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Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi
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This is an Open Access Journal

Open Access journal
ISSN (Online) 2146-9954
Published by Gümüşhane Üniversitesi

[2 journals]

Job Satisfaction of Healthcare Professionals During COVID-19 Pandemic
- Authors: Özlem GÜDÜK; Ayten VURAL, Özden GÜDÜK
  Abstract: In this study, it was aimed to reveal the effects of the COVID-19 epidemic on the job satisfaction of healthcare professionals working in a hospital.An online questionnaire containing questions on the socio-demographic characteristics and their working status in the COVID-19 outbreak and the Minnesota Job Satisfaction Scale was applied to healthcare professionals working in a training and research hospital. 268 people volunteered to participate in the study answered the questionnaire between June and August in 2020.The job satisfaction of those who were single, diagnosed with COVID-19, and who had a quarantine process were found lower. The job satisfaction of those who are not actively involved in patient care were higher than others. It was found that the job satisfaction of those working in clinics where COVID-19 patients are treated, those staying in temporary accommodation centers during the pandemic, and healthcare professionals with weekly working time of 45 hours or more were lower.It is needed to take measures and encourage healthcare professionals - especially those working in units where COVID-19 patients are treated - to increase their job satisfaction during pandemic. During the pandemic, it is recommended to reduce weekly working hours, support employees who got infected and who had quarantined, and provide healthcare professionals with accommodation under suitable conditions.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Determination of Patient Experiences and Affecting Factors in Coronary
Intensive Care
- Authors: Elanur SARIGÜL; Mehtap KAVURMACI
  Abstract: The aim of this study was to determine the experiences of the patients hospitalized in the Coronary Intensive Care Unit and the factors affecting them the Coronary Intensive Care Unit of a university hospital between June 2018 and January 2020. The population of the research consisted of patients receiving treatment and care services in the relevant unit, and 166 patients were included in the sample, meeting the inclusion criteria. In the collection of research data, the questionnaire form prepared by the researcher in line with the relevant literature, "Intensive Care Experience Scale" and "Hospital Anxiety and Depression Scale" were used. The data obtained from the research were analysed in SPSS 21 package program.When the mean scores of the patients on the "Intensive Care Experience Scale" and the scale's sub-dimensions were examined, "Awareness of the Environment" 17.95±3.20, "Pessistic Experiences" 17.75±1.59, "Remembering Experiences" 11.16±4.23, "Satisfaction with Care Received" 10.13±2.71 and it was determined that they got 57.01±6.45 points in total on the scale. The patients scored 8.72±4.59 points from the anxiety sub-dimension and 7.17±3.15 points from the depression sub-dimension of the “Hospital Anxiety and Depression Scale”.As a result of the research, it was determined that intensive care patients had moderate negative experiences, and their anxiety and depression levels were low.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
The Effects of Ciglitazone on Enzyme Activities of Carbonic Anhydrase II
and Glucose-6- Phosphate Dehydrogenase
- Authors: Muharrem TOPAL; Diler US ALTAY, Elif ŞAHİN, Ahmet ALVER
  Abstract: Ciglitazone is a compound belonging to the thiazolidinedione (TZD) class and has hypoglycemic effects. Although ciglitazone is not used as a drug, it has been used as a template for the development of other TZD group drugs. Like many TZD group drugs, ciglitazone causes anemia. In this study, the effects of ciglitazone on the enzyme activities of Glucose-6- Phosphate Dehydrogenase (G6PD) and Carbonic Anhydrase II (CA II), which have important functions in maintaining erythrocyte functions and integrity, were investigated in vitro. Pure human erythrocyte CA II and G6PD enzymes were used for activity measurements. Both esterase and hydratase activities were measured for CA II. The result of activity measurements, it was observed that ciglitazone inhibited CA II (IC50 =0.0063 mM for hydratase activity, and IC50 =0.047 mM for esterase activity) and G6PD (IC50 = 0.067 mM) activities. As a result, it was concluded that these enzyme inhibitions may be important in the anemia-causing mechanisms of cigitazone.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Be a Little Gourmet at Meal: Mindful Eating in Children and Adolescents
- Authors: Büşra ÖZYALÇIN; Sine YILMAZ
  Abstract: Mindful eating, a new concept that has received attention and researched recently, is the practice of enjoying food with understanding and compassion by developing awareness of the relationships between food and our body, our emotions, our mind, and the individual and the environment. Mindful eating intervention studies with adults are numerous and it is observed that this intervention can be effective especially in obesity and eating behaviour in the adult population. Mindfulness-based eating interventions may be more effective than lifestyle interventions. This makes provide promising the mindful eating against obesity. Mindful eating intervention has been studied in children and adolescents in recent years in terms of its feasibility and effectiveness. In terms of mindful eating in children and adolescents, the focus is especially on childhood obesity, eating disorders and eating behaviour. It was observed that different intervention techniques were applied in the studies and there was no single common intervention strategy. In addition, the duration of the interventions and the number of sessions applied are different from each other. In the light of studies, when the effect of mindful eating in children and adolescents is evaluated, the issue has not become clear. In this review, it is aimed to define mindful eating, to evaluate the applicability and effect of mindful eating in children and adolescents.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
The Concept of "Good Death" Among Caregivers: A Systematic
Review
- Authors: Pınar ZORBA BAHÇELİ; Derya ÇINAR, Nazan AKÇA
  Abstract: In this systematic review, it is aimed to examine the studies that evaluated the concept of "good death" in caregivers and published between 2015-2020. Full text studies were scanned in PubMed, Medline, ULAKBİM Turkish Medical Directory and Google Scholar databases with the keywords “good death, cancer, palliative care”. The conditions that the studies are original research articles and the concept of "good death" are included in the article title are the criteria for inclusion in the study. Twelve of the 19 studies meeting the inclusion criteria were included in the study. The sample of the investigated studies consisted of formal and informal caregivers. It was determined that the researches were carried out in oncology, palliative and intensive care units. Formal caregivers in the studies; While defining the concept of good death as "painless death," death beside loved ones and peaceful death ", informal caregivers are; expressed it as "not creating a care burden, talking about the death process and painless death". In addition, it was concluded that good death perceptions of formal and informal caregivers vary due to cultural and ethnic characteristics. This systematic review revealed the numerical limitations of the studies in this field, and the differences in views and attitudes among caregivers regarding the concept of good death. Accordingly, it is recommended to determine good death perceptions of caregivers of dying individuals and to define the factors affecting this, and to conduct methodological studies in different cultures comparing cultural characteristics of good death perceptions.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
