Hacettepe Üniversitesi Açık Erişim Sistemi (HÜAES)
- HÜAES, Hacettepe Üniversitesi bünyesinde üretilen kitap, makale, tez, bildiri, rapor gibi tüm akademik kaynakları uluslararası standartlarda dijital ortamda depolar, etkisini artırmak için telif haklarına uygun olarak Açık Erişime sunar.
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Göğüs Hastalıkları Kliniklerinde Çalışan Hemşirelerin Ajitasyon Yönetimi Deneyimleri: Niteliksel Bir Çalışma
(Sağlık Bilimleri Enstitüsü, 2025-06-25) Tıraşoğlu, Büşra; Psikiyatri Hemşireliği
This study was conducted as a descriptive qualitative study to examine the agitation management experiences of nurses working in chest diseases clinics. The research universe consists of nurses who have been working in chest diseases clinics for at least six months and who have previously provided care to agitated patients. The sample included 13 nurses who met these criteria and accepted the study. The ‘Introductory data form’ prepared by the researchers and the ‘Semi-structured interview form’ regarding agitation management were used in data collection. The data were collected by the researcher using the in-depth interview method and analyzed using descriptive analysis. The research data are presented under 4 themes and 10 subthemes. There are 2 subthemes (emotions, behaviors) under the theme of “agitation table,” 4 subthemes (environmental conditions, elements related to disease and treatment, elements related to patients, and elements related to the system) under the theme of “agitation facilitators,” 2 subthemes (prevention-related efforts and efforts made while agitation occurs) under the theme of “agitation management efforts,” and 2 subthemes (challenging emotions and developmental awareness) under the theme of outcomes for nurses. As a result of the study, it was seen that agitation table can occur with behaviors such as yelling at people around, insulting people, throwing objects, making physical contact with healthcare professionals, pulling out invasive catheters, and refusing treatment. Etiological factors include environmental factors such as noise and constant light, patient-related situations such as lack of information and repetitive hospitalizations, and systemic factors such as inadequacy in treatment management and lack of knowledge of healthcare professionals. The study found that effective management of agitation is possible with team cooperation and increasing the level of knowledge on the subject; Otherwise, it has been concluded that the treatment process may be disrupted and the patient may harm both himself/herself and his/her environment. Based on the findings of the study, it is recommended that institutional guidelines containing general, evidence-based principles and approaches in agitation management be established, institutional policies be determined to identify risky situations that lead to agitation and to take precautions, and interventions be planned to increase the competence of healthcare personnel regarding agitation symptoms, etiology and management.
İşitme Kaybı Olan ve Normal İşiten Yetişkinlerde Gürültüde Konuşma Algısı ile Bilişsel Beceriler Arasındaki İlişkinin İncelenmesi
(Sağlık Bilimleri Enstitüsü, 2025-05-28) Okyay, Zeynep; Odyoloji
The aim of this study is to evaluate memory, executive function, and attention skills in adults using hearing aids, and to examine the relationship between these cognitive abilities and speech perception in noise. Additionally, it aims to compare the performances of normally hearing adults through the same assessments. The study sample consists of 50 participants aged 18–50, including 25 hearing aid users and 25 with normal hearing. To assess speech perception in noise, the Matrix Sentence Test was used; for attention, the MOXO Attention Test; and for memory, the Letter-Number Sequencing and the Serial Digit Learning Test (SDLT). Fluid intelligence was measured using Raven's Standard Progressive Matrices Test; executive functions were evaluated via the Istanbul 5-Block Planning Test, Phonemic Fluency (K, A, S), and Semantic Fluency tasks. Data were analyzed using t-tests for group comparisons when normality assumptions were met, and Pearson correlation analyses were conducted for variable relationships. Findings revealed that normal-hearing individuals performed significantly better than hearing aid users in phonemic and semantic fluency, memory tasks, MOXO attention and timing scores, and speech-in-noise comprehension. No significant differences were observed in SDLT or MOXO impulsivity scores. In addition, statistically significant and high-level correlations were found between attention, verbal fluency and fluid intelligence scores and speech perception performance in noisy environments. These findings indicate that hearing loss can significantly affect not only peripheral auditory processes but also cognitive functions.
