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    A SOCIO CULTURAL REFLECTION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE: STIGMA
    (Ege Üniversitesi, 2012) Tel, Hatice; Tel, Havva
    Chronic obstructive pulmonary disease COPD is a physical disease with chronic and progressive characteristics and affects the individuals psycho-socially and socio-culturally. One of the important socio-cultural effects of COPD is stigma. Stigma -literally meaning “scar”, “mark”, “taint”, “symbol”, “disgrace”- is a term that recognizes the individuals with their distinguishing marks and distinct features. Stigma includes the behaviors and attitudes of the society; from taking a position against some patient groups due to prejudices to excluding them out of the society. Stigma has negative effects on person, family, society and members of the health team. Stigma, affecting self concept and self respect of the individual negatively, decreases their self respect. Individuals with decreased self respect feel insignificant and think as if they were useless. Emotional problems like anxiety and depression may occur with the decreased self respect. Some of the medicines used for symptoms –such as coughing, mucus and dyspnea- and for the treatments of COPD causes some changes on the physical image of the patients and thus causes them to experience stigma. In this review, the aim is to investigate stigma experienced in COPD and fight against stigma through literature support and to draw the attention of health care personnel to this issue
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    Aerobic exercise for individuals with depression
    (Kare Publ, 2023) Bingol, Tuelay Yilmaz; Tel, Havva
    Objectives: This study is an intervention study conducted to determine the effect of aerobic exercise program on the quality of life, self-esteem, and depression level of individuals diagnosed with depression.Methods: The sample of the study consisted of a total of 60 patients, 30 of whom were in the study group, 30 of whom were in the comparison group, followed up with a diagnosis of depression in the psychiatry outpatient clinic. Research data were collected using the sociodemographic data form, WHOQOL-BREF Quality of Life Scale, Rosenberg Self-Esteem Scale, and Beck Depression Scale. To both groups, sociodemographic data form, WHOQOL-BREF Quality of Life Scale, Rosenberg Self-Esteem Scale, and Beck Depression Scale were applied at the beginning of the study, and scales were applied repeatedly at the end of the 1st month, 2nd month, and 3rd month. To the working group in the research, a 45-min aerobic exercise program was applied 3 days a week for 12 weeks. Research data - it was evaluated by Chisquare test and two-way analysis of variance in repeated measures.Results: After the aerobic exercise program, it was determined that the quality of life and self-esteem scores of the patients in the study group increased, and their body mass index (BMI) and depression levels decreased. After the aerobic exercise program, the BMI values of the individuals in the study group decreased significantly, BMI according to age, gender, marital status, occupation, and disease duration, between the quality of life and depression level, between the quality of life and depression level according to education level, the number of self by gender and occupation. It was found that there was a statistically significant difference between the scores.Conclusion: Aerobic exercise program - it was determined that it increased the quality of life and self-esteem scores of individuals and decreased their depression levels and BMI values.
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    Anxiety, Depression and Quality of Sleep in Cancer Patients
    (UNIVERSITATSVERLAG ULM GMBH, 2008) Tel, Hatice; Tel, Havva; Er, Oezlem; Ozkan, Metin
    The anxiety, depression and sleep quality of cancer patients (107) who were admitted to a oncology hospital's medical oncology ward were investigated. Data were collected using a personel information form, the hospital anxiety and depression scale and the Pittsburgh Sleep Quality Inventory. It was determined that 69 % of the patients' quality of sleep was poor, 51 % had high anxiety and 54 % had high depression. It was determined that there were significant correlations between anxiety and depression (r=.706, p<0.05), between anxiety and sleep quality (r=.438, p<0.05), and between depression and sleep quality (r=.453, p<0.05); as anxiety and depression scores increased the sleep quality worsened. The anxiety and depression scores were high in women and housewives; the anxiety and depression scores were high and the sleep quality was poor in patients receiving Supportive treatment. The cancer patients experience problems with anxiety, depression and sleep. For this reason cancer patients who are admitted to the hospital need to have their anxiety, depression and quality of sleep levels routinely evaluated in the same way as their physical condition.
