aktepe, Yusuf
Amaç: Bu çalışma, Tip 2 diyabetli hastalarda diyabet farkındalığı ve kabul düzeyleri ile sağlık okuryazarlığı arasındaki ilişkiyi incelemektedir. Gereç ve Yöntemler: Çalışma, 15 Temmuz 2025 ile 15 Kasım 2025 tarihleri arasında Türkiye'nin kuzeydoğusundaki hastane ve kliniklere başvuran ayakta tedavi gören hastalar arasında kesitsel bir çalışma olarak yürütülmüştür. Katılımcılar 18 yaş ve üzeri olup tip 2 diyabet hastasıydı; gebelik diyabeti olanlar veya anketi tamamlayamayanlar çalışmadan dışlanmıştır. Veriler, Hasta Bilgi Formu, Diyabet Farkındalığı ve Kabul Ölçeği (DAAS) ve E-Sağlık Okuryazarlığı Ölçeği (EHLS) kullanılarak yüz yüze görüşmeler yoluyla toplanmıştır. Tanımlayıcı istatistikler, bağımsız örneklem t-testleri, ANOVA ve Pearson korelasyon analizleri kullanılmıştır. Bulgular: Katılımcıların ortalama yaşı 56,2±14,9 yıl; %62,7'si kadındı. Ortalama DAAS ve EHLS puanları sırasıyla 81,6±18,7 ve 22,1±8,3 idi. Erkekler ve bekar bireylerin EHLS puanları daha yüksekti; daha yüksek eğitim düzeyi daha yüksek EHLS puanlarıyla ilişkiliydi. DAAS puanları hastalık süresiyle artarken, EHLS puanları yaş ve daha uzun hastalık süresiyle azaldı. Tüm DAAS alt ölçekleri ile EHLS arasında pozitif korelasyonlar gözlendi. Birçok katılımcı, çevrimiçi sağlık bilgisi edinmeye yönelik belirsizlik veya olumsuz tutumlar ifade etti. DAAS farkındalık alt ölçeği, DAAS kabul alt ölçeği ve DAAS toplam puanı ile EHLS toplam puanı arasında pozitif ve anlamlı bir korelasyon bulunmuştur (p<0.001). Sonuç: Çalışma, Tip 2 diabetes mellituslu bireylerde diyabet farkındalığı, kabulü ve e-sağlık okuryazarlığı arasında pozitif ve anlamlı bir korelasyon bulmuştur. Yaş, eğitim, medeni durum, hastalık süresi, genel sağlık algısı, aile öyküsü ve beslenme alışkanlıklarının bu değişkenler üzerinde etkili olabileceği bulunmuştur.
- MakaleYayıncıda açık erişim2026The Effect of Music-Repeating Robotic Parrot Therapy and Different Instrumental Live Music Therapies on Anxiety and Fatigue Levels in Hemodialysis Patients: A Randomized Controlled Trial
Demirağ, Hatice; Cin, Aynur; Aktepe Coşar, Dilan; Uzun, Sevda; Türkmen, Osman Oğulcan
Aim: This study aimed to evaluate the effects of three different music-based interventions on anxiety and fatigue levels in patients undergoing hemodialysis, compared to a concurrent control group receiving standard care. Methods: This randomized controlled trial involved 64 patients receiving maintenance hemodialysis. They were randomly assigned to four equal groups (n = 16 each): live music, live ney sound therapy (using a traditional reed flute known for its soothing, breath-like tones), a music-repeating robotic parrot therapy (an interactive robotic parrot that repeats music or sounds provided by the patient), or a control group (no intervention). The experimental groups received 30-min sessions 3 days per week for 2 months. The “Beck Anxiety Scale” and “Fatigue Severity Scale” were used to measure anxiety and fatigue, respectively. Assessments were performed before the intervention, immediately after the 2-month intervention period, and at 2 months after the end of the intervention period. Results: Before the intervention, there were no significant differences in anxiety or fatigue scores across the four groups (p > 0.05). After the interventions, all three groups exposed to music therapy showed significant reductions in both anxiety and fatigue scores compared to the control group (p < 0.001). Conclusion: All three therapies were effective in managing anxiety and fatigue symptoms in hemodialysis patients. Among them, music-repeating robotic parrot therapy demonstrated the most superior and longest-lasting effects in reducing both anxiety and fatigue levels. Trial Registration: ClinicalTrials.gov identifier: NCT07238374.