COVID-19 Vaccine Hesitancy Scale: Turkish Validity and Reliability Study
- Authors: Kıymet YEŞİLÇİÇEK ÇALIK; Reyhan ERKAYA, Ebru KÜÇÜK, Yalçin KANBAY
  Abstract: The study aimed to perform the Turkish validity and reliability analysis of the COVID-19 Vaccine Hesitancy Scale by Freeman et al. (2020), which was developed to predict the complacency of individuals to get a COVID-19 vaccine and to determine the potential causes of hesitancy. The sample of the methodological study consist of 691 individuals. The “Socio-Demographic Information Form” and “COVID-19 Vaccine Hesitancy Scale” were used as data collection tools. Collaborative translation and back translation techniques were used for Turkish language adaptation of the scale, and the expert opinion method was used for content validity. For reliability calculation, Cronbach Alpha values and split-half testing consistency were used, and for construct validity, Explanatory Factor Analysis and Confirmatory Factor Analysis were performed. Statistical analyzes were made with IBM SPSS 23.0 software and AMOS 23.0 statistics programs. The scale whose validity and reliability were performed shows the same features as the original one-dimensional scale consisting of seven items. Cronbach Alpha reliability coefficient of the scale was found to be .84. The factor loads of the items in the scale vary between .51 and .83, respectively. The emerging structure can explain 52.1% of the COVID-19 vaccine hesitancy. Based on the results, it was concluded that the COVID-19 Vaccine Hesitancy Scale is a valid and reliable measurement tool for the Turkish sample. It is recommended that the scale be used in determining the attitudes of the society towards COVID-19 vaccine hesitancy in our country.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
The Acute Effect of High-Intensity Functional Exercises on Circadian
Rhythm and Anaerobic Performance Parameters
- Authors: Özgür EKEN; Ramazan BAYER, Serdar BAYRAKDAROĞLU
  Abstract: Kickboxing is a sport that involves high intensity and short intervals. High intensity functional training can contribute to training kickboxers specific to the competition. The purpose of this study is to examine the acute effect of high-intensity functional exercises on circadian rhythm and anaerobic performance parameters. The study consisted of 15 volunteer male kickboxers (age, 20.67± 1.23 years; height, 173.60± 3.18 cm; 69, 20±2.67 kg; BMI 23.03±.49) between the ages of 18-25. The research protocol consisted of multimodal HIFT exercises performed at different times of the day. After HIFT protocol; T-line agility, vertical jump, average and peak power data were obtained from the volunteers at different times of day (09.00 am; 01.00 pm; 05.00 pm). There was find statistically significant difference between vertical jump [F(1,145)= 129.54 p=.000, partial eta square:,902], peak power values [F(1,275)= 122.89 p=.000, partial eta square:,898], average power values [F(1,139)= 124.23 p=.000, partial eta square:,899], T-line agility times [F(1,925)= 39,227 p=.000, partial eta square:,737] after HIFT in the morning, afternoon and evening protocols (p< 0.05). The best scores were obtained in the evening (05.00 pm) values for all parameters. It was determined that HIFT had better effect on vertical jump, average power, peak power and T-line agility in the evening than morning and afternoon hours.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Child Abuse During COVID-19 Pandemia
- Authors: Edanur TAR; Betül ÇETİNTAŞ, Derya ATİK
  Abstract: Child abuse is defined as physical or psychological maltreatment implementation of a child by an adult. Child abuse is an important problem worldwide, which has a leading wide range of physical, mental and social consequences in the short and long term. It is a process that causes irreversible wounds in the lives of children and whose effects continue throughout their lives. Biopsychosocial risk and protective factors of child abuse; child related, familial, social and legal dimensions. The COVID-19 pandemic brought up the numerous socio-economic stressors and inequalities that put children at high risk for abuse. Social isolation experienced by interrupting face-to-face education and imposing restrictions on children's social and out-of-home activities in order to prevent the spread of COVID-19 constitute an important risk factor for child abuse. In this process, the burden of care of the child and the increase in the duration of being at home, living economic insecurity, poverty, uncertainty about the future, parental stress are the other risk factors that can increase child abuse. The pandemic process should be managed effectively by assessing its impact on risk factors for child abuse. In this review; during the pandemic process, situations that could pose a risk in terms of child abuse there were evaluated and solutions were offered for these situations.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Investigation of the Relationship Between the Perception of Trauma Related
to Childbirth and the Level of Maternal Attachment of Mothers Who Vaginal
Gave Birth: A Cross Sectional Study
- Authors: Ruveyde AYDIN; Songül AKTAŞ, Dilek KALOĞLU BİNİCİ
  Abstract: The aim of the study is to examine the relationship between the perception of childbirth trauma and the maternal attachment level of mothers who gave birth vaginally. The sample of the cross-sectional study consists of 165 mothers who gave birth vaginally and were between 1 and 6 months after birth. Data was collected between May and October 2021 with “Mother Descriptive Information Form”, “Birth Trauma Perception” and “Maternal Attachment Scale Form”. Descriptive statistics and multiple linear regression analysis were used in the analysis of the data. The mean age of the mothers was 29.00±5.169, the mean time after birth was 4.69±3.64 months, and 58% of them were primiparous. 54%of the mothers gave birth only with the help of a midwife, 40% both a midwife and a obstetrician and 6% of them with the help of a physician. It was found that the "Birth Trauma Perception of the mothers was higher than the average (113.35±13.84), "Maternal Attachment" was high level (99.75±5.20). It was determined that the increase in the traumatic birth perception score of the mothers had a decreasing effect on the level of maternal attachment (β=-0.08 p=0.025). It was determined that there is a negative relationship between the perception of traumatic birth and maternal attachment, and that some socio-demographic and obstetric factors of mothers have an effect on birth trauma and maternal attachment. Midwives and nurses responsible for perinatal care have important responsibility in providing positive birth experience to mothers, reducing traumatic births, and strengthening mother attachment.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Ether Extract of Olive (Olea europaea L.) Leaf: Potential Effect on
Streptozotocin-Induced Oxidative Stress in Rats
- Authors: Ahmet Gökhan AĞGÜL; Mine GÜLABOĞLU
  Abstract: The study’s aim is to investigate the protective effects of olive (Olea europaea L.) leaf ether extract, due to its rich phenolic content and beneficial health effects, on streptozotocin (STZ)-induced oxidative stress in rats.Diabetes in rats was intraperitoneally induced by STZ (40 mg/kg). Following the induction, significant increases in lipid peroxidation, blood glucose, and the levels of the hepatic enzymes (AST, ALP, and ALT) were observed. Moreover, there were significant decreases in GST, GPx, and SOD activities of the diabetic rats. The animals were treated with the ether extracts at two different doses by oral gavage for 14 days. At the end of the treatment, a decrease in lipid peroxidation and the hepatic enzyme levels of the diabetic rats and an increase in the antioxidant enzyme activities were observed. However, these values were not close to normal levels of the healthy rats. Interestingly, there were no significant differences between the blood glucose levels in all the groups throughout the treatment.As a result, our findings have shown that the ether extract of olive leaf partially has a protective role on the STZ-induced oxidative damage in the rats due to inadequate treatment period. The antidiabetic effect of olive leaf might be due to some natural phenolic compounds it contains. In addition, we believe that the leaves could be used as potential therapeutic drugs or dietary supplements in diabetes management.Keywords: Antioxidant, Ether Extract, Olive Leaf, Oxidative Stress, Streptozotocin
