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96 →- MakaleAçık Erişim2026Tip 2 Diyabetli Yetişkinlerin Psikolojik İnsülin Direnci: Kesitsel Çalışma
Semerci, Vahide; Sönmez Sarı, Ebru; Akeren, Zahide; Kalyoncuo, Servet
Amaç: Bu çalışma tip 2 diyabetli yetişkinlerin psikolojik insülin direncinin ve etkileyen faktörlerin belirlenmesi amacı ile yapıldı. Gereç ve Yöntem: Kesitsel tipte olan çalışmaya tip 2 diyabetli 135 yetişkin dahil edildi. Veriler Kişisel Bilgi Formu ve Psikolojik İnsülin Direnci Ölçeği ile toplandı. Verilerin analizinde tanımlayıcı istatistikler, Independent samples t test, One-Way ANOVA ve çoklu doğrusal regresyon analizi kullanıldı. Bulgular: Katılımcıların %65.2’si 18-64 yaş, %55.6’sı kadın, %49.6’sı ilkokul mezunu, çoğu hipertansiyon (%57.8) hastasıdır. Tip 2 diyabetli yetişkinlerin Psikolojik İnsülin Direnci Ölçeği puan ortalaması 35.55 ± 13.08’dir. İstatistiksel modele dahil edilen değişkenlerden eğitim durumu, gelir durumu, destek olan kişinin olması, diyabet konusunda eğitim alma ve sağlık düzeyi algısı değişkenlerinin psikolojik insülin direncini etkilediği (p<0.05) ve varyansın %42.3’ünü açıkladığı saptandı (Adjusted R2= 0.423; F= 10.812; p<0.001). Sonuç: Sonuç olarak tip 2 diyabetli yetişkinlerin psikolojik insülin direnci orta düzeydedir. Tip 2 diyabetli yetişkinlerde; eğitim ve gelir düzeyinin yüksek olması, destekleyici bir kişinin varlığı, diyabetle ilgili eğitim almış olmak ve bireyin sağlık durumunu iyi algılaması, psikolojik insülin direnci üzerinde olumlu etki göstermektedir. Hemşireler, hastaların psikolojik insülin direncini azaltmak için eğitim düzeyi ve sosyoekonomik durumu dikkate alarak bireyselleştirilmiş ve sürekliliği olan diyabet eğitimleri planlamalıdır. Ayrıca, hastaların sosyal destek sistemlerini güçlendirmeli, destekleyici bireyleri sürece dahil etmeli ve sağlık algısını iyileştirmeye yönelik danışmanlık yaklaşımları benimsemelidir.
- Derleme MakaleAçık Erişim2026Hemodiyaliz Hastalarında Konstipasyon Yönetimi ve Akupresür Uygulaması
Kalyoncuo, Servet
Konstipasyon, hemodiyaliz hastalarının yaşadığı semptomlardan birisidir. Konstipasyon tedavi edilmediği takdirde, karın ağrısı, bulantı, kusma, psikolojik rahatsızlıklar, bağırsak tıkanması ve perforasyonu gibi rahatsız edici belirtilere veya yaşamı tehdit edici komplikasyonlara yol açabilmektedir. Konstipasyon için yaygın farmakolojik müdahalelerin kullanımı kısa süreli semptomların hafifletilmesinde etkili olsa da uzun süreli kullanımları ciddi yan etkilere ve sağlık bakım sisteminde yüksek maliyetlere neden olabilmektedir. Bu nedenle hemodiyaliz hastalarında görülen konstipasyonu hafifletmek için diğer destekleyici yöntemlere de ihtiyaç duyulmaktadır. Son zamanlarda, tamamlayıcı ve alternatif tıp uygulamaları semptom yönetiminde yaygın olarak kullanılmaktadır. Tamamlayıcı ve alternatif tedavi yöntemlerinden biri olan akupresürün konstipasyon yönetiminde etkili olduğu yapılan çalışmalarda gösterilmiştir. Akupresür, vücuttaki belirli akupunktur noktalarına el ile uygulanan basınç uygulamasıdır ve bu uygulamanın insan vücudundaki dengeyi geri kazandırdığına inanılmaktadır. Akupresür, konstipasyon için non-invaziv bir müdahaledir ve herhangi bir ağrı ve yan etki ile sonuçlanmayan etkili bir yöntemdir. Bununla birlikte, hemodiyaliz hastalarında konstipasyonun tedavisinde akupresürün etkileri ile ilgili çalışma sayısı oldukça sınırlıdır. Hemşireler konstipasyon semptomu yönetiminde, tamamlayıcı ve alternatif yöntemlerden biri olan akupresüre ilişkin bilgi sahibi olmalı, hastayı bilgilendirmeli, akupresür uygulamasının hasta üzerindeki etkilerini gözlemlemelidir.
