IGUSABDER Sayı 25, Nisan 2025 / IGUSABDER Issue 25, April 2025

Bu koleksiyon için kalıcı URI

https://hdl.handle.net/11363/9688

Listeleniyor 1 - 20 / 33

Kanserin Önlenmesinde ve Tedavisinde Güncel Beslenme Yaklaşımları
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Karaağaç, Rabia Melda; Kalkan, Indrani
Kanser hücrelerin kontrolsüzce bölünmesiyle meydana gelen bir hastalık grubudur. Son zamanlarda prevalansı dünyada ve ülkemizde atmakta olan kanser önde gelen ölüm nedenlerindendir. Meme, akciğer, kolon ve rektum ve prostat kanserleri en sık görülen kanser türlerindendir. Kanser oluşum nedenlerine bakıldığında hem genetik hem de çevresel etmenlerden etkilendiği görülmektedir. Gerek tanı öncesi gerekse tedaviye başlandıktan sonra kanser hastalarında beslenmenin önemi büyüktür. Kanser tedavisinde, cerrahi, kemoterapi, radyoterapi, kemoradyoterapi ve immünoterapi gibi birçok yöntem kullanılmaktadır. Tedavi sürecinde hasta tedavinin şekline ve seyrine bağlı olarak birçok beslenme problemi ile karşılaşmaktadır. Örneğin malnütrisyon kanser hastalarında oldukça sık görülen problemlerden bir tanesidir. Özellikle yağsız doku kaybına neden olarak vücut direncini düşürmektedir. Ayrıca anti-kanser tedavisi sürecinde yan etkiler doğurarak iyileşme sürecini olumsuz etkilediği bildirilmektedir. Kanserde optimal beslenme tedavisi sık araştırılan konulardandır ancak halen belirsizliğini korumaktadır. Günümüzde, hem kanseri önleme hem de kanser tedavisinde çeşitli beslenme yaklaşımları gündeme gelmektedir. Bu yaklaşımlardan bazıları, oral nütrisyonel suplement kullanımı, ketojenik diyet uygulaması, probiyotik kullanımı ve fonksiyonel besin uygulamalarıdır. Bu önleme ve tedavi yaklaşımlarına yönelik kanıtlar tartışmalı olmasına rağmen umut vaat etmektedir. Kanser hastalığı hassas bir süreç olduğundan beslenme yaklaşımlarının hastada yan etki oluşturmayacak bir biçimde uygulanmasına dikkat edilmelidir. Bu derlemenin amacı, kanserin önlenmesinde ve tedavisinde güncel beslenme yaklaşımlarını literatür bilgileri ışığında incelemektir.
The Negative Footprint Illusion: Why Our 'Green' Choices Might Not Be So Green?
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Uzlu Dolanbay, Gizem; Yıldıran, Hilal
The Negative Footprint Illusion (NFI) is a cognitive bias that leads individuals to falsely assume that adding an environmentally friendly product or behavior reduces the overall environmental impact. This illusion distorts sustainability assessments, as people rely on averaging bias, compensatory green beliefs (CGB), framing effects, and quantity insensitivity instead of objectively evaluating total environmental impact. This review examines NFI as a cognitive barrier to sustainable nutrition, exploring its underlying mechanisms and their role in shaping environmental decision-making. Empirical evidence highlights how individuals miscalculate their carbon footprint, particularly in food consumption and energy-related decisions and how perceptual biases reinforce this illusion. Addressing these biases through strategic sustainability communication and evidence-based decision-making frameworks is crucial for fostering truly sustainable consumption behaviors.
Eating Disorder in Individuals with Type 1 Diabetes Mellitus: Diabulimia
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Şanlıer, Nevin; Ejder, Zeynep Bengisu; Irmak, Esra
Diabulimia is an eating disorder seen in patients with T1DM, has drawn the media’s attention by the troubles it causes. T1DM, which is mostly seen in adolescents and children, requires individuals to follow a medical nutrition plan. This situation can challenge patients psycologically resulting in some eating disorder behaviors like binge eating, skipping meals and skipping insulin shots. It is critical to detect eating disorder behaviors early in order to prevent undesirable clinical features such as weight loss, poor glycemic control, diabetes complications, etc. Likewise, it is very important that the patient is treated and monitored by a multidisciplinary team. A better understanding and treatment of diabulimia will significantly improve the quality of life of individuals desired by this condition.
