İlgi alanları

Sürdürülebilir Kalkınma Amaçları

• 15
• 1

• Derleme MakaleYalnız künye2026/r/gumushane/20426
  Biopsychosocial dimensions of cancer and spiritual coping strategies: a phenomenological study of patient experiences

  Aydın, E; Uzun, S; Karakaş, S; Günay, D; Büyükçerçi, NN

  • 
  İncele
• MakaleAçık Erişim2026/r/gumushane/19449
  Üriner İnkontinansı Olan Kadınlarda İnkontinans Şiddetinin Sağlık Arama Davranışı ve Yaşam Kalitesi Üzerindeki Etkisinin İncelenmesi

  Karakas, Sevda; Bülbül, Gülsüm Çeter

  Amaç: Üriner inkontinans (Üİ) kadınlar tarafından genellikle göz ardı edilen, sağlık sorunu olarak görülmeyen bir durumdur. Bu çalışmanın amacı, Üİ’lı kadınlarda inkontinans şiddeti, yaşam kalitesi ve tedavi arama davranışı arasındaki ilişkinin incelenmesi amacıyla yapılmıştır. Yöntem: Bu çalışma ilişki arayıcı türde tasarlanan bir araştırmadır. Ocak 2023 – Temmuz 2023 tarihleri arasında 370 kadın ile yürütülmüştür. Veri toplama aşamasında demografik bilgi formu, Ürogenital Distres Envanteri, İnkontinans Şiddeti, Bristol Kadın Alt Üriner Sistem Semptomları İndeksi ve İnkontinans Etki soru formu kullanılmıştır. Bulgular: Kadınların % 63’ünün yaklaşık bir yıldan uzun süredir üriner inkontinans yaşadığı, % 75.1’inin doktora başvurmadığı, %37.3’ünün üriner inkontinansı önemsemediği belirlenmiştir. Kadınlarda inkontinans şiddeti ile doktora başvurma oranları ve yaşam kalitesi arasında anlamlı bir ilişki olduğu tespit edilmiştir (p<0.05). Sonuç: Çalışmamızda kadınlarda yaşam kalitesinin olumsuz etkilenmesine rağmen dört kadından üçünün doktora başvurmadığı tespit edildi. İnkontinans şiddeti arttıkça yaşam kalitesinin ciddi düzeyde olumsuz etkilendiği tespit edildi. Toplumda kadınlarda Üİ tanılanması, Üİ’a neden olabilecek risk faktörlerinin değerlendirilmesi ve Üİ’dan korunma konusunda kadınlarda bilinç ve farkındalık kazandırmada hemşirelere önemli sorumluluklar düşmektedir.

  • 
  İncele
• Derleme MakaleAçık Erişim2026/r/gumushane/13871
  The effect of non-pharmacologic treatments in individuals with problematic pornography use: a meta-analysis of randomized controlled trials

  Yıldız Karaahmet, Aysu; Bilgiç, Fatma Şule; Karakaş, Sevda

  This study aimed to systematically review and meta-analyze the effects of non-pharmacological treatments on problematic pornography use (PPU), pornography use frequency, sexual dysfunction, psychological symptoms, and quality of life in individuals with PPU. A comprehensive literature search was conducted in PubMed/MEDLINE, Embase, PsycINFO, and Web of Science between June and July 2024. MeSH-based keywords were used to identify relevant Randomized Controlled Trials (RCTs) published in the last ten years. Five RCTs with a total of 826 participants were included. Non-pharmacological interventions significantly reduced PPU (SMD: −1.16; 95% CI: −2.10 to −0.22; p = 0.02) and pornography use frequency (SMD: −0.74; 95% CI: −1.43 to −0.05; p = 0.04) compared to control groups. No statistically significant effects were found for sexual dysfunction (SMD: −0.47; p = 0.05) or psychological symptoms (SMD: −0.42; p = 0.06), though moderate effects were observed. Risk of bias was high or unclear in terms of participant and outcome blinding. Non-pharmacological interventions appear effective in reducing PPU and use frequency. Although effects on sexual function and psychological symptoms were not significant, the findings suggest potential improvements in overall quality of life.

