Monitoring Food Images After Rectal Surgery To Accelerate Recovery Of Postoperative Bowel Motility: A Quasi-Experimental Study

Objective: Considering the role of nurses in the postoperative care of patients, simple nursing interventions can prevent gastrointestinal motility problems. This study aimed to assess the impact of viewing food images on the recovery of intestinal motility after surgery in patients who were operated for rectal cancer. Methods: This quasi-experimental study was carried out with 48 patients who underwent rectal surgery in the general surgery clinic of a university hospital in Türkiye from May 2016 to December 2018. The control group had 25 participants and the experimental group had 23. From the first morning after surgery until defecation, patients in the experimental group were asked to monitor food pictures thrice a day, parallel to their meals. Results: In the experimental group, patients’ first flatus (3.30 ± 1.52, day) and defecation time (4.91 ± 1.27, day) were significantly shorter compared with the first flatus (4.28 ± 1.64, day) and defecation time (5.84 ± 1.40, day) of the control group (respectively; p = 0.037, p = 0.027). Conclusion: Monitoring food images supports the cephalic phase and could be a nursing intervention to speed up intestinal functions by increasing the release of gastrointestinal hormones and activating the parasympathetic nervous system. To accelerate bowel motility after rectal surgery, displaying the food images to the patients is a very simple intervention with low risk and cost and nurses should use it in the care of the patients who underwent surgery because of rectal cancer. It is recommended that further studies examining the effectiveness of monitoring food images on gastrointestinal surgeries should be performed

The effect of relaxation techniques that taught by the nurses on pain control in patients with upper abdominal surgery

Bu araştırma üst abdominal cerrahi girişim geçiren hastaların ağrı kontrolünde gevşeme egzersizlerinin etkinliğinin değerlendirilmesi amacıyla yapılmıştır. Araştırmanın örneklemini Trakya Üniversitesi Tıp Fakültesi Hastanesi Genel Cerrahi Kliniği'nde Ekim 2006-Haziran 2007 tarihleri arasında üst abdominal cerrahi girişim uygulanmış, postoperatif 1-4. günde bulunan, postoperatif ağrı problemi yaşayan ve araştırmaya katılmayı kabul eden 60 hasta oluşturmuştur. Araştırmanın verileri araştırmacı tarafından geliştirilmiş hasta bilgi formu ve Burford Ağrı Termometresi kullanılarak toplanmış ve progresif gevşeme egzersizleri hastalara uygulatılmıştır. Elde edilen veriler SPSS 10.00 programında yüzde, frekans, Friedman Çift Yönlü Varyans Analizi, Wilcoxon T Testi, Spearman's Korelasyon Analizi ve Nominal by İnterval Eta kullanılarak analiz edilmiştir. Çoklu karşılaştırmaların ayrıntılı incelemesinde Bonferroni düzeltmesi kullanılmıştır.Araştırma sonuçlarına göre gevşeme egzersizi öncesi ve sonrasında ölçülen ağrı düzeyleri arasındaki önemli fark bulunmuştur. Bu farkın yönleri incelendiğinde, hem gevşeme egzersizi sonrası, hem de egzersizden 15 dakika sonraki ağrı düzeylerinin gevşeme egzersizi öncesine göre istatistiksel olarak anlamlı derecede düşük olduğu saptanmıştır. Hastaların postoperatif günleri ilerledikçe deneyimledikleri ağrı düzeyinin azaldığı yönünde istatistiksel bir ilişki saptanmıştır. Ancak bireysel özellikler ve sağlık öyküsü ile ağrı düzeyleri arasında ilişki saptanamamıştır. Araştırmadan elde edilen sonuçlara göre üst abdominal cerrahi girişim geçiren hastalarda gevşeme egzersizleri ağrı kontrolünde önemli bir etkiye sahiptir. Bu doğrultuda postoperatif dönemde ağrı kontrolünü sağlamak amacıyla hastalara gevşeme tekniklerinin öğretilerek uygulatılması önerilebilir.This study has been carried out with the aim of evaluating the efficiency of the relaxation exercises for pain control in patients, who had upper abdominal surgery. Sampling of the study is made up of 60 patients, who had upper abdominal surgery at Trakya University, Faculty of Medicine, General Surgical Department between the dates October 2006-June 2007, who were having the 1st and 4th dates of the postoperation period, who were having postoperative pain problem who admitted being included in the study. Data of the research were collected by using the improved medical history form and Burford Pain Scale and progressive relaxation exercises were carried out by the patients. The data were analysed via SPSS 10.00 programme in percent, frequency, Friedman Variance Analysis, Wilcoxon T Test, Spearman's correlation Analysis and Nominal by Interval Eta. In the detailed investigation of the poly comparion, Bonferroni Correction was used. According to the results of the research an important difference between the levels of pain, taking the pre and post relaxation exercises into consideration, has been found. When the aspects of this difference were investigated it was determined that the levels of pain, 15 minutes after the relaxation exercises, decreased in comparison to the period before the relaxation exercises. But no relation between sociodemographics characteristics, medical history and pain levels has been determined. According to the results of the research it has been determined that, for patients, who have upper abdominal surgery, relaxation exercises have an important effect on pain control. We can suggest that relaxation techniques must be learned and use to the patients in order to get pain control during the postoperative period

