Atatürk Sağlık Hizmetleri MYO Koleksiyonu

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https://hdl.handle.net/11468/10418

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Women’s attitudes toward family planning in the postpartum period and affecting factors: Turkiye sample
(SAGE Publications Inc., 2024) Bilge, Çiğdem; Kaydırak, Meltem; Altınsoy, Büşra; Ak, Eda Yakıt; Öztürk, Sevdiye
Introduction: Despite declining birth rates and improvements in maternal health care, the number of unwanted pregnancies and unwanted births in Turkiye remains high. The aim of this study was to determine women’s attitudes and preferences regarding family planning and the factors influencing them in the postpartum period. Method: A descriptive and correlational study was carried out. Data were collected using a personal information form and the Family Planning Attitude Scale in the online environment. Results: According to the results of this study, the number of women who did not receive family planning counseling during pregnancy (42.6%) and the postpartum period (36.9%) was considerably high. Women’s family planning attitudes change positively when they move from the east to the west of Turkiye. Discussion: According to the results of the study, it was observed that a person’s education, economic status, and cultural values are effective in family planning method selection and family planning attitude.
Women’s perspectives on abortion and spirituality in Turkey
(Springer, 2024) Ak, Eda Yakıt; Şen, Mehmet Ali; Akdemir, Arzu; Tandoğan, Özden
To investigate the opinions of women residing in Turkey regarding abortion and its correlation with spirituality. A descriptive and cross-sectional study. The study included 487 women and data was collected between October and December 2023. The Descriptive Information Form, Stigmatizing Attitudes, Beliefs and Actions Scale (SABAS), and Spirituality Scale (SS) were used to evaluate the data and determine the correlation between them. Of the women surveyed, 78.6% reported no prior experience with curettage. The participants had low SABAS scores (26.95 ± 7.43) and high SS scores (22.50 ± 5.80). Age, education, employment status, religious affiliation, history of curettage, age at first childbirth, number of children, and number of siblings were all significantly correlated with SABAS and SS (p < 0.05). Additionally, a significant positive correlation was found between the participants’ SABAS total score and all sub-factor scores, as well as their SS total scores. It was also determined that as women’s stigmatization and negative attitudes towards curettage increased, their spiritual feelings increased as well (p < 0.05). A significant positive correlation was found between SS score and age and SABAS, and a negative correlation was found with the number of births (p < 0.05). It was found that women’s stigmatizing attitudes towards abortion were influenced by their spiritual beliefs. To prevent women from being caught between the consequences of unwanted pregnancies and their spiritual beliefs, it is important to meet their needs for family planning and health counseling.
The effect of transcutaneous auricular vages nerve stimulation on nerve conduction velocity, grip strength, pain, and upper extremity functionality in individuals with carpal tunnel syndrome
(Turkish Physiotherapy Association, 2024) Yıldız, Rıdvan; Özden, Ali Veysel
Purpose: This study aims to investigate the effects of transcutaneous auricular vagus nerve stimulation (taVNS) on key parameters, including nerve conduction velocity, grip strength, pain, and upper extremity functionality in individuals with carpal tunnel syndrome (CTS). Methods: The study involved 51 patients (90 hands) diagnosed with carpal tunnel syndrome, comprising 12 males and 39 females, ranging in age from 18 to 58 years. Participants were divided into groups by random randomization method. Sensory branch conduction velocity of the median nerve was assessed via electromyography (EMG), hand grip strength was measured using a digital dynamometer, and pain intensity was quantified with a visual analog scale (VAS); additionally, upper extremity functionality was evaluated using the Upper Extremity Functional Index (UEFI) scale before and after the treatment. In the experimental group, in addition to the conventional physiotherapy program, 10 sessions of auricular vagus nerve stimulation were administered; for the sham and control groups, the conventional physiotherapy program alone was conducted over the course of 10 sessions. Results: The analysis revealed no statistically significant differences between the groups concerning variables such as body mass index (BMI), age, gender, educational background, and smoking status (p>0.05). However, within-group evaluations exhibited significant differences compared to baseline values in terms of nerve conduction velocity, pain perception, and upper extremity functionality, with no such difference observed in grip strength (p<0.05). The intergroup comparisons indicated a significant difference in favor of the experimental group across all parameters, except for grip strength (p<0.05); conversely, no substantial differences were observed between the sham and control groups (p>0.05). Conclusion: The findings suggest that the adjunctive use of taVNS alongside conventional rehabilitation programs in individuals diagnosed with CTS results in increased sensory nerve conduction velocity and enhanced upper extremity functional capacity, accompanied by a reduction in pain; nevertheless, grip strength remains unaffected.
