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KIRIKKALE ÜNİVERSİTESİ TIP FAKÜLTESİ ÖĞRENCİLERİNİN YAPAY ZEKÂ HAZIR BULUNUŞLUK VE YAPAY ZEKÂ KAYGI DÜZEYLERİ, ARALARINDAKİ İLİŞKİ VE ETKİLEYEN FAKTÖRLER

(Sağlık Bilimleri Enstitüsü, 2025-10-30) Aktaş Hatice; Tıp Eğitimi ve Bilişimi

Aktaş, H., Determination of artificial intelligence readiness and artificial intelligence anxiety levels of Kırıkkale University Faculty of Medicine students, the relationship between them and the affecting factors, Hacettepe University Health Sciences Graduate School Medical Education Program Master's Thesis, Ankara, 2025. This study aimed to determine the medical artificial intelligence (AI) readiness and AI anxiety levels of Kırıkkale University medical students, examine the relationship between them and investigate the affecting factors. 652 medical students participated in the study. Data were collected through demographic information form, Medical Artificial Intelligence Readiness Scale for Medical Students (MAIRS-MS) and Artificial Intelligence Anxiety Scale (AIAS) presented online via Google Forms, and analyzed with SPSS v25. MAIRS-MS and AIAS scores were found to be at moderate levels (67.44±19.08 and 43.22±14.20 points, respectively). While MAIRS-MS scores showed no gender difference (p>0.05), AIAS total and subdimension scores except job replacement were found to be higher in females than males (p<0.05). A weak positive correlation was detected between MAIRS-MS and AIAS scores (r=0.115, p=0.003). All MAIRS-MS total and subdimension scores showed significant weak positive relationships with AIAS total and all subdimension scores except learning. For the MAIRS-MS total score, the number of technological devices used, English proficiency level, family income level, computer skills, parental education levels, and the presence of an AI-trained family member were found to be significant predictors. For the AIAS total score, gender, age, computer skills, and generative AI knowledge were found to be significant predictors. These findings reveal the importance of integrating AI into medical education and developing educational programs that will enhance students' AI competencies and reduce their anxieties. Hence, further longitudinal, multicenter, and controlled intervention studies are needed.

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KOMPANSASYON ODAKLI PROBLEM ÇÖZME EĞİTİMİNİN (KOPÇE) GELİŞTİRİLMESİ VE İNMELİ BİREYLERDE ETKİSİNİN İNCELENMESİ: RANDOMİZE KONTROLÜ ÇALIŞMA

(Sağlık Bilimleri Enstitüsü, 2025-10-27) leyla kaya öztürk; Ergoterapi

This study was conducted to examine the effectiveness of the Compensation-Based Problem-Solving Training (CBPST), developed to support functional recovery in individuals with stroke. CBPST was designed by the researchers through the integration of the Occupational Adaptation Model and compensatory strategies. The study was carried out at Etlik City Hospital. Participants diagnosed with stroke were randomly assigned to either the intervention group (n = 27) or the control group (n = 26). Both groups received conventional rehabilitation for 40 minutes per day, five days a week, for one month. In addition, the intervention group received CBPST for 20 minutes per day, five days a week, during the same period. To assess occupational performance and satisfaction, self-efficacy, participation, and quality of life, the following instruments were used, the Canadian Occupational Performance Measure (COPM), the Rehabilitation Activities Profile (RAP), the Daily Living Self-Efficacy Scale (DLSES), the Participation Scale (PS), and the Stroke-Specific Quality of Life Scale (SS-QOL). Changes before and after the intervention, between-group differences, and the effect sizes (r) of the intervention were analyzed. The findings indicated statistically significant improvements (p < 0.05) in the intervention group compared to the control group in COPM performance (r = 0.62) and satisfaction (r = 0.51), RAP (r = 0.14), DLSES (r = 0.57), PS (r = 0.43), and SS-QOL (r = 0.67) scores. In conclusion, this study provides preliminary evidence that CBPST has positive effects on occupational performance and satisfaction, self-efficacy, occupational participation, and quality of life in individuals with stroke. The findings suggest that CBPST may be a feasible and acceptable rehabilitation approach in clinical settings and holds potential for broader implementation in future clinical practice.

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KOMPANSASYON ODAKLI PROBLEM ÇÖZME EĞİTİMİNİN (KOPÇE) GELİŞTİRİLMESİ VE İNMELİ BİREYLERDE ETKİSİNİN İNCELENMESİ: RANDOMİZE KONTROLÜ ÇALIŞMA

(Sağlık Bilimleri Enstitüsü, 2025-10-27) Leyla KAYA ÖZTÜRK; Ergoterapi

This study was conducted to examine the effectiveness of the Compensation-Based Problem-Solving Training (CBPST), developed to support functional recovery in individuals with stroke. CBPST was designed by the researchers through the integration of the Occupational Adaptation Model and compensatory strategies. The study was carried out at Etlik City Hospital. Participants diagnosed with stroke were randomly assigned to either the intervention group (n = 27) or the control group (n = 26). Both groups received conventional rehabilitation for 40 minutes per day, five days a week, for one month. In addition, the intervention group received CBPST for 20 minutes per day, five days a week, during the same period. To assess occupational performance and satisfaction, self-efficacy, participation, and quality of life, the following instruments were used, the Canadian Occupational Performance Measure (COPM), the Rehabilitation Activities Profile (RAP), the Daily Living Self-Efficacy Scale (DLSES), the Participation Scale (PS), and the Stroke-Specific Quality of Life Scale (SS-QOL). Changes before and after the intervention, between-group differences, and the effect sizes (r) of the intervention were analyzed. The findings indicated statistically significant improvements (p < 0.05) in the intervention group compared to the control group in COPM performance (r = 0.62) and satisfaction (r = 0.51), RAP (r = 0.14), DLSES (r = 0.57), PS (r = 0.43), and SS-QOL (r = 0.67) scores. In conclusion, this study provides preliminary evidence that CBPST has positive effects on occupational performance and satisfaction, self-efficacy, occupational participation, and quality of life in individuals with stroke. The findings suggest that CBPST may be a feasible and acceptable rehabilitation approach in clinical settings and holds potential for broader implementation in future clinical practice.

