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Hacettepe University Faculty of Health Sciences Journal
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  This is an Open Access Journal Open Access journal
ISSN (Online) 2528-9918
Published by Hacettepe University Homepage  [7 journals]
  • Occupational Balance, Fear and Agoraphobia in the Covid-19 Pandemic

    • Authors: Özgü İNAL; H.deniz ÖZDEMİR, Fatma Nesrin TURAN
      Abstract: Objectives: The occupational preferences and occupational balance of individuals have changed during the Covid-19 Pandemic period. This study aims to evaluate occupational balance, fear of Covid-19 and agoraphobia in adults during the Covid-19 pandemic. Materials and Methods: Six hundred ninety-nine individuals were included in this study. Occupational Balance Questionnaire, Fear of Covid-19 Scale and DSM-5 Agoraphobia Scale were used in the study. Results: A statistically significant moderate correlation was found between the Covid-19 Fear Scale and the DSM-5 Agoraphobia Scale (p<0.001, r=.497). There was no statistically significant relationship between the Covid-19 Fear Scale and OBQ (p<0.05). Individuals with regular physical and leisure activity habits had better occupational balance and less fear of Covid-19. Conclusion: In the Covid-19 pandemic, the activity preferences of individuals have changed and individuals generally prefer sedentary activities. Increasing fear of Covid-19 increases the level of agoraphobia. Considering the positive effects of regular activities, it is thought that by supporting individuals with meaningful and purposeful activities in the Covid-19 pandemic, occupational balance can be improved and the fear of Covid-19 can be reduced.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Physiotherapy and Rehabilitation in Palliative Care and Interventions in
           Cancer Patients

    • Authors: Hilal GÜNGÖR; Naciye VARDAR YAGLI
      Abstract: Purpose: The aim of this review is to examine the methods that can be used in palliative care to reduce symptoms that reduce the quality of life. Materials and Methods: Studies that used physiotherapy in palliative care patients were examined. Results: Rehabilitation and palliative care team members share many approaches and goals in patient care. Physiotherapists add value to the comprehensive care plans of many patients receiving palliative care, regardless of the stage of the disease, and even as they approach the end of life. Physical evaluation can reveal new or worsening disorders that affect function. Rehabilitation interventions, including individual exercise programs, therapies, equipment and assistive device prescriptions, and other modalities, can assist in patient care. Conclusion: Patients with severe and life-limiting illnesses often experience a common subset of symptoms including fatigue, mood disturbances, shortness of breath, pain, and functional decline. All these symptoms contribute to a reduced quality of life. Many patients want to maintain functional independence as much as possible and reduce the burden on their caregivers. Physiotherapy is an effective strategy for improving the quality of life. We advocate increased collaboration between the palliative care team and physiotherapists in the care of these complex patient populations, as both work together to optimize physical function and patient satisfaction outcomes.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Sleep Quality in Mothers of Children with Cerebral Palsy: The Relationship
           between Children’s Gross Motor Function, Sleep Habits

    • Authors: Ayşenur TUNCER; Hazel ÇELİK GÜZEL, Asiye UZUN, Elif Dilan ATILGAN
      Abstract: Purpose: The aim of this study was to investigate the relationship between the sleep habits and gross motor skill level of children with cerebral palsy and the sleep quality of their mothers.Materials and Methods: Evaluation was made of 83 children, aged 3-18 years, with different clinical types of cerebral palsy and varying physical capabilities, and their mothers who were the carers. In the rehabilitation centres of three different cities, the children were evaluated with the Gross Motor Function Classification Scale (GMFCS) and the Children’s Sleep Habits Questionnaire (CSHQ), and the sleep quality of their mothers with the Pittsburgh Sleep Quality Index (PSQİ).Results: The sleep problems of 86% of the children and 84% of the mothers were determined to be poor sleep quality. The GMFCS was found to be correlated with the CSHQ (p=0.002), but not with the sleep quality of the mothers (p=0.164). A statistically significant positive correlation was determined between the PSQI score of the mothers and the total CSHQ score of the children (r=0.259, p=0.018). No statistically significant correlation was determined between the PSQI and the total sleep and waking at night scores (r=-0.087, p=0.433; r=-0.058, p=0.600). Conclusions: The sleep quality of the mothers was determined to be affected by the sleep habits of their children with cerebral palsy. Poor sleep quality can be physically and psychologically destructive in the long term for mothers who are providing care. It is therefore essential that support services related to the sleep quality of mothers are further developed.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • How Right Are Multiple Sclerosis Patients in Fear of Falling' A
           Comparative Study

