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    Adolescents’ Sleep Habits, Internet Use and Changing Sleep-Wake Schedule
    (2019) Çağlar, Songül; Kesgin, Makbule Tokur; Ak, Bedriye
    Objective: The physical and psychological changesexperienced during adolescence can change the sleep pattern.However, unconsciously use of internet by adolescents canlead to some problems on sleeping habits. The aim of thisstudy was to investigate the relationship between sleephabits and internet use and changing sleep-wake schedule inadolescents.Material-Method: A cross-sectional study was conducted. Theparticipants were 1498 secondary school students aged 10-14.Sleep habits and internet use and changing sleep-wake schedulewere assessed using a questionnaire which was by preparedthrough by the researchers.Results: Of the 1498 participants, 48.5% had sleep problemsand the most common sleep problem was difficulty on fallingasleep (43.5%). 94.9% of adolescents were used internetand they mostly were spent 1.5-2 hours in internet. It wasdetermined to delay timing of sleep due to use of internet23.6% of adolescents who used internet and majority of theirfamilies (73.9%) had complaints about the negative effectsof internet use on sleep. Adolescents’ sleep problems werefound to be associated with delaying the timing of sleep dueto internet use (p<0.05). Also, adolescents’ internet use wasassociated with fall asleep duration (p<0.05).Conclusions: Internet use creates various problems inadolescents’ fall asleep duration and sleep hours when it is usedwithout family control and in a long duration.
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    Anaokulu Çocuklarının Annelerinin Ev Kazalarına Yönelik Aldıkları Güvenlik Önlemleri ile Sağlık İnancı Arasındaki İlişki: Kesitsel ve Korelasyonel Çalışma
    (2023) Yeniyapi, Aslıhan; Kesgin, Makbule Tokur
    Amaç: Anaokulu çocuklarının annelerinin ev kazalarına yöne- lik aldıkları güvenlik önlemleri ile sağlık inancı arasındaki ilişkiyi be- lirlemek amacıyla planlanmış kesitsel ve korelasyonel bir çal ışmadır. Gereç ve Yöntemler: Araştırma 314 kişi ile tamamlandı. Bolu il mer- kezinde bulunan 11 devlet anaokulunda, 07.11.2017-18.01.2018 tarih- leri arasında, anneler ile yürütülen ara ştırmanın verileri; “Ki şi Bilgi Formu”, “0-6 Ya ş Çocuklarda Annenin Ev Kazalar ına Yönelik Gü- venlik Önlemlerini Tanımlama Ölçeği” ve “Ebeveyn Sağlık İnanç Öl- çeği” kullanılarak toplandı. Bulgular: Araştırmaya katılan annelerin; %43,6’sının 35-40 arası yaş grubunda, %57,0’ının üniversite mezunu , %61,1’inin gelir getiren bir işte çalıştığı ve %67,5’inin gelirinin gidere eşit olduğu saptandı. Çocukların %62,4’ünün ev kazas ı geçirdiği bu- lundu. 0-6 Yaş Çocuklarda Annenin Ev Kazalarına Yönelik Güvenlik Önlemlerini Tanımlama Ölçeği puan ortalamas ının 167,6±20,9, Ebe- veyn Sağlık İnanç Ölçeği şans faktörlerinin 17,0±6,4, iç faktörlerinin 13,0±2,7, dış faktörlerinin 32,0±4,3 olduğu tespit edilmiştir. Annelerin yaşı arttıkça ev kazalarının önlenmesine yönelik aldıkları güvenlik ön- lemlerinin ve iç kontrol boyutunun arttığı belirlendi. Sonuç: Annelerin şans faktörleri inancı ne kadar az ise ev kazalarına yönelik aldıkları gü- venlik önlemleri o kadar fazla olduğu sonucuna ulaşıldı. Genç annele- rin, geni ş ve parçalanm ış ailelerin, erkek çocu ğu olanlar ın, çocu ğu birden fazla ev kazası geçirenlerin, tanı konulmuş hastalığı olanların, ilk yardım bilgisi olmayanların, ev kazası riski oluşturacak durumlarla il- gili evde önlem almayan annelere ev kazalarının önlenmesine yönelik programlar oluşturulması önerilmektedir.
