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BACKGROUND: With the ageing of the global population, it is predicted that the population of older adult patients in hospitals and intensive care units (ICUs) will increase. Because of health conditions, care practices and ageing-related skin changes, older adult ICU patients are prone to skin integrity problems, including skin tears (STs). AIM: To determine the prevalence of STs and associated factors in older patients hospitalized in ICUs. STUDY DESIGN: The study is a regional, multicentre, point prevalence study conducted in five centres in the five largest cities in terms of population in the Central Anatolia Region of Türkiye. Data were collected simultaneously in each centre on the same day. The list of patients hospitalized in the ICUs on the day of data collection was drawn up, and 200 patients who were 65 years of age or older, were hospitalized in ICUs and agreed to participate in the research were included. The researchers formed an "ST chart" to record patient demographic characteristics, clinical variables and skin assessment. RESULTS: STs were detected in 14.5% of patients in ICUs, with 72.5% of them having stage 1 ST. A significant relationship was found between individuals' average body mass index (BMI) (p = .043), age (p = .014), length of stay in the ICU (p = .004) and having ST. There was also a statistically significant relationship between skin temperature (p = .002), skin turgor (p = .001) and ST. More STs were observed in patients with cold skin and low turgor. The prevalence of ST was higher in individuals with a history of ST. Additionally, there was a statistically significant relationship between consciousness (p = .014), incontinence (p = .006), the Braden score (p = .004), the Itaki fall risk score (p = .006) and ST. CONCLUSIONS: In this multicentre point prevalence study, the prevalence of ST in older patients in ICUs was 14.5%, and many factors associated with ST have been identified. RELEVANCE TO CLINICAL PRACTICE: Given the insufficient information and attention to STs in older adults, the study emphasizes the importance of addressing STs. The impact of STs includes increased treatment costs, length of stay and risk of complications. Therefore, understanding the global extent of STs in ICUs and developing effective interventions for prevention and management are crucial.
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BACKGROUND: Women with breast cancer (BC) experience symptoms related to fatigue, sleep quality, and quality of life (QOL) in the post- treatment period. Oncology nurses need to plan interventions such as physical activity (PA) aimed at reducing the symptoms experienced by patients. OBJECTIVES: The aim of this article is to determine the efficacy of a home-based, unsupervised PA program on fatigue, sleep quality, and QOL in survivors of BC. METHODS: This study was an experimental study with a prospective control group. Female survivors of BC were randomly assigned to either the home-based, unsupervised PA intervention group or the control group for 12 weeks. Fatigue, sleep quality, and QOL were assessed with questionnaires at baseline and the 12th week. FINDINGS: The home-based, unsupervised PA program yielded positive effects on fatigue and QOL among participants. The program did not affect sleep quality.
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Neoplasias de la Mama , Calidad de Vida , Femenino , Humanos , Ejercicio Físico , Fatiga/terapia , Estudios Prospectivos , Calidad del Sueño , SobrevivientesRESUMEN
PURPOSE: This study aimed to develop the inadvertent perioperative hypothermia knowledge test (IPH-KT) for health care professionals and examine its validity and reliability. DESIGN: The methodological and cross-sectional study design was used. METHODS: The research was carried out with 326 nursing students in Turkey. Data for the study were collected using a demographic information form and the IPH-KT. FINDINGS: The item difficulty index and item distinctiveness index of the questions included in the draft form of the 25-item test ranged from 0.03 to 0.81 and from 0.25 to 0.99, respectively. After the analyses, 8 items were excluded from the draft test, and the final version of the test consisted of 17 questions. The item difficulty index of the final test ranged from 0.30 to 0.96, and the item distinctiveness index ranged from 0.33 to 0.81. The reliability of the test was determined using the Kuder-Richardson formula 20 and found to be 0.72, indicating high internal consistency. Therefore, the IPH-KT was accepted as a reliable test. CONCLUSIONS: The study revealed that the questions in the IPH-KT had varying difficulty levels and a high ability to discriminate between individuals with knowledge of IPH and those without. The results demonstrated that the test had good content and face validity and showed high reliability for measuring the IPH knowledge of nursing students.
