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• DüzeltmeAçık Erişim2026/r/gumushane/10683
  Ethical Principles and Frameworks in Dementia Care: A Scoping Review (vol 19, 29, 2026)

  Serrat, Rodrigo; Lauridsen, Sigurd; Bobrowicz-Campos, Elzbieta; Brandao, Tania; Brites, Rute; Cannella, Valentina; Celdrán, Montserrat; Chacur-Kiss, Karima; Cin, Aynur; Faba, Josep

  Unfortunately, this article was published online with errors—the blinded names were not replaced. The corrected sentence is shown below. FROM: Step 2: Identifying Relevant Studies With the support of BLINDED FOR REVIEW, a professional librarian at the University of BLINDED FOR REVIEW, we developed and refined our search strategy through an iterative process involving the selection of both keywords and databases. TO: Step 2: Identifying Relevant Studies With the support of Joan Pons-Vila, a professional librarian at the University of Barcelona, we developed and refined our search strategy through an iterative process involving the selection of both keywords and databases.

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• MakaleAçık Erişim2026/r/gumushane/10686
  Ethical Principles and Frameworks in Dementia Care: A Scoping Review

  Serrat, Rodrigo; Lauridsen, Sigurd; Bobrowicz-Campos, Elzbieta; Brandao, Tania; Brites, Rute; Cannella, Valentina; Celdrán, Montserrat; Chacur-Kiss, Karima; Cin, Aynur; Fabà, Josep

  Providing ethical care for people living with dementia is essential for safeguarding their rights, dignity, and well-being. However, ethical decision-making in dementia care is complex, often involving tensions between competing moral claims such as autonomy, beneficence, nonmaleficence, justice, and non-discrimination. This scoping review aimed to map and describe the ethical principles, related normative considerations, and ethical frameworks discussed in the scientific literature on dementia care, and to identify how these have been conceptualized. Following the methodological guidance of Arksey and O'Malley (2005), Levac et al. (2010), and Peters et al. (2021, 2022), a comprehensive search across five databases (Web of Science, Scopus, CINAHL, Medline/PubMed, and PsycInfo) identified peer-reviewed papers published in English. In total, 388 papers published between 1981 and 2024 were included. The results revealed a wide range of ethical principles and related normative considerations frequently cited in the literature, although they were typically discussed in an isolated way without reference to other principles or broader ethical frameworks. In contrast, ethical frameworks were mentioned far less often, and when they were, they mostly reflected traditional approaches such as principlism. Four gaps were identified: the plurality of ethical frameworks and limited conceptual integration underpinning dementia care research and practice; insufficient attention to ethnic and socioeconomic diversity among people living with dementia; limited consideration of diverse care settings and geographical regions; and the limited inclusion of people living with dementia themselves in the studies reviewed. These findings underscore the need for conceptually integrative, inclusive, and context-sensitive approaches to dementia care ethics that can better inform both ethical reflection and care practices.

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• MakaleAçık Erişim2026/r/gumushane/16649
  Examination of Health-Seeking Behavior in Individuals with Chronic Diseases

  Cosar, Dilan Aktepe; Demirag, Hatice; Cin, Aynur

  Background: Chronic illnesses are long-term, noncommunicable diseases that significantly affect daily life. In addition to physical symptoms, they can reduce quality of life by causing psychological effects such as anxiety and depression. Patients often seek health information to better manage their condition. Methods: This study aimed to examine the level of health information-seeking behavior among individuals with chronic diseases and the factors influencing this behavior. The sample group for this descriptive study consisted of 306 individuals with chronic illnesses who visited X Hospital in northeastern T & uuml;rkiye between April 1, 2024, and February 1, 2025. All individuals completed a questionnaire consisting of the Patient Information Form and the Health Seeking Behavior Scale. Results: The sociodemographic characteristics of patients with chronic diseases, such as education level, marital status, and chronic disease duration, significantly affected the health-seeking behavior scores. According to the research findings, the highest mean score was determined as 12.30 +/- 2.62 in the occupational health-seeking subdimension, whereas the lowest mean score was determined as 8.78 +/- 3.83 (min-max: 3-15) in the traditional health-seeking subdimension. The total mean score of the Health Seeking Behavior Scale was 32.2 7 +/- 7.73. Conclusions: Individuals with chronic illnesses tend to prefer professional health care services when seeking health-related behaviors. Health-seeking behaviors were higher among high school graduates, single individuals, and those without chronic illnesses.