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    The anger in municipal bus drivers and its relationship with sociodemographic characteristics
    (Cukurova Univ, Fac Medicine, 2019) Kesgin, Makbule Tokur
    Purpose: This study was conducted to examine the relationship between anger level and anger expression styles with the socio-demographic factors of municipal bus drivers. Materials and Methods: The study was carried out with 95 bus drivers. The data were collected by means of question forms, State-trait anger, and anger expression scales. Results: The mean score were found to be: Trait anger 16.67 +/- 4.29, anger-in 15.05 +/- 3.31, anger management 25.12 +/- 4.97, and the anger-out 12.48 +/- 2.94. There is also a significant relationship between receiving anger management training and anger-out. There is a positive significant relationship between smoking duration (years) and anger control, years at work and anger-out. As being in consistency with other studies, the study has revealed that while the level of professional experiences increases the level of anger is decreased and when the years of working is higher in an institution, anger can be expressed more easily. The reflection of the problems at work as anger in the family life is a different subject examined. Conclusion: This study provides evidence of socio-demographic characteristics affecting the level of anger and anger expression of drivers. The results of the study can be taken into account when planning interventions for bus drivers in terms of expressing anger correctly and anger control.
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    Anxiety in Children and Adolescents in the Covid-19 Pandemic: A Systematic Review
    (2023) Kesgin, Makbule Tokur; Tok, Hümeyra Hançer
    The aim of this study was; to define the anxiety and anxiety-related factors experienced by children/adolescents during the Covid-19 pandemic on a global scale. Study data were collected between 15.04.2021 and 30.04.2021 by using keywords (child, children, adolescents, adolescents, mental health, anxiety, anxiety and stress) in Turkish and English. The data sources of this study are PubMed, Web of Science, and Google Scholar t. As a result of the evaluations, a total of n=6185 articles were reached from all databases. After the evaluation of the full texts, the study was completed with n=31 articles. Eleven of the articles evaluated in this study were published in China. The anxiety prevalence of children and adolescents varies between 1.84-45.0%. As a result of the evaluated studies; It has been observed that women, those with chronic-psychiatric diseases, those who are older, separated from family members, migrant children and adolescents are more likely to experience anxiety. Some of the anxiety symptoms of children and adolescents are nervousness, irritability, anxiety, and suicidal ideation. In conclusion, anxiety levels and anxiety-related factors of children and adolescents living in various countries of the world during the Covid-19 pandemic were determined.
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    Assessment of internet usage for health-related information among clients utilizing primary health care services
    (Wolters Kluwer Medknow Publications, 2019) Bilgin, Nevin Çıtak; Kesgin, Makbule Tokur; Gücük, Sebahat; Ak, Bedriye
    Objective: This study aimed to identify the frequency and goals of Internet usage to access health-related information among primary health care service clients. Methods: The study was conducted in a primary health care centre with a sample of 788 adults. The data were collected through a questionnaire developed by the researchers. Results: The results showed that 81% (n = 640) of the participants used the Internet. All Internet user participants reported that they used the Internet to access health-related information. Of the participants, 67% reported that they used the Internet primarily to obtain information about diseases with 94% reporting that they found the online information reliable and 92% reported that they did not confirm the information they obtained online. The frequency of Internet use to obtain health-related information increased with increase in the level of education of participants. Participants with higher education found the online information to be more reliable and comprehensible. The results showed that while the use of Internet to obtain health-related information was high, the information presented online was not always checked for accuracy. Conclusion: Hence, provision of current and evidence-based information on health-related websites is crucial to preserve community health care.
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    Attitudes of Individuals with Alcohol and Substance Addiction Towards Violence Against Women
    (2023) Tok, Hümeyra Hançer; Kesgin, Makbule Tokur; Koç, Ayşegül
    The aim of this study was to determine the attitudes of alcohol and substance dependent individuals towards violence against women. This cross-sectional study was completed with n=105 patients who were followed up in the Alcohol and Substance Addiction Treatment and Research Center of a state hospital. In this study, personal information form and ISKEBE attitudes towards violence against women scale were used as data collection tools. Among the patients diagnosed with alcohol-substance use disorder, n=53 (60.9%) were between the ages of 18-34 and n=70 (66.7%) were single. Of the patients, n=36 (52.2%) had been exposed to any type of domestic violence. The attitude scores of patients diagnosed with alcohol-substance use disorder towards violence against women were measured as 99.89 ± 22.1. In the current study, patients diagnosed with alcohol-substance use disorder who were male, lived in rural areas, had poor income status and had low educational level were found to have negatively low attitudes towards violence against women. In conclusion of this study, further studies and practices to determine and improve attitudes towards violence against women in patients diagnosed with alcohol-substance use disorder are recommended.
