Effect of perceived social support level among school of healthy students on smoking

AMAÇ: Bu çalışma sağlık yüksekokulu öğrencilerinin sigara kullanma durumları ve algılanan sosyal destek düzeylerinin belirlenmesi amacıyla yapılmıştır. GEREÇ ve YÖNTEM: Tanımlayıcı ve kesitsel nitelikteki bu çalışma, 2012-2013 eğitim-öğretim yılında, Erzincan Üniversitesi Sağlık Yüksekokulu'nda yapılmıştır. Örneklem seçimine gidilmemiş ve Hemşirelik bölümünde okuyan 270 öğrenci çalışma kapsamına alınmıştır. Ancak çalışma, ulaşılabilen ve araştırmada yer almayı kabul eden 228 öğrenci ile yürütülmüştür (katılım oranı %84). Veriler, öğrencilerin sosyo-demografik özelliklerini içeren anket formu ve Çok Boyutlu Algılanan Sosyal Destek Ölçeği kullanılarak toplanmıştır. Elde edilen verilerin analizi, SPSS 19.0 paket programında tanımlayıcı istatistikler, t testi, Mann Whitney U, Kruskal Wallis, korelasyon, varyans testleri ile yapılmış ve p<0.05 olması istatistiksel olarak anlamlı kabul edilmiştir. BULGULAR: Çalışmaya katılan öğrencilerin %68.9'unu kızlar, %31.1'ini ise erkekler oluşturmuştur. Öğrencilerin Çok Boyutlu Algılanan Sosyal Destek Ölçeği toplam puan ortalaması 63.39±16.72, aileden algılanan sosyal destek puan ortalaması 23.45±5.68 olarak belirlenmiştir. Öğrencilerin %24.1'inin sigara kullandığı belirlenirken, sigara kullanan öğrencilerin aileden algıladıkları sosyal destek puan ortalamalarının (21.56±6.50), sigara kullanmayan öğrencilere oranla (24.81±4.47) anlamlı düzeyde düşük olduğu belirlenmiştir (p<0.05). SONUÇ: Öğrenciler tarafından algılanan sosyal destek puan ortalamalarının genel olarak iyi düzeyde olduğu saptanmıştır. Cinsiyetin, gelir düzeyinin, sigara kullanıyor olmanın sosyal destek üzerinde etkili olduğu tespit edilmiştir.Objective: This study was conducted with the aim of determining the smoking status and the level of Perceived Social Support of the School of Health students. Materials and Methods: This descriptive and cros-sectional study was made in Erzincan University School of Health in the 2012-2013 academic year. In this study there was no sample selection made and 270 students studying in the nursing department were included in this study. However, the study was conducted with 228 students who can be access edandagreed to participate (response rate 84%). The data were collected with the questionnaire containing sociodemographic characteristics of students and by using Multidimensional Scale of Perceived Social Support. Analysis of the data obtained was performed with the SPSS 19.0 package program, descriptive statistics, t-test, Mann-Whitney U, Kruskal-Wallis, correlation, variance tests and p<0.05 was considered statistically significant. Results: 68.9% of the students who participated in the study were girls, 31.1% of students were men. The average total Multidimensional Scale of Perceived Social Support score was 63.39±16.72, perceived social support average score from family was defined as 23.45±5.68. While 24.1% of the students were found current smoker, smoker students' average score of social support they perceive from their family (21.56±6.50) was defined significantly lower than the ones' (24.81±4.47) who were non-smoker (p<0.05). Conclusion: The score averages of social support perceived by students were generally found to be at a good level. Gender, income level, being a smoker have been found to be effective on social support

Effects of oral carbohydrate solution administred before hip arthroplasty on preoperative anxiety and postoperative patient comfort