    • Authors: Fatih TEKİN; Furkan BİLEK
      Abstract: Objectives: The aim of this study was to investigate the factors underlying the fear of falling in Multiple Sclerosis (MS) patients and to determine the share of physical and psychological components in this fear.Materials and Methods: Patients between the ages of 18-65 years, diagnosed with Relapsing-Remitting form of MS were included in the study. Timed Up and Go Test (TUG) was used to assess gait functions and balance skills of patients during gait, Berg Balance Test (BBT) to assess balance skills in general, Fall Efficacy Scale-International (FES-I) to assess fear of falling, and Expanded Disability Status Scale (EDSS) to assess MS severity of the patients.Results: Forty-four patients (F:32 M:12) diagnosed with MS, with a mean age of 37.23±9.67 years, were included in our study. There was a statistically significant, positive and moderate correlation between the fear of falling and the number of attacks in the last 1 year (r=0.433, p=0.039), a statistically significant, positive and high-level correlation between fear of falling and falling history in the last 1 year (r=0.912, p=0.001), disability status (r=0.940, p=0.001) and TUG test (r=0.901, p=0.001) and a significant, negative and high-level correlation between fear of falling and balance skills (r=-0.944, p=0.001). According to the regression analysis, while the effects of falling history (p=0.043), BBT (p=0.025), TUG (p=0.004), and EDSS (p=0.007) on FES-1 were significant, the effect of TPLA was insignificant (p>0.05).Conclusion: Patients with MS are right about their fear of falling in parallel with their disability and balance-gait skills. However, this relationship is bidirectional, and the fear of falling has the potential to increase these limitations even more in MS patients whose functional activities are already restricted or going to be restricted.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Investigation of the Relationship between Academic Self-Efficacy, Problem
           Solving Skills and Self-Esteem in Decision Making and Decision-Making
           Styles of University Students Studying in the Field of Health

    • Authors: Erhan SEÇER; Tuğçe Şirin KORUCU, Hilal UZUNLAR, Güldane DİNÇ, Derya ÖZER KAYA
      Abstract: Objective: This study was conducted to examine the relationship between academic self-efficacy and problem-solving skills with self-esteem in decision-making and decision-making styles of university students studying in the field of health. Material and Method: Two hundred and thirty one university students (mean age 21.45±1.67 years) studying in the field of health were included in the study. Students' academic self-efficacy levels were evaluated by the Academic Self-Efficacy Scale; problem-solving skills were evaluated by the Problem Solving Inventory; self-esteem in decision making and decision-making styles (careful, avoidant, postponer and panic decision making) were evaluated by the Melbourne Decision-Making Scale.Results: There was a low positive correlation was found between students' Academic Self-Efficacy Scale total scores and self-esteem and careful decision making; a low negative correlation was found between avoidant, postponer and panic decision making (r=.321, p<.001; r=.276, p<.001; r=-.234, p<.001; r=-.234, p<.001; r=-.203, p<.001, respectively). Also, there was a moderate negative correlation was found between students' Problem Solving Inventory total scores and self-esteem and careful decision making; a moderate positive correlation was found between avoidant, postponer and panic decision making (r=-.565, p<.001; r=-.569, p<.001; r=.416, p<.001; r=.507, p<.001; r=.444, p<.001, respectively). Conclusion: It was observed that academic self-efficacy and problem-solving skills were associated with self-esteem in decision making and decision-making styles of university students studying in the field of health. Accordingly, it is recommended to examine the effects of these characteristics of students on each other in prospective studies with a high level of evidence.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Occupational Performances and Psychosocial Statuses of Socially Isolated
           Individuals during the COVID-19 Pandemic

