Sürdürülebilir Kalkınma Amaçları

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• MakaleAçık Erişim2026/r/kostu/10778
  The Impact of Motivational Interviewing Guided by Watson's Theory of Human Caring on Adherence, Self-Efficacy, and Satisfaction in Patients with Diabetic Foot Ulcers: A Randomized Controlled Trial Protocol

  Efetürk, Nida; Çevirme, Ayse

  Background: Diabetic foot ulcers [DFUs] are serious complications that diminish quality of life and increase healthcare costs. Effective management requires holistic, evidence-based approaches. Watson's Theory of Human Caring [THC] and motivational interviewing [MI] address both the physical and psychological dimensions of care. Aim: This study examines the effects of motivational interviewing, guided by Watson's Theory of Human Caring, on treatment adherence, self-efficacy, and patient satisfaction among individuals with diabetic foot ulcers. Methods: This single-blind randomized controlled trial included 76 participants with Wagner grade 1 DFUs. Participants were randomly assigned to either an experimental group receiving an eight-week motivational interviewing intervention based on Watson's THC or a control group receiving standard care. Data was collected at weeks 1, 8, and 12 using validated instruments: the Diabetic Foot Care Self-Efficacy Scale, the Medication Adherence Reporting Scale, and the Watson Caritas Patient Score. Data was analyzed using independent-samples t-tests, repeated-measures analyses, and chi-square tests. Results: This study is expected to provide preliminary evidence regarding the effectiveness of motivational interviewing guided by Watson's Theory of Human Caring in individuals with diabetic foot ulcers. It is anticipated that participants in the intervention group may demonstrate improvements in treatment adherence, diabetic foot care self-efficacy, and patient satisfaction compared with those receiving standard care. Potential improvements in secondary clinical outcomes, including wound size and HbA1c levels, are also expected to be explored. Conclusion:The study is expected to provide evidence supporting the integration of motivational interviewing and Watson's THC in DFU management. The findings may inform future research and clinical practice, supporting the delivery of more holistic care and improved outcomes for patients with DFUs.

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• MakaleAçık Erişim2026/r/kostu/10822
  Artificial Intelligence Addiction, Technostress, and Work-Life Balance Among Academics: An Employee Health Perspective

  Tozak, Fatoş; Efetürk, Nida; Asik, Raife

  Aim: This study aims to examine the relationships between artificial intelligence addiction tendencies, technostress levels, and work-life balance among academics within the framework employee health.Method: This study was designed using a correlational survey model within the framework of quantitative research methods. The population of the study consisted of academics working at universities in Türkiye. Data were collected using a sociodemographic information form, the Artificial Intelligence Addiction Scale, the Technostress Scale, and the Work-Life Balance Scale. Statistical analyses were performed using SPSS for Windows 25.0 software.Results: The findings indicated that the levels of artificial intelligence addiction (11.12±4.17) and technostress (56.13±12.85) among the participating academics (n=450) were moderate, with techno-overload identified as the most prominent subdimension of technostress. The analyses revealed positive and statistically significant correlations among the variables (p<0.01). Regression analysis demonstrated that both artificial intelligence addiction and technostress significantly and positively predicted work-life balance (R²=0.315). From a sociodemographic perspective, younger academics (research assistants) exhibited higher levels of artificial intelligence addiction and work-life balance compared to professors. Additionally, a heavy teaching load of 16 hours or more per week was found to significantly increase the technostress level.Conclusion: Artificial intelligence addiction and technostress are thought to be viewed not as destabilizing risk factors for academics but rather as a “functional adaptation tool” used to manage academic workload. While this resulting “good stress state” positively supports work-life balance, implementing human-centered digital policies at the corporate level is necessary to prevent long-term cognitive fatigue.

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• MakaleAçık Erişim2026Scopus SJRQ2/r/kostu/10509
  Comparison of breast cancer awareness and attitudes toward screenings in women with and without a family history

  Gökçay, Gönül; Efetürk, Nida; Küçük, Hülya İncirkuş; Uğurlu, Elif Seda; Çevirme, Ayşe

  Background: This study compares breast cancer awareness and attitudes toward screenings in women with and without a family history of breast cancer. Methods: This descriptive and correlational research included 1,620 women—807 with a family history and 813 without. Data were collected using a Personal Information Form, Breast Cancer Awareness Scale (B-CAS), and Attitudes Toward Cancer Screenings Scale. SPSS 27 software was used for data analysis, including chi-square test, Pearson correlation, and descriptive statistics. Results: The mean age of women with a family history was 31.22 ± 8.97, while those without had a mean age of 27.15 ± 8.78. Women with a family history scored higher on the B-CAS and the Attitudes Toward Cancer Screenings Scale, particularly in knowledge of risk factors, symptom awareness, screening barriers, and health behaviors (p < 0.001). Conclusion: Women with a family history of breast cancer have greater awareness and knowledge of risk factors than those without.