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Deneysel Akciğer Nakli Modelinde Cerrahi Teknik ve Perioperatif Ventilasyon Stratejilerinin Geliştirilmesi

(Sağlık Bilimleri Enstitüsü, 2025-10-21) Mehmet Furkan Şahin; Dahili ve Cerrahi Araştırmalar

Lung transplantation remains the definitive treatment for end-stage pulmonary diseases, yet its clinical application continues to be hindered by complex surgical demands, immunological challenges, and suboptimal long-term outcomes. Animal models, particularly rat orthotopic lung transplantation, serve as essential tools for elucidating rejection mechanisms and evaluating novel therapeutic strategies. However, the steep learning curve and high technical demands have limited widespread adoption and reproducibility in preclinical studies. This study introduces a refined rat lung transplantation model incorporating several novel modifications designed to enhance procedural reliability and support long-term graft viability. A total of 40 left lung transplantations were performed, divided into two groups: Conventional Technique (CT) and Improved Technique (IT). Technical refinements included optimized cuff design, atraumatic graft handling on a pressure-absorbing platform, a sequential artery–bronchus–vein anastomosis order, and transient reclamping of the pulmonary artery for controlled reperfusion. Additionally, a tailored mechanical ventilation strategy was applied to minimize graft injury and optimize gas exchange. The IT group exhibited a significantly higher surgical success rate (96.3% vs. 53.8%), improved one-hour postoperative oxygenation, and consistent seven-day survival. Furthermore, long-term survivors (2–6 months) demonstrated preserved graft architecture and a gradual shift from acute rejection to chronic fibrotic remodeling on histopathological analysis. These findings suggest that the introduced protocol provides a reproducible, cost-effective, and technically accessible experimental platform for translational lung transplantation research. The model eliminates the need for high-cost infrastructure, offering a valuable tool for studying chronic rejection and evaluating emerging immunomodulatory approaches in a controlled and clinically relevant setting.

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YERİNDE SİMÜLASYONUN ANESTEZİ VE REANİMASYON UZMANLARININ TEKNİK OLMAYAN BECERİLERİNE VE HASTA GÜVENLİĞİNE ETKİSİ

(Sağlık Bilimleri Enstitüsü, 2025-10-16) Nazmiye Çelik; Tıp Eğitimi ve Bilişimi

In situ simulation training is recognized as an effective method for enhancing anesthesiology and reanimation specialists’ non-technical skills (NTS) and improving patient safety. However, studies investigating the integration of this educational approach into continuous professional development programs and its translation into clinical practice remain limited. This study aimed to evaluate the effect of in situ simulation training on the non-technical skill levels and patient safety performance of anesthesiology and reanimation specialists working in a pediatric operating room, as well as to obtain their feedback regarding the training. Additionally, the study examined whether performance observed during in situ simulation scenarios reflected real clinical performance. This observational, single-group quasi-experimental (pre–post) study was conducted between 2023 and 2024 in the operating rooms of a tertiary pediatric hospital. Eight in situ simulation sessions were held with eight anesthesiology and reanimation specialists working in the pediatric operating room. Changes in participants’ non-technical skills were assessed through observations conducted in the real operating room before and after the simulation training. To evaluate the impact of in situ simulation on patient safety, intraoperative team performance assessments and post-anesthesia care unit (PACU) observations were also performed.Data were collected using the Participant Information Form, Observation Data Form, Turkish version of the Anaesthetists’ Non-Technical Skills Assessment Tool – Danish version (ANTSdk/ANTStr), In Situ Simulation Training Evaluation Form, Intraoperative Patient Safety Evaluation Form, and Post-Anesthesia Care Unit Patient Safety Evaluation Form. Simulation video recordings were independently rated by two evaluators and compared with prior in situ simulation real-case observations to assess the consistency between simulated and clinical settings. Descriptive statistics (number, percentage, median, mean, standard deviation) were calculated, and repeated-measures ANOVA, Wilcoxon, and McNemar tests were applied. Findings indicated no statistically significant difference in anesthesiologists’ non-technical skill levels before and after simulation (p> 0.05). Likewise, intraoperative patient safety performance, as rated by team members, showed no significant change (p> 0.05). However, significant improvements were observed in the PACU for parameters such as bronchospasm, aspiration, consciousness level, and bleeding control (p <0.001), while no differences were found for other variables (p > 0.05). No significant difference was found between anesthesiology and reanimation specialists’ non-technical skill scores in real and simulated cases prior to the in situ simulation(p > 0.05). Participants evaluated their in situ simulation experience positively and expressed satisfaction with the training. In conclusion, a single in situ simulation session did not significantly improve non-technical skill performance but was associated with improvements in certain patient safety indicators within the post-anesthesia care unit. The consistent performance observed across real and simulated settings suggests that participants exhibited clinical behaviors in the simulation environment similar to those demonstrated in actual practice.

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