Ganime Esra Soysal

Bu çalışma, hemşirelik öğrencilerine vaka temelli öğrenme modeli uygulayarak ameliyat öncesi eğitimin hemşirelik öğrencilerinin algıladıkları yetkinlik üzerine etkisini ölçmeyi amaçlayarak gerçekleştirilen deneysel bir çalışmadır. Çalışmanın örneklemi kontrol grubu 86, vaka grubu 78 olmak üzere toplam 164 öğrenciden oluşmaktadır. Her iki gruba da aynı öğretim elemanı tarafından ameliyat öncesi hasta hazırlığı eğitimi verildikten sonra vaka grubuna vaka temelli öğrenme modeli uygulandı. Eğitim ve uygulama sonrası tüm öğrencilere Ameliyat Öncesi Hemşirelik Bakımına İlişkin Algılanan Yetkinlik Ölçeği ve memnuniyet ölçeği uygulandı. Öğrencilerin yaş ortalamasının 20.4±1.3, %83.5’i kadın, %72.0’ı klasik lise mezunu olduğu görüldü. Ameliyat Öncesi Hemşirelik Bakımına İlişkin Algılanan Yetkinlik Ölçeği puan ortalaması vaka grubunda 95.8±14.3, kontrol grubunda 91.6±12.9 olarak hesaplandı ve vaka grubunun puanı istatistiksel olarak anlamlı şekilde daha yüksek olduğu görüldü (p≤0.05). Vaka temelli öğrenme modelinin uygulanan öğrencilerin ameliyat öncesi eğitimin algılanan yetkinliklerini artırdığı, güncel yayınları takip eden ve etik ilkelere uyma duyarlılığı bulunan öğrencilerinin yetkinlik algılarının da daha yüksek olduğu görüldü(p≤0.05). Vaka grubunda öğrencilerin %91.1’i aldığı vaka temelli öğrenme eğitimden memnun kaldığını bildirdi. Sonuç olarak vaka temelli öğrenme modelinin uygulanması öğrencilerin yetkinliklerini artırmada etkili bir yöntem olarak kullanılabilir kullanılması ve eğitim programlarına dâhil edilmesi önerilmektedir.

Introduction: Medical device-related pressure injuries are a major problem in healthcare systems because they negatively affect patient survival, prolong hospital stays and result in high healthcare costs. The objective of this study was to ascertain the extent of knowledge held by nurses regarding medical device-related pressure injuries (MDRPIs). Methods: This study was designed and conducted as a descriptive cross-sectional study. The study included 237 nurses working in intensive care, internal and surgical clinics, emergency department and operating theatre in a hospital. The nurses completed " Descriptive Information Form" and "MDRPI Knowledge Assessment Questionnaire (MDRPI-KAT)." Results: The mean age of the nurses in the study was 32.02 ± 6.97 years. Most were female (75.9%), held undergraduate degrees (66.2%), worked in intensive care units (35.0%), had training on pressure injury prevention (67.9%), lacked training on medical device-related pressure injuries (64.1%), and had encountered pressure injuries (88.6%). The mean MDRPI-KAT score was 9.64±3.37, indicating an intermediate level. Significant differences in MDRPI-KAT scores were observed based on age, education, working unit, intensive care certification, pressure injury training, medical device-related training, prior experience, and care-giving status. It was observed that nurses who provided pressure injuries care had a higher total score on the MDRPI-KAT scale. It was observed that there was a statistically significant difference in the total score of the MDRPI-KAT scale and in the sub-dimensions of diagnosis and etiology, staging and observation, medical device selection and suitability, and skin assessment, and the knowledge level of those who received training was higher (p<0.001). Conclusion: It was observed that the level of knowledge of nurses about medical device-related pressure injuries was moderate and their training on the subject was inadequate. Therefore, it is recommended to provide facilities in working environments and all units for nurses to receive the necessary training.

