Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Demirağ, Hatice(2)
- Hintistan, Sevilay(2)
- Kulakac, Nursen(2)
- Sayilan, Samet(2)
- Türkmen, Osman Oğulcan(2)
- Uzun, Sevda(2)
- Aktepe Cosar, Dilan(1)
- Aktepe Coşar, Dilan(1)
- Akyolcu, Neriman(1)
- Avcioglu, Zeynep(1)
- Aydin Sayilan, Aylin(1)
- Bingöl, Nuray(1)
- Cin, Aynur(1)
- Coşar, Dilan Aktepe(1)
- Demir Çam, Sevgi(1)
- Demirag, Hatice(1)
- Demírag, Hatice(1)
- Demırağ, Hatice(1)
- Ecder, Tevfik(1)
- Karataş, Hicran(1)
- Kazak Salti, Aysun(1)
- Kulakaç, Nurşen(1)
- Mut, Dilek(1)
- Ozen, Nurten(1)
- Sayilan, Aylin Aydin(1)
- Topali, Hasret(1)
- Çakmak, Seher(1)
Yayınlar
- MakaleYalnız künye2026Scopus SJRQ3Determinants of sleep quality and fatigue in patients undergoing hemodialysis
Kazak Salti, Aysun; Topali, Hasret; Türkmen, Osman Oğulcan
Aim: This research aimed to evaluate sleep quality and fatigue among individuals undergoing hemodialysis and to explore the determinants affecting these variables. Methods: This observational investigation was carried out among 78 who were regularly receiving hemodialysis therapy. The research was carried out between May and October 2025 in three different public hospitals among individuals undergoing hemodialysis treatment. Data were gathered using the Patient Information Form (PIF), the Fatigue Severity Scale (FSS), and the Pittsburgh Sleep Quality Index (PSQI). Results: The mean score of the hemodialysis patients on the FSS is 4.97 ± 1.11, and the mean PSQI value is 7.76 ± 3.64. A moderately positive and statistically noteworthy relation was observed between the PSQI and FSS scores. Additionally, a low negative meaningful correlation was seen between ferritin levels and the FSS scores, as well as between calcium levels and the PSQI scores. The use of medications related to chronic disease and the PSQI scores were identified as significant predictors of the FSS scores. Conclusion: Fatigue and sleep quality in individuals receiving hemodialysis treatment are related to each other, as well as to biochemical balance and treatment adherence.
- MakaleYayıncıda açık erişim2026Scopus SJRQ3The 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 Erişim2026Scopus SJRQ2Between Survival and Sacrifice: Marital Experiences of Patients Undergoing Hemodialysis
Çakmak, Seher; Karataş, Hicran
The study aimed to explore the lived experiences of married dialysis patients on the national organ waiting list, focusing on the interplay between illness, familial roles, and societal norms. This research is a qualitative study using semi-structured interviews and participant observation. The study involved 23 marriage-experienced hemodialysis-dependent patients (13 women, 10 men) on the national organ waiting list, recruited between August 16 and November 11, 2022. Data were collected through interviews and observations and were analyzed thematically to identify recurring patterns. Chronic kidney disease (CKD) poses significant physical, psychological, and social burdens, particularly for hemodialysis-dependent patients. Five main themes emerged from this study: (1) When Care Becomes a Test, (2) Dealing with Social Isolation, (3) Sacrifices to Sustain the Marriage, (4) Uninvited voices, (5) Resentful but Thankful. These findings highlight the need for family-centered care that considers diverse family structures and social contexts, while also demonstrating the impact of prolonged hemodialysis (HD) and marital strain on emotional and sexual intimacy.