The relationship between knowledge levels of HPV and health literacy in youth – an example from Türkiye
(Publishing Office of the University of Rzeszow, 2024) Şen, Mehmet Ali; Ak, Eda Yakıt
Introduction and aim. Human papillomavirus (HPV) is a common infection responsible for many cancers. This study was conducted to determine the relationship between the knowledge level of HPV and the health literacy of youth living in Türkiye. Material and methods. The study sample comprised 543 youth aged 18 and 30 living in Türkiye. The data were assessed with a questionnaire, the human papilloma virus knowledge scale (HPV-KS), and the health literacy scale (HLS) and the correlation between them. Results. 50.6% of the youth informed that they are aware of HPV, and 54% of the youth know about the transmission mode of HPV. It was determined that knowing HPV increased 1.839 times by being a woman, 1.949 times by being married, and 14.339 times by knowing STIs. The HPV-KS total score average of the youth was low at 14.26±7.04, and the total score average of HLS was high at 107.91±16.81. A positive and significant correlation was found between HPV-KS total score, all sub-factor scores, HLS total score, and all sub-factors total score(p<0.001). Conclusion. Information studies on HPV should be increased by taking advantage of the generality of health literacy.
Effect of polycystic ovary syndrome on the life quality of young women
(Associacao Medica Brasileira, 2024) Tandoğan, Özden; Ak, Eda Yakıt; Akdemir, Arzu; Oskay, Ümran; Çallıoğlu, Nihal
OBJECTIVE: The study evaluated the opinions of polycystic ovary syndrome on the life quality of women. METHODS: A total of 249 women with polycystic ovary syndrome participated in this descriptive study between October 2022 and July 2023 in Istanbul, Turkey. FINDINGS: Polycystic Ovary Syndrome and Quality of Life was significantly correlated with age (p=0.000) and frequent weight loss diets (p=0.000) (p<0.01). Among the Polycystic Ovary Syndrome and Quality of Life total score and polycystic ovary syndrome symptoms, those with hormone imbalance and insulin resistance had the highest mean scores, while those with menstrual irregularity and fatigue had the lowest. CONCLUSION: Advancing age changes the quality of life of women with polycystic ovary syndrome. To prevent the negative impact of polycystic ovary syndrome on women’s quality of life, it is recommended that health professionals develop effective care plans utilizing available evidence.
Assessment of preoperative anxiety and negative automatic thoughts in patients waiting for corneal transplantation
(Publishing Office of the University of Rzeszow, 2024) Tanrıverdi, Seher; Şen, Mehmet Ali; Genç, Hasan
Introduction and aim. In patients waiting for organ transplantation, increased waiting time can increase anxiety by creating negative automatic thoughts. The aim of this study is to examine the relationship between corneal transplant recipients' negative automatic thoughts and anxiety before organ transplantation. Material and methods. The population of this correlational descriptive study consisted of 108 patients waiting for cornea transplantation in the Eye Bank unit of a hospital in the south east region of Türkiye. The data were obtained from the patients presented to the ophthalmology clinic for transplantation between September and December 2022. A patient information form, the Negative Automatic Thoughts Scale, and the Trait Anxiety Scale were used to collect the data. Percentage distribution, arithmetic mean, logistic regression and correlation analysis were used in the data analysis. Results. It was determined that the mean score of the negative automatic thoughts of the transplant patients participating in the study was 100.69±47.83, and the trait anxiety mean score was 53.06±6.07. There was a positive relationship between negative automatic thoughts and trait anxiety at a moderate level, which was statistically significant (p<0.05, r=0.53). Conclusion. It was determined in the study that the patients' negative automatic thoughts and trait anxiety were high, and their anxiety increased as the negative automatic thoughts increased.