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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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• MakaleYalnız künye2026/r/gumushane/13649
  Changes in BMI, lipid profile, disease perception, and quality of life among myocardial infarction patients participating in a 12-week green walking: A quasi-experimental study

  Cin, Aynur; Hintistan, Sevilay

  Objective This study assessed the 12-week intervention of green walking on BMI, blood lipids, disease perception, and quality of life among myocardial infarction patients. Methods In a quasi-experimental design, 60 participants (28 men, 32 women; aged 36–77 years) were assigned to intervention (green walk) or control (routine care) groups based on geographic convenience. The green walking group performed high-intensity interval walking for 50 min three times a week in a natural setting for 12 weeks. Adherence was monitored via attendance logs, with a mean of 91.7 % (SD 7.1 %). Primary outcomes included BMI and lipid profiles, while secondary outcomes included perceived illness and quality of life, assessed through validated questionnaires. A mixed-design model incorporating time-group interaction was used for analysis. Data were analyzed using mixed-design ANOVA, repeated-measures ANOVA, paired t-tests, Friedman tests, and Wilcoxon tests. Results The green walk group showed improvements in several measures including a reduction in BMI and positive changes in lipid profiles and disease perception scores with enhanced quality of life for both groups. The mean differences between groups for weight, BMI, and concerns over medication were not significant. No severe adverse events were recorded during the entire 12-week program. Conclusions Participation in the green walking program for 12 weeks is associated with favorable trends in BMI, lipid levels, disease perception, and quality of life among myocardial infarction patients which structured green walking can be an aid toward improving well-being during cardiac rehabilitation; however further randomized controlled studies will substantive such an association.

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• MakaleYalnız künye2026/r/gumushane/13459
  Nurses' artificial intelligence anxiety levels, their attitudes towards artificial intelligence, and their skills in acting humanistically in nursing practices

  Cin, Aynur; Coşar, Dilan Aktepe; Demirağ, Hatice

  Aim This study aims to investigate the levels of artificial intelligence-related anxiety among nurses, their attitudes towards the use of AI in clinical settings, their ability to maintain humanistic approaches in nursing care, and the interrelationships among these variables. Design This study was designed as a descriptive and cross-sectional pilot study. Method The sample of the descriptive study consisted of 267 nurses working in X and Y hospitals in Gümüşhane province. The data of the research was collected between December 2023 and May 2024 using the “Nurse Introduction Form”, “Artificial Intelligence Anxiety Scale”, “General Attitude Scale towards Artificial Intelligence” and “Humanistic Practice Ability of Nursing”. Results Total “Artificial Intelligence Anxiety Scale” mean scores were found to be higher in nurses who were women, and had more than five years of working experience ( p < 0.05). It was determined that the total “General Attitude Scale Towards Artificial Intelligence” score averages of nurses working in surgical clinics were higher than those working in pediatric clinics ( p < 0.05). Positive “General Attitude Scale Towards Artificial Intelligence” mean scores were higher in nurses who had a postgraduate degree, worked in a surgical clinic, and had five years or less experience ( p < 0.05). Again, the total mean of the “ Humanistic Practice Ability of Nursing “ was higher in nurses who had a bachelor's degree or less, and worked in management and surgery clinics ( p < 0.05). Conclusion It was found that nurses' artificial intelligence anxiety, general attitudes towards artificial intelligence, and ability to act humanistally varied according to some sociodemographic characteristics.

