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Öğe Exploring the Experiences and Needs of Patients With Colorectal Cancer: A Qualitative Study(Lippincott Williams and Wilkins, 2025) Erdoǧan Yüce, Gülyeter; Döner, Ayser; Muz, GamzeThis qualitative study aimed to analyze the experiences and needs of colorectal cancer patients undergoing chemotherapy during the diagnosis and treatment process. Purposeful sampling was used in the study, and 15 colorectal cancer patients undergoing chemotherapy were included. Data were collected through face-to-face interviews using a semi-structured interview form and analyzed using Colaizzi's seven-stage method. In the study, 5 themes and 10 subthemes emerged that reflect the experiences and needs of individuals diagnosed with colorectal cancer. The main themes were: facing off cancer, navigating symptom challenges, navigating challenges beyond health, uncertain future full of fears, and finding strength in adversity. The study provided a comprehensive overview of the emotional, physical, psychological, social, and financial challenges encountered during the treatment process, as well as the coping methods, support systems, and needs of patients. The findings reveal that colorectal cancer patients have numerous ongoing needs including physical, emotional, psychological, spiritual, and financial support. The results emphasize that healthcare professionals need to take more initiative to improve colorectal cancer patients' quality of life and care processes.Öğe Kanserden Kurtulanların Karşılanmayan İhtiyaçları Ölçeğinin Türkçeye Uyarlanması: Geçerlik ve Güvenirlik Çalışması(Hacettepe Üniversitesi, 2023) Erdoğan Yüce, Gülyeter; Muz, Gamze; Döner, AyserBu çalışma, Türkçeye uyarlanmış Kanserden Kurtulanların Karşılanmayan İhtiyaçları Ölçeği'nin (Tr-CaSUN) psikometrik özelliklerini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Metodolojik tasarıma sahip bu çalışma bir üniversite hastanesinin onkoloji merkezinde ayaktan takip edilen 350 kanserden sağ kalan birey ile yürütülmüştür. Veriler Aralık 2020 ve Eylül 2021 tarihleri arasında toplanmıştır. CaSUN'un kültürler arası adaptasyonu için ileri çeviri, sentez, geri çeviri ve uzman değerlendirmesini içeren bir prosedür izlenmiştir. Ölçeğin yapı geçerliği Açımlayıcı Faktör Analizi (AFA) ve Doğrulayıcı Faktör Analizi (DFA), ölçüt geçerliği Hastane Anksiyete Depresyon Ölçeği ve Avrupa Kanser Araştırma ve Tedavi Örgütü Yaşam Kalitesi Ölçeği, güvenirliği ise, iç tutarlılık katsayısı ve test-tekrar test yöntemi ile değerlendirilmiştir. Bulgular: Ölçeğin kapsam geçerlik indeksi 0.96 olarak belirlenmiştir. Ölçek uyarlanırken daha güçlü bir yapı elde etmek ve uyumu iyileştirmek için bazı maddeler çıkarılmıştır. AFA ile beş faktör ve 21 maddeden oluşan ve varyansın %78.5'ini açıklayan bir model elde edilmiştir. DFA ile modelin iyi bir uyuma sahip olduğu belirlenmiştir. Ölçeğin geneli için Cronbach alfa katsayısı 0.93 ve test-tekrar test güvenirliği korelasyon katsayıları 0.73 ile 0.93 arasında bulunmuştur. Ölçek, anksiyete, depresyon ve yaşam kalitesi ölçekleri ile orta düzeyde ve anlamlı korelasyon göstermiştir. Sonuç: Tr-CaSUN'un, kanserden sağ kalanların karşılanmamış ihtiyaçlarını değerlendirmek için kullanılabilecek geçerli ve güvenilir bir araç olduğu belirlenmiştir.Öğe Kronik Hastalığı Olan Bireylerde Sağlık Okuryazarlığı Düzeyinin Kronik Hastalığa Uyum ile İlişkisinin İncelenmesi: Kesitsel Bir Çalışma(Gümüşhane Üniversitesi, 2023) Erdoğan Yüce, Gülyeter; Muz, GamzeBu çalışmada kronik hastalığa sahip bireylerin sağlık okuryazarlığı düzeyi ile ilişkili faktörlerin ve bunların kronik hastalığa uyum üzerindeki etkisinin incelenmesi amaçlanmıştır. Kesitsel-ilişki arayıcı tipteki bu araştırma kronik hastalığı olan tüm bireylere açık olarak yapılmıştır. Veriler; Google Formlar aracılığıyla oluşturulan çevrimiçi anketler yolu ile 3 Şubat- 4 Nisan 2021 tarihleri arasında toplanmıştır. Katılımcılar araştırmaya sosyal medya platformlarından davet edilmiştir. Araştırmaya Türkçe okuyup yazabilen, 18 yaş ve üstü, en az bir kronik hastalığı olan ve araştırmaya katılmaya gönüllü 171 kişi dahil edilmiştir. Veriler hasta bilgi formu, sağlık okuryazarlığı ölçeği ve kronik hastalıklara uyum ölçeği kullanılarak toplanmıştır. Katılımcıların kronik hastalığa uyum puan ortalamalarının eğitim, meslek ve gelir durumu değişkenlerine, sağlık okuryazarlığı düzeylerinin ise yaş, medeni durum, eğitim, meslek ve gelir durumu değişkenlerine göre farklılıklar gösterdiği belirlenmiştir. Hastaların yaş, gelir durumu ve sağlık okuryazarlığı düzeyinin kronik hastalığa uyumdaki varyansın %37,8’ini açıklamıştır. Çalışmada, sağlık okuryazarlığı düzeyinin yaş, medeni durum, meslek, eğitim ve gelir durumu gibi faktörle ilişkili olduğunu ve sağlık okuryazarlığının hastaların kronik hastalığa uyumunda önemli düzeyde etkili olduğu belirlenmiştir.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.
