Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Uzun, Sevda(15)
- Tuncer, Metin(8)
- Kulakaç, Nurşen(7)
- Topal, Meryem(5)
- Emirza, Elif Güzide(4)
- Topal, Fevzi(4)
- Tuncer, Gülsüm Zekiye(4)
- Balci, Neslihan(3)
- Yapıcı, İsmail(3)
- Öztürk Sarıkaya, Sevim Beyza(3)
- Ürkek, Bayram(3)
- Akdoğan, Arda(2)
- Akmeşe, Osman(2)
- Aktepe Coşar, Dilan(2)
- Aliyazicioglu, Yüksel(2)
- Altay, Ahmet(2)
- Arslan Burnaz, Nesibe(2)
- Aslan, Osman Nuri(2)
- Aydin Sayilan, Aylin(2)
- Aydın, Kemal(2)
- Balcı, Neslihan(2)
- Baltacı, Cemalettin(2)
- Bayrak, Nurten Gülsüm(2)
- Bursal, Ercan(2)
- Büyük, Ersin(2)
- Demir Çam, Sevgi(2)
- Demir, Selim(2)
- Demirağ, Hatice(2)
- Ediz, Çiçek(2)
- Gulcin, Ilhami(2)
- Gültekin, Ergün(2)
- Gülçin, İlhami(2)
- Kalay, Erbay(2)
- Khorshtd, Leyla(2)
- Köksal, Ekrem(2)
- Sünnetçi, Kadir(2)
- Turan, İbrahim(2)
- Turan, Şeyma(2)
- Ulutaşdemir, Nilgün(2)
- Zehiroğlu, Cuma(2)
Yayınlar
- MakaleAçık Erişim2025An Examination of Relationships Between Postural Habits and Awareness of Fatigue and Musculoskeletal Discomfort in Nurses
Tuncer, Metin; Tuncer, Gülsüm Zekiye; Turan, Şeyma; Khorshtd, Leyla
Introduction: Prolonged fatigue, caused by the hospital's demanding workload and physical demands, can increase strain on the musculoskeletal system, leading to musculoskeletal issues that may negatively impact nurses' job performance and quality of life. High postural awareness, on the other hand, can help nurses develop correct posture and movement habits, reducing the risk of experiencing discomfort, thus preserving their physical health and supporting workforce sustainability. Therefore, it is of particular importance to determine the relationship of postural awareness to fatigue and musculoskeletal discomfort in nurses working in a hospital environment with heavy working conditions and many ergonomic risks. Aim: The aim of this study was to describe the postural habits, awareness, occupational fatigue levels and musculoskeletal disorders of nurses working in hospitals and to examine the relationships between these factors. Method: This study used a quantitative cross-sectional design. The study sample consisted of 132 nurses working in a hospital in Türkiye. The data for the study were collected between July and October 2023 using the Occupational Fatigue Exhaustion/Recovery Scale (OFER), Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) and Postural Habits and Awareness Scale (PHAS). Results: A significant positive, low-level correlation was found between the Recovery subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = 0.277, p < 0.05). A significant negative, moderate-level correlation was observed between the Chronic Fatigue subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = −0.311, p < 0.001). Additionally, a significant negative, moderate-level correlation was found between the Acute Fatigue subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = −0.326, p < 0.001). Conclusion: This study found that as nurses' correct postural habits improved, both acute and chronic fatigue decreased, whereas recovery increased. It is suggested that interventions aimed at enhancing postural awareness and promoting correct postural habits in nurses may also positively influence occupational fatigue and exhaustion.
