Browsing by Author "Atan, Gulden"

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Assessment of Stigmatization and Self-Esteem in Patients With Epilepsy
(Academic Press inc Elsevier Science, 2024) Atan, Gulden; Oruc, Fatma Gunduz; Atan, Kemal
Aim: This study was conducted to examine the relationship between stigmatization and self-esteem of patients with epilepsy. Methods: This cross-sectional study was conducted with 216 patients at a university hospital in Van, a province in eastern Turkey. The researcher prepared the data collection tools, including a personal information form, Jacoby Stigma Scale and the Rosenberg self-esteem scale, in line with the literature. The Jacoby stigma scale was applied to assess stigma. Data analysis was performed using t-test, one-way analysis of variance (ANOVA), and Tukey, LSD coefficient. Results: The mean total stigmatization score of patients with epilepsy was 21.11 +/- 10.00, while the mean total self-esteem score was 20.26 +/- 5.16. The study found a significant negative correlation between stigmatization and self-esteem scores (r = -0.411; p < 0.05). Conclusion: The research study revealed that patient with epilepsy have a high perception of stigma and low selfesteem levels.
The Effect of Epilepsy Awareness on Attitudes Toward Individuals With Epilepsy in Turkish Society: a Case Study From Northern Turkey
(Wiley, 2025) Gunduz Oruc, Fatma; Atan, Gulden
ObjectiveThe aim of this study ws to examine the level of knowledge (awareness) about epilepsy in Turkish society and its impact on attitudes toward individuals with epilepsy.MethodsThe study was designed as a descriptive and cross-sectional research. The sample consisted of individuals aged 18-70 (n = 563) in a city in northern Turkey, surveyed between January and June 2024. Data were collected using a Personal Information Form, an Epilepsy Knowledge Scale (EKS), and a Public Attitudes Toward Epilepsy Scale (PATE). Simple linear regression analysis was employed to determine the effect of knowledge on attitudes.ResultsParticipants' knowledge level was found to be moderate at 48.2%, while their negative attitude levels were low at 27%. It was determined that the level of knowledge about epilepsy has a significant negative effect on attitudes (F[1, 561] = 123.461; p < 0.001), with an explanatory rate (R2) of 0.180.SignificanceThe study identified a moderate level of knowledge and a low level of negative attitudes toward epilepsy in Turkish society. Furthermore, as the level of knowledge increased, negative attitudes toward individuals with epilepsy decreased.Plain Language SummaryThe study found that individuals in Turkish society have a moderate level of knowledge about people with epilepsy (PWE). It was determined that their negative attitudes are at a low level. As the level of knowledge about epilepsy increases in Turkish society, it was observed that the negative attitude toward PWE decreases. It was determined that women, those with higher incomes, and those who have encountered an PWE have more knowledge about epilepsy. It was also observed that those with higher incomes, those who are young or young adults, those who are single, and those who have witnessed an epileptic seizure have developed more positive attitudes toward PWE.
Effect of Self-Acupressure on Fatigue and Sleep Quality in Patients with Multiple Sclerosis: A Randomized Controlled Trial
(Elsevier Science inc, 2025) Atan, Gulden
Objective: This study aimed to assess the efficacy of self-acupressure in alleviating fatigue and enhancing sleep quality among individuals diagnosed with multiple sclerosis. Methods: In our randomized controlled study, participants in the intervention group were instructed to administer self-acupressure on two specific sites. Patients were directed to administer the therapy to the specified two sites biweekly in the morning, at least one hour after breakfast, for a duration of 4 weeks, culminating in a total of 8 sessions. No intervention occurred in the control group during this study. Data were gathered utilizing the Patient Introductory Information Form, the Fatigue Severity Scale (FSS), and the Richards-Campbell Sleep Questionnaire (RCSQ). Results: The study comprised twenty-four individuals with multiple sclerosis in each group, comprising fourteen women in the intervention group and thirteen women in the control group. Subsequent to the intervention, the intervention group demonstrated a statistically significant decrease in total FSS scores compared to the control group (p < 0.001; d = 1.68), although total RCSQ scores revealed a substantial gain (p < 0.001; d = 1.65). Conclusion: Self-acupressure was proven to reduce fatigue levels and improve sleep quality in adults with multiple sclerosis. In conclusion, self-acupressure is an accessible, cost-effective, and efficacious technique for alleviating fatigue and enhancing sleep quality in patients with multiple sclerosis.
