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The effect of stretching exercises applied to caregivers of children with development disabilities on musculoskeletal muscle mobility and respiratory function
(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Ataç, Amine; Atak, Ebrar
We aimed to investigate the effect of stretching exercises applied to the hamstring, one of the posterior muscle chains, on musculoskeletal flexibility, chest mobility, and respiratory function. Proprioceptive neuromuscular facilitation and static stretching exercises were applied to 30 healthcare personnel caring for children with developmental delays using a crossover randomized study design. Posterior muscle chain mobility was assessed using the popliteal angle test (PAT) for the hamstring muscle, the mobility of the lumbar muscles was assessed using the Schober test (ST), and the mobility of the posterior chain muscles as a whole was assessed using the finger-to-floor distance test. Chest mobility was measured using chest circumference measurements and lung volumes were measured using the pulmonary function test (PFT). The results showed that stretching exercises applied to the hamstrings led to significant improvements in PAT, ST, and chest mobility in the direction of maximal expiration (p < 0.05), without being superior to each other. Ten males (33.3%) and twenty females (66.7%) who met the inclusion criteria were analyzed. The mean age of the participants was 26.6 ± 5.9 years, the mean height was 169.53 ± 8.67 cm, the mean weight was 65.26 ± 12.03 kg, and the mean body mass index was 22.58 ± 3 kg/m2. Chest inspiratory mechanics also showed a low positive correlation with posterior muscle mobility (r = 0.381; p = 0.038). There was no significant change in PAT. Within the framework of the myofascial theory, stretching exercises that can contribute positively to the musculoskeletal and respiratory system structures of healthcare professionals can be recommended and encouraged to healthcare professionals.
The impact of different telerehabilitation methods on peripheral muscle strength and aerobic capacity in COPD patients: a randomized controlled trial
(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Ataç, Amine; Pehlivan, Esra; Karaahmetoğlu, Fulya Senem; Özcan, Zeynep Betül; Çınarka, Halit; Çörtük, Mustafa; Baydili, Kürşad Nuri; Çetinkaya, Erdoğan
Lung diseases have profound effects on the aging population. We aimed to hypothesize and investigate the effect of remote pulmonary telerehabilitation and motor imagery (MI) and action observation (AO) methods on the clinical status of elderly chronic obstructive pulmonary disease (COPD) patients. Twenty-six patients were randomly assigned to pulmonary telerehabilitation (PtR) or cognitive telerehabilitation (CtR) groups. The programs were carried out 3 days a week for 8 weeks. The 6-min walk test (6MWT), modified Medical Research Council dyspnea score, blood lactate level (BLL), measurement of peripheral muscle strength (PMS), and electromyography activation levels of accessory respiratory muscles were the main outcomes. There was a statistically significant improvement (p < 0.05) in both groups in the 6MWT distance and in secondary results, except for BLL. Generally, in the mean muscle activity obtained from the electromyography measurement after the program, there were statistically significant increases in the PtR group and decreases in the CtR group (p < 0.05). There was a statistically significant increase in PMS in both groups. An active muscle-strengthening program has the same benefits as applying the muscle-strengthening program to the patient as MI and AO. CtR can be a powerful alternative rehabilitation method in respiratory patients who cannot tolerate active exercise programs.
