Hipertansiyonlu Bireylerde Öfke ve Anksiyete Düzeyleri

INTRODUCTION and OBJECTIVEHypertension is one of the most important problems, because of its risk of high morbidity andmortality. A growing body of evidence supports the thesis that psychosocial factors play a role inthe pathogenesis for hypertension. This study was made as descriptively to determinelevels of anxiety and anger in hypertensive individuals.MATERIAL and METHODSThis study included all patients with hypertension who attended a hospital hypertension clinic.Questionnaire form was distributed among 203 patients (150women and 53 men) aged from 23 to85 years (X= 60.88 ± 14.74 years). All subjects provided socio-demographic data form (status ofeducation, age, sex, family type, blood pressure value), Anxiety (State and Trait Anxiety Scale) andAnger Scale. In the evaluating of the data percentage and statistical tests were used.RESULTS:When average score of the patients with hypertension as regards trait and state anxiety wereexamined, it was found out that state scores of the patients were near to the normal and that those of traitanxiety indicated moderete anxiety. When average score of the patients with hypertension as regard traitanger was examined, trait anger was moderate. While the distinction between anger and state anxiety scoresaccording to the sex of the patıents were not detected, constant anxiety scores were found higher in thewomen than in the men (t=-2.553±P<0.01). According to type of family, there was no significant distinctionbetween the scores of Anger, Trait-State Anxiety . According to education level, While there was nosignificant distinction between Anger and State Anxiety scores, Trait Anxiety score was found higher inprimary school graduates (P<0.05). There was no correlation between age, blood pressure and scales.CONCLUSION: The educational program was organized and applied by nurses to group of hypertensiveindividuals who improved knowledge as possible concerning hypertension and its consequences.Improvement of educational programs will be useful to decrease the anxietyG????R???????? ve AMAÇHipertansiyon, yüksek morbidite ve mortalite riski olu????turması bakımından günümüzün en önemlisorunlarından birisidir. Artan kanıtlar hipertansiyon patogenezinde psikososyal faktörlerin rol oynadı????ınıdestekler. Bu ara????tırma, hipertansiyonu olan bireylerde anksiyete ve öfke düzeylerini belirlemek amacıylatanımlayıcı olarak yapılmı????tır.GEREÇ VE YÖNTEMAra????tırma hipertansiyon klini????ine ba????vuran; hipertansiyon hastalarını içermektedir. Anket formu ya????ları23’den 85’e kadar olan (X= 60.88 ± 14.74 ya????) 203 hasta (150 kadın ve 53 erkek) arasında da????ıtılmı????tır. Tümkatılan bireylere sosyo-demografik özellikleri içeren veri formu (E????itim düzeyi, ya????, cinsiyet, aile tipi, kanbasıncı de????eri), Durumluk Sürekli Kaygı Ölçe????i ve Öfke Ölçe????i uygulanmı????tır. Verilerin de????erlendirilmesindeyüzdelik ve istatistiksel testler kullanılmı????tır.BULGULARDurumluk anksiyete ve sürekli anksiyete yönünden hipertansiyon hastalarının puan ortalaması incelendi????indedurumluk puanlarının normale çok yakın oldu????u, sürekli anksiyete puanlarının ise orta derecede anksiyeteyigösterdi????i bulunmu????tur. Hipertansiyon hastalarında sürekli öfke puan ortalaması incelendi????inde orta derecedeöfke gösterdi????i bulunmu????tur. Hastaların cinsiyet durumuna göre öfke ve durumluk anksiyete puanortalamaları arasında fark saptanmazken, sürekli anksiyete puanı kadınlarda erkeklere göre daha fazla oldu????ubelirlenmi????tir (t=-2.553±P<0.01). Aile tipine göre ise öfke, durumluk ve sürekli anksiyete puanı arasındaanlamlı bir fark saptanmamı????tır. E????itim düzeyine göre öfke ve durumluk anksiyete puanı arasında anlamlıfark bulunmazken sürekli anksiyete puanı ilkokul mezunlarında yüksek bulunmu????tur (P<0.05). Ya????, kanbasıncı ile ölçekler arasında ili????ki bulunmamı????tır.SONUÇE????itimsel programlar organize edilmeli ve hem????ireler tarafından, hipertansiyon ve sonuçlarını içeren bilgiyiarttıracak ????ekilde, hipertansiyon olan bireylere verilmelidir. E????itimsel programların organize edilmesibireylerde öfke ve anksiyetenin azaltılmasında etkili olacaktır

