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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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• MakaleYalnız künye2026/r/gumushane/19411
  Tip 2 Diyabet Mellituslu Bireylerde Diyabet Farkındalığı ve Kabul Düzeyleri ile Sağlık Okuryazarlığı Arasındaki İlişki: Tanımlayıcı-Kesitsel Bir Çalışma

  Demirağ, Hatice; Cosar, Dilan Aktepe; Aktepe, Yusuf

  Amaç: Bu çalışma, Tip 2 diyabetli hastalarda diyabet farkındalığı ve kabul düzeyleri ile sağlık okuryazarlığı arasındaki ilişkiyi incelemektedir. Gereç ve Yöntemler: Çalışma, 15 Temmuz 2025 ile 15 Kasım 2025 tarihleri arasında Türkiye'nin kuzeydoğusundaki hastane ve kliniklere başvuran ayakta tedavi gören hastalar arasında kesitsel bir çalışma olarak yürütülmüştür. Katılımcılar 18 yaş ve üzeri olup tip 2 diyabet hastasıydı; gebelik diyabeti olanlar veya anketi tamamlayamayanlar çalışmadan dışlanmıştır. Veriler, Hasta Bilgi Formu, Diyabet Farkındalığı ve Kabul Ölçeği (DAAS) ve E-Sağlık Okuryazarlığı Ölçeği (EHLS) kullanılarak yüz yüze görüşmeler yoluyla toplanmıştır. Tanımlayıcı istatistikler, bağımsız örneklem t-testleri, ANOVA ve Pearson korelasyon analizleri kullanılmıştır. Bulgular: Katılımcıların ortalama yaşı 56,2±14,9 yıl; %62,7'si kadındı. Ortalama DAAS ve EHLS puanları sırasıyla 81,6±18,7 ve 22,1±8,3 idi. Erkekler ve bekar bireylerin EHLS puanları daha yüksekti; daha yüksek eğitim düzeyi daha yüksek EHLS puanlarıyla ilişkiliydi. DAAS puanları hastalık süresiyle artarken, EHLS puanları yaş ve daha uzun hastalık süresiyle azaldı. Tüm DAAS alt ölçekleri ile EHLS arasında pozitif korelasyonlar gözlendi. Birçok katılımcı, çevrimiçi sağlık bilgisi edinmeye yönelik belirsizlik veya olumsuz tutumlar ifade etti. DAAS farkındalık alt ölçeği, DAAS kabul alt ölçeği ve DAAS toplam puanı ile EHLS toplam puanı arasında pozitif ve anlamlı bir korelasyon bulunmuştur (p<0.001). Sonuç: Çalışma, Tip 2 diabetes mellituslu bireylerde diyabet farkındalığı, kabulü ve e-sağlık okuryazarlığı arasında pozitif ve anlamlı bir korelasyon bulmuştur. Yaş, eğitim, medeni durum, hastalık süresi, genel sağlık algısı, aile öyküsü ve beslenme alışkanlıklarının bu değişkenler üzerinde etkili olabileceği bulunmuştur.

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• MakaleAçık Erişim2026/r/gumushane/13778
  The effect of hawthorn vinegar, black mulberry syrup, and green tea on oral mucositis and oral health-related quality of life in individuals with diabetes: a single-blind, randomized controlled trial

  Demiraǧ, Hatice; Akeren, Zahide

  Objective – This study was designed as a single-blind randomized controlled trial to investigate the effects of hawthorn vinegar, black mulberry syrup, and green tea on oral mucositis and quality of life related to oral health in individuals with diabetes. Methods – Total of 120 participants were divided into four groups (hawthorn vinegar, black mulberry syrup, green tea, control; n = 30 each) and the study was completed. All participants completed the “Patient Information Form, ” “Oral Assessment Guide (OAG/ADR), ” and “Oral Health-Related Quality of Life Scale (OHQoL-UK)” before the study, on the 7th day, and after the study. In the experimental groups (hawthorn vinegar group, black mulberry syrup group, green tea group). In addition to routine oral mucositis treatment, patients with DM gargled for 1 min with diluted hawthorn vinegar [1 tablespoon (10 cc) mixed with 40 cc of water], pure black mulberry syrup, or green tea solution three times a day for 14 days, 15–20 min before meals. Results – Patients in the hawthorn vinegar group showed a decrease in oral mucositis and an increase in oral health-related quality of life at the interim measurement (day 7) and final test (day 14) measurements (p < 0.05). A negative correlation was found between the severity of oral mucositis and quality of life (p < 0.05). Conclusion – Although there was no difference between hawthorn vinegar and black mulberry syrup, they were found to be more effective than green tea in reducing oral mucositis and improving oral health-related quality of life, and all three complementary treatments were found to be effective. Clinical Trial Registration – identifier [NCT06481254]. https://register.clinicaltrials.gov/prs/beta/studies/S000E5O000000043/recordSummary.

