Balıkesir Üniversitesi Kurumsal Akademik Arşivi
DSpace@Balıkesir, Balıkesir Üniversitesi tarafından doğrudan ve dolaylı olarak yayınlanan; kitap, makale, tez, bildiri, rapor, araştırma verisi gibi tüm akademik kaynakları uluslararası standartlarda dijital ortamda depolar, Üniversitenin akademik performansını izlemeye aracılık eder, kaynakları uzun süreli saklar ve yayınların etkisini artırmak için telif haklarına uygun olarak Açık Erişime sunar.
Güncel Gönderiler
Health literacy and attitudes toward complementary and alternative medicine (CAM) among patients with urolithiasis
(BMC, 2026) Koze, Burcak Şahin; Ongün, Pınar; Demir, Muhammed Sacid; Ongün, Şakir
Background: The use of complementary and alternative medicine (CAM) is common among patients with chronic and recurrent conditions, including urinary system stones. Understanding the relationship between patients’ attitudes toward CAM and their level of health literacy is essential for promoting informed and safe use of complementary therapies. Methods: This descriptive study was conducted at the Urology Clinic of Balıkesir University Hospital and included 202 patients who underwent surgery for urolithiasis. Data were collected using a structured questionnaire, the Holistic Complementary and Alternative Medicine Attitude Scale (HCAMAS), and the Health Literacy Scale (HLS). Descriptive statistics, Pearson correlation analysis, and Classification and Regression Tree (CART) analysis were performed. Results: The mean age of the participants was 49.48 ± 13.37 years, and 64.3% reported using CAM, with medicinal waters being the most frequently preferred method (70.63%). Participants demonstrated moderate levels of both CAM attitudes (HCAMAS: 32.69 ± 5.29) and health literacy (HLS: 32.60 ± 8.68). Correlation analyses indicated very weak but statistically significant inverse associations between CAM attitudes and the critical and interactive dimensions of health literacy, as well as between the CAM subdimension and critical health literacy. CART analysis identified educational level as the strongest determinant of both health literacy and CAM attitudes. Conclusion: Although no overall association was observed between CAM attitudes and health literacy, the high prevalence of CAM use underscores the need for targeted patient education regarding complementary therapies. Strengthening health literacy through tailored educational interventions may promote informed decision-making and support the safe integration of CAM with conventional medical care.
Could the monocyte-to-high-density lipoprotein cholesterol ratio serve as a reliable marker for orthostatic hypotension in older adults? A cross-sectional study
(BMC, 2026) Koçyiğit, Süleyman Emre; Kırık, Ali
Background Orthostatic Hypotension is a condition that increases in frequency with age and is associated with inflammation.This study investigates the relationship between the Monocyte-to-High-Density Lipoprotein Cholesterol Ratio (MHR) and OH in older adults. Methods It was designed as a cross-sectional and observational study at our Geriatric outpatient clinic. Total of 229 patients were assessed retrospectively. OH was evaluated based on the active standing test. Logistic regression analysis was utilized to assess the association between MHR and both OH and supine hypertension (HT). Results Of the 229 patients in the study, 73.5% were female, and the mean age was 76.75 +/- 6.52 years.The OH and control groups differed significantly in terms of sex, age, body mass index (BMI), malnutrition, frailty and probable sarcopenia.The MHRs were higher in both the OH group and the supine HT subgroup when compared to the control group (p<0.05).The cut-off value for MHR in the OH group was 9.28 (p=0.023). In a regression analysis, a significant relationship was observed between the presence of OH and MHR, independent of confounding factors (odds ratio (OR) 1.09;p=0.045). Similarly, an independent relationship was identified between the presence of supine HT and MHR (OR 1.1;p=0.033). Conclusions MHR was found to be independently associated with OH in older adults, while supine HTwithin the OH group may be linked to MHR after adjusting for confounding factors.
