Sürdürülebilir Kalkınma Amaçları

Yazarlar

  • MakaleAçık Erişim2027Scopus SJRQ1
    Development of flood fear scale and investigation of psychometric properties

    Torpuş, Kemal; Cengiz, Sevil

    This study aimed to develop a flood fear scale. The study was designed as a methodological and cross-sectional study. The study was conducted with 1158 participants aged 18–65 residing in Türkiye’s Black Sea Region between February 15, 2025, and May 15, 2025. SPSS 25 and Amos 21 programs were used to analyze the data. The flood fear scale consists of four dimensions and 26 items. The Cronbach’s alpha coefficient was 0.948, and the scale explained 62.644% of the total variance. The model fit indices were χ2/ df = 3.444, RMSEA = 0.065, SRMR = 0.056, CFI = 0.921, IFI = 0.922, NFI = 0.893, and TLI = 0.912. The findings indicated that the flood fear scale provided valid and reliable for adults aged 18–65 residing in Türkiye’s Black Sea Region. The total scores obtainable from the scale range from 26 to 130, with higher scores indicating an increased level of flood fear. Scale can be used to assess flood fear in community-based disaster risk reduction efforts. It is recommended that validity and reliability studies of the scale be conducted in different cultures and geographical regions.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2026Scopus SJRQ2
    Women's breast cancer prevention behaviors and cancer fears: the sample of post-earthquake

    Aydin, Aydanur

    In the event of a natural disaster, women who assume multiple roles within the family unit tend to postpone their health concerns and delay medical appointments. The present study aims to examine the relationship between the level of fear of breast cancer and the implementation of breast cancer preventive behaviours among women following an earthquake. The sample consists of 2,671 women aged 20 and over who participated voluntarily. The data were collected using two instruments: the Breast Cancer Fear Scale and the Women's Breast Cancer Prevention Behaviors Form. Following a comprehensive review of the extant literature, it was determined that women affected by earthquakes exhibited elevated levels of fear of breast cancer. A substantial decline was observed in the utilization of preventive measures necessitating institutional access, including mammography. The findings of this study indicate that education, occupation, and family history of breast cancer have a significant impact on women's post-earthquake fear levels in implementing preventive behaviours. However, given the cross-sectional design and the absence of pre-disaster baseline data, these findings reflect post-earthquake associations rather than temporal or causal trends. Natural disasters can result in the deterioration of health perceptions, exacerbated by heightened stress and health concerns. Consequently, there is an urgent need for innovative approaches to ensure the maintenance of health check-ups and continuous access to preventive care in the aftermath of large-scale natural disasters.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2026Scopus SJRQ1
    Effects of a puppet-assisted house-tree-person test on fear and anxiety in children receiving chemotherapy and associated influencing factors: A projective, quasi-experimental study

    KAHRIMAN, Ilknur; AKSOY, Bahar; KANDAZ, Ufuk; BORAN, Serpil; GÖGER, Berrin; KIRBAŞ, Zila Özlem

    Objectives This study investigated the effect of the puppet-assisted House-Tree-Person Test (HTP-T) on fear and anxiety levels in children undergoing chemotherapy treatment and the factors influencing these outcomes. Methods The study employed a one-group pretest–posttest quasi-experimental design combined with HTP-T analysis. The study was conducted with 29 children aged 5–12 years receiving chemotherapy at the pediatric hematology-oncology outpatient clinics of a university hospital in the Eastern Black Sea Region of Türkiye during the 2022–2024 years. Data were collected using “the Demographic Information Form for Children and Parents, the Children's State Anxiety Scale (CSA), the Children's Fear Scale (CFS), and HTP-T". Data analysis was performed using descriptive statistics, repeated measures ANOVA, and HTP-T analysis. Results Statistically significant differences were observed in children's mean CSA (F = 3.898, p = 0.026, η2 = 0.122) and CFS (F = 5.313, p = 0.008, η2 = 0.159) scores across the pre-treatment, during-treatment, and post-treatment measurements. The HTP-T analysis revealed that children had difficulty regulating anxiety and fear, expressed concerns about family and environmental events, reported feelings of loneliness, and exhibited strong emotional attachment to their families. Conclusion The study demonstrated that incorporating puppet-assisted HTP-T during chemotherapy contributed to reducing children's fear and anxiety and offered a useful approach for identifying influencing factors. Implications for nursing practice HTP-T, a therapeutic play technique incorporating puppetry and projective methods, may be effective in reducing fear and anxiety among children undergoing chemotherapy.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus1WoS1OpenAlex1
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  • Derleme MakaleAçık Erişim2025Scopus SJRQ1
    The Effect of storybook use in pediatric health services on children's fear and anxiety levels: A meta-analysis study