Sağlıklı yaşlanma ve kadın
(Orient Yayınları, 2023) Gümüş, Rojan; Haspolat, Yusuf Kenan
Dünya sağlık Örgütü tarafından 65 yaş ve üzeri bireyler yaşlı olarak tanımlanır. Bireyler yaş aldıkça, vücutlarında hem mental hem fiziksel olarak bazı değişiklikler meydana gelir. Reflekslerde azalma, denge ve duruş bozuklukları, koku alma ve işitmede azalma, ince hareketlerde gerileme, görme bozukluğu, hafıza ve bilişsel fonksiyonlarda zayıflama, tat duyusunda gerileme yaşın ilerlemesi ile ortaya çıkan sıkıntılardır. Öte yandan tıptaki gelişmeler ve yeni dünya düzeni ile birlikte nüfusun yaşlanması tüm dünyada önemli tıbbi ve sosyal demografik sorunlardan biri olmak üzeredir.
Examination of musculoskeletal system disorders and ergonomic conditions in the work environment of academics providing distance education during the COVID-19 pandemic: Controlled study
(NLM (Medline), 2023) Aydın, Abdulkadir
This study aimed to evaluate whether the incidence rate of musculoskeletal system disorders changed owing to the increase in the time spent on the computer by academics who did or did not provide distance education during the COVID-19 pandemic. Material/Methods: The Cornell Musculoskeletal Discomfort Questionnaire was used to assess musculoskeletal discomfort experienced in the past 1 week. In addition, the Occupational Safety and Health Administration (OSHA) Computer Workstations Evaluation Checklist was used to assess the ergonomic structure of the work environment. The questionnaire assessed musculoskeletal system disorders and collected demographic characteristics. Results: The study group included 184 (101 male, 83 female) academics who provided distance education, whereas the control group included 82 (44 male, 38 female) academics who did not provide distance education. The mean ages of academics in the study group and control group were 37.46±7.34 and 41.26±10.06 years, respectively. Although computer-based work environment ergonomics were similar (P>0.05) in both groups during the pandemic, the incidence rate of musculoskeletal disorders was significantly high in the study group (P<0.001). These disorders were mostly seen in the neck, back, and waist regions (P<0.001). Conclusions: The results suggested that the incidence rate of musculoskeletal disorders increased in academics who provided distance education during the COVID-19 pandemic.
Examination of hookah usage and gambling status of university students
(Taylor and Francis Ltd., 2023) Şen, Mehmet Ali; Pirinçci, Edibe
Purpose: This study examined hookah use by students, their gambling status, and the factors affecting it.Materials and Methods: The research was descriptive and cross-sectional. A stratified random sampling method was used (n:1,724). A questionnaire and the South Oaks Gambling Screening Test (SOGS) were used to collect data. The data in the study were evaluated by number, percentage, average, t test, ANOVA, chi-square and regression tests in the SPSS 18.0 program.Results: The mean age of the students was 23.38 ± 4.98 years, and 57.3% were male. The average age for starting hookah smoking was 17.84 ± 3.61, and the smoking rate was 20.9%. The decrease in age, being a man, smoking, and smoking hookah in his immediate environment increases the student’s hookah use (p < .05). In this study, gambling at least once in a lifetime was 22.8%, and possible pathological gambling was 1.0%. The SOGS score increases with age, low grades, alcohol use, low family communication, and dissatisfaction with life.Conclusion: In our study, the students’ levels of substance use, especially hookah and gambling, were significant. Campaigns can be conducted to raise awareness among students about the dangers of hookah smoking and gambling addiction and to attract their attention to other areas.
LGBT bireylere yönelik HIV ile ilgili güvenli olmayan cinsel davranışların belirlenmesi
(Mustafa Süleyman ÖZCAN, 2016) Yakıt, Eda; Coşkun, Anahit Margirit
Araştırmamız, LGBT (Lezbiyen, Gay, Biseksüel, Transeksüel/Travesti) bireylerin HIV konusundaki bilgi düzeyleri ve güvenli olmayan cinsel davranışlarını belirlemek amacı ile gerçekleştirilmiştir. Araştırmamız, tanımlayıcı tipte bir çalışma olup, Haziran 2013 ile Eylül 2014 tarihleri arasında gerçekleştirilmiştir. Araştırmanın örneklemi, İstanbul ilindeki çalışmaya katılmayı gönüllü olarak kabul eden 95 'i seks işçisi ve 71 'i seks işçisi olmayan toplam 166 LGBT bireyden oluşmuştur. Veriler 24 soruluk anket formu kullanılarak elde edilmiştir. İstatistiki değerlendirme, SPSS 16,0 paket programı ile gerçekleştirilmiştir. Araştırmamıza katılan LGBT bireylerin yaş ortalaması, 26,89±8,4 ve %32,3 (n=70) üniversite mezunu idi. Katılımcıların sadece %22.3'ü (n=37), HIV bilgi sorularından tam puan aldı. Araştırmamıza katılan LGBT bireylerin yalnız %51,8'inin (n=86) hayatları boyunca en az bir kez HIV testi yaptırdıkları belirlendi. HIV'den korunmada, gerekli önlemlerin alınmadığı ve güvenli cinsel davranışlar sergilenmediği saptandı.
