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Öğe Sigara İçen Yetişkinlerin Sağlık İnanç Modeline Göre Sigara Bırakma İstekleri ve Sağlık Algıları Arasındaki İlişki(5. International Dicle Scientific Research and Innovation Congress, 2023) Kocataş, Semra; Gül, GüldenBu araştırma sigara içen yetişkin bireylerin Sağlık İnanç Modeline göre sigarayı bırakma istekleri ve sağlık algıları arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Kesitsel-tanımlayıcı tipte olan araştırmanın örneklemini Türkiye’nin İç Anadolu Bölgesindeki bir il merkezinde yer alan aile sağlığı merkezlerine 20 Mart-20 Haziran 2023 tarihleri arasında herhangi bir nedenle başvuran, 18 yaş ve üzeri sigara içen 400 yetişkin birey oluşturmuştur. Araştırmanın verileri; Katılımcı Tarama Formu, Kişisel Bilgi Formu, Sağlık İnanç Modeline Göre Sigarayı Bırakma Ölçeği, Sağlık Algısı Ölçeği ve Fagerstrom Nikotin Bağımlılık Testi aracılığı ile toplanmıştır. Araştırmadan elde edilen veriler SPSS 22.0 paket programı kullanılarak değerlendirilmiştir. Araştırma sonucunda yetişkinlerin sigara bırakma istekleri ile sağlık algıları arasında pozitif yönde, sigara bırakma istekleri ile bağımlılık düzeyleri arasında negatif yönde, bağımlılık düzeyleri ile sağlık algıları ölçeği sağlığın önemi alt boyutu arasında negatif yönde anlamlı bir ilişki olduğu bulunmuştur. Yaşı genç, genel sağlık algısı iyi düzeyde olan, kronik hastalığı olmayan, ara sıra sigara içen, sigarayı bırakmak isteyen yetişkinlerin sigara bırakma isteklerinin daha fazla olduğu ortaya çıkmıştır. Sonuç olarak sigara içen yetişkinlerin sağlık algısı düzeyleri arttıkça sigara bırakma isteklerinin arttığı, bağımlılık düzeyleri arttıkça sigara bırakma isteklerinin azaldığı ortaya çıkmıştır.Öğe Online Motivasyonel Görüşmelerin Gebelerin Sigara Bırakma Davranışı Üzerine Etkisi: Randomize Kontrollü Çalışma(5. International Dicle Scientific Research and Innovation Congress, 2023) Çevik, Betül Esra; Kocataş, SemraRandomize kontrollü, deneysel tipte olan bu araştırma, Transteoretik Model’e dayalı online bireysel motivasyonel görüşmelerin gebelerde sigara bırakma davranışı üzerine etkisini incelemek amacıyla yapılmıştır. Araştırmanın evrenini Sivas il merkezinde bulunan 23 Aile Sağlığı Merkezine (ASM) kayıtlı gebeler oluşturmuştur. Araştırmanın örneklemini 23 ASM’den küme örneklemesiyle seçilen 5 ASM’ye kayıtlı 16. gebelik haftasını doldurmamış, sigara kullanan ve araştırmaya katılmayı kabul eden 62 gebe (müdahale grubunda 31, kontrol grubunda 31 gebe olmak üzere) oluşturmuştur. Müdahale grubuna Transteoretik modele dayalı online motivasyonel görüşmeler uygulanmıştır. Araştırma verileri IBM SPSS V23 ile analiz edilmiştir. Verilerin analizinde tanımlayıcı istatistiksel yöntemlerin (sayı, yüzde, ortalama, standart sapma) yanı sıra t testi, Mann Whitney U testi, Tekrarlı Varyans Analizi, Friedman testi, Dunn testi, Wilcoxon testi, Pearson Ki-Kare testi, Bonferroni Düzeltmeli Z testi kullanıldı. Müdahale grubundaki gebelerin %58,1’i sigarayı bırakmıştır. Son izlemde Fagerström Nikotin Bağımlılık Testi puan ortalamaları açısından anlamlı farklılığın olduğu (p<0,01) ve müdahale grubunda Fagerström Nikotin Bağımlılık Testi puan ortalamalarındaki azalmanın istatistiksel olarak anlamlı olduğu saptanmıştır. Son izlemde motivasyonel görüşme uygulanan müdahale grubundaki gebelerin Öz- Etkililik-Yeterlilik Ölçeği, Karar Verme Dengesi Ölçeği, Sigara Bırakma Başarısı Öngörü Ölçeği puanlarının kontrol grubuna göre daha yüksek bulunduğu ve bu farkın istatistiksel olarak anlamlı olduğu saptanmıştır (p<0,001). Araştırma sonuçları gebelerde sigara bırakmada Transteoretik Model’e dayalı online motivasyonel görüşmelerin sigara bırakmada olumlu bir etkiye sahip olduğunu göstermektedir. Son izlemde müdahale grubundaki gebelerin %9,6’sının düşünme aşamasında, %32,3’ünün hazırlık aşamasında, %58,1’inin harekete geçme aşamasında olduğu ve düşünmeme aşamasında hiçbir gebenin kalmadığı saptanmıştır. Bu sonuçlar doğrultusunda; çalışmamızın temel oluşturduğu Transteoretik Model’e dayalı online motivasyonel sigara bırakma programının bu konuda eğitim almış halk sağlığı hemşireleri tarafından zaman, mekân ve mesafe kısıtlaması olmaksızın doğum sonrası ve emzirme dönemi de dahil olmak üzere daha büyük örneklemde uygulanması, antenatal izlemlerde ASM’ye başvuran tüm gebelerin sigara içme durumlarının detaylı sorgulanması ve kaydedilmesi, elde edilen sonuçlar doğrultusunda birinci basamak sağlık hizmeti ekibi üyeleri olan halk sağlığı hemşirelerinin ve ebelerin antenatal bakımının geliştirilmesi önerilmiştir.