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BACKGROUND: Inadvertent perioperative hypothermia (IPH) is a common issue in surgical patients. To avoid this issue, the patient should be monitored continuously throughout the perioperative process. Evidence-based practices in line with relevant guidelines are necessary to maintain normothermia. PURPOSE: This study was developed to determine the effect of using a control list developed for preventing IPH on time of awakening from anesthesia and coagulation disorder in surgical patients. METHODS: In this randomized controlled study, nursing interventions were applied to patients in accordance with the normothermia checklist (NC) developed by the researchers to prevent IPH. RESULTS: In this study, 30 patients were respectively assigned to the experimental and control groups. Conducting nursing interventions in accordance with the control checklist was found to be effective in preventing IPH. Moreover, time of awakening from anesthesia was significantly shorter in the experimental group (3.77 ± 1.10 minutes) than the control group (11.03 ± 2.51 minutes; p < .05). Furthermore, tendency to bleed was higher in the control group than the experimental group, and a statistically significant between-group difference in coagulation disorders was found ( p < .05). CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The results of this evidence-based study indicate that implementing nursing interventions in line with the developed NC is effective in preventing IPH. Preventing IPH, which increases the risk of numerous complications in surgical patients, is an important responsibility of nurses. Nurses may employ the NC proposed in this study to better secure the safety and minimize the risk of complications in surgical patients.
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Anestesia , Trastornos de la Coagulación Sanguínea , Hipotermia , Humanos , Trastornos de la Coagulación Sanguínea/complicaciones , Lista de Verificación , Hipotermia/etiología , Hipotermia/prevención & controlRESUMEN
PURPOSE: 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.
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Hiperglucemia , Infección de la Herida Quirúrgica , Humanos , Infección de la Herida Quirúrgica/epidemiología , Infección de la Herida Quirúrgica/prevención & control , Glucemia , Estudios de Casos y Controles , Estudios Prospectivos , Lista de Verificación , Escherichia coli , Hiperglucemia/tratamiento farmacológicoRESUMEN
INTRODUCTION: Patient satisfaction is affected by many factors, as the emergency department are units that provide rapid examination and treatment. Patient satisfaction should be evaluated differently from other clinics. METHOD: This study was a descriptive, psychometric analysis using cross-sectional data collection. The study was conducted in the emergency department of a training and research hospital with 400 patients between July and September 2018. Data were collected using "Descriptive Characteristics Form" and "Brief Emergency Department Patient Satisfaction Scale (BEPSS)". SPSS 21.0 and AMOS 24.0 package programs were used in the analysis of the data. Language equivalence, content validity, exploratory factor analysis, and confirmatory factor analysis of the scale were performed. Cronbach's alpha coefficient and item-total score correlation were evaluated to determine the reliability of the scale. RESULTS: The factor structure of the scale was found to be different from the factor structure of the original scale. Scale items were collected under different factors. The factor loads of the scale items ranged from 0.642 to 0.986. Goodness of fit values were sufficient in confirmatory factor analysis. Test-retest reliability was found sufficient. The Cronbach's alpha reliability coefficient (α = 0.940) was high and the item total score correlation varied between 0.577 and 0.832. CONCLUSION: The BEPSS is a valid and reliable scale and can be used in the Turkish population.
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Lenguaje , Satisfacción del Paciente , Estudios Transversales , Servicio de Urgencia en Hospital , Humanos , Psicometría , Reproducibilidad de los Resultados , Encuestas y CuestionariosRESUMEN
PURPOSE: 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 the surgical patients.