    • Authors: Mahmut YARAN; Esma ÖZKAN, Serkan PEKÇETİN
      Abstract: Objectives: Restrictive preventions due to COVID-19 have caused changes in lifestyles. The study aimed to investigate the occupational performances and psychosocial statuses of individuals in social isolation in Turkey during the COVID-19 pandemic. Materials and Methods: The study included 651 participants. A sociodemographic form, the Hospital Anxiety Depression Scale and the Multidimensional Scale of Perceived Social Support were used for measurement. Occupational performance levels and satisfaction were evaluated out of 10.Results: The findings indicated that there had been significant changes to participants’ sleep patterns (65.1%), nutritional intake (96.5%), physical activity (89.7%), leisure time (92.8%) and productive activities (77.3%). There was a negative correlation between the Hospital Anxiety Depression Scale scores, occupational performance scores and the Multidimensional Scale of Perceived Social Support scores (p<0.001). Also, there was a positive correlation between occupational performance scores and the Multidimensional Scale of Perceived Social Support scores (p<0.001). Conclusion: The COVID-19 pandemic has affected people's lives, occupational performance and psychological states.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Comparison of Perceived Achievement Level of Program Outputs by Graduates
           and Education/Job Satisfaction, According to the Graduation Years:
           Acibadem Mehmet Ali Aydinlar University, Department of Physiotherapy and
           Rehabilitation

    • Authors: Nuray ALACA; Hande KABA
      Abstract: Objective: The aim of the current study was to comparison of the aim, vision, mission and perceived achievement level of program outputs and their satisfaction with education and work life and job seeking duration, of the new graduated students which has not yet started working and formerly graduated students from Acibadem Mehmet Ali Aydinlar University Physiotherapy and Rehabilitation Programme (ACU-PTR). Materials and Methods: New graduated 52 students from ACU-PTR and 252 formerly graduated physiotherapists which has graduated at least 6 months ago participated in the study. The online graduation questionnaire created by the department of accreditation board was filled by the graduates. Questionnaire contained programme’s aims, vision, mission and perceived achievement level of program outputs and their satisfaction with in education and work life. Results: Status of currently working in a workplace (p=0.009) and participation in graduate education (p<0.001) of former graduates (5-8 years graduate) were higher than new graduated students. Job seeking duration was longer in recent graduates (1-2 years) than in graduates of seven-eight years (p=0.050). The satisfaction of the new graduates from the ACU- FTR and success of the aim, vision, mission and perceived achievement level program outcomes were higher than the other graduates (p=0.001-p<0.001). While there was a low correlation between the graduation year and job satisfaction (r=-0.154, p=0.040), job satisfaction (r=0.211, p=0.005) and job search time (r=0.179, p=0.017), a low degree of correlation was found between choosing a profession voluntarily and seeking a job (r=0.241, p=0.001). Job satisfaction was moderately associated with ACU-FTR overall satisfaction (r= 0.347, p<0.001) and mean goals (r=0.360, p<0.001). Conclusion: As a result, while the programme aim, vision, mission and perceived achievement level of program outputs of the students of the ACU-FTR were high, this level was espacially determined at a higher rate in the new graduates. While the rate of former graduates currently working in a workplace and participating in graduate education is high, job search times are found to be shorter. As the graduation year increased, it was observed that job satisfaction and job search were lower, while the job search time of people who chose the profession voluntarily were shorter. People with higher job satisfaction had higher overall satisfaction with the ACU-FTR department and perceived achievement of goals.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Investigation of the Relationship Between Musculoskeletal Disorders and
           Distance Education-Related Parameters, Quality of Life and Anxiety Level
           in Teachers in the COVID-19 Pandemic

