Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleYalnız künye2026The effect of acupressure on symptom management in children: A meta-analysis of randomized controlled trials
Akay, Gamze; Yıldız, Muhammed; Oğuzhan, Hatice; Uzun, Sevda
Purpose Pediatric patients often experience distress, pain, and nausea during medical procedures. This meta-analysis aimed to synthesize current evidence on the potential efficacy of acupressure on symptom management among pediatric patients aged 0–19 years. Design and methods This study was designed as a meta-analysis of randomized controlled trials . The literature search was conducted in PubMed, Web of Science, Scopus, EBSCOhost, Google Scholar, and the YÖK Thesis Center in January 2025 and updated in August 2026, with no restriction on publication year. After the reviews, 17 studies were included in the study. The data were synthesized by meta-analysis and narrative methods. Results The pooled analysis indicated that acupressure was associated with statistically significant reductions in reported anxiety (SMD = −1.021, p < 0.001), pain (SMD = −1.397, p < 0.001), and nausea (SMD = −0.388, p = 0.006). However, substantial statistical heterogeneity was observed for anxiety (I2 = 78.8%) and pain (I2 = 94.4%), and the number of studies available for each outcome was limited (anxiety: n = 6; pain: n = 9; nausea: n = 4). Conclusions and practice implications Current evidence suggests that acupressure may be a promising complementary approach for managing anxiety, pain, and nausea in pediatric patients. However, given the small number of studies per outcome, small sample sizes, and high statistical heterogeneity, these findings should be interpreted with caution. Further rigorous, well-designed RCTs are required to confirm these observations before routine clinical implementation can be recommended.
- MakaleYalnız künye2026The Role of Religion and Spirituality in Coping With Stigmatization in Individuals Who Commit Homicide: a Phenomenological Study
Uzun, Sevda; Aslan, Çimen
This study aimed to evaluate the role of religion and spirituality in coping with stigmatization in individuals who commit homicide using a phenomenological approach. In the analysis of the data, two themes (the effects of committing crime on the individual, thoughts on the role of spirituality in coping with stigmatization) and six sub- themes (spiritual, social, physical, stigmatization, spirituality and coping) were identified. As a result of the study, it was determined that individuals who commit crimes are psychosocially affected very negatively and experience stigmatization due to the situation they experience.
- MakaleYalnız künye2026Aged people with chronic diseases dying: An investigation of metaphorical perceptions and cognitive structure; [Sterbende ältere Menschen mit chronischen Erkrankungen: Eine Untersuchung metaphorischer Wahrnehmungen und kognitiver Strukturen]
Demir Çam, Sevgi; Uzun, Sevda; Aydin, Esra; Altindaş, Sueda
Purpose: This study was designed to examine the metaphorical perceptions and cognitive structures of aged individuals with chronic diseases towards death. Methods: The research was conducted as a qualitative study based on metaphor analysis. Data were collected using a semi-structured interview form that investigated the metaphorical perceptions of 15 individuals with chronic diseases towards death and a form that was asked to be explained with drawing technique. In the semi-structured interview form “Death is like … because …”, metaphor expression was included, and in the other part “Describe your thoughts about death with drawings”, the form containing the expression was used. The data were analyzed using the content analysis technique. The study was conducted and reported according to the COREQ checklist. Results: It was determined that the old individuals with chronic diseases who participated in the study produced 4 metaphors with the writing technique and 4 metaphors with the drawing technique. As metaphors, the themes of end of life and a new beginning, extinction and feeling of emptiness, journey of life, salvation and reunion were determined. Conclusion: As a result of the study, it was determined that old individuals with chronic diseases had anxiety about death. In addition, it was determined that old individuals had negative and positive cognitive schemas about death. In this context, old individuals with chronic diseases may need psychosocial support systems.
