Kastamonu Merkez

This research aims to evaluate if breathing exercises can reduce lung complications in patients with rib fractures. The study focuses on adults aged 18 to 100 who have recently experienced isolated chest injuries. Researchers want to compare the effects of standard pain treatment alone versus pain treatment combined with respiratory physiotherapy to see which approach better prevents issues like collapsed lung areas and pneumonia after rib fractures. Participants will be randomly assigned to one of two groups. The control group will receive usual pain relief medications, including paracetamol and dexketoprofen. The other group will receive the same pain treatment plus respiratory physiotherapy involving triflow breathing exercises guided by a physiotherapist. These exercises will be done for 8 hours daily, with 10 deep breaths each hour. Throughout the study, lung function will be assessed using breathing tests, and pain levels and lung complications will be monitored and compared between groups. The main lung function outcomes will be measured on day 7. The study will run from April 2024 to April 2025 and involves regular evaluations to track participants' respiratory health and overall recovery.

This research aims to assess the effects of a psychoeducation program designed for elderly individuals living alone at home. The study focuses on how this program may influence psychological well-being, self-integration, and coping abilities. It addresses common mental health challenges faced by the elderly, such as depression, anxiety, sleep issues, and loneliness, and explores ways to improve life satisfaction through coping strategies and social support. The psychoeducation program involves eight sessions delivered through regular home visits. Activities are tailored to each participant's interests and include art therapy (such as wood painting and shaping mud), motivational interviewing to express emotions, conscious awareness therapy to stay present, and various hobbies like gardening, knitting, puzzles, card games, chess, outings, and movie events. The program aims to help elderly individuals accept past difficulties and enhance their happiness and coping skills. Participants will be evaluated on parameters including psychological well-being and coping levels before and after the program. Assessments involve life satisfaction scales and healthy lifestyle behavior scores covering nutrition, health responsibility, self-actualization, stress management, interpersonal support, and exercise. The study includes follow-up to monitor changes over an eight-week period, with the goal of reducing loneliness and improving quality of life for elderly people living alone.

This research focuses on mothers caring for children diagnosed with moderate to severe mental disabilities in the Kastamonu Central district. It aims to evaluate how artistic activities can help reduce the mental burden and improve the psychological well-being of these caregivers, who often face anxiety, hopelessness, and depression due to their demanding caregiving roles. Participants will take part in a 12-week program involving various artistic therapies such as wood painting, lithography, jewelry design, free shaping with mud, and expression workshops. These activities are designed to help mothers express their emotions and improve their mental resilience through creative engagement. Mothers will complete several assessments before and after the program to measure psychological well-being, caregiver burden, emotional expression, and stress coping styles. Data will be collected using validated scales and questionnaires, and analyzed to observe changes in mental well-being over the 12 weeks. The study includes a total of 30 mothers and involves repeated evaluations to monitor progress and outcomes.

This research aims to help elderly people living alone at home develop healthier lifestyle habits, reduce feelings of loneliness, and increase their social support. It focuses on older adults over the age of 65 who receive home care services and are registered with a municipality's Elderly and Home Care Unit. Loneliness is highlighted as a common issue that negatively affects both mental and physical health in this population, leading to increased vulnerability and need for long-term care. Participants receive a Home Visit Supported Nursing Education Program, which includes personalized nurse-led training and support at home. The program covers walking and exercise routines, disease self-management for chronic conditions, medication adherence techniques, vital sign monitoring, nutrition guidance with charts and follow-ups, cooking activities, and building social connections with family, friends, and neighbors. This intervention aims to improve healthy lifestyle behaviors and social support. During the study, researchers will assess changes in participants' lifestyle behaviors, loneliness levels, and perceived social support after eight weeks using standardized scales. Ongoing monitoring includes evaluating health behaviors, psychological well-being, and social networks. The study involves elderly individuals aged 65 to 95 who are literate and willing to participate, with assessments conducted to measure the effectiveness of the nursing education program on these key outcomes.

This research aims to evaluate how laughter yoga and Pilates affect pregnancy adjustment, anxiety, and prenatal attachment in pregnant women who are receiving childbirth preparation training. The study focuses on pregnant women over 20 weeks gestation without multiple or risky pregnancies, exploring these complementary exercise methods as ways to support mental and emotional well-being during pregnancy. Participants are divided into three groups: a laughter yoga group, a Pilates group, and an education group. The laughter yoga group receives training on laughter yoga combined with yoga breathing techniques alongside routine pregnancy school education. The Pilates group participates in eight sessions of Pilates exercises over four weeks, twice weekly, along with routine pregnancy school training. The education group receives standard pregnancy school training covering topics like pregnancy, postpartum care, baby care, and breastfeeding. All groups complete pre-tests in the first week and final tests at the end of the fourth week. Throughout the study, researchers assess pregnancy-related anxiety, prenatal self-assessment, and prenatal attachment using specific scales measured at four weeks. Participants attend routine pregnancy school sessions led by midwife trainers and complete questionnaires and tests before and after the intervention. The study monitors how these exercise methods influence emotional adaptation to pregnancy, anxiety levels, and bonding with the unborn baby over the one-month study period.

Nurses often care for individuals facing difficult situations such as illness, loss, or the end of life, which can expose them to these experiences secondhand and cause trauma related to death. The levels of death anxiety among nurses can vary based on factors like their work unit, workload, death awareness, and personal characteristics. Research shows that nurses need specific training to increase death awareness and learn the best ways to approach patients and families dealing with death. This study aims to evaluate whether a mindfulness-based psychoeducation program can increase death awareness and reduce death anxiety in nurses. The study involves a 6-week program consisting of 12 group sessions designed to provide nurses with information about death and dying, the effects on individuals and families, coping strategies, and emotional competence during caregiving. Nurses working in palliative care, emergency services, and intensive care units will be part of the study. The program will be compared between an experimental group receiving the psychoeducation and a control group. The psychoeducation covers topics such as the death process, coping with death, and nursing care during death. Participants will be assessed before and after the program using questionnaires that measure death awareness and death anxiety levels. Data will be analyzed to determine changes in these measures following the psychoeducation. The primary outcome is a reduction in death anxiety levels four weeks after completing the program. The study will enroll about 36 nurses, with safety and effectiveness monitored through statistical tests and descriptive data. The overall goal is to support nurses psychologically and help them manage anxiety related to death while improving their awareness and caregiving skills.

Schizophrenia is a long-lasting and disabling condition that significantly affects quality of life and daily functioning. Researchers are studying the effects of a mindfulness-based psychoeducation program designed to reduce internalized stigma and improve healthy lifestyle behaviors in people diagnosed with schizophrenia. This study includes individuals who are registered and receiving care at a community mental health center and compares outcomes between an experimental group receiving the program and a control group over a 6-week period. Participants in the experimental group will receive a 6-week, 12-session awareness-based psychoeducation program focused on six areas of healthy lifestyle behaviors: self-actualization, health responsibility, exercise, nutrition, interpersonal support, and stress management. The program aims to change participants' knowledge and behaviors by reducing internalized stigma associated with schizophrenia. The study will involve individual training sessions delivered face-to-face at the community mental health center. Throughout the study, participants will complete questionnaires including the Internalised Stigma Scale in Mental Illness and the Healthy Lifestyle Behaviours scale before and after the training. Researchers will collect data through interviews and will analyze changes in stigma levels and lifestyle behaviors. The study will enroll 40 participants, split evenly between experimental and control groups, with data collected during April and May 2024. The primary outcome measured is the level of internalized stigma four weeks after the intervention.