Öğe The Relationship Between Health Literacy Levels with Hygiene Behaviors of Secondary School Students(Cumhuriyet Nursing Journal, Aralık 2023) Kocataş, Semra; Güler, Nuran; Yağmur, Serap; Kuzucu, Cennet; Akkaya, KübraAim: This research was conducted to determine the relationship between secondary school students' hygiene behaviors and health literacy levels. Method: The population of the cross-sectional descriptive and correlation-seeking research consisted of a total of 786 students studying in the sixth and seventh grades in the 2022-2023 academic year in five secondary schools located in a city center. The research was conducted with a total of 766 students, aiming to reach the entire population without choosing a sample. The data were collected using the "Introductory Information Form", "Hygiene Behavior Scale" and "Health Literacy Scale for School-Age Children" and evaluated using the SPSS 22.0 package program. Results: 52.9% of the students are male, 66.3% are between the ages of 10-12, 72.8% have a nuclear family type, 67.8% define their school success as medium level and 74.7% perceive their general health status as good. It was determined that the students' health literacy was at a medium level and their hygiene behavior was at a high level. A positive significant relationship was found between students' hygiene behaviors and health literacy scale score averages, and it was revealed that as students' health literacy levels increased, their hygiene behavior levels also increased (p<0.05). It was determined that the hygiene behaviors and health literacy levels of female students were significantly higher than male students, students with high school success than students with medium and low school success, and students who perceived their general health status as good than students who perceived their general health status as medium and poor (p <0.05). Conclusion: Research findings reveal that increasing the health literacy levels of students is effective in their display of correct hygiene behaviors. It can be recommended that school curricula should focus on issues related to health, health literacy and hygiene, and that students should be supported through education and counseling by health professionals in general and school health nurses in particular, in order to develop health awareness and exhibit healthy behaviors.Öğe ALL Tanılı Yetişkin Hastada Gordon’un Fonksiyonel Sağlık Örüntüleri Modeli’ne Göre Hemşirelik Bakımı: Olgu Sunumu(2023) Karagözoğlu ŞerifeÖZET Akut Lenfoblastik Lösemi (ALL), olgunlaşmamış lenfoid hücrelerin agresif neoplazmıdır. Kanser, tıbbi-fiziksel bir hastalık olmanın yanında, ruhsal ve psikososyal açıdan birçok sorunu da beraberinde getiren kompleks bir hastalıktır. Böylesine karışık bir hastalık süreci sistematik hemşirelik bakımını gerektirir. Hemşirelik teori ve modelleri hemşirelik uygulamaları için bilimsel bir temel oluşturur ve hemşirelik bakımı sistematik hale getirir. Bu bağlamda Gordon’un Fonksiyonel Sağlık Örüntüleri (FSÖ) Modeli bireyleri biyopsikososyal yönleriyle ele alan bir modeldir. Bu olgu sunumunda, ALL tanılı yetişkin bireyin hemşirelik bakımında, Gordon’un FSÖ Modeli’ne temellendirilmiş bütüncül bir bakış açısıyla hemşirelik bakımının sağlanması hedeflenmiştir. Bu çalışma 22 Kasım 2021 – 25 Aralık 2021 tarihleri arasında yürütülmüştür. Çalışmada ALL tanısı ile yatarak tedavi gören 40 yaşında kadın hastanın hemşirelik bakım planı, Gordon’un FSÖ Modeli ve North American Nursing Diagnosis Association (NANDA) hemşirelik tanıları doğrultusunda oluşturmuştur. Çalışmanın yapılabilmesi için etik kurul onayı, kurumdan yazılı izin ve bireyden bilgilendirilmiş olur alınmıştır. Hemşirelik bakımının planlanmasında FSÖ Modeli’nin kullanılması, S.K.’nın biyopsikososyal ve spritüel gereksinimlerinin bir bütün olarak fark edilmesinde hemşireye yol gösterici olmuş, hastanın tüm bu alanlara yönelik bakım almasına katkı sağlanmıştır. Bakımlar sonrası S. K.’nın yorgunluk şiddetinde azalma, uyku kalitesinde ve umut etme düzeyinde artma olduğu görülmüştür. Hastadan sistematik, bütüncül veri toplanması ve hemşirelik bakımının sunulmasında Gordon’un FSÖ Modeli kullanımının uygun olduğu sonucuna varılmıştır. Bu çalışmanın, ALL tanılı yetişkin hastalara bakım veren hemşirelere yol göstereceği düşünülmektedir. Anahtar Kelimeler: Akut Lenfoblastik Lösemi, Fonksiyonel Sağlık Örüntüleri Modeli, Hemşirelik Bakımı, NANDA-I.