- MakaleYalnız künye2026The Effect of Parrot Therapy on During Venipuncture Pain in Chronic Patients
Demirağ, Hatice; Tuç, Adile
Objective There are no randomized controlled trial (RCT) in the current literature comparing live, robotic, and visual animal-based therapies. This single-blind randomized controlled trial was conducted to comparatively evaluate the effectiveness of live parrot, robotic parrot, and parrot picture therapies on pain during venipuncture in adults with chronic illness. Methods The study included 240 patients randomized into four groups. Groups interacted with live parrots, robotic parrots, or parrot pictures during venipuncture. The control group received no intervention. Pain levels were assessed before and after the procedure using the "Visual Analog Scale (VAS)." Analysis was performed using Chi-Square test, One-way ANOVA and paired samples t-test. Results There was no difference in pre-procedure pain scores between the groups (p ' .05). After the procedure, the VAS score for the live parrot group was 2.01 ± 1.35, for the robotic parrot group 2.03 ± 1.46, for the parrot picture group 2.08 ± 1.62, and for the control group 4.91 ± 1.88. Again, after the procedure, pain scores in all experimental groups were found to be significantly lower than in the control group (p ' .001). Live parrot therapy was found to be the most effective pet therapy, followed by robotic parrot and parrot picture therapy. The reduction in pain in the live parrot group was statistically more significant than in the picture group. Conclusion The research findings revealed that pet therapy applied during venipuncture, especially live animal interaction, may be a potentially effective, safe, and non-pharmacological method for reducing pain. Robotic animals, on the other hand, can be considered a promising alternative when the use of live animals is not possible. It is recommended that these distraction strategies be considered and integration into routine nursing practices be developed as part of patient-centered care.
- MakaleYalnız künye2026Nurses' artificial intelligence anxiety levels, their attitudes towards artificial intelligence, and their skills in acting humanistically in nursing practices
Cin, Aynur; Coşar, Dilan Aktepe; Demirağ, Hatice
Aim This study aims to investigate the levels of artificial intelligence-related anxiety among nurses, their attitudes towards the use of AI in clinical settings, their ability to maintain humanistic approaches in nursing care, and the interrelationships among these variables. Design This study was designed as a descriptive and cross-sectional pilot study. Method The sample of the descriptive study consisted of 267 nurses working in X and Y hospitals in Gümüşhane province. The data of the research was collected between December 2023 and May 2024 using the “Nurse Introduction Form”, “Artificial Intelligence Anxiety Scale”, “General Attitude Scale towards Artificial Intelligence” and “Humanistic Practice Ability of Nursing”. Results Total “Artificial Intelligence Anxiety Scale” mean scores were found to be higher in nurses who were women, and had more than five years of working experience ( p < 0.05). It was determined that the total “General Attitude Scale Towards Artificial Intelligence” score averages of nurses working in surgical clinics were higher than those working in pediatric clinics ( p < 0.05). Positive “General Attitude Scale Towards Artificial Intelligence” mean scores were higher in nurses who had a postgraduate degree, worked in a surgical clinic, and had five years or less experience ( p < 0.05). Again, the total mean of the “ Humanistic Practice Ability of Nursing “ was higher in nurses who had a bachelor's degree or less, and worked in management and surgery clinics ( p < 0.05). Conclusion It was found that nurses' artificial intelligence anxiety, general attitudes towards artificial intelligence, and ability to act humanistally varied according to some sociodemographic characteristics.
- MakaleAçık Erişim2026The Impact of Live and Robotic Cat-Assisted Therapy on Symptoms and Happiness Levels in Patients With Cancer Following Chemotherapy
Can, Aysun Akçakaya; Demirağ, Hatice; Hintistan, Sevilay
OBJECTIVES: To examine the effects of live and robotic cat-assisted therapies on chemotherapyinduced symptoms and happiness levels in patients with cancer. SAMPLE & SETTING: 45 patients were randomly assigned to live cat therapy, robotic cat therapy, or control groups in a university hospital. METHODS & VARIABLES: Data were collected between June 1 and September 1, 2023. Patients in therapy groups interacted with a live or robotic cat for 20 minutes twice weekly for three months. RESULTS: Although the live cat therapy group had higher median happiness scores than the robotic cat therapy group, differences in happiness and symptom scores between groups were not statistically significant. Both therapies alleviated chemotherapy-induced symptoms and enhanced emotional well-being, with robotic cat therapy showing slightly greater overall effectiveness. IMPLICATIONS FOR NURSING: Robotic pet therapy offers a feasible alternative where live animalassisted therapy is impractical. Integrating these therapies into oncology nursing can enhance symptom management and psychological support, promoting holistic, patient-centered care.
