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Öğe Adaptation and Validation of the Post-Pandemic Health Promotion Behavior of Young Adults in the Digital Age (PS-SGD) Scale in the Turkish Population(Mdpi, 2024) Koc, Mustafa Can; Yildirim, Elif; Ozdurak Singin, Rabia Hurrem; Talaghir, Laurentiu-Gabriel; Iconomescu, Teodora Mihaela; Karakas, NeseBackground: Young adulthood is a critical developmental period in which individuals establish life-long health behaviors and take responsibility for their own health care. Health promotion strategies tailored to young adults, leveraging digital tools, and addressing challenges exacerbated by events like the COVID-19 pandemic are needed. The aim of this study was to adapt the post-pandemic health promotion behavior of young adults in the digital age (PS-SGD) scale to the Turkish population in order to assess and compare the health behavior of young adults after the pandemic. Methods: A total of 312 participants, aged between 19 and 29 years, were included in the study via non-probabilistic criterion sampling, while the Turkish adaptation process started with translation and back translation methods performed with three language and two health science experts. For statistical analysis, EFA and CFA were conducted to evaluate internal consistency and structural validity. Confirmatory factor analysis was utilized to confirm the structure of the six sub-dimensions. Additionally, measurement invariance was examined regarding participants' gender to determine if the scale accurately captured similar traits across diverse groups. The relationship between the test-retest data was tested by Pearson correlation to measure consistency and its invariance over time. Results: The gender distribution of the sample was found to be 61.3% female and 38.7% male. According to the results of EFA, items 8 and 18 were removed from the Turkish-adapted version. As a result of the reliability analysis conducted with the Turkish version of the scale, the Cronbach alpha coefficient was obtained as 0.851 for the post-pandemic health promotion behavior. Additionally, the scale was rated as reliable with the following Cronbach alpha values: 0.79 for the personal hygiene, 0.78 for dietary habits, 0.72 for using mobile devices, 0.70 for emotional health, 0.68 for health care and physical activity, and 0.51 for social health sub-dimensions. To examine the six sub-dimension factor structures of the scale, fit indices were calculated as chi 2/df (1.722), GFI (0.894), IFI (0.908), TLI (0.892), CFI (0.907), RMSEA (0.048), and SRMR (0.057) and were within acceptable limits. Findings of the multi-group confirmatory factor analysis for measurement invariance were less than or equal to 0.01 for the triangle CFI and triangle RMSEA values across all indices. Consequently, it was observed that the item-factor structure, factor loadings, variances, covariances, and error variances of the scale were equivalent for both male and female young adults, while test-retest results showed a high positive correlation. Conclusions: The Turkish version of the post-pandemic health promotion behavior scale of young adults in the digital age scale, consisting of 25 items and six subscales, was proven to be a valid and reliable tool to measure health promotion behavior in young adults aged 19-29 years.Öğe Cyberchondria, Covid-19 phobia, and well-being: a relational study on teachers(Mattioli 1885, 2022) Karakas, Nese; Tekin, Cigdem; Bentli, Recep; Demir, EkremBackground: This study aims at investigating level and contributor factors of Cyberchondria, COVID-19-related Phobia, and Well-Being in a sample of teachers in Turkey. Methods: The study was conducted on teachers (n=1000) working in a province in eastern Turkey. Data for the study were collected using a form that included particitest, and Kruskal Wallis analysis of variance were used to analyze the data. Results: As participant's cyberchondria levels rose, C19P-SE scores increased (r=0.271, p<0.001), and WHO-5 scores decreased (r=-0.224, p<0.05). Corona-phobia was higher in those who used social media than in those who did not (p<0.05). Cyberchondria scale scores were higher among those who had taken medications without a physician's recommendation during the pandemic. Participants who had a disabled person or a person in need of care in their household had higher scores for distrust of the physician and C19P-SE than for the cyberchondria severity scale sub-dimension, and the WHO-5 mean scores were lower (p<0.001, P=0.016, and P=0.020, respectively).Conclusions: The study results show that increasing levels of cyberchondria trigger COVID-19 phobias in teachers during the COVID-19 pandemic and negatively affect their well-being. This descriptive study can help understand the risk group for cyberchondria, the influencing factors, and the health and economic consequences, and identify strategies for effective combating with cyberchondria.Öğe The Effect of Emergency Nurses' Psychological Resilience on Their Thanatophobic Behaviors: A Cross-Sectional Study(Sage Publications Inc, 2022) Kartal, Mert; Kapikiran, Gurkan; Karakas, NesePurpose This study analyzed the effect of emergency nurses' psychological resilience on their thanatophobic behaviors. Methods The research was conducted with 156 emergency nurses. In the data collection process, the Socio-Demographic Information Form, the Brief Resilience Scale, and the Thanatophobia Scale were used. Results It was found that emergency nurses had medium-level psychological resilience and high-level thanatophobia. Besides, it was discerned that there was a moderate negative relationship between psychological resilience and thanatophobia (r:-.643, p: 0.000). Lastly, as per the simple linear regression analysis, it was identified that the predictor variable of psychological resilience accounted for 40.9% of the variance in the predicted variable of thanatophobia (R-2:.409, p: 0.000). Practice Implications Emergency nurses, who are faced with many negative situations, need to have a high level of psychological resilience in order to get out of the mental state brought by negative conditions as soon as possible, and it is recommended to carry out applications to increase psychological resilience.