Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item Opinions Of Intensive Care Nurses On Continuous Renal Replacement Therapy: A Qualitative Study(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-06-21) Kilic, Gulsen; Eskigulek, Yasemin; Erdogan, Bulent; Arpa, Hilal; Erbas, Gizem; Basturk, BeyzaIntroductionThis is a phenomenologically designed qualitative study conducted to explore and conceptualize the problems experienced by intensive care nurses caring for patients undergoing continuous renal replacement therapy.MethodsFace-to-face, semi-structured interviews were conducted with the participants. The interviews were transcribed verbatim, then thematic analysis was conducted.ResultsThe study was conducted 12 intensive care nurses. As a result, 3 main and 6 sub-themes were identified. The themes identified were changing routines, uncertainty in terms of patient benefit, and need for adaptation.ConclusionIt was found that nurses experienced challenges in providing care to patients undergoing continuous renal replacement therapy, spent more effort to prevent complications, and lacked information on the subject. It is recommended to consider institutional and individual actions to meet the educational needs of nurses for implementing continuous renal replacement therapy.Item Examination of Electrical and Dielectric Parameters of Au/n-Si Schottky Barrier Diodes (SBDs) with Organic Perylene Interlayer Using Impedance Measurements Under Various Illumination Intensities(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-06-22) Bengi, S.; Cetinkaya, H. G.; Altindal, S.; Zeyrek, S.This study examines a metal-semiconductor structure with an organic perylene interlayer by measuring capacitance (C) and conductance (G/w) versus voltage under various lighting conditions and illumination levels (dark and 50-250 mW cm(-2)) in a wide range of voltage (+/- 5 V). The increase in illumination results in an increase in capacitance and conductance values in the depletion and accumulation regions due to surface-state illumination (N-ss). The barrier height (Phi(B)) decreased from 1.617 eV (in the dark) to 0.543 eV (under 250 mW cm(-2)). The C-V plot demonstrates peak behavior before going negative at the accumulation region. As the illumination intensity increases, the peak magnitude also increases, and concurrently, its position shifts towards the densely accumulated region due to the illumination-induced changes in surface states (N-ss) and the subsequent reordering/restructuring of these states. The lowest value of capacitance corresponds to the highest value of conductance, and the negative value of C decreases as illumination increases. The Hill-Coleman and Nicollian-Brews methods were used to obtain the voltage/illumination-dependent profile of N-ss and R-s, respectively. The relaxation mechanism of the SBD was also explained using electric modulus formalisms. The slope of ln(sigma(AC))-ln(P) plot changed from 0.474 and 0.824 and so Au/C20H12/n-Si SBD can be used in photonic applications.Item Development And Psychometric Analysis Of Care Needs Scale For Mothers Of Children With Congenital Heart Disease(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-07-02) Ay, Ayse; Semerci, Remziye; Savas, Eyan Hanzade; Saridag, Kuebra Nur KabakciPurpose: This cross-sectional study aimed to create and evaluate a care needs scale for mothers of children with congenital heart disease (CHD) to determine its psychometric properties. Design and methods: This methodological research was conducted with 155 mothers whose children were diagnosed with CHD and were treated at a university hospital. The study's methodology included scale development, specialist opinions, and a pilot test. Data analysis involved descriptive statistics, exploratory and con firmatory factor analyses, and reliability assessments. Results: The 11 -item scale was created using component analysis, expert comments, and pilot testing. It was divided into two categories: Information Needs Regarding Disease and Treatment and Needs Regarding Care. The Exploratory Factor Analysis revealed a 2 -factor structure, explaining 41.5% of the variance. Reliability analysis showed reliable dimensions, and Tukey's scalability test indicated the scale requires separate dimension evaluation. The model fi t indices were obtained as CMIN/DF (72.751/41) =1.774, GFI = 0.925, IFI = 0.923, TLI = 0.893, CFI = 0.920, RMSEA = 0.071, SRMR = 0.063. The Cronbach's alpha coef ficient for subdimension 1 was 0.758, and for subdimension 2 was 0.678, indicating reliable dimensions. Conclusion: The developed scale provides a valuable tool for assessing the care needs of mothers of children with CHD, contributing to enhancing maternal support programs in pediatric cardiology clinics. Practice implications: Assessment of the care needs of mothers who have children with CHD is promising for the development of educational programs on this subject and to ensure the competence of mothers for care. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Item The Effect Of Transcranial Direct Current Stimulation On Balance, Gait Function And Quality Of Life In Patients With Stroke(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-06-06) Toktas, Nehir; Duruturk, Neslihan; Guzel, Sukran; Yuruk, Ozlem; Ozen, SelinTranscranial direct current stimulation (tDCS) has been used in various neurological diseases due to its positive effects on cortical excitability. The aim of our study is to examine the effects of tDCS in stroke and 28 patients with stroke were randomly divided into two groups as intervention and control groups. Balance was evaluated with the Timed Up and Go Test and Berg Balance Scale. Walking functions were evaluated using the 10-meter Walk Test and the 6 Minutes Walk Test, lower extremity function was evaluated by Fugl Meyer Lower Extremity Scale, quality of life by Stroke-Specific Quality of Life Scale (SS-QOL). A task-oriented physiotherapy and rehabilitation program was applied to both groups. In addition to the task-oriented program, anodal tDCS was applied in the intervention group and carried out with a current of 2 mA, 5 days a week, 20 min, for a total of 4 weeks. In the control group, after the flow was opened for 30 s and the patient felt a tingling sensation, it was turned off without the patient noticing. As a result, significant improvement was obtained in all parameters in both groups (p < 0.05). At the difference values of both groups, only SS-QOL mobility subgroup was significant and other parameters were not significant. Considering all these results, it can be seen that tDAS applied in addition to the task-oriented training program in individuals with stroke makes a positive contribution to the patients' balance, walking function and quality of life. We think that tDAS may be a feasible and safe additional approach in this patient group.Item Effect Of Hamstring Flexibility On Cervical Range Of Motion And Deep Neck Flexor Endurance In Healthy Young Adults: A Study To Explore Myofascial Tensegrity Network(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-07-16) Ozyurek, Seher; Aktar, Burcin; Kosova, Altay; Aydin, Ebru; Turedi, Rubeysa; Pekyavas, Nihan OzunluIntroduction: According to the concept of biotensegrity, the whole body consists of fascial lines. The relationship between muscles and fascia is important to ensure full and proper range of motion. This study investigated the effect of hamstring flexibility on cervical range of motion and deep neck flexor muscle endurance. The aim was to explore the relationship between the hamstring muscles and neck region in the myofascial tensegrity network. Method: Sixty healthy participants with a median age of 22.0 years (24 male, 36 female) were included. Hamstring flexibility was categorized as "normal (n = 31)" or "limited (n = 29)" according to hip flexion angle (HFA) using the passive straight leg raise (PSLR) test. Active cervical range of motion was measured by the Clinometer smartphone application, and the following movements were recorded: flexion, extension and lateral flexion. The craniocervical flexion test was performed to evaluate deep neck flexor endurance using performance index and highest-pressure score. The Mann-Whitney U test was used for statistical analysis. Results: No significant differences in cervical range of motion were observed between the groups (p > 0.05). Participants with limited hamstring flexibility presented lower deep neck flexor muscle endurance scores (performance index and highest-pressure score) than participants with normal hamstring flexibility (p = 0.002, and p = 0.012, respectively). Conclusion: The results suggest that hamstring flexibility can influence deep neck flexor muscle endurance in healthy young adults. This preliminary clinical finding supports the hypothesis of a myofascial network between the hamstring muscles and neck region.Item The Effects Of Aromatherapy Massage In Menopausal Women With Knee Osteoarthritis: A Randomized Controlled Study(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-06-01) Doner, S. I.; Gercek, H.; Sert, O. Akkoyun; Aytar, A.Item Sleep, Mood, and Nutrition Patterns of Postmenopausal Women Diagnosed with Major Depressive Disorder by Menopause Periods(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-07-06) Demir, Cansu Kabadayi; Bayram, Sinem; Kose, Beril; Beyaz, Esra Koseler; Yesil, EsenMenopausal women experience changes in ovarian activity and fluctuating hormone levels. The aim of this study was to detect ongoing sleep and nutritional problems in postmenopausal women. This study was conducted with 62 postmenopausal women who had been diagnosed with major depressive disorder, were aged 42-64, were not dieting for at least 1 month, and had been using antidepressants for at least 6 months. The Pittsburgh Sleep Quality Index and Depression Anxiety Stress Scale-42 were used. Anthropometric measurements were taken and body composition analysis was performed. The prevalence of obesity and overweight were 12.9% and 71%, respectively. Hot flashes, night sweats, and mood swing were more common in those who had been through menopause for <5 years. Also, the PSQI, Depression, and Stress scores of those women were higher. Women who had been menopausal for >= 5 years had a higher BMI, waist/hip ratio, and fat mass