Amaç: Çalışmanın amacı; kalça atroplastisi öncesi verilen oral karbonhidrat solüsyonunun (OKS) ameliyat öncesi anksiyete ve ameliyat sonrası hasta konforuna etkisini belirlemekti. Materyal ve Metod: Randomize kontrollü deneysel desenli ve spinal anestezi uygulanan hastalar ile yapılan çalışmanın verileri, 11 Eylül 2019- 27 Ağustos 2021 tarihleri arasında toplandı. Örneklem büyüklüğü çalışmaya başlamadan yapılan güç analizi ile belirlendi. Minimum örneklem büyüklüğü, her bir grup için 24 hasta olarak saptandı. Basit rastgele randomizasyon yöntemiyle belirlenen ve araştırma kriterlerine uyan 50 hastayla çalışma tamamlandı (25 Müdahale, 25 Kontrol). Kalça artroplastisi uygulanacak olan müdahale grubundaki hastalara OKS ameliyat öncesi gece 800 ml ve ameliyatta gönderilmeden iki saat önce 400 ml olarak verildi. Kontrol grubunda bulunan hastalara gece 24.00'dan sonra yiyecek ve sıvı kısıtlaması uygulandı. Hastaların ameliyat öncesi anksiyete düzeyleri Spielberg Durumluk-Sürekli Kaygı Ölçeği, ameliyat sonrası konfor parametreleri ise 0., 2, 4., 6., ve 12. saat Vizüel Analog Skala ile değerlendirildi. Taburcu olacağı gün hastalara, Kalça Protezi Sonrası Konfor Ölçeği uygulandı. Hastaların fizyolojik parametreleri ve kan şekeri düzeyleri ameliyat öncesi ve sonrası dönemde ölçülerek kaydedildi. Niceliksel verilerin iki grup arası karşılaştırmalarında Mann Whitney U, grup içi ölçümler arası değişkenlerin karşılaştırılmasında Friedman ve farkın hangi gruptan kaynaklandığı Tukey testi ile değerlendirildi. Bulgular: OKS uygulanan hastaların, kontrol grubu hastalara göre ameliyat öncesi ve sonrası anksiyete düzeyleri anlamlı derecede daha düşüktü (p<0.05). Ayrıca ameliyat sonrası ağrı, susuzluk, açlık ve bulantı-kusma semptomlarını, OKS verilen müdahale grubu hastaların kontrol grubu hastalara göre daha az deneyimlediği ve kalça artroplastisine özgü konfor düzeylerinin daha yüksek olduğu belirlendi (p<0.05). Ameliyat öncesi ve sonrası dönemde sistolik/diyastolik kan basıncı ve nabız hızı açısından gruplar arasında anlamlı fark bulundu (p<0.05). Ameliyata gönderilmeden hemen önce ve ameliyat sonrası 0. 2. ve 12. saat, OKS verilen hastaların kan şekeri düzeyileri daha düşüktü (p<0.05). Sonuç: Oral karbonhidrat solüsyonunun, kalça artroplasti ameliyatı öncesi anksiyeteyi azalttığı ve ameliyat sonrası hasta konforunu arttırdığı bulundu. Bu sonuç doğrultusunda, OKS'nin, ameliyat öncesi beslenme yönetiminde multidisipliner ekip iş birliği çerçevesinde hemşirelik aktiviteleri içerisinde yer alması önerilir.Objective: This study aims to determine the effects of oral carbohydrate solution (OCS) administered before hip arthroplasty on preoperative anxiety and postoperative patient comfort. Material and Method: The study, which has a randomized controlled research design, was conducted with patients who were applied spinal anesthesia. The study data were collected between September 11, 2019 and August 27, 2021. The study's sample size was determined through a power analysis carried out before starting the study. The minimum sample size was determined to be 24 patients for each group. The study was completed with 50 patients (25 intervention, 25 Control) conforming to the research criteria, who were determined using the simple randomization method. OCS was administered to the patients in the intervention group who would undergo hip arthroplasty, as 800 ml the night before the operation and 400 ml two hours before being taken into the surgery. Food and fluid restriction was applied to the patients in the control group after 00:00. The preoperative anxiety levels of the patients were assessed with the Spielberg State-Trait Anxiety Inventory. While their postoperative comfort parameters were evaluated with the Visual Analog Scale at the 0th, 2nd, 4th, 6th and 12th hours. The Post-Hip Replacement Comfort Scale was applied to the patients on the day of discharge. The patients' physiological parameters and blood glucose levels were measured and recorded in the preoperative and postoperative periods. The Mann-Whitney U test was used in the comparisons of the quantitative data between two groups. While the Friedman test was used to compare the variables between within-group measurements. And from which group the difference originated was evaluated with the Tukey test. Results: The anxiety levels of the patients administered OCS were significantly lower before and after surgery compared to the control group (p<0.05). In addition, it was determined that the intervention group patients who were administered OCS experienced pain, thirst, hunger, and nausea-vomiting symptoms after surgery less than the control group patients and that the first group had higher comfort levels specific to the hip arthroplasty (p<0.05). A significant difference was found between the groups in terms of systolic/diastolic blood pressure and pulse rate in the preoperative and postoperative periods (p<0.05). The blood glucose levels of the patients who received OCS just before being taken into the surgery and at the postoperative 2nd and 12th hours were lower (p<0.05). Conclusion: It was found that oral carbohydrate solution reduces anxiety before hip arthroplasty surgery and increases postoperative patient comfort. In line with this result, it is recommended that OCS be involved in nursing activities within the framework of multidisciplinary team collaboration in preoperative nutrition management