Öğe The effects of the nomophobic behaviors of emergency room nurses on their clinical decision-making perceptions: A cross-sectional study(Pergamon-Elsevier Science Ltd, 2023) Kapikiran, Gurkan; Karakas, Nese; Kartal, MertThis study analyzed the effects of the nomophobic behaviors of emergency room nurses on their clinical decision -making perceptions. This descriptive and cross-sectional study was performed with the participation of 186 nurses working in emergency rooms of certain hospitals located in eastern Turkey. In the data collection process, a sociodemographic data form, the Nomophobia Questionnaire, and the Clinical Decision-Making in Nursing Scale were used. It was discerned that the participants had medium-level nomophobia (66.64 +/- 25.36) and clinical decision-making perceptions (149.00 +/- 26.33). A strong negative relationship was identified between nomophobia and clinical decision-making perceptions (r:-.730, p < 0.01). Moreover, it was found that the predictor variable, nomophobia explained 53% of the variance in the predicted variable, clinical decision-making perceptions (R2: 0.530, p: 0.000). In the study, it was found that emergency room nurses had medium-level nomophobia and clinical decision-making perceptions. Besides, we observed that the clinical decision-making perception levels of the participants decreased as their nomophobia levels increased. As the risk of making medical errors is likely to increase along with an increase in nomophobia levels, it is recommended that edu-cation programs be organized to get emergency room nurses' nomophobic behaviors under control.Öğe Investigation of factors associated with stigma and social support in patients with epilepsy in Turkey: A cross-sectional study(Academic Press Inc Elsevier Science, 2022) Karakas, Nese; Saritas, Seyhan Citlik; Aktura, Seher Cevik; Karabulutlu, Elanur Yilmaz; Oruc, Fatma GunduzAim: The purpose of this study was to identify the stigma and multidimensional perceived social support levels of patients with epilepsy, as well as the factors affecting them. Method: The sample of the study consisted of 115 patients with epilepsy followed up in a university hospital in eastern Turkey. The data of the study were collected using the descriptive information form, the Jacoby Stigma Scale, and the Multidimensional Scale of Perceived Social Support. Data analysis was performed using t-test, one-way analysis of variance (ANOVA), and Pearson correlation coefficient. Results: The rate of exposure to stigma of the patients in the study was 62.4%. Those under 30 years of age, single, with low economic status, and living with their parents and siblings had higher stigma scale mean scores than the other groups (p = 0.001, p < 0.001, p = 0.001, p = 0.019, respectively). Multidimensional Scale of Perceived Social Support total scores were higher in women and married people (p = 0.020, p = 0.01, respectively). A statistically significant negative moderate correlation was found between the patients' Stigma scale mean values and Multidimensional Perceived Social Support Scale mean values (r =-0.568. p < 0.01). Conclusion: According to the study's findings, stigma is prevalent among patients with epilepsy. Increasing social awareness in order to augment social support in patients with epilepsy and providing the patient with positive coping strategies may be effective in reducing stigma in patients with epilepsy. (c) 2022 Elsevier Inc. All rights reserved.Öğe INVESTIGATION OF KNOWLEDGE, ATTITUDE AND BEHAVIOURS OF PARENTS REFUSING CHILDHOOD VACCINES IN MALATYA, AN EASTERN CITY OF TURKEY(Natl Inst Public Health, 2021) Gokce, Ayse; Karakas, Nese; Ozer, Ali; Bentli, RecepObjectives: The modem rise of vaccine rejection in society can alter the current progress that has been made towards the control and prevention of certain diseases, possibly even resulting in epidemics involving these preventable diseases. The aim of this study is to analyse the knowledge, attitude and behaviours of parents in Malatya city who rejected childhood vaccines. Methods: This descriptive, cross-sectional study was conducted between September-November 2019. The study includes parents who rejected vaccines and are registered in the family medicine clinics of Malatya city - total of 453 participants. The objective was to include all parents and avoid a sampling procedure. However, only 151 (33%) parents agreed to participate. These parents who rejected vaccines were individually contacted by phone. Descriptive data was represented by number (n) and percentage (%). The chi-square test was utilized in the statistical analysis of data and p <0.05 was considered significant in all evaluations. Results: Mothers in the study group had a mean age of 26.07 +/- 3.64, while the fathers were on average 30.03 +/- 4.59 years of age; 98% of parents were aware of the health risks that vaccine rejection presented; 93% of parents were not satisfied with the explanation, insight, and advice that the healthcare personnel provided regarding vaccines. All parents of the study group stated the following: vaccines should not be administered because other children in their close environment acquired a disease as a result of vaccination, vaccines can harm the immune system of children - not yet fully developed, vaccines are unsafe and endanger the health of children. Conclusions: It can be said that parents who have obtained a lot of false information possess altered decisions and views on vaccinations, to the point where they accept the risks presented by preventable diseases. In addition, individuals lose trust following negative experiences with vaccination.