Evaluation of quality of life after minimally invasive varicose vein treatment

Background: This cross-sectional study aims to evaluate the changes in quality of life after minimally invasive procedures in patients with varicose veins. Methods: The study included 150 patients (58 males, 92 females; mean age 47.1±12.0; range, 19 to 80 years) with varicose veins who were treated using minimally invasive techniques. Data were collected using patient information forms and the Venous Insufficiency Epidemiological and Economic Study-Quality of life/Symptoms questionnaire. Before the minimally invasive procedures, patients were informed about varicose veins and medical approaches for relief. They were also provided information about the use of compression stockings. Varicose vein symptoms and quality of life were evaluated before the minimally invasive procedures and four weeks following the last operation. Results: Females, individuals aged between 51-60 years, those with Body Mass Index > 30, or having had a pregnancy had higher prevalence of variceal disease and lower quality of life. Clinical severity of the disease decreased and the quality of life improved in patients treated with minimally invasive procedures. After treatment, 45.33% of patients put on compression stockings regularly for one month. Conclusion: After minimally invasive treatment, severe disease symptoms decreased and quality of life increased in patients with varicose veins. Lifestyle modifications, use of compression stockings, and roles of nurses and healthcare workers are significant in maintaining healthy veins. © 2019 by the Turkish Society of Cardiovascular Surgery.Amaç: Bu kesitsel çalişmada varisli hastalarda minimal invaziv işlemler sonrasinda yaşam kalitesindeki değişimler değerlendirildi. çalişma plani: çalişmaya minimal invaziv tekniklerle tedavi edilen varisli 150 hasta (58 erkek, 92 kadin; ort. yaş 47.1±12.0 yil; dağilim 19-80 yil) dahil edildi. Veriler hasta bilgi formlari ve Venöz Yetmezlikte Epidemiyolojik ve Ekonomik çalişma-Yaşam Kalitesi/Semptomlar Anketi kullanilarak toplandi. Minimal invaziv işlemlerden önce, hastalar varisler ve rahatlama amaçli tibbi yaklaşimlar hakkinda bilgilendirildi. Ayrica, kompresyon çoraplarinin kullanimi hakkinda da kendilerine bilgi sağlandi. Varis semptomlari ve yaşam kalitesi minimal invaziv işlemlerden önce ve son işlemden dört hafta sonra değerlendirildi. Bulgular: Kadinlar, 51-60 yaş araliğindaki bireyler, Vücut Kütle Indeksi > 30 olanlar veya gebelik geçirmiş olanlarda varis hastaliği prevalansi daha yüksek ve yaşam kalitesi daha düşük idi. Minimal invaziv işlemler ile tedavi edilen hastalarda hastaliğin klinik şiddeti azaldi ve yaşam kalitesi düzeldi. Tedavi sonrasi, hastalarin %45.33'ü bir ay boyunca düzenli olarak kompresyon çorabi giydi. Sonuç: Minimal invaziv tedavi sonrasi varisli hastalarda şiddetli hastalik semptomlari azaldi ve yaşam kalitesi artti. Yaşam tarzi değişiklikleri, kompresyon çorabi kullanimi ve hemşire ve sağlik çalişanlarinin rolleri damar sağliğinin korunmasinda önemlidir. © 2019 by the Turkish Society of Cardiovascular Surgery

Critical-care nurses' pain experiences and the prognostic factors

Objective: The objective of this study was to determine the emergence of pain in critical-care nurses and the prognostic risk factors. Design: This study is a cross-sectional descriptive research. Setting and Subjects: This study was conducted with the participation of 111 critical-care nurses in Zonguldak province, Turkey. Interventions: The data were collected using a survey form and the Cornell Musculoskeletal Discomfort Questionnaire between August and November 2015. The data were evaluated using frequency, average, Pearson correlation analysis, ?2, logistic regression, and odds ratio tests. Results: The critical-care nurses were found to experience pain mostly in their lower backs (88.3%), upper backs (77.5%), right (76.6%) and left (78.4%) feet, necks (73.9%), and most infrequently in the right (28.8%) and left (28.8%) lower arms. Changing bed linens while the patient remained in bed and lifting, pulling, or pushing heavy materials caused those nurses who felt despondent and tired to feel significant pain in the shoulder, neck, upper arm, wrist, and knee (P <.05). Conclusions: These results were significant for placing emphasis on maintaining body mechanics while caring for patients, providing appropriate environmental conditions, and ensuring ergonomics to preserve the health of critical-care nurses who work in hospitals. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved

Pressure sore prevention and treatment knowledge of nurses [Hemşirelerin basi yarasini önleme ve yönetme bilgisi]

Objective: The aims of the study were to determine nurses' level of knowledge of pressure sore prevention and treatment on the hospitalized patients and affecting factors. Material and Methods: This descriptive, cross-sectional study was conducted on 523 nurses working in a university and state hospitals in Zonguldak. Data were collected between March and May 2014, using a personal information form, questionnaire which was developed based on European Pressure Ulcers Advisory Panel and National Pressure Ulcers Advisory Panel guidelines. Data were analyzed by Independent samples t test, One way ANOVA, Kruskal-Wallis, and Pearson correlation tests. Results: The mean knowledge score about prevention of pressure sore of the nurses was 15.63±1.82. The mean knowledge score about management of pressure sore of nurses was 15.69±2.01. The knowledge scores about prevention for pressure sore were significantly increased among nurses worked in state hospital and medical department, attended in-service training (p < 0.05). The knowledge scores about management for pressure sore were significantly increased among nurses worked in state hospital and emergency department, attended in-service training (p < 0.05). The mean age, working years, gender, department, knowledge sources of nurses showed significantly an association with knowledge score of management for pressure sore (p < 0.05). Conclusions: Knowledge about pressure sore prevention and management of nurses was moderate level. The knowledge scores were significantly affected by the nurses' characteristics. These results will contribute to studies and education strategies in this area

Critical Thinking Dispositions of Emergency Nurses in Turkey: A Cross-Sectional Study

Introduction: This cross-sectional descriptive study was conducted to determine the critical thinking dispositions of emergency nurses and any influencing factors related to critical thinking. The study is considered to respond to this need and contribute to the relevant literature. Method: The study was conducted with the participation of 248 emergency nurses. The study data were collected using an information form covering characteristics of the nurses and the California Critical Thinking Disposition Inventory. The data were analyzed using independent-samples t test, independent-samples one-way variance analysis (F-test), and Pearson correlation test. Results: The critical thinking dispositions of the emergency nurses in the study group were found to be at medium level (246.76 +/- 23.24). It was found that the female emergency nurses had higher levels of critical thinking dispositions than that of male nurses. The emergency nurses with graduate degrees had higher levels of critical thinking dispositions than that of the nurses with other educational levels. It was demonstrated that age, marital status, experience, or participation in in-service emergency training and certificate program did not affect the critical thinking dispositions of the nurses. Conclusion: The results of the study reveal that the emergency nurses who are required to make quick and correct decisions. They need to develop their critical thinking skills and further studies should be conducted with more representative sample group. (Hong Kong j.emerg.med. 2012;19:198-203