Examination Of Pain And Quality Of Life in Patients With Chronic Pain Before And After TENS and Their Satisfaction Levels Regarding Nurses

Giriş: Transkutanöz Elektriksel Sinir Uyarımı sağlıkla ilgili yaşam kalitesini bozan kronik ağrının tedavisinde yaygın olarak kullanılmaktadır. Hemşireler, multidisipliner ekibin bir üyesi olarak kronik ağrılı hastaların ağrılarını azaltmada ve yaşam kalitelerini iyileştirmede rol oynayan sağlık profesyonelleridir. Amaç: Kronik ağrı nedeniyle ağrı ünitesine başvuran hastaların TENS uygulaması öncesi ve sonrası yaşam kalitesi, ağrı ve hemşirelerden memnuniyet düzeylerinin incelenmesidir. Yöntem: Tanımlayıcı ve kesitsel araştırmanın yapılabilmesi için etik kurul izni ve hastalardan yazılı aydınlatılmış onam alınmıştır. Veriler hemşireler tarafından 22 Nisan 2012- 20 Şubat 2013 tarihlerinde bir üniversite hastanesinin ağrı ünitesinde TENS uygulaması öncesi ve sonrası Hasta Tanıtım Formu, SF-36 Yaşam Kalitesi Ölçeği, Sayısal Ağrı Ölçeği, Hemşire Memnuniyet Formu kullanılarak toplanmıştır. Bulgular: Ortalama yaşı 53.50±16.60 olan hastaların %85.2'si kadın, %63.0'ü kronik hastalığa sahip, %90.7'si analjezik kullanmakta ve %27.8'i lumbar disk hernisi nedeniyle ağrı yaşamaktadır. Kronik ağrısı olan hastaların TENS uygulaması sonrası öncesine göre istatistiksel olarak anlamlı bir şekilde yaşam kalitesinin mental işlev alt boyutu hariç diğer yedi alt boyut puan ortalamalarının arttığı, ağrı puan ortalamalarının azaldığı ve hemşirelerden memnuniyet puan ortalamalarının yüksek olduğu saptanmıştır. Sonuç: Sonuçlar, TENS uygulaması sonrası ağrı ile yaşam kalitesinin birçok boyutunun iyileştiğini ve bu süreçte hemşireden memnuniyetin yüksek olduğunu göstermektedir. TENS uygulamasının hastaların kronik ağrılarını azaltmada ve yaşam kalitelerini iyileştirmede kullanılması önerilmektedir. Introduction: Transcutaneous Electrical Nerve Stimulation (TENS) is widely used for the treatment of chronic pain causes the impairment of health-related quality of life (QoL). Nurses, as a membe rof multidisciplinary team, are a health professional that play a role to reducing pain in patients with chronic pain and develop the life qualities of patients by approaching them. Aim: The aim of this study was to investigated quality of life, pain, and patients' satisfaction levels from nurses of patients that was applicated to pain unit before and after TENS application.Methods: Informed consent and ethical permission were obtained for performed to descriptive and cross-sectional study. Data was collected obtained by nurses using Patients Identification Form, Numerical Rating Pain Scale (NPRS), Short Form 36 (SF 36), and Nurse Saticfaction Form between 22th April 2012-20th February 2013 in a university hospital pain unit before and after TENS. Results: The patients' mean age was 53.50±16.60, 85.2% of the patients were female, 63.0% has chronical disease. 90.7% was used analgesic drugs. 27.8% of the pain etiology was lumbar disc hernia. It is found that significantly increased to seven subsclaes means of quality of life, expect mental health, decreased to pain mean and increased to satisfaction from nurses mean of the patients with chronic pain after TENS application compared to before. Conclusion: The results showed that improvements in pain and QoL after TENS, and satisfaction from nurses during the process. As a result, it is suggested that TENS can use to reduce for chronic pain and improve for QO

Determination of recent tectonic deformations along the Tuz Gölü Fault Zone in Central Anatolia (Turkey) with GNSS observations

The Tuz Gölü Fault Zone (TGFZ) is one of the most important active tectonic structures of Central Anatolia. The morphotectonic features of the TGFZ and the distribution of the epicenters of earthquakes over magnitude 5.0 show that this fault zone remains active today. In this study, the deformation of the TGFZ is determined with high sensitivity using geodetic measurements. To obtain accurate information about the deformation of the TGFZ, 24 GNSS sites and two continuously operating reference stations were constructed in the southern part of the TGFZ. Between 2018 and 2020, Global Navigation Satellite Systems (GNSS) measurements were made on this network. The data of the Turkish National Fundamental GPS Network (TNFGN) and the continuously operating reference stations-Turkey (CORS-TR) sites around the study area were also included in the study, and GNSS measurements were evaluated with the GAMIT/GLOBK software, and velocity fields of the region were determined. In addition, block modeling of the study area was calculated using the GeodSuit software. For the first time, slip rates provided by the geodetic network are established directly on the TGFZ segments, filling a significant deficiency in the literature, contributing to understanding the tectonics of the country and the region, and providing an important dataset for evaluating the degree of seismic activity of the fault zone. The slip rates obtained within the scope of this study are approximately 1.8 mm/yr strike-slip and 2 mm/yr dip-slip for the Acıpınar and Helvadere segments on that Aksaray city is built on. These results indicate that the active deformation in the TGFZ is greater than previously expressed compared to the slip rates calculated in previous studies