Açelya Türkmen

Manuel terapiler, kas-iskelet sistemi bozukluklarının tanı ve tedavisinde kullanılan geleneksel ve tamamlayıcı tıp uygulamaları arasında yer almaktadır. Kayropraktik, kraniosakral ve osteopatik tedaviler önemli manuel terapilerdir. Manuel Terapilerin etki mekanizmaları; nörofizyolojik, mekanik, nöroimmünolojik ve psikososyal süreçlerle ilişkilidir. Ağrı kontrolü, dolaşımın artırılması, kas gevşemesi ve fonksiyonel iyileşme manuel terapilerin başlıca hedeflerindendir. Cerrahi bakımda kullanılan manuel terapi, özellikle ameliyat sonrası dönemde ağrı yönetimi, mobilizasyonun desteklenmesi ve hastanede kalış süresinin azaltılmasını sağlayan bir geleneksel ve tamamlayıcı tıp uygulamasıdır. Hemşireler, manuel terapinin uygulanmasında hasta değerlendirmesi, ağrı yönetimi, eğitim ve etik sorumluluklar açısından önemli roller üstlenmektedir. Ayrıca hastalara terapi süreci hakkında bilgi vererek tedaviye uyumunu artırmakta, taburculuk sonrası egzersizlerle iyileşme sürecini desteklemekte ve diğer sağlık profesyonelleriyle iş birliği içinde bütüncül bakım sunmaktadır. Bu nedenle manuel terapi disiplinler arası bir yaklaşımla yürütülmeli ve hasta güvenliği ön planda tutulmalıdır. Manual therapies are a traditional and complementary method used for diagnosing and treating musculoskeletal disorders. Chiropractic, craniosacral and osteopathic treatments are important forms of manual therapy. The mechanisms by which manual therapy works are associated with neurophysiological, mechanical, neuroimmunological and psychosocial processes. The primary goals of manual therapies are pain control, increased circulation, muscle relaxation, and functional improvement. In surgery, manual therapy are very important, especially after surgery, because they help with pain, movement, and how long patients stay in hospital. Nurses play important roles in the implementation of manual therapy in terms of patient assessment, pain management, education and ethical responsibilities. They also improve treatment adherence by informing patients about the therapy process, supporting recovery through post-discharge exercises, and providing holistic care in collaboration with other healthcare professionals. Therefore, manual therapy should be implemented using a multidisciplinary approach, with patient safety being the top priority.

Objective: The aim of the study was to determine the effects of transcutaneous electrical nerve stimulation (TENS) on pain and vital signs during chest tube removal (CTR). Methodology: This randomized controlled study was conducted with a group of patients treated in the thoracic surgery unit of a university hospital between May 2023 to September 2023. Participants were equally allocated using simple randomization. This randomized-controlled study collected data 60 thoracic surgery patients using Patient Information Form (PIF) and the Numerical Rating Scale (NRS). TENS was applied for a total of one hour, 2-3 cm from the chest tube site. The pain level and vital signs of the patients were assessed at immediately before (T1), during (T2) and immediately after (T3) the CTR in all groups. Results: Pain levels were significantly lower in the TENS group compared to the control group (p < 0.05). In addition, a significance was found between the groups at T2 for Heart Rate (HR), T2-T3 for Systolic Blood Pressure (SBP) and T2-T3 for Respiratory Rate (RR). HR, SBP and RR were statistically significant at T2 time (p<0.05) in this group. Conclusion: TENS effectively reduces acute procedural pain and provide maintain stable vital signs as a safe complementary method in multimodal pain management.

SUMMARY OBJECTIVE: The aim of this study was to evaluate the effect of mobile application-based musical tonalities delivered at different times of day on postoperative pain and analgesic consumption after orthopedic trauma surgery. METHODS: This randomized controlled study included 80 patients undergoing orthopedic trauma surgery at a university hospital. Tonalities (Rast, Nihavend, Neva) were delivered via an Android-based mobile application in the morning (T1), afternoon (T2), and evening (T3). Pain was assessed using the Numerical Rating Scale, and analgesic consumption was recorded. RESULTS: Baseline characteristics were largely comparable; however, body mass index (p=0.002) and marital status (p<0.001) differed between groups. Pain scores decreased significantly over time in both groups (p<0.001). After Bonferroni correction, baseline pain did not differ between groups, whereas post-intervention pain scores differed at all post-intervention time points (T1b, T2b, T3b; p0.05). In robust regression analyses controlling for baseline Numerical Rating Scale, body mass index, and marital status, the intervention group showed significantly higher Numerical Rating Scale scores at all measurement times, and baseline Numerical Rating Scale was the strongest predictor of postoperative pain. CONCLUSION: Postoperative pain decreased over time in both groups, and baseline pain level was the strongest determinant of postoperative pain perception; no significant between-group difference was observed in analgesic consumption.