- MakaleYalnız künye2026Scopus SJRQ2Effect of Virtual Reality Glasses on Mild Cognitive Impairment in Older Adults: A Randomized Controlled Trial
Daştan, Buket; Ünal, Hediye
PURPOSE: The current randomized controlled trial evaluated the effect of a virtual reality (VR) glasses intervention on mild cognitive impairment (MCI) in older adults. METHOD: This study was conducted with 24 participants (12 in the intervention group and 12 in the control group) admitted to a neurology outpatient clinic. Participants completed a descriptive information form, the Mini-Mental State Examination, and Montreal Cognitive Assessment. The intervention group watched VR videos 3 days per week for 4 weeks, whereas the control group received no intervention. RESULTS: Participants in the VR intervention group showed improvement in MCI, whereas no significant change was observed in the control group. CONCLUSION: VR interventions may serve as effective tools to enhance cognitive functions in older adults with MCI. Expanding the intervention content and tailoring applications to address specific symptoms may yield more comprehensive results.
- MakaleAçık Erişim2026Scopus SJRQ1Development and psychometric evaluation of the Self-Regulated Nursing Care Scale (SRNCS) among Turkish nurses
Akeren, Zahide; Akeren, İhsan; Isik, Hafsa Kubra
Background: Self-regulation refers to individuals’ ability to control themselves, manage their behaviours and learn from their environment. Self-regulated learning skills may support nurses in providing effective care. This study aimed to develop and psychometrically evaluate the Self-Regulated Nursing Care Scale (SRNCS) for assessing nurses’ self-regulated nursing care skills based on Zimmerman’s Self-Regulated Learning Model (Z’SLM) and the relevant literature. Methods: The planning, implementation and evaluation components of nursing care were considered in relation to the forethought, performance and self-reflection phases of Z’SLM. Data were collected online between November 2022 and January 2023 from nurses working in state hospitals. Content validity was assessed through expert review. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed using data from 201 and 239 nurses, respectively. Criterion validity and reliability were also examined. Results: EFA yielded a 16-item, three-dimensional structure comprising planning, implementation, and evaluation and explaining 63.9% of the total variance. CFA supported this three-factor structure in an independent sample. Criterion validity was supported by correlations with the Counselling Skills in Nurses Scale. Cronbach’s alpha was 0.95 for the overall scale and 0.81, 0.87, and 0.93 for the planning, implementation, and evaluation dimensions, respectively. The test-retest reliability coefficient was 0.77. Conclusion: The findings support the validity and reliability of the Turkish form of the SRNCS for assessing self-regulated care skills among nurses providing inpatient care. The scale may be used in research and clinical settings to assess planning, implementation and evaluation dimensions of self-regulated nursing care. Future studies may examine relationships between SRNCS scores and care-related outcomes.
AtıfOpenAlex1
İncele - MakaleAçık Erişim2026Scopus SJRQ2Perceived burdensomeness and happiness in cohabiting older adults: The serial mediating roles of mental well-being and loneliness
Akeren, Zahide; Akeren, Ihsan; Kalyoncuo, Servet
Background Aging-related changes and increased dependence on family members may negatively affect older adults’ psychological well-being. Perceived burdensomeness refers to the belief that one is a burden on others and has been associated with lower happiness, reduced mental well-being, and greater loneliness. Among adults living with their families, mental well-being and loneliness may explain how perceived burdensomeness relates to happiness in later life. Purpose This study examined the associations between perceived burdensomeness and happiness among older adults living with their families and evaluated the serial mediating roles of mental well-being and loneliness. Methods This cross-sectional study included individuals aged ≥65 years residing with family members in a city in Turkey’s Eastern Black Sea region. Data were collected from 273 older adults; after preliminary screening, 7 cases were excluded, resulting in a final analytic sample of N = 266. Measures included the Geriatric Feelings of Burdensomeness Scale, WHO-5, the Happiness Scale, and the Loneliness Scale for the Elderly. Serial mediation was tested using a regression-based approach with bootstrap confidence intervals. Results Perceived burdensomeness was associated with lower mental well-being and higher loneliness. The total association between burdensomeness and happiness was negative (β=-0.467), and more than two-thirds of this association operated indirectly through mental well-being and loneliness. Conclusion and Implications Perceived burdensomeness was associated with lower happiness among older adults living with their families, primarily through reduced mental well-being and increased loneliness. In geriatric nursing and primary care, routinely assessing these psychosocial factors and implementing family-centered and social support-oriented interventions may help improve happiness.