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    Birinci Basamak Sağlık Hizmetlerinde Çalışan Sağlıkçıların Sağlıklarına ve Çalıştıkları Ortamdaki Risk Etmenlerine İlişkin Değerlendirilmesi
    (2019) Kesgin, Makbule Tokur; Bay, Betül
    Amaç: Çalışma Bolu il merkezinde birinci basamak sağlık hizmetlerinde çalışan sağlıkçıların sağlıklarının ve çalıştıkları ortamdaki risk etmenlerine ilişkin değerlendirilmesini amaçlamaktadır. Yöntem: Araştırmanın evreni Araştırmanın yürütüldüğü Bolu Halk Sağlığı Müdürlüğü’ne bağlı Bolu il merkezindeki 1 toplum sağlığı merkezi ve 29 aile sağlığı merkezinde çalışan 150 sağlık personeli araştırmanın evrenini oluşturmuştur. Araştırmanın örneklemi: Araştırmanın anlamlılık düzeyi %5, güç %90 sağlık çalışanlarının son bir yıl içinde risklerle karşılaşma prevalansı %85 kabul edilerek örneklem büyüklüğü 96 olarak bulunmuştur. Basit rastgele örneklem yöntemi kullanılarak araştırmaya katılmayı kabul eden 96 sağlık çalışanına ulaşılmıştır. Veri toplama araçları: Çalışmayı kabul eden 96 sağlık çalışanına 2015 Mayıs-2016 Temmuz tarihlerinde araştırmacılar tarafından literatür incelenerek oluşturulan veri toplama formu kullanılmıştır. Verilerin değerlendirilmesi: Verilerin değerlendirilmesinde kişisel bilgilerin yorumlnmasında sayı ve yüzde testi kullanılmıştır. Bulgular: Sağlık çalışanlarının sosyo-demografik ve mesleki özelliklerine bakıldığında %43.8’i 34-41 yaş aralığında, %84.4’ü kadındır. Ankete katılanların %47.9’u ebe, %27.1’i hekimdir. Katılımcılar işe bağlı hastalık geçirme durumlarını %15.6 olarak belirtirken, %11.5’i dermatit, %4.2’si depresyon, %5.2’si alerjik rinit, %4.2’si boyun fıtığı, %3.1’i varis geçirmiştir. Sonuçlar: Birinci basamak sağlık çalışanları çalıştıkları kurumda ruhsal, ergonomik sorunlar yaşadıkları, çoğunlukla kesici-delici alet yaralanmasına maruz kaldıkları belirlenmiştir. Çalışılan kurumların mesleki risklerle ilgili önlem alma durumu orta düzeydedir ve kurumların büyük çoğunluğunda iş sağlığı ve güvenliğinden sorumlu ekip yoktur. Sağlık çalışanlarının psikolojik şiddete maruz kalma oranları önemli düzeydedir.