    Akay, Gamze; Uzun, Sevda; Oğuzhan, Hatice; Güdücü Tüfekci, Fatma

    Background: Invasive procedures are commonly used in pediatric healthcare, and storybooks can be used as an adjunct analgesic method. Objectives: This study was conducted to evaluate the effectiveness of using storybooks as a distraction technique to reduce fear and anxiety in pediatric healthcare. This study was conducted with the aim of revealing the level of effect of storybook use on children's fear and anxiety level in pediatric health services. Methods: For this meta-analysis study, the studies were obtained by searching PubMed, Web of Scıence, Scopus, EBSCOhost, Google Scholar and YÖK Thesis Center databases in April–June 2024 without any year limitation. After the reviews, 15 studies were included in the study. The data were synthesized by meta-analysis and narrative methods. Findings: In this meta-analysis, it was found that storybook use in pediatric health services was effective on children's anxiety (SMD: −4.412, 95 % CI: −7.727 to −1.097; Z = −2.608, p = 0.009; I2 = 99.890 %) and fear (SMD: −1.13, 95 % CI: −1.71 to −0.54; Z = −3.78, p = 0.000; I2 = 83.065 %) levels. In addition, it was determined that the characteristics of the intervention group, age group, the characteristics and content of the storybook, the duration of the intervention and the time of the intervention played a role in the effectiveness of the storybook use intervention in pediatric health services on children's anxiety and fear levels. Conclusion: The use of story books in children's health services reduces the level of fear and anxiety in children.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025Scopus SJRQ1
    The Effect of Music on Fear and Anxiety of Children During Tomography: A Randomized Controlled Double-Blind Study

    Kurudirek, Fatma; Demir Barbak, Zülbiye; Demir İmamoğlu, Zeynep; Çiftci, Kamile; Delice, Orhan

    Aim: This study was conducted to determine the effect of a musical intervention during computed tomography (CT) on fear, anxiety and vital signs of children. Method: This randomized, double-blind controlled trial was conducted according to the Consolidated Standards of Reporting Studies (CONSORT) guidelines. The study sample included children aged between 6 and 10 years who met the inclusion criteria and underwent CT scan in the emergency department of a public hospital in eastern Turkey between 18 April and 20 May 2023. The research was completed with a total of 60 children, randomized to one of two groups. The nursing intervention of the study was playing music. Data were collected through face-to-face interviews using the Child and Family Information Form, the Children's Fear Scale (CFS), Children's Anxiety Meter-State (CAM-S) and the Vital Signs Monitoring Form (pulse, blood pressure and oxygen saturation). Ethical principles were followed in the research. Results: The level of fear, anxiety, pulse rate and respiratory rate of the children in the musical intervention group during CT scanning were lower than in the control group (p < 0.05). No difference was found between the groups in terms of oxygen saturation (p < 0.05). Conclusion and Recommendations for Implementation: The results of this study suggest that musical intervention during CT scanning in children is effective in reducing the level of fear and anxiety and stabilizing vital signs. By using such nonpharmacologic methods, nurses can provide support to children and alleviate emotional difficulties during procedures. Trial Registration: NCT06086509. Summary: What is already known about this topic? Music therapy is recognized as an effective nonpharmacologic intervention to reduce fear and anxiety in paediatric patients undergoing medical procedures. Previous studies have shown that musical intervention during CT scans can calm children, potentially reducing the need for sedation and improving compliance. Knowledge gaps remain regarding the specific effects of music on physiological parameters like pulse and respiratory rates during paediatric CT scans. What this paper adds? This study demonstrates that musical intervention during CT scans significantly reduces fear and anxiety levels in children aged 6–10 years. The research findings show that music intervention can also stabilize vital signs, such as pulse and respiratory rates, during CT scans, suggesting a relaxed physiological state. The results support the idea that incorporating music into paediatric imaging procedures can enhance patient comfort and improve the quality of the imaging process by encouraging children to remain still. The implications of this paper: Incorporating music therapy into routine paediatric imaging procedures can reduce anxiety, improve patient cooperation and potentially reduce the need for sedatives. Future research could explore the optimal types of music, volume levels and delivery methods to maximize the calming effects on children during various medical procedures. Training programs for paediatric healthcare providers can include education on the benefits of nonpharmacologic interventions, like music therapy, to reduce anxiety and improve patient outcomes in clinical settings.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus3WoS2OpenAlex3
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  • MakaleAçık Erişim2025Scopus SJRQ1
    Mandala coloring reduces anxiety and pain in circumcised children: A randomized controlled trial

