The effects of health education given by nurses to COPD patients on the daily oxygen concentrator usage time

INTRODUCTION: Long-term oxygen therapy is the most effective method which has been shown to prolong the lifespan in people with COPD. The aim of the study was to investigate the effects of health education given by nurses to patients with COPD on the daily oxygen concentrator (OC) usage time. MATERIAL AND METHODS: The study was carried out in a State Hospital, Turkey, between July and November 2015. After given consent to the study, participants were divided into intervention and control groups by simple random sampling method. Then data forms were filled during face-to-face interview. Firstly, the data describing patients’ arrival times were collected retrospectively. Afterwards, the patients from the intervention group were educated through educational booklets prepared by the researchers. They were phoned in the weeks 4, 8 and 12th for problems they might have encountered during the use of OC. After the 14th week, data forms of patients from the both groups were filled again; the results were compared with previous clinical findings. Data were analysed using SPSS 15.0 for Windows. RESULTS: It was determined that 95.5% of patients did not get information about the use of OC. Daily OC usage time (hour) by patients in the intervention group firstly amounted to 5.69 ± 3.90, later on to 11.94 ± 4.73 (p < 0.05). Whereas when clinical findings concerning pre- and post educational periods were compared; a significant improvement in PaO2, PaCO2, FEV1 and SaO2 of patients in the intervention group (p<0.05) was shown, contrary to the control group. CONCLUSIONS: It may be recommended that patients receive continuous education and close monitoring of their results.INTRODUCTION: Long-term oxygen therapy is the most effective method which has been shown to prolong the lifespan in people with COPD. The aim of the study was to investigate the effects of health education given by nurses to patients with COPD on the daily oxygen concentrator (OC) usage time. MATERIAL AND METHODS: The study was carried out in a State Hospital, Turkey, between July and November 2015. After given consent to the study, participants were divided into intervention and control groups by simple random sampling method. Then data forms were filled during face-to-face interview. Firstly, the data describing patients’ arrival times were collected retrospectively. Afterwards, the patients from the intervention group were educated through educational booklets prepared by the researchers. They were phoned in the weeks 4, 8 and 12th for problems they might have encountered during the use of OC. After the 14th week, data forms of patients from the both groups were filled again; the results were compared with previous clinical findings. Data were analysed using SPSS 15.0 for Windows. RESULTS: It was determined that 95.5% of patients did not get information about the use of OC. Daily OC usage time (hour) by patients in the intervention group firstly amounted to 5.69 ± 3.90, later on to 11.94 ± 4.73 (p < 0.05). Whereas when clinical findings concerning pre- and post educational periods were compared; a significant improvement in PaO2, PaCO2, FEV1 and SaO2 of patients in the intervention group (p<0.05) was shown, contrary to the control group. CONCLUSIONS: It may be recommended that patients receive continuous education and close monitoring of their results

Wpływ edukacji zdrowotnej prowadzonej przez personel pielęgniarski na czas używania koncentratora tlenu w ciągu doby przez chorych na przewlekłą obturacyjną chorobę płuc

