Statistical analysis
The research analysis was conducted utilizing the Statistical Package for Social Science (SPSS) version 27.0 program. Continuous variables are given with median (minimum-maximum) values. Kruskal Wallis test was used to determine differences between groups. Mann-Whitney U test was used and bonferroni correction was applied in post hoc intergroup pairwise analyses. Friedman test was applied to determine intragroup differences. Wilcoxon test was applied and bonferroni correction was applied in post hoc intragroup pairwise comparison. The significance level for statistical analyzes was set as p<0.05. determined.