Öğe Nicotine addiction in pre-hospital emergency care workers in Turkey: a cross-sectional study(Taylor & Francis Inc, 2024) Karakas, Nese; citlik Saritas, Seyhan; Bentli, Recep; Derya, Serdar; Kartal, MertObjectiveThis study aims to determine the smoking prevalence and nicotine addiction in pre-hospital emergency care workers.MethodsThe study, conducted between March-April 2022 with the participation of 318 pre-hospital care workers, is cross-sectional. To determine the participants' nicotine addiction levels, the participants the Fagerstrom Nicotine Addiction Test (FNAT) was used. For statistical analyses, correlation, chi-square, student's t-test, and analysis of variance (ANOVA) were used. The statistical significance level was accepted as p < .05.ResultsWhile 53.0% Of The Study Group Used To Smoke, 9.1% Thought That Smoking Was Not harmful to health. The mean FNAT score of the smoking group was 5.04 +/- 2.92. Men's FNAT scores (p < .05) were higher for those over the age of 40 than for those under 40 than women (p < .05). In the comparison made according to the participants' occupations, the most smoking group was physicians (p < .05). The group with the highest addiction score among smokers was nurses (p < .05). A positive correlation was found between the years of employment in the sector and the FNAT scores of smokers (r = 0.146, p < .05).ConclusionPre-hospital emergency care workers had a much higher smoking prevalence and nicotine addiction than the medical staff in other units.Öğe Quality of Life and Associated Factors among Oldest-Old in Turkey(Routledge Journals, Taylor & Francis Ltd, 2023) Karakas, Nese; Deniz, Serdar; Bentli, Recep; Erten, BetulThe purpose of this study is to determine the quality of life of people aged 90 and over in Turkey, as well as the variables that influence it. The World Health Organization Quality of Life Scale Elderly Module (WHOQOL-OLD) was used to evaluate the quality of life of the participants in the study, which was carried out with the participation of 879 individuals aged 90 and over. The total mean score of the participants on the WHOQOL-OLD scale was 64.04 +/- 11.14. According to the study, the economic situation, availability of social security, level of education, and security of the area in which they live all have an impact on the quality of life of those aged 90 and over.Öğe The relation between the body perceptions and eating habits of the students in Inonu University(2017) Tekin, Çiğdem; Bozkir, Çiğdem; Karakas, Nese; Gunes, GulsenAbstract Objective:The study has been planned in order to examine the relation between the eating habits of university students and the other factors influencing this relation. Materials and Methods: The study was conducted in the cross-sectional design in Inonu University, and the sampling method, which is used in situations where the number of the universe is known, was used in the study, and the 573 students were contacted with the layered sampling method according to the faculty. The data were collected with face-to-face method by using the Body Perception Scale and Eating Habits Test, and with a questionnaire form that evaluated the demographic socio-cultural characteristics and eating habits of the students. Results:According to the Body Mass Index of the WHO, 78.4% of the students were at normal weight; 12.6% were found to be slightly overweight. 17.5% of the students received points that were below 135 from the Body Perception Scale, and were found to have lower body perception levels. It was determined that 32.3% of the students, who participated in the study, received over 26 points, which is the cutoff score of the eating habit test, and had obvious eating disorders. It was determined in the correlation that there was a positive and statistically significant relation between the Eating Habits and Body Perceptions Scales of the students(r=0.189;p<0.05). Conclusion: It was determined that the majority of the students were in normal weight according to Body Mass Index classification, and less than half of the students had obvious eating disorders. It was also determined that the students, who had eating disorders, had high body perception satisfaction levels.Öğe Stigmatization of healthcare professionals during the COVID-19 pandemic: their psychosocial states and the factors affecting them(Kare Publ, 2023) Tekin, Cigdem; Karakas, Nese; Akbulut, Sami; Kurt, Harun; Bentli, RecepObjectives: It is assumed that healthcare professionals are directly or indirectly subjected to stigma during the COVID-19 pandemic, impacting their psychosocial health. This study aimed to evaluate the psychosocial status of healthcare professionals during the COVID-19 pandemic and examine the factors affecting their exposure to stigma. Methods: This cross-sectional study included all healthcare professionals (n=1132) working in primary and secondary healthcare institutions in Malatya Province. Descriptive questions were asked to measure the stigma experienced by healthcare professionals during the COVID-19 outbreak. The Zung Self-Rating Depression Scale and Insomnia Severity Index were used to evaluate psychosocial health status. Results: Of the participants, 68.7% stated that they were exposed to stigma because they are healthcare professionals. The findings indicated that 72.1% of those who felt stigmatized for being a healthcare professional suffered from mod-erate or severe depression, and 66.9% suffered from subthreshold or moderate insomnia. When their current health state was compared with that before the pandemic, 25.0% said that it became worse\much worse. Conclusion: The results of this study indicated that most participants had been exposed to stigmatization because they are healthcare professionals. The participants who were exposed to stigma were found to suffer more from de-pression and insomnia. When their current health state was compared with that before the pandemic, one of every four participants stated that it became worse/much worse.