WSTĘP: Długotrwała tlenoterapia domowa jest najbardziej efektywną metodą leczenia, wydłużającą życie chorych na przewlekłą obturacyjną chorobę płuc (POChP). Celem badania była ocena wpływu edukacji zdrowotnej prowadzonej przez pielęgniarki na czas stosowania koncentratora tlenu w ciągu doby przez chorych na POChP. MATERIAŁ I METODY: Badanie przeprowadzono w szpitalu w Turcji (State Hospital), pomiędzy lipcem a listopadem 2015 roku. Uczestnicy, po wyrażeniu pisemnej zgody, przydzielani byli losowo do grupy badanej (grupa z interwencją) lub kontrolnej (grupa bez interwencji). Specjalnie przygotowane ankiety wypełniano w trakcie bezpośredniej rozmowy z pacjentem. W pierwszej kolejności, retrospektywnie pozyskiwano informacje na temat danych wyjściowych. Następnie pacjenci z grupy badanej odbywali szkolenie, które prowadzono za pomocą specjalnie przygotowanych przez zespół badaczy materiałów. W 4., 8. i 12. tygodniu przeprowadzono z uczestnikami rozmowy telefoniczne, w czasie których omawiano problemy związane ze stosowaniem koncentratora. Po upływie 14 tygodni ponownie wypełniono ankiety, a uzyskane wyniki porównano z wyjściowymi. Analizę danych przeprowadzono za pomocą programu SPSS 15.0 for Windows. WYNIKI: Stwierdzono, że 95,5% pacjentów nie uzyskało wcześniej informacji na temat używania koncentratora tlenu. Czas stosowania koncentratora w ciągu doby przez pacjentów z grupy badanej wynosił początkowo 5,69 ± 3,90 godziny i wzrósł do 11,94 ± 4,73 godziny (p < 0,05). Gdy porównano wyniki z okresu przed i po zastosowaniu edukacji, stwierdzono istotny wzrost PaO2, PaCO2, FEV1 i SaO2 u chorych z grupy badanej (p < 0,05), a efektu tego nie obserwowano w grupie kontrolnej. WNIOSKI: Uzyskane wyniki upoważniają do zarekomendowania ciągłej edukacji dotyczącej zasad tlenoterapii domowej i monitorowania jej efektów.WSTĘP: Długotrwała tlenoterapia domowa jest najbardziej efektywną metodą leczenia, wydłużającą życie chorych na przewlekłą obturacyjną chorobę płuc (POChP). Celem badania była ocena wpływu edukacji zdrowotnej prowadzonej przez pielęgniarki na czas stosowania koncentratora tlenu w ciągu doby przez chorych na POChP. MATERIAŁ I METODY: Badanie przeprowadzono w szpitalu w Turcji (State Hospital), pomiędzy lipcem a listopadem 2015 roku. Uczestnicy, po wyrażeniu pisemnej zgody, przydzielani byli losowo do grupy badanej (grupa z interwencją) lub kontrolnej (grupa bez interwencji). Specjalnie przygotowane ankiety wypełniano w trakcie bezpośredniej rozmowy z pacjentem. W pierwszej kolejności, retrospektywnie pozyskiwano informacje na temat danych wyjściowych. Następnie pacjenci z grupy badanej odbywali szkolenie, które prowadzono za pomocą specjalnie przygotowanych przez zespół badaczy materiałów. W 4., 8. i 12. tygodniu przeprowadzono z uczestnikami rozmowy telefoniczne, w czasie których omawiano problemy związane ze stosowaniem koncentratora. Po upływie 14 tygodni ponownie wypełniono ankiety, a uzyskane wyniki porównano z wyjściowymi. Analizę danych przeprowadzono za pomocą programu SPSS 15.0 for Windows. WYNIKI: Stwierdzono, że 95,5% pacjentów nie uzyskało wcześniej informacji na temat używania koncentratora tlenu. Czas stosowania koncentratora w ciągu doby przez pacjentów z grupy badanej wynosił początkowo 5,69 ± 3,90 godziny i wzrósł do 11,94 ± 4,73 godziny (p < 0,05). Gdy porównano wyniki z okresu przed i po zastosowaniu edukacji, stwierdzono istotny wzrost PaO2, PaCO2, FEV1 i SaO2 u chorych z grupy badanej (p < 0,05), a efektu tego nie obserwowano w grupie kontrolnej. WNIOSKI: Uzyskane wyniki upoważniają do zarekomendowania ciągłej edukacji dotyczącej zasad tlenoterapii domowej i monitorowania jej efektów

Report on SHAFE policies, strategies and funding

The objective of Working Group (WG) 4 of the COST Action NET4Age-Friendly is to examine existing policies, advocacy, and funding opportunities and to build up relations with policy makers and funding organisations. Also, to synthesize and improve existing knowledge and models to develop from effective business and evaluation models, as well as to guarantee quality and education, proper dissemination and ensure the future of the Action. The Working Group further aims to enable capacity building to improve interdisciplinary participation, to promote knowledge exchange and to foster a cross-European interdisciplinary research capacity, to improve cooperation and co-creation with cross-sectors stakeholders and to introduce and educate students SHAFE implementation and sustainability (CB01, CB03, CB04, CB05). To enable the achievement of the objectives of Working Group 4, the Leader of the Working Group, the Chair and Vice-Chair, in close cooperation with the Science Communication Coordinator, developed a template (see annex 1) to map the current state of SHAFE policies, funding opportunities and networking in the COST member countries of the Action. On invitation, the Working Group lead received contributions from 37 countries, in a total of 85 Action members. The contributions provide an overview of the diversity of SHAFE policies and opportunities in Europe and beyond. These were not edited or revised and are a result of the main areas of expertise and knowledge of the contributors; thus, gaps in areas or content are possible and these shall be further explored in the following works and reports of this WG. But this preliminary mapping is of huge importance to proceed with the WG activities. In the following chapters, an introduction on the need of SHAFE policies is presented, followed by a summary of the main approaches to be pursued for the next period of work. The deliverable finishes with the opportunities of capacity building, networking and funding that will be relevant to undertake within the frame of Working Group 4 and the total COST Action. The total of country contributions is presented in the annex of this deliverable

