Evaluation of aspiration, nebulization and oxygenization practices of patients with a tracheostomy

Aim: The aim of the study is to determine the frequency of aspiration, nebulization and oxygenization practices and factors that affect these practices after tracheostomy operation in seven days period.Method: This cross-sectional study was carried out in internal intensive care unit in a university hospital in Turkey. The sample of the study consisted of 60 patients with tracheostomy. Data was collected by using two forms. First one was patient descriptive characteristics form and second one was patient observation form about aspiration, nebulization and oxygenization practices.Results. Mean of aspiration number was 9.9±1.3, and aspiration was carried out more frequently than oxygeniation (8.4±1.7) and nebulization (6.5±1.5) practices. Patients’ age, their habit of cigarette smoking and having chronic disease situations affect aspiration, nebulization and oxygenization practices patients with tracheostomy (p<0.001).Conclusions. The frequency of aspiration, nebulization and oxygenization practices was changed according to post-operation days and affected by some of patients’ descriptive characteristics

Türkiye’de Akupresur Uygulanarak Yapılan Hemşirelik Tezlerinin İncelenmesi

Amaç: Bu araştırmanın amacı Türkiye’de hemşireler tarafından akupresur uygulaması ile ilgili yapılan tezleri değerlendirmektir.   Yöntem: Bu retrospektif tipteki literatür araştırmasında 2016 yılına kadar olan hemşirelikte akupresur girişiminin kullanıldığı tezler Türkiye’de Yükseköğretim Kurulu Ulusal Tez Merkezi veri tabanı tarandı. Tarama yapılırken akupres, akupresör, akupressur ve akupresur anahtar kelimeleri kullanıldı. Bu araştırmada incelenen tezlerin araştırmaya alınma ölçütleri; başlığında akupres, akupresör, akupressur ve akupresur kelimelerinin yer alması, Hemşirelik ve/veya hemşirelik anabilim dalları tarafından yapılmış olmasıdır. Tezler yüksek lisans ve doktora tezleri olarak ayrıldıktan sonra kronolojik sırayla incelendi. Verilerin analizinde sayısal değerlendirmeler kullanıldı ve tezlerin yüksek lisans ya da doktora tezi oluşu, tezlerin yayın yılı, tezlerin amacı, örneklem grubu, örneklem sayısı, tezlerin dizaynı ve tezlerin sonuçları özetlendi. Bulgular: Türkiye’de akupresur kullanılarak yapılan ilk hemşirelik tezin 2005 yılında yapıldığı saptanmıştır. Tezlerin araştırma yöntemleri değerlendirildiğinde çoğunluğunun randomize kontrollü deneysel (14) olduğu sadece üçünün yarı-deneysel olduğu saptanmıştır. Yüksek lisans tezlerinde akupresurün bulantı-kusma ve ağrı üzerine etkinliği değerlendirilmiştir. Doktora tezlerinin çoğu randomize kontrollü deneysel olarak;  tezlerin çoğunluğu gebelerde ve kemoterapi alan hastalarda akupresur uygulamasının bulantı ve kusma üzerine etkisini belirlemek amacıyla yapıldığı bulunmuştur. Diğer tezlerde ise akupresur uygulamasının yorgunluk, anksiyete ve kaşıntı üzerine etkisini belirlemek amaçlanmıştır. Doktora tezlerin sonuçları incelendiğinde, çalışmaların ikisi dışında akupresur uygulamasının etkin bir yöntem olduğu belirtilmiştir. Sonuç: Tezlerin çoğunluğunda akupresur uygulamasının kullanım amacına göre etkili olduğu sonuca ulaşılmıştır

Sağlık Yüksekokulu Öğrencilerinin Tamamlayıcı ve Alternatif Tedaviler Hakkındaki Görüş, Bilgi ve Uygulamaları