Normative values and calculation formulas of respiratory muscle strength of adults in Turkish society: A population-based study
(AVES, 2024) Pehlivan, Esra; Çınarka, Halit; Baydili, Kürşad Nuri; Uyaroğlu, Mehmet Burak; Baştürk, Pınar; Ataç, Amine
OBJECTIVE: This study aimed to establish normative values for maximum inspiratory pressure and maximal expiratory pressure in the Turkish population while creating specific equations to calculate these values. MATERIAL AND METHODS: The study involved 219 healthy adults, with a minimum of 50 individuals in specific age ranges: 20–29, 30–39, 40–49, and 50–60 years. Each age group comprised at least 25 males and 25 females. Participants were required to be free from health conditions influencing respiratory muscle strength and non-smokers. Measurements of maximum inspiratory pressure and maximal expiratory pressure were recorded for all participants. RESULTS: As a result of the regression analysis performed for the maximum inspiratory pressure values, the model P value was <.001, and the R2 value was found to be 0.261. The equation obtained as a result of the model was: 82.583 − 3.218 × gender − 0.093 × age + 9.534 × height + 0.343 × weight. As a result of the regression analysis performed for maximal expiratory pressure values, the model P value was <.001, and the R2 value was found to be 0.285. The equation obtained as a result of the model was: 157.165 − 35.522 × gender − 0.271 × age–42.036 × height + 0.787 × weight. CONCLUSIONS: The newly developed equations offer valuable tools for evaluating respiratory muscle strength in the Turkish population. These results confirm the importance of using maximum inspiratory pressure and maximal expiratory pressure to monitor changes in each patient, while also emphasizing the necessity of reliable reference equations.
Investigation of burnout status, self-esteem, communication skills and academic self-efficacy levels of students in online education process in the COVID 19 pandemic
(2023) Ataç, Amine; Çorum, Muammer; Çorum, Emine Nur; Pehlivan, Esra; Kunduracılar, Zuhal
Aim: The study was designed based on the hypothesis that the online education process affected students' communication skills, burnout, self-confidence, and academic self-efficacy during the COVID-19 period. We aimed to investigate students' communication skills, burnout, self-esteem, and academic self-sufficiency in the online education process during the COVID-19 period. Material and Method: In our study, undergraduate students between the ages of 18-25 who are continuing their academic training in Istanbul were included. The burnout level of the participants was evaluated using the Maslach Burnout InventoryStudent Form, self-esteem Rosenberg Self-Esteem Scale, communication ability Communication Skills Scale, and academic competence using the Academic Self-Efficacy Scale. Results: 220 students were included in the research. 170 males (77.3%) and 50 females (22.7%) who met the inclusion criteria, were analyzed. According to the results of Pearson correlation analysis, a positive moderate correlation (r=0.448, p<0.001) between participants' burnout level scores and self- esteem scores, and a moderate negative correlation was found with academic self-efficacy scores (r=- 0.451, p<0.001). Conclusion: According to other studies in the literature, in our results, students' communication skills and academic self-efficacy are at the forefront during the COVID-19 period of the online education process. It can be said that more research is needed on how to improve communication skills and social interaction to improve academic self-efficacy.
Effects of game addiction on musculoskeletal system discomfort and mental toughness in e-sport players
(Turkish Green Crescent Society, 2022) Kendal, Kübra; Ataç, Amine; Köse, İlkay Tuğçe
The aim of this study is to reveal the level of game addiction, musculoskeletal system complaints, and mental toughness and to investigate musculoskeletal system discomfort risk and mental toughness by the addiction level in e-sports players. The population of the study consisted of a total of 204 e-sports players on various platforms in Turkey, 94 of whom were game addicted and 110 were not according to the seven-item Game Addiction Scale. The players were given the Demographic Data Form, the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), the Cornell Hand Discomfort Questionnaire (CHDQ), and the Sports Mental Toughness Questionnaire (SMTQ). In CMDQ and CHDQ parameters, neck (7.55 +/- 18.16 vs. 2.06 +/- 4.26; p =.014), upper back (9.32 +/- 19.41 vs. 3.32 +/- 7.56; p =.024), lower back (12.27 +/- 24.93 vs. 2.75 +/- 5.47; p =.007), hip (2.89 +/- 9.90 vs..88 +/- 2.89; p =.013), right hand B (2.18 +/- 10.34 vs..24 +/- 1.24; p =.005) and F regions (1.76 +/- 3.81 vs..82 +/- 2.96; p =.041) were significantly better in the non-addicted group. In SMTQ, the control sub-dimension (10.68 +/- 3.27 vs. 12.75 +/- 2.67; p <.001) and total scores (36.32 +/- 6.74 vs. 38.46 +/- 7.11; p =.021) were significantly better in the non-addicted group. These findings reveal that as the game addiction score increases, the risk of musculoskeletal system discomfort increases and mental toughness decreases. These results should be taken into account in e-sports players where a sedentary lifestyle is at the forefront.