Examination of the Level of Tolerance of Uncertainty and Psychological Wellness of Patients With Epilepsy
(Academic Press inc Elsevier Science, 2023) Atan, Gulden
Aim: This study was conducted to examine the level of intolerance of uncertainty and the psychological well-being of patients with epilepsy (PWE).Methods: This descriptive and cross-sectional study was conducted with 201 patients in a university hos-pital in Van, which is a province in eastern Turkey. Personal information form, intolerance of uncertainty scale, and the psychological well-being scale were prepared by the researcher in line with the literature and used to collect data. An independent sample t-test, one-way analysis of variance (ANOVA), post hoc (Tukey, LSD), correlation, and regression analyses were used to analyze the data.Results: In this study, the mean total score of PWE for the intolerance to uncertainty scale was found as 37.144 +/- 9.202. Among the sub-dimensions, the mean prospective anxiety score was found as 21.821 +/- 5. 416 and the mean inhibitory anxiety score was 15.323 +/- 4.695. The mean total score of the psychological well-being scale was found as 28.975 +/- 6.622. It was determined that there was a significant relationship between the total score of the intolerance of uncertainty scale and the total score of the psychological well-being scale of the PWE who participated in the study (F = 14.314; p = 0.000 < 0.05). It was observed that the total score of intolerance of uncertainty was decreased as the total level of psychological well-being was increased (ss =-0.186).Conclusion: It was found that PWE had higher levels of intolerance of uncertainty and lower levels of psy-chological well-being. It was also determined that the total score of psychological well-being was decreased as the total score of intolerance of uncertainty was increased.Recommendations: For preventing the negative consequences of intolerance of uncertainty in PWE, it is recommended to inform nurses to increase the level of psychological well-being as a result of raising awareness about their concerns by conducting studies to increase the level of intolerance to uncertainty.It is also recommended to carry out studies on intolerance of uncertainty and psychological well-being in advanced and larger sample groups. (c) 2023 Elsevier Inc. All rights reserved.
The Interplay Between Self-Esteem and Social Anxiety in Adults with Epilepsy: The Role of Seizure Frequency
(Academic Press inc Elsevier Science, 2025) Oruc, Fatma Gunduz; Atan, Gulden
Objective: The aim of this study was to determine the self-esteem and social anxiety levels of adult individuals with epilepsy and to examine the moderating effect of seizure frequency on these variables. Method: The study was planned as a descriptive and cross-sectional study. The sample consisted of 307 adults with epilepsy living in Van province in eastern Turkey who met the inclusion criteria. Personal information form, Rosenberg Self-Esteem Scale (RSES), and Social Anxiety Scale Short Form were used to collect the data. Data analysis was performed with SPSS Statistics 27 package program at 95 % confidence level and significance level was accepted as p < 0.05. Results: The mean self-esteem score of the participants was 23.46 +/- 1.71 and the mean social anxiety score was 29.55 +/- 2.21. Self-esteem did not show a significant difference according to sociodemographic and clinical characteristics (p > 0.05). Statistically significant differences were found in social anxiety levels in terms of educational status and occupation (p = 0.001 and p = 0.005). The relationship between seizure frequency and self-esteem had a significant negative predictive effect on social fear and restlessness in new situations (b = -0.497; p = 0.001), while the moderating effect of seizure frequency was not statistically significant (p > 0.05). Conclusion: Self-esteem of individuals with epilepsy was found to be high and homogeneously distributed independent of sociodemographic factors such as gender, age, and educational status. Social anxiety levels varied according to educational and occupational status.
Pain Management and Life Satisfaction in Elderly Individuals: a Single Centred Study
(Marmara Univ, inst Health Sciences, 2021) Ozer, Zulfunaz; Turan, Gulcan Bahcecioglu; Atan, Gulden
Objective: This study was conducted to find out the pain management status and life satisfaction of elderly individuals living in a nursing home and to determine the relationship between these. Methods: This descriptive cross-sectional study was conducted in a nursing home in Turkey in November 2019. The data were collected by the researchers with face-to-face interview technique by using "Personal Information Form", "Geriatric Pain Measure (GPM)", "Pain Management Inventory (PMI)" and "Life Satisfaction Scale (LSS)". Results: GPM total score was 48.95 +/- 11.24, and average LSS was 14.37 +/- 6.85. There is a positive statistically significant association between GPM and PMI (r=0.385; p<0.01), while there is a negative statistically significant association between GPM and LSS (r=-0.369; p<0.01). There is a negative statistically significant association between PMI and LSS (r=-0.344; p<0.01). Conclusion: It was found that elderly individuals had moderate level of pain and poor life satisfaction. It was found that as level of pain increased, elderly individuals' life satisfaction decreased.
