Sürdürülebilir Kalkınma Amaçları

• 6

• MakaleAçık Erişim2025/r/gumushane/14183
  Effectiveness of Psychosocial Interventions in Alcohol and Substance Use Disorders: A Meta-Analysis Study

  Helvacı Çelik, Fatma Gül; Bayrak, Nurten Gülsüm; Uzun, Sevda

  Alcohol and substance use disorders (ASUD), are increasing worldwide, and these psychiatric disorders are difficult to treat. The search for new treatments for these disorders continues. Psychosocial interventions (PI) are among them, and it is important to evaluate their effectiveness. This study aimed to assess the effectiveness of PI applied to individuals with ASUD. This meta-analysis was conducted by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YOK Thesis Center databases without year restrictions between October and December 2023. After reviewing the studies, 18 research articles were included in the analysis. The meta-analysis revealed that PI applied to individuals with ASUD were effective in reducing depression (SMD: −0.753, 95% CI: −1.215 to −2.91; I2 = 94.515; p < 0.05) and enhancing self-efficacy (SMD: 0.709, 95% CI: 0.096–1.321; I2 = 93.34; p < 0.05). However, these interventions were not found to be effective in improving self-esteem (SMD: 0.655, 95% CI: −1.641 to 0.331).

  • 
  İncele
• MakaleAçık Erişim2025/r/gumushane/11750
  Disaster Management Experiences and Psychosocial Problems of Individuals Who Survived the Earthquake in Turkey in the Earthquake of the Century: A Phenomenological Study

  Ulutaşdemir, Nilgün; Uzun, Sevda; Kulakaç, Nurşen

  Aim: The aim of this study is to examine the disaster management experiences and psychosocial problems of individuals who survived the earthquake in Turkey during the earthquake of the century. Materials and Methods: A qualitative research design, phenomenological research, was applied in this study. This qualitative study included 33 volunteer earthquake survivors. The interviews were conducted using WhatsApp. Colaizzi's phenomenological analysis method was used to analyze the data. Results: In the analysis of the data, five themes (perception of the earthquake concept, things to do during an earthquake, actions taken to survive under the rubble, meeting everyday chores and dealing with post-earthquake challenges, perceptions of disaster management), and fifteensubthemes (features of the earthquake, emotions, thoughts, correct actions, incorrect actions, actions for the body, situation-oriented actions, housing, nutrition, hygiene, sleep, security, preparation, coping, and intervention) were identified. Conclusion: The study showed that the earthquake negatively affected individuals psychosocially, but the effective spiritual coping mechanisms utilized to cope with the catastrophic event under the rubble supported the survival process. In addition, it was determined that the participants believed that religion and spirituality were important in coping with the earthquake.

  • 
  İncele
• MakaleAçık Erişim2025/r/gumushane/11707
  Exploring Nursing Students’ Metaphorical Perceptions and Cognitive Structures Related to the Global Climate Crisis's Impact on Nursing

  Ediz, Çiçek; Uzun, Sevda

  Objective: This study aimed to explore the metaphorical perceptions and cognitive structures of Turkish nursing students related to the impact of the global climate crisis on their profession. Methods: Researchers adopted a qualitative approach centered on metaphor analysis and involved 40 Turkish nursing students enrolled in programs in Türkiye during October 2023. Using metaphor analysis and techniques involving writing and drawing, the study uncovered how these students perceive and cognitively structure the influence of the global climate crisis on their nursing careers. The interview form featured the metaphor expression “The reflection of the global climate crisis on nursing is like … because …,” while the drawing component prompted students to determine their perspectives on the climate crisis's impact on nursing through concept drawings. The research adhered to the COREQ checklist. Results: The study revealed that nursing students generated 22 metaphors each through written and drawing techniques. Written metaphors were grouped into five categories: psychosocial challenges faced by nurses, patient populations, diseases and coping, burdens on the health system, and the growing importance of various fields within nursing. Drawing technique metaphors were grouped into four categories: nurses and the difficulties they face, the impact of the global climate crisis on the world, the impact of the global climate crisis on the healthcare sector, and the roles and responsibilities of nurses. Conclusions: While nursing students expressed diverse opinions, their concerns about the reflection of the global climate crisis on nursing yielded similar emotional responses. Metaphors are mostly focused on psychosocial challenges faced by nurses, the patient population, diseases, and coping mechanisms. The findings underscored nursing students’ concerns about the global climate crisis's impact on both their profession and the broader community.

  İncele
• MakaleAçık Erişim2025/r/gumushane/11663
  Disease Burden and Sexual Life in Patients With Multiple Sclerosis: A Phenomenological Study

  Çakmak, Seher; Uzun, Sevda; Demir Çam, Sevgi

  This study aims to examine the burden of disease experienced by multiple sclerosis patients and to deeply examine the impact of the disease on sexual life. A phenomenological research design was used in this study. This qualitative research was conducted with 20 multiple sclerosis patients. Interviews were conducted individually and face-to-face. The data were analyzed using Colaizzi's phenomenological analysis method. Two main themes (effects of the disease and sexual life) and five sub-themes (physical effects, mental effects, social effects, problems related to sexual life, sexual issues, and coping) were identified in the analysis of the data. As a result of the study, it was determined that the patients experienced serious physical, mental, and social problems due to multiple sclerosis, and their sexual lives were also negatively affected. Individuals experience significant issues related to their sexual life due to multiple sclerosis. Since multiple sclerosis is a multifaceted disease, it is thought that professional evaluation of sexuality in patients, diagnosis of sexual dysfunctions, and taking timely measures are of great importance to improve the quality of life of multiple sclerosis patients.