- MakaleYalnız künye2026Scopus SJRQ3Determination of the Effects of Virtual Reality-Based Videos on Symptoms, Vital Signs and Comfort in Hemodialysis Patients
Coşar, Dilan Aktepe; Bingöl, Nuray
Introduction: This pioneering study aimed to examine the effects of virtual reality (VR)-based videos on symptoms, vital signs, and comfort levels in hemodialysis patients, offering an innovative approach to improving their quality of life. Methods: This randomized controlled pretest-posttest study included 54 hemodialysis patients treated at “X” Hospital between June 2024 and May 2025. Twenty-five patients were assigned to the intervention group, 25 to the control group, and 4 to a pilot group. Data were collected at baseline and after 8 weeks. Statistical analyses included t-tests, repeated measures ANOVA, Mann–Whitney U, and Friedman tests. Results: In the intervention group, Dialysis Symptom Index (DSI) scores decreased significantly (p < 0.05), and comfort levels increased significantly (p < 0.05) across all subscales of the Hemodialysis Comfort Scale Version II. Vital signs remained within normal ranges before and after the intervention. Conclusion: This study revealed that the use of virtual reality headsets significantly influenced dialysis symptom index scores and comfort levels. The intervention effectively reduced dialysis symptoms and significantly increased patient comfort. No significant differences were observed in vital signs.
AtıfScopus2WoS2OpenAlex2İncele - MakaleYalnız künye2026Scopus SJRQ2The 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.
AtıfScopus2WoS2OpenAlex2İncele - MakaleAçık Erişim2025The Effect of Hemodialysis Patients' Attitudes Towards Dietary Treatment on Dialysis Symptoms: A Randomized Controlled Clinical Study
Aktepe Cosar, Dilan; Demírag, Hatice
Objective: This study was conducted to determine the effect of hemodialysis patients' attitudes towards diet therapy on dialysis symptoms. Methods: The data of the randomized controlled study were collected from experimental (n=30) and control groups (n=30) at G & uuml;m & uuml;& scedil;hane Province Kelkit State Hospital between 1 November 2023 and 1 January 2024. Institutional and ethics committee permissions were obtained before the study. The experimental group patients were given training on diet therapy. Patient information form, hemodialysis patients' attitude scale towards diet therapy (HDTO) and dialysis symptom index (DSI) were used to collect data. Data collection tools were applied before the study (pre-test), after the training was given (intermediate measurement) and one month later (post-test). The data were analyzed using the chisquare, repeated measures ANOVA test and independent groups t-test in the SPSS 25.0 package program. Results: It was determined that the post-training measurements (intermediate measurement) of the total HDTO and sub-dimensions score averages of the hemodialysis patients in the experimental group were higher than the pre-training (pre-test) measurements; and the measurements made 1 month after the training (post-test) were lower than the measurements made immediately after the training (intermediate measurement) (p<0.05). Again, the post-training measurements (intermediate measurement) of the DSI score averages of the experimental group of patients were lower than the pre-training (pre-test) measurements (p<0.05); it was determined that the measurements made 1 month after the training were given (post-test) did not differ from the measurements made immediately after the training (intermediate measurement) (p>0.05). Conclusion: In line with the findings, it was determined that the diet therapy training provided increased hemodialysis patients' attitudes towards diet therapy and reduced dialysis symptoms.
- MakaleAçık Erişim2025Scopus SJRQ3The effect of using a local skin cooling device on arteriovenous fistula cannulation pain and comfort level of patients on hemodialysis: A single-blind randomized controlled study
Demırağ, Hatice; Kulakaç, Nurşen
Introduction: The study aimed to investigate the impact of the using local skin cooling on arteriovenous fistula cannulation pain and the comfort levels of hemodialysis patients. Methods: The single-blind randomized controlled trial was formed with 50 patients between June 20, 2023, and July 31, 2023, in the hemodialysis units of two state hospitals in Turkey. Patients were randomly assigned to either the experimental group (n = 25) or the control group (n = 25) using the block randomization method. This data were collected through the use of the CoolSense device, the “Patient Information Form,” the “Verbal Category Scale,” and the “General Comfort Scale.” Patients in the experimental group received the local skin cooling for five seconds during arteriovenous fistula cannulation, while the control group followed the standard hospital protocol. The study was registered on Clinical Trials (NCT06144801). Findings: The study revealed that the application of the local skin cooling during arteriovenous fistula cannulation significantly reduced pain and increased patients’ comfort levels, demonstrating an anesthetic effect (p < 0.001). Furthermore, it was observed that as pain levels decreased, patient comfort levels increased (p < 0.001). Discussion: It is concluded that the using lokal skin cooling is an effective tool for reducing pain and enhancing comfort during arteriovenous fistula cannulation in hemodialysis patients.