    • Authors: Özden ÖZKAL; Arzu DEMİRCİOĞLU
      Abstract: Objectives: The aim of this study was to investigate the relationship between teachers' musculoskeletal disorders and parameters related to distance education, quality of life and anxiety level during the Covid-19 pandemic period.Materials and Methods: A total of 157 teachers were included in the study. Demographic information of teachers and data related to distance education were recorded. Musculoskeletal disorders of teachers were evaluated with the Cornell Musculoskeletal Disorders Questionnaire (CMDQ). Spine, upper extremity, lower extremity and total scores of individuals were calculated separately with CMDQ. The participants' quality of life was evaluated with the The EuroQol-5 Dimension. Quality of life score index and visual analog scale (VAS) scores were calculated separately. Results: A significant correlation was found between musculoskeletal disorders (spine) and weekly online lesson duration (p<0.001), anxiety level (p=0.01), quality of life [index score (p<0.001)); VAS score (p<0.001)], years of professional work (p=0.004), and age (p=0.022). There was a significant correlation between musculoskeletal disorders (upper extremity) and anxiety level (p=0.03) and quality of life [index score (p<0.001);VAS score (p=0.016)]. A significant correlation was found between musculoskeletal disorders (lower extremity) and weekly online lesson duration (p=0.016), weekly face-to-face lesson duration (p=0.033) and quality of life [index score (p<0.001); VAS score (p=0.001)]. There was a significant correlation between musculoskeletal disorders (total score) and weekly online lesson time (p=0.001), weekly face-to-face lesson duration (p=0.01), anxiety level (p=0.002), quality of life [index score (p<0.001); VAS score (p<0.001)], years of professional work (p=0.01), and age (p=0.038).Conclusion: According to the results of the current study, it is recommended that teachers be given trainings on preventive physiotherapy approaches in order to prevent musculoskeletal problems associated with online course duration during the COVID-19 pandemic period.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Examination of Mothers and Grandmothers' Reactions in Children's
           Problem Behaviors

    • Authors: Erhan ALABAY; Hazal ERSAL
      Abstract: Aim: The aim of this study was to compare the responses of both mother and grandmother to problem behaviors of children aged 3-6 who were supported by their grandmothers.Materials and Methods: The Phenomenology method, which is one of the qualitative research methods, was used in the study. The study group consists of 11 mothers and 11 grandmothers living in Istanbul. A semi-structured interview form prepared by the researchers was used as a data collection tool.Results: As a result of the study, it was determined that mothers reacted mostly as anger / angry / yelling as a result of problem behaviors of their children. On the other hand, it was determined that grandmothers were more likely to do what the child wanted and terrorize the child than mothers. In addition, grandmothers found their own behaviors more understanding, liberal and moderate than those of their mothers. According to the mothers, they stated that the behaviors of the child were negatively affected by the excessively permissive attitudes of the grandmothers. In addition, the mothers stated that the child did not obey the rules in the house because everything the child wanted was done by their grandmother.Conclusion: As a result of the study, it was determined that the responses of the mothers and grandmothers differed in the problem behavior of their children.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • The Alcohol Expectancy Questionnaire: A Study of Reliability and Validity