Hemşirelerin meslek yaşantısı memnuniyetleri; Diyarbakır ili örneği
(Sağlık ve Sosyal Yardım Vakfı, 2017) Yakıt, Eda; Uyurdağ, Nermin
Bu araştırma çalışan hemşirelerin iş yaşantılarından duydukları memnuniyetsizlikler ve bunların nedenlerini belirlemek amacıyla yapılmıştır. Araştırma örneklemini Diyarbakır ilindeki bir eğitim araştırma ve kadın doğum ve çocuk hastanesinde çalışan 150 hemşire oluşturmuştur. Çalışmanın etik kurul onayı Dicle Üniversitesi Hastaneleri'nden alınmıştır. Katılımcı hemşirelerin büyük bir bölümü (%75,3) kadındır ve yaş ortalamaları 25,27 olarak saptanmıştır. Bu araştırmaya katılan hemşirelerin %37,3'ü hemşirelik mesleğini bilerek ve isteyerek seçtiklerini , %68'i kendilerini hemşirelik mesleğine uygun olarak gördüklerini bildirmişlerdir. Mesleğe uygun olmadığı düşünen hemşirelerin önemli bir kısmı(%39,5) psikolojik, bir kısmı da (%14,5) fiziksel olarak uygun olmadıklarını belirtmişlerdir.. Hemşirelerin %68'i meslek yaşantısından memnun olmadıklarını belirtmiş ve bu memnuniyetsizliğin sebebini büyük oranda (%26,6) sosyal olanaksızlığa bağlamışlardır.. Yapılan ki-kare analizinde haftalık 40 saat çalışan hemşirelerin, 41saat ve üzeri çalışan hemşirelere oranla kendilerini anlamlı oranda hemşirelik mesleğine daha uygun buldukları belirlenmiştir (p<0,05). Hemşirelerin iş memnuniyetsizliklerini azaltıcı önlemler alınması hemşirelik mesleğinin geleceği için önem arz etmektedir.
Sorumlu hemşirelerin sorun çözme ve klinik karar verme becerilerinin bazı değişkenlere göre değerlendirilmesi
(Yönetici Hemşireler Derneği, 2022) Çerçi, Seyhan; Uyurdağ, Nermin; Reyhanoğlu, Nuran
Amaç: Bu araştırmada, sorumlu hemşirelerin sorun çözme ile klinik karar verme becerilerine ilişkin algılarının belirlenerek, bazı değişkenlere göre değerlendirilmesi amaçlanmıştır. Yöntem: Bu araştırma tanımlayıcı ve ilişki arayıcı tasarımda yapılmıştır. İstanbul ve Diyarbakır İlinde Sağlık Bakanlığı’na ait eğitim araştırma hastanelerinde görevli servis sorumlu hemşireler araştırmanın evrenini oluşturmuş, çalışma araştırmaya katılmayı kabul eden 54 sorumlu hemşire ile yürütülmüştür. Veriler “Tanıtıcı Bilgi Formu, Problem Çözme Envanteri, Hemşirelikte Klinik Karar Verme Ölçeği” ile toplanmıştır. Verilerin değerlendirilmesinde sayı, yüzde hesaplanmış ve Mann Whitney U, Kruskal Wallis, Pearson korelasyon testleri kullanılmıştır. Bulgular: Sorumlu hemşirelerin sorun çözme envanteri toplam puan ortalaması 61,64±14,44; klinik karar verme ölçeği toplam puan ortalaması 151,00±12,99 olarak bulunmuştur. Sorumlu hemşirelerin sorun çözme becerileri ile yaşanılan il ve çalışma yılı değişkeni arasında anlamlı düzeyde farklılık olduğu belirlenmiştir (p<0,05). Araştırmaya katılan sorumlu hemşirelerin sorun çözme becerileri ile klinik karar verme becerileri arasında orta derecede olumsuz yönlü doğrusal bir ilişki (r=-0,47; p<0,01) belirlenmiştir. Sonuç: Sorumlu hemşirelerin sorun çözme becerileri ile klinik karar verme becerileri yüksek bulunmuştur. Bu çalışma sonuçları, bu becerileri etkileyen değişkenlerin görünür kılınmasını sağlayarak, becerilerin geliştirilmesi için yapılacaklar konusunda veri sağlayabilir.
