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• MakaleAçık Erişim2026/r/gumushane/19358
  Ergenlerde Akıllı Telefon Bağımlılığı İle Sosyal Kaygı Arasındaki İlişki: Çoklu Aracılık Modeli

  Alsaç, Selda Yüzer; Türkmen, Osman Oğulcan; Tuncay, Birgül

  Bu çalışma, ergenlerde akıllı telefon bağımlılığı ile sosyal kaygının alt boyutları arasındaki ilişkiyi, bir çoklu aracılık modelini test ederek incelemiştir. Tanımlayıcı-kesitsel desende yürütülen araştırmanın verileri, 306 lise öğrencisinden toplanmıştır. Bulgular, akıllı telefon bağımlılığı ile sosyal kaygının kilit boyutları arasında anlamlı ilişkiler olduğunu göstermiştir. Çoklu aracılık analizi sonucunda, sosyal kaygının bilişsel temelini oluşturan olumsuz değerlendirilme korkusu ile akıllı telefon bağımlılığı arasındaki ilişkide, yeni sosyal durumlardaki korku ve huzursuzluk duyma alt boyutunun tam aracı rol üstlendiği belirlenmiştir. Buna karşın, genel sosyal durumlardaki korku ve huzursuzluk duyma alt boyutunun bu ilişkide aracı bir rolü olmadığı saptanmıştır. Cinsiyetin bağımlılık düzeylerinde anlamlı bir faktör olmadığı görülürken, kişisel telefon sahipliği ve kullanım süresine göre bağımlılık düzeyleri farklılaşmaktadır. Bu sonuçlar, olumsuz değerlendirme korkusunun bağımlılığa giden yolu özellikle yeni sosyal durumlara karşı duyulan kaygı üzerinden tetiklediğini gösteren aracılık modelini desteklemektedir. Sonuç olarak bu çalışma, sosyal kaygıyı ele alan psikoeğitim programlarının, bu popülasyondaki sorunlu akıllı telefon kullanımını azaltmak için etkili bir strateji olabileceğini vurgulamaktadır.

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• MakaleYalnız künye2026/r/gumushane/14198
  Impact of stress ball intervention on satisfaction, comfort and anxiety in hemodialysis patients: a randomized controlled trial

  Salti, Aysun Kazak; Topali, Hasret; Turkmen, Osman Oğulcan

  Hemodialysis (HD) patients commonly experience psychological distress and anxiety, which may affect their comfort and satisfaction during treatment. This study examined the overall impact of stress ball use on satisfaction, comfort, and anxiety among individuals receiving HD. A total of 46 patients were randomized between January and July 2025. Three participants in the intervention group withdrew before completing the study; therefore, the final analysis included 43 patients (20 in the stress ball group and 23 in the control group). Data were collected using the Patient Information Form (PIF), Visual Analog Patient Satisfaction Scale (VAPSS), Hemodialysis Comfort Scale (HCS), Distress Thermometer (DT), and Visual Analog Scale for Anxiety (VAS-A). Patients in the intervention group used a stress ball for at least 15 minutes during each of twelve HD sessions. Measurements were obtained at baseline, midpoint, and post-test, while the control group received standard care and was assessed concurrently. The study findings demonstrated that anxiety levels decreased over time in the stress ball group, whereas they increased in the control group. Similarly, distress levels decreased in the stress ball group, while no significant change was observed in the control group. HD comfort scores decreased in the stress ball group but increased in the control group. In contrast, no statistically significant difference was found between the groups in terms of the VAPSS scores. These results highlight the potential value of simple distraction techniques in clinical settings for further improving psychological outcomes.

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• MakaleYalnız künye2026/r/gumushane/13898
  Determinants 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.