    • Authors: Selcan YILDIZELİ; Merve ERDOĞDU
      Abstract: Aim: The aim of this study wass to adapt the Alcohol Expectancy Questionnaire-III Adult Form (AEQ-III-Y) developed by Brown, Christiansen and Goldman (1987) into Turkish and examine its validity and reliability. Materials and Methods: In line with the study, a total of 402 adults who were treated with a diagnosis of alcohol use disorder and used alcohol without a diagnosis were given the Alcohol Expectancy Questionnaire-III Adult Form (AEQ-III-Y), Drinking Motives Questionnaire-Revised (DMQR) and Alcohol Use Disorders Identification Test (AUDIT) scales were applied. The data obtained; language equivalence back-translation method; by seeking expert opinion on content validity; by testing its reliability, invariance over time (test-retest reliability/test-retest reliability) and internal consistency; its validity was tested with construct validity (confirmative factor analysis). Results: The Cronbach's alpha value of AEQ-III-Y was found to be .97 for 120 items. As a result of the confirmatory factor analysis, 5 sub-factors explaining 37.88% of the total variance were formed in accordance with the original scale: General positive changes, increased social sociability and decreased anxiety, relaxation and tension reduction, increased sexuality, physical relaxation. In the item analysis, the Cronbach's alpha value was found to be .96 for all of the .82 items in the scale, which was created after the items with an item strength below .40 were removed, and it ranged from .93 to .77 for the subscales. In the analyzes performed, a significant correlation was found between AEQ-III-Y and DMQR at the level of r=.64 and between AUDIT at the level of .24. In the adaptation studies, it was found that the expectation from alcohol of those who used harmful alcohol with a high score in AUDIT was higher than the other participants. Accordingly, it was concluded that as the expectation level of the participants increased, their alcohol consumption also increased. Conclusion: The results obtained as a result of the analyzes were concluded that the psychometric properties of the Adult Turkish version of the Alcohol Expectancy Questionnaire-III Adult Form meet the necessary criteria and it is a valid and reliable scale.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Investigation of Occupational Therapy Students' Occupational Balance,
           Mental Health Burden and Social Problem Solving Skills in the COVID-19
           Pandemic

    • Authors: Zeynep BAHADIR AGCE; Berkan TORPİL
      Abstract: Objectives: This study aimed to examine the effect of socio-demographic characteristics on occupational balance and relationships between occupational balance, mental health burden, and social problem-solving skills of university students in the Covid-19 pandemic. Materials and Methods: The study included 233 college students aged 18 to 30. A cross-sectional study was designed, the surveys were disseminated online to collect data. The students' occupational balance was evaluated with the Occupational Balance Questionnaire (OBQ11-T), mental health burden with the Depression Anxiety Stress Scale (DASS-21), and social problem-solving skills with the Social Problem-Solving Skills Inventory Short Form (SSSI-SF). The relationships of the scales were analysed with the Pearson Correlation test. The effect of the variables on occupational balance was examined by linear Cross-sectional Regression Analysis.Results: The mean mental health burdens were in the normal range. There was a negative relationship between occupational balance and depression, anxiety, and stress, while a positive relationship was found with social problem-solving skills. Regression analysis results showed that the variables explained 24% of the change in occupational balance. This effect was determined as 0,177 for social problem-solving skills, -0,307 for depression, and -0,180 for stress.Conclusion: The results did not confirm the existence of a negative effect of the pandemic period on university students' cognitive health burden but showed that higher occupational balance was significantly associated with better cognitive health burden and social problem-solving skills. Strategies for reducing the burden of cognitive health and improve social problem-solving skills may be appropriate in order to improve occupational balance in university students.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Investigation of the Effect of Occupational Therapy Approach on Functional
           Vision in a Child with Peters Plus Syndrome: A Case Study

    • Authors: Esma YILMAZ; Orkun ARAN, Zeynep ÇELİK
      Abstract: Objectives: The aim of this study is to examine the effect of occupational therapy approaches that would be planned within the framework of the Visual Functioning Model on a child with Peters Plus Syndrome. Materials and Methods: A 3-year-old boy living in Trabzon and diagnosed with Peters Plus Syndrome was included in the study. Occupational therapy approaches was applied to the boy for 12 weeks, 2 sessions per week. Evaluations were decided on the basis of the Visual Functionality Model. Sensory Profile was used for assessment of sensory processing skills; Child and Adolescent Participation Questionnaire was used to evaluate the effect of functional vision on participation. Results: In the Child and Adolescent Participation Questionnaire, the transition from "very limited" to "low-limited" was achieved in 4 items of the home participation parameter, and from "can't" to "very limited" in 1 item of the neighborhood and community participation parameter. In the Sensory Profile, a transition from "probable difference" to "typical performance" was achieved in inattention/distraction and oral sensory processing parameters. In addition, there was an increase in many parameters, especially the touch process and the vestibular process. Conclusion: In a case with PSS, it was concluded that occupational therapy intervention had a positive effect on sensory processing skills and functional visual function, but to prove the importance and effectiveness of occupational therapy in this area, a study should be conducted with long-term follow-up.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • How the COVID-19 pandemic affected children with low vision: An
           Occupational perspective