- MakaleAçık Erişim2025Psychosocial problems experienced by intensive care nurses regarding sleep pattern within the scope of working conditions: A phenomenological study
Atasayar, Belgin Şen; Emirza, Elif Güzide; Uzun, Sevda
Background: Nurses working in intensive care units experience insomnia and accompanying psychosocial problems due to working conditions. Aim: This study explores with a phenomenological approach the psychosocial problems experienced by intensive care nurses regarding sleep patterns within the scope of working conditions. Study Design: In this phenomenological study, semi-structured in-depth interviews were conducted with 16 nurses working in the surgical intensive care unit of a state hospital in Türkiye. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Researchers' interviews continued until they reached data saturation. All interviews were recorded on a voice recorder after obtaining the necessary permissions from the nurses and then transcribed. The study data were evaluated using thematic analysis. The current manuscript was reported following the COREQ checklist. Results: Data analysis revealed three main themes (how working as an intensive care nurse changes sleep patterns, the relationship between shift work, work performance, patient care and how working as an intensive care nurse changes individual life and coping strategies) and nine subthemes (mental, physical, social, work performance, patient care, nutrition, family life, social life and coping). Conclusion: The study's findings revealed that nurses working in intensive care experienced psychosocial difficulties related to sleep patterns and had trouble coping. In particular, it was determined that sleep problems of intensive care nurses cause difficulties in family life, nutrition and social life. It is recommended that the number of personnel in workplaces be increased, overtime hours should be limited, and professional development and training on the importance of sleep for all nurses should be provided. Relevance to Clinical Practice: Nurses working in intensive care units may experience psychosocial problems due to working conditions, which may negatively change their coping skills. Therefore, organizing the working conditions of nurses positively changes their coping skills.
- MakaleAçık Erişim2025Effects of Temperature and Time on the Diffusion Bonding of 316L Stainless Steel and H13 Hot Work Tool Steel
Aydın, Kemal; Yıldırım, Mehmet Serkan; Kaya, Yakup
This study examines the diffusion bonding of 316 L stainless steel and H13 hot work tool steel, aiming to optimize process parameters and assess the resulting microstructural and mechanical properties. Both materials were bonded at varying temperatures (700, 750, and 850 °C) and times (15, 30, and 60 min). The joints are analyzed using scanning electron microscopy (SEM), energy-dispersive spectroscopy, and X-ray diffraction (XRD) to evaluate interfacial morphology, chemical composition, and phase formation. Microhardness measurements indicate an increase in hardness from the 316 L side to the H13 side, suggesting intermetallic phase formation. Shear strength tests show the highest strength at 850 °C for 30 min, with longer times leading to strength reduction due to brittle intermetallic compounds. SEM analysis reveals improved bonding interfaces with fewer voids at higher temperatures and longer times, but the Kirkendall effect causes void formation, negatively impacting mechanical properties. XRD confirms α-Fe and γ-Ni phases, with Fe3C forming at 850 °C for 60 min. This study underscores the importance of process parameters in optimizing joint properties and minimizing brittle phase formation, providing insights for industrial applications requiring robust and corrosion-resistant joints.
- MakaleAçık Erişim2025Evaluation of Antioxidant and Enzyme Inhibition Properties of Siran Propolis: Correlations With Phenolic Content Determined by LC–MS/MS
Balci, Neslihan; Aslan, Kubra; Erturk, Adem; Gulcin, Ilhami
This study evaluates the antioxidant activity, enzyme inhibition potential, and phenolic composition of ethanolic Siran propolis extract. Antioxidant capacity was measured using reducing power (CUPRAC, FRAP, and Fe3+-reducing) and radical scavenging (DPPH·, ABTS·+, and DMPD·+) assays. The extract showed strong reducing ability, surpassing standard antioxidants in CUPRAC and FRAP assays, correlating with high ferulic acid (40.40 mg/g) and p-coumaric acid (88.60 mg/g) levels identified by LC–MS/MS. While it demonstrated notable DPPH· scavenging (IC50: 30.14 μg/mL), ABTS·+ activity was weaker (IC50: 272.44 μg/mL). Enzyme inhibition assays indicated effective inhibition of α-glycosidase, AChE (IC50: 2.15 μg/mL), hCA I, and hCA II. Notably, AChE inhibition was stronger than the standard tacrine inhibitor (IC50: 8.82 μg/mL), suggesting neuroprotective potential. The observed bioactivities are attributed to synergistic effects of phenolic acids and flavonoids, including quercetin, luteolin, taxifolin, and resveratrol. These findings highlight Siran propolis as a promising natural antioxidant and enzyme inhibitor source with potential therapeutic applications and food formulations.