Safety climate in marble industry and its influence on safety performance and occupational accidents
(Routledge Journals Taylor & Francis Ltd., 2023) Gümüş, Rojan; Ayhan, Mustafa; Gümüş, Bilal
To examine the influence of safety climate perception and safety performance on safety outcomes in the form of near misses and injuries a cross-sectional survey was conducted with 562 employees in twelve marble factories in Diyarbakir, Turkey. Study findings revealed that safety communication, management's safety commitment and safety training in the workplace influenced safety performance of workers most. Overall results suggest that improvement in the level of safety performance was associated with a reduction in accidents. Safety communication was the most significant dimension of safety climate to reduce near misses and injuries. When socio-demographics of employees were considered, the means of perception of safety systems in workplace was lower among younger groups. While participants from lower educated groups were more likely to care about safety performance, participants with high income were more likely to perceive management's safety commitment, safety training, and safety communication. These findings are important for management and employees of marble factories since they provide evidence about the factors that firms can consider to reduce occupational accidents and encourage safety performance in workplaces.
Sağlık çalışanlarının medikal turizme yönelik algılarının incelenmesi: Özel hastane örneği
(Bandırma Onyedi Eylül Üniversitesi, 2019) Aba, Gökhan; Gümüş, Rojan; Çakır, Yasin Nuri
Medikal turizm sağlık turizminin bir türüdür ve ileri tedavi, organ nakli, tüp bebek uygulamaları, estetik cerrahi, saç ekimi, göz, diş, diyaliz tedavileri vb. hizmetlerin alınabilmesi için başka ülkeye gerçekleştirilen ziyaretleri ifade eden bir kavramdır. Sağlık turizminin bir çeşidi olmakla birlikte genellikle sağlık turizmiyle birlikte anılır. Bu çalışmada, İstanbul’da faaliyet gösteren özel bir hastanede çalışan sağlık personelinin medikal turizme bakış açılarının değerlendirilmesi amaçlanmıştır. Toplam 30 sorudan oluşan bir anket hastanede çalışan 100 sağlık personeline uygulanmıştır. Katılımcılar hasta ile iletişimde, ödemeler konusunda, hastane kurallarında, hasta yakınları ile iletişimde ve aracı kurumlar ile önemli bir düzeyde bir sorun yaşamadıklarını belirtmişlerdir. Yabancı hastaların Türk hastanelerini tercih etme sebeplerini sıralarken ülkemizdeki sağlık hizmet standartlarının yüksek oluşunu, hekim kadrolarının tatmin edici olmasını ve uluslararası tanınırlığını ilk sıralarda göstermişlerdir. Çalışmamızın sonucunda görülmüştür ki, medikal turizmin her iki tarafında bulunan sağlık hizmeti sunucuları ve sağlık hizmeti kullanıcıları açısından olumlu bir durum vardır. Çalışanların eğitimi konusundaki iyileştirmeler ve gerekli tanıtımların arttırılması ile ülkemizin çok daha iyi bir düzeye geleceği düşünülmektedir.