AtıfScopus1OpenAlex1İncele - MakaleAçık Erişim2026Scopus SJRQ1Effects of a puppet-assisted house-tree-person test on fear and anxiety in children receiving chemotherapy and associated influencing factors: A projective, quasi-experimental study
KAHRIMAN, Ilknur; AKSOY, Bahar; KANDAZ, Ufuk; BORAN, Serpil; GÖGER, Berrin; KIRBAŞ, Zila Özlem
Objectives This study investigated the effect of the puppet-assisted House-Tree-Person Test (HTP-T) on fear and anxiety levels in children undergoing chemotherapy treatment and the factors influencing these outcomes. Methods The study employed a one-group pretest–posttest quasi-experimental design combined with HTP-T analysis. The study was conducted with 29 children aged 5–12 years receiving chemotherapy at the pediatric hematology-oncology outpatient clinics of a university hospital in the Eastern Black Sea Region of Türkiye during the 2022–2024 years. Data were collected using “the Demographic Information Form for Children and Parents, the Children's State Anxiety Scale (CSA), the Children's Fear Scale (CFS), and HTP-T". Data analysis was performed using descriptive statistics, repeated measures ANOVA, and HTP-T analysis. Results Statistically significant differences were observed in children's mean CSA (F = 3.898, p = 0.026, η2 = 0.122) and CFS (F = 5.313, p = 0.008, η2 = 0.159) scores across the pre-treatment, during-treatment, and post-treatment measurements. The HTP-T analysis revealed that children had difficulty regulating anxiety and fear, expressed concerns about family and environmental events, reported feelings of loneliness, and exhibited strong emotional attachment to their families. Conclusion The study demonstrated that incorporating puppet-assisted HTP-T during chemotherapy contributed to reducing children's fear and anxiety and offered a useful approach for identifying influencing factors. Implications for nursing practice HTP-T, a therapeutic play technique incorporating puppetry and projective methods, may be effective in reducing fear and anxiety among children undergoing chemotherapy.
AtıfScopus1WoS1OpenAlex1İncele - MakaleYayıncıda açık erişim2026Scopus SJRQ1The 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.
- Derleme MakaleYalnız künye2026Scopus SJRQ4Touching relief: A complementary path to easing rheumatoid arthritis pain
Kalyoncuo, Servet
Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by persistent synovial inflammation, leading to pain, joint stiffness, and functional impairment. Despite advances in pharmacological treatments, including disease-modifying antirheumatic drugs (DMARDs) and biologic agents, many patients continue to experience residual symptoms that negatively affect quality of life. This review aims to evaluate the potential role of massage therapy as a complementary approach in the management of RA, with a focus on its clinical effects and proposed mechanisms. A structured literature search was conducted in Medline/PubMed, Scopus, and the Directory of Open Access Journals (DOAJ) for studies published up to March 1, 2025. Studies were considered if they included individuals diagnosed with RA, evaluated any form of massage therapy (e.g., Swedish massage, aromatherapy massage, reflexology), and reported clinical or patient-reported outcomes. Both randomized controlled trials and quasi-experimental studies were included, while studies involving non-RA populations or insufficient methodological detail were excluded. However, this review was not designed as a fully systematic review and may be subject to selection bias. The available evidence suggests that massage therapy may be associated with improvements in pain, joint mobility, and patient-reported outcomes in individuals with RA. However, the overall strength of evidence is limited by methodological concerns, including small sample sizes, heterogeneity in intervention protocols, and the frequent lack of appropriate control groups. While some studies report reductions in inflammatory biomarkers such as interleukin-6 (IL-6) and C-reactive protein (CRP), these findings are based on limited evidence and should be interpreted cautiously, particularly in studies where massage therapy is combined with other interventions. Massage therapy may also contribute to psychological well-being by reducing stress and improving overall mental health. Evidence derived from non-RA populations was considered only as supportive background and was not central to the conclusions of this review. Additionally, the potential for publication bias should be acknowledged, as studies with positive findings are more likely to be published. The integration of massage therapy into RA management may benefit from nurse-led approaches; however, variability in practitioner training and the lack of standardized intervention protocols remain important challenges. Future research should prioritize well-designed, adequately powered randomized controlled trials focusing specifically on RA populations, with standardized massage interventions and clearly defined outcome measures.
