Efeito da técnica de tosse durante injeção subcutânea de heparina na intensidade da dor e satisfação individual

Objective: to examine the effect of the medium intensity coughing technique during subcutaneous low molecular weight heparin injection on pain severity and individual satisfaction in general surgery patients. Method: the prospective, quasi-experimental study included 100 patients who had been prescribed a subcutaneous low molecular weight heparin injection once in 24 hours. Each patient received two injections by the same researcher, one using the standard injection technique with medium intensity coughing technique and the other only the standard injection technique. Results: there was a statistically significant difference between patients’ mean scores on pain severity and satisfaction levels after injections administered by the two techniques (p= 0.000). Also, it was found that gender affected pain severity relating to the injection but did not affect the level of individual satisfaction. Conclusion: the medium intensity coughing technique was found to reduce pain severity and increase patient satisfaction in general surgery patients receiving subcutaneous low molecular weight heparin injections. Trial registration: NCT05681338.Objetivo: examinar el efecto de la técnica de tos de mediana intensidad durante la inyección subcutánea de heparina de bajo peso molecular sobre la severidad del dolor y la satisfacción individual en pacientes de cirugía general. Método: estudio prospectivo, cuasi experimental, que incluyó a 100 pacientes a los que se les prescribió una inyección subcutánea de heparina de bajo peso molecular una vez cada 24 horas. Cada paciente recibió dos inyecciones por el mismo investigador utilizando técnica de inyección estándar con técnica de tos de intensidad media y solo técnica de inyección estándar. Resultados: hubo una diferencia estadísticamente significativa entre las puntuaciones medias de los pacientes sobre la intensidad del dolor y los niveles de satisfacción después de las inyecciones administradas por las dos técnicas (p= 0,000). Además, se encontró que el género afectó la severidad del dolor relacionado con la inyección, pero no afectó el nivel de satisfacción individual. Conclusión: se encontró que la técnica de tos de intensidad media reduce la severidad del dolor y aumenta la satisfacción del paciente de cirugía general que reciben inyecciones subcutáneas de heparina de bajo peso molecular. Registro del ensayo: NCT05681338.Objetivo: examinar o efeito da técnica de tosse de média intensidade durante injeção subcutânea de heparina de baixo peso molecular na intensidade da dor e satisfação individual em pacientes submetidos à cirurgia geral. Método: estudo prospetivo, quasi experimental que incluiu 100 pacientes que haviam recebido uma injeção subcutânea de heparina de baixo peso molecular em 24 horas. Cada paciente recebeu duas injeções pelo mesmo pesquisador usando a técnica de injeção padrão com técnica de tosse de média intensidade e apenas técnica de injeção padrão. Resultados: houve diferença estatisticamente significativa entre as pontuações médias dos pacientes quanto à gravidade da dor e níveis de satisfação após as injeções administradas pelas duas técnicas (p = 0,000). Além disso, verificou-se que o sexo do paciente afetou a intensidade da dor relacionada à injeção, mas não afetou o nível de satisfação individual. Conclusão: a técnica de tosse de média intensidade reduz a intensidade da dor e aumenta a satisfação de pacientes submetidos à cirurgia geral recebendo injeções subcutâneas de heparina de baixo peso molecular. Registro do ensaio clínico: NCT05681338

Efeito da técnica de tosse durante injeção subcutânea de heparina na intensidade da dor e satisfação individual

En el artículo “Efecto de la técnica de la tos durante la inyección subcutánea de heparina sobre la severidad del dolor y la satisfacción individual”, con número DOI: 10.1590/1518-8345.6504.3923, publicado en la Rev. Latino-Am. Enfermagem, 2023;31:e3923, en la página 1: Donde se leía: Derya Uzelli Yılmaz2 Fatma Düzgün3 2 Bursa Uludağ University, Health Application and Research Center, Bursa, Turquía. 3 İzmir Katip Çelebi University, Faculty of Health Sciences, Department of Nursing, İzmir, Turquía. Leer: Derya Uzelli Yılmaz3 Fatma Düzgün2 2 Bursa Uludağ University, Health Application and Research Center, Bursa, Turquía. 3 İzmir Katip Çelebi University, Faculty of Health Sciences, Department of Nursing, İzmir, Turquía.No artigo “Efeito da técnica de tosse durante injeção subcutânea de heparina na intensidade da dor e satisfação individual”, com número DOI: 10.1590/1518-8345.6504.3925, publicado no periódico Rev. Latino-Am. Enfermagem, 2023;31:e3925, na página 1: Onde se lia: Derya Uzelli Yılmaz2 Fatma Düzgün3 2 Bursa Uludağ University, Health Application and Research Center, Bursa, Turquia. 3 İzmir Katip Çelebi University, Faculty of Health Sciences, Department of Nursing, İzmir, Turquia. Leia-se: Derya Uzelli Yılmaz3 Fatma Düzgün2 2 Bursa Uludağ University, Health Application and Research Center, Bursa, Turquia. 3 İzmir Katip Çelebi University, Faculty of Health Sciences, Department of Nursing, İzmir, Turquia.Regarding the article “Effect of the coughing technique during subcutaneous heparin injection on pain severity and individual satisfaction”, with DOI number: 10.1590/1518-8345.6504.3924, published in the Rev. Latino-Am. Enfermagem, 2023;31:e3924, page 1: Where was written: Derya Uzelli Yılmaz2 Fatma Düzgün3 2 Bursa Uludağ University, Health Application and Research Center, Bursa, Turkey. 3 İzmir Katip Çelebi University, Faculty of Health Sciences, Department of Nursing, İzmir, Turkey. Now read: Derya Uzelli Yılmaz3 Fatma Düzgün2 2 Bursa Uludağ University, Health Application and Research Center, Bursa, Turkey.   3 İzmir Katip Çelebi University, Faculty of Health Sciences, Department of Nursing, İzmir, Turkey

