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Öğe The effect of mindfulness on medication adherence in individuals diagnosed with Schizophrenia: A cross-sectional study(Wiley, 2022) Yildirim Usenmez, Tulay; Gultekin, Abdurrezzak; Erkan, Fatma Melike; Bayar, Behiye Dilmen; Can, Sevinc Yasar; Sanli, Mehmet EminObjective The aim of this study is to determine the effect of mindfulness on medication adherence in individuals diagnosed with schizophrenia. Materials and Methods This cross-sectional study was conducted with 147 individuals diagnosed with schizophrenia. The data were collected using the Descriptive Characteristics Form, Morisky Medication Adherence Scale, and Mindful Attention Awareness Scale. Results A strong positive correlation was determined between the mindfulness level and medication adherence of the individuals diagnosed with schizophrenia. Furthermore, mindfulness of the individuals diagnosed with schizophrenia was statistically significant in explaining medication adherence (p < 0.05) and mindfulness predicted medication adherence by 64%. Conclusion It was observed that the individuals' mindfulness level was low and half of the participants had low medication adherence. Moreover, as their mindfulness level increased, so did their medication adherence.Öğe The Effect of Mindfulness-based Psychoeducation on Negative Automatic Thoughts and Medication Adherence in Individuals with Cannabis Use Disorder: a Randomized Controlled Trial(Springer, 2024) Budak, Funda Kavak; Akbeniz, Aysel; Erkan, Fatma Melike; Gultekin, Abdurrezzak; Cumurcu, Hatice BirgelThe aim of this study is to evaluate the effect of mindfulness-based psychoeducation on negative automatic thoughts and medication adherence in individuals with cannabis use disorder. The randomized controlled study was conducted between September 2021 and December 2022 in the psychiatry clinic of a university hospital in Turkey. The sample size of the study consisted of 60 individuals (30 experimental groups, 30 control groups). Descriptive Characteristics Form, Negative Automatic Thoughts Questionnaire, and Morisky Medication Adherence Scale were used to collect data. In the study, while eight sessions of mindfulness-based psychoeducation were given to the experimental group, no intervention was applied to the control group. Experimental group posttest negative automatic thoughts and medication adherence scale total mean scores were found to be statistically significant (p < 0.05). It was determined that the posttest negative automatic thoughts scale total score mean in the experimental group decreased compared to the control group, and the medication adherence scale total score mean increased compared to the control group. It was determined that mindfulness-based psychoeducation given to individuals with cannabis use disorder was effective in negative automatic thoughts and adherence to treatment.Öğe Effects of Positive Psychotherapy-Based Education on Pain, Psychological Resilience, and Mental Well-Being After Lumbar Canal Stenosis Surgery: A Randomized Controlled Trial(Wiley, 2025) Pasahan, Ramazan; Kavak Budak, Funda; Saritas, Serdar; Kavak, Mustafa; Erkan, Fatma Melike; Akar, SabirAim This study was conducted to investigate the effects of positive psychotherapy-based education on pain, psychological resilience, and mental well-being after lumbar canal stenosis surgery.Materials and Methods A randomized controlled experimental study was conducted with 66 participants (33 control, 33 experimental) at the Brain and Neurosurgery Department of Medical Center X between March 2025 and July 2025. The control group received no intervention, while the experimental group received 8 weeks of psychoeducation based on positive psychotherapy. Pretests were administered to the control and experimental groups in March 2025. The training of the experimental group was administered between April 2025 and May 2025. Data collection tools included the Descriptive Characteristics Form, Pain Scale, Brief Resilience Scale, and Mental Well-Being Scale. It was determined that the data showed normal distribution, and parametric tests were used in the analyses. Chi-square and Fisher's exact tests were used to compare the descriptive characteristics of the patients in the experimental and control groups. A t-test was applied to the dependent and independent groups to determine the effect of the training.Findings In the study, no statistically significant difference was found in the comparison of the pretest pain, psychological resilience, and mental