Yasemin Özyer Güvener

This study was conducted to reveal the effects of a Chronic Care Model (CCM)-based intervention offered to elderly patients with diabetes on their medication adherence, self-management, and activities of daily living. This randomized controlled study was conducted on diabetic patients; older adults received inpatient treatment in an internal medicine clinic of a state hospital; the patients in the trial group were provided with training using the CCM. The comparisons following the trial revealed that the differences between the group mean values were statistically significant in all variables except the Katz ADL (p < 0.05). The mean MARS score and mean total DSMS score of the trial group were found to be statistically significantly higher than those of the control group (p < 0.001). The study confirmed that CCM-based interventions offered to elderly patients with diabetes were effective on medication adherence and self-management.

This study aimed to elucidate the multifaceted experiences of individuals who underwent migration during their childhood or adolescent years, examining the phases before, during, and after their relocation. This study aims to examine how adults who experienced migration during childhood retrospectively interpret the migration process. In the literature, studies that address these individuals' experiences from an adult perspective are limited. The present research aims to go beyond the short-term effects of migration and reveal its lifelong psychosocial consequences, thereby filling a critical gap in this field. The research employed a qualitative methodological design, utilizing semi-structured interviews as the primary data collection instrument. The gathered data were subjected to a rigorous analysis through both descriptive and content analysis techniques. The findings yielded a comprehensive framework of 9 central themes and 45 concomitant sub-themes. The identified themes encompassed the Lived Experience of Migration, Negotiating Cultural Values and Norms, Encounters with Cultural Conflict and Subsequent Adaptation, the Transformation of Cultural Identity, Sociocultural Integration, the Dynamics of Communication and Language Acquisition, Constraints in Accessing Healthcare Services, Physical, Psychological, and Social Health Dynamics, and Institutional and Informal Support Mechanisms. The analysis indicates that the migration process profoundly shaped the participants' experiences, serving as a pivotal determinant in their navigation of cultural conflicts and adaptation strategies. Furthermore, it was found to be a critical factor influencing fundamental aspects of resettlement, including communication efficacy, accessibility of health services, and the development of robust social support networks.

This study aimed to determine the effect of virtual reality (VR) glasses used during inhaler treatment on anxiety, fear and vital signs in children. The study had an experimental, randomized controlled design. Participants were assigned to groups using a lottery method based on simple randomization. The random sequence was generated by physically mixing up 30 red (experimental) and 30 white (control) cards. All the data were collected and finalized by two trained researchers (Yasemin Özyer Güvener, a nurse researcher, and Şeyma Şimşirgil Kara, a pediatrician). Participants were recruited using a convenience sampling method from among individuals who met the inclusion criteria. In terms of baseline measurements, the experimental group had significantly higher mean pulse rate, fear scores, and anxiety scores (130.23 ± 14.64, 2.77 ± 1.25, and 4.60 ± 2.04, respectively) compared to the control group (118.83 ± 17.10, 2.07 ± 1.26, and 2.80 ± 2.07, respectively) ( p = 0.007, p = 0.035, and p = 0.001, respectively). For post-intervention measurements, the experimental group had significantly lower mean fear and anxiety scores (0.443 ± 0.16 and 0.703 ± 0.22, respectively) compared to the control group (2.39 ± 0.16 and 3.197 ± 0.22, respectively) ( p < 0.001 and p = 0.001, respectively). Conclusion : It was determined that VR glasses reduced anxiety and fear, increased oxygen saturation, and reduced respiratory and pulse rates. They can thus be used as an alternative method to reduce fear and anxiety levels and balance vital signs during inhalation therapy in children. What is Known: • Virtual reality (VR) is an effective non-pharmacological method for reducing pain, anxiety, and fear in pediatric patients during various medical procedures. • VR applications create a sense of presence in a virtual world, limiting the impact of anxiety and fear in clinical settings. What is New: • Using VR glasses during the administration of inhaled medication significantly reduces anxiety and fear levels in children compared to traditional methods. • While evidence for VR use during inhalation therapy was previously limited, this study demonstrates its effectiveness as a promising alternative to improve treatment compliance and physiological responses in pediatric patients.