  • 
  İncele
• MakaleAçık Erişim2026/r/gumushane/13818
  Rethinking sexual response: are erogenous zones—including nipple stimulation—more than secondary stimuli? A meta-analysis

  Yildiz Karaahmet, Aysu; Karakas, Sevda; Bilgic, Fatma Sule

  Objectives: The nipple, a key erogenous zone in female sexual response, is often insufficiently considered in clinical practice, and scientific studies on nipple stimulation are limited. The aim of this study was to conduct a systematic review and meta-analysis of studies examining the effect of nipple stimulation on sexual response and sexual satisfaction in young women. Methods: For this systematic review and meta-analysis, studies were identified through a search of the PubMed, Cochrane Library, EBSCOhost, Embase, Web of Science, PsycINFO, and Scopus databases without any year restrictions. Results: A total of nine studies (~1276 participants) were included in the systematic review. Of these, six studies (390 intervention, 441 control; n = 831) contributed to the meta-analysis of sexual response/orgasm outcomes, and six studies (655 intervention, 621 control; n = 1276) contributed to the meta-analysis of sexual satisfaction. Nipple stimulation significantly improved sexual response [standardized mean difference (SMD) = 0.51, P < .00001] and sexual satisfaction (SMD = 0.59, P = .005). Discussion: Nipple stimulation may be used as a supportive method to enhance sexual function and sexual satisfaction in young women. It may be considered as a complementary approach to sexual counseling and therapy, particularly for women experiencing sexual aversion, difficulty with arousal, and orgasm problems. This meta-analysis suggests that nipple stimulation may have a moderate positive effect on sexual response and sexual satisfaction in young women; however, the findings should be interpreted with caution due to the limited age range of the included population and the heterogeneity across studies.

  • 
  İncele
• 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.

  • 
  İncele
• MakaleAçık Erişim2025/r/gumushane/19775
  Hemşirelerde Premenstrüel Sendrom ve Mental İyi Oluşluk Düzeyi Arasındaki İlişkinin Belirlenmesi

  Karakas, Sevda; Erdoğan, Kübra

  Bu araştırma, bir devlet hastanesinde çalışan premenstrüel sendrom yaşayan hemşirelerde, premenstrüel sendrom ile mental iyi oluşluk düzeyi arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Tanımlayıcı ve kesitsel nitelikte olan bu çalışma, Mayıs 2020- Haziran 2021 tarihleri arasında yürütülmüştür. Tekirdağ iline bağlı Çorlu Devlet Hastanesi’nde gerçekleşen çalışmanın örneklemini 18-55 yaş arasında 300 kadın hemşire oluşturmuştur. Verilerde; tanıtıcı bilgi formu, Premenstrüel Sendrom Ölçeği ve Warwick Edinburgh Mental İyi Oluşluk Ölçeği olmak üzere üç veri toplama aracı kullanılmıştır. Araştırmada elde edilen veriler Statistical Package for Social Sciences for Windows 22,0 programı kullanılarak analiz edilmiştir. Premenstrüel dönemde hemşirelerin iş hayatının (%75) ve sosyal hayatının (%80) olumsuz etkilendiği saptanmıştır. Araştırmada premenstrüel dönemde hemşirelerin kendilerini daha yorgun ve depresif hissettikleri, uyku kalitesinin düşük olduğu, mental iyi oluş düzeyinin azaldığı tespit edilmiştir. Menstrüasyon döneminde olan çalışan kadınlara yasal olarak izin hakkının verilmesi, çalışma koşullarının iyileştirilmesi ve bu konunun daha fazla üzerinde durulması önerilmektedir.

  • 
  İncele
• Derleme MakaleAçık Erişim2025/r/gumushane/19739
  The Role of Electronic Fetal Monitoring (EFM) in Obstetric Malpractice: An Evaluation from the Perspectives of Midwives, Nurses and Forensic Medicine

  Doğan, Muzaffer Berna; Karakas, Sevda

  This review aims to assess the significance of electronic fetal monitoring (EFM) in medical error claims in obstetrics from the perspectives of midwifery, nursing, and forensic medicine. One fundamental approach to preventing adverse events during labor is the early recognition of fetal distress. Midwives and nurses are responsible for applying, evaluating, and recording EFM tracings during labor, which are crucial evidence in forensic medical evaluations. In the absence of medical records, the follow-up, treatment, and medical practices become contentious during trials, leading to delays in the litigation process. This is because medical records are vital in evaluating medical malpractice claims, and expert witnesses play a key role in assessing the standard of care. Despite its widespread use, there is a need for greater clarity on the reliability, role, and benefits of EFM. Furthermore, expert witnesses in medical malpractice cases may interpret practices with controversial reliability differently. While the reliability of EFM is debated, it cannot be ignored that it is an essential tool for early recognition of fetal distress. Given its importance and the need for written evidence in the trial process, it is recommended that forensic nurses, midwives, and lawyers receive training on maintaining medical records according to standards.