well-being scales of the control and experimental groups (p = 0.259, p = 0.177, p = 0.428). In the study, a statistically significant difference was found in the comparison of the posttest pain, psychological resilience, and mental well-being scales of the control and experimental groups (p = 0.001). In the study, a statistically significant difference was found in the pretest-posttest pain, psychological resilience and mental well-being scale total score averages of the experimental group (p = 0.001).Conclusion and Recommendations Positive psychotherapy-based education was effective in reducing pain and increasing psychological resilience, and mental well-being in patients after lumbar spinal stenosis surgery. Based on these findings, positive psychotherapy-based education can be recommended as an adjunct to pharmacological treatment for not only physical but also psychological recovery.Öğe Karaciğer Nakli Olan Bireylerde Umut ile Psikolojik İyi Hissetme Arasındaki İlişki: Kesitsel Çalışma(2025) Kavak, Funda; Erkan, Fatma MelikeAmaç: Bu çalışma, karaciğer nakli hastalarında umut ile psi kolojik iyi oluş arasındaki ilişkiyi incelemeyi amaçlamıştır. Gereç ve Yöntemler: Tanımlayıcı-korelasyonel tasarıma sahip bu çalışma, Ma latya’da bir hastanede 110 karaciğer nakli alıcısı ile gerçekleştirilmiştir. Veriler, tanımlayıcı özellikler formu, Herth Umut İndeksi ve Psikolojik İyi Oluş Ölçeği kullanılarak toplanmıştır. Verilerin analizi, SPSS 25.0 programı ile analiz edilmiştir. Bulgular: Katılımcıların umut puan or talaması 92,00±21,65, psikolojik iyi oluş puan ortalaması ise 41,77±11,53 olarak bulunmuştur. Umut ile psikolojik iyi oluş arasında istatistiksel olarak güçlü pozitif bir ilişki saptanmıştır (p<0,05). Umut, karaciğer nakli hastalarında psikolojik iyi oluş varyansının %79’unu açıklamıştır. Ayrıca umut, betimleyici özelliklerden bağımsız olarak psi kolojik iyi oluş üzerinde anlamlı bir etkiye sahip olup, etki büyüklüğü 0,80 olarak hesaplanmıştır. Sonuç: Umut düzeyindeki artış, psikolojik iyi oluşun yükselmesiyle ilişkilidir. Karaciğer naklinin gerektirdiği çok yönlü uyum süreci göz önüne alındığında, umut ve psikolojik iyi oluş kavramlarının önemli olduğu düşünülmelidir. Hemşirelerin karaciğer nakli hastalarının umut düzeylerini değerlendirmesi, umudu artırmaya yönelik müdahaleler uygulaması, hastaların umut kaynaklarını keşfet melerine yardımcı olması ve gerektiğinde uygun yönlendirmelerde bu lunması önerilmektedir. Ayrıca bu popülasyonda, psikolojik iyi oluşu doğrudan ölçen araştırmaların yapılması önerilmektedir.Öğe The relationship between fear against Covid-19 and emotional expression in nursing students(2022) Erkan, Fatma Melike; Kavak Budak, FundaEmotional expression is important for body and mental health in these days of fear of Covid-19. This research was aimed to determine the relationship between the fear of covid-19 and emotional expressions of nursing students with high awareness and contact possibility for covid-19. The sample size of the research consisted of 313 nursing students determined by power analysis. In the study, "Socio-Demographic Characteristics Form", "Covid-19 Fear Scale" and "Berkeley Emotional Expression Scale" were used as data collection tools. It was determined that the total mean score of the participants was 79.09 ± 16.37 on the Berkeley Emotional Expression Scale and 17.11 ± 5.85 on the Covid-19 Fear Scale. In the study, it was determined that there is a positive, weakly and significant correlation between the students' fear of covid-19 and their emotional expressions. As the nursing students' fear of covid-19 increases, their emotional expressions increase. It is necessary to develop environments in which nursing students can express their emotions and work to increase their level of expression. It is necessary to develop environments in which nursing students can express their emotions and work to increase their level of expression. Psychological support units can be established in hospitals and schools under the leadership of related psychiatric nurses.