- MakaleYalnız künye2025ChatGPT-4 in Nursing Research: A Methodological Evaluation of Bias Risk in Randomized Controlled Trials
Tuncer, Metin; Tuncer, Gülsüm Zekiye
Background: Conducting bias assessments in systematic reviews is a time-consuming process that involves subjective judgments. The use of artificial intelligence (AI) technologies to perform these assessments can potentially save time and enhance consistency. Nevertheless, the efficacy of AI technologies in conducting bias assessments remains inadequately explored. Aim: This study aims to evaluate the efficacy of ChatGPT-4o in assessing bias using the revised Cochrane RoB2 tool, focusing on randomized controlled trials in nursing. Methods: ChatGPT-4o was provided with the RoB2 assessment guide in the form of a PDF document and instructed to perform bias assessments for the 80 open-access RCTs included in the study. The results of the bias assessments conducted by ChatGPT-4o for each domain were then compared with those of the meta-analysis authors using Cohen's weighted kappa analysis. Results: Weighted Cohen's kappa values showed better agreement in bias in the measurement of the outcome (D4, 0.22) and bias arising from the randomization process (D1, 0.20), while negative values in bias due to missing outcome data (D3, −0.12) and bias in the selection of the reported result (D5, −0.09) indicated poor agreement. The highest accuracy was observed in D5 (0.81), and the lowest in D1 (0.60). F1 scores were highest in bias due to deviations from intended interventions (D2, 0.74) and lowest in D3 (0.00) and D5 (0.00). Specificity was higher in D5 (0.93) and D3 (0.82), while sensitivity and precision were low in these domains. Conclusions: The agreement between ChatGPT-4o and the meta-analysis studies in the same RCT assessments is generally low. This indicates that ChatGPT-4o requires substantial enhancements before it can be used as a reliable tool for bias risk assessments. Clinical Relevance: The AI–based tools have the potential to expedite bias assessment in systematic reviews. However, this study demonstrates that ChatGPT-4o, in its current form, lacks sufficient consistency, indicating that such tools should be integrated cautiously and used under continuous human oversight, particularly in evidence-based evaluations that inform clinical decision-making.
- MakaleAçık Erişim2025The perspectives of nurses, as prominent advocates in sustainability, on the global climate crises and its impact on mental health
Ediz, Çiçek; Uzun, Sevda
Objective: To evaluate the perspective of nurses in Turkey towards the global climate crisis and its impact on mental health using a qualitative approach. Materials and Method: This study was conducted from August to September 2023 with 35 nurses living in seven regions of Turkey using an inductive qualitative approach. The researchers employed the snowball sampling method to select participants. Interviews with the participants were conducted until data saturation was reached. Thematic analysis was used to emerge themes. Results: The findings revealed five main themes (perception of the global climate crisis, effects of the global climate crisis, effects of the global climate crisis on mental health, reflections of the global climate crisis on nursing and nurses' views on prevention and intervention studies for the global climate crisis). Also, the findings revealed 12 sub-themes (physical outcomes, mental outcomes, direct and indirect impacts, psychosocial effects and personal, national and international-based reflections). Conclusion: Our study indicates that nurses exhibit genuine concern for the global climate crisis and experience psychological effects related to this pressing environmental issue. Nurses are keenly aware of their responsibility to safeguard the planet and demonstrate a strong sense of concern for the state of the world. Impact: It is evident that nurses, being prominent advocates for sustainability, are cognizant of their responsibility to protect the planet and demonstrate genuine apprehension for the state of the world. Implications: Nurses play a crucial role, as they make up 60% of the global healthcare workforce and are often the frontline healthcare professionals during natural disasters. It is vital to elucidate and clarify the terminology concerning the relationship between the climate crisis and the mental health of nurses, to determine the scope of this relationship and to make recommendations for future research areas. Patient or Public Contribution: No patient or Public Contribution.
