Amasya Merkez

This research aims to improve the communication skills of oncology nurses by using virtual reality-based assertiveness training. The study focuses on nurses who provide care to cancer patients and their families, emphasizing the need for strong communication during the cancer process. It uses a randomized controlled experimental design to evaluate the impact of this novel training approach. The assertiveness training is based on a program developed by Michel and Fursland 2008, delivered over eight weekly group sessions lasting 30 to 40 minutes each. Training content includes topics like the concept of assertiveness, types of behavior, assertiveness techniques, dealing with criticism, saying No, disappointment, relaxation exercises, and general application discussions. Virtual reality glasses will present scenario-based videos addressing common communication challenges and effective responses, with sessions conducted individually for each nurse. A control group will not receive training but will complete data collection forms. Participants will complete several assessments before and after the intervention, including the Voltan-Acar Self-Determination Scale, Maslach Burnout Inventory, Emotion Expression Scale, and an Assertiveness Skills Form. Data collection occurs at two designated times before the training and after its completion. The study monitors changes in communication and emotional expression, aiming to strengthen nurses assertiveness skills through immersive virtual reality experiences over an 8-week period.

Researchers are evaluating a new technique called the Biceps Femoris Short Head BiFeS block, combined with the adductor canal block ACB, for pain relief after total knee arthroplasty, a surgery to treat advanced osteoarthritis. This study compares the BiFeS block plus ACB to the ACB plus iPACK block, aiming to find which combination provides better postoperative pain control while preserving motor function. The trial is designed as a prospective, randomized, double-blind study involving two groups of patients undergoing knee replacement surgery. Participants will be randomly assigned to receive either the ACB combined with the iPACK block or the ACB combined with the BiFeS block. Both blocks use ultrasound guidance to inject bupivacaine anesthetic near specific nerves around the knee to reduce pain without affecting muscle strength. The BiFeS block targets sensory nerves around the posterolateral knee capsule. The study carefully monitors and compares the effectiveness of these two motor-sparing regional anesthesia techniques during and after surgery. During the trial, participants will have pain scores measured at multiple time points up to three months after surgery, including rest and movement pain levels. Researchers will also track opioid use, time to rescue pain medication, early mobilization, quality of recovery, and any complications like nausea or vomiting. Assessments include questionnaires and physical therapy criteria for hospital discharge. The total follow-up period extends to three months, allowing detailed evaluation of pain control and functional recovery after knee replacement surgery.

Researchers are evaluating the effects of hypnobreastfeeding training on high-risk pregnant women, focusing on reducing anxiety, increasing milk production, encouraging breastfeeding, and improving adaptation to breastfeeding after birth. The study aims to support both mother and babys health by enhancing the breastfeeding experience and boosting the mothers confidence. This research will measure anxiety levels, breastfeeding intentions, perceptions of milk supply, and adaptation to breastfeeding among first-time mothers at risk during pregnancy. Participants will be randomly assigned to one of two groups an experimental group receiving hypnobreastfeeding education and a control group with no intervention. The hypnobreastfeeding training will be provided by the researcher to the experimental group during pregnancy, while the control group will receive standard care. The study involves collecting data through several forms and questionnaires related to pregnancy, anxiety, infant feeding intentions, postpartum experiences, perception of milk sufficiency, and breastfeeding adaptation. Participants will be assessed using various tools including the Anxiety Assessment Scale and Infant Feeding Intention Instrument at one month postpartum. Additional evaluations using the Perception of Insufficient Milk Questionnaire and Breastfeeding Adaptation Scale will occur at 24-48 hours, two weeks, and four weeks after birth. The study will monitor outcomes and gather comprehensive data on the breastfeeding process, maternal anxiety, and infant feeding, concluding with analysis after these time points. The total participation duration spans from late pregnancy through the first month postpartum.

Researchers are studying how three different postoperative methods affect nausea, thirst, and comfort levels in patients who have undergone spinal surgery. This randomized controlled study aims to compare the effects of ice cubes, mouthwash, and menthol lozenges in managing these symptoms following surgery under general anesthesia for lumbar disc herniation. Participants in this study will be randomly assigned to one of four groups routine care control, ice cube intervention, mouthwash intervention, or menthol lozenge intervention. These methods are applied after surgery to evaluate their impact on postoperative nausea, thirst, and comfort. The study uses a double-blind design to assess outcomes. Participants will be monitored at several time points including before the application and at 60, 120, 180, and 240 minutes after arriving at the clinic. Researchers will measure nausea, thirst, and comfort levels using standardized assessments at these intervals. The total observation period for each participant during the postoperative phase is 4 hours.