Öğe Yüksek Gerçeklikli Simülasyon Yönteminin Hemşirelik Öğrencilerinin Anjinalı Hastanın Hemşirelik Bakımına Yönelik Bilgi ve Klinik Karar Verme Düzeyine Etkisi(2023) Karagözoğlu ŞerifeÖZ Amaç: Bu araştırma, Yüksek Gerçeklikli Simülasyon yönteminin hemşirelik öğrencilerinin bilgi ve klinik karar verme düzeylerine etkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Araştırmanın örneklemini İç Hastalıkları Hemşireliği dersi alan 60 hemşirelik öğrencisi (simülasyon=30, kontrol=30) oluşturmuştur. Simülasyon grubuna senaryo temelli HFS yöntemi ile anjina yaklaşımı öğretilirken, kontrol grubuna klasik eğitim yöntemi ile hemşirelik yaklaşımı öğretildi. Veri toplama formu olarak Bilgi Ön Testi, Bilgi Sonu Testi ve Hemşirelikte Klinik Karar Verme Ölçeği, Simülasyon grubuna ise Simülasyon Tasarım Ölçeği uygulanmıştır. Bulgular: Yüksek Gerçeklikli Simülasyon yöntemi uygulaması sonrasında simülasyon grubunun bilgi ortalama puanlarının istatistiksel olarak anlamlı derecede yüksek olduğu bulunmuştur (p=0.013). Klinik uygulama sonrası Hemşirelik Klinik Karar Verme Ölçeği puan ortalamaları arasında her iki grupta istatistiksel olarak anlamlı fark bulunmadı (p>0.05). Sonuç: Bu çalışmada anjinası olan hastada hemşirelik bakımı öğretiminde Yüksek Gerçeklikli Simülasyon yönteminin uygulama grubunun teorik bilgi düzeyini artırdığı ve öğrencilerin bu yöntem hakkında olumlu düşüncelere sahip oldukları ancak her iki grupta da klinik karar verme düzeylerinin birbirine yakın olduğu ortaya konmuştur. Anahtar kelimeler: Anjina, hemşirelik eğitimi, klinik karar verme, yüksek gerçeklikli simülasyonÖğe Covid-19 Kliniğinde Çalışan Hemşirelerin Deneyim ve Düşünceleri: Nitel Bir Çalışma(2023) Karagözoğlu ŞerifeÖz Giriş: Hemşireler salgın hastalıklarda, hastalarla uzun vakit geçirerek, onların her anına yakından tanıklık etmiştir. Sağlık ekibi içinde aktif rol alarak hem organizasyon hem de bakım ve tedavi sürecini üstün bir çaba ile sürdürmüştür. Amaç: Covid-19 kliniklerinde çalışan hemşirelerin pandemi hastalarının bakım ve tedavi sürecine yönelik deneyim ve düşüncelerini belirlemektir. Yöntem: Nitel araştırma yöntemlerinden fenomenolojik tasarım kullanılmıştır. Görüşmeler Covid-19 servis ve yoğun bakım ünitelerinde pandemi hastalarının bakım ve tedavi sürecinde hemşirelik hizmeti sunan, görevlendirme süreci boyunca pandemi kliniğinde çalışmış hemşirelerle yapılmıştır. Veriler video konferans yöntemi ile tek bir araştırmacı tarafından toplanmıştır. Colaizzi’nin fenomenolojik analiz yöntemi içerik analizi gerçekleştirilmiştir. Bulgular: Çalışmamızda Covid-19 kliniğinde çalışan hemşirelerin deneyim ve düşüncelerine yönelik bulgular; organizasyon, psikolojik faktörler, sosyal faktörler ve profesyonel faktörler olmak üzere dört ana temada toplanmıştır. Sonuç: Fiziksel ve psikolojik sağlamlık gerektiren Covid-19 pandemi sürecinde hemşireler iş stresine maruz kalmış, psikolojik ve fiziksel olarak unutulmayacak deneyimler yaşamış buna rağmen mesleğe bağlı kaldıklarını ve ailelerin en büyük destek kaynağı olduğunu ifade etmiştir. Bulgularımız doğrultusunda Covid-19 kliniğinde çalışan hemşirelerin bakım sürecinde yaşadıkları zorlukların azaltılmasına yönelik girişim planlanması kurum yöneticileri tarafından desteklenmesi ve bunun yanında hemşirelere yönelik motivasyon artırıcı program ve etkinliklerin planlanması önerilmiştir. Anahtar Kelimeler: Covid‐19, Hemşire, Deneyim ve Düşünce, Nitel Araştırma.Öğe Lomber Disk Herni Tanılı Bireylerde Yaşanan Ağrının Özbakım Gücüne Etkisi ve Bireylerin Ağrı ile Baş Etme Yöntemleri(2023) Karagözoğlu ŞerifeÖz Giriş: Lomber disk hernili hastalarda ağrı bazen bireyin öz bakımını sağlayamayacağı kadar şiddetlidir. Bu durumda ağrıyla baş etmenin önemi ortaya çıkmaktadır. Amaç: Araştırma lomber disk herni tanılı bireylerde ağrının öz bakım gücüne etkisini ve ağrıyla baş etme yöntemlerini değerlendirmek amacıyla gerçekleştirilmiştir. Yöntem: Kesitsel ve tanımlayıcı olarak gerçekleştirilen araştırma bir üniversite hastanesinin lomber disk herni tanısıyla Beyin ve Sinir Cerrahisi polikliniğe 15 Mart-31 Mayıs 2019 tarihleri arasında başvuran ve kliniğe yatışı yapılıp cerrahi girişim uygulanan 100 hastayla yapıldı. Verilerin toplanmasında; Hasta Tanıtım Formu, Visual Ağrı Skalası, Ağrı ile Baş Etme Yöntemleri Formu ve Öz bakım Gücü Ölçeği kullanıldı. İstatistiksel analizde Kolmogorov-Smirnov, Varyans analizi, Tukey testi, iki ortalama arasındaki farkın önemlilik testi kullanıldı. Bulgular: Araştırmada katılımcıların ağrı puan ortalaması 6.24 ve öz bakım gücü puan ortalaması 97.09 olup, ağrıyla öz bakım