- MakaleYalnız künye2026The effect of dance intervention on cognitive functions and quality of life in patients with Chronic Stroke: A single-blind, randomized controlled trial
Cin, Aynur; Demirağ, Hatice; Hintistan, Sevilay
Objective This study aimed to determine the effect of dance interventions on cognitive functions and quality of life in chronic stroke patients. Methods This research used a single-blind randomized controlled trial design involving 40 chronic stroke patients at X State Hospital who were divided into a dance intervention group and a control group. The dance group was given 60 min of sessions three times a week for 12 weeks under the guidance of a dance instructor. Both groups were pre-tested and post-tested using the Stroke Specific Quality of Life Scale (SS-QOL) and Montreal Cognitive Assessment (MoCA). Results The dance intervention group experienced significant improvements in SS-QOL sub-dimensions (energy activities, personality, social and family roles, thinking, language, mood) as well as MoCA scores compared to the control group which had deteriorated over time ( p < 0.001). Conclusion Dance interventions can significantly improve cognitive function and quality of life among chronic stroke patients. The study was registered on Clinical Trials (NCT06145503).
- MakaleAçık Erişim2025Internal Medicine Nurses’ Perceptions of Work Environment Ergonomics and Safety Climate
Aktepe Coşar, Dilan; Demirağ, Hatice
Objective: This study aimed to examine the relationship between the ergonomic conditions of the work environment and the perception of safety climate among internal medicine nurses. Materials and Methods: This descriptive study was conducted between October 30, 2023, and January 30, 2024, with a total of 440 internal medicine nurses in Turkey using the “snowball sampling” method. Data were collected using the “Personal Information Form,” the “Workplace Ergonomics Scale for Nurses,” and the “Safety Climate Scale.”. Results: A statistically significant difference was found in the mean scores of the “Workplace Ergonomics Scale for Nurses” based on marital status, educational level, perceived workload, and whether the nurses had received occupational safety training (p < 0.05). However, no significant difference was observed in the scale scores based on gender, professional experience, or satisfaction with the work environment (p > 0.05). A significant difference was also identified in the mean scores of the “Safety Climate Scale” according to gender, educational level, professional experience, satisfaction with the work environment, and occupational safety training status (p < 0.05). A significant negative correlation was found between the scores of the “Workplace Ergonomics Scale for Nurses” and its subdimensions and the safety training subdimension scores. Data were analyzed using t-test, ANOVA, and correlation analysis. Conclusion: In conclusion, improving ergonomic conditions, strengthening managerial support, establishing effective safety communication, and promoting continuous education are recommended as key strategies to ensure that nurses work in a safe and supportive environment. Additionally, implementing tailored interventions based on demographic and professional characteristics may contribute to the development of a safety culture in nursing and the improvement of patient care quality.
- MakaleAçık Erişim2025The Effect of a Foot Bath on Sleep Quality in the Elderly: A Single-Blind Randomized Controlled Trial; [Ayak Banyosunun Yaşlılarda Uyku Kalitesi Üzerine Etkisi: Tek Kör Randomize Kontrollü Bir Çalışma]
Demirağ, Hatice; Cin, Aynur; Hintistan, Sevilay
Objective: This study was conducted as a single-blind, randomized controlled parallel-group study with 50 elderly individuals to investigate the effect of foot bath on sleep quality. Methods: The data were collected using the “Elderly Information Form” and the “Pittsburgh Sleep Quality Index (PSQI)” between 1 May 2022-1 July 2022 at a State Hospital in Gümüşhane province. The elderly in the foot bath group were given a foot bath with 41-42°C water for 20 minutes 50 minutes before normal sleep hours. No application was made to the control group except for the administration of data collection tools. The data were analyzed with Chi-square, Friedman, Wilcoxon Sign, and Mann-Whitney U tests. Results: It was determined that at least one of the total PSQI measurements and median scores of all subcomponents obtained from the elderly in the foot bath group differed depending on time (P<.05). However, it was found that there was no statistically significant difference in the sleep latency (B2), sleep duration (B3), habitual sleep efficiency (B4) and sleep disturbance (B5) component measurements obtained from the elderly in the control group depending on time (P>.05). Again, All PSQI subcomponents and total PSQI scores, except for the subcomponent “Habitual Sleep Efficiency (C4)”, decreased throughout the application in the elderly in the foot bath group. Conclusion: As a result, a foot bath improved sleep quality in the elderly. In line with the findings from this study, it is recommended to compare the foot bath with multiple experimental groups for a longer period of time.