Objective: The objective of this study was to develop the Menstrual Migraine Symptoms Scale (MMSS). Methods: The study utilized a robust methodological design with a sample size of 582 participants. The data underwent a comprehensive analysis employing various statistical techniques, including item analysis, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), Cronbach's alpha internal consistency coefficient, and the Intraclass Correlation Coefficient (ICC) for test-retest reliability. Results: The two sub-dimensions of the scale, consisting of 19 items, demonstrated excellent internal consistency, with Cronbach's alpha coefficients ranging from 0.932 to 0.970. Furthermore, the total scale exhibited a high level of internal consistency, with a Cronbach's alpha coefficient of 0.976. The item correlation values within the scale ranged from 0.741 to 0.921, indicating strong relationships between the items. Conclusion: The study findings conclusively demonstrated the validity and reliability of the MMSS as a robust measurement tool specifically designed for assessing female individuals.

Purpose This study was conducted to determine the effect of breathing exercises on pain, sleep, and symptom management in patients undergoing hemodialysis. Methods The randomized controlled study was conducted with patients undergoing hemodialysis at a private dialysis center in the northern Black Sea region. Data were collected using the Descriptive Information Form, the Visual Analog Scale (VAS), the Richards-Campbell Sleep Questionnaire (RCSQ), the Dialysis Symptom Index (DSI), and the Vital Signs Form. According to the power analysis performed in the study, a total of 70 participants, 35 in each group, needed to be included in the study in order to conduct an independent t-test with a confidence level of 95%, a test power of 95%, and an effect size of d = 0.80. The study was conducted with a total of 69 patients divided into two groups: the experimental group (n = 35) and the control group (n = 34). Patients in the experimental group performed breathing exercises (Diaphragmatic breathing, Agni Sār, Nadi Shodhana, and the 4-7-8 breathing technique) on dialysis days for eight weeks. During this period, patients in the control group continued to receive routine nursing care in the hemodialysis unit. Results Following the application, the average pain intensity in the control group (4.06 ± 3.1) was found to be statistically significantly higher than the average in the experimental group (0.4 ± 1.19) (p < 0.001). The average sleep score in the control group (48.56 ± 22.35) was found to be statistically significantly lower than the average in the experimental group (80.21 ± 16.46) (p < 0.001). The average DSI in the control group (92 ± 22.05) was found to be statistically significantly higher than the average in the experimental group (41.37 ± 7.15) (p < 0.001). Conclusion Breathing exercises in patients undergoing hemodialysis were found to reduce pain, improve sleep quality, and have a positive impact on symptom management. In light of this, it is recommended that nurses include breathing techniques as part of the care provided to hemodialysis patients. Using complementary methods such as breathing therapy supports the physical, psychological, psychosocial, and holistic care of patients, thus increasing patient satisfaction and quality of life. Training health professionals in breathing therapy will ensure a broader use of this complementary method in a larger patient population.

Background and Purpose:Chronic renal failure is a common public health problem worldwide, and hemodialysis has become the standard treatment. During this long and exhausting process, it is extremely important that individuals undergoing hemodialysis receive effective and high-quality nursing care so that accurate prognoses can be made and complications prevented. This study aimed to determine the effect of comfort theory-based nursing care on intolerance to uncertainty and comfort levels in hemodialysis patients.Methods:The sample of this randomized controlled study consisted of individuals receiving hemodialysis at a private dialysis center. The sample comprised a total of 60 patients, 30 in the experimental group and 30 in the control group. Patients in the experimental group received training during an 8-week dialysis period using nursing care interventions based on Katharine Kolcaba’s comfort theory for health care needs. The training content covered holistic nursing care and consisted of physical, psychospiritual, sociocultural, and environmental dimensions in order to reduce uncertainty and increase comfort levels in the individuals receiving dialysis. This care was based on Kolcaba’s comfort theory. A Personal Information Form including the individuals’ descriptive, disease, and treatment characteristics, the Intolerance of Uncertainty Scale (IUS), and the General Comfort Questionnaire (GCQ) were used for data collection. Independent two-sample comparisons were performed using the χ² test for qualitative variables and thettest for quantitative variables.Results:In the comparison of the groups, there were significant results for the total GCQ and its subdimensions except for the relief subdimension (p< 0.05). The scores for the total IUS and its subdimensions were significant (p< 0.01).Implications for Practice:It was determined that comfort theory-based nursing care interventions were effective in reducing the level of intolerance of uncertainty and increasing the comfort level. It is recommended that comfort theory-based nursing care guidelines should be used to reduce the sense of uncertainty and increase the comfort levels of individuals receiving hemodialysis.