This research aims to evaluate how well inflammation index values, calculated from routine blood tests before and after surgery, can predict postdural puncture headache PPH in pregnant women undergoing cesarean section with spinal anesthesia. PPH is a common complication after spinal anesthesia characterized by headaches that worsen when upright and ease when lying down, often accompanied by symptoms like nausea and neck pain. The study also investigates how factors like age, weight, previous headache history, and other patient data relate to PPH development. Participants are pregnant women aged 18 to 45 undergoing elective cesarean section under spinal anesthesia. Researchers will use blood samples taken before and after surgery to calculate several inflammatory marker values. The study observes two groups those who develop PPH after the cesarean and those who do not. These markers include the pan-immune inflammation value, systemic immune-inflammation index, and systemic inflammatory response index, which are derived from blood cell counts. During the study, participant data such as demographic details, blood group, infant birth weight, and smoking status will be collected from medical records. Researchers will monitor for PPH symptoms over 5 days post-surgery. The main outcome is assessing how well inflammation indices predict PPH within this period, along with determining PPH frequency and related symptoms. The study is observational, with no treatments administered, and participation involves standard clinical care and blood testing during the cesarean process.

This research aims to understand if certain brain activity patterns, specifically burst suppression seen at the beginning of anesthesia, are related to how deep anesthesia stays during surgery. The study focuses on patients undergoing elective surgery with total intravenous anesthesia TIVA and investigates whether those showing burst suppression experience deeper levels of anesthesia. This observational study records brain monitoring data without changing the usual anesthesia care. During surgery, participants will have brain activity monitored using a sensor placed on the forehead called the Bispectral Index BIS monitor, which is commonly used in anesthesia. Patients will be categorized into two groups those who show burst suppression during anesthesia induction and those who do not. The study records BIS values and anesthesia medication doses throughout the procedure to compare these groups. Participants will be observed during their normal anesthesia care without altering treatment. Researchers will collect data on BIS values, anesthesia medication rates, and timing of consciousness changes from induction to emergence. The main outcome measured is the time spent with BIS values below 40 during surgery. Additional measurements include BIS values at loss and return of consciousness and infusion rates of anesthesia drugs. Participation involves no extra procedures beyond standard monitoring, and the study is expected to complete in about one year.

Midwifery students often face multiple stressors including traumatic clinical experiences and psychosocial challenges that can harm their emotional well-being. These stressors can lead to burnout, secondary traumatic stress, compassion fatigue, and a reduced sense of belonging. This research aims to evaluate the effect of the Student Midwife Support Circle Intervention on midwifery students levels of burnout, resilience, and professional belonging, addressing a critical need for supportive measures in this population. The study involves two groups a control group that continues with routine training without additional intervention, and an experimental group participating in structured Student Midwife Support Circle sessions. These sessions are voluntary, held every two weeks in small groups of 10-12 students, lasting two hours on campus in a comfortable, safe environment. The sessions include storytelling, mindfulness, personal reflection, and creative activities, all facilitated by a midwifery academic. Participants will be assessed at the start and 14 weeks after the intervention for burnout, psychological resilience, and belonging levels. The study includes regular monitoring through these evaluations to measure the impact of the support circles. The total duration covers the intervention period and follow-up assessments, with the aim of understanding how this approach might support midwifery students emotional health and professional identity.

Pregnant women often experience changes in stress levels, sexual quality of life, and sleep patterns, which may affect both their own health and that of their baby. This research aims to study how a yoga program might influence these aspects during pregnancy by comparing women who practice yoga with those who do not. The study is led by Amasya University and involves at least 70 pregnant women divided into two groups. Participants in the experimental group will engage in specially designed prenatal yoga sessions that consider the physical and emotional changes of pregnancy, focusing on safe, low-risk exercises. The control group will not receive any intervention. Yoga sessions will be administered by the researcher over a six-week period. Data will be collected using questionnaires about stress, sexual quality of life, and sleep habits. Throughout the study, participants will complete the Perceived Stress Scale, Sexual Quality of Life Questionnaire-Female, and a Sleep Habits Form at the end of the six weeks. Researchers will monitor these outcomes to assess changes. Participants need to have internet access and be able to use a smartphone. The study takes place from March 2026 to September 2026, with no masking or blinding applied.