- MakaleAçık Erişim2024Kronik Hastaların Metabolik Sendrom Bilgi Düzeyleri ve Farkındalıkları
Demirağ, Hatice; Semerci, Vahide; Akeren, Zahide
Amaç: Araştırma kronik hastaların metabolik sendrom bilgi ve farkındalıklarının incelenmesi amacıyla gerçekleştirildi. Gereç ve Yöntemler: Araştırma kesitsel tarama modeli kullanılarak gerçekleştirildi. Araştırmanın verileri 14 Kasım 2023- 12 Ocak 2024 tarihleri arasında ‘Hasta Tanıtım Formu’ ve ‘Metabolik Sendrom Bilgi ve Farkındalık Ölçeği’ (MSBFÖ) kullanılarak kartopu örnekleme yöntemiyle toplandı. Tanımlayıcı istatistikler için ortalama, standart sapma, min-maks değerler, sayı ve yüzde kullanıldı. Verilerin analizinde tanımlayıcı istatistikler, independent samples t test, one-way ANOVA testi kullanıldı. Bulgular: Hastaların %31,7’si 50-79 yaş arası, %66,0’sı kadın, %38,3’ü üniversite ve üzeri mezunu, %53,1’i evli ve %66,0’sı şehir merkezinde yaşamaktadır. Katılımcıların %26,1’inin hipertansiyon, %21,5’inin diyabetes mellitus, %17,5’inin solunum hastalığının olduğu belirlendi. Ayrıca katılımcıların %35,6’sının hastalık süresinin 1-5 yıl arasında olduğu, %61,1’inin düzenli olarak ilaç kullandığı ve %58,4’ünün diyetine uymadığı bulundu. Hastaların MSBFÖ puan ortalaması 49,38±10,67 (min=14 ve max=70) olduğu saptandı. Hastaların yaş, eğitim durumu, çalışma durumu, hastalık süresi, düzenli ilaç kullanma ve diyetine uyma durumu ile MSBFÖ toplam puan ortalaması arasında anlamlı fark bulundu (p<0,05). Sonuç: Sonuç olarak kronik hastalığa sahip bireylerin metabolik sendrom bilgi ve farkındalıklarının orta düzeyin üzerinde olduğu tespit edildi. Yaşam tarzı değişiklikleri Metabolik sendrom (MetS) insidansını azaltmak için etkili bir strateji olduğundan, kronik hastalarda bilgi düzeylerinin ve farkındalıklarının artırılması, yaşam tarzlarının iyileştirilmesine yardımcı olabilir.
- MakaleAçık Erişim2024Turkish Nurses’ Attitudes towards Elder Abuse and Neglect and Related Factors
Demirağ, Hatice; Hintistan, Sevilay; Kulakaç, Nurşen
Objective: Elder abuse appears as a global phenomenon that varies with time and societal structure. Nurses need to be able to recognize abused and neglected older people and take initiative for them. This study aimed to examine Turkish nurses’ attitudes towards elder abuse and neglect and related factors. Methods: In this cross-sectional and correlational study, the data were collected from 104 nurses who agreed to participate in the study between 15 and 25 June 2021 with an online questionnaire using a random sampling method. Results: Sixty nine point two percent of the nurses did not take a course on elder abuse, 99.2% received training on elder nursing in undergraduate education, 99.2% knew the concept of elder abuse, 92.3% encountered elder abuse cases, and 61.5% encountered an elder abuse case but did not report it. The rate of reporting elder abuse was 2.69 times higher in nurses with more work experience, 6.71 times in those who believed that nurses can be adequately protected against potential problems, and 4.21 times higher in those with a high level of knowledge about the elder abuse law. Conclusion: According to the results, Turkish nurses had sufficient knowledge about elder abuse and neglect, but reporting rate was inadequate.