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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 Erişim2025/r/gumushane/19686
  Sağlık ile ilgili bölümlerde okuyan üniversite öğrencilerinin yapay zekâ okuryazarlığı

  Kazak, Aysun; Türkmen, Osman Oğulcan; Topalı, Hasret

  Bu araştırma temel olarak önlisans sağlık programları öğrencilerinin Yapay Zeka (YZ) okuryazarlık düzeyini belirlemek için yapılmıştır. Araştırma tanımlayıcı tipte olup, araştırmanın verileri Kasım-Aralık 2024 tarihleri arasında Türkiye’de bulunan iki farklı devlet üniversitedeki 1446 sağlık hizmetleri meslek yüksekokulu sağlık bölümleri birinci ve ikinci sınıf öğrencileri ile internet ortamı aracılığıyla gerçekleştirilmiştir. Araştırmada kapsamında analiz edilen veri kümeleri için toplama araçları olarak “Birey Tanıtım Formu” ve “Yapay Zekâ Okuryazarlık Ölçeği” kullanılmıştır. Öğrencilerin “Yapay Zekâ Okuryazarlık Ölçeği (YZOÖ)” bağlamında aldıkları puan ortalamasının beklenen ortalama puanın üzerinde olduğu görülmüştür. 20 yaş ve altı ile 21-30 yaş arasındaki öğrenciler, 31 yaş ve üstü öğrencilere göre daha yüksek toplam puanlar alırken; ilk ve acil yardım programındaki öğrenciler de yaşlı bakımı programındaki öğrencilere göre daha yüksek puanlar almıştır. İnterneti en çok karma kullananlar, sağlık bakanlığı/hastane sitelerini ziyaret edenlere göre daha yüksek toplam puanlar elde etmiştir. Teknolojik cihaz kullanımı becerileri açısından ise çok iyi ve iyi seviyedeki öğrenciler, diğer seviyelere göre daha yüksek toplam puanlar almışlardır. Araştırmadan elde edilen sonuçlar doğrultusunda, YZ teknolojilerinin daha iyi anlaşılabilmesi için eğitimciler tarafından müfredata alınarak öğretilmesinin YZ okuryazarlık düzeyine katkı sunacağı düşünülmektedir.

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• MakaleAçık Erişim2024/r/gumushane/19900
  Exploring Ostracism as A Risk Factor for Smartphone Addiction in Young People: Resilience and Nomophobia Perspectives

  Kavakli, Mehmet; Coşkun, Muhammet; Türkmen, Osman Oğulcan

  In today's world, the improper use of smartphones has become a growing problem. Such usage might be problematic as people see it as an escape from threats to their basic psychological needs caused by ostracism. Therefore, the purpose of this study is to examine the relationship between ostracism and the risk of smartphone addiction. In addition, a moderated mediation model was explored to see whether nomophobia moderated the mediating role of resilience in the association between ostracism and the risk of smartphone addiction. The sample consisted of 320 young adults, ranging from 18 to 31 years. Data was gathered by using the Ostracism Experience Scale, the Brief Resilience Scale, Nomophobia Scale and Smartphone Addiction Scale. Results indicated a positive association between ostracism and the risk of smartphone addiction, and this association was mediated by resilience. While ostracism increases the risk of smartphone addiction, resilience emerges as a key ability in mitigating this undesired association. Furthermore, nomophobia moderated the mediating impact of resilience in the relationship between ostracism and the risk of smartphone addiction. Increased nomophobia put this mitigating influence of resilience in the shade. Resilience buffers the undesired relationship between social kiss of death (ostracism) and the risk of smartphone addiction in young individuals, but nomophobia frustrates this functional role of resilience. These findings were discussed in light of the relevant literature.

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• MakaleAçık Erişim2023/r/gumushane/14479
  A study on the relationship between sociodemographic characteristics and job stress and satisfaction among healthcare workers in Turkey during the COVID-19 pandemic; [Ispitivanje utjecaja sociodemografskih karakteristika na profesionalni stres i zadovoljstvo u zdravstvenih radnika u Turskoj tijekom pandemije bolesti COVID-19]