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• MakaleYalnız künye2026/r/gumushane/12160
  The effect of dance intervention on cognitive functions and quality of life in patients with Chronic Stroke: A single-blind, randomized controlled trial

  Cin, Aynur; Demirağ, Hatice; Hintistan, Sevilay

  Objective This study aimed to determine the effect of dance interventions on cognitive functions and quality of life in chronic stroke patients. Methods This research used a single-blind randomized controlled trial design involving 40 chronic stroke patients at X State Hospital who were divided into a dance intervention group and a control group. The dance group was given 60 min of sessions three times a week for 12 weeks under the guidance of a dance instructor. Both groups were pre-tested and post-tested using the Stroke Specific Quality of Life Scale (SS-QOL) and Montreal Cognitive Assessment (MoCA). Results The dance intervention group experienced significant improvements in SS-QOL sub-dimensions (energy activities, personality, social and family roles, thinking, language, mood) as well as MoCA scores compared to the control group which had deteriorated over time ( p < 0.001). Conclusion Dance interventions can significantly improve cognitive function and quality of life among chronic stroke patients. The study was registered on Clinical Trials (NCT06145503).

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• DüzeltmeAçık Erişim2025/r/gumushane/16268
  The Relationship Between Thirst Distress and Severity and Compliance with Fluid Control and Interdialytic Weight Gain in Hemodialysis Patients (vol 13, pg 129, 2025)

  Cin, Aynur; Demirag, Hatice; Dastan, Buket; Hintistan, Sevilay

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• MakaleAçık Erişim2025/r/gumushane/16181
  The Relationship Between Thirst Distress and Severity and Compliance with Fluid Control and Interdialytic Weight Gain in Hemodialysis Patients

  Cín, Aynur; Demírag, Hatice; Dastan, Buket; Híntístan, Sevilay

  knowledge scores and FCHPS subscale attitude scores, and IDWG and FCHPS subscale attitude scores. A positive correlation was also found between the VAS score and IDWG. Conclusion: Thirst distress was higher than the moderate level in HD patients, and IDWG increased as thirst severity (VAS score) increased.knowledge scores and FCHPS subscale attitude scores, and IDWG and FCHPS subscale attitude scores. A positive correlation was also found between the VAS score and IDWG. Conclusion: Thirst distress was higher than the moderate level in HD patients, and IDWG increased as thirst severity (VAS score) increased.

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• MakaleAçık Erişim2025/r/gumushane/11665
  The Effect of a Foot Bath on Sleep Quality in the Elderly: A Single-Blind Randomized Controlled Trial; [Ayak Banyosunun Yaşlılarda Uyku Kalitesi Üzerine Etkisi: Tek Kör Randomize Kontrollü Bir Çalışma]

  Demirağ, Hatice; Cin, Aynur; Hintistan, Sevilay

  Objective: This study was conducted as a single-blind, randomized controlled parallel-group study with 50 elderly individuals to investigate the effect of foot bath on sleep quality. Methods: The data were collected using the “Elderly Information Form” and the “Pittsburgh Sleep Quality Index (PSQI)” between 1 May 2022-1 July 2022 at a State Hospital in Gümüşhane province. The elderly in the foot bath group were given a foot bath with 41-42°C water for 20 minutes 50 minutes before normal sleep hours. No application was made to the control group except for the administration of data collection tools. The data were analyzed with Chi-square, Friedman, Wilcoxon Sign, and Mann-Whitney U tests. Results: It was determined that at least one of the total PSQI measurements and median scores of all subcomponents obtained from the elderly in the foot bath group differed depending on time (P<.05). However, it was found that there was no statistically significant difference in the sleep latency (B2), sleep duration (B3), habitual sleep efficiency (B4) and sleep disturbance (B5) component measurements obtained from the elderly in the control group depending on time (P>.05). Again, All PSQI subcomponents and total PSQI scores, except for the subcomponent “Habitual Sleep Efficiency (C4)”, decreased throughout the application in the elderly in the foot bath group. Conclusion: As a result, a foot bath improved sleep quality in the elderly. In line with the findings from this study, it is recommended to compare the foot bath with multiple experimental groups for a longer period of time.

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