- MakaleYalnız künye2026Nurses’ Experiences in Preventing or Reducing Sensory Deprivation and Sensory Overload in Intensive Care Patients: A Phenomenological Study
Uzun, Sevda; Aslan, Çimen
This study aimed to assess nurses’ experiences in preventing or reducing sensory deprivation and sensory overload in intensive care unit (ICU) patients, utilizing a phenomenological approach. The qualitative research involved face-to-face, semi-structured, in-depth interviews with 15 nurses working in a general ICU in the southern region of our country. Data collection continued until data saturation was achieved, and all interviews were audio recorded and transcribed. Colaizzi’s phenomenological analysis method was employed for data analysis, and adherence to the COREQ checklist was ensured throughout the study. The data analysis revealed 2 main categories (reflection on situations that may cause sensory deprivation and sensory overload in intensive care units and practices and coping experiences of nurses to avoid sensory deprivation and overload) and 6 themes (environment, disease, and its effects, being separated from the family environment and loved ones, challenges encountered, coping, and psychosocial applications). The results indicated that patients undergo sensory deprivation or sensory overload in the intensive care environment, with nurses playing a pivotal role in addressing these situations. It was observed that nurses encountered challenges in coping with sensory deprivation or sensory overload issues in patients. Nurses are advised to regularly assess training programs to ensure the ongoing promotion of safe nursing practices aimed at minimizing sensory deprivation or sensory overload in patients.
- 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.
- MakaleAçık Erişim2026Effects of psychosocial interventions on sexual function, quality of life, and stress in women with gynecologic cancer: a systematic review and meta-analysis
Aydın, Esra; Özcan, Handan; Karakaş, Sevda; Uzun, Sevda
Objectives: To evaluate the effects of psychosocial interventions on sexual function, quality of life, and stress levels in women with gynecologic cancer. Methods: This systematic review and meta-analysis was conducted in accordance with the PRISMA 2020 guidelines. PubMed, Web of Science, EBSCOhost, Google Scholar, and the YÖK Thesis Center were searched between June and July 2024 without year restriction. Randomized controlled and quasi-experimental studies evaluating psychosocial interventions were included. Data were synthesized using meta-analysis and narrative synthesis. Outcomes were synthesized separately for sexual function, quality of life, and stress. Results: Seven studies were included in the analysis. Psychosocial interventions significantly improved sexual function (SMD: 0.868; 95% CI: 0.021 to 1.715; Z = 2.008; p = 0.045; I2 = 89.97%) and quality of life (SMD: 0.709; 95% CI: 0.060 to 1.358; Z = 2.142; p = 0.032; I2 = 88.61%) in women with gynecologic cancer. However, psychosocial interventions did not demonstrate a significant effect on stress levels (SMD: − 1.126; 95% CI: − 2.649 to 0.397; Z = − 1.449; p = 0.147; I2 = 95.65%). Conclusion: This systematic review and meta-analysis indicates that psychosocial interventions are associated with improvements in sexual function and quality of life among women with gynecologic cancer, whereas no statistically significant reduction in stress was observed. Although substantial between-study heterogeneity was present, the overall evidence supports the integration of psychosocial approaches into supportive oncology nursing care.
- MakaleYalnız künye2026Surrogate Trauma in Nurses Providing Pediatric Palliative Care: A Phenomenological Study
Oğuzhan, Hatice; Akay, Gamze; Uzun, Sevda; Koç, Elif Simay; Öncer, Aysun
The aim of this study was to deeply examine the experiences of proxy grief among nurses providing pediatric palliative care. This qualitative phenomenological study was conducted with 16 nurses working in the pediatric ward of a hospital located in the northern region of the country. Data were analyzed using Colaizzi’s phenomenological analysis method. The analysis revealed 3 themes (challenges experienced while caring for children in palliative care; secondary trauma and coping processes; proxy trauma and professional resilience) and 9 sub-themes (emotional strain during care, establishing an empathetic bond, emotional exhaustion, traumatic experiences, seeking psychological support, religious coping methods, developing a professional approach, resilience and acceptance, and motivation to continue in the profession). The study found that nurses providing pediatric palliative care experienced significant psychosocial stress. Pediatric nurses were particularly challenged emotionally when caring for palliative patients. In this context, it is important to develop stress-coping skills to help nurses manage vicarious trauma. Strengthening nurses psychologically and spiritually will positively impact their professional lives, which in turn will enhance the quality of care they provide.