Investigation of the effect of bed bath applied with two different methods on some variables in intensive care patients

Bu araştırma, yoğun bakım ünitesinde yatmakta olan hastalara verilen geleneksel silme yatak banyosu ile kuru silme yatak banyosunun; hastaların hemodinamik parametrelerine, yapılan uygulamanın süresine ve maliyetine olan etkisini değerlendirmek amacıyla yapılmıştır. Bu araştırma, randomize kontrollü, çapraz geçişli ve deneysel bir çalışmadır. Araştırma, Ocak 2022 - Eylül 2022 tarihleri arasında Bursa Uludağ Üniversitesi Sağlık Uygulama Araştırma Merkezi Genel Cerrahi Yoğun Bakım Ünitesi’nde yürütülmüştür. Tüm yatak banyo uygulamaları, aynı araştırmacı tarafından uygulanmıştır. Her bir hastaya 24 saat aralıkla iki tip banyo yöntemi uygulanmıştır. Banyolardan hemen önce, banyo sırasında, banyodan hemen sonra ve banyodan 30 dakika sonra hastaların hemodinamik parametreleri monitör ekranından ölçülüp, kayıt edilmiştir. Araştırma verileri Shapiro-Wilk testi, Friedman testi, Bonferroni testi ve Wilcoxon İşaret Sıra testi ile değerlendirilmiştir. Yoğun bakım hastaların yaş ortalaması 67.68±13.66 yıl, %45.5’inin kadın, %13.6’sının tıbbi tanısının inguinal herni ve %18.2’sinin mekanik ventilasyona bağlı olduğu bulunmuştur. Uygulanan geleneksel ve kuru silme banyo yöntemlerinde, hastaların ölçülen hemodinamik parametreleri arasında istatistiksel olarak anlamlı farklılıklar bulunmuştur (p<0.05). Uygulanan geleneksel silme banyosunun kuru silme banyosuna göre daha uzun sürdüğü ve daha maliyetli olduğu bulunmuş olup, aradaki farkın istatistiksel olarak anlamlı olduğu saptanmıştır (p<0.05). Sonuç olarak, yoğun bakım hastalarına uygulanan her iki tip yatak banyosunun hastaların hemodinamik parametrelerini etkilediği, geleneksel silme banyosunun işlem süresinin daha uzun ve uygulama maliyetinin daha fazla olduğu görülmüştür.This study was conducted to evaluate the effect of traditional wiping bed baths and dry wiping bed baths given to patients hospitalized in the intensive care unit on the hemodynamic parameters of the patients, the duration and the cost of the application. The study is a randomized controlled, cross-over and experimental study. The research was conducted in Bursa Uludağ University Health Application Research Center General Surgery Intensive Care Unit between January 2022 and September 2022. All bed bath applications were applied by the same researcher. Two types of bathing methods were applied to each patient at 24-hour intervals. Hemodynamic parameters of the patients were measured and recorded on the monitor screen immediately before the bath, during the application, immediately after the bath and 30 minutes after the bath. The research data were evaluated by the Shapiro-Wilk test, Friedman test, Bonferroni test and Wilcoxon Sign Order test. The average age of intensive care unit patients was 67.68±13.66 years, 45.5% were female, 13.6% had an inguinal hernia and 18.2% had mechanical ventilation. In the traditional and dry wiping bath methods applied, statistically significant differences were found between the measured hemodynamic parameters of the patients (p<0.05). It was found that the applied traditional wiping bath took longer and was more costly than the dry wiping bath, and the difference was found to be statistically significant (p<0.05). As a result, it was seen that both types of bed baths applied to intensive care patients affected the hemodynamic parameters of the patients, the procedure time of the traditional wiping bath was longer and the application cost was higher

Combined treatment for severe steroid-refractory acute graft-versus-host disease in acute promyelocytic leukemia case on its third allogeneic hematopoietic stem cell transplantation

44th Annual Meeting of the European-Society-for-Blood-and-Marrow-Transplantation (EBMT) -- MAR 18-21, 2018 -- Lisbon, PORTUGALWOS:000487702804040[No Abstract Available]European Soc Blood & Marrow Transplanta

Türkiye’de efemera ve efemeristler

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2014.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by Erkoç, Seda