Pregnancy-related lumbopelvic pain and disability: an invisible and neglected problem
(Atatürk University, 2023) Erten, Hacer; Aygün, Mahmure; Yılmaz Esencan, Tuğba; Doğan Merih, Yeliz
Objective: This study was carried out to examine the frequency of lumbopelvic pain in pregnant women, the level of disability associated with it, and the factors that may affect the level of disability. Methods: The descriptive, cross-sectional and analytical study was carried out with 381 pregnant women who received service from the routine pregnancy follow-up outpatient clinic of a state hospital. A form including demographic, obstetric, and other descriptive characteristics of the cases, a visual pain zone diagram to determine the pain area, and the Roland-Morris Disability Questionnaire (RMDQ) to determine the disability level were used as data collection tools. Descriptive statistical methods and non-parametric tests were used in the analysis of the data. Results: It was determined that 86.35% (n = 329) of the participants had lumbopelvic pain and were mildly disabled according to the RMDQ total score (12.0 +/- 7.3). In the analysis performed according to subgroups, the mean RMDQ scores of pregnant women with pelvic girdle pain were found to be statistically significantly higher than those with low back pain (P <.05). Other variables associated with high disability scores were education level, parity, occupation, gestational week (trimester), presence of lumbopelvic pain in the previous pregnancy, work stress, and negative sexual life history (P <.05). Conclusion: Lumbopelvic pain is a condition that is common in pregnancy, can cause different levels of disability depending on some factors, and should not be ignored by antenatal care providers.
Determinants of sleep disturbance and sleep quality in children of mothers with fibromyalgia
(Turkish League Against Rheumatism, 2023) Kartaloğlu, Işıl Fazilet; Karagül, Sevil; Arslan, Şule
Objectives: This study aimed to determine whether maternal diagnosis of Fibromyalgia syndrome (FMS) affects the sleep quality of children. Patients and methods: This prospective study was conducted with 80 female participants (mean age: 36.2 +/- 5.9 years; range 25 to 50 years) and their 80 children (27 males, 53 females; mean age: 6.6 +/- 2.6 years; range 2 to 12 years) between August 2019 and November 2020. The FMS group included 40 female FMS patients and their children, whereas the control group consisted of 40 healthy females and their children. In addition to sociodemographic variables, functional status was evaluated by the Fibromyalgia Impact Questionnaire (FIQ), which was completed by mothers with FMS, and the Children's Sleep Habits Questionnaire (CSHQ) was used to evaluate the sleep quality of all children. Results: There was no statistically significant difference between the two groups in terms of demographic characteristics ( p > 0.05). The CSHQ score of the two groups was above 41 points and was at a clinically significant level. The median value for the CSHQ score was 60.5 and 52 in the FMS and control groups, respectively. Sleep time, waking up at night, parasomnias, disrupted breathing during sleep, and sleepiness scores were higher in the FMS group than in the control group, and the differences were statistically significant (p < 0.001). The delayed falling asleep score, which was reversely coded, was lower in the FMS group than in the control group, and the difference was statistically significant (p < 0.001). Conclusion: This pilot study showed that the children of mothers with high Fibromyalgia Impact Questionnaire scores had sleep disorders. Maternal diagnosis of FMS negatively affects the sleep quality of children.