    Akay, Gamze; Koç, Elif Simay; Oğuzhan, Hatice

    Background: Boys often experience significant fear and anxiety before the circumcision procedure, and postoperative pain is linked to increased fear and anxiety in children. Objectives: The aim of this study was to determine the effect of mandala coloring on fear, anxiety, emotional symptoms and postoperative pain of circumcised children. Methods: This randomized controlled trial was conducted in the pediatric clinic of a state hospital in eastern Turkey. Children were divided into two groups using a computer program: Group 1 (control) included children with no intervention (n = 40), and Group 2 (mandala coloring) included children who received mandala coloring (n = 38). Statistical analyses were performed using the Kolmogorov-Smirnov test to assess the normality of the data, the chi-squared test to compare categorical variables between groups, the paired samples t-test for within-group comparisons, the independent samples t-test for between-group comparisons, and mixed model repeated measures ANOVA (rANOVA) to evaluate the temporal changes in pain and anxiety scores across groups. Findings: Children's fear, anxiety, emotional symptom, and postoperative pain scores were similar in all groups before the nursing intervention, and the fear, anxiety, and emotional symptom scores of the mandala painting intervention group were statistically lower than the control group after the nur csing intervention. The pain scores of the children in the mandala coloring group were lower than the control group after surgery. Conclusion: Mandala coloring intervention can be used to reduce emotional symptoms, fear, anxiety and postoperative pain in children aged 6–12 years undergoing circumcision.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus8WoS6OpenAlex8
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  • MakaleYalnız künye2024Scopus SJRQ1
    The effect of a cognitive behavioural intervention package on peripheral venous cannulation pain, fear and anxiety in Paediatric patients: A randomised controlled trial

    Demir Imamoglu, Zeynep; Aytekin Ozdemir, Aynur

    Purpose: This study investigated the effect of a cognitive behavioural intervention package (CBIP) on peripheral venous cannulation (PVC) pain, fear and anxiety in paediatric patients aged 7–12 years. Design and methods: This randomised controlled trial included 77 paediatric patients (intervention: n = 39 and control: n = 38). The control group underwent a routine PVC procedure, whereas the intervention group attended the CBIP while undergoing a PVC procedure. Data were collected using a sociodemographic form, the Visual Analogue Scale (VAS), the Wong–Baker FACES (WB-FACES) Pain Rating Scale, the Children's Fear Scale (CFS) and the State–Trait Anxiety Inventory for Children–State Form (STAIC–State). The participants, their caregivers and the researcher scored PVC pain, fear and anxiety levels. The study was approved by an ethics committee. Informed consent was obtained from caregivers, and verbal consent was obtained from children. Results: No significant difference in pre-procedural CFS scores were noted between the CBIP and control groups (p > 0.05). However, the CBIP group had significantly lower mean procedural pain (VAS and WB-FACES), fear (CFS) and anxiety (STAIC–State) scores than the control group (p < 0.05). Conclusions: The CBIP helped children experience less PVC pain, fear and anxiety. Practice implications: Nurses can use the CBIP to help reduce PVC pain, fear and anxiety in children. Clinical trials registration: The study was registered at Clinical-Trials.gov (NCT06018909).