What Should be the Ideal Carbohydrate Intake in Type 1 Diabetes?: A Literature Review
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Baştürk, Berrak; Özkaya, Volkan
The purpose of this literature review is to assess the impact of carbohydrate intake through diet on postprandial glycemia for individuals with type 1 diabetes and to provide insight into the recommended carbohydrate intake outlined in national and international guidelines by determining ideal intake quantities. A literature search and standard data extraction were conducted using Google Scholar, PubMed, and Web of Science Databases. The literature review spanned from January to June 2023. Given the limited number of studies involving individuals with type 1 diabetes, a total of 7 research articles were thoroughly examined. While both long-term and short-term studies have investigated high- and low-carbohydrate diets in type 1 diabetes, only one study design was found that explored the effects of closely related ratios (comparing 45% to 50%) on postprandial glycemia. Although many studies have primarily concentrated on low-carb diets, there exists a gap in the scientific literature despite some evidence indicating potential glycemic improvements in individuals with type 1 diabetes on such diets. It's noted that adopting such a diet might elevate the risk of cardiovascular diseases in the long run and potentially hinder growth, particularly in children. This literature review has identified various interventions with positive impacts on glycemic control for different levels of carbohydrate intake. General recommendations from guidelines developed for individuals with type 1 diabetes suggest that 50% of total energy intake should come from carbohydrates, with a preference for complex carbohydrate sources.
A Look into High-Intensity Interval Training for Breast Cancer
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Boyacı, Müjde Damla; Ergün, Betül; Turan, Gizem Gül; Kızılay, Fatma
Breast cancer is a common cancer worldwide. Although breast cancer affects both sexes, the prevalence is higher in women. In Türkiye, breast cancer affects about one in four women. Survival rates from breast cancer treatment are improving every day, and people need help with complications from treatment. Exercise is an effective and safe treatment for people with breast cancer. In recent years, the results on the use of high-intensity interval training (HIIT) in the treatment of breast cancer are remarkable. The purpose of this review was to determine the effect of HIIT in the treatment of breast cancer. The studies included in the review were those conducted between 2014 and 2024. PubMed, Scholar Google and Scopus databases were searched using the search terms “breast cancer and high intensity interval training”. According to the results of the studies included in this review, it was concluded that HIIT is an effective form of training on several health parameters in groups at risk of developing breast cancer, those undergoing breast cancer treatment, and breast cancer survivors. Further studies are needed to contribute to the clinical relevance of HIIT in individuals with breast cancer.
The Relationship between Depression/Anxiety and Food Service Satisfaction in Hospitalized Patients
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Öztürk, Meryem Elif; Yabancı Ayhan, Nurcan
Aim: Mental conditions and food service satisfaction significantly affect dietary intake in hospitalized patients. However, research on this interaction is scarce. Therefore, this study had two objectives: i) determining the relationship between anxiety/depression and food service satisfaction and ii) testing the direct or indirect relationship between depression and daily energy intake mediated by food service satisfaction. Method: This cross-sectional study was conducted in a public hospital. The sample comprised 218 adult inpatients (18-75 years of age). Data were collected using the Hospital Anxiety Depression Scale (HADS) and the Acute Care Hospital Food Service Patient Satisfaction Questionnaire (ACHFSPSQ). Dietary intake was analyzed based on 24-hour recall data. The data were analyzed using path analysis. Results: Participants who were at risk for depression and anxiety had significantly lower mean ACHFSPSQ subscale scores than those who were not (p<0.05). There was a positive correlation between ACHFSPSQ subscale scores and daily energy and nutrient intake (p<0.05). However, participants who were at risk for anxiety and depression did not consume significantly less energy and nutrient than those who were not (p>0.05). The results showed that the risk for depression adversely affected food service satisfaction (p<0.05). However, it had no direct or indirect relationship with daily energy intake (p>0.05). The results also showed that food service quality partly mediated the risk for depression and daily energy intake (β=6.003, p<0.05). Conclusion: Patients at risk for anxiety and depression may have negative perceptions of food services that are not reflected in their actual dietary intake. Therefore, healthcare professionals should consider hospitalized patients’ mental status before assessing their satisfaction with food services.