Investigation of knowledge, attitude and behaviors of university students on testicular cancer: results from two different cities
(Prusa Medical Publishing, 2023) Yakar, Burkay; Pirinçci, Edibe; Şen, Mehmet Ali; Yaraşır, Ezgi
Objectives: Testicular tumors are the most common malign tumor in men aged 15-35 years. Early diagnosis and treatment is crucial in testicular cancer because if detected at an early stage, testicular cancer can be completely cured. Because of this reason increase in awareness and regular testicular self-examination (TSE) is recommended in the early diagnosis of testicular cancer. This study aimed to investigate the knowledge, attitude and behaviors of students about testicular cancer and testicular self-examination. Methods: This descriptive and cross-sectional study was conducted in Health care vocational schools of 2 different universities between November 2018 and January 2019. Data were obtained by a self-applied questionnaire comprised of four sections. Results: One hundred and six (37.7%) participants could not answer any question correctly. While 65.8% (n = 185) of the participants stated that they had heard of testicular cancer, the rate of those who heard about TSE was 17.8% (n = 50). Only 5.7% (n = 16) of the participants reported performing TSE. Binary logistic regression analysis was shown that the following factors increase men’s intention to perform TSE: Students’ academic unit [OR = 4.36, 95% CI: 1.37-13.88], age [OR = 0.2; 95% CI: 0.008-0.72], city [OR = 0.64; 95% CI: 1.15-1.49], those who have heard of TC before [OR = 0.71, 95% CI: 0.016-0.917], received information about TC [OR = 0.001, 95% CI: 0.015-0.309], and those who have heard of TSE before [OR = 0.01; 95% CI: 0.001-0.079]. Conclusions: One-third of the university students had never heard of testicular cancer, and TSE was not sufficiently practiced. There is a lack of information on this issue. It was thought that organizing training programs on the subject would raise awareness and save lives by early diagnosis.
Evaluation of incontinence women aged 20 or older living in Diyarbakir
(Wiley, 2022) Ak, Eda Yakıt; Oskay, Ümran
This study aimed to determine whether women aged 20 or older living in the city of Diyarbakir had urinary incontinence or not. The study was carried out with a total of 410 women. The research data were collected between December 2017 and March 2018. As the data collection tool, a questionnaire form developed in line with the related literature, Bristol female lower urinary tract symptoms (BFLUTS) questionnaire and healthy lifestyle behaviours scale (HLBS II) were used. The women had an average age of 35.86 +/- 10.98. Of all the women, 66.9% of them had complaints of urinary incontinence, and 48.9% suffered from Stress UI. The total BFLUTS scores increased at older ages. However, this result was not found statistically significant (p > 0.05). A significant relationship was found between the BFLUTS scores and being 40 or older, giving birth or more than one birth, chronic disease, BMI > 25, frequent urinary tract infection and gynaecological surgery (p < 0.05). There was no statistically significant difference between UI and the HLBS II results (p > 0.05). The results of multi regression analysis revealed a significant relationship between UI and giving birth (p < 0.05), yet no relationship was found between other risk factors (p > 0.05). UI is quite a common problem, which is not considered important, though. In the present study, being older than 40, giving birth and giving birth twice or more, having a chronic disease, BMI > 25, frequent urinary tract infection and gynaecological surgery were all influential on UI. Giving birth seemed to be the determiner of UI.
Kadına yönelik şiddet ve hukuksal boyutu
(Sağlık ve Sosyal Yardım Vakfı, 2020) Şen, Mehmet Ali; Pirinçci, Edibe
Bu çalışma kadına yönelik şiddet ve hukuksal boyutu hakkında genel bir bilgi vermek amacıyla yapılmıştır. Kadına yönelik şiddet; kadınlara fiziksel, cinsel, psikolojik veya ekonomik zarar veren veya verebilecek olan toplumsal cinsiyete dayalı her türlü eylem ve bu eylemlerle tehdit etme, zorlama veya keyfi olarak özgürlükten yoksun bırakma olarak tanımlanmaktadır. Kadın hak ve özgürlüğünün korunması ve kadına yönelik şiddetin engellenmesi amacıyla hukuksal olarak çeşitli çalışmalar yapılmıştır. Türkiye’de ise devlet eliyle kadına yönelik şiddeti ortadan kaldırmak için İstanbul Sözleşmesi imzalanmış, 6284 sayılı ailenin korunması ve kadına yönelik şiddetin önlenmesine dair yasa çıkarılmıştır. Her ne kadar kadına yönelik şiddeti engellemek amaçlı kanunlar çıkarılsa da yine de bu hukuksal çalışmalar şiddetin ortaya çıkmasında yetersiz kalmaktadır. Ataerkil aile yapısının hâkim olduğu anlayışlardan kaçınılmalı kadına hak ettiği değer verilmeli ve toplumsal cinsiyet ayrımından kaçınılmalıdır.