Hemşire Öğrencilerin Osteoporoz Bilgi Düzeyi ve Koruyucu Davranışları

INTRODUCTIONOsteoporosis, a health problem that is on the rise, has received considerable attention among thehealth care community and the public. Numerous studies have examined knowledge as outcomerelated to the provision of osteoporosis related education, but have focused primarily on young andpostmenopausal women. However, a literature review did not reveal any studies that specificallyaddresed osteoporosis knowledge of nursing students. Therefore, it is imperative to examinewhether nurse students have appropriate osteoporosis-related knowledge necessary to provideosteoporosis prevention education for individuals throughout the life span.OBJECTIVEThis research was carried out with the aim of determining nursing students’ osteoporosisknowledge, their risk factors about the disease, and to what extent they practice preventivebehaviors, such as adequate calcium intake and physical activity.MATERIALS AND METHODSThe study was conducted as a descriptive cross-sectional research. Total 252 nursing studentsattending to their educations at the Atatürk University School of Nursing in academic year of 2002-2003 were included in the study. The data were collected by means of question from literate andThe Osteoporosis Knowledge Test. Data were anlyzed using descriptive statistics in the computermedium.FINDINGSMean age of the nursing students participating in the research was 20.55±1.69. The findingsindicated that thirth and fourth class students had significantly higher scores in the knowledge ofosteoporosis (p<0.001). The majority of nursing students had inadequate knowledge ofosteoporosis. Respondents (%63.1) believed that it was unlikely that osteoporosis would develop inthem. They also expressed that it is less serious than other common causes of morbidity andmortality in women, such as cancer and hearth disease The majority of nursing students (%75.4)are not consuming the recommmended daily amount of calcium and are lacking sufficientosteoprotective exercise for building healty bone (%51.2).CONCLUSIONThese findings indicate the need for further health education concerning the importance of dietarycalcium and exercise on osteoporosis prevention in nursing studentsG????R????????Artan bir sa????lık problemi olarak osteoporoz, sa????lık çalı????anları ve halk arasında önemli bir olgu olarak dikkatçekmektedir. Çe????itli çalı????malarda, osteoporoza yönelik e????itim programları hazırlamak amacıyla kadınlarınosteoporoz bilgisi incelenmi???? ancak ba????langıç olarak postmenopozal dönemdeki ve ya daha genç ya????lardakikadınların osteoporoz bilgisi de????erlendirilmi????tir. Bununla birlikte literatür gözden geçirildi????inde hem????irelikö????rencilerinin osteoporoz bilgi düzeyini inceleyen spesifik bir ara????tırmaya rastlanmamı????tır. Bu nedenle,bireylere ya????am boyu osteoporozdan koruyucu e????itim veren hem????ire ö????rencilerin osteoporoza ili????kin bilgidüzeylerinin uygun olup olmadı????ını incelemek öncelikli ve önemlidir.AMAÇBu çalı????ma hem????irelik ö????rencilerinin osteoporoz bilgi düzeyini, hastalıkla ili????kili kendi risk algılarını ve yeterlikalsiyum alınması ve egzersiz yapılması gibi koruyucu davranı????ları ne derece yaptıklarını belirlemek amacıylayapılmı????tır.GEREÇ VE YÖNTEMAra????tırma, tanımlayıcı, kesitsel olarak planlanmı???? ve yapılmı????tır. Ara????tırma kapsamına, Atatürk ÜniversitesiHem????irelik Yüksekokulunda 2002-2003 ö????retim yılında e????itimlerine devam eden 252 hem????irelik ö????rencisialınmı????tır. Veriler osteoporoz bilgi testi ve literatür do????rultusunda hazırlanan anket formu vasıtası iletoplanmı????tır. Veriler bilgisayar ortamında tanımlayıcı istatistik kullanılarak de????erlendirilmi????tir.BULGULARAra????tırmaya katılan hem????irelik ö????rencilerinin ortalama ya????ı 20.55±1.69 olarak bulunmu????tur. Bulgular, üçüncüve dördüncü sınıf ö????rencilerinin osteoporoz bilgi düzeyinin anlamlı olarak daha yüksek oldu????unugöstermektedir (p<0.001). Ö????rencilerin ço????unlu????unun osteoporoz bilgi düzeyi yeterli bulunmamı????tır.Çalı????maya katılan ö????renciler (%63.1) kendilerinde osteoporoz geli????meyece????ine inanmaktadırlar. Aynızamanda ö????renciler, kadınlarda morbidite ve mortalitesi en yaygın hastalıklar olarak kanser ve kalp hastalı????ınıgörmü???? ve osteoporozun bu hastalıklara göre daha az önem ta????ıdı????ını belirtmi????lerdir. Ö????rencilerinço????unlu????unun (%75.4) günlük tavsiye edilen kalsiyum miktarını almadıkları ve sa????lıklı kemikleri olu????turmakiçin osteoporozdan koruyucu egzersizleri yetersiz yaptıkları (%51.2) belirlenmi????tir.SONUÇBu bulgular, hem????irelik ö????rencilerinin osteoporozdan korunmada egzersiz yapılması ve kalsiyum alınmasınınönemine ili????kin daha ileri sa????lık e????itimine ihtiyacı oldu????unu göstermektedir