gücü arasında negatif yönlü güçlü bir ilişki bulundu (r=-.770; p= .000). Katılımcıların eğitim durumuna göre öz bakım gücü puan ortalamaları arasında istatistiksel olarak önemli bir fark bulunmuş olup (p=.031), okur-yazar hastaların öz bakım gücü üniversite mezunu hastalara kıyasla daha düşüktür. Katılımcıların ağrıyla baş etmede en çok tercih ettiği yöntem %84 oranında ağrı kesici ilaç kullanmak, en az tercih ettiği yöntem %1 oranda akupunktur yaptırmaktır. Sonuç: Araştırmada lomber disk hernili hastalarda ağrının azaltılmasıyla öz bakım gücünün artırılacağı ayrıca ağrıyla baş etmede ilaca yönelimin fazla olması nedeniyle sağlık profesyonellerine, hastalara ağrıyı azaltma yöntemleri ve öz bakım gücünü artırmaya yönelik verilecek eğitimin faydalı olacağı düşünülmektedir. Anahtar Kelimeler: Lomber Disk Herni, Ağrı, Öz bakım Gücü, Ağrı ile Baş Etme, Hemşirelik.Öğe Determination of Nursing Students’ Resilience Levels, Care Behaviors, and Violence Management Competencies: A Descriptive, Cross-Sectional, and Relational Study(WILEY, Hindawi, 2023) Karabey, Tuba; Çevik, Betül Esra; Süha, Burcu KübraPurpose. Violence is a factor that is frequently encountered in health systems and causes problems of various sizes. Nursing students who take an active role in health environments and are also inexperienced are also exposed to this workplace violence. Mental health nurses and nursing students practicing in this 4eld aim to improve the quality of patient care while managing violence and aggression. It is thought that the inability of nursing students practicing in the 4eld of mental health to successfully manage violence and demonstrate resilience may a6ect their clinical performance and reduce the quality of patient care. This study was conducted to determine the psychological resilience levels, caring behaviors, and violence management competencies of nursing students and to reveal the relationship between the variables. Design and Methods. The type of study is descriptive and cross-sectional. The sample of the study consisted of 452 nursing students who agreed to participate in the study. The data of the study were collected using the personal information form, Adult Resilience Scale, Caring Behaviors Scale-24, and Violence Management Competency Scale for nursing students in practice areas. This study was reported following the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) recommendations. Findings. A statistically significant positive correlation was found among the psychological resilience levels, caring behaviors, and violence management proficiency of the students participating in the study (p= 0.001). Practice Implications. It is very important to determine the psychological resilience, care behaviors, and violence management competency levels of nursing students, who are the professionals of the future, to present nursing care from a holistic framework and to increase the quality of the care provided. In this context, it is recommended to determine the psychological resilience, care behaviors, and violence management competency levels of nursing students in their education and training processes.Öğe Determination of the Spiritual Support Perceptions of Students at a Vocational School of Health Services in Turkey(Springer, 2023) Tok Yıldız, Fatma; Yıldız, İlknurThis descriptive and cross-sectional study aimed to determine the spiritual support perceptions of students (n=606) at the Vocational School of Health Services at a university in Turkey in the academic year of 2019–2020. A Personal Information Form and the Spiritual Support Perception Scale were used to collect their data. The data evaluated descriptive analyses, the Kolmogorov–Smirnov test, the Mann– Whitney U test and Kruskal–Wallis test. The mean age of the participants was 19.85±1.78 years, 68.5% of them were female, 34.7% were students at the clini cal laboratory techniques department, and 57.4% were frst-year students. The mean Spiritual Support Perception Scale score of the participants was 50.08±9.93, which was above average.