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Öğe Coding Health Literacy According to the International Health Intervention Classification and Investigation of Health Literacy between Generations(2023) Gökşen, Ayşenur; Akin, OzgulPurpose: A standard classification system for electronic health records kept in health assessment and treatment procedures is not common. This study was planned to draw attention to the International Health Intervention Classification (ICHI) of the World Health Organization, which is an international classification system, and to compare the health literacy levels of individuals from different generations. Materials and Methods: The health literacy level of individuals was evaluated with the European Health Literacy Survey –Turkish Version (HLS- TR). HLS- TR was investigated within the framework of The World Health Organization International Classification of Health Interventions (ICHI). Individuals were divided into 4 generation groups according to age range. The groups were compared with each other. Results: In this study, 247 individuals participated between the ages of 18 and 75 years. It is found that the traditionalist generation has the highest level of health literacy among the groups and generation Z has the lowest level of health literacy (p<0.001). For HLS- TR categories, ICHI coding was found adequate to support statistical reporting. Conclusion: Education and health policies planned according to the characteristics of generations are important in eliminating the inadequacies defined between generations. Recording data on health literacy using ICHI will contribute to improving public health and will enable us to have a wider data network.Öğe Comparison of Muscle Endurance and Balance in Patients with Shoulder Impingement and Healthy Controls(2024) Çekok, Fatma Kübra; Gökşen, Ayşenur; Caylak, Remzi; Kahraman, Turhan; Genç, ArzuAim; Chronic pain has been theorized to hinder balance control by compromising muscle endurance. Despite this theoretical connection, there is limited empirical evidence on this phenomenon, especially in patients diagnosed with shoulder impingement. This study aims to investigate muscle endurance, balance measures, and indicators of shoulder dysfunction in patients with impingement, comparing them with age- and sex-matched healthy controls. Method; In this cross-sectional study, patients (n=31) with shoulder impingement and healthy controls (n=23) matched for age and gender were compared with regard to their balance ability and physical performance. Functional questionnaires (Disabilities of the Arm, Shoulder, and Hand (DASH) as well as Single-Leg Stance Balance Test (SLBT), Y Balance test, Scapular Endurance Test, Trunk muscle flexor and extensor test, grip strength and Nine-Hole Peg Test (NHPT) were completed in a randomized order with consistent raters. Results; Patients with shoulder pain showed significantly worse results in measurements of shoulder function (p<0.01), scapular and trunk muscle endurance (p<0.01), as well as balance dominant/nondominant balance ability right/left (p<0.01) compared to healthy controls. Conclusion; Patients with shoulder impingement had lower muscle endurance balance and hand measurements compared with healthy people. This difference was statistically significant. Health and fitness specialists should take into account the risk-related adjustments associated to balance when recommending upper-extremity exercises in patients with shoulder impingement.Öğe Factors Associated with Screen Addiction in Adults: A Prospective Study(Cem TIRINK, 2024) Gökşen, Ayşenur; Ince, GoncaScreen addiction is a common public health problem that causes significant harm to both individuals and society. This study’s primary purpose is to examine the factors associated with screen addiction and to propose a sustainable solution to screen addiction. This research was conducted on staff who work at Cukurova University. Phone addiction, internet addiction and physical activity level were evaluated with Smartphone Addiction Scale-Short Form (SAS-SF), Internet Addiction Scale (IAS), and International Physical Activity Survey Short Form (IPAQ-SF), consecutively. Craniovertebral angle was measured with a goniometer and shoulder protraction was measured with a tape measure. The study group consisted of 189 individuals (111 women and 78 men). The mean age was 44.15 ± 11.25 years (min: 23, max: 60). The addiction level was determined to be higher in the sedentary individuals. Phone and internet addiction is statistically higher in sedentary individuals than in individuals with sports habits (PÖğe Fatigue in Post Covid Period and Strategies for Coping with Fatigue: A Pilot Study(Tarsus University, 2022) Gökşen, Ayşenur; Kocaman, HikmetThe aim of this study is to investigate the symptoms seen post-Covid period, which are fatigue and musculoskeletal system dysfunction. Another aim of the study is to proposes some suggestions to manage the fatigue symptom that occurs in the post Covid period. A total of 