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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/13678
  The Effect of Parrot Therapy on During Venipuncture Pain in Chronic Patients

  Demirağ, Hatice; Tuç, Adile

  Objective There are no randomized controlled trial (RCT) in the current literature comparing live, robotic, and visual animal-based therapies. This single-blind randomized controlled trial was conducted to comparatively evaluate the effectiveness of live parrot, robotic parrot, and parrot picture therapies on pain during venipuncture in adults with chronic illness. Methods The study included 240 patients randomized into four groups. Groups interacted with live parrots, robotic parrots, or parrot pictures during venipuncture. The control group received no intervention. Pain levels were assessed before and after the procedure using the "Visual Analog Scale (VAS)." Analysis was performed using Chi-Square test, One-way ANOVA and paired samples t-test. Results There was no difference in pre-procedure pain scores between the groups (p ' .05). After the procedure, the VAS score for the live parrot group was 2.01 ± 1.35, for the robotic parrot group 2.03 ± 1.46, for the parrot picture group 2.08 ± 1.62, and for the control group 4.91 ± 1.88. Again, after the procedure, pain scores in all experimental groups were found to be significantly lower than in the control group (p ' .001). Live parrot therapy was found to be the most effective pet therapy, followed by robotic parrot and parrot picture therapy. The reduction in pain in the live parrot group was statistically more significant than in the picture group. Conclusion The research findings revealed that pet therapy applied during venipuncture, especially live animal interaction, may be a potentially effective, safe, and non-pharmacological method for reducing pain. Robotic animals, on the other hand, can be considered a promising alternative when the use of live animals is not possible. It is recommended that these distraction strategies be considered and integration into routine nursing practices be developed as part of patient-centered care.

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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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• MakaleAçık Erişim2026/r/gumushane/12214
  The Impact of Live and Robotic Cat-Assisted Therapy on Symptoms and Happiness Levels in Patients With Cancer Following Chemotherapy

  Can, Aysun Akçakaya; Demirağ, Hatice; Hintistan, Sevilay

  OBJECTIVES: To examine the effects of live and robotic cat-assisted therapies on chemotherapyinduced symptoms and happiness levels in patients with cancer. SAMPLE & SETTING: 45 patients were randomly assigned to live cat therapy, robotic cat therapy, or control groups in a university hospital. METHODS & VARIABLES: Data were collected between June 1 and September 1, 2023. Patients in therapy groups interacted with a live or robotic cat for 20 minutes twice weekly for three months. RESULTS: Although the live cat therapy group had higher median happiness scores than the robotic cat therapy group, differences in happiness and symptom scores between groups were not statistically significant. Both therapies alleviated chemotherapy-induced symptoms and enhanced emotional well-being, with robotic cat therapy showing slightly greater overall effectiveness. IMPLICATIONS FOR NURSING: Robotic pet therapy offers a feasible alternative where live animalassisted therapy is impractical. Integrating these therapies into oncology nursing can enhance symptom management and psychological support, promoting holistic, patient-centered care.

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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/16483
  The Effect of Hemodialysis Patients' Attitudes Towards Dietary Treatment on Dialysis Symptoms: A Randomized Controlled Clinical Study

  Aktepe Cosar, Dilan; Demírag, Hatice

  Objective: This study was conducted to determine the effect of hemodialysis patients' attitudes towards diet therapy on dialysis symptoms. Methods: The data of the randomized controlled study were collected from experimental (n=30) and control groups (n=30) at G & uuml;m & uuml;& scedil;hane Province Kelkit State Hospital between 1 November 2023 and 1 January 2024. Institutional and ethics committee permissions were obtained before the study. The experimental group patients were given training on diet therapy. Patient information form, hemodialysis patients' attitude scale towards diet therapy (HDTO) and dialysis symptom index (DSI) were used to collect data. Data collection tools were applied before the study (pre-test), after the training was given (intermediate measurement) and one month later (post-test). The data were analyzed using the chisquare, repeated measures ANOVA test and independent groups t-test in the SPSS 25.0 package program. Results: It was determined that the post-training measurements (intermediate measurement) of the total HDTO and sub-dimensions score averages of the hemodialysis patients in the experimental group were higher than the pre-training (pre-test) measurements; and the measurements made 1 month after the training (post-test) were lower than the measurements made immediately after the training (intermediate measurement) (p<0.05). Again, the post-training measurements (intermediate measurement) of the DSI score averages of the experimental group of patients were lower than the pre-training (pre-test) measurements (p<0.05); it was determined that the measurements made 1 month after the training were given (post-test) did not differ from the measurements made immediately after the training (intermediate measurement) (p>0.05). Conclusion: In line with the findings, it was determined that the diet therapy training provided increased hemodialysis patients' attitudes towards diet therapy and reduced dialysis symptoms.

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