  • 
  İncele
• MakaleAçık Erişim2024/r/gumushane/16022
  The effect of motivational interviewing on quality of life and self-efficacy behaviors of individuals with chronic illness: A meta-analysis study

  Uzun, Sevda; Guerhan, Nermin

  ObjectiveThis study aims to reveal the effect of the motivational interviewing on the quality of life and self-efficacy behaviors of individuals with chronic diseases.Material-methodFor this meta-analysis study, PubMed, Web of Science, EBSCOhost, Google Scholar, and Y & Ouml;K Theses databases were searched in January-May 2021 without year limitation. As a result, 38 studies were included in the study: 23 for the quality of life variable, and 21 for the self-efficacy behaviors variable (in 6 studies, both variables were examined together). The data were synthesized with meta-analysis and narrative methods. The total sample size of the studies is 25,425.ResultsThis meta-analysis study showed that the motivational interviewing applied to individuals with chronic diseases changed their quality of life (SMD: 0.296, %95 CI: 0.054-0.537, Z = 2.402, p = .016, I2 = %95). The type of chronic disease, measurement tool, sample group, disease group, age range, and whether the motivational interviewer was a nurse or not changed the effect size of the motivational interviewing on the quality of life. The self-efficacy score average of the experimental group to which motivational interviewing was applied was statistically similar to that of the control group (SMD: 0.141, %95 CI: -0.065, 0.347; Z = 1.346, p = .178, I2 = %87).ConclusionsAs a result of the meta-analysis, it was determined that the use of motivational interviewing increased the quality of life level of individuals with chronic diseases. However, it is thought that more research is needed because some studies were conducted with small sample size and prepost test design. The results of the study may provide guidance on the interventions to be used in improving the quality of life of individuals with chronic diseases.

  • 
  İncele
• MakaleAçık Erişim2024/r/gumushane/14292
  Disease burden and symptom management in type 2 diabetic patients: A phenomenological study

  Demir Çam, Sevgi; Uzun, Sevda

  Aim: This study was conducted to address the experiences of diabetic patients from a psychosocial perspective, examine the burden of disease, and determine their practices for symptom management. Materials and Methods: In this study, a phenomenological research design, a qualitative research design, was used. The study included 20 diabetic patients. Individual and face-to-face interviews were performed, and Colaizzi's phenomenological analysis method was used to analyze the data. Results: As a result of the data analysis, four categories (challenges with care and treatment, coping with the disease, effects, and healthy life behaviors) and eleven main themes (knowledge, application, symptoms, support resources, spiritual coping methods, physical coping methods, physical effects, spiritual effects, social effects, physical practices, and psychological practices) emerged. Conclusion: It was concluded that the disease burden of diabetic patients is intense and that the participants of the study were not effective in coping with the disease through symptom management and found spirituality important in coping.

  • 
  İncele
• MakaleAçık Erişim2024/r/gumushane/14241
  Earthquake diaries: Psychosocial difficulties and life experiences of nurses working in the disaster zone after the earthquake: A phenomenological study

  Emirza, Elif Güzide; Uzun, Sevda; Şenses, Medine

  Aim and Objectives: The aim of this study was to evaluate the psychosocial difficulties and life experiences of nurses working in the disaster area following the earthquake on February 6, Kahramanmaraş centered earthquake with a phenomenological approach. Background: After natural disasters such as earthquakes, nurses play a significant role in providing both physical and psychosocial support. Therefore, the experiences of nurses in this field are necessary both to support them and to assist disaster survivors. Materials and Methods: In this study, in which the phenomenological research method was used, semi-structured in-depth interviews with 18 nurses who provided health care services during the February 6 Kahramanmaraş earthquake were conducted between January and February 2024 via Whatsapp mobile application. Snowball sampling method was used to reach the sample group. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed. The data were analyzed using thematic analysis. The study was conducted and reported according to the COREQ checklist. Results: Data analysis revealed two themes (psychological and social difficulties caused by the earthquake, traumatic stress and coping experiences as a nurse) and five sub-themes (social difficulties, psychological difficulties, traumatic events, reactions and coping). Conclusion: As a result of the study, it was determined that nurses providing health care services were negatively affected psychosocially by the traumatic stress situations they experienced in the earthquake centered in Kahramanmaraş on February 6. It was determined that nurses had great difficulty in coping with the traumatic stress situations they experienced. It was concluded that the February 6 earthquake caused secondary traumatization in nurses.

  • 
  İncele