Experiences of patients undergoing bypass surgery with health professionals during the perioperative care process: A hermeneutic phenomenological study

Purpose To determine the experiences and perceptions of patients who underwent Coronary Artery Bypass Graft (CABG) surgery with perioperative health care professionals. Design The study used a qualitative research design and was conducted by interviewing eight patients who underwent CABG surgery. Methods Study data were collected between April 24, 2020 and February 25, 2021 via a demographic information form and a semi-structured interview form and analyzed by using Heidegger's phenomenological approach. Findings The participants were between the ages of 51 and 70. They were patients who had undergone CABG surgery 2 months before data collection. Two themes were elicited from the interviews: "If you are bad, I am bad, too", which indicated negative experiences of CABG, and "If you are good, I am safe", which indicated positive patient experiences. In addition, eight sub-themes were determined under these two themes. Conclusions In the perioperative process, patients may experience feelings of restlessness, fear, vulnerability, insecurity, and threat when ignored by health care professionals. The provision of interaction between the health professional and the patient, along with family support, changes the perceived care positively and makes patients feel cared for, well, and safe. Awareness of health care professionals about patient experiences during the CABG surgery process points to an important aspect of quality health care

Effect of helfer skin tap tecnique on pain associated with intramuscular injection among adult: A randomized controlled study

Abstract-Objective:The purpose of this study was to determine the effects of Helfer skin tap technique (HSTT) on pain depending on intramuscular (IM) injection.Methods:The study was randomized controlled study in the injection polyclinic between September18 andDecember9 2017. The study was completed with totally 100 patients, 50 of them in the experimental group and 50 of them in the controlgroup. The IM injection was applied to the experimental group by HSTT and to the control group by standard technique. Data were collected using a questionnaire and Visual Analog Scale (VAS).Results:The mean VAS score was differ between groups. The VAS score reduced significantly after HSTT intervention in experimental group whereas reduction was not significant in controlgroup.Conclusions:The study showed that HSTT was effective on pain depending on IM injectio

Ailesel meme kanseri öyküsü olan ve olmayan kadınlarda meme kanseri tanılama davranısları.

Amaç: Bu çalışmada ailesel meme kanseri öyküsü olan ve olmayan kadınlarda meme kanseri korkusu, risk algısı, meme kanseri bilgisi ve meme kanseri tanılama davranışları arasındaki ilişkinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Tanımlayıcı- kesitsel tipte yapılan araştırma, Aralık 2019 – Nisan 2020 tarihleri arasında bir şehir hastanesinin Onkoloji ve Kemoterapi ünitesinde meme kanseri tedavisi gören 308 aile öyküsü olan ve diğer servislerde tedavi gören aile öyküsü olmayan 523 hasta yakını kadın ile yüz yüze görüşme yöntemi ile yapılmıştır. Bulgular: Aile öyküsü olan kadınların olmayan kadınlara göre on yıl içindeki meme kanseri risk algısının 1,938 kat, meme kanseri korku puanının 1,073 kat ve Geniş Kapsamlı Meme Kanseri Bilgi Testi (GKMKBT) tedavi edilebilirlik puanının 3,269 kat arttığı belirlenmiştir. Sonuç: Çalışmada aile öyküsü olan kadınların meme kanseri tanılama davranışlarının (KKMM yapma, KMM yaptırma, 40 yaş üstü kadınlarda mamografi çektirme) aile öyküsü olmayanlara göre anlamlı şekilde arttığı ancak her iki grupta da hala istendik düzeyde olmadığı belirlendi.Purpose: The aim of this article was to investigate the relationship between the fear of breast cancer, perceived risk, knowledge of breast cancer, and breast cancer diagnosis behaviors in women with and without a family history of breast cancer. Materials and Methods: The study used a descriptive and cross-sectional design and was carried out through face-toface interviews between December 2019 and April 2020 with 308 women who had a family history of breast cancer and were receiving breast cancer treatment in the Oncology and Chemotherapy unit of a city hospital and 523 patient relatives who were receiving treatment in other services of the hospital and had no family history of breast cancer. Results: The perceived risk of breast cancer in ten years by women with a family history of breast cancer, compared to that of women with no family history, increased by 1,938 times, the fear of breast cancer score increased by 1,073 times and that the Comprehensive Breast Cancer Knowledge Test (CBCKT) score increased by 3,269 times. Conclusion: The breast cancer diagnosis behaviors of women with a family history (performing BSE, having a CBE, having a mammogram in women aged over 40) increased significantly compared to those who did not have a family history, but that it was still not at the desired level in both groups