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    Cleveland adölesan uykululuk anketi’nin Türkçe’ye uyarlanması: Lise öğrencileri için geçerlik-güvenirlik çalışması
    (Cukurova Univ, Fac Medicine, 2020) Çağlar, Songül; Kesgin, Makbule Tokur
    Amaç: Bu çalışmanın amacı Cleveland Adölesan Uykululuk Anketi'ni Türkçeye uyarlamak ve lise öğrencilerine uygunluğunu değerlendirmektir. Gereç ve Yöntem: Kesitsel tipte planlanan çalışma, bir lisede 329 öğrenci ile gerçekleştirildi. Veriler Ocak-Şubat 2019 tarihleri arasında veri toplama formu, Epworth Uykululuk Ölçeği ve Cleveland Adölesan Uykululuk Anketi kullanılarak toplandı. Bulgular: Doğrulayıcı faktör analizi ölçeğin sahip olduğu dört boyutlu özgün yapıyı doğrulamıştır. Ölçeğin model uyum indeksleri; Ki-Kare değeri (χ2=172,78, df=96, p=0,000), Tahminin Kök Hata Kareler Ortalaması=0,049, Karşılaştırmalı Uyum İndeksi=0,98, Ölçeklendirilmiş Uyum İyiliği =0,96, Ölçeklendirilmemiş Uyum İyiliği =0,98, Uyum İndeksi=0,94, Düzeltilmiş Uyum İyiliği =0,91 değerleri ile mükemmel uyum düzeyi gösterdi. Ölçek maddelerinin faktör yükleri 0,58 ile 1,13 arasında değişmekte olup, t değerleri anlamlı olarak belirlendi. Ölçek 0,87 güvenilir katsayısı ile yüksek düzeyde güvenirlik sağladı. Ayrıca uykululuk durumunu ölçen benzer ölçüm aracı olan Epworth Uykululuk Ölçeği ile Cleveland Adölesan Uykululuk Anketi arasında orta seviyede pozitif ve anlamlı ilişki (0,638) belirlenerek, ölçüt bağıntılı geçerlik sağlandı. Sonuç: Uyarlama çalışması yapılan Cleveland Adölesan Uykululuk Anketi’nin Lise öğrencileri için uygun ve öğrencilerin uykululuk durumunun belirlenmesinde geçerlive güvenilir bir ölçme aracı olduğu sonucuna varıldı.
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    Comparison of anxiety levels of hospitalized COVID-19 patients, individuals under quarantine, and individuals in society
    (WILEY, 2022) Kesgin, Makbule Tokur; Tok, Hümeyra Hançer; Uzun, Lütfiye N.; Pehlivan, Şenay
    Purpose: This study aims to compare the anxiety levels of COVID-19 patients, individuals under quarantine, and healthy individuals in society. Design and Methods: This cross-sectional study was conducted from May 25, 2020 to June 25, 2020 in a city located in the northwest of Turkey. The data were collected using a personal information form, the Beck Anxiety Scale, administered in face-to-face interviews, and online questionnaires. The data were analyzed using descriptive statistics, Kruskal-Wallis, Mann-Whitney U, and logistic regression analyses. Findings: The anxiety level of individuals under quarantine (Median: min-max = 1: 0-55) was significantly lower statistically compared to that of the rest of the society (Median: min-max = 6: 0-63) and hospitalized COVID-19 patients (Median: min-max = 5: 0-42) (p = 0.0001). Female gender, being 61 years of age and older, having psychiatric and chronic illnesses, and experiencing disrupted sleep patterns were determined to be the factors associated with high levels of anxiety. Practice Implications: This study found that society in general and hospitalized COVID-19 patients had high anxiety levels. The study results can be useful for creating training and population-based screening programs to control the anxiety of individuals under quarantine, hospitalized COVID-19 patients, and the rest of the society during the pandemic. Additionally, the finding from this study on groups at risk for anxiety will provide important data for future research on this subject and for the planning of health services offered to these groups.
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    Comparison of psychological distress and mental health literacy levels of hospitalized covid-19 patients, individuals under quarantine, and healthy individuals of society in the pandemic
    (Asean Federation Psychiatry & Mental Health, 2021) Akgün, Şenay; Kesgin, Makbule Tokur; Tok, Hümeyra Hançer; Uzun, Lütfiye Nur
    Aim: This study aimed to find out which group is most affected by psychological distress during the pandemic and determination of MHL level. Methods: This is cross sectional study. Research sample consisted of 814 voluntary people. The study used descriptive data form, Kessler psychological distress scale and mental health literacy scale. Before the study was conducted, permission was obtained from necessary institutions and then research ethics committee approval was obtained. Also, individuals who were contacted through online platforms were informed about the study and provided informed consent forms by clicking "yes" option which showed their voluntary participation. The data were analyzed using descriptive statistics, t-test, analysis of variance, and Mann Whitney U and Kruskal Wallis tests. To detect correlations, the correlation and regression analyses were used. Results: The study results showed that 28% of the participants had diagnosable psychological distress (30-50) and individuals who received COVID-19 treatment at hospital had the highest median score (30). The mental health literacy of the participants was low (106) and the lowest scores belonged to individuals under treatment of COVID-19 at hospital. The highest psychological distress was in the Black Sea region and the lowest mental health literacy was in Southeastern Anatolia region. There was a significant very weak positive correlation between psychological distress scale and mental health literacy. Conclusion: Individuals who had COVID-19 disease had high psychological distress and low mental health literacy. After the pandemic, the community should be screened for mental illnesses and mental health literacy training should be organized to improve mental health. Nurses need to use their collaborative and advocacy roles regarding mental evaluation, providing consultancy and treatment during nursing care to patients with COVID-19 importance.