Validity and reliability of the Turkish version of the visual analog sleep scale

Objectives The aim of this study was to adapt the English version of the Visual Analog Sleep Scale (VAS Scale) to Turkish, and to assess the validity and reliability of this Turkish version. Material and methods The study design was both descriptive and methodological. The study group was comprised of 75 patients, who agreed to participate in the study. Each had received total hip replacement surgery in an orthopedic clinical hospital. Data was collected using a Turkish translation of the VAS Scale. Psychometric testing of the adapted instrument was carried out to establish internal consistency, interim correlation, and construct validity. The Kaiser-Meyer-Olkin and Barlett's tests were applied to determine the sampling adequacy and suitability to the factor analysis. Results The Kaiser-Meyer-Olkin value was found to be 0.89, and this value indicates suitability for principal component analysis. Similarly, Barlett's test results (X2 = 608.74, p = 0.000) also indicate the interrelationships of the data and suitability for the factor analysis. The eigenvalue of the VAS Scale reduced to 10 items was found to be 6.65 and the variance was 66.52. The VAS Scale Cronbach's alpha was 0.82 for the test items. The test-retest stability coefficient (validity of the scale) was 0.92. Alpha coefficient was found to be 0.94 for internal consistency. Conclusion The original VAS Scale consisted of three sub-scales and 15 items, whereas the Turkish version has one dimension and 10 items. The Turkish version of the VAS Scale adapted to the orthopedics clinic can be used as a one-factor tool. © 2016 Faculty of Health and Social Sciences of University of South Bohemia in Ceské Budejovice. Published by Elsevier Sp. z o.o