Journey from experiences that left trace to today in patients who underwent coronary artery by-pass graft surgery

Objectives: This study aims to make the experiences of patients who underwent coronary artery bypass graft surgery visible and to understand them more deeply. Methods: This qualitative study was conducted through interviews with 10 coronary artery bypass graft patients. Heidegger’s phenomenological approach was used as a method. The data for the study was collected through Demographic Information Form and Semi-Structured Interview Form between November 2019-March 2020. Results: The ages of the participants varied between 53 and 79 and they underwent coronary artery bypass graft surgery a minimum of a year ago. The interviews yielded two categories: emotions and experiences about the bypass surgery as “Perioperative period experiences that left a trace” and today’s emotions and experiences as “Now/Nothing is as it was before”. Also, nine subthemes were identified. Conclusion: The Patients’ experiences that leave a trace involved reflections of the culture and faith, and it was obvious that they were inclined to find a new perspective for their changed lives and health. The results show the necessity of incorporating the sociocultural values and beliefs of patients in the care process

Identifying the relation between social support and the psychological resilience levels of the patients having had a surgical operation for colorectal cancer

Cerrahi tedavi uygulanan kolorektal kanserli hastaların sosyal destek ve psikolojik dayanıklılık düzeyleri arasındaki ilişkinin belirlenmesi amacıyla yapılan araştırma, tanımlayıcı-kesitsel ve ilişki arayıcı niteliktedir. Araştırmanın evrenini Ekim 2018- Haziran 2019 tarihleri arasında bir devlet hastanesinin Genel Cerrahi, Gastro Cerrahi ve Onkolojik Cerrahi Kliniklerinde yatan, kolorektal kanser nedeniyle ameliyat olan 115 hasta oluşturdu ve belirtilen tarihlerde araştırma kriterlerine uyan 103 hasta, çalışmanın örneklemini oluşturdu. Veri toplama aracı olarak; Tanıtıcı Özellikler Formu, Çok Boyutlu Algılanan Sosyal Destek Ölçeği ve Connor-Davidson Psikolojik Sağlamlık Ölçeği kullanıldı ve hasta taburcu olmadan hemen önce uygulandı. Çalışmada elde edilen veriler; IBM SPSS Statistics 22 programında analiz edildi. Veriler; ortalama, standart sapma, frekans, Mann Whitney U, Kruskall Wallis, Shapiro-Wilk, post-hoc Games Howell, Pearson Korelasyon Analizi ve Doğrusal Regresyon Analizi ile değerlendirildi. Araştırma bulgularında; hastaların, Çok Boyutlu Algılanan Sosyal Destek Ölçeği toplam ve aile, arkadaş, özel insan alt grup puanlarının sırasıyla; 67.78±24.61, 25.29±6.82, 21.33±10.22, 21.15±10.23 olarak belirlendi. Connor- Davidson Psikolojik Sağlamlık Ölçek toplam puanları iyi düzeyde ve 78.68±20.35 olarak saptandı. Erkeklerin ve evli olanların aileden, arkadaştan ve özel insandan algıladıkları sosyal destek düzeylerinin ve psikolojik dayanıklılıklarının daha yüksek, okuryazar olmayanların ise daha düşük olduğu belirlendi (p<0.05). Geliri giderinden fazla olan ve çalışan, evde eşi ve çocukları ile yaşayan hastaların tüm boyutlarda sosyal destek düzeyinin yüksek olduğu saptandı. 