Validity and reliability study of the turkish version of the eye care clinical competence questionnaire related to eye care of intensive care patients by nurses

Aim: This methodological study was conducted to determine the validity and reliability of the Turkish version of the Eye Care Clinical Competence Questionnaire, which evaluates the clinical competence of nurses regarding eye care in intensive care patients. Design: A methodological study. Methods: The study included 175 nurses working in the ICUs of the hospitals where the study was conducted. Results: Following factor analysis, based on the tetrachoric correlation matrix for the information sub-dimension, eight items were excluded from the questionnaire. As a result of the confirmatory factor analysis conducted for the questionnaire, the error variance value of item 26 was removed from the questionnaire. The final questionnaire adapted for the Turkish cultural context consisted of 26 items. Cronbach’s alpha value for the attitude sub-dimension was 0.87; the Cronbach alpha value for the application sub-dimension was 0.85, and the Cronbach alpha value for the questionnaire as a whole was 0.84. Conclusion: It was found that the Turkish version of the Eye Care Clinical Competence Questionnaire was a valid and reliable measurement tool. This measurement tool can be used in studies to evaluate the clinical competence of intensive care nurses regarding eye care. © 2021 Central European Journal of Nursing and Midwifery

Effect of the arterial needle bevel position on puncture pain and postremoval bleeding time in hemodialysis patients: A self-controlled, single-blind study

Aim: This study aimed to investigate the effect of the bevel orientation (facing upwards or downwards towards the skin) of the needle inserted into the arterial limb of the arteriovenous fistula (AVF) on puncture pain and postremoval bleeding time. Methods: This study, using a single-blind crossover design, was conducted on 35 maintenance hemodialysis patients who had been dialyzed for at least 6 months and in whom blood access was via an AVF. AVF cannulation was performed with the needle bevel pointing upward in the first six sessions and the needle bevel pointing downwards (towards the skin) in the subsequent six sessions. Needles were always inserted in the direction of blood flow. At each dialysis session, cannulation pain was measured using a visual analog scale (VAS), and the bleeding time at the end of dialysis after needle removal was recorded. Findings: The VAS score and postremoval bleeding time were lower when the needle bevel pointed downwards towards the skin during insertion (P < 0.05). Discussion: Insertion of the needle with the bevel pointed downward decreased puncture pain during cannulation and bleeding time postdialysis on needle removal. © 2022 International Society for Hemodialysis

An Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu Patients) Delirium Prediction Model in Intensive Care Units in Türkiye

Objective:This methodological study was conducted in order to carry out the adaptation and validation of the “PRE-DELIRIC score” prediction of delirium model in Türkiye among patients hospitalized in the intensive care unit (ICU).Materials and Methods:The research involved 172 patients treated in the intensive care units of a training and research hospital between October 2019 and April 2020. The study data were collected using (1) a data collection form to determine the participants’ descriptive characteristics, (2) the PRE-DELIRIC score, and (3) the Confusion Assessment Method for the ICU (CAM-ICU). Receiver operating characteristic (ROC) analysis and diagnostic screening tests were applied for the purpose of determining cut-off points for the groups. The scores’ sensitivity and specificity were calculated. Significance was evaluated at the p<0.05 level.Results:A statistically significant association was determined between the cut-off point obtained for the PRE-DELIRIC score (≥7.58%) and the study groups (p=0.003). Patients with PRE-DELIRIC scores of 7.58 or higher exhibited a 7.404-fold greater risk of being CAM-ICU-positive [odds ratio: 7.404; 95% confidence interval (CI): 1.638-33.469]. The area under the ROC curve was 64.9% (95% CI: 0.538-0.760), and the standard error was 5.6% (p=0.044).Conclusion:The PRE-DELIRIC score yielded reliable results in this study. It appears significant for patients with a likelihood of developing delirium within the ICU, and its use is recommended as a functional score that is easily applied and calculated

Phlebitis Associated with Peripheric Venous Catheter Development and Knowledge of Nurses on Evidence-Based Practices: Point Prevalence Study

