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    Developing an index to measure the value of health care provided to stroke patients
    (2024) Şengül, Halil; Aydın, Sabahattin; Önder, Emrah; Bulut, Arzu
    Background and Objectives: It is possible to evaluate health services for stroke patients based on clinical benefits. However, in recent years, questions about responsiveness and outcomes have also emerged. Currently, there is no index that can assess health‑care services for stroke patients along these three dimensions. This study introduces the first index designed to measure the value generated by health‑care services for stroke patients. Methods: The Case‑Mix Variables Data Collection Reference Guide, developed through a review of national and international stroke guidelines, underwent content validation by 10 neurologists and 10 interventional radiologists. Questions with a content validity index exceeding 0.80, along with the World Health Organization responsiveness questionnaire and the Patient‑Reported Outcomes Measurement Information System Global‑10 short form, were subjected to pairwise comparison by two neurologists, two interventional radiologists, and two public health physicians using the analytic hierarchy process (AHP) method. Results: In the comprehensive ranking of questions formulated using the AHP method and assessed by experts for importance and global weights, new stroke follow‑up emerged as the most crucial, garnering an index score of 0.09. Conversely, questioning patients about their alcohol use status was deemed the least significant by experts, registering an index score of 0.00021. Conclusions: Our AHP analyses have furnished an index for gauging the factors that contribute to the value of health‑care services rendered to stroke patients.
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    The effect of COVID-19 restrictions on sleep quality of university students and variables predicting sleep quality
    (Wolters Kluwer Medknow Publications, 2022) Bulut, Arzu; Şengül, Halil; Uslu, Yeter; Baş, Kazım; Tosun, Nurperihan
    BACKGROUND/AIM: The COVID-19 pandemic has created a long period of stress for people worldwide and has significantly affected sleep duration. The pandemic revealed new stress factors that are likely to affect sleep. Uncertainty is a factor that leads to anxiety and depression, which affects sleep. It should also be noted that reductions in sleep quality rather than sleep duration are associated with negative consequences on mental health. This study aims to investigate online that how this situation affected university students. MATERIALS AND METHODS: This research, with a descriptive study design, was conducted in Turkey between June 01, 2021 and July 30, 2021. The sample included 604 people who accepted voluntary participation, chosen by the random selection method. In the study, sociodemographic information form, Pittsburgh sleep quality index (PSQI), morningness-eveningness questionnaire scale (MEQ Scale), Beck depression inventory (BDI), and Beck anxiety inventory (BAI) were used as data collection tools. Pearson correlation analysis was utilized to examine the relationship between the scales. Multiple regression analysis was performed to investigate the role of morningness-eveningness, anxiety, depression, and insomnia severity on sleep quality. RESULTS: Sleep quality was negatively correlated with morningness-eveningness scores (r = -0.32, P < 0.01), and positively and significantly related with anxiety (r = 0.43, P < 0.01), depression (r = 0.40, P < 0.01) and insomnia severity (r = 0.55, P < 0.01). According to regression coefficients, while anxiety (beta = 0.041, P < 0.001) and insomnia severity scores (beta = 0.226, P < 0.001) positively predicted sleep quality, depression did not predict it significantly (beta = 0.009, P > 0.05). A significant difference was found in sleep quality according to morning, evening, and intermediate types (F = 27.401, P < 0.001). CONCLUSION: Events related to the COVID-19 pandemic are associated with reduced sleep quality in connection with increasing negative moods. Considering the importance of sleep for a healthy life, efforts should be made to raise awareness about this issue and to provide psychological help to affected individuals.