Investigation of experimental theses in nursing on the management of nausea and vomiting related to chemotherapy

Amaç: Bu sistematik incelemede, kemoterapiye bağlı gelişen bulantı-kusma semptomu yönetimine ilişkin Türkiye’de hemşirelik alanında yapılmış deneysel lisansüstü tez çalışmalarının gözden geçirilmesi amaçlanmıştır. Yöntem: Bu çalışmada, Yüksek Öğretim Kurumu Ulusal Tez Merkezi veri tabanında 01.01.2010-31.12.2020 tarih aralığında “kemoterapi ve semptom”, “kemoterapi ve bulantı-kusma” anahtar kelimeleri kullanılarak tarama yapılmıştır. Araştırmaya hemşirelik alanında yapılan ve tamamına erişilebilen, örneklemi 18 yaş ve üzeri olan, yayın dili Türkçe olan, deneysel tipte yapılan ve içeriğinde bulantı-kusma semptomu yer alan toplam 23 tez çalışması dahil edilmiştir. Bulgular: İncelenen tez çalışmaları sonuçlarına göre, hemşireler tarafından bulantı-kusma yönetimine ilişkin hastalara akupresür, solunum egzersizi, progresif gevşeme egzersizi, zencefil, ayak refleksolojisi, aromaterapi, müzik terapi gibi nonfarmakolojik yöntemler uygulandığı ve eğitim verildiği saptanmıştır. Uygulanan solunum egzersizi, zencefil, progresif gevşeme egzersizi, müzik terapi, akupresür, ayak refleksolojisi ve aromaterapi uygulamalarının ve verilen hasta eğitimlerinin bulantı-kusma sayısını ve bulantı şiddetini azalttığı belirlenmiştir. Sonuç: İntegratif yaklaşımlar arasında yer alan refleksoloji, progresif gevşeme egzersizi, solunum egzersizleri vb. uygulamaların ve hasta eğitimlerinin kemoterapiye bağlı bulantı-kusma yönetiminde kullanılabilecek etkili yöntemler olduğu belirlenmiştir.Objective: In this systematic review, it is aimed to review the experimental postgraduate thesis studies conducted in the field of nursing in Turkey on the management of chemotherapy-induced nausea-vomiting symptoms. Methods: In this study, the database of the Higher Education Institution National Thesis Center was searched using the keywords "chemotherapy and symptom", and "chemotherapy and nausea-vomiting" between 01.01.2010-31.12.2020. A total of 23 theses were included in the study, which were made in the field of nursing and were completely accessible, whose sample was 18 years and older, whose publication language was Turkish, which were experimental type, and included the symptoms of nausea-vomiting. Results: According to the examined results of the thesis studies, it was determined that the nurses applied non-pharmacological methods such as acupressure, breathing exercise, progressive relaxation exercise, ginger, foot reflexology, aromatherapy, and music therapy to the patients, and were given training on the management of nausea and vomiting. It was determined that breathing exercise, ginger, progressive relaxation exercise, music therapy, acupressure, foot reflexology and aromatherapy applications, and patient education decreased the number of nausea-vomiting and the severity of nausea. Conclusion: It has been determined that applications such as reflexology, progressive relaxation exercises, respiratory exercises, which are among the integrative approaches, and patient education are effective methods that can be used in the management of chemotherapyinduced nausea-vomiting

HOPE AND LIFE ENGAGEMENT OF CANCER PATIENTS AT THE ADVANCED STAGE

Introduction: Cancer is a clinical tableau in which many complicated physical and psychological problems are encountered and the individual's defense mechanism against the process is often shaken. With the deterioration of the prognosis and the progression of the disease, individuals whose belief in healing is reduced may lose their life engagement and hope. Objective: The purpose of this cross-sectional and descriptive study is to determine the level of hope and life engagement of individuals with advanced stage cancer. Methods: The study was conducted with 74 advanced cancer patients who were hospitalized in the oncology, palliative care and surgery clinics of the Trabzon Kanuni Training and Research Hospital, fulfilled the research criteria and signed informed consent forms out of their free will. The data were collected using the "Demographic Information Form," which included subjective questions, the "Integrative Hope Scale" consisting of four subscales, and the "Life Engagement Scale" in which the level of life engagement was detected. The data were analyzed by using the SPSS program and “ANOVA,” “Independent t-test” and “Correlation test” were used to analyze the relationship between the hope and life engagement scores and variables. The value p<.05 was accepted as statistically significant. Results: The common hope level mean of the patients included in the study was 104.5±6.8 and the common life engagement mean was 23.9±4.9. Correlating the significant differences in the subscales of the scale, the variables affecting the level of hope were determined as " living place, fear of death, and despair," and the variables affecting life engagement were determined as "education status, living place, ruefulness, and needing psychological support." Conclusions: The psychosocial support and solidarity that the individual receives from other individuals in his environment and health care providers positively affects his selfconfidence, hope and life engagement. On the other hand, contrary to the meaning of "I am not afraid of dying," this statement can be considered an expression of giving up on life. Nurses should focus on the messages underlying what the patients say. Key words: Cancer, Hope, Life Engagemen

Incidence of falls among community-dwelling older adults in Turkey and its relationship with pain and insomnia

Aim: The aim of this study was to determine the incidence of falls among community-dwelling older adults and the impact of pain and insomnia on falls. Methods: This cross-sectional study recruited 659 older adults. Pain was assessed by the Geriatric Pain Measure, and insomnia was assessed by the Insomnia Severity Index. The history of falls was assessed within the last 12 months. Risk factors for falls were determined using logistic regression analysis. Results: The incidence of falls within the last year was 37.2%. Based on the analyses, pain and insomnia were found to be risk factors for falls. Conclusion: In this study, falls were observed as a common problem among community-dwelling older adults, and pain and insomnia were determined as risk factors for falls. Therefore, pain and insomnia should be addressed when prevention of falls among community-dwelling older adults are planned by health care professionals including nurses. © 2019 John Wiley & Sons Australia, Lt