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Comparison of the Stages at the Time of Diagnosis in Breast Cancer
Patients Diagnosed at Two Different Periods in The Eastern Black Sea
Region (2010-2012 /2014-2016)
- Authors: Handan ALEMDAĞ; Halil KAVGACI, Celal ALANDAĞ
  Abstract: Objective: Breast cancer is the most common type of cancer among women across the world and the stage at diagnosis is of vital importance in prognosis. It is believed that factors such as an increase in cancer screening, changes in eating habits, improvements in imaging methods, and increased social awareness of cancer may influence the stage at the time of diagnosis over time. Therefore, the stages at the time of diagnosis were compared in breast cancer patients diagnosed in two different periods. Method: The study was conducted at the Faculty of Medicine of Karadeniz Technical University. The study recruited all patients (403 patients) who were histopathologically diagnosed with breast cancer between 2010 and 2012 and between 2014 and 2016. The study used a retrospective study design and sought to describe cases on their own merit. The data were collected using document analysis. Statistical analysis was performed using SPSS software version 23. Results: Within the scope of the study, 50.9% of breast cancer patients were detected in the early stage, 41.5% in the locally advanced stage, and 7.6% in the metastatic stage. While 50% of the patients diagnosed with breast cancer between 2010-2012 were diagnosed at an early stage, this rate was 51.8% between 2014-2016. Conclusions: The analysis results showed that the majority of breast cancer patients were diagnosed at an early stage. The rate of patients diagnosed at an early stage increased by 1.8% between 2014 and 2016 compared to those diagnosed between 2010 and 2012. Additionally, there was a decrease in the locally advanced stage and an increase in the metastatic stage; however, these results are not statistically significant.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Nursing Approach in Stress Incontinence: Stress Incontinence Care Protocol
- Authors: Emel GÜLNAR; Nurcan ÇALIŞKAN
  Abstract: Stress incontinence is the most common type of incontinence in women and negatively impacts the life of the individual. Conservative treatments are recommended as the first choice in the treatment of stress incontinence. The goal of stress incontinence treatment should be to relieve the symptoms without harming the patient and to increase the quality of life. Nurses should have evidence-based information about the effects of conservative methods. However, since the nurses do not have sufficient information about these evidences, they cannot reflect the evidence to the care. One of the approaches used to reflect evidence-based information in care is care protocols. In the constitution and implementation of care protocols; evidence-based practice models act as bridges between evidence-based information and clinical practice. One of the evidence-based practice models, the Stevens Star Model of Knowledge Transformation is an evidence-based practice model that enables evidence-based nursing research to be conducted within a specific systematic. In this review, the preparation process of the Stress Incontinence Care Protocol, which was created by using the Star Model and its stages, is explained.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Management of Life After Cancer
- Authors: Yasemin GÜÇLÜEL; Gülbeyaz CAN
  Abstract: Cancer is the most important health problem today. Advances in early diagnosis and treatment practices in recent years have increased cancer survival rates. In literature, it has been reported that the number of cancer survival in 2040 will be over 26.1 million. With the increase in survival numbers, the importance of post-cancer period and care in this period will gradually increase. For this reason, strategies related to prevention, monitoring, intervention and coordination steps regarding the management of the post-cancer period should be determined. Cancer patients may encounter many negative effects and problems after the treatment applied to them. Patients have to cope with these problems for many years and their quality of life is negatively affected. Although many problems are observed after cancer treatment, the number of studies examining this period and the problems experienced is limited. With the increase in survival rates from cancer, it will be possible to monitor late-term side effects experienced after treatment in patients. It is very important to carry out comprehensive studies examining the psychological and physical problems experienced by individuals. It is necessary to understand the post-cancer period, the long-term and late-term effects due to cancer and its treatment, to follow cancer screening and controls regularly, and to evaluate the results correctly in order to have a longer and better quality of this period and to ensure an increase in survival rates. The aim of this review is to draw attention to life after cancer and to raise awareness about it.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
The Effects of High Intensive Interval Training (HIIT) on Brain-Derived
Neurotrophic Factor (BDNF) and Cardiovascular Health: A Review
- Authors: Serdar BAYRAKDAROĞLU; Nuri TOPSAKAL, Özgür EKEN
  Abstract: High-intensity interval training (HIIT) programs have lately gained popularity because they produce beneficial adaptations for both inactive and athletes, as well as positive health and performance benefits and time efficiency. Therefore, it was purposed to review scientific research results about the effects of HIIT programs on BDNF and cardiovascular health. Although there are research findings suggesting that HIIT may be an effective strategy for promoting elevation of BDNF concentrations, current research seems to be rather limited and inconclusive. It can be thought that exercise intensity is a factor affecting BDNF activation. In healthy people, there seems to be a positive linear relationship between exercise intensity and BDNF levels of acute exercise. However, further experimental studies are needed to elucidate the effect of HIIT on BDNF in humans with metabolic or cardiovascular diseases. However, it can be suggested that high intensity can be an significant achievement factor to design an effective exercise programs and the HIIT methodology has a critical importance for improving cardiovascular function, particularly in healthy individuals. In conclusion, while existing studies show that high-intensity interval training (HIIT) programs can improve cardiovascular health in some populations, further scientific research is needed to determine the efficiency of this strategy in producing physiological adaptation to exercise.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Mix Reality in Reducing Operational Anxiety
- Authors: Aydanur AYDIN; Ayşe SERPİCİ, Ayla GÜRSOY
  Abstract: Augmented reality and virtual reality are some of the innovative products found in the healthcare industry. The use of these products in the hospital environment is becoming widespread today. The use of these methods can contribute to changing the diagnosis or treatment experiences that cause individuals to experience negative emotions with these products with different areas of use. In addition, it is predicted that both methods can produce effective results in the fields of health education in individuals, developing desired behavior in health management, preparing and disseminating programs for patient information and behavioral changes. It has been determined that these technologies, which produce effective results in the management of stress and anxiety, have similar results in the operating room. The article discusses the results of using virtual and augmented reality technologies for different purposes in healthcare. The information discussed is expected to raise awareness of the usage areas of the technologies in question and to shed light on studies for different areas of use.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Children Exposed to Toxic Stress and The Nurse’s Role