Psychological Problems in Children with Cerebral Palsy and Its Relationship with Health-Related Quality of Life
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Bingöl, Hasan; Demirtaş Karaoba, Dilan
Aim: To investigate the association between psychological problems and health-related quality of life (HRQOL) parameters in children with cerebral palsy (CP). Method: A convenience sample size of 68 children with CP (mean age: 6.82 years and standard deviation: 1.8; 31 males and 37 females) were recruited in the study. Parent-reported versions of the Strengths and Difficulties Questionnaire (SDQ) and Cerebral Palsy Quality of Life were used to detect the presence of psychological symptoms and HRQOL outcomes in children with CP. Psychological symptoms included emotional symptoms, conduct problems, hyperactivity/inattention, peer problems, and prosocial behavior. Results: Children with hemiplegic, diplegic, and ataxic CP were mostly found to be in scoring band of close to average on SDQ-Total difficulties Scale (TDS) (SDQ-TDS<14), whereas those with quadriplegic and dyskinetic CP were in very high scoring band (SDQ-TDS >20) on the SDQ-TDS. In terms of association, there were moderate to strong associations between scores for psychological symptoms and HRQOL (r=- 0.45 to 0.860). Conclusion: The results suggest that the nature and extent of mental health problems vary among CP subtypes, with children with tetraplegic and dyskinetic CP more likely to experience mental health symptoms. Given the potential benefits of physical activity on both HRQOL outcomes and psychological mental symptoms, it is essential to encourage children with CP to participate in more physical activities.
Effect of Preschool Education on Hand Grip Strength and Functional Skills in Children
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Ertürk, Çağıl
Aim: It is thought that whether play-based manual activities performed in preschool education institutions have an effect on children's manual skills, future school life and self-confidence has become an important issue. The aim of this research is to examine the contribution of children who received and did not receive preschool education to hand grip and functional skills and to contribute to the evaluation of personal motor skill characteristics to be determined during this period. Method: The study included 118 individuals with no physical problems, divided into two groups as children who received preschool education and those who did not. Hand grip strength, finger grip strength and hand functional skills were assessed in both hands, dominant and non-dominant. Participants' hand functional skills were evaluated by measuring the Perdue Pegboard test, key grip strength with the Jamar® hydraulic pinch meter, and gross grip strength with the J-tech® digital hand dynamometer. Results: As a result of the study, hand and finger grip strength and hand functional skills were found to be higher in children who received preschool education compared to those who did not (p<0.05). As a result of the analysis based on the gender of individuals who received preschool education, no statistically significant difference was found between girls and boys (p>0.05). Conclusion: In conclusion, it has been shown that preschool education increases hand grip strength and functional skills in children.