The patient safety culture perception of Turkish nurses who work in operating room and intensive care unit

WOS: 000402357400025PubMed ID: 28523040Objective: To determine the patient safety culture perception of operating room and intensive care nurses and the factors affecting this perception. Methods: This descriptive study was conducted on 232 nurses working in a Turkish city hospitals. The data obtained from the nurses were collected using personal information form and Patient Safety Culture Scale (PSCS) from June to July 2015. Results: The total score average of the nurses on the PSCS was 2.58 +/- 0.39. The nurses obtained the highest score on the employee behavior subscale, and the lowest score on the the adverse event reporting system subscale. No significant difference was found between the total score averages of the PSCS of the operating room and intensive care nurses (p>0.05). Conclusion: The patient safety culture score average of the operating room and intensive care nurses was at medium level. In addition, being able to choose the unit in which they worked, working day or night shifts, and being educated on patient safety were found to affect the patients safety cultures of the nurses (P<0.05)

THE RELATIONSHIP BETWEEN USING COMPLEMENTARY-ALTERNATIVE THERAPIES AND QUALITY OF LIFE IN COLORECTAL CANCER PATIENTS

Kolorektal kanserler (KRK) tamamlayıcı alternatif tera-pi (TAT) kullanımının gittikçe arttıg ı bir kanser tu ru -du r.Bu çalışmanın amacı, cerrahi girişim uygulanmış kolorektal kanserli hastalarda, TAT kullanımı ile yaşam kalitesi arasındaki ilişkinin belirlenmesidir.Tanımlayıcı ve ilişki arayıcı bu araştırma, 01 Ocak 2018-31 Eylu l 2018 tarihleri arasında kolorektal kansere ilişkin tedavi su reci devam eden 170 hasta ile yu ru tu lmu ştu r. Veriler, yu z yu ze ve telefonla go ru şme teknig iyle, araştırmacılar tarafından geliştirilen anket formu ve WHOQOL-Bref Yaşam Kalitesi O lçeg i kullanılarak toplanmıştır. Verile-rin deg erlendirilmesinde, tanımlayıcı istatistiksel yo n-temler, t-testi, korelasyon ve varyans analizi kullanıl-mıştır.Araştırmaya katılan hastaların, %25.9’unun has-talık belirtilerini giderme amaçlı TAT kullandıg ı ve en çok dua etme (%90.7) gibi manevi yo ntemlere başvur-dug u belirlenmiştir. Yaş ve ailede KRK o yku su ile yaşam kalitesi arasında ilişki bulundug u, gevşemeye ilişkin yo ntem kullanımının hastaların yaşam kalitesi alt para-metrelerinden fiziksel sag lık, psikolojik ve sosyal ilişki-leri olumlu etkiledig i saptanmıştır. O zellikle gevşemeyi sag layan, zihin-beden temelli TAT yaklaşımları KRK hastalarının yaşam kalitelerinde iyileşme sag lamakta-dır. KRK nedeniyle cerrahi girişim geçiren hastalara taburculuk o ncesi TAT uygulamaları ve etkilerine yo ne-lik bilgi verilmesi ve devam eden su reçte, hastaların uygun TAT yo ntemlerinin kullanımına yo nelik destek-lenmesinin yanısıra yaşam kalitesini arttırmaya yo nelik verilmesi o nerilmektedir.Colorectal cancer (CRC) is a type of cancer in which the use of complementary alternative therapy (CAT) gradu-ally increased. The aim of this study is to determine the relationship between the use of CAT and the quality of life in patients who received colorectal intervention. This descriptive and correlation research was carried out with 70 patients whohad received treatment for colorectal cancer between January 1-September 31, 2018. Data were collected by face-to-face and telephone interview technique using a questionnaire developed by the researchers and WHOQOL-Bref Quality of Life Scale. Descriptive statistical methods, t-test, correlation, and variance analysis were used in data collection. It was determined that 25.9% of the patients used CAT to eliminate the symptoms of the disease and turned most-ly to spiritual methods such as prayer (90.7%). Age and family history of CRC was found to be correlated with quality of life.The use of relaxation method affected the quality of life sub-parameters, physical health, psycho-logical and social relations, positively.Mind-body based CAT approaches, which specifically provide relaxation, provide improvement in the quality of life of the CRC patients. It is recommended that patients who under-went surgery for CRC be informed about pre-discharge CAT applications and their effects, and in the following process patients should be given supporting nursing care to improve the quality of life as well as support for the use of appropriate CAT methods

