Kirklareli Merkez

Researchers are studying patients with rotator cuff disease to better understand the clinical significance of several shoulder function scales. The study aims to determine key values such as the minimal clinically important difference, substantial clinical benefit, patient-acceptable symptomatic state, and maximal outcome improvement for the Shoulder Disability Questionnaire, the short version of the Western Ontario Rotator Cuff Index, the Shoulder Rating Questionnaire, and the University of California-Los Angeles Shoulder Scale. Additionally, it seeks to identify risk factors that may prevent patients from achieving these important clinical milestones. Participants diagnosed with rotator cuff disease will undergo an exercise treatment program lasting two months. This intervention is designed to assess changes in shoulder function and symptoms over the treatment period. The study observes participants before the treatment and evaluates functional levels within one week after completing the two-month exercise regimen. During the study, participants will be assessed using the specified shoulder scales to measure functional improvement. Researchers will monitor functional level changes from before treatment to shortly after completing the two-month exercise program. The study focuses on understanding how these scales reflect patient progress and identifying factors influencing their clinical significance in this patient group.

Researchers are exploring how laughter yoga may impact the stress and burnout levels of midwives. Burnout is a state of emotional exhaustion and reduced professional efficacy caused by work-related stress, leading to fatigue and feelings of inadequacy. Laughter is considered a positive emotional tool that can help people cope with stress by improving mood, reducing depression, and enhancing problem-solving abilities. This study aims to determine whether laughter yoga can help midwives manage stress and burnout more effectively. The intervention involves a structured laughter yoga program divided into four parts. It starts with deep breathing exercises where participants raise their arms and hold their breath, followed by warm-up clapping exercises to stimulate energy. Next, participants engage in childish games visualized mentally with arm movements, and finally, laughter exercises including guided breathing and smiling. Each part lasts between 5 and 15 minutes, designed to promote laughter and relaxation. Participants will be evaluated through surveys measuring burnout and perceived stress levels within two to four weeks. They will complete questionnaires and scales fully, and researchers will assess changes in stress and burnout. The study focuses on midwives working in maternity or gynecology wards who have significant work experience. This approach helps monitor the effectiveness of laughter yoga in improving psychological wellbeing among healthcare professionals.

This research aims to compare two different self-assessment methods for monitoring fetal movements and their effects on maternal psychosocial status, including attachment, stress, and anxiety. Monitoring fetal movements is important for assessing fetal health during pregnancy, as changes in movement patterns may indicate risks to the fetus. The study focuses on pregnant women who are experiencing fetal movements, which serve as a key indicator of fetal well-being. Participants will be assigned to use either the Mindfetalness method or the Sadovsky method for fetal movement monitoring. The Mindfetalness method involves lying on the left side and focusing for 15 minutes daily on the quality, strength, and frequency of fetal movements without counting them. The Sadovsky method involves counting at least 10 fetal movements each day at the same chosen time and recording the start and end times. Follow-up interviews will be conducted after two and four weeks for Mindfetalness and after two and four weeks for Sadovsky to check adherence and collect data. During the study, maternal attachment, stress, and anxiety levels will be measured before the intervention, and again at two and four weeks after starting the fetal movement monitoring. Participants will be monitored through interviews and asked to report on their fetal movement observations. The total participation duration includes an initial assessment, two follow-up visits, and a final evaluation after four weeks to assess psychosocial outcomes related to the monitoring methods.

Gestational diabetes is a common medical complication during pregnancy, typically occurring between the 24th and 28th weeks due to increased insulin resistance in the second trimester. It ends after childbirth and differs from Type 2 diabetes. The condition arises to meet the energy needs of the fetus and placenta and is known as the diabetogenic effect of pregnancy. This research aims to evaluate the effect of laughter yoga on perceived stress and quality of life in pregnant women diagnosed with gestational diabetes. The study involves applying laughter yoga, which combines deep breathing exercises, warm-up hand clapping to stimulate energy points, playful childish games, and guided laughter exercises. These sessions include raising arms with deep breaths, stimulating acupuncture points on the hands, visualizing games with arm movements, and exhaling with smiles accompanied by positive verbal guidance. Each laughter yoga session lasts approximately 30 to 40 minutes and is designed as a non-pharmacological, non-invasive method to help manage stress. Participants will be assessed between 2 to 4 weeks after the intervention using tools such as the Quality of Life Scale during Pregnancy, the State-Trait Anxiety Inventory, and the Turkish version of the Eurohis (Whoqol-8.Tr) psychometric scale. Researchers will monitor changes in stress levels and quality of life. The study includes questionnaires and scales that participants must complete fully and requires participants to be active on social media and WhatsApp groups for communication.