- Authors: Fatma DİNÇ; Dilek YILDIZ
  Abstract: Toxic stress is the physiological changes that occur in response to prolonged stressors and increased stress-response. It includes negative, traumatic, stressful experiences such as child abuse and child neglect. Toxic stress disrupts the brain structure, affects organs and systems, and negatively affects coping with stress and adaptation mechanisms. In this review, it is aimed to focus on what kind of negative effects exposure to toxic stress can cause on children and what are preventive nursing approaches, coping and support interventions related to this.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Possible Hazards And Risks That Search And Rescue (SAR) Dogs May Face In
CBRN Incidents
- Authors: Sevil CENGİZ
  Abstract: Professional search and rescue (SAR) dogs, which are members of urban search and rescue teams with the help of their higher sense organs with rigorous training, are very helpful in finding buried or missing persons in disasters. In these environments where chaos and disorder prevail, it becomes inevitable for them to face very dangerous and risky situations. As a result of a disaster caused by chemical, biological, radiological and nuclear (CBRN) accidents, dangers such as chemical leaks, pathogenic microorganisms, toxins, vectors, and radioactive and nuclear materials in the environment are among the forgotten or neglected facts that SAR dogs affect as well as affect humanity. Working with little or no personal protective equipment during search and rescue interventions makes them completely vulnerable to these hazards. In the limited resources in the literature on CBRN risks and dangers that search and rescue dogs working in disaster areas may encounter, SAR dogs are exposed to many chemicals and toxic agents during these studies, as well as biological hazards such as protozoal or coliform bacterial organisms, and radiological hazards such as the risk of ingesting radioactive materials and breathing dust. their arrival has been determined. With this study, it was aimed to emphasize the dangers faced by SAR dogs and to emphasize what has been done and what should be done to reduce the possible risks. As a result, necessary precautions should be taken to prevent and/or reduce these possible exposures of SAR dogs, and further studies should be carried out for appropriate standard procedures for appropriate rehabilitation and decontamination.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
The Effect of Health Promotion Course on Nursing Students’ Healthy
Life Style Behaviors
- Authors: Gülhan YİĞİTALP
  Abstract: In this study, it was aimed to examine the effect of health promotion course on nursing students’ healthy life style behaviors. This quasi-experimental study with a pretest and posttest was conducted with 70 nursing students in their third year in a university between September 25 and December 28, 2019. Data were collected using a personal information form and the Healthy Lifestyle Behavior Scale II. Data analysis was performed using percentages, means, standard deviation, the Kurtosis, Skewness, and Kolmogorov-Smirnov test, and the Paired Sample t test. Significance was evaluated at the p
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Investigation of Acute Rhinosinusitis Situation on University Students
- Authors: Selma ATAY; Hürmüz KOÇ, Erkan TEZCAN, Sevda EFİL, Sadi Turgut BİLGİ, Hilalnur KÜÇÜKAKGÜN, Bilgetekin Burak GÜNAR
  Abstract: Acute rhinosinusitis is an important health problem with increasing incidence and prevalence, and high amounts of spending are being made for its treatment. This study was conducted to evaluate the incidence of acute rhinosinusitis in university students and its relationship with various risk factors. The study population of the descriptive type research consists of freshman students of a university in the west of Turkey. The sample, however, consisted of 414 students determined by power analysis. Descriptive Characteristics Questionnaire and Acute Rhinosinusitis Evaluation Form were used in the collection of the study data. The data were evaluated using numbers, percentiles and chi-square statistical methods. It was found that 62.7% of the students participating in the study was female, 20.4% had allergies, 27.4% was smoking, and 7.3% had a chronic disease, and 33.3% of the students was diagnosed with acute rhinosinusitis. Among the students complaints, 51.2% had headache, 50.2% had weakness, 47.6% had nasal congestion, and 41.5% had a nasal discharge symptom. A significant difference was found between acute rhinosinusitis and gender, smoking, and a previous sinusitis. For protection against acute rhinosinusitis, it may be recommended to provide training on smoking and allergens, and to conduct long-term follow-up studies.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Investigation of Nursing Diagnosis of Orthopedic Patients by Clinical
Practice Students
- Authors: Nida AYDIN; Ümran DAL YILMAZ
  Abstract: This study was conducted to examine the nursing diagnoses determined by second-year nursing students who attended the clinical practice of surgical diseases nursing course regarding orthopedic patients. This retrospective descriptive study was conducted in the nursing faculty of a private university. Research data were obtained from data collection and evaluation forms based on the Functional Health Patterns model that nursing students prepared in clinical practice. It was found that 27 different nursing diagnoses were made in the 57 nursing care plans drawn up by the students. Students made the diagnosis mostly in the cognitive-perceptual (28.2%) and nutritional-metabolic status (27.1%) pattern areas. Students have not made any diagnostics in the areas of role and relationship, sexuality and reproduction, coping-stress tolerance, values and beliefs. The most common NANDA-I diagnoses are; risk for infection (61.4%), acute pain (59.6%) and anxiety (35%). It was observed that the second year students included in the study had difficulties in maintaining the nursing process in their care plans. In order to evaluate the patient data by students in a holistic manner, it is thought that giving more place to the nursing process in the lessons, reinforcing the nursing process on sample cases and clinical case studies will be useful.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Determination of the Level of Rational Drug Use Knowledge of Students at
the Faculty of Health Sciences of a University
- Authors: Ayten AKKAYA; Sema KOÇAŞLI
  Abstract: This research was carried out to determine the rational drug use (RDU) knowledge levels of university students. While the universe of the descriptive-cross-sectional research is comprised of 2042 students studying at the Faculty of Health Sciences of a university, the sample consists of 1552 students who voluntarily participated in the study from this universe. The data were collected by means of "Student Identification Form" and "Rational Drug Use Scale" during face-to-face meetings held of the 2019-2020 academic year. Average, percentage, and chi-square tests were used to evaluate the data The mean age of the students participating in the study is 20.36±1.92, and 84.4% of them are women. It was determined that 29.7% of the participants were educated in the nursing department. It was determined that 94.8% of the students did not have any chronic disease, and 27.2% of the students with a chronic disease were diagnosed with asthma. The median of RDUS score was found to be 38. The RDUS score of the students who are 20 years old compared to those over 20 years old, in the female students' score compared to male students, in the average of the RDUS of the students who take pharmacology courses compared to those who do not take this course, and in the RDUS of the students at the Nursing, Nutrition, and Dietetics departments compared to those studying at Sports Science, Health Management, and Social Work departments were significantly higher. It was also found out that the RDUS score of those who replied, “I have it done regularly” was significantly higher than the scores obtained from those who answered, “I never have it done”. It is observed that students have become aware of RDU, but they are not sufficient in the attitudes and behaviors such as not using non-prescription drugs, reading patient information leaflet, correct use of herbal products, not recommending drugs, and not interrupting treatment. Training programs such as seminars, conferences, and elective courses and training should be organized in order to increase the change in students’ attitude and behavior to RDU.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Comparison of Lifelong Learning Levels of Faculty of Health Sciences