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Ansiedad , Miedo , Anestesia General , Ansiedad/epidemiología , Ansiedad/etiología , Estudios Transversales , Femenino , Humanos , Cuidados Preoperatorios/métodos , Encuestas y CuestionariosRESUMEN
BACKGROUND: The presence of a chest tube is a factor significantly associated with pain and pain posttube thoracostomy that negatively affects sleep quality (SQ). AIM: To determine the relationship between the pain severity and SQ of patients who underwent the tube thoracostomy (TT). METHODS: This was a descriptive and cross-sectional survey conducted from May 1, 2018, to December 30, 2018, in the thoracic surgery department of Sivas Cumhuriyet University Hospital in Central Anatolia/Turkey. Data were collected using a questionnaire form, a Numerical Rating Scale to determine pain severity, and the Richard-Campbell Sleep Questionnaire to assess SQ. RESULTS: The study was carried out with 102 patients who underwent the TT. The mean age of the participants were 48.94 years. The mean scores for the scale items indicated that during the procedure and on the first day of post-TT, the pain severity of the patients was very high, their SQ was low. Pain level decreased gradually in the following days, and the SQ increased. There was a positive, strong correlation between the post-TT first day pain and first night SQ (r = 0.380, p = 0.000), second day pain and second night SQ (r = -0.537, p = 0.000), and third day pain and third night SQ (r = -0.507, p = 0.000). CONCLUSION: The results of this study highlight that the pain severity of post-TT significantly affect the quality of the patients' night sleep.
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Traumatismos Torácicos , Toracostomía , Estudios Transversales , Humanos , Persona de Mediana Edad , Dolor , Estudios Retrospectivos , SueñoRESUMEN
Surgical patients may experience inadvertent perioperative hypothermia, a condition that can cause a variety of complications, including surgical site infection (SSI). The authors of this systematic review used the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines to examine the role of perioperative hypothermia in the development of SSI. The authors searched the PubMed, Cumulative Index Nursing and Allied Health Literature, Cochrane, and ScienceDirect databases for eligible articles published between January 2008 and November 2018 and identified seven studies that met the inclusion criteria. The results of this review indicate that the relationship between hypothermia and SSI is closely related to the type of the surgical intervention performed (eg, emergent, colorectal), and that severe hypothermia (eg, <35.0° C [95.0° F]) can increase the risk of developing an SSI. Perioperative nurses should monitor patients for inadvertent hypothermia and prevent its occurrence when possible.
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Hipotermia , Humanos , Hipotermia/etiología , Infección de la Herida QuirúrgicaRESUMEN
PURPOSE: The purpose of this study was to determine the effects of fasting before surgery on patients undergoing thoracic surgery. DESIGN: This descriptive cross-sectional study was conducted from January 1 to June 30, 2017. METHODS: The study was carried out with 85 patients who underwent thoracotomy, mediastinoscopy, or rib resection in the thoracic surgery department of a university hospital. All patients started fasting midnight before day of surgery. Data were collected using a questionnaire, Visual Analog Patient Satisfaction Scale, and preoperative laboratory findings form. FINDINGS: The mean fasting hours of solids and clear fluids were 8 and 16, respectively, and the mean duration of preoperative fasting (POF) was 10.16 (SD = 1.67), total fasting time average was 28.09 (SD = 7.11). Total protein and albumin levels decreased, and glucose level increased after surgery. The difference between total protein, albumin, and glucose levels preoperatively and postoperatively was significant (P < .05). The difference between patient satisfaction and thirst was found to be statistically significant (P < .05). A positive correlation was found between POF and thirst (r = 0.450; P = .000), hunger (r = 0.402; P = .000), total protein (r = 0.508; P = .000), albumin (r = 0.537; P = .000), and glucose levels (r = 0.371; P = .000). CONCLUSIONS: POF had an adverse effect on thirst, hunger, and total protein as well as albumin and glucose levels.
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Ayuno , Cirugía Torácica , Estudios Transversales , Humanos , Cuidados Preoperatorios , SedRESUMEN
Electroencephalography (EEG) is perhaps the most widely used brain-imaging technique for pediatric populations. However, EEG signals are prone to distortion by motion. Compared to adults, infants' motion is both more frequent and less stereotypical yet motion effects on the infant EEG signal are largely undocumented. Here, we present a systematic assessment of naturalistic motion effects on the infant EEG signal. EEG recordings were performed with 14 infants (12 analyzed) who passively watched movies whilst spontaneously producing periods of bodily movement and rest. Each infant produced an average of 38.3 s (SD = 14.7 s) of rest and 18.8 s (SD = 17.9 s) of single motion segments for the final analysis. Five types of infant motions were analyzed: Jaw movements, and Limb movements of the Hand, Arm, Foot, and Leg. Significant movement-related distortions of the EEG signal were detected using cluster-based permutation analysis. This analysis revealed that, relative to resting state, infants' Jaw and Arm movements produced significant increases in beta (â¼15 Hz) power, particularly over peripheral sites. Jaw movements produced more anteriorly located effects than Arm movements, which were most pronounced over posterior parietal and occipital sites. The cluster analysis also revealed trends toward decreased power in the theta and alpha bands observed over central topographies for all motion types. However, given the very limited quantity of infant data in this study, caution is recommended in interpreting these findings before subsequent replications are conducted. Nonetheless, this work is an important first step to inform future development of methods for addressing EEG motion-related artifacts. This work also supports wider use of naturalistic paradigms in social and developmental neuroscience.