Öğe Pain relief practices of parents before presenting to pediatric emergency services(Elsevier, 2023) Girginer, Sibel; Yıldız, İlknurIntroduction: Pain, which is a condition that is experienced very frequently by children and leads to negative consequences, is one of the most prevalent reasons for presentation to emergency services. Objective: This study was conducted to determine the pain relief practices implemented by parents for their children before presenting to pediatric emergency services. Method: This descriptive study included the parents of 425 children who were brought to the pediatric emergency service of a state hospital in Turkey. The data were collected using a form that was developed by the researchers, and the collected data were analyzed using frequency, percentage, mean, standard deviation, and chi-squared tests. Results: The mean age of the children brought to the emergency service was 8.16±4.03, while 50.8% were fe male. It was determined that 60.7% of the children presented to the emergency service with abdominal pain, 69.9% were subjected to a pain relief intervention before presenting to the emergency service, 81% were given drugs as an intervention, and alternative methods were used by the parents of 64.4%. Statistically significant relationships were found between the working statuses of mothers and fathers and their implementation of any intervention to pain and between the type of pain and the status of the parents giving drugs to their children (p < 0.05). Conclusion: The rates of parents who gave drugs to their children to relieve pain or applied non-pharmaceutical alternative methods were high. For the effective control and management of pain at pediatric emergency ser vices, it may be recommended to inform parents about this issue and include them in the procesÖğe The relationships between the COVID-19 fears of mothers and their mother-infant bonding and breastfeeding self-efficacy in the postpartum period(Taylor&Francis Online, 2023) Polat, Merve; Yıldız, İlknurABSTRACT Mothers who are in more sensitive and in a different state in the postpartum period may think that the COVID-19 pandemic will affect the health of their babies. This study was carried out to investigate the relationship between the COVID-19 fears of mothers in the postpartum period and their mother-infant bonding and breastfeeding self-efficacy levels. This descriptive study included 258 mothers who had given birth at a state hospital in Turkey. The data were collected an information form, the Fear of COVID-19 Scale, the Mother-to-Infant Bonding Scale, the Breastfeeding Self-Efficacy Scale and analyzed. It was found that the mothers had moderate COVID-19 fear levels, they did not experience mother-infant bonding problems, and their breastfeeding self-efficacy levels were high. There was a negative relationship between the COVID 19 fear scores and breastfeeding self-efficacy scores. It may be recommended to provide education programs the relationships between breastfeeding, mother-infant bonding, and COVID-19 on mothers.Öğe Problematic media use and psychological adaptation in children in the COVID-19 pandemic: A descriptive cross-sectional study(Elsevier, 2023) Yıldız, İlknur; Tok Yıldız, FatmaAbstract Purpose This study was conducted to determine the problematic media use and psychological adaptation levels of children. Design and methods Parents of 685 children living in Turkey participated in the descriptive cross-sectional design study. Descriptive Characteristics Form, Problematic Media Use Measure and Hacettepe Psychological Adaptation Scale were used to collect research data. Results Problematic media use of the children is moderate. The COVID-19 pandemic increased the time spent in front of the screen in the majority of children. Psychological adaptation problem was determined in approximately one-third of children. Male gender and screen time spent affect problematic media use and psychological adaptation levels of children. Conclusions The COVID-19 pandemic increased the problematic media use and psychological adaptation problems of children. Practice implications It is recommended that nurses guide parents to limit children's screen time and to plan interventions to solve their psychological adaptation problems.Öğe Awareness, worry, and hope regarding climate change among nurses: A cross-sectional study(2023) Fertelli, Tülay KarsABSTRACT Purpose: The aim of this study is to determine nurses’ awareness, worry and hope levels about climate change. Design and Methods: This cross-sectional study was conducted with 511 nurses. Data were collected using a Personal Information Form, the Global Climate Change Awareness Scale, the Climate Change Worry Scale, and the Climate Change Hope Scale. Findings: The mean scores of the participating nurses obtained from the Climate Change Awareness Scale (71.72 ± 18.11) and Climate Change Worry Scale (35.36 ± 10.51) and Climate Change Hope Scale (38.67 ± 8.80) were moderate, and there was a significant positive correlation between them. Conclusions: The nurses who participated in this study had moderate levels of climate change-related awareness, worry, and hope. As their climate change awareness scores increased, their worry and hope scores also increased. Interventions that will raise climate change awareness in nurses such as education programs and awareness campaigns may increase their levels of worry and hope that will mobilize them for the solution to the climate change problem.