- MakaleYalnız künye2026Scopus SJRQ2Social support mediates relationship between death anxiety and stress in chronic illness
Akeren, Zahide; Kalyoncuo, Servet
Background: Fear of death may become salient among individuals with chronic illness. This study examined the mediating role of perceived social support in the relationship between death anxiety and perceived stress in individuals with chronic illness. Methods: The study was conducted with 265 individuals diagnosed with chronic illness. The sample included participants with hypertension (20.7%), diabetes (19.6%), and cardiovascular diseases (16.2%), among conditions. Data were collected using the Templer Death Anxiety Scale, the Perceived Stress Scale, and the Multidimensional Scale of Perceived Social Support. Results: A weak negative correlation was found between death anxiety and perceived social support (r = -0.156, p = 0.011), while a positive correlation was observed between death anxiety and perceived stress (r = 0.362, p < 0.001). The proportion of the total effect mediated by perceived social support was 32.7%. Death anxiety was associated with perceived stress (β = 0.347, p < 0.001). The of perceived social support as a mediator, the coefficient decreased (β = 0.234, p < 0.001), indicating partial mediation. Conclusion: Perceived social support partially mediated the relationship between death anxiety and perceived stress. Higher levels of death anxiety were associated with higher perceived stress, and this association was attenuated in the presence of perceived social support.
- MakaleYalnız künye2026Scopus SJRQ2Self-regulation in blood glucose management among middle-aged and older adults with type 2 diabetes in a rural and semi-rural setting: A qualitative study
Akeren, İhsan; Akeren, Zahide
Type 2 diabetes mellitus (T2DM) is a chronic metabolic disease with increasing prevalence, particularly among middle-aged and older adults. Effective blood glucose management is essential for preventing complications and improving quality of life. Although self-regulation has been widely examined in diabetes management, little is known about how middle-aged and older adults living in rural and semi-rural settings apply self-regulation strategies in daily life. This qualitative study explored the blood glucose management experiences of individuals aged 50 years and older with T2DM using Zimmerman’s cyclical self-regulated learning model. Face-to-face interviews were conducted with 16 hospitalized participants meeting the rural or semi-rural residence criterion. Data were analyzed using an inductive-deductive hybrid thematic approach and organized with MAXQDA 20. Three main themes and 13 subthemes were identified: preparation and awareness, barriers and management behaviors, and self-evaluation and internal awareness. During the forethought phase, participants described knowledge, motivation, awareness, and planning but also reported misconceptions about diet and blood glucose management. In the performance phase, behavioral, emotional, cognitive, and social barriers, comorbidities, and poor adherence to dietary recommendations were common. During self-reflection, participants recognized physical symptoms and emotional influences but rarely reported systematically evaluating outcomes or modifying subsequent management behaviors. The findings indicate that inadequate knowledge, emotional challenges, comorbidities, limited social support, and ineffective coping strategies may disrupt the cyclical self-regulation process. Educational interventions for middle-aged and older adults in rural and semi-rural settings should strengthen knowledge, support self-management behaviors, and promote evaluation of outcomes and adaptation of future actions.
Tam Kayıt
| Alan | Değer | Dil |
|---|---|---|
| dc.date.accessioned | 2026-10-29T17:14:20.871702873Z | |
| dc.date.available | 2026-10-29T17:14:20.871702873Z | |
| dc.identifier.uri | https://rdlopen.rawdatalibrary.net/r/bayburt/10178 | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.title | Hemşirelik Bölümü | tr |
| dc.title | Department of Nursing | en |
| organization.identifier.code | bayburt-saglik-bilimleri-hemsirelik | |
| organization.unitType | department | |
| rdl.unit.alias | \bhemsirelik bolumu\b | |
| rdl.unit.alias | nursing |