- MakaleYalnız künye2025Chemical Composition and Bioactivities of Sideritis libanotica Labill subsp. Libanotica: LC–HRMS Phytochemical Profiling, Mineral Content, Antioxidant, Antibacterial, and Neuroprotective–Antidiabetic Enzyme Inhibitory Potentials
Öztürk Sarıkaya, Sevim Beyza; Zehiroğlu, Cuma
Sideritis libanotica Labill. subsp. libanotica (SLL) is an herbal tea used for colds, coughs, and digestive system disorders. SLL has higher antioxidant activity in methods (µg/mL) like 1,1-diphenyl-2-picrylhydrazyl (DPPH•) (40.912 ± 0.170), ABTS•+ (14.61 ± 0.331) scavenging activity, and Fe3+ (0.872 ± 0.052) and Cu2+ (0.840 ± 0.013) reduction capacity compared to other Sideritis species. It is rich in essential minerals, such as Ca, Mg, and P, with the highest content of mineral K (14 203.97 mg/kg). Zone values in the range of 9–11 mm were obtained from Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, Pseudomonas aeruginosa, Pseudomonas putida, and Klebsiella pneumoniae strains, which is an indicator that the plant has antibacterial activity. Among 33 secondary metabolites, sinapinic acid, rutin, and hispidulin have high values, whereas the one with the highest value is verbascoside (274 483 mg/kg), a pharmacologically active compound. It showed an inhibitory effect (mg/mL) on some enzymes targeting neurodegenerative and metabolic disorders. (IC50; acetylcholinesterase [AChE]: 0.065, butyrylcholinesterase [BChE]: 0.086, α-glucosidase: 0.014).
- MakaleYalnız künye2025Phenolic Profiles, Mineral Compositions, and Solvent-Driven Antioxidant Potentials of Two Robinia Species
Aktürk, Betül Kara; Arslan Burnaz, Nesibe
The genus Robinia, which belongs to the Fabaceae family, is a source of polyphenols and may be medicinally and pharmacologically effective against life-threatening diseases. This study investigated and compared the phenolic profiles, mineral contents, and antioxidant activities of two Robinia species. The antioxidant activities and phenolic/flavonoid contents of aerial parts of Robinia pseudoacacia and Robinia × ambigua plants at various solvents and concentrations were investigated in detail for the first time. The findings revealed that 50% acetone leaf extracts are promising sources of high phenol/flavonoid contents and antioxidant activity. Liquid chromatography–electrospray ionization–tandem mass spectrometry (LC–ESI–MS/MS) analysis allowed the identification of nine flavonoids and seven phenolic acids. Pelargonidin chloride, a common anthocyanidin with estrogenic activity, was the major component in all samples. Moreover, inductively coupled plasma–mass spectrometry (ICP–MS) shows that all samples were rich in K (12 886.70–26 078.11 mg/kg), Ca (1550.51–6011.03 mg/kg), and Mg (1676.13–3115.10 mg/kg). Leaves stand out compared to flowers. It is considered that the results obtained may guide studies in the fields of medicine, cosmetics, pharmacology, and so forth.