AtıfScopus3WoS3OpenAlex3İncele - MakaleAçık Erişim2025Scopus SJRQ1Bio-Psychosocial Dimension of Hemodialysis and Spiritual Coping Strategies: A Phenomenological Study on Patient Experiences in Türkiye
Demir Çam, Sevgi; Uzun, Sevda
This study aimed to examine the bio-psychosocial experiences of patients living in Türkiye receiving hemodialysis treatment and to examine their spiritual coping strategies. A descriptive phenomenological research methodology was used in this study. This study was conducted with 23 hemodialysis patients, and interviews were conducted individually and face to face. The data were analyzed using Colaizzi’s phenomenological analysis method. The data analysis revealed four categories and thirteen main themes. It was concluded that the prolonged hemodialysis process negatively affected patients with chronic kidney disease bio-psychosocially, yet some patients used spiritual coping strategies to cope with the disease effectively. Spirituality is believed to be influential in dealing with the disease.
AtıfScopus1WoS1OpenAlex2İncele - MakaleYalnız künye2022Scopus SJRQ1Investigation of physiological and psychological effects of robotic cat and betta fish therapies in hemodialysis patients: A randomized controlled study
Demirağ, Hatice; Hintistan, Sevilay
Aims: This randomized controlled study was conducted to investigate the physiological and psychological effects of pet therapy in hemodialysis patients. Background: Pet therapy has both physiological and psychological effects on individuals with chronic diseases. However, to the best of our knowledge, no studies have examined the physiological and psychological effects of pet treatment in hemodialysis patients worldwide. Design: A randomized controlled study. Methods: The study was completed with 18 robotic cats, 18 Betta fish, and 18 control group patients. The data were collected at XXX State Hospital between May and September 2021 using data collection tools. Robotic pet treatment was applied to the robotic cat group for 20 min a week for two months during hemodialysis. The Betta fish group was allowed to keep Betta fish at home for two months, and they were followed for another two months. The data were evaluated in the Statistical Package for Social Sciences 23.0 package program. The study was registered on Clinical Trials (NCT05339711). Results: During robotic cat therapy, patients' loneliness and dialysis symptoms decreased, and happiness and treatment adherence to the end-stage renal disease (ESRD) increased; In the post-test follow-up, in the first measurement, the treatment adherence to the ESRD decreased, the loneliness and dialysis symptoms increased, the happiness did not change; In the second measurement of the post-test, happiness, and treatment adherence to ESRD decreased, loneliness and dialysis symptoms increased. During Betta fish therapy, patients' body mass index, happiness, and treatment adherence to ESRD increased, loneliness and dialysis symptoms decreased; in the first measurement, and loneliness, dialysis symptoms, body mass index, and treatment adherence to the ESRD increased; In the second measurement, loneliness, dialysis symptoms increased, body mass index and happiness decreased. Conclusions: The study revealed that Robotic cat and Betta fish therapies had positive physiological and psychological effects in hemodialysis patients, and these effects were different from each other.
AtıfScopus12WoS11OpenAlex12İncele - MakaleYalnız künye2021Scopus SJRQ3The 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.
AtıfScopus18WoS19OpenAlex27İncele - Derleme MakaleAçık Erişim2020Scopus SJRQ4Coronavirus disease 2019 infection and nursing in patients undergoing hemodialysis treatment
Demirag, Hatice; Hintistan, Sevilay
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2. Patients undergoing chronic hemodialysis treatment are at a high risk of serious complications if infections occur because of suppressed immune system, cardiovascular disease, and important comorbidities, such as diabetes mellitus. To control and prevent the spread of the outbreak to patients and other healthcare professionals, it is necessary to be informed about COVID-19, to diagnose cases early, and to be treated. The purpose of this review is to discuss the communication, transport, predialysis screening and triage, and COVID-19 nursing management in patients undergoing hemodialysis treatment.
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