Amaç: Cerrahi kliniklerde flebit prevalansını, etkileyen faktörlerive hemşirelerin periferik venöz kateter (PVK) ilişkili enfeksiyonlarınönlenmesi konusunda kanıta dayalı uygulamalara ilişkin bilgidüzeylerini belirlemektir. Gereç ve Yöntemler: Prospektif gözlemselve tanımlayıcı tipte tek günlük nokta prevalans çalışması, Ocak-Mart2019 tarihleri arasında bir eğitim ve araştırma hastanesinin yetişkin cerrahiservislerinde yatarak tedavi gören 103 hasta ve bu birimlerde çalışan159 hemşire ile yürütüldü. Verilerin toplanmasında katılımcılarıntanıtıcı özelliklerine ilişkin soru formu, PVK ilişkili flebit değerlendirmeformu, flebit tanılama skalası ile PVK ilişkili enfeksiyonları önlemeyeyönelik soru formu kullanıldı. Bulgular: Hastaların yaşortalaması 51,17±19,60 yıl ve %59,2’si (n=61) erkektir. Hastaların%24,3’ünde (n=25) flebit semptomları geliştiği saptandı. İntravenözantibiyotik tedavisi alan (p=0,003), total parenteral beslenme solüsyonuverilen (p=0,001), aynı damara girişim sıklığı birden fazla olan(p=0,027) hastalarda flebit semptomları görülme sıklığı daha fazlaydı.Yaş ortalaması yüksek olan hastalarda (p=0,023) ve kateter takılma süresiortalaması daha uzun olanlarda (p=0,001) daha fazla flebit görüldü.Hemşirelerin yaş ortalaması 38,21±17,69 yıl ve çoğunluğu(%71,7, n=114) lisans mezunudur. Hemşirelerin PVK ilişkili enfeksiyonlarıönlemeye yönelik soru formu puan ortalaması 4,51±1,67olarak saptandı. Sonuç: Cerrahi kliniklerde tedavi gören PVK olanhastaların dörtte birinde flebit semptomları geliştiği, hemşirelerinPVK ilişkili enfeksiyonların önlenmesinde kanıta dayalı uygulamalarkonusunda bilgi düzeylerinin düşük olduğu saptandı.Objective: To determine the phlebitis prevalence and affecting factors and the knowledge of nurses on evidence-based practices related to avoiding peripheric venous catheter (PVC) associated infections in surgical clinics. Material and Methods: This cross-sectional prospective observational point prevalence study was conducted in adult surgical wards of a training and research hospital, in June-March 2019. The sample consisted of 103 patients with peripheric venous catheter and 159 nurses working in surgical clinics. The data was collected by “Phlebitis Scale”, “Questionnaire for Avoiding Infections Associated with PVC” and data collection forms developed by researchers. Results: Mean age of patients was 51.17±19.60 years and 59.2% (n=61) were male. Phlebitis associated with peripheric venous catheter prevalence was 24.3% (n=25). Phlebitis frequency was higher in patients who were given intravenous antibiotics (p=0.003), who were given total parenteral nutrition solution (p=0.001), who had multiple interventions on the same vein (p=0.027). Phlebitis frequency was higher in patients with higher mean age (p=0.023) and patients who had longer mean catheterization time (p=0.001). Mean age of nurses was 38.21±17.69 years and the majority of them (71.7%, n=114) had bachelor’s degree. In assessment of knowledge of nurses on avoiding phlebitis, mean correct answer was 4.51±1.67 over 10 questions. Conclusion: It is found that in the surgical clinics one fourth of patients with PVC had phlebitis symptoms associated with PVC and the knowledge of nurses on evidence-based practices for avoiding PVC associated infections was not at desired levels

Are Intensive Care Unit Patients Undergoing Enteral Nutrition Therapy Sufficiently Fed? A Prospective, Descriptive Study

Underfeeding is prevalent in intensive care unit (ICU) patients receiving enteral nutrition (EN). This study aimed to investigate whether ICU patients were fed adequately on the third day of EN. One hundred ten patients who were hospitalized in the 3 mixed ICUs were evaluated for nutrition adequacy. Patient nutritional status was monitored by a nutrition support team. Nutrition provision was found to be adequate in 95.5% (n = 105) and inadequate in 4.5% (n = 5) of patients. A multidisciplinary approach should be employed to ensure that patients receive maximum benefit from EN.WOS:0006365387000052-s2.0-8510401498

The reliability and validity of the Turkish version of the postdialysis fatigue scale

Aim Haemodialysis (HD) commonly leads to postdialysis fatigue (PDF) and, thus, worsens the quality of life and the clinical outcomes. The aim of this study was to translate, linguistically validate and determine the psychometric properties of the Postdialysis Fatigue Scale for Turkish patients with HD. Study Design A methodological study. Methods The standard lingual translation and validation methods for the initial translation of the PDF Scale and then assessed the psychometric properties of reliability and validity of the translated scale. Visual analogue scale (VAS) and Piper Fatigue Scale were used to assess concurrent and construct validity. In addition, postdialysis recovery time was used it as an indirect measurement method for PDF. Results A total of 93 patients participated in the study. The Cronbach's alpha coefficient of PDF was 0.773. There was a statistically significant relationship between the test and retest scores (ICC: 0.973; P < .001). PDF Scale was acceptable with 11 items. There was a positive correlation with a statistically significant relationship was present between the PDF scores and Piper Fatigue Scale (r = .488; P < .001) and VAS score (r = .656; P < .001). There was a statistically significant positive correlation between the PDF Scale and the postdialysis recovery time (r = .270; P = .009), Conclusion The study results have shown that the Turkish form of the PDF Scale is a valid and reliable tool in patients undergoing HD treatment. Postdialysis recovery time may be used as an indirect measurement method to evaluate PDF.WOS:0006979484000012-s2.0-85115191742PubMed: 3452524