30-49 yaş aralığında olan hastaların ise algılanan özel insan desteği puan ortalamaları arasındaki fark istatistiksel olarak anlamlıydı (p<0.05). Connor-Davidson Psikolojik Sağlamlık Ölçeği ile aile desteği ve özel insan desteği arasında çok güçlü bir ilişki olduğu saptandı (p<0.01). Özel insan desteğinden meydana gelen bir birimlik artışın psikolojik dayanıklılıkta, yaklaşık 1 puanlık artışa neden olduğu belirlendi (p:0.014; p<0.05). Çalışma sonuçları doğrultusunda; kolorektal kanser nedeni ile cerrahi uygulanan hastalara sunulacak sosyal desteğin, psikolojik dayanıklılığı artırmada önemli rol oynayabileceği söylenebilir. Anahtar kelimeler : Kolorektal Kanser, Cerrahi Tedavi, Sosyal Destek, Psikolojik Dayanıklılık, HemşirelikWith the aim of identifying the relationship between social support and the psychological resilience levels of the patients who have had a surgical operation for colorectal cancer, the present study is of a descriptive nature and in pursuit of establishing correlation. The participants of the study consisted of 115 patients, but 103 of them proved to be the right samples for the study, who received surgical operations for colorectal cancer and were in-patients in general surgery clinic, gastro-surgery clinic, and oncological surgery clinic in a publıc hospital from October 2018 to June 2019. The Data, Self-description Form, and Multi-Dimensional Perceived Social Support Scale were gathered before the patients were discharged from the hospital. The data were analyzed with the help of IBM SPSS Statistic 22 to conduct Mann Whitney U, Kruskall Wallis, Shapiro-Wilk, post-hoc Games Howell, and Pearson Correlation Analysis. Multidimensional Perceived Social Support Scale overall score, family score, friends score, and special person sub-group score were 67.78±24.61, 25.29±6.82, 21.33±10.22, 21.15±10.23, respectively. Their score of Connor- Davidson Psychologıcal Resilience Scale (78.68±20.35) was at a considerable level. The patients who were men and marriedshowed a higher level of psychological resilience and perceived social support from family, friends and special person than illiterate people (p<0.05). The patients with a job whose income is higher than their expenses and those who live with their spouses and children proved to have a higher level of social support in all dimensions. The average difference in the score of perceived special person support for those aged between 30-49 was statistically significant (p<0.05). We found a strong relationship between of Connor- Davidson Psychologıcal Resilience Scale, family support and special person support (p <0.01). An increase of 1 unit in special person support triggered an increase of 1 unit in psychological resilience (p:0.014; p<0.05). In line with the results of the study, social support provided to patients who have had colorectal cancer surgery can play a significant role in building up psychological resilience. Key Words :Colorectal Cancer, Surgery Treatment, Social Support, Psychological Resilience, Nursin