Amaç: Bu araştırma; sağlık yüksekokulu öğrencilerinin alternatif ve tamamlayıcı uygulamalar hakkındaki bilgi, görüş ve uygulamalarının değerlendirilmesi amacıyla yapılmıştır. Materyal ve Metod:  Bu araştırma tanımlayıcı tipte kesitsel olarak yapılmıştır. Araştırmanın örneklemini 471 ebelik ve hemşirelik bölümü öğrencisi oluşturmuştur. Araştırmada veriler anket formu aracılığıyla toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler (yüzdelik, ortalama, standart sapma) ve çıkarımsal istatistiki yöntemlerden ki-kare testi kullanılmıştır. İstatistiksel anlamlılık düzeyi p lt;0,05 olarak alınmıştır. Bulgular: Öğrencilerin %90,2’sinin TAT’a yönelik eğitim almadığı ve %28,5’inin TAT kullandığı saptanmıştır. Öğrencilerin %82,6’sı TAT konusunun Hemşirelik ve Ebelik Eğitim Müfredatına eklenmesini istediğini belirtmiştir. Öğrencilerin %80,1’inin Akupresur, %78,9’unun Reiki,  %74,9’unun Refleksoloji, %73,5’inin Ayurveda, %72,5’inin Tai Chi, %65,0’ının Feng Shui, %64,7’sinin Aromaterapi, %64,6’sının Homeopati konularında bilgisinin olmadığı belirlenmiştir. Öğrencilerin TAT kullanma durumu ile cinsiyet ve mezun olunan lise arasında istatistiksel açıdan anlamlı fark saptanmamıştır (p gt;0,05). Öğrencilerin okuduğu bölüm, bulunduğu sınıf, TAT konusunda eğitim alma durumu ve TAT konusunun eğitim müfredatına eklenmesini isteme durumu ile TAT kullanım sıklığı arasında istatistiksel açıdan anlamlı bir fark belirlenmiştir  (p lt;0,05). Sonuç: Öğrencilerin büyük çoğunluğunun TAT konusunda eğitim almadığı,  öğrencilerin yaklaşık üçte birinin TAT yöntemlerinden birini kullandığı, öğrencilerin tat yöntemlerine ilişkin bilgilerinin sınırlı olduğu ve öğrencilerin çoğunluğuna yakınının TAT konusunun eğitim müfredatlarına eklenmesini istediği sonuçlarına ulaşılmıştır

The relationship between sleep quality and dyspnoea severity in patients with COPD

Objectives: This study aimed to determine sleep quality, frequency and severity of dyspnoea in COPD patients and to evaluate the relationship between dyspnoea severity and sleep quality. Method: The sample of the study consisted of 110 patients admitted to the Chest Diseases polyclinic of a private hospital and diagnosed as COPD for at least one year. The data of the study were collected using the "Individual Information Form", "COPD and Asthma Sleep Scale (CASIS)" and "Medical Research Council (MRC) Dyspnoea Scale\u201d. Results: It was found that 6.4% of the patients did not experience dyspnoea, 34.5% had mild, 40.9% had moderate, and 18.2% had severe dyspnoea. The mean CASIS score of the patients without dyspnoea was 29.08\ub17.83, with mild dyspnoea was 40.22\ub19.30, with moderate dyspnoea was 50.31\ub18.97 and with severe dyspnoea was 56.96\ub113.13. There was a statistically significant difference between dyspnoea severity and mean CASIS score (p=0.001). Correlation analysis between MRC dyspnoea scale and CASIS score showed a significant positive correlation (r=0.61 p=0.001). Conclusion: It was concluded that the majority of COPD patients had moderate or poor sleep quality and dyspnoea. As dyspnoea severity increases, sleep quality decreases

Nursing care for patients with copd on long-term oxygen therapyUzun süreli oksijen tedavisi alan koah hastalarında hemşirelik bakımı