Ethical decision-making among intensive care unit and operating room nurses

Amaç: Bu araştırma ameliyathane ve yoğun bakım hemşirelerinin etik karar verme düzeylerini belirlemek amacı ile yapılmıştır. Gereç ve Yöntem: Tanımlayıcı tipte tasarlanan araştırmanın örneklemi ameliyathane ve yoğun bakımda çalışan 232 hemşireden oluşmuştur. Araştırmanın verileri kişisel bilgi formu ve Hemşirelik Etik İkilem Testi kullanılarak toplanmıştır. Ölçeğin üç alt boyutu İlkesel Düşünme, Pratik Düşünme ve Aşinalık’tır. Veriler SPSS16.0 programında ortalama, standart sapma, Man witney-U, Kruskal Wallis testi ile analiz edilmiştir. Bulgular: Çalışmaya alınan hemşirelerin %78,9’u kadın olup %73,3’ü evli, %70,3’ü lisans mezunudur. Grubun çalıştıkları hastaneler incelendiğinde %37,5’i üniversite, %40,’ı devlet hastanesinde ve %22,4’ünün eğitim araştırma hastanesinde çalıştığı, %38.4’ünün 10 yıldan fazla mesleki deneyime sahip olduğu, %39,2’sinin ameliyathanede %60,8’inin yoğun bakımda çalıştığı belirlendi. Hemşirelerin İlkesel Düşünme puan ortalaması 45,60±7,45, Pratik Düşünme 21,09±4,23 ve Aşinalık 16,12±3,99 saptandı. Hemşirelerin cinsiyet ve çalıştığı yere göre Pratik Düşünme puan ortalamaları arasındaki fark anlamlı bulundu. Hemşirelerin eğitim durumlarına göre İlkesel Düşünme puan ortalamaları arasında, çalıştıkları yere ve mesleki deneyimin süresine göre Aşinalık puan ortalamaları arasındaki fark anlamlı saptandı. Sonuç: Sonuç olarak hemşirelerin etik ikilemler karşısında orta düzeyde karar verme becerisine sahip oldukları ve etik ikilemlere aşina oldukları belirlendi. Çalışma bulgularına dayanarak hemşirelik eğitiminde etik karar vermeye yönelik içeriğe yer verilmesi, etik karar verme hakkında görev içi eğitim yapılması önerilebilir.Objective: This study was conducted to identify the levels of ethical decision making of nurses and the factors affecting it. Material and Methods: The sample of this descriptive study included 232 nurses working in the operating room and the intensive care unit at three different hospitals. Data were collected using a personal information form and a Nursing Ethical Dilemma Test. The 3 sub-dimensions of the scale are Principle Thinking, Practical Considerations, and Familiarity. Data were analyzed by Statistical Package for the Social Sciences Statistics 16.0 (SPSS Inc.; Chicago, IL, USA) package program, with mean, standard deviation, Mann–Whitney U test, and Kruskal–Wallis test. Results: The Principle Thinking point average of 45.60±7.45 and the Practical Considerations point average of 21.09±4.23 were rated as medium level. Familiarity point average was 16.12±3.99. The difference between the Practical Consideration scores according to thegender and places of work of the nurses was significant. According to the educational status of the nurses, the average Principle Thinking points differed significantly. The difference between the Familiarity score averages of the nurses was found to be significant according to the duration of the work experience and the place of work. Conclusion: It was confirmed that the nurses were on familiar with ethical dilemmas, they were capable of average ethical decision making when facing ethical dilemmas, and their ethical decisions were affected by environmental factors. It is suggested that ethical decision making should be taught in nursing education and in-service training

Patient Safety from a Different Perspective: An Evaluation of the Type of Foods and Drinks Visitors Bring for Postoperative Patients

Introduction: To introduce different types of foods and beverages visitors bring for postoperative patients. Materials and Methods: This descriptive study was conducted on 96 visitors of postoperative patients at Trakya University Hospital in Edirne, Turkey. Data were collected in face-to-face interviews (15 min) during visiting hours (02:00-04:00 p.m.) between August and September, 2015. The  questionnaire included 15 questions on demographic characteristics, patient/visitor relation, visitor's knowledge of the type of patient's surgery, date of surgery, and the onset of patient's oral intake, the selected foods and/or drinks, and cause of such selection. Results: Based on the findings, 72.9% of the visitors had brought food for the patients, and soup was the most frequently selected food type (25.7%); also, 41.4% of the visitors had brought the food the patient had requested. In total, 74% of the visitors had brought drinks, with fruit juice accounting for 63.4% of the selected beverages; also, 53.5% of the visitors had brought the drink the patient had requested. By comparing the type of foods and drinks with the type and date of surgery, it was revealed that some visitors had brought pastries and biscuits for patients undergoing gastrectomy on the first postoperative day. Conclusion: It is recommended to control and manage the type of food products visitors bring for the patients during visiting hours. Moreover, visitors should be instructed on how to select foods or drinks for the patients