Primiparların bebek sağlığı hakkındaki bilgi düzeyleri ve demografik özelliklerle ilişkisi (Konya, Türkiye)

This study was performed to determine the primiparas knowledge level on subjects related infant health and its relationship with their demographic features. This descriptive and cross-sectional study was included 322 primiparas who were delivered in ; Maternity and Child Hospital in ; city-center, in turkey. Data were collected by using a questionnaire which concerns the demographic features, antenatal care and thirty subjects related infant health for measurement of mothers; knowledge level. Of the primiparas, 22% was nineteen years old and lower and educational level of 72% of them was primary school. Mothers; knowledge scores were 44.6+/-12.4 in hundred points in all subjects. There was significant relationship between primiparous mothers educational level, her husbands educational level, number of the antenatal monitoring and total knowledge point related infant health and knowledge scores on infant feeding and infectious diseases. Nominee mothers general educational level must be raised and the frequency of the antenatal monitoring must be increased because primiparas knowledge level on infant health is inadequate in Turkish population.Amaç: Bu çalışma, primipar annelerin bebek sağlığı ile ilgili konularda bilgi düzeylerini ve onların demografik özellikleri ile ilişkisini tanımlamak için yapıldı. Yöntem: Bu tanımlayıcı ve kesitsel çalışma, Konya il merkezinde Dr.Faruk Sükan Doğum ve Çocuk Hastanesinde doğum yapan 322 primi par anneye uygulandı. Veriler demografik özellikler, antenatal bakim ve annelerin bilgi düzeylerini ölçmek için bebek sağlığına ilişkin 30 konu ile ilgili bir soru formu kullanılarak toplandı. Bulgular: Primipar annelerin %22'si 19 yaş ve altında ve %72'sinin eğitim düzeyi ilkokuldu. Annelerin bilgi puanı bütün konularda yüz puan üzerinden 44.6±12.4'dü. Primipar annelerin eğitim düzeyleri, eşlerin eğitim düzeyi, doğum öncesi izlem sayıları ile bebek beslenmesi bilgi puanı, enfeksiyon hastalıkları bilgi puanı ve bebek sağlığına ilişkin toplam bilgi puanı arasında önemli ilişki vardı. Sonuç ve öneriler: Türk toplumunda, primipar annelerin bebek sağlığı hakkında bilgi düzeylerinin yetersizliğinden dolayı anne adaylarının genel öğrenim düzeyleri yükseltilmeli ve doğum öncesi izlem sıklığı artırılmalıdır

Monitoring of pregnant and infants in Konya district before and after transformation in health-care system

Objectives: The study was aimed to assess whethermonitoring of pregnant women and infants were appropriateaccording to the protocols in the field.Materials and methods: This cross-sectional study wasperformed in Konya city center. In 2006, sample size wascalculated for pre-natal care in urban population (n=175).Same sample size was used as a base for infants. Theneighborhoods from which the clusters were to be takenwere selected randomly. Same sample size and progresswere also used in 2011. Data were collected by face-tofaceinterview with the pregnant and mothers.Results: The average week of pregnancy was 25±9. Thepercentage of unmonitored pregnant was 23% in 2006and 7% in 2011 (P<0.001). The median of monitoringwere 2 and 3 in 2006 and 2011 respectively (P<0.001).The percentage of pregnant monitoring in accordancewith monitoring protocol of Ministry of Health in terms ofcorrect timing and proper numbers was 51% in 2006 and79% in 2011 (P<0.001). Total antenatal care increasedfrom 91% to 99% in five years (P<0.01). The mean ageof infants involved into the study was 6±3 months. Thepercentage of unmonitored infants was 6% in 2006 and2% in 2011 (P<0.01). The median of monitoring was 3 in2006 and 4 in 2011 (P<0.01). The percentage of monitoringproper to the time intervals stated in protocols decreasedfrom 33% to 18% (P<0.01).Conclusion: While most parameters of pregnant andinfant monitoring increased in urban population, the percentageof in-time monitoring decreased

Vitamin B12 Levels of Subjects Aged 0-24 Year(s) in Konya, Turkey

Research reports indicate that vitamin B12 levels show racial differences, which suggests that using the reference ranges of varied populations may lead to inaccurate results. This study aimed to determine normal serum levels of vitamin B12 among children and young people in the Konya region of Turkey. It evaluated 1,109 samples; 54 were from cord-blood and 1,055 were from healthy subjects aged 0-24 year(s), who were admitted to primary healthcare centres. The normal reference levels obtained for vitamin B12 at 2.5-97.5 percentile (P2.5-P97.5) range were 127-606 pg/mL for girls, 127-576 pg/mL for boys, and 127-590 pg/mL for the entire study group. The reported reference values for vitamin B12 in other studies were higher than the current results. Vitamin B12 levels vary from country to country; comparisons between countries may not be valid, and normal levels for each population should be obtained