Beslenmenin Karanlık Yüzü: Üniversite Öğrencileri Arasında Ortoreksiya Nervoza Eğilimi ve İlişkili Değişkenler
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Arpa Zemzemoğlu, Tuba Eda; Bülbül, Kenan; Türkkan, Tuğba
Amaç: Bu çalışma, üniversite öğrencileri arasında ortoreksiya nevroza yaygınlığını ve bu olguyla ilişkili olabilecek değişkenleri incelemek amacıyla yürütülmüştür. Yöntem: Kesitsel tasarım kullanılarak yürütülen bu araştırma, Haziran 2020 tarihinde bir Devlet Üniversitesinin Sağlık Bilimleri Fakültesinde öğrenimlerine devam etmekte olan 305 kadın (%74,6) 104 erkek (%25,4) olmak üzere toplam 409 üniversite öğrencisi ile gerçekleştirilmiştir. Veriler, kişisel bilgi formu ve Ortoreksiya-15 Ölçeği (ORTO-15) kullanılarak toplanmış ve Bağımsız Örneklem T-Testi, Tek Yönlü Varyans Analizi (ANOVA), Çok Değişkenli Binary Lojistik Regresyon analizi ile değerlendirilmiştir. Bulgular: Araştırmaya katılan öğrencilerin % 26,7 sinin ortorektik eğilimlerinin bulunduğu ve kadın öğrencilerin erkek öğrencilere göre anlamlı düzeyde ortorektik oldukları bulunmuştur (p<0,05). Ayrıca tanısı konmuş sağlık sorunu olan, düzenli ilaç kullanan, vitamin desteği alan, sürekli bir diyet programı uygulayan ve düzenli fiziksel aktivite yapan kişilerin daha ortorektik olduğu tespit edilmiştir (p<0,05). Sonuç: Öğrencilerin yaklaşık % 27’si riskli grupta yer almaktadır. Üniversite öğrencilerinin, düzensiz beslenme alışkanlıkları geliştirmeye karşı özellikle savunmasız oldukları bu dönemi iyi yönetememeleri yeme bozukluklarının artmasına neden olabilir. Bu kapsamda gençlere yönelik sağlıklı yaşam ve beslenme konularında eğitimler verilmesi önerilebilir. Risk grubunda yer alan bireyler için ise sağlıklı yaşamın obsesyona dönüşmesini önlemek üzere psikolojik destek sunulması yararlı olabilir. Ayrıca ortorektik eğilimlerden kaynaklanan riskleri ve sonuçları daha iyi anlamak için bu grupta daha fazla araştırma yapılması gerekmektedir.
Determination of Intercultural Sensitivity and Empathic Tendency Levels of International Nursing Students
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Kaya Meral, Deniz; Altan Sarıkaya, Nihan; Cengizli, Dilara
Aim: This study aimed to determine the intercultural sensitivity and empathic tendencies of international nursing students. Method: This was a descriptive and cross-sectional study, and the sample consisted of 89 students from the nursing department of a university. The data collection tools used were the participants' personal information form, the Intercultural Sensitivity Scale, and the Multidimensional Emotional Empathy Scale. Data were collected between November 25, 2023, and November 30, 2024. Results: The study participants had a mean Intercultural Sensitivity Scale and Multidimensional Emotional Empathy Scale score of 89.83±12.39 and 110.70±13.46, respectively. There was a positive correlation between intercultural sensitivity and multidimensional emotional empathy scale scores (p<.001). Conclusion: This study showed that empathy skills play an important role in intercultural interactions and support students in communicating effectively with different cultures. Therefore, it is important to develop programs that focus on empathy and cultural awareness in nursing education.
Yatan AMATEM Hastalarında Anti-HBs, HBsAg, Anti-HCV ve Anti-HIV Seroprevalansının ve İlişkili Faktörlerin İncelenmesi: 2020 Yılı Verileri
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Örüm, Mehmet Hamdi; Örüm, Dilek
Amaç: Madde kullanımı ile viral hepatitlerin sıklığı arasındaki ilişki çeşitli çalışmalarda bildirilmiştir. Madde kullanım özelliklerinin zamanla değiştiği ve bölgesel farklılıklar gösterdiği bilinmektedir. Ülkemizde, madde kullanıcılarında viral hepatit belirteçlerini inceleyen çalışmalar yetersizdir. Bu çalışmada bir ruh sağlığı ve hastalıkları hastanesinin Alkol ve Madde Bağımlıları Tedavi ve Araştırma Merkezi (AMATEM) biriminde yatarak takip edilen madde kullanım bozukluğu tanılı hastaların hepatit B virüsü (HBV) yüzey antijeni (HBsAg), HBV yüzey antikoru (anti-HBs), hepatit C virüsü (HCV) antikoru (anti-HCV) ve insan bağışıklık yetmezliği virüsü (HIV) antikoru (anti-HIV) durumlarının değerlendirilmesi ve ilişkili faktörlerin incelenmesi amaçlanmıştır. Yöntem: Bu geriye dönük ve kesitsel çalışmada, 2020 yılı içerisinde AMATEM servisine yatışı yapılmış bütün hastaların verileri incelendi. Hastalara ait idrarda madde, kanda etil alkol ve seroloji tetkikleri kaydedildi. Bulgular: Yıl içerisinde AMATEM’e yatışı yapılan 240 erkek hastaya ait veriler incelendi. Hastaların ortalama yaşı 31,57±9,37 yıldı. En sık saptanan tanılar çoklu madde kullanım bozukluğu (%33,77), eroin kullanım bozukluğu (%25) ve esrar kullanım bozukluğuydu (%18,75). İdrarda en sık pozitif saptanan maddeler metamfetamin (%41,66), eroin (%41,66) ve esrardı (%23,33). Çoklu madde kullanım bozukluğu (n=81) tanılı hastaların 42’sinde eroin ve metamfetamin birlikte pozitifti. Serolojik tetkiklerde 5 (%2,08) hastada HBsAg, 6 (%2,5) hastada anti-HCV, 141 (%58,75) hastada da anti-HBs pozitif saptanırken, antiHIV’in pozitif saptandığı hasta yoktu. Anti-HCV pozitifliği saptanan hastaların tamamında eroin pozitifti. Anti-HBs pozitif (n=141; 29,04±7,45) saptanan hastalarla negatif (n=99; 35,16±10,62 yıl) saptanan hastalar arasında ortalama yaş açısından anlamlı farklılık saptandı (p<0,001). Sonuç: Bu çalışma bir AMATEM servisinde yatan hastaların madde kullanım özelliklerini ve seroloji bulgularını bildirmektedir. Viral hepatit bulguları anlamlı saptanan madde kullanıcılarının ilgili tıp bölümlerine yönlendirilmesi, enfeksiyon bulaşmalarının önüne geçmede önemli bir yöntemdir.
International Health Tourism: A Strategic Comparison of Türkiye and Germany
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Bulut, Canan
Aim: This study aims to conduct an in-depth analysis of the competitive dynamics of health tourism in Türkiye and Germany by utilizing current data. The primary goal is to identify the strategic advantages and challenges each country faces within the health tourism sector. Method: The research employs a comparative approach, analyzing quantitative data related to healthcare costs, treatment options, service quality, patient safety, and satisfaction levels in both Türkiye and Germany. Secondary data sources, such as industry reports and healthcare statistics, form the foundation of this analysis. Results: The study reveals that Türkiye emerges as an attractive destination due to its cost advantages, with healthcare services being 50-70% lower compared to Germany, alongside a wide variety of treatment options. Its geographical position and accessibility further enhance its appeal to health tourists. In contrast, Germany is recognized for its high-quality healthcare services, accredited hospitals, and specialized professionals, ensuring patient safety and treatment excellence. Both countries report high patient satisfaction rates; however, Türkiye faces certain service-related challenges that can impact the patient experience negatively. Conclusion: This research presents a clear overview of the strategic positions and potential growth areas of both Türkiye and Germany in health tourism. It serves as a valuable reference for future development strategies aimed at strengthening their competitive standings in the international health tourism market.
Evaluation of Eating Behaviors in Adults with a Three-Factor Eating Scale According to Gender, Body Mass Index and Physical Activity Status: A Cross-Sectional Study
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Uğur, Halime; Parlak Başkurt, Hatice; Yousefirad Saleki, Neda; Kılıç, Ferdağ İpek; Davu, Gözde; Toy, Zehra; Özkaynar, Hilal Tuğçe
Aim: Eating behavior affects the development of obesity and related health problems and is related to individual and environmental factors. The aim of the study is to investigate the relationship between eating behaviors and characteristics such as gender, BMI, and frequency of physical activity. Method: 436 participants aged 18-65 living in Istanbul were included in the study. Participants filled out a survey form containing questions about sociodemographic characteristics and eating habits and the ThreeFactor Eating Scale (TFEQ-R18) online. The data were analyzed with IBM SPSS 26 Statistical Package Program, and the significance level was accepted as p<0.05. Results: Female participants' cognitive restraint (p<0.05) and emotional eating (p<0.001) factor scores were found to be significantly higher than male participants. According to BMI classes, the cognitive restraint score of underweight participants was lower than all other groups, and the score of obese participants was lower than overweight participants (p<0.05). Obese participants had higher uncontrolled eating scores than normal and slightly obese participants, and hunger sensitivity scores were higher than normal weight participants (p<0.05). It was determined that the cognitive restraint score of those who performed physical activity 1-3 or 3-5 times a week was higher than those who did not perform physical activity (p<0.001). Conclusion: Eating behaviors in adults may vary according to gender, BMI class and physical activity status. It is thought that determining these differences will be useful in better understanding eating behaviors and planning interventions for the negative effects of behaviors. It is thought that this study will contribute to understanding how eating behaviors assessed using the TFEQ-R18 vary according to gender, BMI classes and physical activity levels in the Turkish adult population.
