Sürdürülebilir Kalkınma Amaçları
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- MakaleYalnız künye2026The effect of self-selected soothing music on fistula puncture-related pain and comfort levels in hemodialysis patients: a randomized controlled, single-blind, single-center study
Sayilan, Samet; Sayilan, Aylin Aydin; Kulakac, Nursen
Purpose: To investigate the effect of music therapy on pain and comfort levels in hemodialysis patients. Methods: The study was completed with 30 experimental patients and a 30-member control group receiving treatment in the hemodialysis unit in a hospital in Western Türkiye. Experimental group patients were allowed to listen to a form of music selected by them for approximately 6 min prior to each procedure. No procedure was performed on the members of the control group. A Visual Analog Scale (VAS) was applied in sessions 1, 6, and 12, and the Hemodialysis Comfort Scale in sessions 1 and 12. The independent sample t test and repeated-measures analysis of variance were employed in data analysis, and Cohen’s d in effect size calculations. Results: Hemodialysis Comfort Scale scores were significantly higher at the end of the study in the experimental group compared to the control group (SMD: 3.54, 95% CI 2.33–4.75) (p < 0.05). Mean VAS scores were significantly lower among the experimental group compared to the control group at the second (6th session) (SMD: 1.94, 95% CI 1.34–2.54) (p < 0.001) and third (12th session) evaluations (SMD: 3.2, 95% CI 1.2.65–3.75) (p < 0.001). VAS scores were also significantly lower in the experimental group at the third evaluation compared to the earlier evaluations (p < 0.05). Conclusion: The patients in the experimental group listened to a form of music of their choice before 12 hemodialysis sessions. Music was found to exhibit a positive effect on pain and discomfort in patients receiving hemodialysis. Trial registration: NCT05574595.
- MakaleYayıncıda açık erişim2025The effect of health literacy, psychological resilience, and internet addiction levels on the fear of COVID-19 in healthcare professionals
Aydin, Aykut; Aydin Sayilan, Aylin; Kulakac, Nursen
Background: Healthcare professionals are known to make intensive use of the internet to improve their health literacy, preserve their psychological resilience, resolve uncertainties, and lessen their fear of COVID-19. Although several studies have addressed these concepts, we encountered none examining their relationships with one another. Objective: This research set out to determine the effects of health literacy, psychological resilience, and internet addiction levels on the fear of COVID-19 in healthcare professionals. Methods: The sample in this descriptive, cross-sectional, and correlation-seeking research consisted of 456 health workers. The data were collected using an information form and the Health Literacy Scale (HLS), the Brief Resilience Scale (BRS), Young's Internet Addiction Test-Short Form (YIAT-SF), and the Fear of COVID-19 Scale. Results: The mean age of the health professionals enrolled in the research was 40.80 ± 11.39 years (min 22, max 68), 52.4% were women, 87.1% held bachelor's degrees, 86.8% were married, and 5.9% were working as nurses. The participants’ mean scale scores were 54.97 ± 5.62 for the HLS, 26.95 ± 9.57 for YIAT-SF, 20.57 ± 3.62 for the BRS, and 20.33 ± 2.97 for the Fear of COVID-19 Scale. Conclusions: The healthcare professionals in this study exhibited adequate levels of health literacy and psychological resilience, a moderate level of internet addiction, and still experienced fear of COVID-19. Health literacy, internet addiction, and psychological well-being emerged as important factors in the fear of COVID-19.
- MakaleAçık Erişim2024The effect of transurethral resection of the prostate on sexual life quality in patient spouses
Aydin Sayilan, Aylin; Kulakac, Nursen
The purpose of this study was to determine the effect of transurethral resection of the prostate (TURP) surgery on quality of sexual life in patients' spouses. A pre/post-operative test, quasi-experimental design with no control group was employed. The research was conducted in the urology clinics of two hospitals in the west of Turkey between 30 June and 30 September 2022. It was completed with 172 patient spouses recruited using non-probability sampling. The study data were collected using an individual information form and the Sexual Quality of Life-Female questionnaire. The preoperative test applied prior to surgery was administered by the face-to-face interview method, while the postoperative test was completed by telephone interviews 8 weeks after the initial data collection. The mean age of the individuals undergoing TURP surgery in this study was 62.69 ± 7.98 years (min 40, max 77), and the mean age of the spouses was 57.91 ± 7.46 (min 39, max 73). Sexual Quality of Life-Female scores after surgery were significantly higher than the pre-surgical values (p < 0.001). A significant difference in sex life quality was determined in terms of age, education, employment status, presence of chronic disease, number of children, and ‘love marriages’ (p < 0.05). The sexual life quality of the spouses of patients exposed to TURP surgery increased significantly 8 weeks after the procedure. The quality of sex life was higher among individuals with higher education levels, working individuals, and those who ‘married for love’, but decreased in line with age and number of children.