Hemşirelerin Alzheimer Hastalarıyla İletişim Deneyimlerinin İncelenmesi: Nitel Bir Çalışma
(Sağlık Bilimleri Enstitüsü, 2025-05-29) Alpaslan, Kaya Hasret; Psikiyatri Hemşireliği
The aim of this study is to explore the communication experiences of nurses who provide care to patients with Alzheimer’s disease in Turkey. A descriptive qualitative research design was employed. The study population consisted of nurses residing in Turkey who had been caring for patients with Alzheimer’s disease for at least six months. Snowball sampling was used to reach participants, and data collection was concluded after interviews were conducted with 12 nurses, upon reaching data saturation as determined by the researchers. Data were collected using a "Demographic Information Form" and a "Semi-Structured Interview Form." The data were analyzed through content analysis, revealing five main themes and nineteen sub-themes. The findings were categorized under the following themes: current state of communication with Alzheimer’s patients, perception of therapeutic communication, barriers to therapeutic communication, facilitators of therapeutic communication, and suggestions for supporting therapeutic communication. The results indicated that nurses found communicating with Alzheimer’s patients to be a challenging experience, yet they expressed a sense of satisfaction when effective communication was achieved. Participants shared their experiences regarding ineffective approaches to communication, as well as the skills and techniques that supported therapeutic communication, including agitation management. While emphasizing the existence of communication barriers, they also highlighted factors that facilitate communication with Alzheimer’s patients. Additionally, the nurses pointed out a lack of knowledge regarding appropriate language use and approaches, and underlined the need for education in this area. Based on these findings, it is recommended that regular and ongoing “effective communication” training programs be organized, considering the specific nature of Alzheimer’s disease.
Alzheimer Tanılı Bireylere Bakım Verenlerde Nefes Terapisi Ve Benson Gevşeme Tekniğinin Bakım Verme Yükü, Algılanan Stres Ve Özyeterliliğe Etkisi
(Sağlık Bilimleri Enstitüsü, 2025-05-29) Bayraktar, Hülya Nuray; İç Hastalıkları Hemşireliği
This randomized controlled trial aimed to investigate the effects
of simultaneously applied breathing therapy and the Benson relaxation technique on
caregiver burden, perceived stress, and self-efficacy among Alzheimer's caregivers.
Between February 19 and on April 30, 2025, Alzheimer’s caregivers attending the
Geriatrics Outpatient Clinic of the Health Sciences University, Gulhane Training and
Research Hospital, were randomly assigned (1:1) to intervention (n=40) and control
(n=40) groups. The intervention group received face-to-face training twice a week,
consisting of 30 minute sessions that included 10 minutes of 4-7-8 breathing therapy and
20 minutes of the Benson relaxation technique during six weeks. No additional
intervention was provided to the control group beyond standard care. Data were collected
in person using the Caregiver Information Form, Burden Scale for Caregivers of
Dementia Patients, the Perceived Stress Scale, and the General Self-Efficacy Scale.
Statistical analyses included descriptive ones, Student’s t and Kruskal Wallis. A
significant decrease in caregiver burden scores was observed in the intervention group,
compared to the control group in the 4th week, 6th week and 8th week (follow-up)
(p<0.05). The perceived stress level was found to be lower in the intervention group
compared to the control group in the 2nd week, 4th week, 6th week and 8th week (followup)
(p<0.05). A significant increase in self-efficacy level was defined in the intervention
group compared to the control group in the 4th week, 6th week and 8th week (follow-up)
(p<0.05). The study findings showed that 4-7-8 breathing therapy and Benson relaxation
technique applied simultaneously to Alzheimer's caregivers relieved the caregiver burden,
reduced the perceived stress level and improved self-efficacy. In line with these findings,
it is recommended that mind-body-based practices supporting caregivers should be
disseminated, intervention durations may be extended, and our findings should be
confirmed with further clinical studies.
Şizofreni Tanısı Olan Bireylerde İnteroseptif Duyarlılık, Yürütücü İşlevler, Zaman Perspektifi Ve Okupasyonel Dengenin İncelenmesi
(Sağlık Bilimleri Enstitüsü, 2025-05-27) Aydemir, Fatma Rana; Ergoterapi
Schizophrenia is a complex psychiatric condition that affects an individual’s cognitive and emotional processes, leading to distortions in the perception of reality. This study aims to compare interoceptive sensibility, executive functions, time perspective, and occupational balance between individuals diagnosed with schizophrenia and healthy individuals. In this context, 46 individuals aged between 18 and 65 years who were diagnosed with schizophrenia according to DSM-5 criteria and were in the remission phase, and 46 healthy individuals in the same age range with no psychiatric diagnosis were evaluated. Participants were assessed using the Interoception Sensory Questionnaire, Zimbardo Time Perspective Inventory, Occupational Balance Questionnaire, and Frontal Assessment Battery. The findings revealed significantly impaired interoceptive sensibility (p<0.01), decreased executive function (p<0.01), deviated time perspective balance (p<0.01), and lower levels of occupational balance (p<0.01) in the schizophrenia group. Additionally, difficulties were particularly noted in the Past Positive and Present Fatalistic subscales of the time perspective profiles (p<0.05). These findings indicate that schizophrenia involves not only psychopathological symptoms but also concurrent multidimensional impairments in cognitive, temporal, and daily life functioning. In this regard, the results highlight the need for occupational therapists to develop holistic and structured intervention programs that address the integration of body, mind, and time in the treatment of schizophrenia.