Nursing student’s opinions about euthanasia

Bu çalışma 26-29 Mayıs 2010 tarihleri arasında Ankara’da gerçekleştirilen 17. Ulusal Cerrahi Kongresinde sözel bildiri olarak sunulmuştur.Amaç: Bu çalışma, hemşirelik öğrencilerinin ötenazi hakkındaki bilgi ve görüşlerini belirlemek amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntem: Araştırmada, örneklem seçme yoluna gidilmeyip, Hemşirelik Yüksekokulu’nda öğrenim gören, araştırmaya katılmayı kabul eden 291 öğrenci araştırma kapsamına alınmıştır. Veri toplamada; öğrencilerin tanıtıcı özellikleri ile ötenazi hakkındaki bilgi ve tutumlarını içeren araştırmacılar tarafından literatür araştırılarak oluşturulan 23 maddelik bir soru formu kullanılmıştır. Veriler yüzdelik ve ortalama testler ile değerlendirilmiştir. Bulgular: Yapılan analizler sonucunda, araştırma kapsamına alınan öğrencilerin yaş ortalaması 20.09±1.45’dir. Öğrencilerin %68.7’si ötenazi hakkındaki bilgisini okul eğitimi sırasında aldığını belirtmiştir. Öğrencilerin %58.8’i acı çeken ölümcül hasta için, %75.3’ü acı çeken birinci derece yakın akraba için ötenazi uygulanmasını, %60.5’nin ötenazinin yasallaşmasını istemediği ve %58.8’inin yasal olduğu durumda beyin ölümü olan hastaya ötenazi uygulanması gerektiğini ifade ettiği saptanmıştır. Sonuç: Hemşirelik öğrencilerinin ötenazi ile ilgili bilgilerinin olduğu ve öğrencilerin çoğunun ötenazinin uygulanması ve yasallaşmasını, ötenazi uygulamasında hemşirelerin rol almasını istemediği belirlenmiştir.Aim: This study was conducted descriptively in order to determine nursing students’ knowledge and opinions about euthanasia. Material and Methods: 291 students studying at the school of nursing who agreeed to participate in the study were included, without choosing a sample for the study. A form developed by researchers based on a literature search and including questions about descriptive characteristics of students and their knowledge and attitudes towards euthanasia was used for data collection. Data was analyzed with mean scores and percentages. Results: As a result of the analysis, mean age of the students included in the study was 20.09±1.45. Of the students, 68.7% reported that they had knowledge about euthanasia during their school education. Of the students, 58.8% reported that they did not want the practice of euthanasia for suffering terminally ill, 75.3% of them did not want the practice of euthanasia for first-degree relative, 60.5% did not want euthanasia to be legalized and 58.8% thought that euthanasia should be administered for the patients who had actual brain death. Conclusion: It was concluded that nursing students had information related to euthanasia and most of them did not want the practice and legalization of euthanasia and participation of nurses in euthanasia practice

How Can we Improve the Comfort Level and Sleep Quality After Surgery?

Purpose: The aim of this study was to determine the effect of progressive relaxation exercises on the comfort level and sleep quality of patients undergoing lumbar disc herniation surgery. Methods: The study was conducted between July 2015 and October 2016 in the neurosurgery clinic. The sample consisted of 96 patients (n = 56, experimental patients; n = 40 control patients) randomized into groups. The data was collected by using the personal information form, The Perianesthesia Comfort Questionnaire, The General Comfort Questionnaire and Visual Analog Sleep Scale. Findings: In the postoperative General Comfort Scale that there was a statistically significant difference between the mean of the control group and experimental group on the final test (P < .05). When the Visual Analog Sleep Scale mean of the experimental and control group patients were compared between the groups, there was a statistically significant difference on the postoperative 2nd day and 3rd day (P < .05). Conclusion: This study supports previous work that progressive relaxation exercises are feasible and effective to improve patient comfort levels after lumbar disc surgery. (c) 2021 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved

The effect of progressive muscle relaxation technique on sleep quality in total hip arthroplasty patients

The aim of this study was to investigate the effect of Progressive Muscle Relaxation Technique on sleep quality in patients with total hip arthroplasty. Design: A non-randomized quasi-experimental model was used in this study. Methods: Data were collected using a Personal Information Form and the Turkish translation of the Visual Analog Sleep Scale (VAS Scale). The data was analyzed using percentages and t-test. Results: In comparison with the mean VAS Scale scores between the experimental and the control groups, no significant difference was found between the mean VAS Scale scores of the patients before the surgery and on the night of surgery (p > 0.05). However, a statistically significant difference was found between the mean VAS Scale scores in the first and second postoperative days between groups (p < 0.05). Conclusion: The study found that progressive relaxation exercises improve the quality of sleep. The routine use of progressive relaxation exercises is recommended for patient care plans

A Survey on Turkish nursing students' perception of clinical learning environment and its association with academic motivation and clinical decision making

WOS: 000367117000021PubMed: 26417713Background: Nursing education is a process that includes theoretical and practical learning and requires the acquisition of theoretical knowledge and skill. Nursing students need a good clinical practice environment in order to apply their knowledge and skills due to the fact that the clinical practice settings play an important role in the nursing profession. Objectives: This study was carried out in an effort to explore nursing students' perception of the clinical learning environment and its association with academic motivation and clinical decision making. Design: A descriptive survey design was used. Setting: This study was conducted in Giresun University in Turkey. Participants: Participants were second-, third- and fourth-year undergraduate students (n = 222) in the Bachelor of Nursing Science Degree in the academic spring term of 2014-2015. Methods: The data was collected using the 'Clinical Learning Environment Scale', the 'Academic Motivation, and the 'The Clinical Decision Making in Nursing Scale'. Results: Of the respondents in this study, 45% of the students were second class, 30.6% of the students were third class and 24.3% of the students were fourth class. There was a statistically significant positive correlation found between the clinical learning environment and the nursing students' academic motivation (r = 0.182, p .05). Conclusion: One of the prerequisites for the training of qualified students is to provide nursing students with a qualified clinical environment. It was found that nursing students' academic motivation increased as the quality of their clinical learning environment improved. (C) 2015 Elsevier Ltd. All rights reserved