Antimuscarinic-Induced Convulsions in Fasted Rats after Food Intake: EEG Patterns of Fasting, Scopolamine Treatment, and Convulsions

Objective:Antimuscarinic treatment in fasted mice and rats causes clonic convulsion soon after food intake. This study was designed to evaluate the electrophysiological markers of these convulsions and fasting in electrocorticograms in rats.Methods:Male Wistar albino rats were stereotaxically implanted with 10 cortical electrodes, and baseline electroencephalogram recordings were taken for 10 minutes. After weighing, rats were deprived of food for 52 hours. At the 24th and 52nd hours of deprivation, continuous electroencephalogram recordings were repeated. After the deprivation period, animals were treated with saline or scopolamine (3 mg/kg). Twenty minutes after injections, animals were given food pellets. After eating food, electroencephalogram recordings were taken for 60 minutes and all animals were observed simultaneously to determine the incidence and onset of convulsions.Results:These results show that food deprivation for 52 hours decreased the amplitude of the gamma band when compared to basal (P <.05) and 24 hours (P <.008) food deprivation. And the amplitude of the beta band in the 52nd hour decreased when compared to the 24th hour of food deprivation (P <.05). The treatment with scopolamine changes the effects of food deprivation on the electroencephalogram. As a typical epileptiform manifestation, refeeding after scopolamine treatment caused a series of high-voltage polyspikes and synchronized spikes with a predominant frequency in the 1-3 Hz range.Conclusions:It was revealed that the behavioral patterns of rats and the electroencephalogram properties in these convulsions are in accordance with each other

The effect of chewing gum on dry mouth, interdialytic weight gain, and intradialytic symptoms: A prospective, randomized controlled trial

Introduction The major salivary glands can be stimulated by chewing gum to increase saliva flow and decrease xerostomia. The aim of this study was to investigate the effect of chewing gum on dry mouth, interdialytic weight gain, and intradialytic symptoms in hemodialysis (HD) patients. Methods This prospective randomized controlled single-blind study was conducted with patients who had been treated for at least 6 months with sessions 3 days a week for 4 hours at two HD units. Patients were randomly allocated to chewing gum group or the control group. In the chewing gum group, gum was chewed for 10 minutes six times a day, and when the patients felt mouth dryness or were thirsty. In the nonchewing gum group, gum was not chewed. The patients were followed-up for 3 months. A total of three saliva samples were taken before starting treatment at the first, 12th, and 36th HD session. Data were collected with the Visual Analogue Scale (VAS), Hemodialysis Patients Fluid Control Scale, Dialysis Symptom Index, and Hospital Anxiety and Depression Scale at baseline, week 4, week 8, and week 12. Findings The study was completed with a total of 44 patients consisting of 22 patients in the each group. The second and third month VAS values (xerostomia) of the patients in the chewing gum groups were statistically significantly lower than those in the control group (P= 0.014,P < 0.001, respectively). The third month salivary flow rate in the chewing gum group was higher than the values in the control group patients (P < 0.001). Discussion It is anticipated that this study will raise nurses' awareness of dry mouth and encourage future studies on interventions to increase the salivary flow rate to prevent or treat dry mouth.WOS:0005735100000012-s2.0-85091685126PubMed: 3299623

Relationship between arteriovenous fistula cannulation practices and dialysis adequacy: A prospective, multicenter study

Background Successful arteriovenous fistula cannulation ensures maximum patient benefit in the haemodialysis procedure. Objective The aim of this study was to determine the effect of various cannulation methods used for arteriovenous fistulas on dialysis adequacy. Design It is a descriptive, cross-sectional and multicenter study. Participants A total of 164 dialysis patients from four dialysis centers were included. Measurements Data were collected by determining patients' characteristics and the arteriovenous fistula cannulation method used, in addition to recording the Kt/V and urea reduction ratio values to evaluate dialysis adequacy. The mean Kt/V and urea reduction ratio values over 3 months after dialysis initiation were used. This trial is registered with , NCT04270292. Results Cannulation with the puncture method was used in 53% of the patients; the fistula needles were inserted in the antegrade direction in 43.9% of the patients; the arterial needle was rotated after fistula needle placement in 63.4% of the patients; and the arterial and venous needles were on the same vascular line in 15.2% of the patients. Placement of the fistula needle in the antegrade direction increased the Kt/V value 0.164 times (95% confidence interval: 0.002-0.212, p = .047). Conclusion Antegrade placement could be a factor influencing dialysis adequacy. We suggest antegrade interventions to the fistula to maximize the patient benefit from the haemodialysis treatment.WOS:0006111903000012-s2.0-85099912817PubMed: 3349274