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Öğe The Effect of Biopsychosocial-Spiritual Factors on Medication Adherence in Chronic Diseases in Turkey Using Structural Equation Modeling(Springer, 2025) Bilgin, Aylin; Döner, Ayser; Erdoğan Yüce, Gülyeter; Muz, GamzeThis study was to examine the factors associated with medication adherence in individuals with chronic diseases within the concept of the biopsychosocial-spiritual model. A cross-sectional study design was used. A total of 837 patients diagnosed with chronic diseases were included in this study between November 2022 and December 2023. Data were collected based on the biopsychosocial-spiritual model. Medication adherence level was evaluated with the “Medication Adherence Report Scale.” “Hospital Anxiety Depression Scale,” “Multidimensional Perceived Social Support Scale,” and “Spiritual Well-Being Scale” were used to evaluate the psychological, social, and spiritual dimensions. Data were analyzed using descriptive statistics and a multiple linear regression model. Anxiety, social support status, and spiritual status were important correlates of medication adherence levels in individuals with chronic diseases. It was determined that variables such as age, gender, and number of chronic diseases did not affect medication adherence. Medication adherence in individuals with chronic diseases is significantly associated with psychological, social, and spiritual factors. Therefore, when evaluating medication adherence, it should not be forgotten that it is a multifaceted concept and individuals should also be evaluated from psychological, social, and spiritual perspectives.Öğe The effect of mindfulness-based interventions on caregiver burden, quality of life and psychological distress in caregivers of adults with chronic diseases: Systematic review and meta-analysis of randomized controlled trials(John Wiley and Sons Inc, 2024) Erdoğan Yüce, Gülyeter; Döner, Ayser; Bilgin, Aylin; Muz, GamzeChronic diseases requiring long-term treatment, care, and follow-up can negatively affect the health and well-being of caregivers. Mindfulness-based interventions (MBIs) are increasingly used as a mental health intervention to control the psychological problems experienced by caregivers and improve their quality of life. Aims: This systematic review and meta-analysis aimed to provide evidence for a holistic evaluation and synthesis of the effects of MBIs applied to caregivers of adults with chronic disease on the burden, quality of life, and psychological distress. Methods: Studies evaluating the effects of mindfulness-based interventions on caregivers of adults with chronic diseases and published through September 2023 were searched using PubMed, Web of Science, Scopus, and EBSCO. Methodological quality was assessed with the modified JADAD scale, and bias was assessed with the Cochrane risk-of-bias tool for randomized trials. Randomized controlled studies were included. The standardized mean difference with a 95% confidence interval was calculated. Heterogeneity was analyzed using the I2 test and Q statistic. Publication bias was assessed with the Egger regression test. Results: This meta-analysis included 12 studies. Pooled evidence found that MBIs resulted in significant improvements in stress, anxiety, depression, and caregiver burden in caregivers of adults with chronic illness but had no significant effects on quality of life, resilience, and mindfulness. The Egger's test showed no evidence of publication bias. Linking Evidence to Action: MBIs can be considered as a helpful method to increase psychological well-being and reduce caregiver burden in caregivers of adults with chronic diseases. These findings may direct clinicians to conduct mindfulness-based interventions for caregivers of adults with chronic diseases.Öğe The effect of motivational interviewing on metabolic control and psychosocial variables in individuals diagnosed with diabetes: Systematic review and meta-analysis(Elsevier, 2022) Bilgin, Aylin; Muz, Gamze; Erdoğan Yüce, GülyeterObjective The current study aimed to analyze the effects of motivational interviewing (MI) on metabolic and psychosocial variables among individuals with diabetes. Methods Four databases were searched between 2000 and 2021 years. Randomized controlled studies were included. The standardized mean differences were determined. The heterogeneity was analyzed using the I2 test. The methodological quality was evaluated independently by three researchers. Results This meta-analysis included 16 studies. Glycated hemoglobin, postprandial plasma glucose (PG), systolic blood pressure (BP) significantly decreased after MI. There are no significant effects of MI on fasting PG, body mass index, diastolic BP, total cholesterol, high-density lipoprotein, low-density lipoprotein and triglyceride. MI had an overall significant impact on depression, emotional distress, and self-efficacy. Only four studies had 7 points based on the Modified Jadad Scale. The Egger's test showed no evidence of publication bias.Öğe The Effect of Touch Therapy on Symptoms and Psychosocial Variables in Individuals Diagnosed With Cancer(Lippincott Williams & Wilkins, 2023) Muz, Gamze; Bilgin, Aylin; Döner, Ayser; Erdoğan Yüce, GülyeterBackground Touch therapy is used in the control of physical and psychological symptoms in cancer patients. However, its effectiveness has not been well studied. Objectives The aim of this study was to examine the effectiveness of touch therapy intervention on symptoms and psychosocial factors for patients with cancer. Method Four electronic databases were used to identify all experimental studies that examine the effects of touch therapy on symptoms and psychosocial factors for patients with cancer. The standardized mean differences between groups in levels of symptoms and psychosocial factors for postintervention were computed for each study. Result The pooled results suggest that touch therapy intervention effectively reduces pain, fatigue, anxiety, and negative mood among patients with cancer postintervention. However, touch therapy intervention did not affect the quality of life and stress. Conclusion A significant effect of touch therapy was the reduction of physical and psychological symptoms in cancer patients. Implications for Practice Touch therapy could be safely integrated into the clinical practice of patients with cancer.Öğe The Effect of Touch Therapy on Symptoms and Psychosocial Variables in Individuals Diagnosed with Cancer: A Systematic Review and Meta-analysis(Lippincott Williams and Wilkins, 2025) Muz, Gamze; Bilgin, Aylin; Yüce, Gülyeter Erdoǧan; Döner, AyserBackground Touch therapy is used in the control of physical and psychological symptoms in cancer patients. However, its effectiveness has not been well studied. Objectives The aim of this study was to examine the effectiveness of touch therapy intervention on symptoms and psychosocial factors for patients with cancer. Method Four electronic databases were used to identify all experimental studies that examine the effects of touch therapy on symptoms and psychosocial factors for patients with cancer. The standardized mean differences between groups in levels of symptoms and psychosocial factors for postintervention were computed for each study. Result The pooled results suggest that touch therapy intervention effectively reduces pain, fatigue, anxiety, and negative mood among patients with cancer postintervention. However, touch therapy intervention did not affect the quality of life and stress. Conclusion A significant effect of touch therapy was the reduction of physical and psychological symptoms in cancer patients. Implications for Practice Touch therapy could be safely integrated into the clinical practice of patients with cancer.
