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    Hipertansiyon Hastasi Olan Bireylerin Depresyon, Anksiyete ve Stres Du¨zeylerinin Yasam Kalitesi Üzerine Etkisi
    (Mardin Artuklu University, 2023) Güvener, Yasemin Özyer; Altas, Eda
    Giris: Bu arastirma; hipertansiyonu olan kisilerin depresyon anksiyete stres du¨zeylerinin yasam kalitesi u¨zerine etkisini belirlemek amaciyla planlandi.Yöntem: Arastirma Samsun Il Saglik Mu¨du¨rlu¨gu¨’ne bagli bir ilçe devlet hastanesinde acile basvuran hipertansiyon hastalari ile yapildi. Arastirma çalismaya katilmaya gönu¨llu¨ olan 161 hasta ile gerçeklestirildi. Çalisma tanimlayici tipte yu¨ru¨tu¨ldu¨. Veriler Tanimlayici Anket Formu, SF-12 Yasam Kalitesi Ölçegi kisa formu, Depresyon, Anksiyete, Stres Ölçegi (DASS-21) kullanilarak yu¨z yu¨ze anket formuyla toplandi.Bulgular: Çalismaya katilan hastalarin yas ortalamasi 62.3±14.3, depresyon puan ortalamasi 9.1±4.4, anksiyete puan ortalamasi 7.8±4.3, stres puan ortalamasi 9.8±4.0, Fiziksel Bilesen Özet Puani (FBÖ-12) puan ortalamasi 39.7±9.1, Mental Bilesen Özet Puani (MBÖ-12) puan ortalamasi 38.3±8.9 saptandi. Cinsiyet gruplari ile karsilastirildiginda depresyon ve anksiyete seviyesinin kadinlarda erkeklerden daha fazla oldugu, yasam kalitesinin erkeklerde daha iyi oldugu bulundu. Yas ortalamasi arttikça depresyon, anksiyete, stres oraninin arttigi, yasam kalitesinin azaldigi göru¨ldu¨.Sonuç: Bu çalismada; depresyon ve anksiyete du¨zeyinin kadinlarda daha fazla, evli çiftlerde daha du¨su¨k oldugu, egitim du¨zeyinin yu¨ksek olmasinin depresyon, anksiyete, stres ve yasam kalitesi u¨zerinde olumlu yönde etkili oldugu, kronik hastaligi olmayan ve egzersiz yapan bireylerde depresyon, anksiyete, stres seviyelerinin du¨su¨k oldugu, yasam kalitesinin yu¨ksek oldugu belirlendi.
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    The effect of breathing exercises on pain, sleep, and symptom management in patients undergoing hemodialysis: a randomized controlled trial
    (Springer Science and Business Media Deutschland GmbH, 2025) Güvener, Yasemin Özyer; Koç, Zeliha
    Purpose: This study was conducted to determine the effect of breathing exercises on pain, sleep, and symptom management in patients undergoing hemodialysis. Methods: The randomized controlled study was conducted with patients undergoing hemodialysis at a private dialysis center in the northern Black Sea region. Data were collected using the Descriptive Information Form, the Visual Analog Scale (VAS), the Richards-Campbell Sleep Questionnaire (RCSQ), the Dialysis Symptom Index (DSI), and the Vital Signs Form. According to the power analysis performed in the study, a total of 70 participants, 35 in each group, needed to be included in the study in order to conduct an independent t-test with a confidence level of 95%, a test power of 95%, and an effect size of d = 0.80. The study was conducted with a total of 69 patients divided into two groups: the experimental group (n = 35) and the control group (n = 34). Patients in the experimental group performed breathing exercises (Diaphragmatic breathing, Agni Sār, Nadi Shodhana, and the 4-7-8 breathing technique) on dialysis days for eight weeks. During this period, patients in the control group continued to receive routine nursing care in the hemodialysis unit. Results: Following the application, the average pain intensity in the control group (4.06 ± 3.1) was found to be statistically significantly higher than the average in the experimental group (0.4 ± 1.19) (p < 0.001). The average sleep score in the control group (48.56 ± 22.35) was found to be statistically significantly lower than the average in the experimental group (80.21 ± 16.46) (p < 0.001). The average DSI in the control group (92 ± 22.05) was found to be statistically significantly higher than the average in the experimental group (41.37 ± 7.15) (p < 0.001). Conclusion: Breathing exercises in patients undergoing hemodialysis were found to reduce pain, improve sleep quality, and have a positive impact on symptom management. In light of this, it is recommended that nurses include breathing techniques as part of the care provided to hemodialysis patients. Using complementary methods such as breathing therapy supports the physical, psychological, psychosocial, and holistic care of patients, thus increasing patient satisfaction and quality of life. Training health professionals in breathing therapy will ensure a broader use of this complementary method in a larger patient population. © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2025.