The effect of education in reducing noise on health personnels' knowledge level and behavioral change
(Galenos Publishing House, 2019) Çalıkuşu İncekar, Müjde; Çeçen, Eda; Balcı, Serap; Mutlu, Birsen; Ulu Öğüt, Nehir; Hamilçıkan, Şahin
Objective: Noise must be reduced and taken under control because negatively affects the health of health personnel and preterm newborns in particular. The American Academy of Pediatrics reported that noise levels must be kept below 45 dB. However, many studies demonstrated that the desired level could not be reached. This research was conducted with the aim of evaluating the level of noise in a neonatal intensive care unit (NICU), and the effect of given education on controlling the noise. Materials and Methods: This research was conducted with doctors (4), nurses (18), and personnel (4) who worked in the 3rd level NICU of a university hospital. This research had a pre-test, post-test quasi-experimental design in a single group. Ethics board and institutional approval were granted from the hospital. A noise information form that was prepared by researchers, educational program on noise control, noise observation form, and noise measuring equipment were used in the study. Noise was measured for 24 hours over 7 days in repeated measurements in the unit before education, after education, and 6 weeks after the education program. Results: The noise levels were significantly lower 6 weeks after the education program compared with before the program (p<0.01). The percentage of correct answers given to questions in the information form was significantly higher 6 weeks after the education program compared with before the program among health personnel (p<0.01). The kappa compliance level was found significant among observers in the evaluation of doctors, nurses, and personnel in accordance with the noise observation form (p<0.01). Conclusion: It could be suggested that the education method was effective in terms of reducing noise, reducing noise levels in the environment, improving the information level of health personnel, and positively affecting the behaviors of personnel. It can also be concluded that the noise observation form is reliable.
Pandemide aktif çalışan hemşirelerde beslenme ve takviye gıda kullanma durumu ile COVID-19 korkusu ilişkisi
(DOC Design and Informatics Co. Ltd., 2022) Zingiloğlu, Fatma; Beydağ, Kerime Derya
Amaç: Bu çalışma, hemşirelerin COVID-19 korkusunun beslenme alışkanlıklarına ve takviye gıda kullanımına etkisini belirlemek amacıyla yapıldı. Yöntemler: Tanımlayıcı ve kesitsel nitelikteki araştırma; basit rastgele örnekleme yöntemi ile pandemide aktif olarak çalışan ve çalışmaya katılmayı kabul eden 485 hemşire ile Aralık 2020 - Mart 2021 tarihleri arasında gerçekleştirildi. Veriler, ilgili literatür doğrultusunda hazırlanmış olan soru formu ve “COVID-19 Korkusu Ölçeği” ile elde edildi. Verilerin değerlendirilmesinde; sayı, yüzde, ortalama, standart sapma, medyan, minimum, maksimum, t testi, varyans analizi (ANOVA) ve x2 testi kullanıldı. Bulgular: Hemşirelerden, pandemi sürecinde gıda takviyesi kullanan, yeterli ve dengeli beslenmeyen, çalışma koşulları nedeniyle çoğu zaman yemek yiyemeyen, gıda takviyesini COVID-19’un önlenmesinde ve/veya tedavisine yardımcı olması amacıyla kullanan, gıda takviyesini düzenli kullanan ve çevresindeki bireylere tavsiye edenlerin korku düzeyleri daha yüksek olarak bulundu (p<0.05). Sonuç: Hemşirelerin pandemi öncesinde ve pandemi sürecinde gıda takviyesi kullanım durumlarında artış olduğu ve bu artışın istatistiksel olarak anlamlı düzeyde olduğu belirlendi (p<0.001).