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OBJECTIVE: To evaluate the relationship between spiritual well-being (SpWB) and quality of life (QoL) in cancer (CA) survivors. METHODS: The current study was conducted in the oncology center at a university hospital in Central Anatolia/Turkey. In this study, a descriptive cross-sectional survey design was used. The data collected included: a questionnaire form, the current study was conducted in the oncology center at a university hospital in Central Anatolia/Turkey. In this study, a descriptive cross-sectional survey design was used. SpWB was assessed by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, version 4 (FACIT-Sp12, v. 4), including Meaning, Peace, and Faith subscales. The QoL was evaluated using the Functional Assessment of Cancer Therapy-General scale (FACT-G, v. 4). The results were analyzed using descriptive statistics, Pearson correlations, independent sample t-test, Kruskal-Wallis, and Mann-Whitney U test. RESULTS: One hundred fifty patients participated in this study: 61.30% female, 78% 45 years of age or older, 94.70% married, 46% had finished, and 69% had gastrointestinal tract CA. The mean age was 53.48 (SD = 9.43). The majority of participants (96.7%) endorsed "a force pushing them a will to live" while 59.3% supported "the power of relationships with others." There was a positive, strong correlation between overall QoL and SpWB (r = 0.619, p < 0.01). The Meaning dimensions of SpWB with Functional Well-Being (FWB) and overall QoL (r = 0.512; 0.595, p < 0.000 respectively), Peace with Emotional Well-Being (EWB) and FWB (r = 0.598; 0.540, p < 0.000 respectively) dimensions of FACT-G and overall QoL (r = 0.609, p < 0.001) were strong correlated. Faith and QoL were not significantly correlated. SIGNIFICANCE OF RESULTS: This study demonstrates that SpWB positively contributed to the QoL of CA survivors. SpWB is not necessarily limited to any specific types of beliefs or practices. For some people, faith in self, others and/or God constitutes, in large part, the meaning, purpose, and fulfillment they find in life.
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Supervivientes de Cáncer/psicología , Calidad de Vida/psicología , Espiritualidad , Adaptación Psicológica , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , TurquíaRESUMEN
OBJECTIVE: The objective of the present study was to determine effect on quality of life (QoL) and body image level following mastectomy among breast cancer (BC) survivors. MATERIALS AND METHODS: In this descriptive study was carried out between February 2015 and December 2016 with 57 women with modified radical mastectomy and who in stage II and stage III. Data were collected using the socio-demographic and body cathexis scale, Functional Assessment of Cancer Therapy-Breast (FACT-B) to determine QoL. The study was carried out in home environment in which women lived. RESULTS: The average age of the women was 49.34 years (ranged 28-78 years). Most of the women had undergone mastectomy for more than 6 months.. Most of the women also received adjuvant chemotherapy and radiotherapy. The study showed that the mean FACT-B total score of the women was 68.47 (SD=22.44), and the body image score was 121.61(SD=21.96). According to the results of linear regression analysis, except for the social/family well-being of FACT-B, positive correlations were calculated among the other sub-dimensions of FACT-B and the FACT-B total score and the body image total score respectively (ß=0.822, p=0.000). In the multiple linear regression model, there was medium correlation between education and work status with QoL, no correlation between QoL and other features of women. There was important positive relationship between body image with time after mastectomy and chemotherapy and no correlation between body image and other features of women. CONCLUSION: The results of this study showed that the mastectomy has a negative impact on body image and QoL of women and there was a strong positive correlation between body image and QoL.