  • 
  İncele
• MakaleAçık Erişim2025/r/gumushane/19519
  Effect of Homeopathy Intervention on Depression in Women: Systematic Review and Meta-analysis of Randomized Controlled Trials

  Karakas, Sevda; Karaahmet, Aysu Yıldız; Bilgiç, Fatma Şule

  Background and Objectives: The aim of this study was to systematically review randomized controlled trials evaluating the effectiveness of homeopathy intervention given to women on depression and to conduct a meta-analysis of the available evidence. Materials and Methods: Systematic searches of Cochrane, PubMed, SCOPUS, WOS, EMBASE in five databases were conducted between February- March 2025. The risk of bias and the certainty of the evidence were assessed with the Cochrane bias risk tool ROB-2. Summary effect size measurements were calculated using random effects model estimation and reported as standardized mean differences and 95% confidence intervals. Reporting followed PRISMA guidelines. Results: A systematic literature review was conducted with 10 studies included in the analysis. A total of 636 people took part in the studies. Homeopathy intervention had a significant effect on depression (SMD:-0.44, 95% CI:-0.71 to -0.18, Z=3.26, p=0.001), and in the subgroup analysis, it was found to be more effective in women aged 40 years and older than in women aged 40 years (SMD:-0.47, 95% CI: -0.91 to -0.03, Z=2.08, p=0.004). In addition, it was found to have a significant effect on anxiety (SMD:-0.43, 95% CI:-0.69 to -0.17, Z=3.27, p=0.001) and fatigue (MD:-1.58, 95% CI: -2.78 to -0.39, Z=2.59, p=0.009). Conclusions: The study determined that homeopathic intervention in women was effective for depression; It was found that it provided a decrease in anxiety and depression levels. It is important to disseminate homeopathy treatment and ensure accessibility in solving psychological problems such as depression and anxiety that adversely affect women's health.

  • 
  İncele
• MakaleAçık Erişim2025/r/gumushane/14265
  The effect of omega-3 fatty acid use on women’s mental health in postpartum depression: a systematic review and meta-analysis study

  Karakaş, Sevda; Uzun, Sevda; Özcan, Handan

  • 
  İncele
• MakaleYalnız künye2025/r/gumushane/14070
  Association Between Cyber Pornography Use and Sexual Health Literacy and Sexual Function in Women of Reproductive Age: A Cross-Sectional Study

  Bilgiç, Fatma Şule; Yıldız Karaahmet, Aysu; Karakaş, Sevda

  This study aimed to examine the association between cyber pornography use, sexual health literacy, and sexual function in women of reproductive age. This cross-sectional study was conducted via an online platform using Google Forms between January 25 and February 23, 2025, with 1,202 female participants aged 18–35. Data were collected using a Data Collection Form, the Cyber Pornography Use Scale-9 (CPUS-9), the Arizona Sexual Experiences Scale (ASEX), and the Sexual Health Literacy Scale (SHLS). The average age of the participants was 23.19 ± 3.34 years. The mean total score for CPUS-9 was 2.26 ± 1.34, for ASEX was 14.98 ± 6.80, and for SHLS was 57.65 ± 13.18. A weak positive correlation was found between CPUS-9 and SHLS, while a weak negative correlation was observed between ASEX and SHLS. According to regression analysis, as sexual dysfunction increased in women, cyber pornography use also increased (β = 0.550), resulting in a 0.57-unit increase. Furthermore, as sexual health literacy increased, cyber pornography use also increased (β = 0.190), leading to a 0.19-unit increase. The findings suggest that cyber pornography use in women is associated with sexual function and sexual health, and these associations may relate to individuals’ levels of sexual health literacy.

  • 
  İncele