The effect of video-assisted education on postoperative outcomes after laparoscopic cholecystectomy: A randomized controlled trial
(Elsevier, 2026) Pehlivan, Elif; Dizer, Berna; Tuna, Arzu
Objective: To determine the effects of video-assisted education on postoperative physiological parameters and recovery outcomes of patients undergoing laparoscopic cholecystectomy. Background: Laparoscopic cholecystectomy is a widely used minimally invasive surgical method to treat gallstones. Effective preoperative education is critical to enhance postoperative recovery and reduce complications. Design: A randomized controlled trial. Methods: This study was conducted between October 1, 2023, and January 17, 2024, in the General Surgery Department of a public state hospital in Turkey. A total of 92 patients were randomly assigned to the intervention (n = 46) and control (n = 46) groups. The intervention group received video-assisted education, whereas the control group received the same content through a brochure. Educational content included information about postoperative pain, nausea-vomiting management, nutrition, early mobilization, fluid intake, wound care, bathing, and follow-up instructions. Data were collected using a sociodemographic form, Visual Analog Scale (VAS), pre/postoperative patient assessment form, and a dietary habits questionnaire. Primary outcome was bowel recovery, assessed as the presence of defecation on the follow-up day (postoperative day 5-7). Secondary outcomes included nausea/vomiting at discharge, pain intensity (VAS), bathing related support needes for assistance, vital signs/physiological parameters, mobilization, and dietary habits. Results: Vital signs remained stable in both groups, with no significant intergroup differences. Defecation at follow-up was more common in the intervention group (p < 0.001). Vomiting at discharge was lower in the intervention group (p < 0.05). Bathing-related support needs differed between groups at follow-up (p = 0.001). Innovation: This study integrates standardized video-based education into perioperative nursing care and evaluates functional recovery indicators alongside physiological measures. Conclusion: Video-assisted education was more effective than brochure-based education in promoting bowel recovery after laparoscopic cholecystectomy, while effects on other outcomes may vary by clinical context. Combining written materials with standardized video content may further enhance patient education in perioperative care.
Traumatic birth perception of women who experienced homebirth versus hospital birth: A case-control study from Türkiye
(Elsevier B.V., 2026) Kızılkaya, Tuba; Aytaç, Selma Hancıoğlu; Doğan, Reyhan Aydın; Şebik, Neslihan; Taşlar, Nükte
Background There is little known about the maternal and fetal outcomes of planned homebirths versus hospital births in Türkiye. The place where women give birth has an impact on their postpartum experiences and maternal and fetal outcomes. Aim This study aimed to compare women who experienced homebirth and hospital birth in terms of traumatic birth perception levels. Methods An unmatched case-control study was conducted with 215 mothers, including 97 cases and 118 controls, in Istanbul province. Participants were asked to complete an online survey which includes a personal information form about childbirth and postpartum experiences, and the Traumatic Birth Perception Scale. The responses received from 215 participants in the case and control groups were subjected to statistical evaluation. The comparison between the categorical characteristics of the homebirth and hospital birth groups was made using a chi-square analysis, and the comparison between continuous variables was made with an independent groups analysis. Results The homebirth group perceived childbirth as less traumatic. The feeling of safety during birth was significantly higher in the homebirth group than in the hospital birth group. Conclusion Our results are consistent with high-quality evidence regarding the biomedical safety of home birth. Home could be an important place to decrease traumatic childbirth perception.
Impact of rigid contact lens use on visual acuity and vision-related quality of life in keratoconus
(Springer, 2026) Vural, Gözde Şahin; Ertürk, Selin Sav
Purpose: To evaluate the relationship between visual acuity (VA) improvement and vision-related quality of life in patients with keratoconus using rigid gas-permeable (RGP) and scleral contact lenses (CLs). Methods: This observational study was designed as a cross-sectional study with retrospective collection of pre–contact lens clinical data. The best-corrected visual acuity (BCVA) before and after CL use was recorded. Pre–contact lens BCVA values were obtained retrospectively from medical records, which may introduce potential documentation bias. After CL usage, vision-related quality of life and CL adaptation were assessed using a validated Turkish version of the National Eye Institute Visual Function Questionnaire (VFQ-25) and a study-specific questionnaire developed by the investigators to explore practical aspects of contact lens use such as handling, adaptation, comfort, and concerns related to long-term use. The correlations between BCVA improvement and questionnaire responses were analyzed statistically. Results: A total of 26 patients (mean age 39.7 ± 13.6 years) were included. Mean BCVA improved significantly from 0.21 ± 0.20 to 0.83 ± 0.16 with contact lenses (p = 0.001). The VA improvement showed significant positive correlations with perceived visual improvement (p = 0.032) and vision-related quality-of-life enhancement (p = 0.007). These associations should be interpreted cautiously given the relatively small sample size and exploratory nature of the correlation analyses. The patients continued to express concerns regarding the long-term use of CL, despite the observed improvement in VA. Conclusion: The rigid contact lens use was associated with improvements in both visual acuity and vision-related quality of life in keratoconus. However, due to the limited sample size and cross-sectional design, the findings should be considered preliminary and interpreted as exploratory observations that may inform future prospective studies.
