Evaluating the novel coronavirus infection outbreak surveillance results in a state hospital: A retrospective study

Background: Coronavirus disease (COVID-19) has raised the global public health concern and has been declared a pandemic by the World Health Organization. Objectives: This study was aimed to examine the clinical course and outcomes of the patients with COVID-19 in the southeastern part of Turkey. Methods: This retrospective study was conducted on the files of 173 patients who were diagnosed with COVID-19. The “COVID-19 Case Information Form” in the patients’ medical records was used. Results: Of the patients with COVID-19, 64.2% were male and 16.2% had a chronic disease. Their mean age was 34.76±25.75 years. Cough and fatigue were the most common clinical symptoms at admission with 38.7%. The patients at the age of 65 and over were treated mostly in the intensive care unit, and the symptoms associated with the cardiovascular and nausea and vomiting were observed more often (p<0.05). Conclusions: It was found that the majority of the patients were male and there were differences between the age groups in terms of transmission route, the clinic where they were being followed-up, some symptoms, and clinical status outcome. It is recommended that multi-center, prospective, experimental, or observational studies with larger samples should be and the patients should be followed-up for longer periods. © 2021 Dirgar E et al

Development of the peripheral venous catheter related phlebitis risk scale

Bu araştırma, periferik venöz katetere bağlı flebit riski ölçeğinin geliştirilmesi ve sonuçlarının değerlendirilmesi amacıyla metodolojik bir çalışma olarak planlandı. Araştırmanın verileri Şubat- Kasım 2021 tarihleri arasında Gaziantep Üniversitesi Hastanesinde toplandı. Ölçeğin geçerlik ve güvenirlik analizleri için örneklem kriterlerine uyan 729 hasta ve geliştirilen ölçeğin uygulanması aşamasında 208 hasta örnekleme dahil edildi. Verilerin toplanmasında Hasta Bilgi Formu, Periferik Venöz Katetere Bağlı Flebit Riski Ölçeği ve Flebit Değerlendirme Skalası kullanıldı. İstatistiksel analizlerde SPSS 25.0 ve AMOS programları kullanıldı. Ölçeğin geçerlik ve güvenirliğini hesaplamak için Lawshe tekniği ile kapsam geçerliliği, Kuder Richardson 20 iç tutarlık analizi, madde toplam korelasyon analizi, açıklayıcı ve doğrulayıcı faktör analizleri uygulandı. Ölçeğin açıklanan toplam varyans değeri %58 ,090, Kaiser-Meyer-Olkin değeri 0,800, Barlett's küresellik testi değeri ?2(91) = 2552,827 p<0,01 olarak hesaplandı ve istatiksel olarak anlamlı bulundu. Ölçek maddelerinin kapsam geçerlik indeksi 0,78; faktör yükleri 0,543-0,825; madde toplam korelasyonları 0,514 ile 0,645 ve ölçeğin güvenilirliğini test eden Kuder Richardson 20 değeri 0,823 olarak bulundu. Toplam 14 madde ve 3 alt boyuttan oluşan ölçek puanları 14-28 arasında olup kesim noktası 20,5 olarak hesaplandı. Ölçekten alınan puanın artması periferik venöz katetere bağlı flebit riskinin arttığını göstermektedir. Sonuç olarak; geliştirilen flebit riski ölçeğinin ölçülmek istenen alanı temsil eden, araştırılan yapıyı ölçen, iç tutarlılığı yüksek, geçerli ve güvenilir bir ölçek olduğu bulundu. Geliştirilen flebit riski ölçeğinin uygulanması aşamasında elde edilen sonuçlar, ölçeğin flebit risk faktörlerini doğru tespit ettiği ve flebit yönünden riskli hastaları belirlemede klinik hemşireleri tarafından kullanılmasının yararlı olacağını göstermektedir.This study was planned as a methodological study with the aim of development of the peripheral venous catheter-related phlebitis risk scale. The research was carried out in Gaziantep University Hospital between February and November 2021. For the validity and reliability analyzes of the scale, 729 patients, who met the sampling criteria, and 208 patients during the implementation of the developed scale were included in the sample. Patient Information Form, Peripheral Venous Catheter-Related Phlebitis Risk Scale, and Phlebitis Evaluation Scale were used to collect the data. SPSS 25.0 and AMOS programs were used for statistical analysis. Content validity, Kuder Richardson 20 internal consistency analysis, item-total correlation analysis, and explanatory and confirmatory factor analyzes were used to calculate the validity and reliability of the scale. The total explained variance value of the scale was % 58,09 and the Kaiser-Meyer-Olkin value was 0,800, whereas the Barlett's sphericity test value was calculated as ?2(91) = 2552,827 p<0.01 and was found to be statistically significant. The content validity index of the scale items was found to be 0,78, whereas the factor loads were 0,543-0,825, the item-total correlations were 0,514 to 0,645, and the Kuder Richardson 20 value, which tested the reliability of the scale, was 0,823. The scale scores consisting of 14 items and 3 sub-dimensions ranged from 14 to 28, with a cut-off point of 20,5. An increase in the score obtained from the scale indicates that the risk of phlebitis due to peripheral venous catheters increases. As a result, it was found that the developed phlebitis risk scale was a valid and reliable scale with high internal consistency, representing the area to be measured and measuring the investigated structure. The results obtained during the implementation of the developed phlebitis scale indicate that the scale correctly identifies the risk factors for phlebitis and can be useful for clinical nurses in order to use it for the identification of patients at risk for phlebitis