Sürdürülebilir Kalkınma Amaçları

  • MakaleYalnız künye2026
    The 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.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2023
    Agreement Between Nurses’ Anxiety And Depression Levels And Their Compliance With Isolation Measures During The Covid 19 Pandemic: An Online Cross-Sectional Study

    Demir Doğan, Melike; Aydin Sayilan, Aylin; Sayilan, Samet

    Aims: The purpose of this study was to determine the relationship between nurses’ anxiety and depression levels and their compliance with isolation measures during the COVID-19 pandemic. Background: The global COVID-19 pandemic has had severe psychological impacts on nurses. Methods: Following receipt of the requisite approvals, data were collected actively from 289 nurses consenting to participate in the study through an online questionnaire using theinternet/ social media. Results: Mean stress, anxiety, and depression scores were higher among carers for COVID-19 patients than in non-Covidcarers. Analysis revealed significant positive correlation between Isolation Precautions Compliance Scale scores and stress, anxiety, depression, and burnout. Conclusion: Burnout increased while compliance with isolation precautions decreased in this study as stress, anxiety, and depression increased.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2022
    Sağlık Çalışanlarında Örgütsel Güven Düzeyi ve İlişkili Faktörler

    Kulakaç, Nurşen; Aydin, Aykut; Sayilan, Samet

    Amaç: Bu çalışma, sağlık çalışanlarının örgütsel güven düzeyleri ve ilişkili faktörleri belirlemek amacıyla tasarlandı. Yöntem: Kesitsel tipteki araştırmanın örneklemini Mayıs-Temmuz 2021 tarihlerinde Türkiye’nin batısında bulunan bir eğitim ve araştırma hastanesinde görev yapan sağlık çalışanları oluşturdu. Veri toplama aracı olarak Kişisel Bilgi Formu ve Örgütsel Güven Ölçeği kullanıldı. Verilerin analizinde, sayı ve yüzdelik hesapları, aritmetik ortalama, Mann Whitney-U testi, Kruskal Wallis ve Spearman korelasyon analizi kullanıldı. Bulgular: Sağlık çalışanlarının Örgütsel Güven Ölçeği puan ortalamasının 3.19±0.70 olduğu ve en fazla yöneticilerine güvendikleri görüldü. Yaş ve çalışma yılı arttıkça, kuruma duyulan güvenin ve çalışma yılı arttıkça, çalışma arkadaşlarına duyulan güvenin arttığı görüldü. Cerrahi birimde çalışan, evli olan, haftada 45 saatten az görev yapan sağlık çalışanlarının ve hekimlerin Örgütsel Güven Ölçeği puan ortalamasının anlamlı olarak yüksek olduğu bulundu. Sonuç: Araştırma sonucunda sağlık çalışanlarının örgütsel güven düzeyinin orta seviyede olduğu ve bazı sosyodemografik özelliklerden etkilendiği belirlendi. Örgütsel güveni oluşturmak ve arttırmak adına girişimlerde bulunulması ve kurum kültürüne dönüşecek bir örgütsel güven ortamının oluşturulması hedeflenmelidir.

  • MakaleAçık Erişim2021
    Relationship 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.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2021
    A determination of the relationship between the symptoms, hospital anxiety and depression levels, and quality of life patients diagnosed with Covid-19

    Sayilan, Samet; Aydin Sayilan, Aylin; Demir Doğan, Melike; Çetinkaya, Emel; Olcayturk, Nuray

    Introduction: The worldwide spread of coronavirus over the last 20 years has resulted in its becoming a major threat to health. The virus is thought to be a zoonotic disease spread by means of direct and contact transmission. The purpose of this study was to investigate the symptoms, anxiety-depression levels, and quality of life of patients with Covid-19. Material and methods: This descriptive, cross-sectional research was conducted in an education and research hospital between August and November 2020. An information form, the Hospital Anxiety and Depression Scale, and the Quality of Life Scale were employed as data collection tools. The study was completed with 103 individuals. Results: The mean age of the patients enrolled in the study was 37.77±10.92 years, and 67% were women. Higher anxiety levels were determined in women compared to men (p=0.001) and in married participants compared to unmarried individuals (p=0.010). Significant negative correlation was determined between anxiety and the Quality of Life Scale sub-parameters of general health, physical health, psychological health, and environment. Positive correlation was found between Covid-19 severity and anxiety, and negative correlation between Covid-19 severity and physical health (p<0.001). Conclusion: Higher anxiety was determined among women and married patients in this study, and quality of life (in the four sub-parameters) decreased as anxiety increased. Physical health decreased, while anxiety increased, with the severity of Covid.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2021
    The 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.

    • SDG 3 · Sağlık ve Kaliteli Yaşam