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    Compliance to Treatment Among Chronic Psychiatric Disorder Patients According to Their Relatives
    (Kare Publ, 2010) Tel, Havva; Dogan, Sibel; Ozkan, Birgl; Coban, Sibel
    Objectives: The present research was carried out descriptively in order to determine the compliance to treatment among patients with chronic psychiatric disorders according to their relatives. Methods: The research was carried out with the relatives of 73 patients who were hospitalized at Erkilet Hospital for Mental Health during 1-28 February 2008. The data were collected using a questionnaire form by means of faceto-face interview. Percentage distribution and chi-square test were used for the data evaluation. Results: It was determined that most of the caretaker relatives were the mothers or spouses of the patients. The relatives expressed that they believed the patients would recover with medications and that the treatment should be continued. According to the responses, two-thirds of the patients did not use the medications regularly and did not present for medical checkups regularly. With respect to descriptive features of the patients and the characteristics of the course of illness, there were no statistically significant differences regarding the regular use of medication, stopping medication without the physician's permission and regular visits to polyclinics for checkups (p>0.05). However, it was determined that patients with schizophrenia, those hospitalized twice a year, and those who had been ill for 2-5 years took their medications irregularly, discontinued treatment without the physician's permission and attended medical check-ups irregularly. Conclusion: We determined in this research that the relatives believed the patients would recover with medications and that treatment should be continued. However, most of the patients used the medications irregularly, did not attend medical check-ups regularly and had compliance problems to the illness.
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    Covid-19 Pandemisinde İncinebilir Bir Grup Olan Adolesanlarda Uyku Kalitesi, Ruhsal Belirti ve Stresle Başa Çıkma Tarzları Arasındaki İlişkinin Değerlendirilmesi
    (Sivas Cumhuriyet Üniversitesi, 2023) Kelleci, Meral; Tel, Havva; Kurtaran, Deniz; Kısaoğlu, Özge
    ÖZET Giriş:Bu çalışma COVID-19 pandemisinde incinebilir bir grup olan adolesanlarda uyku kalitesi, ruhsal belirti ve stresle başa çıkma tarzları arasındaki ilişkinin değerlendirilmesi amacıyla yapılmıştır. Yöntem:Retrospektif ve tanımlayıcı tasarımda yapılan çalışmanın örneklemini 12-24 yaş aralığında ve çalışmaya katılmayı kabul eden 332 birey oluşturmuştur. Veriler Kişisel bilgi formu, Kısa Semptom Envanteri (KSE), Stresle Başa Çıkma Tarzları Ölçeği (SBTÖ) ve Pittsburg Uyku Kalite İndeksi (PUKİ) kullanılarak toplanmıştır. Verilerin istatistiksel analizinde tanımlayıcı testler, student t testi, çoklu regresyon analizi kullanılmıştır. Bulgular:Çalışmaya katılan bireylerin ortalama yaşları 15,54±1,88 dir. Adolesan bireylerin %97,6’sı bekar, %78.3’ünün lise ve üniversite öğrencisi ve %80.7’si ailesi ile birlikte yaşamaktadır. Adolesan bireylerde COVID-19 pandemisi sırasında anskiyete, depresyon, hostilite, somatizasyon ve olumsuz benliği içeren ruhsal belirtilerin; stresle başa çıkma tarzlarından kendine güvenli yaklaşım, kendine güvensiz yaklaşım ve boyun eğici yaklaşımın uyku kalitesini etkilediği saptanmıştır. Ayrıca ruhsal belirtilerin varlığı ve stresle başa çıkma tarzları arasında anlamlı bir ilişki olduğu belirlenmiştir. Stresle başa çıkma tarzlarından kendine güvenli yaklaşım ve sosyal destek arama yaklaşımı puanı arttıkça ruhsal belirtilerin azaldığı;boyun eğici yaklaşım puanı arttıkça ruhsal belirtilerin arttığı saptanmıştır. Sonuç ve Öneri: Bu dönemde adolesanların ruhsal yönden zarar gördüğü saptanmıştır. Adolesanların desteklenmesi ve gelecekte ortaya çıkabilecek sorunlara karşı önlem alınması önerilmektedir.