Fear of getting pregnant scale development study
(Marmara University, 2023) Alp Dal, Nursel; Beydağ, Kerime Derya
Objective: This study was carried out to develop a measurement tool that determines the factors that may be effective in women's fear of getting pregnant and to test its validity and reliability. Methods: The sample of the study, which was carried out with a methodological design, consisted of 240 sexually active women who presented to the obstetrics clinic of a hospital in the Anatolian side of Istanbul between February 1 and June 1, 2021. The draft of the Fear of Getting Pregnant Scale was created by the researchers. The item pool for the draft scale consisted of 22 items. After the validity and reliability analyses, the final form of the scale contained 18 items. The scale consisted of three dimensions: physical reasons (5 items), psychological reasons (6 items), and social reasons (7 items). After evaluating the content validity of the scale, its test-retest reliability, internal consistency, and construct validity were examined. Explanatory factor analysis, confirmatory factor analysis, Bartlett's test of sphericity, Cronbach's alpha test, and Shapiro-Wilk test were used in the development of the scale. Results: In the validity and reliability study of the Fear of Getting Pregnant Scale, the Content Validity Index (CVI) was found to be .83. The total Cronbach's alpha value of the scale was determined as .95, and the Cronbach's alpha values of the dimensions were .91 for physical reasons, .89 for psychological reasons, and .90 for social reasons. Conclusion: In line with these data, it was determined that the Fear of Getting Pregnant Scale is a valid and reliable scale.
21st-century skills and lateral thinking dispositions of nursing students: an example global pandemic
(Marmara University, 2023) Çoban, Niran; Göktaş, Sonay; Gezginci, Elif; Şendir, Merdiye
Objective: The aim of this study was to determine the 21st-century skills and lateral thinking dispositions of nursing students during the pandemic process. Speed of technological changes accesses the highest level in the current century. Following the technology and usability rate is going down among the world population. The ability of new technology usage created a new social class in society. This differentiation positively or negatively affects the social and economic status of modern human thinking ability, creativity, and life quality. Especially after the COVID-19 pandemic, the ability of current technology usage made a big difference among people to access information and education.Methods: This cross-sectional study is descriptive and relational. The research was conducted with 409 students studying at the Faculty of Nursing of a state university in Istanbul, Turkey. Individual Characteristics Questionnaire, Multidimensional 21st Century Skills Scale, and Lateral Thinking Disposition Scale were used to obtain research data. The data obtained were analysed by number, descriptive statistics, Kolmogorov-Smirnov, Kruskal-Wallis and Mann-Whitney U tests.Results: The results showed that nursing students were able to improve lateral thinking during pandemic. The male students have a significantly higher advantage of using technology compared with female students (p<0.05). We must emphasise that the economy of students also affects their lateral thinking ability (p<0.05). Conclusion: In this century, many changes and transformations are taking place in health care systems in parallel with technological developments. It is necessary that we must educate nurses who can contribute to the changes and transformations and adapt to innovations. To educate new generation innovative nurses we must adapt our education programs together with the academic staff. It is necessary that must educate nurses who can contribute to the changes and transformations and adapt to innovations. To educate new generation innovative nurses we must adapt our education programs together with the academic staff.
Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: surgery versus conservative treatment
(Turkish Association of Trauma and Emergency Surgery, 2020) Karaali, Evren; Çiloğlu, Osman; Duramaz, Altuğ; Kuşvuran Özkan, Aslıhan; Ekiz, Timur
BACKGROUND: This study aims to compare clinical and radiographic outcomes of surgical treatment and conservative treatment with bracing in neurologically intact patients with score 4 of TLICS thoracolumbar vertebra fractures. METHODS: Patients with traumatic thoracolumbar junction fractures (T11-L2), the score of TLICS 4, and minimum 24-month follow-up were included in this study. Patients were divided into surgery and bracing groups. The groups were compared concerning clinical and demographical features, local kyphotic angles (LKA), vertebra height loss percentage (VHL), Oswestry Disability Index (ODI), Visual Analog Scale (VAS) and time to return to work. RESULTS: There were 74 patients (71 males, 3 females) in the surgery group and 76 patients (58 males, 18 females) in the bracing group. Although the surgery group showed better improvement in VAS scores within six months postoperatively, no significant difference was observed at the 24th-month evaluation (p<0.001 and p=0.270, respectively). ODI, LKA and VHL were significantly lower in the surgery group (p<0.001, p<0.001 and p<0.001, respectively). In addition, return to work was significantly earlier in the surgery group (p<0.001). CONCLUSION: The findings obtained in this study suggest that the surgical treatment for TLICS 4 patients with thoracolumbar fractures has better clinical and radiographic outcomes than the bracing. Moreover, returning time to the work of patients is shortened with surgical treatment. The surgical treatment seems to be the first and the appropriate choice in the management of TLICS 4 thoracolumbar vertebral fractures.