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    The correlation between health literacy and mental health literacy in Turkish Society
    (Wiley, 2022) Akgün, Şenay; Kesgin, Makbule Tokur; Tok, Hümeyra Hançer
    Purpose The study aims to determine the correlation between health literacy (HL) and mental health literacy (MHL) in Turkish society. Design and Methods This study was a cross-sectional survey, a form of quantitative research. Data were collected from participants with the personal information form, Turkish Health Literacy Scale, and Mental Health Literacy Scale. Findings The study found that 48.2% of the individuals had insufficient-limited HL and that 46.2% had a low level of MHL. A positive weak relationship was found between HL and MHL. Practice Implications As HL and MHL are correlated concepts, community health nurses can prepare their nursing action plans accordingly.
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    A determinant for family planning attitudes and practices of men: Marriage features
    (Springer Heidelberg, 2019) Kesgin, Makbule Tokur; Tanyer, Deniz Koçoğlu; Demir, Gökçe
    AimThis study was conducted to determine both the use of family planning methods among married men between the ages of 20 to 50 and some marriage characteristics affecting this use.MethodsThis was a descriptive and correlational study conducted in May and June 2014. The study sample included 375 males. The study data were collected using a survey form as well as the Family Planning Attitude Scale, Marital Adjustment Scale, and Marital Problem Solving Scale. The determinants of the Family Planning Attitude Scale were found using hierarchical multiple regression analysis. The risk factors for not using family planning were evaluated by logistic regression analysis.ResultsAccording to Model 2, to which family features were added, the male himself (beta=-0.117) and his spouse (beta=-0.154) either graduated from primary school or received no formal education. They lived in an extended family (beta=-0.129), and an increasing desire for more children (beta=-0.184) decreased the family planning attitude score. The risk factors for not using family planning were evaluated using logistic regression analysis. Accordingly, the risk for not consulting family planning services is increased by older age (OR: 1.037; CI: 1.010-1.064), desiring to have more than three children (OR: 1.279; CI: 1.01.038-1.575), and not having received information about family planning (OR: 1.871; CI: 1.145-3.057) (p<0.05).ConclusionMarital adjustment is an important tool in making decisions about family planning. It is necessary to enable men to access to the correct information that will carry them to the relevant resources.
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    Determining The Relationship Between Smoking Habits and Healthy Lifestyle Behaviors of Health Workers: Smoke-Free Hospital, Healthy Life
    (Eurasian Society of Family Medicine, 2020) Gucuk, Sebahat; Kesgin, Makbule Tokur; Gel, Keziban Turken; Yorgun, Songul
    Aim: Using tobacco and tobacco products is an important public health issue. This study aims to determine the smoking status of hospital staff and to examine the relationship between their smoking habits and healthy lifestyle behaviors. Methods: This cross-sectional study was carried out between March and September 2018 with 387 health workers in Izzet Baysal Training and Research Hospital affiliated to Bolu Abant Izzet Baysal University. Data were collected using the Healthy Lifestyle Behaviors Scale II and the Fagerstrom Test for Nicotine Dependence, which were applied via face-to-face interview technique to health workers who accepted to participate in the study. Results: The study sample consisted of 387 health workers. Of them, 58.7% of the participants were exposed to smoking in the workplace, and 75.9% of the nonsmokers were exposed to smoking environment, which was statistically significantly high. A statistically significant difference was found between the health workers’ Healthy Lifestyle Behaviors Scale mean scores with respect to gender, smoking status, being in a smoking environment, and duration of smoking. Conclusion: Determining the relationship between smoking habits and healthy lifestyle behaviors of health workers, identifying their negative or incomplete behaviors in this regard, and developing training and support programs for their relevant needs are considered to positively affect the images of health workers in society, and thus to increase healthcare quality and satisfaction. © 2020, Eurasian Society of Family Medicine. All rights reserved.