Students
- Authors: Selin DEMİRBAĞ; Nesrin ŞEN CELASİN, Duygu KARAARSLAN, Dilek ERGİN
  Abstract: The research was carried out to determine the relationship with some descriptive characteristics by determining the lifelong learning levels of the students of the Faculty of Health Sciences (FHS). The research was conducted between March-June 2019 with a total of 1520 students studying in the Nursing, Midwifery, Physiotherapy and Rehabilitation (PTR) and Social Work departments of the FHS. In the research “Student Presentation Form” and “Lifelong Learning Scale (LLLS)” were used. The data obtained were evaluated with descriptive and basic statistics methods. It was found that 78.4% of the students included in the research were women, 51.4% were 20 years and younger and 99.2% was single. LLLS scores of the nursing students in the research were 55.79±9.57, LLLS scores of midwifery students were 55.82±10.33, LLLS scores of PTR students were 53.06±9.20 and LLLS scores of social work students were 56.48±8.21. As a result of the analyzes, it was found that the difference between the gender and the departments of the FHS students and their mean scores of LLLS was statistically significant (p˂0.05). It was found that the difference between midwifery and FTR student’s grade levels and their means cores of LLLS was statistically significant (p˂0.05). FHS students were found to have high LLL levels. However, it was concluded that the LLL levels of male students were lower than the female students, while the LLL levels of the FTR students were the lowest.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Knowledge Levels of Neonatal Intensive Care Nurses on Neonatal Jaundice
and Its Treatment
- Authors: Hacer DELİBAŞ; Selen ÖZAKAR AKÇA
  Abstract: Nurses play an active role in protecting the newborn from the negative consequences of jaundice, providing appropriate treatment and follow-up. Thus, they are expected to have sufficient knowledge about neonatal jaundice. This study was carried out to determine the knowledge levels of Neonatal Intensive Care (NIC) nurses about neonatal jaundice and its treatment.The descriptive and cross-sectional study was conducted between January-June 2019 with 66 nurses who met the sample selection criteria and agreed to participate in the study. The data were collected with the “Introductory Information Form” and “Assessment Form for Knowledge Levels of NIC Nurses on Neonatal Jaundice and Treatment”. The lowest score that can be obtained from the 40-item information form prepared by the researchers is 0, and the highest score is 40.The mean age of the NIC nurses participating in the study was 23.38±6.50, of whom 62.1% did not receive in-service training on neonatal jaundice. It was found that their mean scores of knowledge level about neonatal jaundice and its treatment was 29.7±3.63, above moderate level. It was determined that the difference between knowledge level mean scores of the nurses according to their total working time, working time in the NIC and in-service training on neonatal jaundice was found to be significant (p
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
The Experiences of Academicians on the Administration of Fundamental
Nursing Application Lessons with Distance Education in the Pandemic
Process
- Authors: Özlem ALBAYRAK; Kübra BERBER, Elanur ULUDAĞ
  Abstract: The pandemic has created unprecedented challenges for nursing education in the world and in Turkey. Distance education was made, clinical and practice courses were affected. Academics made changes in their education methods. Students who encountered nursing practices for the first time had to maintain their skills through distance education. The research was carried out to determine the experiences of nursing principles academicians during the pandemic process. The descriptive and cross-sectional study was conducted using the online data form. Data analysis was performed using descriptive statistics (frequency, percentage, mean, etc.) and t-test for independent groups in a computer-assisted statistical program. As a result of the study, it was stated that 45.8% of the nursing fundamentals courses were given asynchronously, and 91% of them were insufficient in terms of skill development. They listed the reasons for this as lack of interaction with the student, lack of practice and lack of student participation. Academicians evaluated the course with 38.3% simultaneous exams. Academics stated that this process will negatively affect the nursing profession in the future. With the pandemic, it was tried to continue education with different applications in universities. Academics had different experiences. It is recommended to increase the sharing of methods for conducting both theoretical and skill training in the literature, to complete the skills trainings that are thought to be missing in the future, to plan the nursing curriculum to include distance education, and to determine training strategies in order to be more effective in similar situations.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Determination of the Factors Affecting the COVID-19 Knowledge Levels and
the Status of Being Diagnosed with COVID-19 in Healthcare Employees
Struggling with Pandemic
- Authors: Ceyda UZUN ŞAHİN; Nurşen KULAKAÇ
  Abstract: The present study was conducted to determine of the factors affecting the COVID-19 knowledge levels and the status of being diagnosed with COVID-19 in healthcare employees struggling with the pandemic. This study, which was planned in cross-sectional and descriptive-correlational design. The healthcare employees working in hospitals in 6 city centers in the Black Sea Region, which has the highest number of COVID-19 cases in Turkey, were included in the study (n=385). It was determined in the present study that 33.85±9.11 (min.20, max.60), 57.9% of the participants were female, 43.4% were nurses, and 47% were infected with coronavirus. It was found that the factors that affected the coronavirus knowledge scores of health employees significantly were being diagnosed with COVID-19, presence of chronic diseases, receiving psychological support, female gender, and fighting COVID-19 in the front line. The risk factors for being infected with coronavirus disease were found to be the lack of personal protective equipment, unit worked at, and N95 mask replacement time (p
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Effect of Home-Based Education Program on Mothers’ Postpartum Quality of
Life After Cesarean Delivery
- Authors: Nilay ŞENER; Filiz OKUMUŞ
  Abstract: The aim of this study was to determine the effect of a home-based educational program on postpartum quality of life in puerperant women after caesarean delivery. The study was designed as a prospective, controlled, single-blinded study. It was conducted in a family health centre in Istanbul with 60 women, including 30 home-based educational group and 30 standard counselling as a control group woman who had a caesarean delivery. The study data were collected by using a questionnaire, namely, the Maternal Postpartum Quality of Life (MAPP-QOL) Tool. The mothers’s mean age was 29.55 years. The post- intervention means and standard deviations (SDs) in the total scores of the MAPP-QOL were 17.93 (SD: 1.09) and 19.27 (SD: 0.90) for the control and home-based education groups, respectively, and we found that the difference was statistically significant (p