- MakaleYalnız künye2026The Effect of Jet Lidocaine on Pain and Anxiety During Peripheral Venous Access: A Systematic Review and Meta-Analysis
Aydin, Esra; Uzun, Sevda
Objective: – The aim of this study was to determine the effect of jet lidocaine on pain and anxiety during peripheral venous access. Methods: – A comprehensive literature search was conducted in PubMed, Web of Science, EBSCOhost, Google Scholar, and the YÖK Thesis Center without year limitation. Five randomized controlled trials that met the inclusion criteria were included in the analysis. Data extraction and methodological quality assessment were performed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools, and study selection was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. The findings were synthesized using meta-analysis and narrative synthesis. Results: – The pooled analysis demonstrated that jet lidocaine significantly reduced anxiety related to peripheral venous access (standardized mean difference: −1.031; 95% confidence interval: −1.653 to −0.409; Z = −3.249; P =.001; I2 = 89.98%). However, its effect on pain was not statistically significant (standardized mean difference: −0.817; 95% confidence interval: −1.817 to 0.182; Z = −1.602; P =.109; I2 = 96.57%). Conclusion: – Jet lidocaine may be an effective option for reducing anxiety during peripheral venous access; however, its effect on pain was not statistically significant. Further high-quality randomized controlled trials with standardized protocols and larger sample sizes are needed to clarify its analgesic effectiveness and clinical outcomes.
- MakaleAçık Erişim2026The psychosocial dimension of Parkinson’s: A phenomenological study on patient experiences
Çakmak, Seher; Uzun, Sevda; Demi̇r Çam, Sevgi; Tamam, Yusuf
Background: The aim of this study is to evaluate the psychosocial dimension of Parkinson’s disease and the life experiences of patients with a phenomenological approach. Methods: In this phenomenological study, semi-structured in-depth interviews were conducted with 20 Parkinson’s patients who applied to the neurology outpatient clinic of a state hospital in a province in southern Turkey. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Interviews continued until data saturation was achieved. All interviews were recorded on a voice recorder after obtaining the necessary permissions from the patients and then transcribed. The data of the study were evaluated using thematic analysis. The study was conducted and reported according to the COREQ checklist. Results: Data analysis revealed three main themes (metaphors for Parkinson's disease, effects of Parkinson's disease, symptom management and psychosocial needs in Parkinson's disease) and eight sub-themes (metaphors for physical effects, metaphors for mental effects, metaphors for social effects, mental, physical, social, symptom management and psychosocial needs). Conclusions: As a result of this study, it was determined that Parkinson's disease negatively affects patients psychosocially and they have difficulty in coping. It is recommended to implement research and application centers for Parkinson's patients with a focus on psychosocial support and to carry out awareness and awareness-raising studies on Parkinson's disease. Studies on this subject are very limited and it is recommended that large-scale studies on psychosocial problems in individuals with Parkinson's disease be conducted in the future.
- MakaleAçık Erişim2026Psychosocial dimension of adolescent pregnancy: a phenomenological study on life experiences
Ediz, Çiçek; Uzun, Sevda
Aim: This study aimed to assess the lived experiences of adolescent pregnant young women, with a specific focus on the psychosocial aspect of adolescent pregnancy, using a phenomenological approach. Design: Employing the phenomenological research method, semi-structured in-depth interviews were conducted between 3 August and 18 August 2023 with 15 young women (mean age = 21.86 years; SD = 1.06) living in a province in eastern Turkey who had undergone adolescent pregnancy 3–5 years before. Methods: The criterion sampling method, a form of purposive sampling, was used to form the sample group. Interviews were carried out until data saturation was reached. All interviews were recorded and transcribed, and thematic analysis was utilised to analyse the data. The study adhered to the COREQ checklist for reporting. Results: Through data analysis, three main categories (reflections on adolescent pregnancy, challenges due to adolescent pregnancy, and effects of adolescent pregnancy) and nine sub-themes (emotions, roles and responsibilities, perception of social support, cognitive, emotional, behavioural, mental, physical, and social) emerged. Conclusion: Our study highlights the adverse psychosocial impact of adolescent pregnancy on young women. Young women who got married at an early age before attaining full physical, social, and psychological maturity grappled with the substantial burdens of adolescent pregnancy and adjusting to their new roles. The study’s implications are significant, emphasising the necessity of addressing the psychosocial facets of adolescent marriage and pregnancy, and gaining valuable insights for the future.