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    Determination of loneliness and depression in coronary intensive care unit patients
    (UNIVERSITATSVERLAG ULM GMBH, 2005) Tel, Havva; Tel, Hatice; Kangalli, Pinar
    Individuals in a coronary intensive care unit can experience feelings of loneliness and depression. These feelings that are experienced can have a negative effect on the patient's progress. Although it is known that it is an important stressor for patients in the intensive care unit the emotional reactions that an individual have not adequately taken into consideration. The aim of this study was to determine the state of loneliness and depression in coronary intensive care unit patients with the diagnosis of myocardial infarction. Sixty patients with the diagnosis of acute myocardial infarction in the coronary intensive care unit were interviewed. Data were collected using an information form, UCLA Loneliness Scale and Beck Depression Inventory. It was determined that 53% of the patients who participated in the study had symptoms of depression, 88% experienced loneliness at the mild level and a positive correlation was found between depression and loneliness. Both loneliness and depression were at a high level in women, widows and those who cannot read or write, there was no difference in previous hospital experience and the experience of loneliness and depression. Post MI patients experience loneliness. There is a close relationship between loneliness and depression. It is neces-sary to determine at an early point the emotional problems being experienced by patients with the diagnosis of myocardial infarction in the coronary intensive care unit and to begin appropriate treatment.
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    Determination of Social Support States of Primary Caregivers of Psychiatric Patients
    (Kare Publ, 2010) Tel, Havva; Sarac, Bayise; Gunaydin, Yasemin; Medik, Kadriye; Dogan, Sibel
    Objectives: The aim of this present research was to determine social support states of primary caregivers of patients diagnosed with psychiatric disorders. Methods: One hundred and twenty-six primary caregivers of patients who resided in the psychiatry inpatient clinic or who were followed in the outpatient clinic were included in this descriptive research. The research was conducted between 1 March and 15 April 2009. The data were collected using a personal information form and multi-dimensional scale of perceived social support. Percentage distribution and t test were used for the data analysis. Results: It was determined that there was a statistically significant difference between the social support scores of the caregivers whose patients resided in the psychiatry inpatient clinic and those of the caregivers whose patients presented to the outpatient clinic (p<0.05). Also, family support scores, significant other support scores and total social support scores were low among the caregivers whose patients resided at the inpatient clinic. Family support scores, friend support scores, significant other support scores, and total support scores of the caregivers who obtained support from the social environment for patient care and whose patients resided at the inpatient clinic were high. On the other hand, only family support scores were high among the caregivers of the patients who presented to the outpatient clinic.. Conclusion: It was seen that social support levels of the caregivers of patients residing in the inpatient clinic and of those whose patients presented to the outpatient clinic were different, with social support levels of the caregivers of patients residing at the inpatient clinic being lower. It is essential that caregivers are helped so that they can identify the social support resources and use them effectively.
