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Sürdürülebilir Kalkınma Amaçları

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• MakaleAçık Erişim2026/r/gumushane/20434
  The mediating effect of self-efficacy on the relationship between digital literacy and artificial intelligence anxiety in nursing students

  Akay, G; Saruhan, U; Saruhan, Y; Koç, ES; Oğuzhan, H

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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/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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• MakaleAçık Erişim2026/r/gumushane/13667
  Examination of Post-Traumatic Stress Reaction, Quality of Life, and Loneliness Levels in Adolescents Who Experienced an Earthquake

  Akay, Gamze; Koç, Elif Simay; Oğuzhan, Hatice

  The aim of this study is to investigate the relationship between post-traumatic stress, quality of life, and loneliness levels in adolescents following the earthquakes centered in Kahramanmaraş. The research, designed as descriptive and correlational, was conducted with 701 children aged 13–18 who experienced the earthquake in Kahramanmaraş. Data were collected through a Demographic Information Form, the Child Post-Traumatic Stress Reaction Index, the Pediatric Quality of Life Inventory, and the UCLA Loneliness Scale-Short Form. Ethical principles were adhered to throughout the study. Female adolescents were found to have higher levels of post-traumatic stress (t = 3.508, p < 0.001) and lower quality of life (t = 4.223, p < 0.001). The adolescents exhibited severe levels of post-traumatic stress (55.25 ± 13.80). It was determined that the mother’s education level (F = 4.423, p = 0.002), the father’s occupation (F = 2.859, p = 0.036), and perceived income level (F = 5.912, p = 0.003) significantly influenced adolescents’ loneliness levels. The father’s occupation (F = 3.403, p = 0.017) was found to have a significant effect on post-traumatic stress levels, and perceived income level (F = 4.753, p = 0.009) had a significant effect on quality of life. A moderate negative correlation was found between post-traumatic stress levels and quality of life (r = −0.474, p < 0.001), and a weak positive correlation was observed between post-traumatic stress and loneliness levels (r = 0.215, p < 0.001). A weak negative correlation was also found between quality of life and loneliness levels (r = −0.284, p < 0.001). A moderate negative correlation was found between adolescents’ post-traumatic stress levels and quality of life, while a weak positive correlation was observed between post-traumatic stress levels and loneliness. It is recommended to provide psychological support and guidance services aimed at reducing post-traumatic stress and loneliness levels in adolescents.

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• Derleme MakaleAçık Erişim2025/r/gumushane/14261
  The Effect of storybook use in pediatric health services on children's fear and anxiety levels: A meta-analysis study

  Akay, Gamze; Uzun, Sevda; Oğuzhan, Hatice; Güdücü Tüfekci, Fatma

  Background: Invasive procedures are commonly used in pediatric healthcare, and storybooks can be used as an adjunct analgesic method. Objectives: This study was conducted to evaluate the effectiveness of using storybooks as a distraction technique to reduce fear and anxiety in pediatric healthcare. This study was conducted with the aim of revealing the level of effect of storybook use on children's fear and anxiety level in pediatric health services. Methods: For this meta-analysis study, the studies were obtained by searching PubMed, Web of Scıence, Scopus, EBSCOhost, Google Scholar and YÖK Thesis Center databases in April–June 2024 without any year limitation. After the reviews, 15 studies were included in the study. The data were synthesized by meta-analysis and narrative methods. Findings: In this meta-analysis, it was found that storybook use in pediatric health services was effective on children's anxiety (SMD: −4.412, 95 % CI: −7.727 to −1.097; Z = −2.608, p = 0.009; I2 = 99.890 %) and fear (SMD: −1.13, 95 % CI: −1.71 to −0.54; Z = −3.78, p = 0.000; I2 = 83.065 %) levels. In addition, it was determined that the characteristics of the intervention group, age group, the characteristics and content of the storybook, the duration of the intervention and the time of the intervention played a role in the effectiveness of the storybook use intervention in pediatric health services on children's anxiety and fear levels. Conclusion: The use of story books in children's health services reduces the level of fear and anxiety in children.