- Derleme MakaleYalnız künye2026Effectiveness of ShotBlocker for Pain in Adult Needle-Related Procedures: Systematic Review and Meta-Analysis
Korkmaz, Emine; Uzun, Sevda; Aydın, Esra
Objectives This study was conducted to evaluate the effect of ShotBlocker use on pain levels during needle-related procedures in adults. Design Systematic review and meta-analysis. Data sources Studies were searched in the PubMed, Web of Science, ScienceDirect, Google Scholar, and Higher Education Council (YÖK) Thesis Center databases without any year restrictions. Review/Analysis methods The search and study selection were conducted in accordance with the PRISMA 2020 guidelines, and 18 studies meeting the inclusion criteria were included in the analysis. Data extraction and methodological quality assessment were performed using the Joanna Briggs Institute (JBI) critical appraisal tools. Findings were evaluated using meta-analysis and narrative synthesis methods. Results In this systematic review and meta-analysis, ShotBlocker was found to be effective in reducing pain levels in adults (SMD = −1,011; 95% CI: −1.390 to −0.631; Z = −5,221; p < .001; I² = 91.4%). However, substantial heterogeneity was observed among the included studies (I² = 91.4%). Conclusions This study demonstrates that ShotBlocker may be an effective nonpharmacological method for reducing pain levels during needle-related procedures in adults. However, the results should be interpreted with caution because of the substantial heterogeneity among the included studies.
- MakaleAçık Erişim2025Hemşirelik Öğrencilerinin Klinik Uygulamaya Uyumunu Sağlamaya Yardım Edici/Engelleyici Durumlar
Uzun, Sevda; Koçtaş, Selcan; Dinlemek, Selvi
Bu çalışmanın amacı, hemşirelik öğrencilerinin klinik uygulamaya uyumunu sağlamaya yardım edici/engelleyici durumları niteliksel fenomenolojik bir yaklaşım kullanarak değerlendirmektir. Bu araştırmada nitel araştırma deseni olan fenomenolojik araştırma tasarımı kullanılmıştır. Bu nitel araştırma bir devlet üniversitesinin sağlık bilimleri fakültesinin hemşirelik bölümünde öğrenim gören 60 gönüllü hemşirelik öğrencisi ile 15 Ocak-15 Şubat 2023 tarihleri arasında yapılmıştır. Görüşmeler bireysel olarak ve yüzyüze yarı yapılandırılmış form kullanılarak gerçekleştirilmiştir. Veriler, Colaizzi'nin fenomenolojik analiz yöntemi kullanılarak yapılmıştır. Verilerin analizinde üç kategori (uygulama ortamından beklentiler, uygulama sırasında yaşanan zorluklar, klinik uygulamada motive edici faktörler) yedi alt tema (fiziksel açıdan, psikolojik açıdan iletişim, bilgi, süre, kişiler ve ortam) saptanmıştır. Hemşirelik öğrencileri uygulama sırasında ortam, teorik bilgi yetersizliği, uygulama süre kısıtlılığı gibi nedenlerden dolayı sorunlar yaşamaktadır. Ayrıca hemşirelerle ve diğer ekip üyeleri etkin iletişim kurmanın, hastalardan olumlu geri bildirim alınmasının, öğretim elemanlarının öğretici ve destekleyici yaklaşımlarının öğrencilerin motivasyonunu artırdığı belirlenmiştir. Uygulama süresinin daha uzun olması, yeterli öğretim elemanının olması, hemşirelerin daha etkin rol model olması, fiziki koşulların iyileştirilmesi önerilmektedir.