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    Dünyada ve Türkiye’de okul hemşireliğinin gelişimi
    (2019) Kesgin, Makbule Tokur; Çağlar, Songül
    Okul sağlığı hizmetleri halk sağlığı hemşirelerinin okullardaki sağlık gereksinimlerini görüp, müdahale etmeleriyle ortaya çıkan bir hareket olarak başlamıştır. İlk olarak İngiltere ve Fransa'da görülen bu hareket 19. yüzyılda Amerika'da, Cumhuriyetle birlikte de Türkiye'de görülmüştür. Savaşlar, göç, sanayileşme, yoksulluk ve okul sağlığı hizmetlerine gereksinim duyulmasına neden olmuştur. Halk sağlığı hemşireleri yaptıkları ev ziyaretleri, düzenli kontroller ve sağlık kayıtları ile okul sağlığına önemli katkıda bulunmuşlardır. Bu durum hükümetlerin ve gönüllü kuruluşların hemşirelerin okul sağlığının sürdürülmesindeki gerekliliğini fark etmesi ve okullarda hemşire görevlendirmesiyle sonuçlanmıştır. Okul sağlığı hizmetlerinin gelişmiş olduğu ülkelerde hemşireler sağlığı geliştirici programların planlanması ve uygulanmasında ön sıralarda yer almaktadır. Çoğu hemşire bir ya da birden fazla okula tek başına okul sağlığı hizmetleri sunabilmektedir. Bu hemşireler lisans eğitiminden sonra sertifika eğitimi almakta ve sertifikalarını belli sürelerle yenilemektedir. Türkiye’de ise okul hemşireliği ile ilgili mevzuatta çeşitli düzenlemeler olmasına karşın çözülmesi gereken bazı konular mevcuttur. Bu makalede, dünyadan ve Türkiye’den örneklerle okul hemşireliğinin günümüze kadar olan gelişimi ve Türkiye’deki okul hemşireliği hizmetleri incelenmektedir.
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    The effect of creative drama education given to nursing students on mental health literacy levels: A randomized controlled study
    (W B Saunders Co-Elsevier Inc, 2024) Tok, Humeyra Hancer; Kesgin, Makbule Tokur
    Aim: The aim of the present study was to determine the effect of education provided to nursing students on MHL levels. Methods: The study had a randomized pre-test post-test parallel control group design. Fifty-six (n = 56) first-year nursing students. In this study, CONSORT flow diagram was applied. The data collection forms consist of a personal information form and Mental Health Literacy Scale. In the statistical analysis Wilcoxon signed-rank test, and Mann-Whitney U test were used. Results: Creative drama education was found to be significantly more effective than classroom education in increasing scores on the mental health literacy scale, including sub-dimensions for awareness of mental disorders, ability to access information, and stigma in nursing students (p < 0.05). Conclusions: Classroom education and creative drama are effective in changing mental health literacy scales. It is recommended to spread the use of creative drama, which is one of the artistic and interactive educational techniques in nursing education.
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    Effects of pain and sleep quality on falls among nursing home residents in Turkey
    (Slack Inc, 2018) Altıntaş, Hülya Kulakçı; Aslan, Gülbahar Korkmaz; Şişman, Nuriye Yıldırım; Kesgin, Makbule Tokur
    The current study was conducted to detect the incidence of falls among individuals in nursing homes, as well as the impact of pain and sleep quality on falls. The sample for this cross-sectional study comprised 291 older adults. Pain was assessed using the Geriatric Pain Measure and insomnia was assessed using the Insomnia Severity Index. Incidence of falls within the past 1 year was 40.9%. Risk factors for falling were determined using logistic regression analysis. Based on the analysis, being single (odds ratio [OR] = 2.502, 95% confidence interval [CI] [1.155, 6.195]) and experiencing pain (OR = 2.841, 95% CI [1.195-6.754]) were risk factors for falling. In the current study, falling was seen as a common problem among older adults. Pain in particular should be addressed when planning the prevention of falls in nursing homes.