Perception of stigma and attitudes toward seeking psychological help among nurses working in a rehabilitation hospital
(Kare Publishing, 2022) Yılmaz, Fatma Helin; Beydağ, Kerime Derya
Objectives: The aim of this study was to examine the attitudes toward seeking psychological help and associated stigma among nurses at a physical therapy and rehabilitation hospital in Istanbul, Turkiye. Methods: The study sample consisted of 160 nurses working at a single hospital in April-August 2019. The data were collected using a descriptive characteristics questionnaire, the Attitude Toward Seeking Professional Psychological Help-Short Form (ATSPPH-SF), and the Stigma Scale for Receiving Psychological Help (SSRPH). Results: In the group, 18.8% of the nurses reported that they had received professional psychological support, and 28.8% stated that they would hide it from their friends if they received psychological support. The mean SSRPH score was 10.51 +/- 1.9 and the mean ATSPPH-SF score was 27.46 +/- 2.92. A weak negative relationship was observed between the scale scores (p<0.05). Conclusion: The nurses who expressed a stronger view of stigma attached to psychological care expressed a more negative view about seeking psychological help. Additional efforts to raise awareness of the benefits of mental health care among and by healthcare staff could help to reduce the stigma and ensure better quality of life.
Relationship between stress perceived by married individuals and attitudes to violence against women in the pandemic
(Kare Publishing, 2022) Alp Dal, Nursel; Beydağ, Kerime Derya
Objectives: The aim of this study was to determine the relationship between married individuals'perceived stress level and violence against women attitudes in the pandemic.Methods: This descriptive correlational study was conducted on a total of 773 married individuals between January and July 2021. The data were collected using a demographic information form, the perceived stress scale (PSS), and the ISKEBE violence against women attitude scale (ISKEBE Attitude Scale).Results: Of the married individuals, 34.8% were subjected to verbal violence, and 4.7% were subjected to physical violence. In addition, 18.9% of them had a worse marital relationship in the pandemic than that before the pandemic. There was a weak positive correlation between the married individuals'PSS and ISKEBE Attitude Scale total mean scores (p<0.05).Conclusion: Midwives and nurses should evaluate their patients' perceived stress levels and violence against women attitudes.
The relationship between life satisfaction and spouse support in women with multiple sclerosis
(Galenos Publishing House, 2022) Murat, Halime; Beydağ, Kerime Derya
Objective: This research aims to define the correlation between life satisfaction and spouse support of women receiving multiple sclerosis (MS) treatment. Methods: The sample of the descriptive study consisted of 185 patients who applied to the neurology service and outpatient clinics of a university hospital between November 2018 and May 2019. Data was pooled with definitive data sheets for life satisfaction scale and spouse support scale. Correlation and regression analyses has been used for data analysis and percentile calculations. Results: Data show that 35.7% of the participants were diagnosed with MS for 1-5 years and 50.3% receive care support and 13.5% use ancillary device. Average life satisfaction scale score is found as 16.40 +/- 5.13 and spouse support scale score average as 66.37 +/- 15.10. There is high correlation in positive direction between average life satisfaction scale and spouse support scale scores (p<0.01). Conclusion: Women diagnosed with MS need huge support to fulfill their daily tasks. The physical and social support coming from their environment positively affects their treatment process. In this process, the importance of spousal support in coping with the disease should be explained to the spouses of the patients, and the life satisfaction of the patients should be tried to be increased with the trainings to be given.
Stenotic aortic valves have high metal and lack selenium: a new toxic inflammation hypothesis?
(Elsevier Ireland Ltd, 2022) Olcay, A.; Albayrak, S. B.; Yolay, O.; Öztürk, V.; Cantürk, E.; Tezcan, Erdem; Karaoğlu, H.
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