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• MakaleAçık Erişim2025/r/gumushane/12331
  Mandala coloring reduces anxiety and pain in circumcised children: A randomized controlled trial

  Akay, Gamze; Koç, Elif Simay; Oğuzhan, Hatice

  Background: Boys often experience significant fear and anxiety before the circumcision procedure, and postoperative pain is linked to increased fear and anxiety in children. Objectives: The aim of this study was to determine the effect of mandala coloring on fear, anxiety, emotional symptoms and postoperative pain of circumcised children. Methods: This randomized controlled trial was conducted in the pediatric clinic of a state hospital in eastern Turkey. Children were divided into two groups using a computer program: Group 1 (control) included children with no intervention (n = 40), and Group 2 (mandala coloring) included children who received mandala coloring (n = 38). Statistical analyses were performed using the Kolmogorov-Smirnov test to assess the normality of the data, the chi-squared test to compare categorical variables between groups, the paired samples t-test for within-group comparisons, the independent samples t-test for between-group comparisons, and mixed model repeated measures ANOVA (rANOVA) to evaluate the temporal changes in pain and anxiety scores across groups. Findings: Children's fear, anxiety, emotional symptom, and postoperative pain scores were similar in all groups before the nursing intervention, and the fear, anxiety, and emotional symptom scores of the mandala painting intervention group were statistically lower than the control group after the nur csing intervention. The pain scores of the children in the mandala coloring group were lower than the control group after surgery. Conclusion: Mandala coloring intervention can be used to reduce emotional symptoms, fear, anxiety and postoperative pain in children aged 6–12 years undergoing circumcision.

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• MakaleAçık Erişim2024/r/gumushane/20119
  Kahramanmaraş Depremi Sonrası Üniversite Öğrencilerinde Algılanan Stres Düzeyleri İle Öznel İyi Oluş Durumları Arasındaki İlişkinin Belirlenmesi

  Akay, Gamze; Oğuzhan, Hatice; Tüfekci, Fatma Güdücü

  Bu çalışma Kahramanmaraş depremi sonrası üniversite öğrencilerinde algılanan stres düzeyleri ile öznel iyi oluş durumları arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Tanımlayıcı ve kesitsel olarak yürütülen çalışma bir devlet üniversitesinde öğrenim gören ve depremden etkilenen illerde ikamet eden 472 öğrenci ile gerçekleşmiştir. Araştırma verilerinin toplanmasında kişisel bilgi formu, algılanan stres ölçeği ve öznel iyi oluş ölçeği kullanılmıştır. Verilerin değerlendirilmesinde Skewness ve Kurtosis, independent sample t-test, Mann-Whitney U test, One Way ANOVA ve post hoc analizinden yararlanılmıştır. Öğrencilerin %60,2’ sinin 21-24 yaş arasında olduğu, %43,2’ sinin yaşadığı yerin depremden az hasar aldığı ve %58,1’ inin depremde yakınını kaybetmediği belirlenmiştir. Cinsiyeti kadın olan öğrencilerin stres algısının daha fazla olduğu ve depremden sonra psikolojik destek alanların stres algılarının daha az olduğu saptanmıştır. Algılanan stres puanı ve öznel iyi oluş puanı arasında negatif yönlü ve düşük düzeyde ilişki olduğu tespit edilmiştir (r=-0.219, p

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• MakaleAçık Erişim2024/r/gumushane/20108
  Yoğun Bakım Hastalarında Tıbbi Cihazla İlişkili Basınç Yaralanması Gelişimi ve Etkileyen Faktörler: Nokta Prevalans Çalışması