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    DETERMINATION THE COPING STATUS OF HEALTH PROFESSIONALS WITH THE OF STRESS EXPERIENCES ON WORKPLACE
    (Hemşirelikte Araştırma Geliştirme Derneği, 2003) Tel, Havva; Karadağ, Mevlüde; Tel, Hatice; Aydın, Şule
    Purpose: This study aims to determine the stress experiences of the health professionals and how they cope with these problems. Material and Method: It was held descriptif study. The data have been collected with a questionnaire prepared by the researchers, work-related strain inventory and ways of coping inventory. The data have been collected from voluntary doctors, nurses, dentists, health ofŞcers and laboratory technicians between in 1-15 July, 2001. The study group of this research has included 254 health professional who accepted to answer the questions. The percentage, t-test, Pearson Correlation Analysis, Kruskall Wallis and Mann Whitney -U tests have been used for the evaluation and analysis of the data. Findings and Results: After the analysis of the data, it has been found that health professionals have medium-level stress because of overwork, communication problems with patient and patient companions, and insufŞcient personnel and equipment. The results of the study also show that health professionals use the direct methods to the problems in coping with work stress much more than emotional struggling methods and there is no difference between the groups of professions in the use of methods of coping with
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    Determining care burden and psychiatric symptom level in caregiver of schizophrenia patient
    (Wiley, 2021) Koc, Medine; Tel, Havva; Karakulah, Kamuran
    Purpose The present study was conducted to determine the care burden and psychiatric symptom levels of the caregivers of schizophrenic patients. Design and Methods The caregivers of schizophrenic patients were included in this descriptive study. Findings It was determined that there was a statistically significant difference in the care burden scores and the education, family type, and the presence of physical diseases of the caregivers (P < .05). It was determined that there was a statistically significant positive relation between age and care duration (r = .339,P = .001). Practice Implications It is recommended that the family members are guided to plan activities that will allow the family members to relax and cover their own needs.
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    Determining Mobbing Perceptions and Job Satisfaction among Healthcare Professionals
    (ISTANBUL UNIV, FAC NURSING, 2017) Kilic, Nurhayat; Tel, Havva
    Aim: This study has been carried out as definitive to determine job satisfaction and mobbing perception of health care workers. Method: Three hundred and ninety healthcare professionals were enrolled in the study. Study data were collected with a personal information form, mobbing perceptional scale, and the Minnesota Job Satisfaction Scale. In the analysis of the data, percentage distribution, the Mann-Whitney U, Kruskal Wallis Variance Analysis and Pearson's correlation analysis tests were used. Results: It has been determined % 57.5 of health care workers are exposed to mobbing and 32.8% of physicians, of 41.1 % of the and technicians 56.3 % of midwives who exposed to mobbing did not do anything in this case but only 33.8 % of nurses shared this with their friends. % 92 of health care workers stated that mobbing affects job satisfaction negatively. It has been determined that there is a strong relationship between mobbing perception and job satisfaction of health care workers and job satisfaction has been found to decrease with increasing perception of mobbing (r=-.40, p=0.00). Conclusion: It has been stated that more than half of health care workers are exposed to mobbing and mobbing affects job satisfaction of health care workers negatively.
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    Determining Quality of Life and Sleep in Hemodialysis Patients (vol 38, pg 210, 2009)
    (WILEY-BLACKWELL, 2009) Tel, Havva; Tel, Hatice; Molu, Nesibe
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    Disability and Depression among The Elderly People with Chronic Physical Disease
    (Istanbul Univ, Fac Nursing, 2014) Tel, Havva; Tay, Busra Nur; Canbay, Mehtap; Akaya, Ilknur; Yalcinkaya, Sibel
    Aim: The study was performed in order to explore the status of disability and depression among the elderly people diagnosed with chronic physical diseases. Method: This descriptive study included 303 elderly individuals aged 65 >= years who received treatment at a university hospital due to the diagnosis of a chronic physical disease. The data of the study were gathered using questionnaire form, Brief Disability Questionnaire and Geriatric Depression Scale. Results: It was found out that there was a significant correlation between age and disability; and disability and depressive symptoms among the elderly people with a chronic disease and that as age increased so did disability and as disability increased so did depressive symptoms. It was noted that scores of disability and depressive symptom of the elderly people who were female, illiterate and dependent in order to continue activities of daily living were high whereas that scores of disability of those who belonged to 65-70 age group and high economic status were low. Widow's scores of disability were high. Conclusion: Disability and depressive symptoms are closely interrelated among the elderly people with chronic physical diseases. As the disability increases so do depression signs among the elderly people. Therefore; in terms of providing treatment and care for the elderly people with a chronic disease, evaluation of disability and depressive symptom status will be helpful in realizing interventions to prevent or to decrease the effects of disability and depression upon the lives of the individuals.