The relation between surgical fear levels of patients scheduled for bariatric surgery and postoperative pain, nausea-vomiting and sleep quality

Bu araştırma, bariatrik cerrahi uygulanan hastalarda, ameliyat öncesi cerrahi korkunun ameliyat sonrası ağrı, bulantı-kusma ve uyku kalitesi ile ilişkisini belirlemek amacıyla yapıldı. Tanımlayıcı ve ilişki arayıcı nitelikte olan araştırmanın evrenini; Ekim 2019 ve Haziran 2021 tarihleri arasında, bir eğitim ve araştırma hastanesinin genel cerrahi kliniğine başvuran 109 bariatrik cerrahi hastası oluşturdu. Araştırma laporoskopik sleeve gastrektomi uygulanan 105 hasta ile tamamlandı. Verilerin toplanmasında; "Hasta Tanıtıcı Özellikler Formu", "Cerrahi Korku Ölçeği", "Vizuel Analog Skala", "Rhodes Bulantı-Kusma ve Öğürme İndeksi" ve "Richard-Campbell Uyku Ölçeği" kullanıldı. Veriler, araştırmacı tarafından hasta dosyaları incelenerek ve yüz yüze görüşme yöntemi kullanılarak toplandı. Araştırma verileri; tanımlayıcı istatistiksel metotlar ve Shapiro – Wilk testi, Mann Whitney –U testi, Spearman korelasyon analizi, Pearson korelasyon analizi ve adımsal çoklu doğrusal regresyon analizi kullanılarak değerlendirildi. Araştırmada hastaların preoperatif uzun dönem cerrahi korku düzeyleri ile 4. saat ağrı puan ortalamaları arasında istatistiksel olarak anlamlı pozitif yönlü bir ilişki saptandı (r=.192, p=.049). Ayrıca; kısa ve uzun dönem cerrahi korku ile birlikte hastaların cinsiyet ve medeni durumları, 4. saat ağrı şiddeti üzerinde etkili faktörlerdi. Ameliyat sonrası 12. saat ağrı şiddeti ile beden kitle indeksi, 24. saat ağrı şiddeti ile eşlik eden komorbiteler arasında anlamlı ilişki olduğu belirlendi. Hastaların cerrahi korku düzeyleri ile bulantı kusma ve öğüreme deneyimleri arasında ise anlamlı bir ilişki yoktu. Kronik hastalığı bulunan hastaların ameliyat sonrası bulantı-kusma ve öğürme semptom deneyimi daha fazlaydı. Ayrıca semptom sıkıntısı ve semptom oluşumu ile yaş faktörü arasında anlamlı v bir ilişki olduğu saptandı. Ameliyat öncesi kısa dönem cerrahi korku ile hastalarda eşlik eden komorbiteler, ameliyat sonrası uyku kalitesinin yordayıcıları arasındaydı. Bununla birlikte; hastaların ameliyat öncesi uyku kalitesinin iyi olması, ameliyat sonrası uyku kalitesinde artış ile ilişkiliydi (p<0.05). Çalışma sonuçları doğrultusunda; bariatrik cerrahi uygulanan hastaların ameliyat öncesi dönem psikolojik hazırlığında, cerrahi korkuları ile birlikte hasta tanımlayıcı özelliklerinin de dikkate alınması ve ameliyat sonrasında ağrı, bulantı-kusma-öğürme semptomu ve uyku kalitesini değerlendirerek, gereksinime uygun hemşirelik bakımının sağlanması önerilir.The present study was conducted to determine the relations between preoperative fear of surgery and postoperative pain, nausea-vomiting, and sleep quality in patients who undergo bariatric surgery. The population of the study, which had a descriptivecorrelational design, comprised 109 bariatric surgery patients admitted to the general surgery clinic of a training and research hospital between October 2019 and June 2021. The study was completed with 105 patients who underwent laparoscopic sleeve gastrectomy. The "Patient Descriptive Characteristics Form", "Surgical Fear Scale", "Visual Analog Scale", "Rhodes Nausea-Vomiting and Retching Index", and "Richard- Campbell Sleep Scale" were used in the collection of the data. The study data were collected by the researcher by examining the patient files and using the face-to-face interview method and were evaluated using descriptive statistical methods and Shapiro- Wilk test, Mann Whitney-U test, Spearman Correlation Analysis, Pearson Correlation Analysis, and Stepwise Multiple Linear Regression Analysis. A statistically significant and positive correlation was detected between the patients' preoperative long-term fear of surgery and mean 4th- hour pain score (r=.192, p=.049). Also, gender and marital status of the patients were effective factors on the 4th-hour pain intensity along with shortand long-term fear of surgery. It was found that there were significant relations between postoperative pain intensity at the 12th hour and Body Mass Index, and between the pain intensity at the 24th hour and comorbidities. No significant relations were detected between the patients' fear of surgery and nausea-vomiting and retching experiences. Patients with chronic diseases had more post-operative nausea-vomiting and retching symptoms. It was also determined that there were significant relations between symptom distress, symptom formation, and the age factor. Preoperative short-term surgical fear and vii comorbidities were among the predictors of postoperative sleep quality. However, the good preoperative sleep quality of patients was associated with increased postoperative sleep quality (p<0.05). In line with the results of the study, it is recommended to take into account the descriptive characteristics of patients along with fear of surgery, and to provide nursing care appropriate to their needs by evaluating postoperative pain, nauseavomiting- retching symptoms, and sleep quality in the preoperative psychological preparation of patients who are scheduled to undergo bariatric surgery

Effect of cold application on chest ıncision pain due to deep breathing and cough exercises