Relationship between Parental Attitudes and Anger Expression Styles in Children and Adolescents
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Gül Uyuğ, Pelda; Yıldız, Deniz
Aim: In this study, it is aimed to examine the relationship between parental attitudes, anger and anger expression styles. Method: The research was conducted using a survey method. The sample consisted of 412 participants aged between 8 and 18 years, including both children and adolescents from Diyarbakır. In order to collect data, a socio-demographic data form prepared by the researcher, the Trait Anger and Anger Expression Scale, and the Parental Attitude Scale were administered on participants. Descriptive analyses, T-tests, ANOVA, and correlation analyses were employed to analyze the research data. Results: Of the children and adolescents participating in the study, 41.7% were between the ages of 11 and 15. The study found a positive correlation between the trait anger subscale and permissive (r: 0.191; p<0.05), protective (r: 0.145; p<0.05), democratic (r: 0.102; p<0.05) and authoritarian parental attitudes (r: 0.341; p<0.05). Additionally, a moderate, positive relationship was found between the controlled anger subscale and protective (r: 0.333; p<0.05) and democratic parental attitudes (r: 0.537; p<0.05). There was also a positive relationship between the outwardly expressed anger subscale and permissive (r: 0.219; p<0.05), protective (r: 0.145; p<0.05), democratic attitudes (r: 0.140; p<0.05) and authoritarian attitudes (r: 0.348; p<0.05). Finally, positive correlation was found between the suppressed anger subscale and permissive (r: 0.218; p<0.05), protective (r: 0.157; p<0.05), democratic (r: 0.263; p<0.05), and authoritarian (r: 0.138; p<0.05) parental attitudes. Conclusion: The study concluded that there is a significant relationship between trait anger, controlled anger, suppressed anger, and outwardly expressed anger levels and parental attitudes. In this context, this study suggests that parents should be aware of their parenting styles because these styles impact chidren’s anger and its expression.
Surgical Team Members' User Evaluations on the Use of Safe Surgery ChecklistTR during Surgical Intervention
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Arpag, Nurgül; Gür, Sevgi; Katran, Hamdiye Banu; Huzur, Fatma
Aim: The Safe Surgery Checklist is a critical tool the World Health Organization developed to improve patient safety and reduce surgical errors. This study aimed to evaluate the opinions of surgical team members regarding using the Safe Surgery ChecklistTR during surgical intervention and to develop recommendations to improve their compliance. Method: This cross-sectional and descriptive study was conducted with 334 healthcare professionals, including 162 nurses and 172 anesthesia technicians, working in Istanbul between January 02, 2024, and March 31, 2024. Data were collected using the Safe Surgery ChecklistTR Implementation Perception Questionnaire developed by the researchers in line with the literature and consisted of 33 items evaluating various elements of the checklist. Statistical analyses, including reliability tests (Cronbach's alpha) and descriptive statistics, were performed using the Statistical Package for the Social Sciences 26 program. Results: The overall Cronbach's alpha value for the Safe Surgery ChecklistTR Implementation Perception Questionnaire was 0.966, indicating high reliability. Participants reported a mean score of 153.57±16.41, with a positive agreement rate of approximately 93%. The highest positive agreement was found for the item “Patient risk assessment should be performed” (98.8%) and the lowest agreement was found for confirming the necessity of prophylactic antibiotics (74.9%). Conclusion: The study's results revealed that although awareness of the Safe Surgery ChecklistTR was high among team members, adherence to the practice varied, especially among less experienced and less educated staff. This highlights the need for education and communication strategies to improve adherence to the Safe Surgery ChecklistTR and increase patient safety and the importance of its successful implementation.