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OBJECTIVE: Breast cancer (BC) is the most common female malignancy in the world and Turkey. Its prevalence and mortality are surprisingly increasing at a rapid rate. The objective of this study was to determine the effectiveness of training sessions on women's knowledge of relevant risk factors of BC and screening methods, screening behaviors and health beliefs among of healthy women in Turkey. MATERIALS AND METHODS: In this study, in order to establish the efficiency of BC training, a semi-empirical single group pre-test & post-test research model was used. The data were collected by using a self-administered questionnaire and by using the Turkish version of Champion's health belief model scale (CHBMS). The pre-test was performed before the training and after one week of the training, post-test was performed with a questionnaire having the same content. RESULTS: In total, 244 women participated in the study. The average age of the women was 39.44 (SD=1.06) years. The mean total knowledge score increased significantly (p<.001) from 9.05 in the pre-test to 16.53 in the post-test. The results showed that both mean knowledge scores and CHBMS subscales scores of the women were increased significantly (p<.001) from the pre-test to the post-test. In multiple linear regression analysis, BC screening knowledge of women with susceptibility, benefit, self-efficacy and health motivation subscales of CHBMS, breast self-examination (BSE) practice and self-efficacy were also significant in the post-test; in the pre- and post-tests, a significant relationship among the level of education of women, susceptibility and seriousness was found (p<.001). CONCLUSION: The study showed that the training program had profound effects on BC knowledge, screening behaviors and health beliefs of women.
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OBJECTIVE: The purpose of this study was to identify the health beliefs and breast cancer (BC) screening behavior of a group of female health professionals (FHPs) [physicians, nurses and midwives] in Turkey. MATERIALS AND METHODS: This descriptive study was conducted at primary and secondary level healthcare institutions in Central Anatolia, Turkey. The study group included 720 FHPs. Data was collected by a questionnaire and the Turkish version of Champion's Health Belief Model Scales (CHBMS). RESULTS: The mean age of the FHPs was 30.2 years (±6.12 range; 20-50), 8.9 % of them were ≥40 years. The majority (93.9%) of FHPs did not have annual mammography (MMG) or clinical breast examination (CBE) (95.1%); and 42.9% reported to perform breast self-examinations (BSE). None of the physicians reported having a CBE or MMG. The physicians' perception of susceptibility, severity and barriers to screening was lower than the nurses and midwives; however, their perception of benefits, self-efficacy and health motivation was higher. The perception of benefit among nurses, and self-efficacy and perception of health motivation among midwives were lower than those of the physicians. The perception of barriers to screening was highest among nurses. CONCLUSION: The compliance rate with early detection practices for BC screening was low among FHPs. Health beliefs influenced their behavior on BC screening.
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BACKGROUND: Attention to patients' spirituality, as a moral obligation of care, is now widely accepted in nursing practice. However, until recently, many nursing programs have paid little attention to spirituality. OBJECTIVE: The objective of this study was to identify the impact of two different curricula, used to teach undergraduate nursing students, on increasing nursing student awareness of spirituality in the care of patients. RESEARCH DESIGN: A quasi-experimental post-intervention two-group design was conducted in 2009-2010 and 2010-2011 academic years. PARTICIPANTS AND RESEARCH CONTEXT: The study included a total of 130 volunteer senior-year students. The students were assigned as "the intervention group/integrated system" that were informed about spirituality or as "the control group/traditional system" that received no information on spirituality. Data were collected via a personal information form and the Spirituality and Spiritual Care Rating Scale was used to assess responses. The study was conducted at the Department of Nursing of the Faculty of Health Sciences, Cumhuriyet University, in Central Anatolia/Turkey. ETHICAL CONSIDERATIONS: Permission to conduct the study at the nursing school was obtained from the schools' management teams. The rights of the participants were protected in this study by obtaining informed consent. FINDINGS: The results revealed that the intervention group had a higher mean score on the Spirituality and Spiritual Care Rating Scale than did the control group. The students in the intervention group defined the terms of spirituality and spiritual care more accurately than did the control group students. DISCUSSION: Nurses are professionally and ethically responsible for providing spiritual care. Nurses' competence in meeting the spiritual needs of their patients should be improved by undergraduate education on spiritual care. Nursing scholars reported a significant difference in the knowledge and attitudes toward spirituality of nursing students as a result of the integration of spirituality into the undergraduate nursing curriculum. CONCLUSION: Spirituality should be more widely included in nursing education.