Ebelik ve hemşirelik son sınıf öğrencilerinin hasta güvenliği ve tıbbi hatalar konusundaki tutumu

Amaç: Bu betimleyici çalışma, ebelik ve hemşirelik son sınıf öğrencilerinin hasta güvenliği ve tıbbi hatalar hakkındaki bilgi ve tutumlarının değerlendirilmesi amacıyla yapıldı. Yöntem: Araştırma, 2009 yılında Konya’da ebelik ve hemşirelik lisans son sınıf öğrencilerinde uygulandı. Veri toplama sürecinde okulda bulunan 45 ebelik, 50 hemşirelik öğrencisi örnekleme alındı. Veriler 24 soruluk anket formu kullanılarak toplandı. Bulgular: Araştırmaya katılan öğrencilerin yaş ortalaması 22±1 idi. Ebe ve hemşire adaylarınca, kendileriyle ilgili olarak, % 37’sinin stajları sırasında tıbbi hata yaptıkları, hataların yarıdan çoğunun % 59 ilaç hataları olduğu, yapılan hataların % 12’sinde hastaların zarar gördüğü, ancak çoğunlukla % 71 hataları rapor etmedikleri ifade edildi. Staj arkadaşları için ise bu oranları daha yüksek olarak bildirdiler. Tıbbi hataları en sık hekimlerin yaptığı % 38 belirtildi. Sonuç: Ebe ve hemşire adaylarının tıbbi hata yapma oranı yüksek, hata bildirimi ise düşüktür. Tıbbi hataları önlemede müfredatta hasta güvenliği eğitiminin daha fazla yer alması, hasta güvenliğine katkı sağlayabili

Validity and reliability of Turkish version of "Hospital Survey on Patient Safety Culture" and perception of patient safety in public hospitals in Turkey

<p>Abstract</p> <p>Background</p> <p>The Hospital Survey on Patient Safety Culture (HSOPS) is used to assess safety culture in many countries. Accordingly, the questionnaire has been translated into Turkish for the study of patient safety culture in Turkish hospitals. The aim of this study is threefold: to determine the validity and reliability of the translated form of HSOPS, to evaluate physicians' and nurses' perceptions of patient safety in Turkish public hospitals, and to compare finding with U.S. hospital settings.</p> <p>Methods</p> <p>Physicians and nurses working in all public hospitals in Konya, a large city in Turkey, were asked to complete a self-administrated patient safety culture survey (n = 309). Data collection was carried out using the Turkish version of HSOPS, developed by Agency for Healthcare Research and Quality (AHRQ). Data were summarized as percentages, means, and SD values. Factor analysis, correlation coefficient, Cronbach's alpha, ANOVA, and t tests were employed in statistical analyses. Items on patient safety were categorized into 10 factors. Factor loadings and internal consistencies of dimension items were high.</p> <p>Results</p> <p>Most of the scores related to dimensions, and the overall patient safety score (44%) were lower than the benchmark score. "Teamwork within hospital units" received the highest score (70%), and the lowest score belonged to the "frequency of events reported" (15%). The study revealed that more than three quarters of the physicians and nurses were not reporting errors.</p> <p>Conclusion</p> <p>The Turkish version of HSOPS was found to be valid and reliable in determining patient safety culture. This tool will be helpful in tracking improvements and in heightening awareness on patient safety culture in Turkey.</p

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Nurses’ working motivation sources and related factors: A questionnaire survey

Background: Motivation is an important issue for personnel management in health care settings, as it is related to both performance and intention to quit. Objectives: The study was aimed to determine nurses’ working motivation sources and related factors in hospitals. Design: Descriptive study. Settings: A state university hospital and a public hospital in Turkey. Participants: Two hundred and two nurses were randomly selected from each department in a university and in a public hospital. Methods: Data were collected using a socio-demographic questionnaire and the Motivation Sources Inventory and were analyzed using descriptive and inferential statistics. Results: Among five motivation sources, internal self-concept-based motivation was the highest and intrinsic process motivation was the lowest in nurses. There was a significant relation between scores of some motivation sources and managerial experience, income level, satisfaction from the unit, staff roles, and perception of work stress. Conclusions: Intrinsic process motivation, instrumental motivation, and external self-concept-based motivation sources may be improved to increase nurses’ total motivation