Öğe Investigation of pruritus and dermatological quality of life in chronic kidney disease patients(Bayrakol Medical Pub., 2023) Mollaoğlu, Mukadder; Başer Akın, Esra; Candan, FAim: This study was carried out to investigate pruritus and dermatological quality of life in all chronic kidney disease (CKD) patients who receive or do not receive renal replacement therapy. Material and Methods: The cross-sectional study was conducted with 104 CKD patients who volunteered to participate in the study. The data were collected using the Patient Information Form, 5-D Itch Scale and Dermatology Life Quality Index (DLQI). Results: The total score of the 5-D itch scale of patients receiving hemodialysis (HD) treatment was 8.25 ± 3.69, and the total score of DLQI was 7.25 ± 5.96. The total score on the 5-D itch scale of the patients who did not receive HD treatment was 7.65 ± 3.89 and the total DLQI score was 3.97 ± 4.75. When the correlation between 5 D Itch Scale and DLQI was examined, it was found that patients with itching had a lower dermatological quality of life. Discussion: Dermatological quality of life is low in patients with pruritus. It has been observed that patients who receive and do not receive dialysis treatment generally experience itching and their dermatological quality of life is low. It has been determined that the dermatological quality of life is better in those receiving hemodialysis treatment. Evaluation is the first step in the prevention and management of pruritus, which is a common symptom in CKD patients. Nurses are required to routinely examine the itching and its causative factors and to take the necessary precautions as they play a primary role.Öğe The Effects of a Web?Based Interactive Nurse Support Program Based on the Health Promotion Model on Healthy Living Behaviors and Self?Efficacy in Patients Who Regained Weight after Bariatric Surgery: A Randomized Controlled Trial(Springer, 24 Ağustos 2023) Karagözoğlu, ŞerifePurpose This study was conducted in order to determine the effects of web-based interactive nursing support program prepared in line with Health Promotion Model (HPM) on healthy lifestyle behaviors and self-efficacy of patients who regained weight following metabolic and bariatric surgery. Materials and Methods A total of 62 patients with a history of weight regain at least two years after metabolic and bariatric surgery were divided into intervention (n = 31) and control (n = 31) groups by stratified randomization. The intervention group was given a web-based interactive nurse support program based on HPM for 10 weeks and followed up by telephone 12 times (every two weeks) in 6 months. No attempt was made to the control group during the study. The data were collected a total of 3 times before the training, in the 12th week and in the 6th month. Results In the last test after the web-based interactive nurse support program and telephone follow-up, the difference was found to be statistically significant in terms of BMI, healthy lifestyle behaviors, eating behaviors, and general self-efficacy mean scores of the patients in the intervention group (p < 0.05). In addition, after the study, it was determined that the physical activity, nutrition, spiritual development, emotional eating and the Dutch Eating Behavior scales total score averages and Self-Efficacy Scale total score averages of the intervention group changed positively compared to the control group, and this change was statistically significant (p < 0.05). There was no difference between the groups in the mean scores of health responsibility, interpersonal relationships, stress, restrictive eating, external eating and Healthy Lifestyle Behaviors-II Scale (p > 0.05). Conclusion It can be stated that the web-based interactive nurse support program based on HPM is applicable in patients who regain weight after metabolic and bariatric surgery, and it contributes positively to the healthy lifestyle behaviors, BMI, eatin behaviors, and general self-efficacy of these patients. In order to ensure the continuity of post-operative patient follow-up, it is recommended to increase the importance of telephone counseling and to establish follow-up program based on the HPM.