RESUMEN

PURPOSE: This study was aimed at investigating the effect of coronary artery bypass graft surgery conducted with different techniques on patients' anxiety, depression, mental and physical health. DESIGN AND METHODS: This cross-sectional study included 60 patients who completed the Beck Anxiety Inventory, the Beck Depression Inventory, and the 36-Item Short-Form Health Survey. FINDINGS: Anxiety, depression, and mental health showed significant differences in different time measurements, and combined effects of surgical technique and time factor. PRACTICE IMPLICATIONS: Preoperative routine evaluations can speed up recovery, reduce cost, and improve quality of life by preventing the possible negative effects of anxiety and depression.

Asunto(s)

RESUMEN

OBJECTIVE: Examining the effects of a pulmonary rehabilitation (PR) program applied to patients undergoing coronary artery bypass grafting (CABG) surgery with open heart technique on respiratory functions, functional capacity, and quality of life (QoL). DESIGN: This randomised controlled study applied the Consolidated Standards of Reporting Trials statement. METHODS: The study was conducted with two groups: the intervention group (n = 25) and the control group (n = 25). The control group received standard care after coronary artery bypass grafting. On the contrary, the experimental group participated in a PR program created by the researchers in addition to standard care. After coronary artery bypass grafting, the respiratory functions (on the 4th day of clinical care) and QoL (at the 6th week) of both groups were evaluated. The primary outcome measure was the respiratory function (forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC). The secondary outcome measure of this study was the QoL. RESULTS: When the average pulmonary function test values of the patients were examined, the mean FVC and FEV1 values of the patients in the intervention group on the 4th day of clinical care were significantly higher with a medium level size effect than the control group (p = 0.027; effect size (d) = 0.643; p < 0.024; effect size (d) = 0.658, respectively). At the postoperative 6th week measurement of QoL, a decrease was observed in all subdimensions of the scale, albeit less in the intervention group (p < 0.05). There was a decrease in both the mental and physical component summary of QoL (p < 0.05). CONCLUSION: The results of this study revealed that pulmonary rehabilitation applied to patients who have undergone coronary artery bypass graft recover their functional capacity faster.

Asunto(s)

RESUMEN

BACKGROUND: Hand hygiene is the most effective and simplest infection control method but there is a considerable amount of evidence that shows hand hygiene skills of nursing students should be improved. Nursing education plays an important role in giving nursing students the necessary knowledge, beliefs and teaching and improving basic hand hygiene skills. An effective learning method that enables students to understand both the practical skills and the underlying theoretical principles should be used in teaching hand hygiene. OBJECTIVES: The aim of this study was to compare the effects of a fluorescent concretization intervention and conventional education on improving the hand hygiene beliefs and skills of nursing students. DESIGN AND SETTING: This double blinded pretest-posttest randomized controlled trial was carried out from January 1 to June 1, 2019 with the participation of 126 nursing students in a faculty of health science in a state university in Turkey. METHODS: The participants were randomly assigned to an intervention group (n = 63), receiving education with a fluorescent concretization intervention, and a control group (n = 63) receiving conventional education. RESULTS: There was a significant difference between the intervention and control groups in terms of the total post-test hand hygiene belief score (p = .016 effect size(r) = 0.214). The final handwashing skill score of the students in the intervention group increased significantly for the seven regions of hands (p < .001 effect size(r) = 0.863). In addition, final handwashing skill score in the intervention group (20.62 ± 4.07) was found to be significantly higher than that of the students in the control group (12.57 ± 2.85) (p < .001 effect size(r) = 0.805). CONCLUSION: Hand hygiene training which includes visual concretization intervention with glo germ can be used as a useful strategy to improve nursing students' negative beliefs about hand hygiene and to gain students to effective handwashing behaviors.

Asunto(s)

RESUMEN

PURPOSE: In this study was aimed to examine the relationship between smartphone addiction (SA) and meaning and purpose of life (MPL) of university students. DESIGN AND METHODS: A cross-sectional study consisted of 677 students studying in students of Health Sciences. The data were collected by a questionnaire included the smartphone addiction scale-short form and the meaning and purpose in life scale. FINDINGS: A significant and negative correlation was found between SA and the MPL levels. PRACTICE IMPLACITIONS: Individual coping programs with SA should be handle within the scope of school health nursing. Also these programs should include activities to help students find meaning and purpose in their lives.