- MakaleAçık Erişim2025The Effect Of Poetry Therapy On Hopelessness, Loneliness And Depression in Hemodialysis Patients: A Quasi-Experimental Study
Çakmak, Seher; Uzun, Sevda; Baygın, Şevval
The aim of this study was to examine the effect of poetry therapy on hopelessness, loneliness and depression in haemodialysis patients. The study, which was conducted in a quasi-experimental design, included 22 chronic renal failure patients receiving haemodialysis treatment. 11 patients were assigned to the poetry group and 11 patients to the control group. The patients in the poetry group received 12 sessions of poetry therapy three days a week for 4 weeks, while the patients in the control group were not intervened. The data of the study were collected with ‘Personal Information Form’, ‘Beck Hopelessness Scale’, ‘UCLA Loneliness Scale’ and ‘Beck Depression Scale’. Mean, standard deviation and percentage calculations, Kolmogorov Smirnov normal distribution test, chi-square and t test were used in the analysis of the data. It was determined that the sociodemographic and disease characteristics of the patients in the poetry and control groups were similar (p>0.05). In the pre-test, it was found that there was a similarity between the poetry and control groups in terms of mean hopelessness and loneliness scores (p>0.05), while there was a statistically significant difference in terms of mean depression score and frequency (p=0.016, p=0.012). After the poetry therapy, it was determined that the mean scores of hopelessness and depression of the poetry group decreased statistically significantly (p=0.009, p=0.016), while the mean score of loneliness increased significantly (p<0.001). In conclusion, it was determined that poetry therapy decreased hopelessness and depression but increased loneliness in haemodialysis patients. Accordingly, it can be said that poetry therapy is beneficial in reducing hopelessness and depression levels.
- MakaleAçık Erişim2025Ürolojik Cerrahi Geçirecek Erkek Hastaların Beden Tutumunun Psikolojik İyilik Halleri ve Cinsel Doyuma Etkisi: Tanımlayıcı ve İlişkisel Bir Araştırma
Uzun, Sevda; Atasayar, Belgin Şen; Emirza, Elif Güzide
Bu araştırma, ürolojik cerrahi geçirecek erkek hastaların beden tutumlarının psikolojik iyilik halleri ve cinsel doyumları üzerine etkisini incelemek amacıyla yapılmıştır. Araştırma tanımlayıcı ve ilişkisel tiptedir. Veriler Ağustos-Ekim 2024 tarihleri arasında Türkiye’nin bir ilinde ikamet eden ve ürolojik cerrahi geçirecek 111 erkek hastadan Google form aracılığıyla toplanmıştır. Araştırmada veriler “Kişisel Bilgi Formu”, “WHO-5 İyilik Hali İndeksi”, “Erkeklere Özgü Beden Tutum Ölçeği” ve “Yeni Cinsel Doyum Ölçeği-Kısa Form” kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, Pearson korelasyon testi, bağımsız örneklem t-testi, one-way ANOVA ve regresyon analizleri kullanılmıştır. Ürolojik cerrahi geçirecek erkek hastaların beden tutumlarının, psikolojik iyilik hallerini ve cinsel tatminlerini de etkilediği belirlenmiştir. Ayrıca bu hastaların medeni durumu, hastalığın cinsel ve psikolojik etkisi, tıbbi tanısı, hastalığın neden olduğu beden memnuniyetsizliği ve birlikte yaşadığı kişilerin de beden tutumu, psikolojik iyilik hali ve cinsel doyumu ve alt boyutlarından bazıları ile ilişkisi olduğu görülmüştür (p<0,05). Araştırma sonucuna göre, toplumda ürolojik sorunların erkek cinsel sağlığı üzerindeki olumsuz etkisinin anlaşılması için özellikle psikiyatri ve cerrahi klinik hemşirelerinin bu hastalara yönelik görüşme ve eğitim programları düzenlemesi önerilmektedir. Ayrıca bu hastalara psikolojik destek sağlanmalı ve beden algılarına yönelik değerlendirip uygun psikoterapötik müdahale de bulunulmalıdır.