Öğe The effect of preoperative pain fear on postoperative pain, analgesic use, and comfort level(Pain Management Nursing, October, 2023) Topal Hançer, Ayşe; Köksel, PervinBackground: Preoperative assessment of pain fear could provide essential information for improving pe- rioperative care and could be the first step toward targeted pain management. Aims: The aim of this study is to determine the effect of preoperative pain fear on postoperative pain, analgesic use, and comfort level. Method: This cross-sectional study was conducted with 201 patients in the general surgery service be- tween January 2022 and March 2022. A sociodemographic questionnaire, Visual Analog Scale (VAS), pain fear, and general comfort scales were used for data collection. Correlation analysis was performed to ex- amine the relationship between scales, and p < .05 was considered statistically significant. Results: The mean age of the individuals participating in the study was 51.22 ±15.89 and 69.2% of them were women. The average score of pain fear was 63.77 ±21.47, and the average score of the VAS was 7.63 ±1.82 after the surgery before analgesics and 5.06 ±1.58 six hours after surgery. The mean comfort level was 132.88 ±9.26. A significant and positive correlation was detected between the total pain fear and the VAS score, analgesic use, and comfort level ( p < .05). Conclusions: In this research, findings demonstrated that as the patients’ pain fear increased, postoper- ative pain severity and amount of analgesia increased. Providing pain management with analgesics in- creases comfort in patients, but it may cause secondary problems in patients who use high-dose anal- gesics. Therefore, reducing pain fear, which is one of the main factors in pain, is essential in pain man- agement.Öğe Postoperative Telenursing During the COVID-19 Pandemic: Improving Patient Outcomes(Journal of PeriAnesthesia Nursing, August, 2023) Topal Hançer, Ayşe; Demir, PervinPurpose: This study was conducted to determine if postoperative nurse-driven telehealth visits for patients undergoing septorhinoplasty decreased patient anxiety while improving comfort and satisfaction levels. Design: The present study was an intervention-control study completed with a total of 320 participants (n = 160, intervention group; n = 160, control group). The intervention postseptorhinoplasty training using the telenursing method was conducted at three time points in this study; preoperatively-postoperatively, on days 3, and 10. Methods: Data were collected from a group of patients undergoing septorhinoplasty in the Ear, Nose, and Throat department of a University Hospital in Turkey between October 2021 and February 2022. The data collected in the study were evaluated with the SPSS 23.00 program and were analyzed with the independent sample t test for two independent groups and the F test (ANOVA) for more than two groups. Correlation analysis was performed to examine the relationship between scales, and P < .05 was considered statistically significant. Findings: In the postoperative period, the mean anxiety inventory score of the experimental group was found to be significantly lower than that of the control group (P < .01). Telenursing increased the satisfaction and comfort of the patients and shortened the discharge time. There was a negative and statistically significant relationship between satisfaction and State Anxiety Inventory and Trait Anxiety Inventory (r = -0.715, r = -0.739, P < .01). Conclusions: This study confirms the importance of postoperative telenursing for septorhinoplasty patients in promoting continuity of care, reducing anxiety and discharge time, improving comfort and satisfaction levels during the Covid-19 pandemic. Remote care was well received during the study and should be used more frequently. There is a need for further research regarding telehealth; and the international incentives and regulations which will be needed to make telenursing a standard of care should be pursued.