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    The effect of an escape room game on students' academic self-efficacy and motivation for critical thinking: oncology nursing course
    (Bmc, 2024) Cakmak, Betul; Kaymaz, Tugce Turten
    ObjectiveThis study investigated the effect of an escape room game on oncology nursing course students academic self-efficacy and motivation for critical thinking.MethodsThis study adopted a one-group pretest-posttest experimental research design. The sample consisted of forty-two nursing students. Data were collected using a personal information form, the Academic Nurses' Self- Efficacy Scale, and the Critical Thinking Motivational Scale. The data were analyzed using descriptive statistics, t-test, Pearson-Spearman, Wilcoxon test.ResultsNone of the nursing students had played an escape room game for educational purposes before (100%; n = 42). The escape room game helped nursing students develop academic self-efficacy and boosted their motivation for thinking critically respectively (t = -3.252, p = 0.002; Z = -2.027, p = 0.043). More than 90% of the students reported that the escape room game helped them understand the subject, retain information, and apply it effectively.ConclusionUniversities should incorporate escape room games within the scope of oncology nursing courses as an alternative teaching approach to help students enhance their academic self-efficacy and critical thinking motivation. Researchers should plan studies with different samples to investigate the impact of escape room games on academic self-efficacy and critical thinking motivation.
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    Psychosocial Adjustment and Adherence to Medication in Patients with Myasthenia Gravis
    (Gazi Univ, Fac Med, 2021) Asiret, Guler Duru; Kapucu, Sevgisun; Kaymaz, Tugce Turten; Bekircan-Kurt, Can Ebru
    Objective: This descriptive study was conducted to determine psychosocial adjustment and adherence to medication of myasthenia gravis (MG) patients in two different tertiary centers between July 2015 and November 2016. Methods: This study was completed with 54 MG patients. Data was collected using the Introductory Information Form, the Modified Morisky Scale and the Psychosocial Adjustment to Illness Scale - Self-Rating Scale (PAIS-SR) in Turkish. Results: In this study, it was determined that 48.1% of the patients achieved a good level of psychosocial adjustment to MG. It was found that the patients' medication adherence (59.3%) was moderate. No statistically significant relationship was found between patients' psychosocial adjustment to their disease and adherence to medication (p<0.05). Conclusion: The present study demonstrated the psychosocial adjustment of MG patients to be at a good level and adherence to medication of patients was moderate. This study found that MG patients' psychosocial adjustment does not affect their medication compliance.
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    The Relationship Between Frailty and Psychosocial Adjustment in Older Adults with COPD
    (Galenos Publ House, 2025) Kaymaz, Tugce Turten; Ozdemir, Elif; Demiroz, Hanife Efsane; Ayar, Merve Celik
    Objective: Frailty in older adults can manifest through various symptoms; reduced oxygen capacity is one of its prominent indicators. As individuals age, the prevalence of chronic obstructive pulmonary disease (COPD), a condition characterized by diminished oxygenation, also tends to increase. COPD and frailty can cause psychosocial adjustment difficulties. The study investigated the relationship between frailty and psychosocial adjustment in older adults with COPD. Materials and Methods: This descriptive-correlational study was conducted with 137 older patients who met the inclusion criteria. Data were collected using a patient identification form, the Psychosocial Adjustment to Illness Scale-self report (PAIS-SR), and the Edmonton Frail Scale (EFS). Results: Participants had a mean PAIS-SR score of 54.37 +/- 12.91. They had a mean EFS score of 6.79 +/- 3.83. Age and COPD stage affected their median PAIS-SR scores (p<0.05). Age, education, occupation, and hospitalization also affected their EFS scores (p<0.05). There is a negative correlation between frailty and psychosocial adjustment. Moreover, the COPD stage and frailty are associated with psychosocial adjustment. Conclusion: The frailer the older COPD patients are, the lower their psychosocial adjustment. Poor psychosocial adjustment is associated with COPD stages and frailty. Age, education, hospitalization, and psychosocial adjustment are predictors of frailty. Older COPD patients with low education levels, advanced disease stages, and frequent hospitalizations should be assessed for frailty and psychosocial adaptation. Evaluating patients may help us detect frail patients with low adaptation levels. In that way, we can meet patients' monitoring and care needs in the early period.