Coronaphobia, Job Satisfaction, and Languishing Levels of Intensive Care Nurses: A Cross-sectional and Correlational Study

Objective: This study investigated the association between coronaphobia, job satisfaction, and languishing levels in intensive care nurses. Materials and Methods: This cross-sectional and correlational study was conducted with 106 intensive care nurses. The coronavirus disease-2019 phobia scale, Mental Health Continuum-Short form, and Nurse Job Satisfaction scale were used for data collection. Results: The total score of coronaphobia was 49.41±12.39, 36.57±13.60 for the mental health continuum, and 94.28±12.82 for nurse job satisfaction. There was a weak correlation between coronaphobia and emotional well-being. There was no relationship between coronaphobia and nurse job satisfaction. However, there was a moderate positive relationship between the mental health continuum and nurse job satisfaction. Conclusion: Intensive care nurses had a moderate mental health continuum in languishing. Psychosocial support and psychological counseling should be provided to intensive care nurses to eliminate feelings of emptiness, improve their concentration and motivation, and increase their working capacity

Mean platelet volume, neutrophil/lymphocyte ratio, platelet/lymphocyte ratio and early post-operative anesthesia complications

We aimed to establish the relationship between pre-operatively measured mean platelet volume (MPV), neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) values and early anesthetic complications like bronchospasm & laryngospasm and hypotension in patients undergoing adenotonsillar surgery and non-adenotonsillar surgeries in both pediatric and adult population

Impact of music therapy and hand massage in the pediatric intensive care unit on pain, fear and stress: Randomized controlled trial

PURPOSE: This study was performed with the aim of assessing the effect of music therapy and hand massage on pain, fear and stress among 12-18 year-old adolescents treated in the pediatric intensive care unit (PICU). DESIGN: This study was a randomized controlled trial, with single-blind design. METHODS: The adolescents were divided into groups with 33 receiving hand massage, 33 receiving music therapy and 33 in the control group. Collection of data used the Wong-Baker FACES (WB-FACES) Pain Rating Scale, Children\u27s Fear Scale (CFS) and blood cortisol levels. FINDINGS: In the study, adolescents in the music therapy group had lower mean points for WB-FACES before, during and after the procedure by a significant level compared to the control group (p \u3c 0.05). Additionally, the CFS mean points before and during the procedure were lowest in the music therapy group, while the music therapy and massage groups were determined to have lower points by a significant level after the procedure compared to the control group (p \u3c 0.05). However, when the mean cortisol levels of adolescents before the procedure and on the 1st and 2nd day after the procedure were compared, there was no significant difference between the groups (p \u3e 0.05). CONCLUSIONS: It was determined that hand massage and music therapy were more effective than standard care at reducing pain and fear levels during blood drawing among 12-18-year-old adolescents in the PICU. PRACTICE IMPLICATIONS: Nurses may use music therapy and hand massage to manage fear and pain related to blood drawing in the PICU

Effects of hemodiafiltration versus conventional hemodialysis in children with ESKD:The HDF, heart and height study

###EgeUn###Background Hypertension and cardiovascular disease are common in children undergoing dialysis. Studies suggest that hemodiafiltration (HDF) may reduce cardiovascular mortality in adults, but data for children are scarce. Methods The HDF, Heart and Height study is a nonrandomized observational study comparing outcomes on conventional hemodialysis (HD) versus postdilution online HDF in children. Primary outcome measures were annualized changes in carotid intima-media thickness (cIMT) SD score and height SD score. Results We enrolled 190 children from 28 centers; 78 on HD and 55 on HDF completed 1-year follow-up. The groups were comparable for age, dialysis vintage, access type, dialysis frequency, blood flow, and residual renal function. At 1 year, cIMT SD score increased significantly in children on HD but remained static in the HDF cohort. On propensity score analysis, HD was associated with a +0.47 higher annualized cIMT SD score compared with HDF. Height SD score increased in HDF but remained static in HD. Mean arterial pressure SD score increased with HD only. Factors associated with higher cIMT and mean arterial pressure SD-scores were HD group, higher ultrafiltration rate, and higher 2-microglobulin. The HDF cohort had lower 2-microglobulin, parathyroid hormone, and high-sensitivity C-reactive protein at 1 year; fewer headaches, dizziness, or cramps; and shorter postdialysis recovery time. Conclusions HDF is associated with a lack of progression in vascular measures versus progression with HD, as well as an increase in height not seen in the HD cohort. Patient-related outcomes improved among children on HDF correlating with improved BP control and clearances. Confirmation through randomized trials is required.National Institute for Health ResearchNational Institute for Health Research (NIHR); Kidney Research UKKidney Research UK (KRUK); Fresenius Medical CareR.S. holds a Career Development Fellowship with the National Institute for Health Research. The 3H study was sponsored by Kidney Research UK. Part sponsorship was obtained from Fresenius Medical Care