The Effect of Artificial Intelligence on Clinical Practice and Learning Processes in Nursing Education: A Qualitative Study
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Aslan, Meltem; Nart, Aydın; Alpaydın, Musab
Aim: The study was planned and carried out in a qualitative (case study) type in order to determine the areas of artificial intelligence use in nursing education and its effect on the learning processes of students. Method: Demographic Data Form including the characteristics of nursing students and Semi-structured Interview Form were used as data collection tools. The data were collected with a voice recorder and transferred to a Microsoft Word file using a transcriber. The research data were evaluated by content analysis method and three expert opinions were obtained. MAXQDA program was used in the content analysis process. Results: According to the results of the research, students mostly stated that they benefited from artificial intelligence tools, especially chatgpt. It was stated that chatgpt made significant contributions to conducting research, learning languages, obtaining drug information and obtaining information about applications. The students emphasized that AI should be supported with more reliable and updated sources and pointed out that information pollution should be reduced. In addition, a suggestion was made that AI should only draw data from reliable academic sources. Conclusion: It was seen that AI makes significant contributions to the learning process, but some fundamental issues such as reliability and information pollution need to be addressed. Students offered several suggestions to make AI-supported education more reliable, simple and accessible.
The Mediating Role of Mukbang in the Association between Loneliness and Smartphone Addiction in Emerging Adulthood
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Kütük, Hasan; Okur, Sinan
Aim: The purpose of this study is to examine the mediating role of Mukbang viewing behavior in the relationship between loneliness and smartphone addiction in individuals in the emerging adulthood period. Recently, an important field of study has emerged due to the effects of loneliness on behaviors in technological environments and the examination of Mukbang videos on the mental health of individuals. In this context, the aim of this study is to examine smartphone addiction by exhibiting Mukbang viewing behavior in those experiencing loneliness. Method: In this study conducted with 401 participants, 280 females (69.8%) and 121 males (30.2%), the average age of the participants is 24.443 years (age range = 18-26, SD = 1.682). Within the scope of the study, data were collected from the participants face-to-face using the UCLA Loneliness Scale, Smartphone Addiction Scale, and Mukbang Addiction Scale. Conditional process analysis was performed using the SPSS PROCESS macro plugin in the analysis of the data. Additionally, the statistical significance of the mediating variable was examined using the bootstrapping method. Results: Correlation results indicated that there was a significant and positive relationship between all variables. Findings from the conditional process analysis suggest that Mukbang serves as a partial mediator in the connection between loneliness and smartphone addiction. Conclusion: The study reveals that Mukbang videos are used as a tool to cope with the feeling of loneliness of individuals and that this situation triggers smartphone addiction. The results demonstrate that intervention programs for conscious media use should be developed for individuals with high feelings of loneliness.
The Effects of Associated Impairments on Severity of Cerebral Palsy: Insights from a Single-Center
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Özal, Cemil; Seyhan Bıyık, Kübra; Çankaya, Özge; Delioğlu, Kıvanç; Üneş, Sefa; Tunçdemir, Merve; İpek Erdem, Fulya; Kerem Günel, Mintaze
Aim: The aim of the study was to describe the distribution of the impairment index across Cerebral Palsy (CP) subtypes and Gross Motor Function Classification System (GMFCS) levels and investigate the relationship between CP subtypes, birth weight, gestational age, and the impairment index. Method: This retrospective study was conducted with 423 children with CP aged between 0-18 years. Data were gathered from the medical records of children. Birth weight and week, functional classification levels, intellectual impairment, presence of vision, hearing problems, epilepsy recorded. All children were classified according to the GMFCS, Manual Abilities Classification System (MACS), Communication Function Classification System (CFCS), Eating and Drinking Abilities Classification System (EDACS), and CP subtypes. Participants were categorized according to Impairment Index (II) that consist of gross motor, intellectual, vision and hearing impairments and epilepsy. Multivariate backward modelling linear regression model was used to explain relations between impairment index and functional classification systems, birth weight and birth week. Results: Amongst the 423 children (mean age 6.38±4.57 years) analyzed, 130 (30.7) of the children had low impairment, 159 (31.7%) of them had moderate impairment, and 134 (31.7%) of them had high impairment according to the II. In unilateral spastic type CP, 61.5% had a low impairment index (p<0.05), in bilateral spastic CP, 44.2% of children had a moderate impairment index (p<0.05), in dyskinetic CP 67.9% of children had a high impairment index (p<0.05). In ataxic type there were not any difference significantly between impairment index levels (p=0.06). As a result of regression analysis gross motor function level (Beta=0.85, p<0.01) and birth weight (Beta=-0.05, p=0.04) were predictors of the Impairment Index, and explained 73% of the variance. Conclusion: Nearly one third of the children had high II; birth weight and gross motor functional level are the predictors of II. These results can help improve rehabilitation and social services.