- MakaleAçık Erişim2025Novel Sulfonylhydrazones With Sulfonate Ester Framework: Promising Dual Inhibitors of AChE and hCAs
Öztürk, Cansu; Balci, Neslihan; Aslan, Osman Nuri; Kalay, Erbay
Alzheimer's disease (AD) is a progressive neurodegenerative disorder that affects millions of individuals worldwide. Treatment strategies for AD vary depending on cognitive and behavioral symptoms, with cholinergic replacement therapy using acetylcholinesterase (AChE) inhibitors being one of the primary approaches. Recent studies have also identified human carbonic anhydrases (hCAs) as significant therapeutic targets for AD, offering new opportunities for the development of innovative treatments. Carbonic anhydrase inhibitors have been shown to prevent early mitochondrial damage and inhibit H2O2 production, thereby reducing amyloid plaque formation. Building on the promising potential of hydrazones particularly sulfonyl hydrazones as anticholinesterase agents, we synthesized 12 novel chlorine-substituted sulfonyl hydrazone compounds containing aryl sulfonate ester groups. These compounds were evaluated for their inhibitory effects on AChE, hCA I, and hCA II enzymes. The synthesized compounds exhibited low nanomolar inhibitory activity, with Ki values ranging from 9.58 ± 2.22 to 104.04 ± 23.82 nM for AChE, 9.12 ± 2.21 to 477.63 ± 218.52 nM for hCA I, and 17.54 ± 7.74 to 564.62 ± 213.98 nM for hCA II. Notably, compound 6 showed strong inhibitory activity against hCA I (Ki = 9.12 ± 2.21 nM; acetazolamide (AZA) = 26.54 ± 3.11 nM) and hCA II (Ki = 17.54 ± 7.74 nM; AZA = 21.73 ± 2.42 nM), whereas compound 4 exhibited superior AChE inhibition (Ki = 9.58 ± 2.22 nM; TAC = 23.12 ± 2.05 nM). The chemical structures of the synthesized compounds were characterized using advanced spectroscopic techniques, including FT-IR, 1H-NMR, and 13C-NMR spectroscopy.
- MakaleAçık Erişim2025Disaster Management Experiences and Psychosocial Problems of Individuals Who Survived the Earthquake in Turkey in the Earthquake of the Century: A Phenomenological Study
Ulutaşdemir, Nilgün; Uzun, Sevda; Kulakaç, Nurşen
Aim: The aim of this study is to examine the disaster management experiences and psychosocial problems of individuals who survived the earthquake in Turkey during the earthquake of the century. Materials and Methods: A qualitative research design, phenomenological research, was applied in this study. This qualitative study included 33 volunteer earthquake survivors. The interviews were conducted using WhatsApp. Colaizzi's phenomenological analysis method was used to analyze the data. Results: In the analysis of the data, five themes (perception of the earthquake concept, things to do during an earthquake, actions taken to survive under the rubble, meeting everyday chores and dealing with post-earthquake challenges, perceptions of disaster management), and fifteensubthemes (features of the earthquake, emotions, thoughts, correct actions, incorrect actions, actions for the body, situation-oriented actions, housing, nutrition, hygiene, sleep, security, preparation, coping, and intervention) were identified. Conclusion: The study showed that the earthquake negatively affected individuals psychosocially, but the effective spiritual coping mechanisms utilized to cope with the catastrophic event under the rubble supported the survival process. In addition, it was determined that the participants believed that religion and spirituality were important in coping with the earthquake.
- MakaleAçık Erişim2025Energy-Efficient 8-PAM Optical DAC Design for Visible Light Communication Systems
Başer, Oğuzhan; Küçük, Mehmet Ali; Albayrak, Cenk; Türk, Kadir
This paper presents a cost-effective and energy-efficient optical digital-to-analog converter (ODAC) transmitter scheme for visible light communication (VLC) systems. The proposed ODAC transmitter enables data transmission while providing lighting, as desired in VLC systems, unlike existing ODAC structures in the literature, by switching power LEDs at high speeds with a MOSFET-based switching circuit design. This paper also discusses the ODAC design stages and presents the points to be considered in detail. In addition, by implementing the hardware design of an ODAC transmitter with a 3-bit resolution, that is, capable of generating 8-PAM signals, based on the proposed ODAC architecture, experimental studies are conducted for energy efficiency and communication performance results via the established VLC system using the designed ODAC. Experimental results demonstrate that the proposed ODAC transmitter achieves a data transmission rate of 18.75 Mbps with a bit error rate (BER) below the forward error correction (FEC) limit at a communication distance of 4 m, while also exhibiting a high power efficiency of 94%.
