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• MakaleYalnız künye2026/r/gumushane/14194
  The 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.

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• MakaleYalnız künye2026/r/gumushane/14191
  The 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.

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• MakaleYalnız künye2026/r/gumushane/13860
  Aged 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.

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• MakaleYalnız künye2026/r/gumushane/13772
  Nurses’ 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.

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• MakaleYayıncıda açık erişim2026/r/gumushane/13750
  The 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.

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• MakaleAçık Erişim2026/r/gumushane/13695
  Effects 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.

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• MakaleYalnız künye2026/r/gumushane/13688
  Surrogate 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.

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• MakaleYalnız künye2026/r/gumushane/13573
  The 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.

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• MakaleAçık Erişim2026/r/gumushane/12239
  The 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.

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• MakaleAçık Erişim2026/r/gumushane/12180
  Psychosocial 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.

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