Ürogenital Sistem Anatomisi Kenan SABUNCU Mehmet Gökhan ÇULHA Üriner Sistem Fizyolojisi Gökhan ÇEVİK Ürolojik Muayene ve Tanı Testlerinde Hemşirenin Rol ve Sorumlulukları Funda BÜYÜKYILMAZ Üst Üriner Sistem Perkütan Girişimleri Seher ÜNVER Ürolojik Laparoskopik Cerrahi Nermin OCAKTAN Ürolojik Robotik Cerrahi Hatice Merve ALPTEKİN Ayfer ÖZBAŞ Ürolojide Lazer Kullanımı Esra EREN Transuretral Rezeksiyon ve Diğer Transuretral Yöntemler Pınar ONGÜN Endoüroloji ve Girişimsel Üroradyolojide Hemşirenin Rolü Banu KATRAN Üriner Sistem Enfeksiyonları ve Hemşirelik Bakımı Rabia GÖRÜCÜ Ezgi SEYHAN AK Üriner Sistem Taş Hastalığı ve Hemşirelik Bakımı Ümmü YILDIZ FINDIK Duygu SOYDAŞ Böbrek Kanseri ve Hemşirelik Bakımı Öykü KARA İkbal ÇAVDAR Üreter Kanseri ve Hemşirelik Bakımı Zeynep TEMİZ Mesane Kanseri ve Hemşirelik Bakımı Askeri ÇANKAYA Meryem YAVUZ van GIERSBERGEN Prostat Kanseri ve Hemşirelik Bakımı Tuğba SINMAZ Ayfer ÖZBAŞ Üretra Kanseri ve Hemşirelik Bakımı Açelya TÜRKMEN Yasemin ÖZHANLI Testis Tümörleri ve Hemşirelik Bakımı Ebru KARAZEYBEK Cafer ÖZDEMİR Penis Kanseri ve Hemşirelik Bakımı Yasemin USLU Üriner Sistem Travmaları ve Hemşirelik Bakımı Ayla YAVUZ KARAMANOĞLU Üriner Kontinans ve Hemşirelik Bakımı Fatma VURAL Nazife Gamze ÖZER ÖZLÜ Üriner Kateterizasyon Uygulamaları Yeliz ÇULHA Kadın Cinsel İşlev Bozukluklarında Hemşirelik Bakımı Çiğdem BİLGE Meltem MECDİ KAYDIRAK Erkek Cinsel İşlev Bozukluklarında Hemşirelik Bakımı Elif GEZGİNCİ AKPINAR

OBJECTIVE: The aim of this study was to determine the anxiety, embarrassment, and pain levels of patients undergoing a cystoscopy procedure.

Objective: This study was conducted to determine the effect of prolonged Covid-19 pandemic on the fatigue status of nurses. Methods: The effect of prolonged Covid-19 on the fatigue status of nurses was evaluated, and 185 nurses who had Covid-19 were included in this descriptive study. The data were collected using the "Patient Information Form" and "Chalder Fatigue Scale" in the electronic environment during the working hours of the nurses who had Covid-19 and at times that would not disrupt their workflow order. Results: It was determined that 62.6% of the nurses who were tired were female, 61.6% were tired, and the level of physical fatigue was higher than mental fatigue. The most common symptom among nurses during the acute and prolonged Covid-19 period was fatigue. There was a statistically significant difference between fatigue and headache(p<0.05). Conclusion: As a result of the study, it was determined that the majority of the nurses experienced fatigue after the Covid-19 pandemic, the severity of physical fatigue was higher than the severity of mental fatigue, and headache affected the level of fatigue. In line with these results, considering the negative impact of fatigue on quality of life and daily functionality, it is recommended to conduct periodic physical and mental health screenings for nurses and to provide training on methods such as effective exercise and stress management to help nurses cope with fatigue and regain optimal health.

Objective: The coronavirus disease-2019 (COVID-19) pandemic has created major threat to health care professionals. Factors such as the increased number of cases and excessive workload increase the stress and anxiety experienced by nurses. This study aimed to determine of stress and anxiety levels of surgical nurses working in COVID-19 pandemic in Türkiye. Material and Methods: This multicenter descriptive study included 341 nurses working in surgical clinics during the COVID-19 outbreak in hospitals affiliated to the Ministry of Health, which were located on the European Side of İstanbul, Türkiye. Stress and anxiety were measured by Perceived Stress Scale, Anxiety by Spielberger State and Trait Anxiety Inventory. Results: The perceived stress and anxiety levels of the surgical nurses were determined above the average value. It was found that working in a pandemic hospital increased the level of state trait anxiety of nurses (p=0.02), and the duration of working in the profession (ρ=0.17, p=0.00) and in the surgical clinic affected the perceived stress level (ρ=0.16, p=0.00). Conclusion: The study was found that surgical nurses experienced moderate to severe stress and anxiety, during the pandemic; it was determined that working hours, the working year in clinic and total work experience in the profession were associated with this situation.