and better sleep quality and lower daytime dysfunction according to the PSQI. Energy and fat intake were higher, while protein, vitamin C, and calcium intakes were lower in women who had been menopausal for >= 5 years. It is crucial for healthcare professionals to review approaches for early and late menopausal periods and to individualize treatment options, especially in patients whose symptoms persist.Item Validation Of The Moral Foundations Questionnaire-2 In The Turkish Context: Exploring Its Relationship With Moral Behavior(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-06-06) Dogruyol, Burak; Velioglu, Ilayda; Bayrak, Fatih; Acem, Ensar; Isler, Ozan; Yilmaz, OnurcanDespite the considerable attention it has received, Moral Foundations Theory (MFT) remains open to criticisms regarding failure to conceptualize the moral domain. MFT was revised in response to these criticisms, along with its measurement tool, the Moral Foundations Questionnaire (MFQ-2). However, the validity of this revised theoretical structure and its explanatory power relative to existing alternatives, such as Morality as Cooperation Theory (MAC), has not yet been independently tested. Here we first validated MFT's revised six-factor structure using the MFQ-2 in a large quasi-representative sample (N = 1099) from a predominantly Muslim country (i.e., T & uuml;rkiye) and then explored the relationship of these six factors with incentivized measures of moral behavior as well as different psychological variables. Our tests revealed excellent fit values for the six-factor structure proposed by the MFQ-2, which explained more of the variance in criterion variables compared to the MAC Questionnaire (MAC-Q). However, MAC-Q performed better in predicting actual moral behavior (e.g., generosity and cooperation) compared with MFQ-2. Taken together, these findings indicate that, at least for the time being, MFQ-2 and the structure of the moral foundations proposed by MFT can be used to conceptualize the moral domain, but its relatively weak relationship to actual moral behavior limits its insights.Item A Comprehensive Investigation Of Biopsychosocial Determinants Influencing Primary Dysmenorrhea Among University Students(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-17) Yalvac, Canan Oksuz; Topal, Cansu Akdag; Boztepe, HandanDysmenorrhea, characterized by pain and related symptoms, significantly impacts women's quality of life in work and education, prompting a comprehensive evaluation of associated factors. The objective of this study was to utilize structural equation modeling (SEM) to analyze and assess the biopsychosocial factors influencing dysmenorrhea among university students. Three hundred and thirty-nine university students were included in this cross-sectional descriptive study. Data were collected using the Participant Information Form, the Beck Anxiety Scale (BAS), the Beck Depression Scale (BDS), the Multidimensional Scale of Perceived Social Support (MSPSS), the Adverse Childhood Experiences Scale (ACES), the Pain Catastrophizing Scale (PCS) and the Visual Analogue Scale (VAS). It was determined that the variables of pain onset (t = 3.24, p < .05) and age at menarche (t = -2.16, p < .05) showed a significant relationship with the model. The variables of the PCS (t = 16.87, p < .001), BDS (t = 3.06, p < .05), and BAS (t = 5.13, p < .001) showed a significant relationship with the model. Social factors in the model were examined, and a family history of dysmenorrhea and the ACES variables did not contribute significantly to the model (p > .05). The study indicates primary dysmenorrhea influenced by biological and psychological factors. Nurses should conduct holistic assessments and provide comprehensive care for affected women.Item In the Echoes of Tomorrow: The Intersection of Social Work and Artificial Intelligence Through the Eyes of Turkish Students(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-24) Tulgan, Bugra; Gure, Merve Deniz PakThis study aimed to examine social work students' perspectives on the impact of artificial intelligence (AI) on social work. This research was prepared with a qualitative design to explore the reflections of social work students in T & uuml;rkiye and twelve focus groups were conducted. The data were analyzed using MAXQDA, and two main themes were created: opportunities and challenges. The opportunities include innovation, transformative dimensions, and work optimization, while challenges consist of competency for professional practice, ethical issues, and labor sub-themes. The results indicate that students think that AI will increase efficiency in terms of gaining speed and time, reducing bureaucracy, performing risk analysis, and reducing costs. In the research findings, students point out that AI may lead to ethical violations in terms of privacy concerns, the possibility of data misuse, etc. Students emphasize the risk of increased unemployment with the integration of AI into social work. Future research could investigate the long-term impact of integrating AI into social work practice, examining its evolving effect on client outcomes and professional roles.