OBJECTIVE: This study was carried out to determine the relationship of out-of-pocket expenses to quality of life and disease coping in breast cancer patients receiving outpatient treatment in a chemotherapy unit.

Amaç: Araştırma, üniversite öğrencilerinde âdet ağrısı, menstrüel migren ile yeme davranışları arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır. Yöntem: Araştırma tanımlayıcı tipte yapılmış olup, bir üniversitede öğrenim gören 447 kız öğrenci araştırmanın örneklemini oluşturmuştur. Araştırmanın verileri: Bireysel Bilgi Formu, Menstrüel Migren Formu, VAS Ağrı Skalası ile Yeme Davranışları Ölçeği kullanılarak toplanmıştır. Bulgular: Yeme Davranışları Ölçeği puanının âdet ağrısı, baş ağrısı, âdet ağrı şiddeti, baş ağrısı başlama sıklığı, baş ağrısı olma zamanı ve baş ağrısı şiddeti parametrelerinin etkilerini yapılan lineer regresyon analizi ile değerlendirildiğinde; modelin ileri düzeyde anlamlı (p<0.001) bulunduğu ve R square değerinin 0.089 olarak saptandığı görülmüştür. Baş ağrısının yeme davranışlarını etkilediği ve yemeyi arttırdığı, Beta katsayısı ile (14.606) belirlenmiştir (p<0.01). Sonuç: Bu çalışmada, menstrüel migren, baş ve adet ağrısı ile yeme davranışları arasında bir ilişki olduğu görülmüştür. Menstrüel Migren kadınların, sağlıklı yeme davranışlarını olumsuz yönde etkilemektedir. Kadınlarda baş ağrısı ile yeme davranışları arasındaki ilişkinin belirlenmesi önemli bir durumdur. Aynı zamanda sağlıklı beslenme davranışlarının menstrüel migren rahatsızlıklarını azaltılabileceği ve düzelebileceği öngörülmektedir.

The health of breast cancer survivors is a global concern. It is crucial to adopt a holistic approach when understanding their journey from illness to wellness in order to ensure that the transition is as smooth as possible. This study focused on the experiences of Muslim women who had overcome breast cancer and were adapting to life post-treatment. Snowball sampling was used to select the participants for this qualitative study. Fifteen women who had successfully completed breast cancer treatment and been declared cancer-free were interviewed. These interviews were semi-structured, using open-ended questions to explore their experiences in-depth. The interviews were conducted by phone, and the data were analyzed using qualitative content analysis. The study identified four main themes, nine subthemes, and 41 codes. The main themes were as follows: (a) a life changed by cancer and the difficulties encountered; (b) transition from active treatment to treatment-free living; (c) coping mechanisms; and (d) future hopes and expectations. The findings highlighted the survivors’ desire to move past their experience of cancer and normalize their lives, as well as emphasizing their need for support. The participants shared detailed accounts of their journey, the obstacles they encountered during this transition, and the critical role of religion and spirituality in overcoming these challenges. Understanding and effectively managing the experiences of women after breast cancer treatment is vital not only for improving survival rates but also for facilitating their healing process.