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    The effect of a psychological empowerment program based on psychodrama on empowerment perception and burnout levels in oncology nurses: Psychological empowerment in oncology nurses
    (CAMBRIDGE UNIV PRESS, 2016) Ozbas, Azize Atli; Tel, Havva
    Objective: Oncology nursing is stressful by its nature, and nurses in the field experience a high amount of stress and burnout. In order to cope with occupational stress, nurses need to employ flexible adjustment mechanisms that allow them the power to process their experiences. Failure of efficient stress management causes burnout, and burnout is closely related to powerlessness. It is therefore believed that the occurrence of burnout can be reduced by means of psychological empowerment of nurses. Our study was conducted to determine the effect of a psychodrama-based psychological empowerment program on (1) the perception of empowerment and (2) the levels of burnout in oncology nurses. Method: The sample was made up of 82 oncology nurses (38 nurses in the study group and 44 in the control/comparison group). Study data were collected using the Psychological Empowerment Scale, the Nurse Work Empowerment Scale, and Maslach's Burnout Inventory. The study group attended a psychodrama-based psychological empowerment program (2 hours, 1 day a week, for 10 weeks). For data assessment, we employed an independent t test and one-way analysis of variance. Results: The psychological empowerment and workplace empowerment scores of nurses in the study group increased and their burnout scores decreased following attendance in the psychodrama-based psychological empowerment program. Significance of results: We found that the psychodrama-based psychological empowerment program increased psychological empowerment and enhanced perception of workplace empowerment while decreasing levels of burnout in oncology nurses. The program is recommended and should allow oncology nurses to benefit from their personal experiences and thus increase self-empowerment, to enhance their perception of empowerment, and to prevent burnout.
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    The Effect of Music on Auditory Hallucination and Quality of Life in Schizophrenic Patients: A Randomised Controlled Trial
    (TAYLOR & FRANCIS INC, 2019) Pinar, Sukran Ertekin; Tel, Havva
    The study was conducted to determine the effects of music on auditory hallucination and quality of life in schizophrenic patients. The sample of this randomised controlled study consisted of 28 patients (14 experimental and 14 control groups) hospitalised with a diagnosis of schizophrenia (DSM-IV) and auditory hallucination. The study data were collected with the Information Form, The Scale for the Assessment of Positive Symptoms (SAPS), Characteristics of Auditory Hallucinations Questionnaire, and The World Health Organization Quality of Life Scale (WHOQOL-BREF). The hallucination, positive formal thought, and total SAPS scores of the patients in the experimental group obtained during their hospitalisation were determined to be higher than those obtained at discharge and at follow-ups after discharge. The characteristics of auditory hallucination questionnaire scores of the patients in the experimental and control groups decreased. The physical, mental, environmental, and national environmental domain scores of the quality of life in the experimental group increased at sixth month after discharge. Listening to music had positive effects on positive symptoms and the quality of life of patients with auditory hallucination. In line with these results, listening to music may be recommended to cope with auditory hallucinations and to provide positive quality of life.