Öğe The Effect of a Checklist for Perioperative Hyperglycemia Management on Surgical Site Infections: A Randomized Controlled Trial(Journal of PeriAnesthesia Nursing, February, 2023) Topal Hançer, Ayşe; Yılmaz, MeryemPurpose: This study was conducted to evaluate the effect of managing perioperative normoglycemia using a structured and standardized normoglycemia checklist on surgical site infection (SSI). Design: The study is a prospective randomized controlled experimental case-control study. Methods: A normoglycemia checklist was applied to the patients selected for the experimental group preoperatively, intraoperatively, and postoperatively (continuous insulin infusion applied to keep the blood glucose level within the range of 80 to 150 mg/dl until 48 hours postoperative) according to their blood glucose levels. The routine practice available in the clinic was applied to the control group. Findings: The rate of SSI development in the control group (27.5%) was significantly higher than in the experimental group (2.5%) (P < .05). The culture was examined only in patients with deep incisional SSI, and E. Coli and Gram (-) Bacillus were the most prolific microorganisms. The risk of re-hospitalization of the control group patients was 2 times higher than the experimental group (P < .05). Conclusions: This study reports the prevalence, diagnosis, and pathophysiology of perioperative hyperglycemia in patients undergoing cholecystectomy and provides a practical method for the management of blood glucose levels in surgery patients diagnosed with diabetes mellitus and developing stress hyperglycemia.Öğe Prevalence and factors associated with surgery anxiety in hospitalized patients: a point?prevalence study(Irish Journal of Medical Science, October, 2023) Topal Hançer, Ayşe.Background Preoperative anxiety is a challenging problem in the preoperative care of patients. Identifying risk factors helps nurses provide psychological support during the pre-operative visit so that stress can be reduced. Aims This study aimed to determine the prevalence of surgical anxiety and related factors in hospitalized surgical patients. Methods This research was designed as a point-prevalence study. The study was completed with 223 patients hospitalized in the surgical clinics of a tertiary hospital in Turkey. Surgical anxiety questionnaire (SAQ) and State-trait anxiety inventory (STAI) were used for the assessment of anxiety. Results Preoperative anxiety prevalence was 69.5% according to the SAQ and 49.3% according to STAI. Women, participants with no primary school education, those who were unemployed and had low income, those with no previous surgery, those living in fear of surgery, the participants who underwent major surgery and general anesthesia, and those who did not have knowledge about the surgical procedure and anesthesia had higher anxiety according to the two scales. A highly significant and positive correlation was found between total STAI and total SAQ. Conclusion The importance of surgical anxiety for the health system, which affects two out of every three hospitalized patients, should not be underestimated. Therefore, national and global plans should be made to prevent and manage surgical anxietyÖğe Preoperative Anxiety Levels in Surgical Patients: A Comparison of Three Different Scale Scores(Elsevier Inc., 2022) Yılmaz, MeryemPurpose: The aim of this study was to compare Anxiety Specific to Surgery Questionnaire (ASSQ) with Spielberger State-Trait Anxiety Inventory (STAI) and Amsterdam Preoperative Anxiety and Information Scale (APAIS) in the assessment of preoperative anxiety level and to evaluate the fears associated with surgery and anesthesia in surgical patients. Design: This is descriptive, correlational, and cross-sectional study. Method: The study sample included 507 surgical patients in four surgery wards who underwent elective surgery. All the data were collected using The Descriptive Characteristics and Clinical Information Form, STAI,APAIS and ASSQ. Findings: A majority (70.8%) of the participants had fears associated with surgery and anesthesia and nearly half of them had a moderate level of preoperative anxiety. Anxiety prevalence was 46.4% according to the APAIS, 44.4% according to STAI and 49.3% according to ASSQ. Women, participants with no primary school education, participants undergoing major surgery and general anesthesia who did not have knowledge about the surgical procedure, and surgical complications had higher anxiety according to three scale scores. Conclusion: Nearly half of the participants had moderate/high preoperative anxiety, there were consistent results among the scales and the tools were interchangeable to evaluate the preoperative anxiety level in thesurgical patients.