- MakaleAçık Erişim2025Exploring Nursing Students’ Metaphorical Perceptions and Cognitive Structures Related to the Global Climate Crisis's Impact on Nursing
Ediz, Çiçek; Uzun, Sevda
Objective: This study aimed to explore the metaphorical perceptions and cognitive structures of Turkish nursing students related to the impact of the global climate crisis on their profession. Methods: Researchers adopted a qualitative approach centered on metaphor analysis and involved 40 Turkish nursing students enrolled in programs in Türkiye during October 2023. Using metaphor analysis and techniques involving writing and drawing, the study uncovered how these students perceive and cognitively structure the influence of the global climate crisis on their nursing careers. The interview form featured the metaphor expression “The reflection of the global climate crisis on nursing is like … because …,” while the drawing component prompted students to determine their perspectives on the climate crisis's impact on nursing through concept drawings. The research adhered to the COREQ checklist. Results: The study revealed that nursing students generated 22 metaphors each through written and drawing techniques. Written metaphors were grouped into five categories: psychosocial challenges faced by nurses, patient populations, diseases and coping, burdens on the health system, and the growing importance of various fields within nursing. Drawing technique metaphors were grouped into four categories: nurses and the difficulties they face, the impact of the global climate crisis on the world, the impact of the global climate crisis on the healthcare sector, and the roles and responsibilities of nurses. Conclusions: While nursing students expressed diverse opinions, their concerns about the reflection of the global climate crisis on nursing yielded similar emotional responses. Metaphors are mostly focused on psychosocial challenges faced by nurses, the patient population, diseases, and coping mechanisms. The findings underscored nursing students’ concerns about the global climate crisis's impact on both their profession and the broader community.
- MakaleYayıncıda açık erişim2025The Psychometric Properties of the Turkish Version of the Stress Scale for Siblings of Childhood Cancer Patients
Aksoy, Bahar; Doğan, Melike Demir; Bolacali, Edanur Tar; İnci, Tuğba
Aim: This study aimed to evaluate the psychometric characteristics of the Turkish version of the “Stress Scale for Siblings of Childhood Cancer Patients (SCCP)”. Methods: This study was conducted with 273 siblings aged 11-16 of childhood cancer patients (SCCPs) who were treated in a hospital in the Black Sea Region of Türkiye between March 2022 and April 2024. Data were collected with “The Sociodemographic Information Form” and “SCCP”. The data were examined through descriptive statistics, as well as exploratory and confirmatory factor analyzes. Results: The SCCP Turkish version is a valid and reliable scale consisting of 27 items and six sub-dimensions. The SCCP Turkish version explained 77.676% of the total variance. The SCCP Turkish version was found to be summable according to Tukey's test of additivity (p = 0.334), and the test-retest reliability of the scale was r = 0.864 (p < 0.05). Conclusion: This study indicate that the Turkish version of the SCCP is a valid and reliable instrument for evaluating stress levels in siblings aged 11 to 16. Practice Implications: With SCCP, nurses can determine the stress levels of SCCPs and contribute to the planning of necessary interventions to cope with stress.
- MakaleAçık Erişim2025Self-Regulation of Eating Behaviors Among Young Women Nurses and Nursing Students: Its Relationship With Eating Habits
Tuncer, Gülsüm Zekiye; Tuncer, Metin
The primary aim of this study is to adapt the Self-Regulation of Eating Behavior Questionnaire (SREBQ) to the Turkish culture among young women nurses and nursing students. The secondary aim is to investigate the factors associated with self-regulation of eating behavior in this population. The sample consisted of 773 young women nurses and nursing students who were included in the study between June and July 2024. In accordance with the first aim of the study, the construct validity of the SREBQ instrument was confirmed through EFA. The Cronbach's alpha coefficient for the SREBQ was found to be 0.78. There were very low positive correlations between the SREBQ score and the SRS (r = 0.252) and TREQ-CR (r = 0.136) scores, as well as low negative correlations with the TREQ-EE (r = −0.355) and TREQ-UE (r = −0.406) scores (p < 0.001). The 5-item SREBQ has been found to be a valid and reliable instrument for the population of young women nurses and nursing students in the Turkish language. The results indicate that as self-regulation of eating behavior increases in this population, overall self-regulation skills improve, while disordered eating behaviors decrease.