The Relationship Between Caregiver Burden and Life Satisfaction in Caregivers of Individuals With Epilepsy: an Example in Eastern Turkey
(Academic Press inc Elsevier Science, 2025) Atan, Gulden; Oruc, Fatma Gunduz; Atan, Kemal
Objective: This study was conducted to investigate the relationship between caregiver burden and life satisfaction among caregivers of individuals with epilepsy. Methods: This descriptive and cross-sectional study was conducted with 210 caregivers at a university hospital located in Van, a province in eastern T & uuml;rkiye. A personal information form prepared by the researcher based on literature, along with The Caregiver Burden Scale and Life Satisfaction Scale, was used to collect data. Descriptive statistics including frequency, percentage, mean, and standard deviation were utilized. Kurtosis and Skewness coefficients were used to analyze the normal distribution of the data. The relationships between the dimensions determining the levels of the scales for caregivers were examined using Pearson correlation and linear regression analyses. Additionally, t-tests, one-way analysis of variance (ANOVA), and post hoc analyses (Tukey, LSD) were employed. A significance level of p < 0.05 was accepted. Results: The mean total score for caregiver burden among the participants was found to be 35.433 +/- 11.480. The mean total score for life satisfaction was determined to be 11.386 +/- 2.972. A significant relationship was found between the caregiver burden and life satisfaction scores of the caregivers of individuals with epilepsy participating in the study (r = -0.333; p = 0.000 < 0.05). It was determined that the level of caregiver burden decreases the level of life satisfaction (ss=-0.333). Conclusion: It was determined that relatives of patients with epilepsy experience high levels of caregiver burden. It was also determined that caregiver burden is related to sociodemographic factors such as the caregiver being 41 years of age or older, literate, married, low-income, and the patient's spouse. In the same study, it was also determined that as the total caregiver burden score increased, the total life satisfaction score decreased.
The Relationship Between Cyberloafing Levels and Social Media Addiction Among Nursing Students
(Wiley, 2021) Turan, Gulcan B.; ozer, Zulfunaz; Atan, Gulden
Purpose The study was conducted to examine the relationship between cyberloafing levels and social media addiction among nursing students in different cities (Erzurum, Istanbul, and Van) in Turkey. Design and Methods This study was comparative and descriptive in design, and the sample included 518 nursing students. Findings The average Cyberloafing Scale (CLS) total score of the students was 87.71 +/- 18.55, while the average Social Media Addiction Scale (SMAS) total score was 71.30 +/- 19.85. A positive and moderately significant relationship was found between the CLS and SMAS scores (p < 0.01). Practical Implications The cyberloafing and social media addiction levels of nursing students were found to be high. It was also found that the cyberloafing levels of the students increased as their social media addiction levels increased.
The Relationship Between Medication Adherence and Complementary Medicine Use in Epilepsy Patients
(Academic Press inc Elsevier Science, 2024) Oruc, Fatma Gunduz; Atan, Gulden; Seker, Demet
Objective: The aim of this research is to examine the usage of Complementary and Integrated Medicine (CIM) in individuals with epilepsy and the impact of CIM usage on medication adherence. Materials and methods: This descriptive and cross-sectional study was conducted in a university hospital in northern Turkey between July and October 2023, involving 101 individuals with epilepsy (PWE). Descriptive information forms and the Morisky Medication Adherence Scale-4 (MMS-4) were used as data collection tools. Descriptive statistics, t-tests, ANOVA, and post-hoc LSD analyses were employed for data evaluation. Results: The participants consisted of 65.3 % males, 25.7 % were not working due to epilepsy, and 61.4 % with generalized epilepsy. The average MMS-4 score was found to be 3.08 +/- 0.96. MMS-4 scores showed significant differences based on epilepsy type (F = 3.998, p = 0.021; eta 2 = 0.07). 76.2 % (n = 21) of the participants who used at least one CIM technique preferred "having a religious person read a prayer." Conclusion: Medication adherence in PWE was at a moderate level. Individuals with focal and secondary generalized epilepsy showed better medication adherence compared to those with generalized types. Of those participant who used at least one CIM technique to improve their general health or control seizures, the most common was "having a religious person read a prayer."