Objectives: To investigate the factors associated with pain, anxiety and comfort in patients undergoing coronary angiography. Additionally, the relationship between pain, anxiety and comfort was examined. Methods: This observational study included 214 patients who underwent coronary angiography at Abant Izzet Baysal University Hospital in Bolu, Turkey, between October 2022 and December 2023. Demographic information, anxiety, and pain were recorded before and after the procedure, and comfort levels were recorded after the procedure. State-Trait anxiety inventory (STAI-State and Continuous), Paranesthesia Comfort Questionnaire (PCQ), General Comfort Questionnaire (GCQ) scales were used for analyses. Results: The patients were mostly male (67.3%) and had chest pain (75.7%). The analysis revealed that both the pre-STAI-State, and post-STAI-Continuous scores were elevated in the female demographic(p≤0.05). A statistically significant difference was observed in the pre-STAI-State score of patients diagnosed with hypertension. The study further demonstrated that individuals who were provided with comprehensive information regarding the procedure prior to coronary angiography exhibited higher pre-procedure STAI-Status scores, and lower PCQ. There was a statistically significant positive relationship between pain and both the pre-post STAI-State and the post-STAI-Continuous, but at a low level (r=0.256 and r=0.379, respectively; p<0.001). Conclusion: This study reveals the factors influencing patients’ anxiety levels post-coronary angiography. Gender significantly impacts anxiety, and comfort levels. These findings emphasize the importance of psychological support and personalized patient information during coronary angiography(Clinical Trials Register:NCT06266117).

The aim of this study was to evaluate the effectiveness of the REPRISE care bundle (CB) model for pressure ulcer (PU) prevention in intensive care patients and to determine the impact of the training provided to nurses on their knowledge base and attitudes. This study has an experimental design. The study was conducted in the anaesthesia and resuscitation intensive care unit on a total of 72 patients. The prevalence of PU was compared between the control group and the REPRISE‐CB group. For the nurses, 50 nurses working in the ICU were included in the study. The nurses' knowledge and attitudes towards PU were compared before and after the training. The data were analysed using a statistical program. The incidence of IW was significantly lower in the intervention group (13.9%) compared to the control group (38.9%) (p < 0.05). The study showed that oedema, low albumin levels, low mean blood pressure and low Braden Scale scores were significant risk factors for the development of PU. In addition, the training provided to nurses was found to significantly improve their knowledge and attitudes (p < 0.05). It was concluded that REPRISE‐CB was effective in the prevention of PU and that nurses' knowledge increased with training.

Background/Aim: Postoperative pain management aims to reduce pain intensity and improve patient comfort. This study was conducted to investigate the effects of postoperative pain on the well-being of patients undergoing abdominal surgery. Methods: This research was designed as a prospective, descriptive study. The study was conducted on 94 patients who underwent abdominal surgery in general surgery. Patients over 18 years of age, who volunteered to participate in the study and who did not need intensive care were included in the research. Postoperative pain and comfort levels of the patients were analyzed. Descriptive information from the patients was used in the first part of the study and the Perianesthesia Comfort Questionnaire (PCQ) was used in the second part. The visual pain scale (VAS) was used to assess pain. Results: The mean age of the patients was 54.7 (15.7) years; 54.3% of the patients were male; 76.6% were smokers; and the mean body mass index was 29.3 (6.3). Half of the patients underwent open and half underwent laparoscopic surgery, with 90.4% receiving general anesthesia. Patients were hospitalized an average of 3.5 (3.3) days after surgery. Patient comfort was at a good level, according to the PCQ. Whether they received local or general anesthesia did not affect their PCQ scores; however, pain was less in patients who received local anesthesia. Fasting time before surgery did not affect mean PCQ scores, but patients who fasted longer before surgery reported less pain. There were no differences in patients' mean scores on the PCQ scale and pain scores. The correlation between the mean PCQ and pain scales showed no significant relationship (r=-0.073, P=0.485). Conclusion: The absence of a significant correlation between the mean PCQ scale and the pain scale indicates no meaningful association between these variables.