- MakaleAçık Erişim2025Disease Burden and Sexual Life in Patients With Multiple Sclerosis: A Phenomenological Study
Çakmak, Seher; Uzun, Sevda; Demir Çam, Sevgi
This study aims to examine the burden of disease experienced by multiple sclerosis patients and to deeply examine the impact of the disease on sexual life. A phenomenological research design was used in this study. This qualitative research was conducted with 20 multiple sclerosis patients. Interviews were conducted individually and face-to-face. The data were analyzed using Colaizzi's phenomenological analysis method. Two main themes (effects of the disease and sexual life) and five sub-themes (physical effects, mental effects, social effects, problems related to sexual life, sexual issues, and coping) were identified in the analysis of the data. As a result of the study, it was determined that the patients experienced serious physical, mental, and social problems due to multiple sclerosis, and their sexual lives were also negatively affected. Individuals experience significant issues related to their sexual life due to multiple sclerosis. Since multiple sclerosis is a multifaceted disease, it is thought that professional evaluation of sexuality in patients, diagnosis of sexual dysfunctions, and taking timely measures are of great importance to improve the quality of life of multiple sclerosis patients.
- MakaleAçık Erişim2025The Efficacy of Nurse-Delivered Psychosocial and Psychotherapeutic Interventions for Individuals With Mental Health Issues: A Meta-Analysis of Randomised Controlled Trials
Uzun, Sevda; Emirza, Elif Güzide; Gülırmak Güler, Kübra
Background: Nurses are among the most interactive professionals in society, providing both care and psychosocial and psychotherapeutic interventions for individuals with mental health issues. Nurse-centred approaches have demonstrated a positive impact on addressing mental health issues. Aim: This study aimed to evaluate the effectiveness of psychosocial and psychotherapeutic interventions administered by nurses in managing mental health issues. Methods: For this meta-analysis, data were gathered through a comprehensive search of databases, including PubMed, Web of Science, EBSCOhost, Google Scholar and the YÖK Thesis Center, with no restrictions on publication year. Following the review process, a total of 25 studies were included in the analysis. The PRISMA checklist was employed to guide our study. Results: The meta-analysis revealed that interventions implemented by nurses in the context of mental health were effective. Specifically, the psychosocial and psychotherapeutic interventions significantly reduced depression levels in individuals (SMD: −0.918, 95% CI: −1.350 to −0.486; Z = −4.161; p < 0.05) and anxiety levels (SMD: −0.61, 95% CI: −1.190 to −0.029; Z = −2.59; p < 0.05). Additionally, these interventions were associated with an improvement in individuals' quality of life (SMD: 0.673, 95% CI: 0.303–1.403; Z = 3.56; p < 0.05). Conclusion: Nurses can play a pivotal role in addressing mental health issues, effectively contributing to the reduction of anxiety and depression levels while enhancing the overall quality of life for individuals.
- MakaleAçık Erişim2024Disease burden and symptom management in type 2 diabetic patients: A phenomenological study
Demir Çam, Sevgi; Uzun, Sevda
Aim: This study was conducted to address the experiences of diabetic patients from a psychosocial perspective, examine the burden of disease, and determine their practices for symptom management. Materials and Methods: In this study, a phenomenological research design, a qualitative research design, was used. The study included 20 diabetic patients. Individual and face-to-face interviews were performed, and Colaizzi's phenomenological analysis method was used to analyze the data. Results: As a result of the data analysis, four categories (challenges with care and treatment, coping with the disease, effects, and healthy life behaviors) and eleven main themes (knowledge, application, symptoms, support resources, spiritual coping methods, physical coping methods, physical effects, spiritual effects, social effects, physical practices, and psychological practices) emerged. Conclusion: It was concluded that the disease burden of diabetic patients is intense and that the participants of the study were not effective in coping with the disease through symptom management and found spirituality important in coping.