According to Maslow's theory, clear air is the highest priority which hierarchical human needs for maintaining the vitality of the human. İndividuals can not maintain the respiratory function effectively any reason (such as chronic obstructive pulmonary disease (COPD), lung cancer, pneumonia, tuberculosis, asthma and cystic fibrosis disease) that cause unabling to  fulfill task of these constructions. From the report of the Global Burden of the Diseases that is updated in 2010 by World Health Organization, within non-communicable (chronic) diseases; chronic respiratory diseases, cardiovascular diseases, cancers and diabetes are the biggest killer which cause estimated 35 million deaths every year. In addition to these data, the cause of deaths rank in the world, COPD  is fourth. Also in this report, the cause of death in the ranking for the year 2030, COPD is expected to rise to third place (WHO, 2010). Developments in technology and health care allow early diagnosis of diseases and optimal treatment application in case of illness. Long-term oxygen therapy is the most commonly used method for espiratory diseases. So, for a high quality nursing care that provide by nurses, it is important that nurses be aware of basic concepts of oxygen therapy, methods of application and possible complications. ÖzetMaslow’ un teorisine göre, insan gereksinimleri hiyerarşik sıralamasında insanın canlılığını sürdürebilmesi için en öncelikli karşılaması gereken gereksinimi temiz havadır. Herhangi bir nedenle bu yapılar görevini yerine getiremediği durumlarda (Kronik Obstrüktif Akciğer Hastalığı (KOAH), akciğer kanseri, pnomöni, tüberküloz, astım ve kistik fibrozis gibi hastalıklar) bireyler solunum sistemi fonksiyonunu etkin bir şekilde sürdüremez. Dünya Sağlık Örgütü’nün (DSÖ), 2010 yılında güncellediği Hastalıkların Küresel Yükü başlıklı raporunda bulaşıcı olmayan (kronik) hastalıkların içinde kronik solunum yolu hastalıkları, kalp damar hastalıkları, kanserler ve diyabet ile beraber dünyanın en büyük katilleri olup, her yıl tahminen 35 milyon ölüme neden olmaktadır.  Bu verilere ek olarak, dünyada ölüm nedeni sıralamasında solunum sistemi hastalıklarından, KOAH dördüncü sırada yer almaktadır. Ayrıca bu raporda, 2030 yılı için öngörülen ölüm nedeni sıralamasında, KOAH’ın üçüncü sıraya yükseleceği tahmin edilmektedir (DSÖ, 2010).   Teknolojide ve sağlık alanında ki gelişmeler, hastalıklara erken tanı koymasına ve hastalık durumunda en uygun tedavi yöntemini uygulamasına olanak sağlamaktadır. KOAH’da en sık kullanılan tedavi yöntemi uuzun süreli oksijen tedavisidir. Bu nedenle hemşirelerin kaliteli bir hemşirelik bakımı vermeleri için, oksijen tedavisinin temel kavramlarını, uygulama yöntemlerini, gelişebilecek komplikasyonları bilmesi önemlidir

Common Sleep Disorders and Risk Factors in Hemodialysis Patients

Although the function and physiology of sleep have not been fully elucidated, it is a universal need for life-forms such as human beings, and in the absence of sleep, severe physiological consequences emerge. Sleep can be defined as temporary, partial and periodic disappearance of the organism’s communication with the environment and it is reversible with various severity stimuli. Sleep disorders in hemodialysis patients are frequently seen with the contribution of various risk factors. Insomnia is the most common sleep disorder in hemodialysis patients and affects the sleep quality of patients negatively. Insomnia is a lack of adequate and restful sleep despite adequate reserved time to sleep and it refers to sleeplessness. Sleeplessness can be defined as difficulty in starting sleep, and it refers insufficiency in duration, integrity and quality of sleep despite there is adequate time and chance to sleep. Anemia, anxiety, depression and many factors cause sleep disorders in hemodialysis patients. The aim of this review is to give information about the prevalence of common sleep disorders in hemodialysis patients and the risk factors that contribute to the development of these disorders

Investigation of relationship between levels of self-care agency and self-efficacy in nursing students

Purpose: This descriptive-correlational study was conducted to determine the level of self-care agency and self-efficacy of nursing students and relationship between self-care agency and self-efficacy. Methods: The population of this research consisted of 432 nursing students at Adıyaman University School of Health in Adıyaman, Turkey. The sample consisted of 210 nursing students. The data were collected by using student introduction form, The General Self-Efficacy Scale (GSES), and Self-care power scale. The scales and form were distributed and collected by the researchers in classrooms. Data were analyzed using descriptive and comparative statistical methods. The relationship between the scales was determined by pearson correlation analysis. Results: It was determined that 62.4% of the students were women, 33.3% were in 4th class, 58.1% were high school graduates, 63.3% preferred the nursing department of their own will. The mean score of self-care agency of students was found to be 93.03 ± 20.62. The mean score of total GSES was 82.60±12.83. There was statistically significant relationship between the total self-efficacy scores and Self care agency (r=0.494, p=0.000).Conclusion: It was concluded that nursing students had upper of medium level self-care agency and self-efficacy. It was seen that there was a positive moderate relationship between self-care agency and self-efficacy levels of nursing students