The effect of three different solutions on preventing oral mucositis in cancer patients undergoing stem cell transplantation: A non-randomized controlled trial: A Turkish study

OBJECTIVE: To evaluate the effect of different solutions administered to patients undergoing stem cell transplantation on oral mucositis. METHODS: The non-randomised controlled trial was conducted at a Istanbul Medipol Mega university hospital in Turkey between May 2014 and June 2016, and comprised patients undergoing stem cell transplantation. They were divided into three groups. Group 1 had patients using chlorhexidine gluconate and benzydamine hydrochloride solution. Group 2 had those using calcium and phosphate solution. Group 3 patients were using black mulberry syrup. Data was collected using a structured questionnaire and the World Health Organisation mucositis assessment scale. Assessment was done on days 7, 14 and 21. Clinical significance of oral solutions was statistically determined. RESULTS: Of the 83 patients, 30(36%) were in group 1, 28(34%) in group 2, and 25(30%) in group 3. On day 7, there was no significant difference in terms of grades among the groups (p>0.05). On day 14, grade 2 mucositis was seen in 2(8%) patents in group 3, 5(17.9%) in group 2 and 5(16.7%) in group 1; Grade 3 mucositis was seen in 2(6.7%) patients in group 1, but none in the other two groups. On day 21, grade 3 mucositis was present in 2(8.0%) in group 3, 2(7.1%) in group 2, and 4(13.3%) in group 1. CONCLUSIONS: The use of black mulberry and calcium-phosphate solutions was found to be beneficial in preventing and treating oral mucositis

Effect of three different solutions used in patients with hematological malignity on oral mucositis

...European Society for Blood and Marrow Transplantatio

Health-related quality of life in ankylosing spondylitis, fibromyalgia syndrome, and rheumatoid arthritis: a comparison with a selected sample of healthy individuals

In this study, we compared health-related quality of life (HRQoL) scores of patients with rheumatoid arthritis (RA), fibromyalgia syndrome (FS), or ankylosing spondylitis (AS), with those of a selected sample of healthy individuals. The study group comprised 530 patients (264 with RA, 149 with FS, and 117 with AS). Three hundred fifteen healthy controls were used for comparison. HRQoL scores were obtained using the Short-Form (SF)-36 Health Survey. Frequency, mean, correlation, and multiple regression analyses were performed; in addition to the Student's t test, one-way ANOVA test, Kruskal-Wallis test, and chi-square test. The average physical component summary (PCS) and mental component summary (MCS) scores of patients in the RA, FS, and AS groups were much lower than those in the control group (p<0.05). In all three patient groups, the lowest PCS score was found in the RA group, and the lowest MCS score was found in the FS group. The PCS scores of RA patients with disease-related changes in daily activities and the MCS scores of FS patients were lower (p<0.05). In the three patient groups, the quality of life (QoL) of university graduates and those with a high level of income was good, whereas the QoL of patients who lacked information about the disease was poor. This study shows that AS, FS, and RA have a negative impact on HRQoL. Evaluating the HRQoL of patients with these conditions may provide guidance on their treatment and care

Workplace Bullying in Nursing

This research was designed to determine whether nurses are bullied by other staff members and the effects of such behaviors on the nurse victims. This study reports on nurses' interpersonal workplace relationships in a culturally unique environment. The study was conducted with 260 nurses working in three public hospitals. Data were collected using a questionnaire. The majority of nurses were female with bachelor's degrees and reported being assigned duties outside their usual responsibilities, held responsible for coworkers' mistakes, and criticized for job performance although they thought they had done their work properly. Most of the nurses who were bullied experienced health and sleep problems, did not want to go to work, and had communication problems with other staff members. Nearly all of the study nurses received psychological support to solve their problems and believed that the best way to prevent bullying was education