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Determination of the Effect of Pregnancy on the Formation of Hypospadias
in Children
- Authors: Solmaz ŞAHİN; Yeliz KAYA
  Abstract: The increase in the risk of congenital anomalies has brought with it discussions whether it is related to the increase in infertility and infertility treatment. The aim of this study is to determine the effect of conception on hypospadias formation in children. The sample of this descriptive study consisted of mothers who applied to Pediatric Surgery and Pediatric Urology Clinic and Polyclinic of Cebeci Hospital, Ankara University School of Medicine, who agreed to participate in the study, who were over 18 years of age and whose consent was obtained and without hearing and communication problems and mothers of 166 children who were born as a result of spontaneous pregnancy and biological mothers of 27 children with hypospadias born as a result of pregnancy by using Assisted Reproductive Technique. A questionnaire was applied to the mothers to be included in the study using the Sociodemographic Characteristics Form and Data Collection Form about Assisted Reproductive Technique which were prepared by the researcher in accordance with the literature. Student-t, Mann Whitney U test, Chi-square and Fisher Exact tests were used for data analysis. It was found that 86.0% of the children with hypospadias included in the study sample were born as a result of spontaneous pregnancy and 14.0% as a result of infertility treatment. Advanced maternal and paternal age, duration of marriage and presence of maternal gyneocological disease were found statistically higher in the treated group (p
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Childbirth Compliance of Women and Evaluation of Related Factors
- Authors: Meltem AYDIN BEŞEN; Ayşe SELLER
  Abstract: The aim of this cross-sectional study was to evaluate the adaptation and related factors of vaginal delivery to women. The sample of the study consisted of 146 pregnant women who had normal vaginal delivery between 01.06.2018 and 31.09.2018 in this public hospital, who met the criteria for inclusion in the study and that the researchers were participant-observers at all stages of birth. After obtaining verbal consent of the pregnant women, Introductory Questionnaire Form was applied. Then, the compliance of the woman to the birth process was evaluated by the researcher midwives who were in the maternity ward during the labor, using the observation criteria as “Yes” and “No”. Data were evaluated with frequency and percentage distribution and chi-square analysis. It was found that 51.4% of the women were between 25-34 years old, 54.8% were primary school graduates, 74.7% were multiparous, 90.4% did not attend birth preparation class and 89.7% had positive thoughts about pregnancy. In addition, 66.4% of the women participated in active decisions in this process, 91.8% adhered to the midwife's orientation, 64.4% kept calm and control, 54.8% used breathing exercises during birth waves, 54.8% used relaxation methods. In our study, it was found that the women were complied with some criteria in normal birth process, this was influenced by education of the woman, information about birth, request for normal birth, planning of pregnancy, positive thoughts about pregnancy and normal birth, and intrapartum interventions such as induction and episiotomy.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
The Relationship between Plasma D-Dimer Level and Prognostic Factors in
Cases with High-Grade Serous Ovarian Cancer
- Authors: Nazlı TOPFEDAİSİ ÖZKAN; Nezaket KADIOĞLU, Burcu TİMUR, Mehmet Mutlu MEYDANLI
  Abstract: Ovarian cancer is the leading cause of cancer-related death among gynecological cancers. Hypercoagulation and fibrinolysis increase due to hemostatic activation are frequently observed in advanced stages. We aimed to examine the clinical prognostic value of plasma D-dimer levels measured before the operation in high-stage serous ovarian cancer cases. We conducted a retrospective analysis of 142 patients who had diagnosed with high-grade serous ovarian cancer (HGSC) between 2013-2017 at the Gynecological Oncology Clinic of Dr.Zekai Tahir Burak Training Hospital. Age at diagnosis, pre-treatment plasma D-dimer level, presence of ascites, residual tumor, CA125 level, FIGO stage, and other demographic information were obtained. The mean patient age was 55.25 ±10.84 year. The D-dimer level was normal in 52 (%36,6) patients and high in 90(%63,4) patients. While there was no significant difference when the age limit of 60 was taken in cases with and without high D-dimer levels. Patients with FIGO stage(III-IV) was higher in cases with high D-dimer levels(p
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Obstetric Outcomes of Pregnant Women with Placenta Previa: A Retrospective
Comparative Study
- Authors: Burcu TİMUR
  Abstract: Placenta previa (PP) is one of the leading causes of severe peripartum complications that resulting in serious maternal and perinatal morbidity such as peripartum hemorrhage and preterm delivery. Herein, we aimed to compare obstetric outcomes of pregnant women with PP versus pregnant women without PP in our hospital. This retrospective case-control study was conducted on 179 pregnant women in the study group (PP group) and 626 in the control group. Outcome measures included demographic and clinical characteristics of both groups, chief complaints on admission, gestational age at birth, postpartum hemorrhage, interventional modalities to treat postpartum hemorrhage and emergency peripartum hysterectomy. Maternal age (p
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
The Assessment of Turkey’s Vulnerability to Disasters and Hazards
with IDB Indicator System
- Authors: Ünal YAPRAK; Turgut ŞAHİNÖZ, Saime ŞAHİNÖZ
  Abstract: The aim of this study is to determine vulnerabilitiy and catascrophic indexes of the provinces of Turkey and to determine the current situation and deficiencies of these provinces against disasters and to guide the decision makers.The study was prepared with a semi-numerical method and the scope of the study was all provinces of our country. The study covers the period 2015-2017 and it has been applied to all provinces of Turkey. Prevalent Vulnerability Index (PVI) consists of 24 sub-factors and the index value is between 0 and 1. The first four provinces with the highest index average for 2015-2017 are Şanlıurfa, Şırnak, Mardin and Diyarbakır. The provinces with the lowest value were Giresun, Trabzon, Artvin and Rize. In addition, 40.74% of our provinces were in the high vulnerability category, while 59.26% were in the middle index category. There were no provinces in the low index category.As a result, while it was seen that our country was not at the desired level in terms of vulnerability in the international arena, it was remarkable that in national context, the less developed regions or provinces of our country were in a worse position than the other provinces in terms of vulnerability.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Hospital Disaster and Emergency Plan Education, Preparation Level and
Determining The Knowledge Levels of The Employees: Antalya Provincial Case
- Authors: Mustafa Enes SARIK; Sevil CENGİZ