94 volunteers, aged 20–65 years, who had never had Covid-19 before (40 people) and who had returned from positive to negative for Covid (54 people), participated in the study. The clinical and demographic data of the individuals were recorded. Fatigue severity was measured with the Fatigue Severity Scale; musculoskeletal system symptoms were evaluated with Arthritis Research Uk Musculoskeletal Health Questionnaire (MSK-HQ). In the study, it was reported that individuals who had Covid-19 had a higher level of fatigue than those who did not (pÖğe Influencing Factors for Joint Awareness After Total Hip Arthroplasty: A Cross-Sectional Study(Ordu University, 2024) Gökşen, Ayşenur; Çaylak, Remzi; Çekok, Fatma Kübra; Kınıklı, Gizem İremObjective: Total hip arthroplasty (THA) is a common procedure nowadays, with hospitals easily reaching hundreds of surgeries a year and considering the cross-sectional nature. Joint awareness (JA) is indicative of the patient's adaptation and satisfaction after THA. The current study investigated the relationship between joint awareness, joint position sense (JPS), mobility level, activities of daily living, and hip pain level in patients with THA. Methods: This is a cross-sectional study involving 50 individuals with THA (31.48±55.14 weeks post-surgery; mean age was 54.32±18.28 years). Factors related to joint awareness were examined with linear regression analysis. Hip Joint position sense (JPS) was measured with a digital inclinometer, pain level was measured with a Visual Analog Scale (VAS), joint awareness was assessed with the Forgotten Joint Score-12, and mobility level was assessed with the Parker Mobility Index. Results: The factors that have a statistically significant effect on the joint awareness are age, pain, mobility, and BMI (p = 0.002, p = 0.040, pÖğe Investigation of health literacy by gender in individuals receiving physiotherapy and rehabilitation services(2022) Gökşen, Ayşenur; Can, Filiz; Kınıklı, Gizem IremPurpose: Health literacy is important for the science of physiotherapy, which includes treatment methods based on understanding and practice. To increase the health literacy level of patients, individual characteristics should be considered. The aim of this study is to investigate the health literacy level of individuals who received physiotherapy and rehabilitation services and identify the role of gender on the health literacy level. Methods: The health literacy levels of patients who received physiotherapy and rehabilitation services due to an orthopedic injury or musculoskeletal problem were examined. Health literacy was evaluated with the Turkey Health Literacy Questionnaire (THLQ). Age, body mass index, disease duration, number of physiotherapy sessions, physiotherapy history and education level were questioned. Whether the data obtained differed according to gender was analysed with appropriate statistical methods. Results: Average health literacy overall score found as 34.02±8.56. The mean health literacy score of females was found to be significantly better than that of males (p<0.01). No difference was found between genders in terms of excellent health literacy status (p=0.008). Conclusion: The health literacy level of patients who received physiotherapy and rehabilitation services was found to be sufficient. The health literacy level of females was found to be higher than males. Since our study reveals the health literacy level of patients receiving physiotherapy, it is also expected to contribute to future studies on public health.Öğe Investigation of The Relationship Between Pain, Fear of Movement and Anxiety Level in Lower Extremity Chronic Orthopedic Problems(Hacettepe University, 2023) Numanoğlu, Esra Ateş; Arık, Asude; Gökşen, Ayşenur; Canlı, Kübra; Yıldız, Nazım Tolgahan; Coşkun, Gürsoy; Erden, ZaferObjectives:Pain in orthopedic injuries is an important problem that prevents active movement. This study was planned to examine the relationship between pain, fear of movement and anxiety level in chronic orthopedic problems of the lower extremity. Materials and Methods: Patients with chronic orthopedic problems in the hip, knee and ankle joints were included in the study. In the patients who were included in the study pain level was evaluated with ‘’Visual Analog Scale’’; fear of movement was evaluated with ‘’Tampa Kinesiophobia Scale’’ and anxiety level was evaluated with ‘’State and Trait Anxiety Inventory (STAI-I and STAI-II)”. Results: It was found that fear of movement was associated with activity pain in patients with lower extremity orthopedic injuries. It was observed that fear of movement was higher in the patients with hip joint orthopedic injury than in patients with knee or ankle involvement. Conclusion: It was concluded that pain effects fear of movement in injuries associated with the hip joint more than in other joints of lower extremity. Pain and psychosocial factors should be evaluated in patients with chronic term lower extremity orthopedic problems and their possible effects on each other should be considered.