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Öğe Care Burden and Quality of Life in Family Caregivers of Palliative Care Patients(Routledge Journals, Taylor & Francis Ltd, 2021) Cengiz, Zeliha; Turan, Mensure; Olmaz, Dilek; Erce, CigdemThis research was conducted for the purpose of examining the care burden and quality of life in family caregivers of palliative care patients. The research design was a descriptive correlational study conducted with the caregivers of 163 patients residing in palliative care units. Data were collected via a demographic survey, The Zarit Burden Interview (ZBI) and the World Health Organization Quality of Life Assessment (WHOQOL). The results showed that there was a negative correlation between ZBI and WHOQOL scores. Further, there was a significant negative correlation between many subdimensions of the ZBI (general quality of life, general perception of health, being satisfied with daily life skills, home conditions, energy and self-satisfaction) and the WHOQOL. Quality of life thus appeared to be reduced in family members with a high level of care burden and that the quality of life of caregivers depends on the individual characteristics of the caregiver. Social workers, nurses and physicians should regularly assess the burden and quality of life of caregivers.Öğe The effect of abdominal massage and in-bed ROM exercise on gastrointestinal complications and comfort in intensive care unit patients receiving enteral nutrition: A randomized controlled trial(Wiley, 2024) Turan, Mensure; Cengiz, ZelihaAim: Abdominal massage facilitates gastric and colonic motility, reduces intra-abdominal distension and increases circulation. In-bed range of motion (ROM) exercise has effects on muscle strength, cardiac parameters and excretion. The aim of this study was to assess the effects of abdominal massage and in-bed ROM exercise on gastrointestinal complications and patient comfort in intensive care patients receiving enteral nutrition. Methods: This randomized controlled trial was conducted in the internal intensive care units of two tertiary public hospitals. The sample consisted of 130 patients randomly assigned to three groups (abdominal massage = 44, in-bed ROM exercise = 43, control = 43). The individuals received abdominal massage and in-bed ROM exercises every morning before enteral feeding for 3 days. We assessed gastrointestinal complications and comfort levels of the patients 24 h after each intervention. Results: While the differences in abdominal distention, defecation status, constipation, and gastric residual volume complications were significant (p < .05), there was no significant difference in diarrhea and vomiting (p > .05). Comfort level showed a statistically significant change in the experimental groups in the in-group comparison (p < .05). Conclusion: Abdominal massage and in-bed ROM exercise reduce abdominal distention, constipation and gastric residual volume. Abdominal massage affects the frequency of defecation; and, both interventions increase the comfort while reducing the pain level over time.Öğe Effect of trauma severity on stress management among first-year nursing students in earthquake zones: A multicenter study(Springer, 2025) Turan, Mensure; Cengiz, ZelihaIn regions affected by earthquakes, psychological evaluation of first-year students is essential for ensuring the smooth progression of the educational process. This study aimed to determine the impact of trauma severity on stress management among first-year nursing students in the earthquake region following the February 6, 2023, earthquake in Turkey. A cross-sectional, correlational study was conducted with 485 first-year undergraduate nursing students who began their studies in 11 earthquake-affected provinces in Turkey following the February 6, 2023, earthquake. The study took place during the 2023-2024 academic year. Data were analyzed using descriptive statistics, independent samples t-tests, ANOVA, and multiple regression analysis. A weak but statistically significant negative correlation was observed between students' post-earthquake trauma levels and their stress management scores (r = -.162; p <.001). The standardized regression coefficient was highest for the affective subscale (beta = - 0.650), followed by the emotional limitation subscale (beta = - 0.165). Together, these variables accounted for 5% of the total variance in stress management (R =.050; R-2 = 0.050; p <.001).The findings indicated that as students' levels of post-earthquake trauma increased, their use of coping strategies decreased, with affective and emotional responses identified as predictors of stress management.