  Abstract: Health services, where even the smallest disruptions in daily life cause great distress, are more needed in emergencies and disaster periods. During these periods, hospitals have to meet the increasing demand and need by continuing their routine work without interruption. The hospital disaster and emergency plan (HAP), covers the pre-disaster, the moment and, the after-disaster, but also aims to make the hospitals safe, to prepare the first 72 hours without interrupting the service and without outside help. The aim of this study; is to determine the HAP training and preparation levels of the hospitals in Antalya and to determine the knowledge level of the employees on this subject. The study population of the research is the personnel working in public, private, and university hospitals (49 hospitals in total) within the provincial borders of Antalya and having received HAP training. The method used to determine the research sample is the convenience sampling method, which is one of the non-random sampling methods. In total, the questionnaire was administered to 222 subjects by the researcher himself. The questionnaire includes demographic variables (10 questions) and general questions about HAP (9 questions), questions about HAP education and preparation status (34 questions), and questions about HAP knowledge level (25 questions). The research is descriptive and the results are given in frequency and percentage tables. The research was carried out between 01.11.2018 and 01.03.2019. As a result of the research, it was found that the HAP education and preparation levels of the hospitals within the scope were at an acceptable level. In addition, the findings obtained as a result of the HAP knowledge level test of the employees showed that the employees had a medium-high level of HAP knowledge.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Evaluation of Pulmonary Embolism Patients Aged 65 and Over Hospitalized in
the Intensive Care Unit
- Authors: Kerim YEŞİLDAĞ
  Abstract: Introduction: Concomitant cardiopulmonary comorbidities in the elderly may present with clinical symptoms similar to PTE. In this study, the clinical features and outcomes of patients aged 65 years and older with PTE were evaluated.Material and Method: The study was carried out retrospectively between January-1, 2019-December-31, 2019. Patients aged 65 and over who were diagnosed with acute PTE in the emergency department and hospitalized in the intensive care unit were included in the study. The patients were divided into two groups according to their age as 65-74 years old and 75 years old and over. Demographic data of the patients, mortality rates and causes contributing to mortality were analyzed.Results: Of the 43 patients included in the study, 74.4% were 65-74 years old and 25.5% were ≥75 years old. The mean age of the patients was 72±5 years, 55.8% were male The most common complaints of the patients for PTE were shortness of breath (73.9%), the most common comorbidities were congestive heart failure (33.5%) and hypertension (29.4%). There was no statistically significant difference between age groups in terms of gender and time of admission. Mortality rates by age groups were 59.3% in the 65-74 age group, and 63.6% in the ≥75 age group, respectively. There was no significant difference in mortality between age groups.Conclusion: Diagnosis of PTE in the elderly is difficult and often overlooked, as they present with an atypical presentation. It is vital to keep PTE in mind in elderly patients and to use diagnostic algorithms in case of doubt.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Clinical Utility of Molecular Autopsy in Fetal and Pediatric Patients with
Suspected Genetic Disorders
- Authors: Ozlem AKGUN-DOGAN; Nihat Buğra AĞAOĞLU, Yasemin ALANAY
  Abstract: Molecular autopsy is defined as whole exome/genome sequencing (WES/WGS) performed on DNA samples in the postmortem period to clarify the genetic etiology in patients who demised without a diagnosis. With this study, we aim to present our experience with postmortem WES/WGS analysis, in a group of pediatric patients to increase the knowledge on the clinical utility of molecular autopsy and its effect on genetic counseling.A retrospective cohort study was conducted on postmortem WES/WGS analysis records performed between 2017-2021 in Acibadem University Department of Pediatric Genetics. Clinical data and analysis results of patients who died in the perinatal/infancy period without a molecular diagnosis were collected from medical records.A total of 16 cases were included in the study. In 56% of the cases, molecular autopsy revealed a diagnosis. In 10 genes (BBS9, BRAF, SLC12A1, PIEZO1, WDR62, ERCC8, NDUFAF2, RAG1, MOGS, ETFB), 12 variants were detected. Fifty percent of these variants were novel, reported for the first time with this study. Inborn diseases of metabolism (33%) and neurologic disorders (22%) were the most common disease groups. Our results show that WES/WGS analysis yields a high diagnostic rate in the postmortem period. The diagnosis elucidated by molecular autopsy provides invaluable information for the family who has experienced a loss. The identification of the underlying genetic cause enables the family to plan for future pregnancies. Diagnosing a fetus or an infant who was lost without a specific diagnosis helps identify novel genes and further delineate perinatal lethal phenotypes related to known genes.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Analysis of Microbiological Risks Taken by the Doctor During Acupuncture
Treatment: Single Centered Study
- Authors: Ali Erdal GÜNEŞ
  Abstract: Acupuncture is a method of treatment that is applied needle penetration with certain point defined in the body. Acupuncture is generally a safe method of treatment. Mild complications such as mild bleeding, pain and late-onset temporary bruising are reported in about 10% of patients. In Acupuncture application performed at Traditional and Complementary Medicine Centers, the physician who performs needle application as many as during the application is under the risk of patient infections. The aim of our work is to analyze the microbiological risks that the physician is exposed to during the application. Anti HIV, HbsAg, Anti Hbs and Anti HCV markers were examined in patients between the years of June 2016 and March 2018 who were between the ages of 18-50 and who did not have any other illness among the patients who applied to our polyclinic. A total of 118 patients were evaluated. None of the patients had Anti HCV and Anti HIV positive. Twenty-five patients were positive for anti-Hbs (21%) while 5 were positive for HbsAg in one of the anti-Hbs group. An average of 4-5 sessions, 30-35 needles are used during ear and body acupuncture application. It is important for the health of the doctor, taking serological tests from patients who admit to the GETAT polyclinic before that patients from all walks of society. In addition, before the acupuncture treatment begins, every doctor and assistant must make Hepatitis B vaccination.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Investigation of Organizational Commitment Levels and Mobbing Exposureof
Youth and Sports Directorate Employees
- Authors: Rifat CEYLAN; Çisem ÜNLÜ
  Abstract: In this study, it was aimed to examine the Organizational Commitment Levels and Mobbing Exposure of Youth and Sports Provincial Directorate employees. The research was conducted with the voluntary participation of 290 Çorum Provincial Directorate personnel. Simple random sampling method, one of the quantitative research methods, which is one of the information collection tools and techniques, was used.. The data collection tool in the study consists of two parts. In the first part, the "Personal Information Form" containing the demographic information created by the researcher were used, whereas the Mobbing Scale and the "Organizational Commitment Questionnaire" were used in the second part. The normality distribution test of the data was done with the Shapiro Wilk test. As the data were not distributed normally, the Mann Whitney test was conducted. Since there are three or more groups, the kruskal wallins test was performed. After Kruskal Wallis test, Mann Whitney U Posthoc multiple comparison test with Bonferroni correction was applied to determine the different groups. Relationships between numerical variables were investigated with Spearmans correlation coefficient in accordance with the data distribution, and Regression analysis was used to determine the cause-effect relationship between scales. For the statistical significance level, p> 0.005 was accepted. In the regression modelling established, it was found that increasing the level of mobbing reduced the organizational commitment rate (r = 0.356; p> 0.05).