- MakaleAçık Erişim202465 Yaş ve Üzeri Bireylerin Başarılı Yaşlanmalarını Etkileyen Sağlıklı Yaşam Biçimi Davranışlarının İncelenmesi: Tanımlayıcı Çalışma
Demirağ, Hatice; Hintistan, Sevilay; Cin, Aynur; Daştan, Buket
Amaç: Bu çalışma, 65 ya ş ve üzeri bireylerin sa ğlıklı yaşam biçimi davranışları ile başarılı yaşlanmaları arasındaki ilişkinin ince- lenmesi amacıyla yapıldı. Gereç ve Yöntemler: Tanımlayıcı ve ilişki arayıcı türde yapılan bu çal ışma Şubat-Mayıs 2021 tarihleri aras ında dahiliye polikliniğine başvuran 65 ya ş ve üzeri 430 hasta ile gerçek- leştirildi. Veriler, “Hasta Bilgi Formu”, “Sa ğlıklı Yaşam Biçimi Dav- ranışları (SYBD)-II Ölçeği” ve “Ba şarılı Yaşlanma Ölçeği (BYÖ)” kullanılarak yüz yüze görüşme tekniği ile toplandı. Verilerin değerlen- dirilmesinde sayı, yüzde, aritmetik ortalama, bağımsız t-testi, tek yönlü varyans analizi testi ile korelasyon testleri kullan ıldı. İstatistiksel an- lamlılık p<0,05 olarak kabul edildi. Bulgular: Katılımcıların yaş orta- laması 71,01±6,66 olarak tespit edildi. 65 yaş üzeri bireylerin SYBD-II Ölçek puan ortalamalar ı ile BYÖ puan ortalamalar ı arasında pozitif yönlü anlamlı düzeyde ilişki olduğu belirlendi (p<0,001). Geliri gide- rine eşit/fazla olan ve sigara içmeyen bireylerin SYBD Ölçek-II top- lam ve alt boyutları puan ortalamaları ile BYÖ toplam ve alt boyutları puan ortalamalarında anlamlı derecede farklılık olduğu tespit edildi (p<0,05). Sonuç: Bu çalışmanın sonucunda, 65 yaş ve üzeri bireylerin sağlıklı yaşam biçimi davranışları arttıkça başarılı yaşlanmalarının da arttığı bulundu. Dünya genelinde başarılı yaşlanmanın sürdürülebilmesi için bireylere sağlıklı yaşam biçimi davranışlarının kazandırılması, des- tekleyici ortamların oluşturulması, sağlık profesyonellerinin rehberli- ğinin sağlanması ve daha büyük örneklem gruplar ında çalışmaların yapılması önerilmektedir.
- MakaleAçık Erişim2023Dâhiliye Hemşirelerinin Ahlaki Yaralanma Semptomları ile Hemşirelik Bakım Davranışları Arasındaki İlişki
Demirağ, Hatice; Cosar, Dilan Aktepe
Bu araştırma, dâhiliye hemşirelerinin ahlaki yaralanma semptomları ile hemşirelik bakım davranışları arasında ilişkiyi belirlemek amacıyla yapıldı. Çalışmanın örneklemini Türkiye’nin Doğu Karadeniz bölgesinde bulunan hastanelerde görev yapan 315 dâhiliye hemşiresi oluşturdu. Araştırmanın verileri, “Kişisel Bilgi Formu” ve “Ahlaki Yaralanma Semptom Ölçeği-Sağlık Bakım Profesyonelleri Versiyonu (AYSÖ-SBP)” ve “Bakım Davranışları Ölçeği (BDÖ)-24 ölçeği” kullanılarak 20 Nisan-30 Mayıs 2023 tarihleri arasında “Kartopu Örnekleme” ile toplandı. Hemşirelerin yaş ortalamaları 30,89±5,72 yıl ve meslekteki çalışma ortalamaları 6,56±5,45 yıl idi. Çalışmaya katılan hemşirelerin toplam “BDÖ-24” 5,21±0,76 puan ve “Saygılı olma” alt boyutu 5,21±0,81 puan, “Bağlılık” alt boyutu 5,12±0,80 puan, “Bilgi beceri” alt boyutu 5,39±0,77 puan, “Güvence” alt boyutu 5,16±0,85 puan; toplam “AYSÖ-SBP” 27,32±6,00 puan ve “Kınama” alt boyutu 6,21±2,66 puan, “Suçluluk/Utanç” alt boyutu 7,49±2,71 puan, “Manevi Sıkıntılar” alt boyutu 13,60±3,47 puan olarak tespit edildi. Ayrıca, çalışmaya katılan hemşirelerin yaşı ve çalışma yılı ile “BDÖ-24” ve alt boyut puan, “AYSÖ-SBP” ve alt boyut puan ortalamaları arasında korelasyon bulunmadı (p>0.05). Bu araştırmada, ahlaki yaralanma semptomları ile hemşirelik bakım davranışları arasında ilişki bulunmazken; ahlaki yaralanma düzeyleri düşük, bakım davranışları düzeyleri ise yüksek bulundu.