Öğe Enteral Beslenen Yoğun Bakım Hastalarında Abdominal Masaj ve Yatak İçi Egzersizin Gastrointestinal Komplikasyonlar ve Hasta Konforuna Etkisi(İnönü Üniversitesi, 2022) Turan, MensureAmaç: Bu araştırma enteral beslenen yoğun bakım hastalarında abdominal masaj ve yatak içi egzersizin gastrointestinal komplikasyonlar ve hasta konforuna etkisinin belirlenmesi amacıyla yapıldı. Materyal ve Metot: Araştırma randomize kontrollü olarak Mayıs 2021- Temmuz 2022 tarihleri arasında Diyarbakır Gazi Yaşargil Eğitim Araştırma Hastanesi ve Dicle Üniversitesi Tıp Fakültesi dahili yoğun bakım ünitelerinde enteral beslenen hastalar ile yürütüldü. Örneklemi abdominal masaj grubuna (n=44), yatak içi egzersiz grubuna (n=43) ve kontrol grubuna (n=43) rastgele atanan 130 hasta oluşturdu. Verilerin toplanmasında Demografik Özellikler Formu, Enteral Beslenme İzlem Formu, Richmond Ajitasyon-Sedasyon Skalası, Yoğun Bakım Ağrı Gözlem Ölçeği ve Konfor Davranışları Kontrol Listesi kullanıldı. Girişimler enteral beslenme öncesi 3 gün boyunca her sabah araştırmacı tarafından uygulandı. Her girişimden 24 saat sonra hastaların GİS komplikasyonları ve konfor düzeyleri belirlendi. Bulgular: Deney ve kontrol gruplarında grup içi ve gruplar arası karşılaştırmalarda abdominal distansiyon, defekasyona çıkma durumu, konstipasyon, GRV komplikasyonlarında görülen farklılıklar anlamlı (p<0.05) iken diyare ve kusma durumunda anlamlı farklılık bulunmadı (p>0.05). Konfor düzeyinde grup içi abdominal masaj ve yatak içi egzersiz gruplarında ön test ile son test ölçümleri arasında istatistiksel olarak anlamlı değişim gösterirken (p<0.05) kontrol grubunda anlamlı fark bulunmadı (p>0.05) ve son test ölçümlerinde gruplar arası karşılaştırma istatistiksel olarak anlamlı bulundu (p<0.05). Sonuç: Abdominal masaj ve yatak içi egzersizin; abdominal distansiyonu, konstipasyonu, gastrik rezidüel volümü, glikoz düzeyini azalttığı, kusma ve diyare durumlarında herhangi bir farklılık yapmadığı, abdominal masajın defekasyon durumunu etkilediği ve her iki girişimin ağrı düzeyini zamanla azaltırken konforu artırdığı belirlendi. Anahtar kelimeler: Abdominal masaj, Enteral beslenme, Konfor, Yatak içi egzersiz, Yoğun bakımÖğe Metabolik Sorunu Olan Çocuğun Ebeveynlerinin Bakım Yükünün Algılanan Sosyal Destek ve Yaşam Kalitelerine Etkisinin İncelenmesi(2021) Turan, Mensure; Yayan, Emriye HilalÖz: Amaç: Metabolik sorunu olan çocuğun ebeveynlerinin bakım yükünün algılanan sosyal destek ve yaşam kalitelerine etkisinin incelenmesi amacıyla yapıldı. Yöntem: Araştırmanın örneklemini Gazi Yaşargil Eğitim Araştırma Hastanesi endokrin bölümüne başvuran 90 çocuk hastanın ebeveynleri oluşturmakta olup, araştırma tanımlayıcı ilişki arayıcı olarak yapıldı. Araştırmada, “Zarit Bakım Yükü Ölçeği”, “Çok Boyutlu Algılanan Sosyal Destek Ölçeği” ve “Yaşam Kalitesi Ölçeği” kullanıldı. Veriler sayı, yüzdelik, ortalama, student t testi, kruskal wallis ve pearson korelasyon ile analiz edildi. Bulgular: Araştırmaya katılan ebeveynlerin; yaş ortalaması 30.21±6.10 yıl ve %78.9’u çocukların annesidir. Çocukların % 52.2’ sinin kız, %32.2’si fenilketonüri, %21.1’nin biotidinaz eksikliği tanısı aldığı belirlendi. Ebeveynlerin bakım yükü puan ortalaması 45.17±9.08, yaşam kalitesi puan ortalaması 20.51±3.35, algılanan sosyal destek puan ortalaması 40.20±8.55 olarak bulundu. Ebeveynlerin bakım yükü, algılanan sosyal destek ve yaşam kaliteleri arasında ve yaşam kaliteleri ile algılanan sosyal destek düzeyleri arasında negatif yönde önemli bir ilişki olduğu belirlendi (p<0.05). Sonuç: Ebeveynlerin bakım yükü ile yaşam kalitesi ve algılanan sosyal destek düzeyi arasında önemli bir ilişki olduğu, algılanan sosyal destek düzeyi arttıkça bakım yükünün azaldığı ve yaşam kalitesinin arttığı belirlendi. Anahtar Kelimeler: Metabolik hastalık; bakım yükü; ebeveyn.