  Tuna, Hasan; Türkmen, Osman Oǧulcan; Albayrak, Sirer

  The aim of this study was to determine the sociodemographic characteristics that affect job stress and job satisfaction in 454 healthcare workers (physicians, nurses, midwives, technicians, and other healthcare personnel) working with COVID-19 patients in primary healthcare institutions in Turkey with a cross-sectional, web-based survey between 9 and 30 August 2021. The survey included a personal information form, a standard job stress scale, and the Minnesota Satisfaction Questionnaire. The levels of job stress and job satisfaction did not differ between male and female respondents. Singles reported lower job stress and higher job satisfaction than the married respondents. Job stress did not differ between departments, but respondents on the front line who worked in a COVID-19 intensive care unit (ICU) (at any point and/or at the time of the study) or the emergency department reported lower job satisfaction than those working in other departments. Similarly, while stress did not differ by educational status, satisfaction of respondents with bachelor's or master's degree was lower than that of the rest. Our findings also suggest that working in a COVID-19 ICU and age are significant predictors of higher stress, whereas lower education, working in a COVID-19 ICU, and being married are good predictors of lower satisfaction. Further research should include other sociodemographic variables that may affect stress and satisfaction at work, and similar studies should follow up to see what was left in the wake of the pandemic.

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• MakaleAçık Erişim2022/r/gumushane/12925
  The multiple mediating roles of self-esteem and happiness in the relationship between loneliness and depression in Facebook and Instagram users

  Türkmen, Osman Oǧulcan; Kavakli, Mehmet; Ak, Mehmet

  Objective: Social media usage is increasing gradually and the websites that enable social interaction may influence people's loneliness and depression levels. The aim of the present research was to examine the multiple mediating roles of self-esteem and happiness in the relationship between loneliness and depression. Method: The study sample was composed of 409 Facebook and Instagram users. Data were collected by using personal information form, Beck Depression Inventory, Oxford Happiness Scale-Short Form, Rosenberg Self-Esteem Scale and UCLA Loneliness Scale. Correlation analysis was carried out to determine the relationship between variables. Multiple mediation analysis was conducted to determine the mediating roles of self-esteem and happiness in the relationship between loneliness and depression. Results: The results suggest that self-esteem and happiness, indeed, have mediating roles in the relationship between loneliness and depression, and multiple mediation models were found to be statistically significant. The frequency of accessing Instagram was positively associated with depression and loneliness. Facebook users had higher self-esteem levels compared to Instagram users. Discussion: In conclusion, the relationship between loneliness and depression was found to be significantly mediated by self-esteem and happiness. Increased frequency of access to Instagram every day was found to increases the level of depression and loneliness. Additionally, Instagram users were found to have lower self-esteem compared to Facebook users.

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• MakaleAçık Erişim2020/r/gumushane/14619
  The mediating role of self-compassion in the relationship between perceived COVID-19 threat and death anxiety; [Algılanan COVID-19 tehdidi ve ölüm kaygısı arasındaki ilişkide öz şefkatin aracı rolü]

  Kavaklı, Mehmet; Ak, Mehmet; Uğuz, Faruk; Türkmen, Osman Oğulcan

  Objective: The COVID-19 pandemic is a new and highly detrimental event that has influenced the world over. Besides the obvious health risks, COVID-19 has also affected people psychologically. The high risk of contamination can increase the perceived COVID-19 threat and death anxiety in individuals. The aim of the present study was to investigate the mediating role of self-compassion in the relationship between perceived COVID-19 threat and death anxiety. Additionally, the study also investigated the role of gender, profession and income level in the perceived COVID-19 threat and death anxiety. Method: The research sample was composed of 562 individuals from the community. The data was gathered by using personal information form and the Perceived COVID-19 Threat Form, Self-Compassion Scale and Turkish Death Anxiety Scale. Results: The relationship between perceived COVID-19 threat and death anxiety was partially mediated by self-compassion. Moreover, people in the high income group had a lower level of perceived COVID-19 threat and death anxiety score compared to the low-income group. Perceived COVID-19 threat levels were lower among health care professionals compared to unemployed individuals. Female participants had a higher level of perceived COVID-19 threat and death anxiety score compared to male participants. Discussion: Self-compassion may be an essential variable to help cope with problems related to perceived COVID-19 threat and death anxiety. Improving our understanding of the psychological impacts of COVID-19 is necessary and essential.

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