Öğe KANSER CERRAHİSİ SONRASI ALT VE ÜST EKSTREMİTESİNDE LENFÖDEM GELİŞEN HASTALARIN FİZİKSEL AKTİVİTE DÜZEYİ VE YAŞAM KALİTESİNİN KARŞILAŞTIRILMASI(2024) Pirinççi, Cansu Şahbaz; Gökçe, Evrim; Gökşen, AyşenurBu çalışmanın amacı, meme kanseri ve jinekolojik kanser cerrahisi sonrası alt ve üst ekstremitesinde lenfödem gelişen hastaların fiziksel aktivite düzeyi ve yaşam kalitesini sağlıklı kontroller ile karşılaştırmalı araştırmaktır. Çalışmaya meme kanseri cerrahisi sonrası üst ekstremitesinde lenfödemi olan yaş ortalaması 54.92±8.43 yıl olan 25 kadın; jinekolojik kanser cerrahisi sonrası alt ekstremitesinde lenfödemi olan yaş ortalaması 55.12±8.88 yıl olan 25 kadın; sağlıklı kontrol grubuna yaş ortalaması 54.96±8.73 yıl olan 25 kadın olmak üzere, toplam 75 kadın dahil edildi. Katılımcıların demografik ve hastalık bilgileri alındı. Fiziksel aktivite düzeyi Uluslararası Fiziksel Aktivite Anketi kısa form ile, yaşam kalitesi ise Lenfödem Yaşam Kalitesi Anketi ile değerlendirildi. Katılımcıların demografik ve hastalık değerlendirmesi açısından gruplar arasında farklılık görülmedi (p>0.05). Fiziksel aktivite düzeyi, yaşam kalitesi alt parametreleri ve genel yaşam kalitesi açısından gruplar arasında farklılık bulundu (p0.05). Jinekolojik kanser cerrahisi sonrası alt ekstremitesinde lenfödem gelişen grubun fiziksel aktivite düzeyi düşük bulunurken; üst ve alt ekstremitesinde lenfödem görülen grupların yaşam kalitesi, sağlıklı kadınlara göre düşüktü.Öğe Reliability and Validity of the Back Pain and Body Posture Assessment Instrument in Adults with Disc Herniation(2023) Gökşen, Ayşenur; Kocaman, Hikmet; Yıldırım, HasanObjective: Cervical and lumbar disc herniations are mus- culoskeletal pain disorders that affect a large part of the population as a result of exposure to certain risk factors.The aim of this study was to provide evidence for the validity and reliability of the Back Pain and Body Posture Assessment Instrument for Adults (BackPEI) among pa- tients with cervical and lumbar disc herniation.Material and Methods: Two hundred thirty-five patients with cervical and lumbar disc hernia- tion were enrolled in the study. Internal consistency, test-retest reliabil- ity, and validityof BackPEI were evaluated. Correlations with the Musculoskeletal Health Questionnaire (MHQ) were examined for va- lidity. For internal consistency and test-retest reliability were evaluated at one-week intervals. IBM SPSS and R software were used to evaluate patient data. Results: The intraclass correlation coefficient results var- ied between 0.716 and 0.800 for the total score and questions regarding pain intensity. The reproducibility data for the remaining questions an- alyzed using the k coefficient were high and satisfactory (k=0.618- 0.920). The MHQ score and the BackPEI score showed a good correlation, with a r=0.725 correlation coefficient.Conclusion: BackPEI is a reliable and valid scale in patients with cervical and lumbar disc her- niation. The BackPEI can be used in routine practice and clinical re- search to assess pain associated with disc herniation and postural habits that increase it.Öğe Yaşlı Bireylerin Kas Tendon Morfolojisinin Fiziksel Performans ve Denge Üzerine Etkisi(2024) Çekok, Fatma Kubra; Gökşen, AyşenurAmaç: Yaşlanma süreci ile kas-tendon morfolojisi değişmektedir. Bu çalışmanın amacı, yaşlı bireylerde alt ekstremite ile ilişkili kas-tendon morfolojisinin, fonksiyonel hareket ve denge yeteneği ile ilişkisini incelemektir. Gereç ve Yöntem: Araştırmaya yaş ortalaması 65-80 yıl arasında değişen 60 (erkek= 27, kadın= 33) yaşlı birey dahil edildi. Rectus femoris, biceps femoris, tibialis anterior ve gastroknemius kaslarının mekanik özellikleri ile; patellar tendon ve Aşil Tendonunun mekanik özellikleri Myoton® PRO cihazı ile değerlendirildi. Bireylerin bilişsel fonksiyonları Mini Mental Test (MMSE) ile, fiziksel performansları ve denge fonksiyonları ise Berg Denge Ölçeği (BDÖ), Zamanlı kalk ve Yürü Testi (ZKYT) ve 30 sn otur kalk Testi ile değerlendirildi. Bulgular: Çalışmanın sonuçlarına göre rectus femoris kas esnekliği ile 30 sn otur kalk testi arasında pozitif bir korelasyon vardır (p=0,011). Alt ekstremite distalinde yer alan gastroknemius ve Aşil Tendonunun esnekliği BDÖ sonuçları ile ilişkili bulundu. (p=0,035**; p=0,016**). Alt ekstremitede yer alan kasların kas tonus verilerine bakıldığında, tibialis anterior ve Aşil Tendon tonusunun denge üzerinde etkili olduğu bulundu (p=0,030; p<0,001). Sonuç: Bu araştırmadan elde edilen sonuçlara göre; alt ekstremitenin distalinde yer alan kas tonus değerleri denge ile ilişkili bulunmuştur. Yaşlı bireylerin fonksiyonel hareketler sırasında dengelerini koruyabilmek için, proksimal kas zayıflığını distalde yer alan kaslar ile; özellikle de ayak-ayak bileği stratejileri ile telafi ettiği öngörülmüştür. Çalışmadan elde edilen sonuçlar, yaşlı bireylerin ayak bileği çevresinde yer alan kas ve tendonlardaki mekanik özelliklerde oluşan değişimlerin, fonksiyonel hareket kapasitesini etkileyeceğini gösterdi.