A cross sectional study on complementary and alternative medicine use among a sample of Turkish hospital outpatients with chronic lower back pain

WOS: 000417392500005Introduction: Complementary and alternative medicine (CAM) is commonly used to treat chronic lower back pain. This study aimed to explore CAM use among Turkish patients with chronic lower back pain attending a neuro surgery department hospital. Methods: This cross-sectional study was conducted between September 2015 and January 2016 in the neurosurgery clinic of the state hospital in Giresun, in northern Turkey. A random sample of patients (n = 182) with at least three months of pain, and whose pain intensity was 3 or higher (on a 0 (without any pain) to 10 (the worst pain possible) scale) were included. Results: The most frequently used complementary and alternative therapy by patients was prayer (87.4%). Massage was the second most common CAM modality. There was a significant difference between pain intensity and participants' use of prayer and biofeedback (p < 0.05). Pain intensity was associated with an increased use of prayer and biofeedback (p < 0.05) of patients that used CAM modalities. They also reported greater severity. Conclusions: The most utilized CAM modality in patients with low back pain was prayer which is classified as a mind-body intervention. Our findings suggest that patients with chronic lower back pain in Turkey tend to use complementary and alternative therapies for pain management

Relief of Procedural Pain in Critically Ill Patients by Music Therapy: A Randomized Controlled Trial

2nd Medical and Surgical Intensive Care Unit Nursing Congress -- MAY 19-22, 2016 -- Izmir, TURKEYWOS: 000473598900004PubMed: 30897585Background: This study aimed to determine the effectiveness of music listening for procedural pain relief using two different observational pain tools during endotracheal suctioning. Materials and Methods: This study was a randomized controlled trial. The sample of the study included 98 patients with mechanical ventilation support who met the selection criteria. The patients were randomly assigned to control and music therapy groups. Patients in the control group were routinely suctioned as usual. Patients in the music group received music therapy 20 min before, during, and 20 min after endotracheal suctioning. The primary outcome was the pain relief during suctioning. Results: Forty patients in each arm completed the study. Pain scores in the Critical Care Pain Observation Tool and Behavioral Pain Scale were lower in the music group than in the control group during endotracheal suctioning (group: F = 14.85, p = 0.000; F = 9.04, p = 0.000, respectively). It was also found to be a significant interaction effect between the groups and time (group x time: F = 17.35, p = 0.000; F = 18.00, p = 0.000, respectively). Conclusion: The Critical Care Pain Observation Tool and Behavioral Pain Scale in the current study generally demonstrated similar pain scores during the painful procedure. Our findings support that music therapy may act as a nonpharmacological therapy to relieve procedural pain in patients on mechanical ventilation

Nursing management of delirium in the postanesthesia care unit and intensive care unit

Karabulut, Neziha/0000-0002-4621-0957WOS: 000385340100007PubMed: 27667346Purpose: The purpose of the study was to examine nurses' approaches to care of patients with postoperative delirium in the postanesthesia care unit and intensive care unit. Design: A descriptive survey design was used. Methods: Eighty-seven nurses who have been working at a Training and Research Hospital in Erzurum, east of Turkey, were enrolled in this study between October 1 and November 20, 2012. Findings: 83.9% of the nurses reported that they had given pharmacologic therapy for pain management in delirium patients, 39.1% massage, 31.0% rhythmic breathing exercise, and 264% music therapy. 90.8% of nurses also stated that they reduced noise and lighting at night to ensure normal sleep pattern. Conclusions: Nurses need to be supported to take part in courses, conferences, and training seminars. A standard data tool or scale needs to be used to assess delirium routinely in all patients admitted