The Prognostic Importance of Protein Energy Wasting in Chronic Kidney Disease: A Sectional Monocentric Study
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Kemaneci, Sümeyye; Keser, Alev
Aim: The purpose of this study is to determine the frequency of Protein Energy Wasting (PEW) in individuals with chronic kidney disease (CKD) and evaluate the relationship between PEW and anthropometric measurements, biochemical parameters, and nutritional status of individuals. Method: The study was conducted with 119 predialysis individuals aged 19 and over with CKD. The biochemical parameters and anthropometric measurements of the participants were evaluated, and their nutritional status was determined by Subjective Global Assessment (SGA) and PEW criteria. Nutritional status was classified as good, moderate nutritional deficiency, and severe malnutrition according to SGA. The presence of PEW was accepted if ≥3 categories for PEW were met. Results: According to SGA, 20.2% of the individuals had moderate/severe malnutrition and 8.4% PEW. It was determined that with the increase in the number of PEW criteria in individuals, the body weight, body mass index (BMI), upper middle arm circumference, triceps skin fold thickness and body fat percentage; serum total protein, albumin, calcium and magnesium levels; intake amounts of many macro and micro nutrients have decreased significantly. It was detected that BMI (26.8%), albumin (18.6%), fiber (14.1%) and magnesium (15.7%) were the parameters most explaining the number of PEW criteria met by individuals. Conclusion: PEW was related to anthropometric measurements, biochemical parameters and nutrient intakes. So, using the PEW tool at certain intervals from the moment of diagnosis will be a practical and effective intervention in reducing the prevalence of malnutrition.
Determinants of Quality of Life in Patients After Thyroidectomy: Electrolyte Imbalance, Sleep Problems, and Fatigue
(İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Maraş Baydoğan, Gülseren; Sürme, Yeliz; Kütük Karasungur, Songül
Aim: The study was conducted to determine the effects of electrolyte levels, sleep problems, and fatigue on quality of life in patients undergoing thyroidectomy. Method: The study involved 93 participants who underwent thyroidectomy from April 2023 to August 2024. The study was conducted in a descriptive design. The data of the study were collected with the Descriptive Characteristics Questionnaire Form, Fatigue Severity Scale, Richard Campbell Sleep Scale, and SF-12 Quality of Life Scale. Independent sample t-test, one-way analysis of variance, dependent sample ttest, Pearson correlation and linear regression analysis were used to evaluate the data. Ethical approval, institutional permission, academic board permission, and informed consent were obtained. Electrolyte levels, quality of life, fatigue severity and sleep scale total scores of thyroidectomy patients were evaluated face to face before discharge and by phone first month post-discharge. Results: Quality of life, fatigue and sleep quality scale scores were determined as 29.83±3.99, 38.41±20.61, and 35.77±14.17 respectively in the first month post-discharge. A significant, negative correlation was found between the quality of life and fatigue scale and the total score of the fatigue and sleep scale during the initial month following post-discharge. In the study, fatigue, sleep quality, calcium, phosphorus and magnesium levels explained 55% of the increase in quality of life after thyroidectomy. Conclusion: At the conclusion of the study, it was ascertained that there was a decrease in sleep quality and quality of life, alongside an increase in fatigue levels in patients after thyroidectomy. The study helps healthcare professionals to provide better counseling to their patients and provides an up-to-date synthesis of quality of life, fatigue and sleep quality that may allow a more personalized approach.

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