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Öğe Destination image as a mediator between hospital perceived value and revisit intention in medical tourism(Nature Portfolio, 2025) Demir, Yasar; Nal, Mustafa; Sevim, Ekrem; Dag, Erhan; Basturk, Yusuf Alper; Bektas, GulferThis study aims to examine the relationships between perceived hospital value, destination image, and revisit intention from the perspective of medical tourists. While the effects of perceived value and service quality on revisit intention have been investigated in the literature, the mediating role of destination image has not been systematically addressed, particularly in the Turkish context. Therefore, this research aims to fill an important theoretical gap. Data were collected from 306 international medical tourists who received treatment at institutions offering medical tourism services in Istanbul, Kocaeli, and Antalya between July 2024 and January 2025. The findings show positive and significant relationships between perceived hospital value and medical tourism destination image (r = 0.449; p < 0.001), perceived hospital value and revisit intention (r = 0.569; p < 0.001), and destination image and revisit intention (r = 0.422; p < 0.001). Furthermore, bootstrap mediation analysis results revealed that destination image played a partial mediating role in the relationship between perceived hospital value and revisit intention (beta = 0.037; p < 0.05). The study's findings offer groundbreaking empirical data validating the mediating function of destination image within the Turkish setting, therefore contributing uniquely to the existing literature. From a practical standpoint, it underscores that hospitals ought to enhance perceived value via care quality, communication, hospitality, and accreditation, whereas destination managers should bolster destination image through branding, safety assurances, and health-tourism integration. These techniques could make medical tourism more competitive, get more people to come back, and have long-term economic advantages.Öğe The effect of desire to be liked and social appearance anxiety on aesthetic surgery acceptance in female nurses(Bmc, 2024) Demir, Yasar; Dag, Erhan; Karakus, Pinar; Kilinc, Zeynep AydinBackground A rapid increase has been observed in aesthetic surgery procedures in recent years and it has been determined that females have more aesthetic procedures. While different groups of female groups were taken as a sample in the studies, no study on female nurses was found. In this study, it is thought that psychological reasons such as stress, anxiety, desire to be liked and lack of self-confidence that lead women to plastic surgery will reduce the professional performance of nurses and this situation will create additional workload for other colleagues. Therefore, the aim of the study is to reveal the effect of desire to be liked and social appearance anxiety on the acceptance of female nurses to plastic surgery. Methods The population of the cross-sectional study consisted of 243.565 nurses working in public, private and university hospitals in Turkey. A questionnaire form was used as a data collection tool in the study. In the first part of the form, there are statements aiming to reveal the socio-demographic characteristics, social media usage levels and aesthetic surgery experiences of nurses, and in the second part, there is a desire to be liked scale, social appearance anxiety scale and aesthetic surgery acceptance scale. The 1004 questionnaire forms collected as a result of the study were subjected to percentage, frequency, correlation and regression analysis. Results 41.2% of the nurses have had aesthetic procedures before and 68.4% of them want to have aesthetic procedures when there is an area they do not like in their body. A strong positive relationship was found between the desire to be liked, social appearance anxiety, and aesthetic surgery acceptance (r > 0.500, p < 0.01). Aesthetic surgery acceptance is affected by the desire to be liked and by social appearance anxiety. Conclusion In the study, it was determined that social appearance anxiety and the desire to be liked led female nurses to plastic surgery. According to the results of similar studies conducted in different groups, it may be recommended that awareness training be organized both in schools and through digital media about the consequences of unnecessary plastic surgery.Öğe The Effects and Determinants of Leisure Time Activities on Successful Aging and Quality of Life in Older Adults(Taiwan Soc Geriatric Emergency & Critical Care Medicine-Tsgecm, 2024) Demir, Yasar; Dag, Erhan; Ozpinar, SalihaBackground: This study aimed to determine the effects and determinants of leisure time activities on successful ageing and quality of life levels in older adults. Methods: The study was cross-sectional. The population of the study consists of older adults residing in Samsun/Ayvacik district in Turkey (N = 2662). Descriptive statistics, Chi-Square test, Pearson correlation and multiple regression analysis were used to analyze the data. Results: 60.6% were between 65 and 74, 84.8% were married, and 80.8% were primary school graduates. When the leisure time activities of the participants were analyzed, the first three ranks were watching TV, participation in social activities (97.8%), gardening (84.1%) and short walks (68.9%). The mean leisure time activities of the participants were 3.11 +/- 0.71, the mean scores of successful ageing were 36.89 +/- 8.06, and the mean scores of quality of life were 24.73 +/- 3.30. A positive relationship was determined between leisure time activities, successful ageing and quality of life (p < 0.001). Conclusion: The first significant result of the study is that participation in leisure time activities positively affects quality of life and healthy ageing. The second significant result is that the level of leisure time activities, successful ageing, and quality of life are affected by gender, and the scores of men are higher than those of women. Copyright (c) 2024, Taiwan Society of Geriatric Emergency & Critical Care Medicine.Öğe The Relationship of E-health Literacy with Cyberchondria: A Cross-Sectional Study on Pregnant Women(Mashhad Univ Med Sciences-Iranian Assoc Health Educ & Health Promotion, 2024) Demir, Yasar; Dag, Erhan; Ozpinar, SalihaBackground and Objectives: Health literacy and cyberchondriaare effective for pregnant women to make the right health decisions for themselves and their babies. The purpose of this study is to investigate the correlation between e-health literacy, cyberchondria, and the factors influencing them in pregnant women. Materials and Methods: The cross-sectional study was conducted on a population of pregnant women who were admitted to two public hospitals located in Samsun. A questionnaire form consisting of 3 sections was used as a data collection tool in the study. Pregnancy information form, e-health literacy scale and cyberchondria scale. The study involved analysing 400 questionnaire forms. Data were analyzed by the frequency test, One Way ANOVA, correlation analysis and multiple regression. Results: The study participants had a mean age of 28.53 +/- 6.53. Among them, 60.3% were aged 19-29, 37.3% had an associate degree, 45.3% were pregnant for the first time, and 38.3% were in their second trimester. The mean pregnancy was 1.81 +/- 10.63. In the study group, the mean e-health literacy was 3.27 +/- 0.99, and the mean cyberchondria was 30.29 +/- 9.78. The study found a statistically significant difference in e-health literacy and cyberchondria based on age, educational status, gestational week, and number of pregnancies. Additionally, there was a statistically significant positive relationship between health literacy and cyberchondria severity. Conclusion: The results of the study showed that the level of e-health literacy and cyberchondria of pregnant women was moderate, and that e-health literacy, age and education level would affect cyberchondria. Therefore, this problem can be prevented by providing digital health practices, e-health literacy and safe internet use training to pregnant women in health institutions and the media.