  Çobanoğlu, Asuman; Cebeci, Sevil Pamuk; Oğuzhan, Hatice

  Giriş: Tıbbi cihazla ilişkili basınç yaraları, tıbbi cihazların daha sık kullanıldığı yoğun bakım ünitelerinde daha fazla görülmektedir. Amaç: Araştırma yoğun bakım hastalarında tıbbi cihazla ilişkili basınç yaralanması durumu ve etkileyen faktörleri incelemek amacıyla yapıldı. Yöntem: Araştırma Türkiye’de iki farklı ilde bulunan iki eğitim ve araştırma hastanesinin yoğun bakım ünitelerinde tedavi gören 102 hasta ile nokta prevalans çalışması olarak yapıldı. Araştırma verileri Hasta Bilgi Formu, Braden Basınç Yaralanması Risk Değerlendirme Ölçeği, Basınç Yaralanması Evrelendirme Formu ve Glaskow Koma Skalası ile toplandı. Bulgular: Hastaların Braden Basınç Yaralanması Risk Değerlendirme Ölçeği puan ortalamasının 11,27 ± 3,11 olduğu, %67,6’sında tıbbi cihazla ilişkili olmayan basınç yaralanması, %29,4’ünde ise tıbbi cihazla ilişkili basınç yaralanması olduğu saptandı. Hastalarda tıbbi cihazla ilişkili basınç yaralanması; burun ve burun kenarında %36,6, kulak ve kulak çevresinde %20, subklavian bölgede ise %20 oranında görüldü. Hastaların albümin ve hematokrit değerleri ile tıbbi cihazla ilişkili basınç yaralanması görülme durumu arasında anlamlı bir ilişki olduğu da belirlendi (p < 0,05). Sonuç: Araştırmada yoğun bakımda yatan hastalarda tıbbi cihazla ilişkili basınç yaralanmasının oldukça yüksek oranda görüldüğü ve basınç yaralanmasının burun ve burun kenarı, kulak ve kulak çevresi ile subklavian bölgede daha fazla olduğu belirlendi.

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• MakaleAçık Erişim2024/r/gumushane/12453
  The relationship between the psychological resilience levels and ruminative thought styles of nurses providing care for earthquake victims: 2023 earthquake in Kahramanmaraş, Türkiye

  Çobanoğlu, Asuman; Oğuzhan, Hatice

  Traumatic cases experienced during earthquakes, which are considered among acts of God, may cause multiple and severe impacts on healthcare professionals. This research aimed to examine the ruminative thought styles and psychological resilience level of nurses who provided care services to the victims after the earthquake that struck Kahramanmaraş, Türkiye on February 6-7th. This descriptive and correlational study was conducted with 225 nurses. Research data were collected using the Personal Information Form, Ruminative Thought Style Questionnaire and Brief Resilience Scale. A negative and moderate relationship was determined between the psychological resilience level of nurses and their ruminative thought style (r = -0.477, p < 0.05). The psychological resilience level of nurses who received training on disasters and psychological resilience was determined to be higher whereas their ruminative thought tendency was lower (p < 0.05). It was determined that the ruminative thought style of the nurses decreased as their psychological resilience level increased. Trainings on disaster nursing and aiming to increase the psychological resilience level may be recommended in order to improve the psychological resilience of nurses.

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• MakaleAçık Erişim2023/r/gumushane/20398
  Effects of Noninvasive Mechanical Ventilation in COVID-19 Patients

  Karabulut, Neziha; Aktaş, Yeşim Yaman; Çatal, Seda Nur; Oğuzhan, Hatice

  The aim of this study was to examine the results of NIMV applied with a full face mask in COVID-19 patients. A descriptive and cross-sectional study. The study was conducted in the 1st level COVID-19 Intensive Care Unit of a university training and research hospital between August 15 and November 15, 2021. The study included 31 critical care patients who agreed to participate in the study and met the sampling criteria. The data was collected by the third researcher using the questionnaire based on the literature. The mean age of patients was 68.90±9.97 (41-82) years. In the measurements before NIMV, after the first application and after 24-h, a statistically significant difference was found between measurements in terms of SpO₂ scores (p<0.001). In venous blood gas measurements before and 24-h after NIMV, a statistically significant difference was found between the measurements in terms of PCO₂ scores (p<0.05). The study findings showed that NIMV was effective in terms of SpO₂ and venous PCO₂ scores in COVID-19 patients. It can be used as an effective option in the management of acute hypoxemic respiratory failure in COVID-19 patients.

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