- MakaleAçık Erişim2025Factors Affecting Psychological Resilience and Coping Experiences of Cancer Patients: A Phenomenological Study
Uzun, Sevda; Bayrak, Nurten Gülsüm
Objective: The aim of this study was to evaluate the factors affecting psychological resilience and coping experiences of cancer patients. Methods: In this study using the phenomenological research method, semi- structured in-depth interviews were conducted with 22 individuals with cancer living in a province in northern Turkey. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed. The data of the study were evaluated using thematic analysis. The study was conducted and reported according to the COREQ checklist. Results: Data analysis revealed three themes (effects of cancer, coping with cancer, psychological resilience and influencing factors) and eight sub-themes (mental, physical, social, perception of social support, treatment process, personal competence and future plans, spiritual disposition and perspective on negative events). Conclusion: The results of the study showed that cancer has a negative psychosocial impact on individuals. The treatment and care process in cancer can negatively affect the psychological resilience of individuals. In this process, it was determined that situations such as perception of social support, coping resources, perspective on negative events, spirituality can affect psychological resilience.
- MakaleAçık Erişim2025Factors Affecting the Quality of Nursing Care in Community Mental Health Centres: A Qualitative Study
Uzun, Sevda; Akman, Yasemin
Objective: Community mental health practices play a significant role in mental illness prevention. It is critical for nurses who play critical roles in the protection, growth, and rehabilitation of com- munity mental health to deliver high-quality care. Nurses face chal- lenges due to issues and limitations at the community mental health center. Also this situation can be impact on the quality of care. This study was planned to examine the factors affecting the quality of nurs- ing care in community mental health centers. Material and Methods: The study was conducted with 12 volunteer nurses using a phe- nomenological research design, which is a qualitative research design. Interviews were conducted individually and face-to-face. The data were analyzed using Colaizzi’s phenomenological analysis method.Results: In the analysis of the data, 4 categories (challenges with care and treat- ment, deficiencies at the community mental health center, views on the benefits of community mental health center, and recommendations for improving the quality of health care) and 13 main themes (medications, physician, communication, psychiatry service, equipment, team, space and equipment, functionality, communication, treatment and care, so- cial aspects, team, social activities, and facilities and equipment) were identified. Conclusion: The study thoroughly evaluated the factors af- fecting the quality of nursing care in community mental health centers and suggested potential solutions.
- MakaleAçık Erişim2025Evaluation of Adolescents’ Perceptions of Family in Child Sexual Abuse Cases Reported to Forensic Authorities: A Qualitative Study
Uzun, Sevda; Bayrak, Nurten Gülsüm
Objective: This study aimed to evaluate the family perceptions of adolescents in cases of child sexual abuse reported to judicial authorities. Material and Methods: In this qualitative investigation, semi-structured, in-depth interviews were conducted with 15 children who were exposed to qualified sexual abuse and lived in a northern Turkish city. The criterion sampling method, a purposive sampling technique, was used to select study participants. Interviews were carried out until data saturation was achieved. All interviews were meticulously recorded and subsequently transcribed verbatim. Thematic analysis was employed to interpret the data. The Consolidated Criteria for Reporting Qualitative Research checklist guidelines were adhered to throughout the study. Results: In the analysis of the data, three overarching categories (reflections on family relationships, sexual abuse and relationships with family, and situations in the family that are desired to change or improve) and eight sub-themes (mother, father, siblings, directly or indirectly, cognitive dimension, emotional dimension and behavioral dimension) were obtained. Conclusion: In this study, it was found that the outcomes related to family dynamics of adolescents who were victims of sexual abuse are very important for healthy mental development. In this context, early detection of negativities related to family dynamics and identification of risky families are very important.