- MakaleAçık Erişim2023Diyabetli Gebelerin İnternet Kullanımları ve İnternet Yoluyla Karar Alma Durumlarının İncelenmesi
Demirağ, Hatice; Hintistan, Sevilay; Uçan, Meral Fıdan; Dinç, Mücella
Amaç: Bu çalışma, diyabetli gebelerin internet kullanımları ve internet yoluyla karar alma durumlarını incelemek amacıyla yapıldı. Yöntem: Tanımlayıcı ve kesitsel tasarımda gerçekleştirilen bu çalışmanın örneklemini bir Devlet Hastanesi Kadın Doğum Polikliniği ve Gebe Okulu’nda takip edilen 179 diyabetli gebe oluşturdu. Veriler, 1 Mart 2022 - 1 Mayıs 2022 tarihleri arasında “Kişisel Bilgi Formu” ve “Gebelerde İnternet Yoluyla Karar Alma Ölçeği” kullanılarak toplandı. Verilerin değerlendirilmesinde, One-way ANOVA ve post hoc multiple comparisons test, Mann-whitney- U ile Independent Samples t parametrik testleri; Kruskall Wallis H testi ile ileri uygulama Mann Whitney-U non-parametrik testleri ve sayılarla yüzdelik dağılımlar kullanılmıştır. Bulgular: Diyabetli gebelerin internet yoluyla karar aldıkları (%44.7), cep telefonu ile internete erişim sağladıkları (%95.5), bilgiye erişimin kolay olması nedeniyle (%74.3) her gün internet kullandıkları (%75.4) belirlendi. Diyabetli gebelerin Gebelerde İnternet Yoluyla Karar Alma Ölçeği toplam puan ortalaması 32.64±8.11, “öz yeterlilik algısı” alt boyutu puan ortalaması 15.58±4.10 ve “öz kontrol algısı” alt boyutu puan ortalaması 17.06±4.52 olarak bulundu. Gebelerin diyabet türü ve gebelik haftası ile Gebelerde İnternet Yoluyla Karar Alma Ölçeği toplam puan ortalaması arasında (p<0.001) ve gebelerin gelir algı düzeyi ile Gebelerde İnternet Yoluyla Karar Alma Ölçeği sıra ortalamaları arasında istatistiksel olarak anlamlı fark bulundu (p<0.05). Sonuç: Çalışmada, diyabetli gebelerin büyük bir çoğunluğunun interneti her gün kullandıkları ve internet yoluyla yüksek oranda karar aldıkları belirlendi.
- MakaleAçık Erişim2023Self-efficacy levels of individuals with type 2 Diabetes Mellitus in the use of diabetes drugs: The example of Gümüşhane and Bayburt province
Demirağ, Hatice; Cin, Aynur; Daştan, Buket
This study was conducted to determine the self-efficacy levels of individuals with Type 2 Diabetes Mellitus in the use of diabetes medication. The population of the descriptive study consisted of individuals with Type 2 Diabetes Mellitus residing in Gümüşhane and Bayburt provinces. The sample size was determined with the G*Power 3.1.6.9 program. A total of 315 individuals were reached in the study using a snowball sampling method. Data were collected by “Google Form” us- ing “Personal Information Form” and “Diabetes Medication Self-Efficacy Scale”. In the analysis of the data, independent groups t-test, one-way ANOVA test and Pearson product moments correlation test were used. The average age of the individuals with Type 2 Diabetes Mellitus participating in the study was 52.29±14.74 years, the duration of diabetes disease was 9.23±6.25 years, and 81% of them were men. The total average score of the participants from the “Diabetes Medication Self-Efficacy Scale" was determined as 38.70±12.36 points. It was found that the average total score of the” Diabetes Medication Self-Efficacy Scale" was higher for women than men, singles than married. Again, the total scale score averages were statistically different according to the occupational group (p<0.001). In addition, the average total score of the “Diabetes Drug Use Self-Efficacy Scale” was found to be higher for individuals who received training on diabetes drug use compared to individuals who did not receive it. It was found that the average scores of the participants from the "Diabetes Medication Self-Efficacy Scale" and its sub-dimensions were moderate. In order to increase the diabetes drug use self-efficacy levels of participants diagnosed with Type 2 diabetes, training on the use of diabetes drugs can be expanded.