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Curriculum , Enfermeras y Enfermeros/psicología , Facultades de Enfermería/normas , Autoeficacia , Espiritualidad , Estudiantes de Enfermería , Femenino , Humanos , Masculino , TurquíaRESUMEN
AIMS AND OBJECTIVES: To examine the translation and adaptation process from English to Turkish and the validity and reliability of the Champion's Health Belief Model Scales for Mammography Screening. Its aim (1) is to provide data about and (2) to assess Turkish women's attitudes and behaviours towards mammography. BACKGROUND: The proportion of women who have mammography is lower in Turkey. The Champion's Health Belief Model Scales for Mammography Screening-Turkish version can be helpful to determine Turkish women's health beliefs, particularly about mammography. DESIGN: Cross-sectional design was used to collect survey data from Turkish women: classical measurement method. METHODS: The Champion's Health Belief Model Scales for Mammography Screening was translated from English to Turkish. Again, it was back translated into English. Later, the meaning and clarity of the scale items were evaluated by a bilingual group representing the culture of the target population. Finally, the tool was evaluated by two bilingual professional researchers in terms of content validity, translation validity and psychometric estimates of the validity and reliability. The analysis included a total of 209 Turkish women. The validity of the scale was confirmed by confirmatory factor analysis and criterion-related validity testing. RESULTS: The Champion's Health Belief Model Scales for Mammography Screening aligned to four factors that were coherent and relatively independent of each other. There was a statistically significant relationship among all of the subscale items: the positive and high correlation of the total item test score and high Cronbach's α. The scale has a strong stability over time: the Champion's Health Belief Model Scales for Mammography Screening demonstrated acceptable preliminary values of reliability and validity. CONCLUSION: The Champion's Health Belief Model Scales for Mammography Screening is both a reliable and valid instrument that can be useful in measuring the health beliefs of Turkish women. RELEVANCE TO CLINICAL PRACTICE: It can be used to provide data about healthcare practices required for mammography screening and breast cancer prevention. This scale will show nurses that nursing intervention planning is essential for increasing Turkish women's participation in mammography screening.
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Neoplasias de la Mama/diagnóstico , Conocimientos, Actitudes y Práctica en Salud , Mamografía/psicología , Adulto , Anciano , Neoplasias de la Mama/enfermería , Estudios Transversales , Análisis Factorial , Femenino , Humanos , Persona de Mediana Edad , Modelos Psicológicos , Aceptación de la Atención de Salud , Reproducibilidad de los Resultados , Traducciones , TurquíaRESUMEN
AIM: The aim of this study was to determine the sleep quality of the patients hospitalized in surgical units and the factors that influence it. METHOD: The research was a randomized descriptive study. It was conducted in the surgical clinics of Sivas Cumhuriyet University Health Services Research Hospital. A total of 411 patients participated in the study. The research data were gathered by means of the Pittsburgh Sleep Quality Index (PSQI) and the Questionnaire aimed at capturing personal information about the participant patients and the factors influencing their sleep. RESULTS: The sleep quality score of the patients "during the last week" (8.090 ± 3.504) was higher than their score in the "preadmission" period (4.229 ± 2.726) (p= .000). The sleep quality scores of "the patients with previous hospitalization and operation experience" (p= .000), "those who had undergone a major surgical procedure" (p= .000), "those who had been hospitalized for a week" (p= .022), and "those undergoing medical intervention during sleeping hours" (p= .000) "during the last week" were high. Patients who had a chronic illness history and whose operations were postponed had poor quality of sleep in both the hospitalization and preadmission period (p= .000). CONCLUSIONS: It could be suggested that the patients in preoperative and postoperative periods cannot get adequate rest due to low sleep-quality levels. IMPLICATIONS FOR PRACTICE: Nurses can prepare an environment aiding sleep as a way to increase surgical patients' sleep quality in hospital.