Asunto(s)

RESUMEN

AIM: This study aimed to compare the body temperature, normothermia, and extubation times of patients heated with forced air warming method based on whether they underwent on-pump or off-pump coronary artery bypass graft. METHOD: This quasi-experimental study comprised 109 patients who underwent coronary artery bypass graft operation in the cardiovascular surgery department of a university hospital and a private hospital in Afyonkarahisar. Patients were divided into the following two groups: group 1 comprised 65 patients who underwent on-pump coronary artery bypass graft and group 2 comprised 44 patients who underwent off-pump coronary artery bypass graft. All patients included in the study were heated with forced air warming method. Preoperative and postoperative data were collected using the Patient Identification Form and the Patient Tracking Form, consisting of 16 items in total. Data were analyzed using the Statistical Package for the Social Sciences 18.0 software. RESULTS: Even though the preoperative body temperature, postoperative first body temperature, second hour body temperature, and extubation time did not exhibit a significant difference depending on the operating method, a significant difference was observed regarding the first, third, fourth, and fifth hour body temperatures and time to reach normothermia based on the operating method (p<0.05). Notably, the off-pump group's body temperatures in the first, third, fourth, and fifth hours were higher compared with the on-pump group. Furthermore, the off-pump group reached normothermia (145.22±72.54 minutes) earlier or faster compared with the on-pump group (206.84±89.30 minutes). The body temperatures, extubation times, and normothermia were not observed to exhibit significant differences based on the gender (p>0.05). A statistically significant relation was not observed between the patient's body temperature and their age (p>0.05). However, a low but positive and significant (p<0.05) correlation was observed between the extubation times (r=0.197) and age, as well as time to reach normothermia (r=0.237) and age. CONCLUSION: This study concluded that forced air warming method is an effective technique to minimize the time to regain normothermia among patients who underwent the on- and off-pump coronary artery bypass graft.

RESUMEN

OBJECTIVE: To determine the opinions of operating room nurses towards the Surgical Safety ChecklistTR (SSCTR) and to determine applications for using SSCTR in operating rooms. METHODS: This descriptive and cross-sectional study was conducted with 102 nurses working in the operating rooms of a state hospital and a university hospital in the Afyonkarahisar province. Descriptive statistics method were used for data analysis. RESULTS: It was found that all operating room nurses knew the SSCTR and that they had a positive opinion regarding the necessity of the SSCTR. However, most of the participants stated that the SSCTR was not applied effectively in the operating room. CONCLUSION: The results obtained from the study show that changes focusing on the development of a culture of patient safety (PS) and team collaboration in operating rooms must be made in order to apply SSCTR consistently and properly.

RESUMEN

OBJECTIVE: The present investigation analyses the studies of music intervention carried out by nurse researchers, or a research group including nurses, making use of a systematic mapping method to determine the trends in this field. METHOD: In this study, based on a systematic mapping method, 68 out of the 809 studies published between 2013 and 2017, were evaluated. RESULTS: In 87.7% of the studies, Receptive Music Therapy was used while new age music was listened to in 23.9% of the studies. Music intervention was found to be effective in relieving anxiety and pain in 54% and 34.1% of the 44 studies examining the efficacy of receptive music therapy, respectively. CONCLUSION: This study reveals that nurses use music intervention in all areas of health care services, and that the variables for which the effect of musical intervention is examined are mostly anxiety, vital signs and pain.

Asunto(s)

RESUMEN

OBJECTIVES: Nuclear medicine procedures use radiopharmaceuticals, which produce radiation and potential adverse reactions, albeit at a low rate. It is the patient's ethical, legal, and medical right to be informed of the potential side effects of procedures applied to them. Our purpose was to determine the effect of providing information about intravenous radiopharmaceutical administration on the anxiety level of patients who request more information. MATERIALS AND METHODS: This study was completed in two separate Nuclear Medicine Departments. The study included 620 (247 M, 373 F) patients who had been referred for myocardial perfusion, bone, dynamic renal, and thyroid scintigraphic examinations. The patients were divided into two groups according to whether they requested more information or not. Group 1 consisted of 388 patients who wanted to receive more information about the procedure, while Group 2 consisted of 232 patients who did not request additional information. The State-Trait Anxiety Inventory (STAI-S and STAI-T) was used to determine a patient's anxiety level. After simple information was given, state and trait anxiety levels were measured in both groups. We gave detailed information to the patients in Group 1 and then measured state anxiety again. Detailed information included an explanation of the radiopharmaceutical risk and probable side effects due to the scan procedure. RESULTS: There was no statistical difference between Groups 1 and 2 in STAI-T or STAI-S scores after simple information was given (p = 0.741 and p = 0.945, respectively). The mean value of STAI-S score was increased after the provision of detailed information and there was a statistically significant difference between after simple information SATI-S and after detailed information STAI-S (p < 0.001). The STAI-S score was increased in 246 patients and decreased in 110 patients after detailed information, while there was no change in 32 patients. After detailed information, the greatest increase in STAI-S score was seen in the myocardial perfusion scan patients, when evaluating according to scan procedure (p < 0.001). However, in the dynamic renal patient group, there was no statistical difference (p = 0.271). CONCLUSIONS: Informed consent including detailed information about radiation exposure, the risk factors, and potential adverse reactions of intravenous radiopharmaceutical administration increased the patients' anxiety level in those who request more information.

Asunto(s)