Öğe Nursing Students' General Attitudes Towards Artificial Intelligence Scale (NGAAIS): A Turkish validity and reliability study(Elsevier Sci Ltd, 2025) Turan, Mensure; Cengiz, ZelihaAim: The Turkish validity and reliability of the Nursing Students' General Attitudes Towards Artificial Intelligence Scale was evaluated to ascertain its applicability in assessing attitudes towards AI in nursing practices Background: For the effective integration of AI supported health applications into nursing education and practice, it is essential to assess individuals' attitudes toward AI using valid instruments. Method: This cross-sectional study aimed to assess the validity and reliability of a scale. It was conducted with 417 undergraduate nursing students from a Turkish nursing faculty participating. The scale's validity and reliability were assessed using several methods, including content validity, exploratory factor analyses, the Cronbach alpha coefficient, item-total correlation and split-half method. Result: The scale demonstrated content validity, with a content validity index (CVI) of 0.96. The fit indices obtained through confirmatory factor analysis were found to be acceptable, with a chi 2/SD value of 2.49. The fit indices values were also within acceptable limits (GFI = 0.98, AGFI = 0.99, CFI = 1.00, RMSEA = 0.061, SRMR = 0.057). The factor analysis yielded a 20-item measurement tool comprising four sub-dimensions (Benefits of AI in Nursing (6 items), Risks of AI (8 items), Practical Advantages (4 items) and Willingness to Use (2 items). Furthermore, the Cronbach alpha value was determined to be 0.914. Conclusion: The Turkish version, which measures attitudes towards AI in nursing in the dimensions of benefits, dangers, advantages in practice and willingness to use, is a valid and reliable instrument. The measurement tool can be used safely in nursing science.Öğe Perception of spiritual care among palliative care nurses: cross-sectional study in eastern Turkey(Mark Allen Group, 2021) Cengiz, Zeliha; Olmaz, Dilek; Turan, MensureBackground: Spiritual care is an integral part of palliative care. A nurse's perception of spiritual care is an effective factor for giving spiritual care. Aim: To determine the perception of spiritual care and the variables that might affect the perception of spiritual care among palliative care nurses. Methods: This cross-sectional study included 51 nurses working in the palliative care units. Perceptions of spiritual care was measured with the Spiritual Support Perception Scale. Findings: The mean score of the perception of the spiritual care of the nurses was found to be 64.22 +/- 9.25. A negative correlation was found between the nurses' mean score of the perception of spiritual care and the number of patients to whom those nurses provided daily care. Conclusion: This study has found that palliative care nurses had a high level of perception of spiritual care. Based on the study results, it was determined that the number of patients receiving daily care was a predictor for the perception of spiritual care.Öğe The mediating role of self-efficacy in nursing students' initial clinical practice experience(Elsevier Science Inc, 2025) Turan, Mensure; Cengiz, ZelihaBackground: Self-efficacy serves as a mediator between individual performance and knowledge, and is crucial in ensuring the delivery of appropriate nursing care in complex clinical scenarios. Consequently, it is imperative to ascertain the influence of self-efficacy levels on the assessment of nursing students' clinical performance. Aim: Examine the mechanisms through which stress experienced by nursing students in clinical setting affects their attitudes during their initial clinical practice experience, and to elucidate the role of clinical self-efficacy as a mediator in this process. Methods: This descriptive and correlational study was conducted with 169 first-year nursing students. The data analyses based on the Bootstrap method were performed using the SPSS and AMOS 24 program. Results: As a result of the analysis, the model was found to be significant, with 29% of the change in the students' attitude score towards clinical practice (,80=-0.171; R2=0.29) and 15% of the self-efficacy score explained by the stress they perceived (,81=-2.832; R2=0.15). Conclusion: The findings highlight the importance of self-efficacy in clinical practice education in the planning of educational programs. (c) 2025 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