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    Empowerment and Related Factors in Oncology Nurses
    (WILEY-BLACKWELL, 2013) Ozbas, Azize Atli; Tel, Havva
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    EVALUATION OF MENTAL SYMPTOMS, SLEEP QUALITY AND STRESS COPING STYLES OF ADULTS DURING THE COVID-19 PANDEMIC PERIOD
    (Sivas Cumhuriyet Üniversitesi, 2023) Kelleci, Meral; Tel, Havva; Kısaoğlu, Özge; Kurtaran, Deniz
    ABSTRACT Objective: This study aimed to evaluate the mental symptoms, sleep quality and coping with stress styles of adults during the COVID-19 period. Materials and Methods: 665 individuals over the age of 18 who agreed to participate in the study is included in the sample of the study conducted in retrospective and descriptive design. Research data were collected using the Personal Information Form, Brief Symptom Inventory (BSI), Ways of Coping Scale (WCS), and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive tests, student t-test, one-way analysis of variance, and multivariate logistic regression analysis. Results: The mean age of the patients participating in the study was 54.00±19.431. It was determined that 55.2% were women, 65.6% were married,and 34.6% were primary school graduates. The participants in the study had the highest mean scores in were BSI subscales was depression (1.00 ±.65) and hostility (1.22 ±.80), the average for the Global Severity Index .78 ± .47, and the ways of coping styles were found to be in the least seeking of social support , with the highest self-confident of the lower scale point average. It was determined that 62.6% (n=416) of participants had poor sleep quality. Negative self concept BSI sub-scales in regression analysis (t=2,929; p
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    Evaluation of peer bullying, internet addiction, and psychological adaptation level of students aged 9-15
    (Wiley, 2021) Kelleci, Meral; Tel, Havva; Akgul Gundogdu, Nurcan; Temel Mert, Zeynep
    Purpose: This study was conducted to evaluate peer bullying, internet addiction, and psychological adaptation capabilities of students in the 9-15 age group. Design and Methods: The study was performed as cross-sectional-descriptive research with 880 students included in the research sample. Findings: One-fourth of the students in the 9-15 age group suffered from psychological adaptation issues, one-fifth suffered from bullying issues, and 16.5% suffered from internet addiction. Conclusion: There is a need for early determination in risky age groups, a collaboration between parents and teachers in schools, and extended social studies on the prevention of peer bullying and internet addiction.
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    Evaluation of The Elderly Individuals the Covid-19 Pandemic in Terms of Depression and Sleep Quality
    (Sivas Cumhuriyet Üniversitesi, 2023) Tel, Havva; Kelleci, Meral; Kısaoğlu, Özge; Kurtaran, Deniz
    Aim: Along with the pandemic, factors such as social isolation, disconnection from society, physical distancing and loss of usual social opportunities have negatively affected elderly individuals, who are a vulnerable group. In this study, aimed to evaluate depression and sleep quality in elderly who constitute the primary risk group during the COVID-19 period. Materials and Methods: 332 elderly individuals included in this retrospective and descriptive study. Data were collected using the Elderly Information Form, Geriatric Depression Scale and Pittsburg Sleep Quality Index. Descriptive statistics, chi-square test and Pearson correlation analysis were used in the analysis of the data. Results: The mean age of the participants was 71.09±5.831, and 54.8% were female. 70.2% are married, 42.8% are primary school graduates, 93.4% are unemployed, 75.3% have a chronic physical disease. While 53.6% of the elderly individuals had depression symptoms, 68.7% of them had poor sleep quality. Women have worse sleep quality than men. Significant differences were found between age and educational status and PSQI scores (p
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    Evde Yaşayan Yaşlılarda Yalnızlık, Yaşam Doyumu ve Ölüm Kaygısının Belirlenmesi
    (Hayrullah KAHYA, 2020) Tel, Havva; Koç, Medine; Aydın, Hatice Tel
    Araştırma evde yaşayan yaşlı bireylerde yalnızlık, yaşam doyumu ve ölüm kaygısını belirlemek amacı ile yapılmıştır. Tanımlayıcı ve kesitsel tipteki bu araştırmanın örneklemini 27 Mayıs - 27 Haziran 2016 tarihleri arasında bir aile sağlığı merkezine kayıtlı, evde yaşayan 65 yaş ve üzeri 545 birey oluşturmuştur. Araştırma verileri yaşlı bilgi formu, yaşlılar için yalnızlık ölçeği, yaşam doyumu ölçeği ve ölüm kaygısı ölçeği kullanılarak toplanmıştır. Çalışmaya katılan yaşlı bireylerin yaş ortalaması 72,95 ± 6,18 olup, %53,0’ü erkek, %56,7’si evli, %33,9’u okur-yazar, %51,6’sı eşi ile birlikte yaşamaktadır. Yaşlı bireylerde medeni durum, eğitim durumu ve birlikte yaşadığı kişiye göre yalnızlık, yaşam doyumu ve ölüm kaygısı puanları arasında istatistiksel olarak anlamlı bir fark olduğu saptanmıştır (p