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
The Adaptation of the Scale for Collaboration between Physicians and
Nurses in Primary Healthcare Teams into Turkish: The Validity and
Reliability Study
- Authors: Kürşat YURDAKOŞ; Kutay YÜZÜAK
  Abstract: The objective of this study is to analyze whether the Turkish form of “The Scale for Collaboration between Physicians and Nurses in Primary Healthcare Teams” is a valid and reliable tool for the physicians and nurses in Turkey. This is a methodological study. The population of the study includes 273 healthcare professionals (135 physicians and 138 nurses). In scale studies, the number of participants should be 5-10 times the number of items. The original scale contains 13 items, and the sample size is 130 (13x10=130) participants. The scale content validity was evaluated by 12 experts. The construct validity of the scale was measured by confirmatory factor analysis, internal consistency by Cronbach alpha coefficient, and test-retest reliability was measured by Intraclass Correlation Coefficient. IBM SPSS 22 and AMOS 22 software was used in the analysis. In the research, a construct with three factors was determined as in the original scale: “Goal Oriented Team Synergy,” “Organizational Background for Teamwork” and “Competence.” Cronbach alpha index is 0.88 and ICC value is 0.87. The model fit indices are in the acceptable interval; χ2/df=1,485, CFI=0.972, TLI=0.962, RMSEA=0.061, NFI=0.919, GFI=0.917, IFI=0.972. This study has revealed the reliability of the Turkish form of a new tool that can be used to measure the collaboration between physicians and nurses in primary healthcare teams. The team collaboration between physicians and nurses will contribute greatly to maximize health policies and programs.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Evaluation of the Relationship Between Perceived Social Support and State
Anxiety Levels in Healthcare Workers During the COVID-19 Pandemic Period
- Authors: Betül ÖNAL; Tuğçe ATEŞ, Havva ÖZTÜRK, Zeliha ÇOLAK
  Abstract: The study is to evaluate the relationship between perceived social support and state anxiety levels in healthcare workers during the COVID-19 epidemic period. The study, which is cross-sectional and relationship-seeking, was conducted with 246 healthcare professionals working in a state hospital, Central Community Health Center, Oral and Dental Health Center, Cancer Early Screening and Diagnosis Center and Family Health Centers in City Center of Bayburt. The data were collected online between 6-15 May 2020 on the internet via personal information form, Multidimensional Perceived Social Support Scale and State Anxiety Scale. Of the health workers included in the study, 58.9% are 30 years old or younger, 53.7% of them are married and 60.6% of them have no children. Of them, 63.8% are college/faculty graduates and 45.5% of them are nurses. Of them, 69.5% live with their family and 28.9% of them stated that they have negative feelings about the coronavirus disease. Of them, 18.3% stated that these feelings were caused by the fear of contagion. The general average score of received social support of health workers was 5.29±1.26, state anxiety level was 47.25±9.64, and the relationship between them was negative, weak, but statistically significant (r=-0.289; p=0.000
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Examining the Effect of Perception of Threat from COVID-19 and New Media
Literacy on the e-Health Literacy Level Using Path Analysis
- Authors: Aydın ÖZDEMİR; Meral ÖZTÜRK
  Abstract: In this study, the effect of perception of Threat from COVID-19 and new media literacy on the e-health literacy level was examined. Perception of threat from COVID-19 was measured using the scale of Perception of Threat from COVID-19 developed by Pérez-Fuentes et al. (2020), e-Health Literacy was measured using the scale of e-Health literacy Scale developed by Norman & Skinner (2006) and new media literacy was measured using the scale of New Media Literacy Scale developed by Koç and Barut (2016). The validity and reliability studies of these scales were carried out by the researchers. The sample of the research consisted of 387 participants living in different provinces of Turkey Participants were reached via the internet. Data were analyzed using Explanatory Factor Analysis (EFA), Confirmatory Factor Analysis (Second Order), and Structural Equation Model (Path Analysis). According to the findings, new media literacy has a significant effect on e-health literacy. However, the Perception of Threat from COVID-19 has not a significant effect on the e-health literacy level.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
The Relationship Between Cyberchondry and E-Health Literacy
- Authors: Fatma MANSUR; Kübra CİĞERCİ
  Abstract: Being able to reach every information quickly on the Internet makes online searches for health information more attractive. The fact that the obtained information is too much causes indecision about its accuracy and increases the level of anxiety in the individual. The availability of accurate and useful information draws attention to e-health literacy in online searches, on the other hand, it arouses curiosity about excessive health information seeking behavior and cyberchondria, a type of anxiety. From this point of view, the aim of the research is to reveal the relationship between the cyberchondria levels and e-health literacy levels of individuals aged 18 and over and the effects of the variables on each other. "Cyberchondria Severity Scale" and "E-Health Literacy Scale" were used in the research, and the research was completed by reaching 763 people. According to the results of the research, it was seen that the participants' Cyberchondria Severity Scale scores and E-Health Literacy Scale scores had a positive relationship. It was concluded that the level of e-health Literacy affects the level of cyberchondria, and it can be explained by the scores given to the e-health Literacy Scale by the participants in the Cyberchondria Severity Scale sub-dimensions (difficulty, extreme anxiety, extremism, reassurance, distrust of the doctor). When the socio-demographic characteristics and the scale score results were examined, it was concluded that the level of cyberchondria was affected by gender, age and marital status, and the level of e-health literacy was affected by age and education.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Investigation of Case Mortality Rates in Patients Diagnosed with Covid-19
Admitted to the Emergency Department (Example of a State Hospital in
Turkey)
- Authors: Altuğ ÇAĞATAY
  Abstract: In this study, it was aimed to evaluate the hospitalization and death rates due to the diagnosis of Covid-19 in patients who applied to the emergency department. The research is a cross-sectional study, and the data on patients who applied to the emergency service of a state hospital in Turkey, who were diagnosed with Covid 19 in 2020 and were hospitalized from the emergency department, were examined in detail. The number of applications to the emergency department decreased by 25.96% in 2020 compared to the previous year. Among the applications to the emergency department, the rate of application due to Covid 19 is 24.6%. The average age of deaths is 72.15. 94.5% of the deaths occur in patients over 55 years of age. Of the 628 patients who died from Covid 19, 42.35% were women and 57.65% were men. 7.73% of the patients who applied to the emergency department with the suspicion of Covid 19 received inpatient treatment. Of the 4620 patients hospitalized with the diagnosis of Covid 19, 628 (13.5%) died. The case fatality rate in the hospital where the research was conducted was found to be ‰ 10.5. This study will be very important in terms of accelerating vaccination studies and protecting elderly individuals and other age groups
  PubDate: Sat, 19 Mar 2022 00:00:00 +030
Assessment of Some Biochemistry Parameters in Hospitalized Patients
Evaluated with CT and RT-PCR for The Diagnosis of Covid-19
- Authors: Ayşegül SÜMER; Lütfiye Nur UZUN
  Abstract: It was reported that a new type of coronavirus (2019-nCoV) was the cause of repeated pneumonia cases in Wuhan, Hubei Province, China in December 2019. The aim of this study was to evaluate the laboratory results of the patients diagnosed with COVID-19 as confirmed by RT-PCR test or presence of ground-glass opacities on CT imaging. 51 people with various exclusion criteria were included in the single-center study planned retrospectively. Comparison was made by measuring the laboratory findings of the patients who underwent RT-PCR test, who underwent computed lung tomography and who were divided into four groups according to their results. All data were accessed via electronic health records. Fisher Exact Test, One Way ANOVA, Kruskall Wallis Test were used as statistical analysis method in addition to percentages and frequencies and adjusted Bonferonni test were used for post-hoc analysis. In laboratory findings, significant data were obtained in favor of COVID-19 at WBC, NEU, EOS, Prothrombin time, INR and Troponin levels. It was concluded that laboratory findings can be used as a preliminary diagnosis in the admission of the patient to the clinic, and also help to determine the clinical severity of the disease and predict the prognosis.
  PubDate: Sat, 19 Mar 2022 00:00:00 +030