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    Evaluation of sleep quality and perceived stress of nursing students who are engaged in clinical practice based on their sleeping habits
    (2020) Kesgin, Makbule Tokur
    Objectives: Sleep quality and perceived stress of nursing students affects both their personal health and nursingcare. The aim of this study is to identify nursing students' sleep quality and perceived stress and the sleepinghabits affecting them.Methods: This descriptive cross-sectional study was carried out with 446 nursing students. The data werecollected through a questionnaire involving some questions aiming to identify sleeping habits and perceivedstress, Pittsburgh Sleep Quality Index (PSQI) and Perceived Stress Scale for Nursing Students (PSSNS).Results: The average score of PSQI was 7.71 ± 3.27 while scale of PSSNS was 63.50 ± 26.65. According toPSSNS, female students perceived stress level more than males (p = 0.005). However, there was no statisticallysignificant difference between female students and male students in terms of total PSQI scores (p = 0.113).Students with poor sleeping quality showed some signs of sleep deprivation during the day. There was a weakrelationship between sleeping quality and perceived stress (p = 0.01). Nevertheless, delaying sleep due toacademic workload affects students' perceived stress.Conclusions: Nursing students should be encouraged to develop healthy sleeping habits and skills to deal withstress.
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    The impact of drama education and in-class education on nursing students' attitudes toward violence against women: A randomized controlled study
    (Churchill Livingstone, 2023) Kesgin, Makbule Tokur; Tok, Hümeyra Hançer
    Background: Nurses are the first to intervene in women who were subjected to violence. It is necessary to prepare prospective nurses for this difficult situation in order to enable them to provide quality health services to the victims. Nursing education is of critical importance in gaining nursing students sufficient competencies that they can utilize in intervening in such cases.Objectives: This study aims to determine the impact of creative drama education and in-class education on nursing students' attitudes toward violence against women.Design: This study has a pre-test post-test parallel group randomized controlled design. Setting: This study was carried out at a nursing school in Turkey.Participants: Seventy-eight (n = 78) fourth-year undergraduate nursing science students. Method: In the collection of data, personal information form and ISKEBE Violence Against Women Attitude Scale were used. Data were analyzed using descriptive statistics, Wilcoxon Signed Rank test, and Mann-Whitney U test. Results: A statistically significant difference was found between the pre-test and post-test scores (Z = -4.911, p = 0.0001) of the experimental group (Z = -5054, p = 0.0001) and the control group. No significant correlation was found between the post-test scores of the experimental and control groups (Effect size = 0.06, Z = -0.525, p = 0.600).Conclusion: It was found that in-class teaching and creative drama were effective in changing the attitude toward violence against women. However, neither method was found to be superior to the other.
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    İNFORMAL BAKIM VERENLERİN BAKIM YÜKÜNE İLİŞKİN HEMŞİRELERİN GÖRÜŞLERİ
    (2017) Gel, Keziban Türken; Kesgin, Makbule Tokur