- MakaleAçık Erişim2023Hemşirelerin Profesyonel Değerler Algısı ve Etkileyen Faktörlerin İncelenmesi
Demirağ, Hatice; Hintistan, Sevilay; Can, Aysun Akcakaya; Daştan, Buket
Amaç: Bu çalışmada, hemşirelerin profesyonel değerler algısı ve bu algıyı etkileyen faktörleri incelemek amaçlanmıştır. Gereç ve Yöntem: Tanımlayıcı tipte gerçekleştirilen bu çalışmanın örneklemini Bayburt Devlet Hastanesi ve Kelkit Devlet Hastanesi’nde Ekim 2019 - Kasım 2019 tarihleri arasında çalışan 228 hemşire oluşturdu. Çalışmanın verileri bu tarihler arasında “Hemşire Bilgi Formu” ve “Hemşirelerin Profesyonel Değerler Ölçeği (HPDÖ)” kullanılarak toplandı. Verilerin analizinde t-testi, ANOVA, Tukey Post Hoc testleri kullanılmıştır. Bulgular: Hemşirelerin, %52.2’si 30 yaş ve altında, %78.9’u kadın olduğu ve kadınların HPDÖ toplam ve alt boyut puan ortalamalarının erkeklere göre anlamlı olarak yüksek olduğu bulundu. Hemşirelerin HPDÖ toplam puan ortalaması ise 152.5±20.81 olarak yüksek bulundu. Evli hemşirelerin HPDÖ toplam puan ortalaması 153.96±21.31 olup, sorumluluk alt boyutu anlamlı olarak yüksek bulundu. Hemşirelik veya sağlık alanında bilimsel yayınları takip eden hemşirelerin toplam puan ortalaması ve alt boyut puan ortalamaları takip etmeyen hemşirelere göre anlamlı derecede yüksek bulundu (p<0.05). Sonuç: Hemşirelerin mesleki profesyonel değerleri etkileyen farklılıkları göz önüne alınarak yapılacak sürekli eğitimler ve mesleki değerlerle ilgili bilimsel etkinlikler düzenlenmesi önerilmektedir.
- MakaleAçık Erişim2022The effect of topically administered lavender aromatherapy on the pain of insulin injection in diabetic patients: a double-blind randomized controlled clinical trial
Demirağ, Hatice; Hintistan, Sevilay; Bulut, Enes
Background/aim: Needle phobia occurs in more than half of diabetic patients due to the pain caused by frequent insulin injections. Therefore, this study evaluated the effect of topically administered lavender aromatherapy on the pain of insulin injections in diabetic patients. Materials and methods: In this double-blind randomized controlled and experimental study, patients who met the study criteria were divided into three groups; topical lavender oil (n = 60), placebo (n = 60), and control (n = 60) groups. The data were collected using the “Patient Information Form”, the “Follow-up Form”, the “Verbal Category Scale (VCS)”, and the “Visual Analogue Scale (VAS)”. Results: The results revealed no significant difference between the patients in the topical lavender oil group before and during the insulin injection in terms of VAS and VCS pain scores (p > 0.05). In the placebo and control groups, the mean VAS and VCS pain scores during insulin injection were found to be significantly higher than before insulin injection (p < 0.05). Besides, the mean VAS and VCS scores during insulin injection were significantly higher in the placebo and control groups than the topical lavender oil group (p < 0.05). Conclusion: The study showed that patients who were administered topical lavender oil felt less pain after insulin injection than those in the placebo and control groups. Therefore, topically applied lavender aromatherapy can be easily used for pain control in insulin-dependent diabetic patients (clinical trial number NCT04767737).