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus9WoS8OpenAlex9
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  • MakaleAçık Erişim2024Scopus SJRQ2
    Impact of Preoperative Progressive Relaxation Exercises on Postoperative Pain, Comfort, and Recovery : A Randomized Controlled Trial

    Kulakaç, Nurşen; Sayılan, Aylin Aydın

    This randomized controlled trial aimed to investigate the impact of preoperative progressive relaxation exercises on postoperative pain, comfort, and quality of recovery. The study was conducted between June and November 2023, involving 68 patients undergoing surgical intervention and hospitalized in the surgical clinic. Data were collected using the Personal Information Form, the Visual Analog Scale (VAS)-Pain, the Perianesthesia Comfort Scale, and the Quality of Recovery Questionnaire. At the sixth postoperative hour, no significant difference was observed in pain levels between the experimental and control groups (P > .05). However, the VAS scores for the experimental group at the 12th and 24th postoperative hours were significantly lower than those of the control group (P < .001). Furthermore, 24 hours postoperatively, the experimental group demonstrated significantly higher quality of recovery (P < .001) and comfort levels (P < .001) than the control group. This study concludes that patients engaged in relaxation exercises exhibited lower VAS scores and higher levels of recovery and comfort.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus2WoS1OpenAlex3
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  • MakaleAçık Erişim2021
    A Sociological Criticism of the Global Health Discourse: The Pandemic as a Metaphor of Contemporary Culture

    Demir, Sertac Timur

    This article argues that a clear correlation exists between disease and the prevailing social functioning. In this respect, every disease can be seen as a metaphor for the age and society in which it emerges. In other words, every period carries a form of disease that bears traces of the dominant lifestyle. This study approaches the epidemic as a kind of sociological projection in the context of studying modern culture and continues the discussion along the lines critically opened by Susan Sontag (2005). lust as Sontag examined disease as a metaphor, this article debates the discourses on masks, social distancing, and hygiene within the scope of COVID-19 along a specific sociological axis around the concepts of speed, control, information, hyper-medicalization, and death as the dominant indicators of contemporary culture. For this purpose, the study seeks answers to the following questions through the leading social theorists of the field such as Bauman, Baudrillard, Turner, Furedi and Chul-Han: How does the global epidemic and the current health discourse embodied in it appear within the sociological context? What thoughts and tendencies emerge when examining the pandemic portrait as a social metaphor? For example, what kind of relationship exists between hygiene and cultural fears; among distance, social isolation, and avoidance; and between masks and the superficial idea of death concealed behind quantification? Undoubtedly, the pandemic is a critical breaking point in the history of modern medicine and has forced not only global health practices but also many value judgments to both paradoxically be accepted and questioned.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfOpenAlex1TR Dizin1
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  • Yüksek Lisans TeziAçık Erişim2020
    Televizyon reklamlarında kullanılan korku çekiciliğine yönelik dikkatin nörobilimsel yöntemler ile ölçümlenmesi

    Nihal Özkan

    Reklam pahalı bir iletişim çalışmasıdır ve büyük bütçeler gerektirmektedir. Özellikle de televizyon reklamları prodüksiyonun profesyonelleşmesinden dolayı pahalı olmaktadır. Ayrıca medya satın alma maliyetleri de devamlı artmaktadır. Bugüne kadar reklamlara karşı olan tutum, davranış ve düşünceler geleneksel yöntemlerle test edilip öğrenilmeye çalışılmıştır. Ama artık reklamcılar için bu tek başına yeterli gelmemektedir. Çünkü tüketiciler, gerçek düşüncelerini söylemeyebilmektedirler. Bu sebeplerden dolayı reklamcılar, tüketicilerin gerçek düşüncelerini öğrenebilmek için nörobilime odaklanmaya başlamışlardır. Çünkü nörobilim kullandığı araçlar vasıtasıyla tüketicilerin gerçek düşüncesine yönelik daha yakın bilgiler öğrenebilme imkanını vermektedir. Dolayısıyla da korku çekicilikli televizyon reklamlarına yönelik dikkatin ve hislerin incelenmesinde ve ölçümlenmesinde nörobilimsel yöntemin kullanıldığı bir araştırmaya rastlanılmamaktadır. Bu çalışmada korku içerikli televizyon reklamlarına karşı olan tutum ve dikkati ile korku içermeyen sadece ürün ile ilgili bilgilendirici reklamlara karşı olan tutumu ve dikkati nörobilimsel yöntemlerle inceleyebilmek, ölçmek hedeflenmiştir. Bu doğrultuda araştırmada tasarlanan deneyde katılımcılara belirlenen korku reklam filmleri ve korkutucu olmayan reklam filmleri izletilirken eş zamanlı olarak göz izleme ve deri iletkenliği yöntemleri kullanılmıştır. Ayrıca göz izleme ve GSR yöntemiyle ölçülen kadın ve erkek katılımcıların dikkat seviyeleri arasında istatistiksel olarak anlamsal bir farklılık olduğu da gözlenmiştir.