Öğe The correlation between global climate change anxiety and death anxiety in women: A case study from the zone of 6 February earthquake(Sage Publications Ltd, 2025) Erkan, Fatma Melike; Budak, Funda KavakAim: This study aims to determine the correlation between global climate change anxiety and death anxiety in women. Method: The population of this correlational descriptive study consisted of women who lived in a informal living conditions in a province due to the earthquake. Five hundred women were included in the study. The data were collected using a Descriptive Characteristics Form, the Climate Change Anxiety Scale, and the Death Anxiety Scale by holding face-to-face interviews with women who lived in the informal living conditions between June and September 2024. Findings: The total mean score of the women on the climate change anxiety scale was 20.73 +/- 8.05. The total mean score of the participants on the death anxiety scale was 9.55 +/- 3.34 (Table 2). A statistically significant positive weak correlation was found between the total mean score of the participants on the Climate Change Anxiety Scale and their total mean score on the Death Anxiety Scale (p < .05). Conclusion: The anxiety level of the participants about climate change could be considered to be low. The death anxiety score of the women was 'severe'. As the climate change anxiety of the participants increased, so did their death anxiety.Öğe The correlation between intolerance of uncertainty and hopelessness levels of victims residing in a Container City after the February 6 earthquakes(Springer, 2024) Erkan, Fatma Melike; Budak, Funda KavakThe aim of this study is to determine the correlation between intolerance of uncertainty and hopelessness levels of victims who were residing in a container city after the February 6 earthquakes. This correlational descriptive study was conducted in Teknokent Container City located in X city between June and August 2023. The population consisted of survivors who were residing in the Teknokent container city established in the Y district of X city. 100 individuals were reached in the study. The researcher collected the data through face-to-face interview method using a Descriptive Characteristics Form, the Intolerance of Uncertainty Scale-Short Form (IUS 12), and the Beck Hopelessness Scale. It was determined that the participants had high levels of hopelessness and intolerance of uncertainty after the earthquake. Also, as the intolerance of uncertainty levels of the earthquake victims elevated, their hopelessness levels rose. The high levels of intolerance of uncertainty and hopelessness in the earthquake victims who resided in the container city demonstrate the necessity of implementing psychosocial support programs including psychiatric nurse, as well. Moreover, these concepts should be incorporated into the contents of these programs. center dot The earthquake maintains its destructive impacts not only when it strikes but also in the following period, depending on the human factor.center dot Situational uncertainty, especially in times of crisis such as earthquakes and subsequent period, can have a negative impact on individuals and exacerbate their psychological distress, including feelings of frustration, injustice, helplessness, anger, and rage.center dot The earthquake victims develop various psychological problems such as hopelessness and intolerance of uncertainty.center dot Determining the intolerance of uncertainty and hopelessness levels of survivors of the February 6 earthquakes, who have been living in a container city would help identify the content and necessity of psychosocial support to be given to them in the following period.Öğe The relationship between future anxiety and awareness of global climate change in nursing students(Sage Publications Ltd, 2025) Erkan, Fatma Melike; Budak, Funda KavakAim: The aim of this study is to determine the relationship between nursing students' future anxiety and awareness of global climate change. Method: The population of this correlational descriptive study consisted of nursing students studying at a nursing faculty. Three hundred and thirty nursing students were included in the study. The researcher collected data through google forms using a Descriptive Characteristics Form, the Awareness Scale of University Students About Global Climate Change (ASUSGCC) and the Future Anxiety Scale in University Students (FASUS) between March and May 2024. Results: The ASUSGCC total mean score of the nursing students was 3.43 +/- 0.88. Their FASUS total mean score was 61.39 +/- 12.98. There was a statistically significant positive, weak correlation between their ASUSGCC and FASUS total mean scores (p < .05). Conclusion: It was found that the nursing students had a moderate level of awareness about global climate change. It can be asserted that the participants had a moderate level of future anxiety based on their FASUS total mean score. In the study, as their level of awareness about climate change elevated, did so their level of future anxiety.