Common Sleep Disorders and Risk Factors in Hemodialysis Patients

Although the function and physiology of sleep have not been fully elucidated, it is a universal need for life-forms such as human beings, and in the absence of sleep, severe physiological consequences emerge. Sleep can be defined as temporary, partial and periodic disappearance of the organism’s communication with the environment and it is reversible with various severity stimuli. Sleep disorders in hemodialysis patients are frequently seen with the contribution of various risk factors. Insomnia is the most common sleep disorder in hemodialysis patients and affects the sleep quality of patients negatively. Insomnia is a lack of adequate and restful sleep despite adequate reserved time to sleep and it refers to sleeplessness. Sleeplessness can be defined as difficulty in starting sleep, and it refers insufficiency in duration, integrity and quality of sleep despite there is adequate time and chance to sleep. Anemia, anxiety, depression and many factors cause sleep disorders in hemodialysis patients. The aim of this review is to give information about the prevalence of common sleep disorders in hemodialysis patients and the risk factors that contribute to the development of these disorders

Emphatic Tendency and Affecting Factors in Nursing students

Background: The profound impact of empathy on quality nursing care has been recognized. Studies have shown that there has been little improvement in nurses’ communication skills, and that they should work to enhance this area. Therefore, it is very important for qualified nursing care to determine empathic tendency and factors that affect in nursing students, so to teach empathic approach and professional values, to develop correct communication and helping skills to the students in nursing education. Objectives: In this study it was aimed to determine empathy tendency in nursing students and factors that affect emphatic tendency. Methods: The sample of this study that is sectional and definitive consisted of 225 students who received education in Nursing Department  in Adıyaman University School of Health. Research data was collected with Personal Information Form and Emphatic Tendency Scale (ETS).Results :It was determined that 51.2% of the students participating in the survey were in the 20-22 age group, 65.3% were female and44.4% of them had 9 and close friends. It was determined that the average ETS score of the nursing students was 68.2 ± 10.3.The average ETS score of the female students was 69.3 ± 9.7, which was statistically significant difference (p = 0.028) than male students (66.1 ± 11.2). The average ETS score of the students who preferred nursing was 71.1 ± 8.0, and it was found to be statistically significantly higher than students have chosen nursing by family orientation, coincidence and other reasons (p = 0.001).Conclusion: According to the results of this study, it was seen the empathic tendencies of the nursing students are moderate and the average ETS score of the students are affected by the age, sex, place of living, number of close friends and reasons for choosing the profession

Pain beliefs and affecting factors of the hematopoietic stem cell transplant patients with hematological cancer

Aim: This descriptive study was conducted to determine the pain beliefs and affecting factors of the cancer patients subjected to hematopoietic stem cell transplantation.Methods: The sample of the study was 94 hematologic cancer patients monitored and treated at the Gazi University Research and Application Hospital Stem Cell Transportation Unit. “Pain Beliefs Scale” and 33 questions prepared by the researcher by examining the literature were used as the data collection means. For the analysis of the data, descriptive statistics, Kruskal–Wallis test, single-way variance analysis, and t-test in independent groups were used.Results: Organic belief score average of the patients under the study was found to be 3.8 ± 0.9 and psychological belief score average was found to be 4.7 ± 1.0. The organic belief scores of patients were high in married patients, while psychological beliefs were high in single patients. The pain beliefs were not affected by the age, education level, gender, working status, and pain severity (P > 0.05). However, the organic belief score average of the patients who agreed that cancer could cause pain was significantly high from the statistical point of view (P < 0.05).Conclusion: According to the results obtained from the study, nurses were recommended to assess the organic and psychological beliefs with respect to the cause of the pain of the patients suffering pain