Background We determined the effect of cold application after coronary artery bypass graft surgery on chest incision pain due to deep breathing and coughing exercises. Thoracotomy performed for coronary artery bypass graft surgery is one of the most painful surgical procedures. This pain prevents deep breathing and effective coughing. These problems increase the risk of morbidity in the postoperative period. Aims This study aimed to determine the effect of cold application after CABG surgery on chest incision pain due to deep breathing and cough exercises. Design Experimental study with control group and repeated measurements. Settings Patients were selected through convenience sampling in the Cardiovascular Surgery Intensive Care Unit at a hospital. Participants The study was conducted with 57 patients who underwent open heart surgery (29 and 28 in the experimental and control groups, respectively). Methods Repeated pain assessment was performed before, immediately after, and 5 min after deep breathing and coughing exercises performed in 4 periods at 2-h intervals. The first pain assessment was performed 24 h postoperatively. In the first and third assessments of the experimental group, pain was recorded before the exercise; the exercise was performed 15 min after cold gel pack application to the incision area. Pain was assessed before, immediately after, and 5 min after exercise using the Short- Form McGill Melzack Pain Questionnaire. Results Reduction in pain severity within and between the groups was statistically significant in the first and third evaluations (p = .001). Conclusions The results provide evidence to support the use of cold gel pack

Cerrahi kliniklerde çalışan hemşirelerin yüksek riskli ilaç uygulamaları konusundaki bilgi durumlarının ve ilaç hatalarıyla ilgili tutum ve davranışlarının incelenmesi

Amaç: Cerrahi kliniklerde çalışan hemşirelerin yüksek riskli ilaç uygulamaları konusundaki bilgi durumlarını ve ilaç hatalarıyla ilgili tutum ve davranışlarını incelemekti. Yöntem: Tanımlayıcı türde olan çalışma, Ağustos 2012- Ocak 2013 tarihleri arasında Erzincan Devlet Hastanesi ve Mengücek Gazi Eğitim ve Araştırma Hastanelerinde yapıldı. Araştırmaya çalışmayı kabul eden 130 hemşire alındı. Veriler, yüksek riskli ilaçlarla ilgili bilgi, ilaç hatalarının nedenlerine ve raporlanmasına yönelik tutum ve davranışlar formuyla toplandı. Veriler, sayı, yüzdelik dağılım, Kolmogrov Smirnov, Mann Whitney U, Kruskal Wallis testleri, Cronbach’s α analizi ve Spearman korelasyonuyla değerlendirildi. Bulgular: Hemşirelerin yüksek riskli ilaçlara yönelik bilgi düzeylerinin %43.6; ilaç hatalarının nedenleri ve hataların raporlanmasına yönelik tutum skorlarının %71.9 ve ilaç hatalarına yönelik davranış skorlarının %50.5 oranında doğru olduğu saptandı. Cinsiyetle tutum; eğitimle bilgi ve tutum; toplam çalışma saatiyle bilgi; çalışma yılıyla bilgi ve çalışılan klinikle bilgi ve tutum skoru ortalamaları arasındaki fark istatistiksel olarak anlamlı bulundu. Sonuç: Bulgular incelendiğinde, hemşirelerin bilgi düzeylerinin düşük olduğu; tutum sorularına doğru yanıt verenlerin hepsinin tutumu davranışa dönüştüremediği ve eğitim düzeyi yükseldikçe bilgi ve tutum düzeylerinin de yükseldiği söylenebilir. İlaç hatalarının ortadan kaldırılmasına yönelik sürekli eğitim programlarının uygulanması ve ilaç uygulamalarıyla ilgili politika ve prosedürler oluşturularak düzenli denetlemelerin yapılması önerilebilir.Objective: This study was prepared descriptively with the aim of determining the effect of level of anger in nurses to job satisfaction. Method: This descriptive study is conducted between August 2012 and January 2013 in Erzincan State Hospital and Mengücek Gazi Training and Research Hospital. The working in surgical clinics. 130 nurses accepting to participate in the study are included. The form on knowledge related high risk medicines, attitudes towards reasons and reporting of medication errors, and behaviors is used to collect data. Number, percentage distribution, Kolmogrow Smirnov test, Mann Whitney U test, Kruskal Wallis test, Cronbach’s α analysis, and Spearman's correlation are used to assess data. Results: It is determined that nurses' knowledge levels of high risk medicines are 43.6%, their score for attitudes towards reasons and reporting of medication errors is 71.9% and their score for behaviors regarding medication errors is 50.5%. There is a statistically significant difference between gender and attitude mean score; education and knowledge and attitude mean scores; total working hour and knowledge mean score; working year and knowledge mean score; clinic they work in and knowledge and attitude mean scores Conclusion: Examining the results; nurses' knowledge level is low, all those responding correctly attitude questions could not convert the attitude to behavior; and as educational level increases, knowledge and attitude levels increase, too. Accordingly, it is recommended to implement continuing training programs for exactly eliminating medicine errors and perform regular inspections by establishing policies and procedures on drug administratio