- MakaleAçık Erişim2022The effect of the COVID-19 pandemic on the professional perception and image of nursing among nurses working in surgical units: An online study
Sayilan, Aylin Aydin; Kulakac, Nursen
BACKGROUND: Understanding the effects of the COVID-19 pandemic on the perception and image of the profession are key factors in nurses' perceptions regarding their roles and their future. OBJECTIVE: The purpose of this study was to determine the effect of the COVID-19 pandemic on the perception and image of the nursing profession among nurses working in surgical units. METHODS: This cross-sectional, correlational study was conducted with 216 nurses using the random sampling method between 10 and 30 March, 2022. The study data were collected using an information form, the Perception of Nursing Professional Scale (PNPS), and the Scale for the Image of the Nursing Profession. RESULTS: The nurses' mean age was 32.53±9.16 years (min 21, max 57) and their mean professional experience was 16.44±9.80 years (min 1, max 44). The mean PNPS score was 73.12±9.46, and the mean Scale for the Image of the Nursing Profession score was 171.11±11.16. Female nurses had significantly higher positive perceptions of nursing levels than male nurses. Gender, having a history of COVID-19, marginalization during the pandemic, and perception of the nursing profession significantly affected image perceptions of nursing at multiple linear regression analysis. These variables explained 43% of the total variance. CONCLUSION: Nurses working in surgical units during the COVID-19 pandemic exhibited a good level of professionalism and image perception concerning nursing.
- MakaleAçık Erişim2021Relationship between androgen levels and neutrophil/lymphocyte ratio in patients diagnosed with hirsutism
Sayilan, Samet; Mert, Meral; Kulakac, Nursen
Aim: Hirsutism is a disease involving increased terminal hair growth in women with a male-type distribution pattern in androgen-sensitive areas such as the chin, upper lip, chest, abdomen, back, and thighs. Our review of the available literature revealed no previous studies concerning the role of the peripheral blood neutrophil/lymphocyte ratio (NLR), an easily calculated and noninvasive marker, in hirsutism. The purpose of this research was to determine the relationship between androgen levels and NLR in female patients diagnosed with hirsutism. Material and Methods: The files of 392 patients presenting to the Bakirkoy Dr. Sadi Konuk Education and Research Hospital due to hirsutism between 2018 and 2020 were included in this cross-sectional, retrospective study. Patients' hirsutism and menstrual cycles, age at menarche, number of pregnancies in the case of married women, number of living children, and history of infertility were investigated. Hyperandrogenemia findings, such as hair loss and acne, were also recorded. Patients' biochemical and complete blood count parameters were evaluated. Results: The mean age of the participants was 26.27 +/- 6.37 years (min-max: 16-48), and their androgen levels were statistically significantly associated with high-density lipoprotein, hemoglobin, hematocrit, 17-hydroxyprogesterone, and HbA1c levels (p<0.05). However, no significant relationship was found between patients' androgen levels and NLR values (p>0.05). Discussion: No significant relationship was determined in this study between androgen levels and NLR values in women diagnosed with hirsutism. Due to the limited numbers of previous similar studies, further research with larger patient numbers is now needed.
- MakaleYalnız künye2021The effect of chewing gum on dry mouth, interdialytic weight gain, and intradialytic symptoms: A prospective, randomized controlled trial
Ozen, Nurten; Aydin Sayilan, Aylin; Mut, Dilek; Sayilan, Samet; Avcioglu, Zeynep; Kulakac, Nursen; Ecder, Tevfik; Akyolcu, Neriman
Introduction The major salivary glands can be stimulated by chewing gum to increase saliva flow and decrease xerostomia. The aim of this study was to investigate the effect of chewing gum on dry mouth, interdialytic weight gain, and intradialytic symptoms in hemodialysis (HD) patients. Methods This prospective randomized controlled single-blind study was conducted with patients who had been treated for at least 6 months with sessions 3 days a week for 4 hours at two HD units. Patients were randomly allocated to chewing gum group or the control group. In the chewing gum group, gum was chewed for 10 minutes six times a day, and when the patients felt mouth dryness or were thirsty. In the nonchewing gum group, gum was not chewed. The patients were followed-up for 3 months. A total of three saliva samples were taken before starting treatment at the first, 12th, and 36th HD session. Data were collected with the Visual Analogue Scale (VAS), Hemodialysis Patients Fluid Control Scale, Dialysis Symptom Index, and Hospital Anxiety and Depression Scale at baseline, week 4, week 8, and week 12. Findings The study was completed with a total of 44 patients consisting of 22 patients in the each group. The second and third month VAS values (xerostomia) of the patients in the chewing gum groups were statistically significantly lower than those in the control group (P= 0.014,P < 0.001, respectively). The third month salivary flow rate in the chewing gum group was higher than the values in the control group patients (P < 0.001). Discussion It is anticipated that this study will raise nurses' awareness of dry mouth and encourage future studies on interventions to increase the salivary flow rate to prevent or treat dry mouth.