Time series outlier analysis for model, data and human-induced risks in covid-19 symptoms detection
(International Engineering, Science and Education Group, 2021) Kaya, Ahmet; Gümüş, Rojan; Aydın, Ömer
Information systems are important references aiming to support the decisions of decision makers. Information reliability depends on the accuracy and efficacy of data and models. Therefore,some risks may emerge in information systems concerning models, data, and humans. It is important toidentify and extract outliers in decision support systems developed for the health information systemssuch as the detection system of Covid-19 symptoms. In this study, the risks that are important in decisionmaking in Covid-19 symptom detection were determined by the statistical time series (ARMA) approach.Potential solutions are proposed in this way. Moreover, outliers are detected by software developed byusing the Box-Jenkins model, and the reliability and accuracy of data are increased by using estimateddata instead of outliers. In the implementation of this study, time-series-based data obtained fromlaboratory examinations of Covid-19 test devices can be used. With the method revealed here, outliersoriginating from healthcare workers or test apparatus can be detected and more accurate results canbe obtained by replacing these outliers with estimated values.
Sağlık bakım alanında sürekli iyileştirme modelleri
(Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi, 2022) Uyurdağ, Nermin; Yıldırım, Aytolan; Köse, Tuğba Uluocak
Sağlık kurumları da dahil birçok işletme, değişen dünyaya ve taleplere uyum sağlamak gayesiyle hizmetlerinin kalitesini artırmak, süreç içerisinde oluşabilecek hataları önlemek ve maddi imkanlarını verimli kullanmak hedefindedir. Bu hedef doğrultusunda spesifik uygulamalar içeren Kaizen, Toplam Kalite Yönetimi ve Altı Sigma gibi perspektiflerin uygulanması hız kazanmış olup bu pratiklere yönelik ihtiyaç ortaya konmuştur. Bu makalenin amacı, sürekli iyileştirme modellerinin Türkiye ve dünyadaki örneklerini incelemek ve mevcut literatür doğrultusunda sağlık bakım alanında hizmet kalitesine yönelik genel bir çerçeve çizmektir. Sonuçlar, Türkiye’deki sağlık kurumlarında sürekli iyileştirme yaklaşımının başarılı bir şekilde uygulandığı ve hizmet kalitesinin artması yönünde olumlu sonuçlar elde edildiğini göstermiştir. Bu çalışmada ayrıca, sağlık hizmetlerinin kalitesiyle ilişkili faktörler ortaya konmuş ve tartışılmıştır.
Tip 2 diyabeti olan bireylere verilen eğitimin (sohbet haritasına dayalı) ayak bakım davranışlarına ve diyabetik ayak risk faktörlerine etkisi
(Ortadoğu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2018) Besen, Dilek Büyükkaya; Aydın, Nalan; Bektaş, Belgin; Vatansever, Özgül; Sürücü, Hamdiye Arda
Objective: The most common cause of amputations in diabetes patients is the foot ulcer. The most prevalent factors leading to ulcer include neuropathy, deformity and traumas. Defining the foot risk factors for all diabetes patients and giving related education constitute the most important way of preventing foot ulcer. The purpose of the present study was to examined the influence of education given with the method of Conversation Map (Diabetes conversations) on Type-2 diabetes individuals' diabetic foot behaviors and on the diabetic foot risk factors. Material and Methods: The study was carried out using the descriptive method with the records of diabetes individuals who were all registered to a diabetes education center of a university hospital and who took education with the method of conversation maps. Within the scope of the study, four training sessions based on conversation maps were held with diabetes patients. In the study, the 12th-month foot care behaviors of individuals before and after the education process and the diabetic foot risk factors were compared. Results: The results revealed a significant change over time-before and after the education process-between the 12th-month foot care behaviors of diabetes individuals who took group education with the conversation map method with respect to foot care efficiency, foot care frequency, and with respect to the diabetic foot risk factors of temperature and humidity. Conclusion: The results of the study demonstrated that the map-based program had positive influence on the patients' diabetic foot behaviors. For the purpose of evaluating the effectiveness of the education given based on the conversation map, future studies could be carried out with larger research samples using the randomized controlled design. Copyright

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