Basınç yaraları, yoğun bakımlarda sıkça karşılaşılan ağrılı ve önlenebilir yaralardır. Bu çalışmanın amacı, basınç yaralarının önlenmesi ve kontrolüne ilişkin en iyi kanıtları özetlemek, basınç yaralarının insidansını azaltmak ve bakım kalitesini artırmak için bir güncel bir kaynak oluşturmaktır. Bu amaçla basınç yaralarının önlenmesine yönelik rehberler ve son yayınlanan rehberlere ek olarak kanıt düzeyi yüksek çalışmaların yeni önerileri incelendi. Basınç yarası ile ilgili çalışmalar son dönemlerde arttığı görülmekle birlikte ve özellikle COVID-19 döneminde kullanılan yüzüstü pozisyonun basınç yaralarında da kullanılabileceği bildirilmektedir ancak, basınç yarası önlemede rehberlerin henüz bu pozisyonun belli bir kanıt seviyesinde önermediği görülmektedir. Basınç yaralarının önlenmesi için risk faktörlerinin değerlendirmede Braden Ölçeğinin kullanılması, deri değerlendirme ve bakımı, destek yüzeylerin birbirine üstünlüğü, yara örtüleri ile ilgili karşılaştırmalar ve eğitim konusu güncel çalışmalar ve kanıtlar sunularak ele alınmıştır. Bu bağlamda, güncel perspektifleri temel alarak basınç yaralarını önleme yöntemlerine odaklanan ve etkili stratejilerin belirlenmesine yönelik yeni yaklaşımların derlendiği bir çalışma sunulmaktadır.

Purpose: This study aimed to assess the levels of awareness and knowledge pertaining to automated external defibrillator (AED) devices among individuals aged 18 and older. Methods: The population for this descriptive study encompassed all individuals aged 18 and above. The study sample included literate individuals who expressed a willingness to participate and had access to the internet. A total of 217 individuals were enrolled in the study. Data were collected between November and December 2021 via a 'Data Collection Form' and an 'AED Information Form'. These forms were distributed to participants through a link generated on surveey.com. Results: The mean age of the study participants was 31.92±10.9 years. Of the participants, 65.9% (n:143) were employed in fields unrelated to healthcare, and 10.6% (n:23) held first-aid certifications. Findings revealed that 47.0% (n:102) of the participants had prior knowledge of AEDs, while 57.6% (n:125) were unaware of AED locations. A total of 53.0% (n:115) were uncertain about who could operate an AED, 84.3% (n:183) lacked knowledge about AED operation, and 79.7% (n:173) expressed a desire for AED device and usage training. Importantly, participants with first-aid training exhibited higher levels of AED-related knowledge. Conclusion: Despite the relatively low baseline knowledge and awareness of AEDs among participants, there is a clear willingness to receive education on this life-saving device.

The aim of this prospective, randomized controlled clinical trial was to evaluate the effects of two methods of cold application on eye ecchymosis, periorbital edema, pain around the eyes and face, and patient comfort in postoperative rhinoplasty patients. Patients were randomly divided and evaluated in two groups: an ice in disposable latex gloves (IDLG) group and a cooling gel eye mask (CGEM) group. We used the CONSORT checklist to report the study. There were no significant differences between the groups in terms of age, gender, preoperative blood pressure, respiration, fever status, oxygen saturation, or postoperative vital signs. Patients in the IDLG group had significantly higher scores for pain around the eyes, facial pain, and periorbital edema on the first postoperative day, and significantly higher facial edema scores during the first postoperative hour (p ≤ .05). Patients in the CGEM group reported that they slept more comfortably (p ≤ .05). The results of our study showed that CGEMs reduce pain, periorbital edema, and facial edema after rhinoplasty.