- MakaleAçık Erişim2025Kardiyak Cerrahi Geçiren Hastaların Yaşadığı Psikososyal Sorunlar ve Yaşam Deneyimleri: Nitel Çalışma
Uzun, Sevda; Atasayar, Belgin Şen; Emirza, Elif Güzide
Amaç: Bu araştırmanın amacı, kardiyak cerrahi geçiren hastaların yaşadıkları psikososyal sorunlar ve yaşam deneyimlerini fenomenolojik bir yaklaşımla değerlendirmektir. Gereç ve Yöntemler: Bu çalışmada, nitel araştırma yöntemi kullanılmıştır. Araştırma, Türkiye’nin kuzeyinde yer alan bir ildeki kardiyak cerrahi geçirmiş ve taburcu olmuş 15 hastayla yüz yüze yürütülmüştür. Veriler, yarı yapılandırılmış derinlemesine görüşmelerle elde edilmiştir. Örneklem seçiminde, amaçlı örnekleme yöntemi tercih edilmiştir. Görüşmeler, veri doygunluğu sağlanana kadar sürdürülmüştür. Elde edilen veriler, tematik analiz yöntemiyle analiz edilmiştir. Araştırma süreci ve raporlaması, Nitel Araştırma Raporlama için Konsolide Kriterler kontrol listesi doğrultusunda gerçekleştirilmiştir. Bulgular: Verilerin analizinde, “açık kalp cerrahisi operasyonunun etkileri” ve “açık kalp cerrahisi sonrası iş yaşamı ile günlük yaşam aktivitelerine adaptasyon” olmak üzere 2 ana tema bulunmuştur. Ayrıca 8 alt tema (duygusal, fiziksel, sosyal, beslenme, aile hayatı, sosyal yaşam, iş yaşamı ve hastalık/sağlık) saptanmıştır. Katılımcılardan alınan ifadelere göre belirlenen bu temalar doğrultusunda bulgular yorumlanmıştır. Sonuç: Bu çalışmada, kardiyak cerrahi sonrası hastaların yaşam tarzlarında meydana gelen değişimlerin anksiyete, stresle baş etmede zorluk, yorgunluk, uyku sorunları, beslenme problemleri, günlük yaşamda başkalarına bağımlı olma, aile içindeki rollerin değişmesi ile sosyal ve iş yaşamında çeşitli zorluklara yol açtığı görülmüştür. Bu durumların, hastaların günlük yaşamlarına geri dönmelerini geciktirdiği ve uyum süreçlerini zorlaştırdığı belirlenmiştir. Bu nedenle kardiyak cerrahi geçiren hastaların yalnızca fiziksel değil, psikososyal yönden de desteklenmeleri büyük önem taşımaktadır.
- MakaleAçık Erişim2025The effect of psychotherapeutic interventions on pain and quality of life in endometriosis: a systematic review and meta-analysis study
Özcan, Handan; Çuvadar, Ayşe; Uzun, Sevda
Aim: This study aimed to determine the effect of psychotherapeutic interventions on pain, quality of life and health profile in women diagnosed with endometriosis. Methods: For this systematic review and meta-analysis study, studies were obtained by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases between August and October 2024 without any year limitation. After the review, 10 studies were included in the study. The data were synthesized by meta-analysis and narrative methods. Results: In this systematic review and meta-analysis, psychotherapeutic interventions for the treatment and management of endometriosis were found to be effective on quality of life (SMD = 0.515, 95% CI = 0.035 to 0.995; Z = 2.104, I2 = 67.523%, p < 0.05), pain (SMD = − 0.454, 95% CI = − 1.600 to − 0.179; Z = − 1.566, I2 = 84.463, p > 0.05), and health profile (SMD = 0.041, 95% CI = − 0.363 to 0.281; Z = − 0.250759, I2 = 56.876%, p > 0.05). In subgroup analyses, it was determined that the types of psychotherapeutic interventions were not effective, but the number of sessions was effective. Conclusion: Psychotherapeutic interventions to reduce symptoms in endometriosis are effective in improving quality of life but not pain and health profile.
- MakaleAçık Erişim2025The effect of omega-3 fatty acid use on women’s mental health in postpartum depression: a systematic review and meta-analysis study
Karakaş, Sevda; Uzun, Sevda; Özcan, Handan