- MakaleAçık Erişim2024Earthquake diaries: Psychosocial difficulties and life experiences of nurses working in the disaster zone after the earthquake: A phenomenological study
Emirza, Elif Güzide; Uzun, Sevda; Şenses, Medine
Aim and Objectives: The aim of this study was to evaluate the psychosocial difficulties and life experiences of nurses working in the disaster area following the earthquake on February 6, Kahramanmaraş centered earthquake with a phenomenological approach. Background: After natural disasters such as earthquakes, nurses play a significant role in providing both physical and psychosocial support. Therefore, the experiences of nurses in this field are necessary both to support them and to assist disaster survivors. Materials and Methods: In this study, in which the phenomenological research method was used, semi-structured in-depth interviews with 18 nurses who provided health care services during the February 6 Kahramanmaraş earthquake were conducted between January and February 2024 via Whatsapp mobile application. Snowball sampling method was used to reach the sample group. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed. The data were analyzed using thematic analysis. The study was conducted and reported according to the COREQ checklist. Results: Data analysis revealed two themes (psychological and social difficulties caused by the earthquake, traumatic stress and coping experiences as a nurse) and five sub-themes (social difficulties, psychological difficulties, traumatic events, reactions and coping). Conclusion: As a result of the study, it was determined that nurses providing health care services were negatively affected psychosocially by the traumatic stress situations they experienced in the earthquake centered in Kahramanmaraş on February 6. It was determined that nurses had great difficulty in coping with the traumatic stress situations they experienced. It was concluded that the February 6 earthquake caused secondary traumatization in nurses.
- MakaleYayıncıda açık erişim2024Gyroscopic precession control for maneuvering two-wheeled robot recoil stabilization
Çetin, Gökhan; Ünker, Faruk
A two-wheeled robot has high maneuverability and can spin around with a high velocity but is prone to roll over under a recoil force. Because the wheels are only used to control the maneuver speed of the robot. However, a two-wheeled robot using a gyroscope does not need the control of the wheels and can maintain the stability of the robot under a recoil force during maneuvers even if the gimbal of the gyroscope is not controlled by a torque. In this study, the equations of motion of the gyroscopic robot are derived via Lagrangian equations, and the balancing performance of the uncontrolled gyroscope is simulated via Matlab to determine a desired configuration for mechatronics system design. Then, a linear-quadratic regulator (LQR) is implemented to the chosen control moment gyroscope (CMG) configuration and compared in simulations of RecurDyn. LQR controller was used to prevent oscillating motions of double CMGs under the recoil force of a weapon. The simulation results showed that the gyroscopic two-wheeled robot is improved using an LQR controller and powerfully balanced in static with excellent performance.
- MakaleAçık Erişim2024Characterization of biodegradable bi-layer films from thermoplastic starch and poly-l-lactic acid
Parlak, Mahmut Ekrem; Uzuner, Kubra; Ozdemir, Sebahat; Kirac Demirel, Fatma Tuba; Dundar, Ayse Neslihan; Sahin, Oya Irmak; Dagdelen, Adnan Fatih; Odabas, Halil Ibrahim; Saricaoglu, Furkan Turker
This study aimed to enhance the oxygen barrier properties of polylactic acid (PLA) film, a biodegradable packaging material with high oxygen permeability (OP). Bi-layer films were produced by coating thermoplastic starch (TPS) onto PLA films in various ratios while maintaining constant film thickness. The mechanical, optical, barrier, thermal, hydrophobicity, moisture sorption, and microstructural properties of the films were analyzed. Increasing the TPS ratio elevated moisture content (MC), water uptake, solubility, and opacity while enhancing UV barrier properties. TPS coating reduced tensile and burst strength but increased the burst deformation of the bi-layer films. Bi-layer film production resulted in a water vapor permeability increase of 59.26%–94.44% compared with neat PLA while decreasing OP by 2.52%–29.66%. The equilibrium moisture content (EMC) rose with higher TPS ratios, displaying type II isotherms. FTIR analysis indicated no chemical interactions between PLA and TPS. Increasing the TPS ratio decreased PLA crystallinity, supporting the mechanical and barrier properties of the bi-layer films. Neat and bi-layer films exhibited smooth, homogeneous surfaces, with a visible interface in the cross-section of the bi-layer films. In conclusion, TPS shows promise as an alternative to improve oxygen barrier properties in PLA films without adversely affecting other properties.