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Hospitalización , Sueño/fisiología , Servicio de Cirugía en Hospital , Adulto , Anciano , Enfermedad Crónica , Femenino , Humanos , Masculino , Persona de Mediana Edad , Investigación Metodológica en Enfermería , Encuestas y Cuestionarios , Factores de TiempoRESUMEN
AIMS AND OBJECTIVES: The aims of the present study were to identify the levels of preoperative anxiety in patients undergoing elective surgery and the relationship between preoperative anxiety and social support. In addition, predictors of preoperative anxiety were studied in surgical inpatients. BACKGROUND: Major life changes are significant factors that cause anxiety; hospitalisation and surgery are among such changes. Social support may decrease the anxiety associated with surgery. DESIGN: This is a descriptive study that included 500 patients in a surgery clinic. METHODS: The data collected included: A Patient Information Form, Multidimensional Scale of Perceived Social Support and the Surgical Anxiety Scale. The results were analysed using the Chi-square test and logistic regression analysis. RESULTS; Five hundred patients participated in this research: 59·6% were female, 54·6% were 65 years of age or older, 80·6% were married, 70·4% were literate and 62% of the patients had moderate level surgery. There was a significant relationship between the sociodemographic patient features, the level of preoperative anxiety (p < 0·05), the presence of social support and the severity of anxiety (p = 0·001). The age and level of anxiety were not significant factors. The mean anxiety score for all patients was 31·91 (SD 6·30) and the mean social support score was 66·38 (SD 13·69). CONCLUSION: The results of this study showed that the preoperative anxiety of patients awaiting surgery was associated with demographic characteristics as well as social support resources. RELEVANCE TO CLINICAL PRACTICE: Anxiety testing is feasible during the preoperative period. Such testing allows for the detection of patients with high anxiety, and for clinicians to take the appropriate steps to ameliorate this problem. Identification of patient anxiety allows for providing a focus on social support in an attempt to reduce the level of anxiety.
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Ansiedad/prevención & control , Procedimientos Quirúrgicos Electivos/psicología , Pacientes Internos/psicología , Cuidados Preoperatorios/métodos , Apoyo Social , Adaptación Psicológica , Adolescente , Adulto , Factores de Edad , Anciano , Ansiedad/fisiopatología , Distribución de Chi-Cuadrado , Estudios de Cohortes , Procedimientos Quirúrgicos Electivos/métodos , Femenino , Estudios de Seguimiento , Humanos , Pacientes Internos/estadística & datos numéricos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Periodo Preoperatorio , Factores de Riesgo , Índice de Severidad de la Enfermedad , Factores Sexuales , Factores Socioeconómicos , Turquía , Adulto JovenRESUMEN
OBJECTIVES: We aimed in this defining study to determine patients' opinions about nursing practices with respect to their postoperative pain and their satisfaction with these practices. METHODS: Data were collected by two questionnaires that were prepared by the researchers. The collected data were evaluated with chi-square and number, frequency tests. RESULTS: Of the 360 patients participating in this study, 61.4% were women, 83% were over 40 years old and 88% had low educational level. 60.4% had no previous surgery experience. It was determined that 30.6% of patients had undergone heart-lung (cardiovascular system, CVS) and 25.5% gastrointestinal system (GIS) surgery. It was found that 96.4% of patients experienced pain while coughing and 81.9% while getting out of bed. 96.4% of patients reported difficulty in coughing, 78.3% difficulty in mobilization and 46.7% difficulty in breathing because of postoperative pain. It was determined that patients who underwent CVS, TAH+BSO and GIS operations experienced more pain while coughing and trying to get out of bed, while patients who underwent discectomy experienced more pain while walking. There was a significant difference between types of operation and pain (p<0.05) and between activities in which patients experienced difficulty and types of operation (p<0.05). CONCLUSION: The patients stated that nurses did not use a pain scale, provide information about how pain could be relieved, demonstrate what they needed to do during the activities that caused pain, assist the patients to reposition to relieve the pain, or use any non-pharmacological interventions. Nevertheless, all of the patients were satisfied with the analgesics that were administered by nurses for pain relief.