Sürdürülebilir Kalkınma Amaçları

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• 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.

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• MakaleAçık Erişim2025/r/gumushane/14267
  The effect of psychotherapeutic interventions on pain and quality of life in endometriosis: a systematic review and meta-analysis study

  Özcan, Handan; Çuvadar, Ayşe; Uzun, Sevda

  Aim: This study aimed to determine the effect of psychotherapeutic interventions on pain, quality of life and health profile in women diagnosed with endometriosis. Methods: For this systematic review and meta-analysis study, studies were obtained by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases between August and October 2024 without any year limitation. After the review, 10 studies were included in the study. The data were synthesized by meta-analysis and narrative methods. Results: In this systematic review and meta-analysis, psychotherapeutic interventions for the treatment and management of endometriosis were found to be effective on quality of life (SMD = 0.515, 95% CI = 0.035 to 0.995; Z = 2.104, I2 = 67.523%, p < 0.05), pain (SMD = − 0.454, 95% CI = − 1.600 to − 0.179; Z = − 1.566, I2 = 84.463, p > 0.05), and health profile (SMD = 0.041, 95% CI = − 0.363 to 0.281; Z = − 0.250759, I2 = 56.876%, p > 0.05). In subgroup analyses, it was determined that the types of psychotherapeutic interventions were not effective, but the number of sessions was effective. Conclusion: Psychotherapeutic interventions to reduce symptoms in endometriosis are effective in improving quality of life but not pain and health profile.

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• Derleme MakaleAçık Erişim2025/r/gumushane/11683
  The effectiveness of telemedicine applications in mental health services: a meta-analysis study

  Güler, Kübra Gülırmak; Uzun, Sevda; Emirza, Elif Güzide

  Aim: This study was conducted to reveal the effectiveness of telemedicine applications in mental health services. Material method: For this meta-analysis study, data were obtained by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases for the last 5 years in September–December 2023. After the review, 24 studies were included. Findings: In this meta-analysis, it was found that telemedicine interventions in mental health services decreased the depression level of individuals (SMD − 0.168, 95% CI − 0.315 to − 0.021; Z = − 2.243; p <.05). In addition, it was determined that the duration of the intervention played a role in the effectiveness of telemedicine interventions applied to individuals. In addition, it was determined that the type of intervention, the country where the research was conducted, and the patient group did not play a role in the effectiveness of telemedicine interventions applied to individuals. Conclusion: Telemedicine applications in mental health services can play an effective role in reducing the burden of chronic mental illness and improving patient outcomes.

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• MakaleYalnız künye2024/r/gumushane/12836
  The effect of nonpharmacological interventions applied by nurses to intensive care patients on the duration of delirium: a meta-analysis study

  Söylemez, Gönül Kara; Uzun, Sevda

  Objective: It was aimed to determine the effect level of nonpharmacological methods applied by nurses to patients hospitalized in the intensive care unit on the duration of delirium. Materials and methods: For this study, relevant studies were accessed by searching in July–October 2022. After the necessary exclusions were made, 14 studies were included in the study. The total sample size of the studies was 1123. Results: According to the results, nonpharmacological interventions applied by nurses to intensive care patients were found to reduce the duration of delirium (SMD: − 0.625, 95% CI: − 1.1040–0.210; Z = − 2.950, p = 0.003, I2 = 93.119%). The country of the study (SMD: − 0.047, p = 0.001) and the types of nonpharmacological interventions used (SMD: − 0.062, p = 0.000) influenced the effect size of modulators on the duration of delirium in ICU patients. Conclusion: Nonpharmacological interventions applied by nurses, who have significant responsibilities in the protection and promotion of health, were found to reduce the duration of delirium in intensive care patients. This study shows that nurses, one of the main components of the multidisciplinary team in intensive care, are successful when they apply nonpharmacological interventions well.

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• MakaleAçık Erişim2024/r/gumushane/12535
  The effectiveness of nurses’ psychosocial interventions for sensory deprivation in intensive care patients: a systematic review and meta-analysis

  Uzun, Sevda

  Objective: This systematic review and meta-analysis aimed to assess the effectiveness of nurses’ psychosocial interventions for addressing sensory deprivation in intensive care units (ICUs). Materials and methods: A comprehensive search of PubMed, Web of Science, EBSCOhost, Google Scholar, CİNAHL, Embase, Cochrane Library, and YÖK Thesis Center databases was conducted from August 2023 to May 2024, without any temporal restrictions. In addition, a physical search was made in the university library for grey literature. Results: The study revealed that nurses’ psychosocial interventions significantly improved patients’ level of consciousness (SMD = 1.042, %95 CI = 0.716 to 1.369; Z = 6.25; p <.05) and sleep quality in ICUs (SMD=1.21, 95% CI= 0.232 to 1.810; Z = 2.49; p <.05). The effectiveness of psychosocial interventions varied based on the type of intervention, patient age, ICU type, patient group, and intervention duration. Notably, auditory stimuli and aromatherapy demonstrated particularly high effect sizes, significantly enhancing patients’ levels of consciousness and sleep quality. Conclusion: In conclusion, psychosocial interventions aimed at reducing sensory deprivation in intensive care units exert beneficial effects on individuals, notably enhancing their level of consciousness and improving sleep quality.

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