    • Authors: Güleser GÜNEY YILMAZ; Tarık DEMİROK, Esra AKI
      Abstract: Objectives: Specific needs of children with low vision have emerged during the COVID- 19 pandemic. This study aimed to reveal the occupational experiences during the pandemic period from the perspectives of children with low vision.Materials and Methods: The present study was designed as a concurrent transformative mixed design study. The demographic information form and an online survey which were prepared to enhance the results of the qualitative data, were applied through Google Forms. Semi-structured interviews with qualitative data were collected via telephone conversation / Zoom / Skype according to the personal communication preferences of the families.Results: 38 children with low vision and their families were included in this study. Education or treatment/rehabilitation processes of children with low vision have been adversely affected by the pandemic. It was found that the decrease in social interaction and participation levels, limited social communication and interaction, decrease in activity variety and performance, and sleep patterns were negatively affected by low vision children at school age and without multiple disabilities. Children have experienced limitations in their participation in school and play activities that are very important to their age group.Conclusion: Prior to the pandemic, children with low vision with special needs now have additional problems that require new support systems and arrangements to fully participate in life. There is a need for special adaptations and structuring, especially for the participation of these children in education and rehabilitation services.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Effects of Covid-19 Quarantine on Food Consumption and Weight Changes:
           What Has Changed in 1 Year'

    • Authors: Nesli ERSOY; Aylin AÇIKGÖZ PINAR
      Abstract: Objectives: This study aimed to evaluate the effect of quarantine practice, which is considered as the most effective protection method in the epidemic, on the food consumption habits, dietary supplement use and some anthropometric measurements of adults. Materials and Methods: A total of 405 adults participated in this study, (first period; 135 and second period; 270). Data were collected with an online questionnaire. Results: When the first quarantine was experienced, 70.4% of the participants stated that their food consumption amount increased and 29.4% of participants stated that it was decreased. During second quarantine, 43.3% of the individuals stated that food consumption increased,17.4% stated that it decreased. The increment of food consumption affected to weight. During first quarantine period, consumption of eggs, fresh vegetables and fresh fruit were increased and during the second period, consumption of tea, fresh fruit and coffee was increased. 24.1% of participants use nutritional supplements. The most commonly used nutritional supplements are vitamin D (89.2%), vitamin C (63.1%) and iron (43.1%) Most of the individuals stated that they used nutritional supplements to strengthen their immune systems (67.7%). Conclusion: The quarantine processes affected the food consumption behaviour of people, and caused to food consumption and weight increment. Considering these changes in planning for possible quarantine in the future, it is necessary to raise awareness of the public on food supply, preparation and consumption, and to reduce the anxiety and stress of individuals, to encourage the increase of physical activities at the home during quarantine processes.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
  • Affective Awareness towards Instruction in Audiology: Student’s
           Perspective

    • Authors: Hilal Burcu ÖZKAN; Öznur YİĞİT
      Abstract: Objective: In this study, it was aimed to determine the affective awareness levels of university students towards teaching. Materials and Methods: The study group consisted of 65 students studying in the 3rd year of Hacettepe University, Faculty of Health Sciences, Department of Audiology. All students attended the course "Classroom Acoustics". In order to measure the affective awareness of the students, the “The Scale of Affective Awareness towards Instruction” was applied. Results: It was determined that students' affective awareness was high in the factors of "receiving", "reacting", "valuing", "organizing" and "personalizing". Conclusion: It was consider that these results will contribute to the development of affective awareness towards themselves, others and the environment, especially for students studying in departments serving in the field of clinical practice.
      PubDate: Sat, 30 Apr 2022 00:00:00 +030
       
 
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