- MakaleYalnız künye2022Investigation of physiological and psychological effects of robotic cat and betta fish therapies in hemodialysis patients: A randomized controlled study
Demirağ, Hatice; Hintistan, Sevilay
Aims: This randomized controlled study was conducted to investigate the physiological and psychological effects of pet therapy in hemodialysis patients. Background: Pet therapy has both physiological and psychological effects on individuals with chronic diseases. However, to the best of our knowledge, no studies have examined the physiological and psychological effects of pet treatment in hemodialysis patients worldwide. Design: A randomized controlled study. Methods: The study was completed with 18 robotic cats, 18 Betta fish, and 18 control group patients. The data were collected at XXX State Hospital between May and September 2021 using data collection tools. Robotic pet treatment was applied to the robotic cat group for 20 min a week for two months during hemodialysis. The Betta fish group was allowed to keep Betta fish at home for two months, and they were followed for another two months. The data were evaluated in the Statistical Package for Social Sciences 23.0 package program. The study was registered on Clinical Trials (NCT05339711). Results: During robotic cat therapy, patients' loneliness and dialysis symptoms decreased, and happiness and treatment adherence to the end-stage renal disease (ESRD) increased; In the post-test follow-up, in the first measurement, the treatment adherence to the ESRD decreased, the loneliness and dialysis symptoms increased, the happiness did not change; In the second measurement of the post-test, happiness, and treatment adherence to ESRD decreased, loneliness and dialysis symptoms increased. During Betta fish therapy, patients' body mass index, happiness, and treatment adherence to ESRD increased, loneliness and dialysis symptoms decreased; in the first measurement, and loneliness, dialysis symptoms, body mass index, and treatment adherence to the ESRD increased; In the second measurement, loneliness, dialysis symptoms increased, body mass index and happiness decreased. Conclusions: The study revealed that Robotic cat and Betta fish therapies had positive physiological and psychological effects in hemodialysis patients, and these effects were different from each other.
- Derleme MakaleAçık Erişim2021Huzurevinde Yaşayan Yaşlılarda COVID-19 Pandemisinin Yönetimi ve \rHemşirelik
Demirağ, Hatice; Hintistan, Sevilay
COVID-19, kronik hastalığa sahip yaşlı bireylerde yüksek mortaliteye neden olan yeni bir insan \rkoronavirüsünün (SARS-CoV-2) neden olduğu akut bir solunum hastalığıdır. Mortalitenin azaltılması için virüs kaynaklı enfeksiyon zincirinin kırılması ve riskli kişilerin korunması gereklidir. \rBunun için en etkili yöntem COVID-19 tanısı almış veya COVID-19 şüphesi olan huzurevi çalışanlarının ve huzurevi sakinlerinin, yaşlı popülasyondan etkili bir şekilde uzaklaştırılmasıdır. Bu \rnedenle, bu makalenin amacı huzurevinde yaşayan ve mortalite açısından yüksek riskli grup \rolarak bildirilen yaşlılarda COVID-19 pandemisinin önlenmesi, yönetimi ve hemşirelik hakkında \rbilgi vermek ve ülkemizdeki sağlık personellerine kaynak oluşturmaktır
- Derleme MakaleAçık Erişim2021COVID-19 vaccine and immune response
Hintistan, Sevilay; Demirağ, Hatice
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; βCoV), the causative agent of coronavirus disease 2019 (COVID-19), causes severe lower respiratory tract infections and acute respiratory failure syndrome (ARDS). Deaths due to the ongoing COVID-19 pandemic for more than a year are still seen worldwide. Therefore, vaccine trials have gained importance. The discovery of the genome and protein structure of SARS-CoV-2 in a short time allowed the development of nucleic acid-based vaccines (mRNA and DNA vaccines), vector vaccines, inactivated virus vaccines, protein-based vaccines, virus-like particle vaccines, and live attenuated virus vaccines. Many companies, universities, and institutes around the world continue to develop effective vaccines against SARS-CoV-2. In this review, the structural features, classification, genome, and intracellular entry of SARS-CoV-2 coronaviruses, stimulation of the immune system and immunity, COVID-19 vaccine types, and the latest status of clinical trials of these vaccines have been reviewed.
- Derleme MakaleYalnız künye2020Clinical Management and Nursing of COVID-19
Demirağ, Hatice; Hintistan, Sevilay
“COVID-19” disease is an infectious disease that was declared as a pandemic by the World Health Organization (WHO) on March 11, 2020 and is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The COVID-19 epidemic, which is spreading worldwide, causes morbidity and mortality increase day by day. Nurses who have the most contact with the patient play an important role in clinical management of the disease and prevention of infection. The purpose of this review is to provide information about the risk factors, transmission route, diagnosis and treatment of COVID-19, to identify clinical symptoms, and to discuss optimal nursing management in the clinical management of patients admitted to the hospital with COVID-19 infection.