The relationship between breastfeeding alone for the first six months and monitoring monthly and breastfeeding training reinforcement of mother by nurse in infants

Amaç: Araştırma, aylık izlemi ve pekiştirici hemşirelik eğitiminin annelerin bebeklerini ilk 6 ay sadece anne sütü ile besleme durumuna etkisini araştırmak amacıyla yapıldı. Yöntem: Çalışma evreni Giresun Doğum ve Çocuk Bakımevi Hastanesinde doğum yapan annelerden doğan bebeklerdi. İki ay boyunca doğan, annesi il merkezinde oturan ve genel durumu iyi olan 100 bebek kontrol ve 93 bebek izlem (müdahale) grubu olarak araştırmanın örneklemini oluşturdu. Veri toplama aracı olarak anket ve izlem formu kullanıldı. Kontrol grubuna rutin hastane hizmetleri verildi ve 6. ayda ziyaret edildi. İzlem grubu anneleri ise doğum anından itibaren hemşire desteği aldı, bebekleri emzirtildi, bilgilendirme kitapçıkları verildi ve ilk altı aylık dönemde her ay ziyaret edilerek hemşirelik eğitimi ve büyüme izlemi yapıldı. Bulgular: Kontrol ve izlem grubu bebeklerin anneleri demografik özellikler bakımından benzerdi. İzlem grubundaki annelerin bebeklerinin ilk altı ay sadece anne sütü ile beslenme oranı % 21.5, kontrol grubunda ise % 9.0 olarak gözlendi. Her ay izlem yapılması ilk altı ayda yalnızca anne sütü ile besleme oranını izlenmeyenlere göre yaklaşık 3 kat; eşin öğrenim düzeyinin ilkokuldan yüksek olması 3 ve sağlık ocağı ebe/hemşiresince gebelikte ev ziyareti alınması 2.4 kat artırmakta idi. Sonuç: Hastanede başlayarak her ay devam eden izlem ve pekiştirici hemşirelik eğitiminin ilk altı ayda sadece anne sütü verme oranı üzerinde etkili olduğu kanısına varılmıştır.Objective: This study was carried out to research the effect of monitoring and reinforcement nursing training on mothers feeding their babies on breast milk alone for the first six months. Methods: The sample of this study was a control group (n100) and an observation (intervention) group (n93) consisted of mothers with healthy babies who had given birth at Giresun Maternity and Child Hospital and who lived in the provincial centre. A questionnaire and observation form was used as data collection instruments. The control group was given routine hospital services and was visited in the 6th month. The mothers in the observation group were given nursing training by receiving the support of a nurse from birth, being made to breastfeed their babies, being given informative pamphlets and being visited every month for the first six months to observe development. Results: The mothers in both groups were similar demographically. While 21.5% of mothers in the observation group fed their babies on breast milk alone during the first six months, the rate in the control group was 9.0%. The rate of feeding with breast milk alone during the first six months in the mothers who were observed every month was 3 times more than that of the mothers who were not observed. And also, this ratio was true for those whose husbands were educated beyond primary level. In addition that mothers received home visits in their pregnancy were 2.4 times other than. Conclusion: Monitoring together with breastfeeding training by nurse which began at hospital and continued over 6 months were considered to be effective on breastfeeding alone for the first six months

Prevalence Of Depressive Symptoms In Turkish Adolescents

Aim: To determine the prevalence of depressive symptoms in ado-lescents and explore the association of socio-demographic factors with depression. Methods : A cross-sectional study was performed in the city center of Konya, Turkey, and included all of seventh grade children in primary schools with census method. The mean age of participants was 13.6±0.7 (range 12 to 16). The data were collected with self-administered Children′s Depression Inventory (CDI) which contains 27 items, and socio-demographic questionnaire in classrooms. Results : Of the 7602, 9.9% second part elementary school students reported depressive symptoms. There were relationships between adolescent depression and gender (OR= 2.35 for girls), age (OR= 1.67 for 15≤), low school performance (OR= 2.11), smoking of father (OR= 1.27), chronic disease of mother (OR= 1.71), chronic disease of father (OR= 1.49), family income (OR= 1.44 for poor), and father′s profession (OR= 0.69 for self-employed). Depression rate was 22.9% among the children who had lost their mother and 19.1% on the child whose parents were separated. Depression ratio was low in children whose fathers were self-employed profession-als (8.4%). Conclusion : In adolescence period, especially girls and their par-ents should be educated about depression and the children′s school performance should be improved. The economic status of poor families and health services should be strengthened. With the help of school guiding services, the fathers who smoke should be warned