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  AtıfOpenAlex1

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• MakaleAçık Erişim2026Scopus SJRQ2/r/kostu/10381
  An Examination of the Impact of Healthy Lifestyle Behaviours and Self-Neglect on e-Health Literacy Among Older Adults Using Path Analysis

  Ertürk, Özge; Çetin, Kübra; Azak, Şeyma Nur; Efetürk, Nida

  AIM: This study aimed to examine the effects of healthy lifestyle behaviours and self-neglect on eHealth literacy among individuals aged 60 years and older, and to explore the structural relationships between these variables using path analysis. METHODS: This cross-sectional and descriptive study was conducted with 251 older adults living in Türkiye. Data were collected using a Personal Information Form, the Healthy Lifestyle Behaviours Scale II, the Self-Neglect Scale in Older Adults, and the eHealth Literacy Scale via an online survey. Direct and indirect relationships among variables were analysed using Structural Equation Modelling. RESULTS: The mean age of participants was 68.22 ± 9.24 years. Healthy lifestyle behaviours were positively associated with eHealth literacy (β = 0.423, p < 0.001), whereas eHealth literacy was negatively associated with self-neglect (β = -0.300, p < 0.001). The direct association between healthy lifestyle behaviours and self-neglect was not statistically significant (β = -0.053, p = 0.463), while the indirect association through eHealth literacy was significant (β = -0.127, p < 0.001). The model showed mixed fit, with χ2/df, CFI, TLI, and SRMR meeting the prespecified acceptable-fit criteria, whereas RMSEA remained above the specified threshold. CONCLUSION: The findings indicate that healthy lifestyle behaviours are associated with reduced self-neglect only when supported by higher levels of eHealth literacy. Integrating structured interventions to improve eHealth literacy alongside promoting healthy lifestyle behaviours may enhance the effectiveness of strategies targeting self-neglect in older adults.

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• MakaleAçık Erişim2026Scopus SJRQ4/r/kostu/10282
  Relationship between individuals’ stigmatizing attitudes towards abortion, family planning attitudes, and fatalism in health: a cross-sectional study

  Gökçay, Gönül; Efetürk, Nida; Çevirme, Ayşe

  Background. Abortion regulations and associated social stigma in Türkiye significantly inf luence access to reproductive health services and decision-making. Societal beliefs in fatalism and religious inf luences further shape healthcare utilization, contributing to increased risky behaviors and reluctance to seek treatment. Material and methods. This study investigates the relationship between stigmatizing attitudes towards abortion, attitudes towards family planning, and religious health fatalism. Designed as a descriptive and correlational study, it included 1,495 participants aged 18 and older. Data were analyzed using SPSS 27-V. Results. The participants exhibited moderate levels of stigmatizing attitudes towards abortion and health-related fatalism and high levels of positive attitudes towards family planning. Pearson correlation analysis revealed a moderate negative relationship between stigmatizing attitudes towards abortion and attitudes towards family planning, alongside a moderate positive relationship between stigmatizing attitudes towards abortion and health-related fatalism. Conclusions. The findings highlight that opposition to abortion negatively impacts attitudes towards family planning, with religious beliefs and fatalistic views significantly shaping these attitudes. Community awareness programs addressing stigma around abortion and family planning can enhance service accessibility. Moreover, culturally sensitive counseling and educational initiatives addressing the influence of religious and fatalistic beliefs could foster a better understanding of reproductive health, improving health outcomes within society.

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  İncele
• MakaleAçık Erişim2025Scopus SJRQ4/r/kostu/10529
  Effect of Z Technique Application on Patient Comfort, Pain and Adverse Events in Allergic Rhinitis Patients Receiving Subcutaneous Allergen Immunotherapy: A Randomized Controlled Study; [Z Tekniği Uygulamasının Subkutan Alerjen İmmünoterapisi Alan Alerjik Rinit Hastalarında Konfor, Ağrı ve Yan Etkiler Üzerindeki Etkisi: Randomize Kontrollü Bir Çalışma]

  Gökçay, Gönül; Akgün, Zeynep Genç; Çevirme, Ayşe; Tunç, Aylin Meşe; Efetürk, Nida; Ertürk, Özge; Göger, Seda; Uğurlu, Elif Seda; Küçük, Hülya İncirkuş

  Objective: This study aims to determine the effect of the Z technique on patient comfort, pain, and adverse events in allergic rhinitis patients receiving subcutaneous allergen immunotherapy (SCIT). Method: This study employed a randomized controlled trial with a pre-test and post-test design. A total of 60 participants were randomly assigned to either the experimental group (Z technique, n=30) or the control group (conventional SCIT method, n=30). Data were collected using the personal information form, the visual analog scale for pain, the general well-being scale, and the adverse events form (swelling, redness, medication leakage). Data were analyzed using IBM SPSS Statistics, with Pearson’s chi-square test, independent t-test, dependent t-test, and McNemar’s test applied for statistical evaluation. Trial Registration: ClinicalTrials.gov. Identifier: NCT05657262. Results: SCIT using the Z technique significantly improved quality of life, reduced pain levels, and minimized adverse events after one hour and one dayat 1 hour and 1 day (p<0.05). Conclusion: The Z technique enhanced patient comfort, decreased pain perception, and reduced adverse events, making it a promising alternative for SCIT administration.

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