    Amaç: Bu çalışmanın amacı bakım gereksinimi olan bireylere informal bakım verenlerin, bakım yüküne ilişkin hemşirelerin görüşlerini belirlemektir. Yöntem: Tanımlayıcı nitelikteki bu çalışma Düzce Atatürk Devlet Hastanesi ve Üniversite Hastanesi’nde çalışan (n=532) araştırmaya katılmayı kabul eden 469 hemşire ile gerçekleştirilmiştir. Katılımcılara 21 sorudan oluşan soru formu uygulanmıştır. Verilerin değerlendirilmesinde sayı, yüzde ve niteliksel dağılımlar arasındaki farkın önemliliği için ki-kare testi, fisher exact testi kullanılmıştır. Bulgular: Araştırmaya katılan hemşirelerin çoğunluğu genç ve orta yaş grubundadır (19-40 yaş, % 90.8) ve meslekte çalışma yılı en fazla 1-7 yılda (%41.4) yoğunlaşmaktadır. %57.4’ünün lisans mezunu, %35.0’inin dâhili, %36.9’unun cerrahi tıp bilimlerinde çalıştıkları, %57.4’ünün bakım yükü konulu herhangi bir eğitime katılmadığı, %17.9’unun ise aileden birine uzun süreli bakım veren hemşireler olduğu belirlenmiştir. Çalışmaya katılan hemşirelerin %94.9’unun informal bakım verenlerin güçlük yaşadıklarını, yaşanan güçlüklerin ise bakım verenin kişisel özellikleri, bakım verme süresi ve çok boyutlu bakım vermek zorunda olması gibi faktörlerinin etkili olduğunu belirtmişlerdir. Araştırmaya katılan hemşirelerin %81.2 'sinin informal bakım verenlerin bilgi eksikliği, fiziksel ve psikolojik sağlıkları yönünden ele alınmaları ayrıca maruz kaldıkları bakım yükünün hafifletilmesi konusunda hemşirelerin rol almaları gerektiğini önerdikleri saptanmıştır. Sonuç: Bu çalışmada, hemşirelerin genelde informal bakım verenlerin bakım yüküne dair bilgilerinin olduğu belirlenmiştir. Hemşirelere göre; İnformal bakım verenlerin, eğitim ihtiyaçlarını karşılanıp, psikolojik, fiziksel ve sosyal olarak desteklendiğinde bakım yükünün hafifleyeceği bunun sonucu olarak hastaneye tekrar yatışların azalacağı sonucuna ulaşılmıştır.
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    KANATLI SEKTÖRÜNDE ÇALIŞAN KADINLARIN AİLE PLANLAMASI VE ACİL KONTRASEPSİYONA İLİŞKİN BİLGİ VE TUTUMLARININ BELİRLENMESİ
    (2020) Bilgin, Nevin Çitak; Kesgin, Makbule Tokur
    Amaç: Aile planlaması yö ntemlerinin kullanımı u reme sağ lığ ının körunması için ö nemlidir. Bununla birlikte aile planlaması yö ntemlerinin kullanımı halen du şu ktu r. Bu çalışma çalışan kadınların aile planlaması ve acil köntrasep-siyöna yö nelik bilği ve tutumlarını belirlemek için yapılmıştır.Gereç ve Yöntem: Tanımlayıcı ve kesitsel tipteki araştırma Batı Karadeniz Bö lğesi’nde beyaz et sektö ru nde hizmet veren bir kurumda u reme çağ ındaki 280 kadın ile yapılmıştır. Araştırmanın verileri kişisel bilği förmunda yer alan sösyödemöğrafik, öbstetrik, aile planlaması ve acil köntrasepsiyöna ilişkin sörular ile Aile Planlaması Tutum Ö lçeğ i’nden (APTÖ ) yararlanılarak töplanmıştır.Bulgular: Kadınların yaş örtalaması 36.26±6.70 yıldır. Katılımcıların %28.9’unun aile planlaması yö ntemi kullanmadığ ı, yö ntem kullandığ ını bildirenlerin %32.2’sinin ise ğeri çekme ile körunduğ u belirlenmiştir. APTÖ puan örtalaması 121.98±17.47 ölup, ölumlu tutuma sahip öldukları ğö ru lmu ştu r. Aile planlaması tutumunu; eğ itim durumu (p<0.001), aile planlaması ve acil kön-trasepsiyön yö ntemlerinin kullanımını dinen uyğun bulma (p<0.001), aile planlaması hakkında bilği almış ölma (p<0.01) ve bilği almayı isteme durumunun (p<0.05) etkilediğ i saptanmıştır. Kadınların %49.6’sının acil kön-trasepsiyön yö ntemlerini duyduğ u, %25.0’ının acil kön-trasepsiyön yö ntemlerinin hanği durumda kullanılacağ ını bildiğ i ve %6.8’inin acil körunma hapı kullandığ ı belir-lenmiştir.Sonuç: Çalışan kadınların aile planlaması tutum ö lçeğ i puan örtalamasının örtalamanın biraz u zerinde ve ölumlu ölduğ u, acil köntrasepsiyöna ilişkin farkındalıklarının aile planlaması yö ntemlerine ğö re daha du şu k ölduğ u belir-lenmiştir. Sağ lık pröfesyönelleri tarafından aile planlaması kapsamında eğ itimler verilerek çalışan kadınların u reme sağ lığ ı könusunda bilinçlenmesine katkıda bulunulabilir.