The Relationship Between COVID-19 Anxiety and Preoperative Anxiety During the Pandemic.

PURPOSE: The aim of this study was to determine the relationship between COVID-19 anxiety levels and preoperative anxiety in patients who will undergo elective surgery during the pandemic period. DESIGN: This study was an analytical cross-sectional study. METHODS: The study was carried out with 228 patients between May and December 2021 in the surgical clinics of a training and research hospital. The data were collected using patient information form, Coronavirus Anxiety Scale (CAS) and Amsterdam Preoperative Anxiety and Information Scale (APAIS). FINDINGS: The patients' APAIS total score level was 15.86 ± 6.44, and the CAS score was 6.63 ± 3.61. A positive, moderate and statistically significant relationship was found between the CAS score and the APAIS total score (r = 0.547; P = .000) and, the CAS score and anxiety due to anesthesia surgery (r = 0.545; P = .000) and information (r = 0.501; P = .000) subdimensions. CONCLUSIONS: The results of this study showed that the preoperative anxiety level increased in individuals with increased coronavirus anxiety levels.

Effect of Aromatherapy on the Anxiety of Patients before Coronary angiography.

PURPOSE: This study aimed to assess the effect of aromatherapy administered before coronary angiography on anxiety levels and physiological parameters. MATERIAL AND METHOD: The study used a randomized controlled trial design. The study group consisted of a total of 96 individuals. The research data were collected using the descriptive information form, the State-Trait Anxiety Inventory (STAI), and the Physiological Parameters Assessment Form. RESULTS: The results of this study indicated a significant difference between the groups in terms of pain levels and mean STAI-I scores prior to coronary angiography. CONCLUSION: The results revealed that aromatherapy administered before angiography reduced the anxiety and pain levels of patients.

The effects of Reiki and hand massage on pain and fatigue in patients with rheumatoid arthritis.

OBJECTIVE: The present study was conducted in order to determine the effects of Reiki and hand massage on the pain and fatigue of patients with rheumatoid arthritis. METHODS: This study having a randomized controlled experimental design was carried out involving 105 individuals (35 in Reiki, 37 in hand massage, and 33 in control). Study data were collected between July 2020 and December 2021 by using a personal information form, Visual Analog Scale, and Piper Fatigue Scale. RESULTS: The mean pain score and the fatigue severity of patients decreased after Reiki and hand massage interventions and the difference was found to be statistically significant (p < 0.05). Reiki and hand massage reduced the pain and fatigue levels of patients having rheumatoid arthritis. CONCLUSION: It is recommended to use Reiki and hand massage in managing the symptoms and providing patients with care.

The effects of elastic band exercise on the pain, kinesiophobia, functional, and psychological status after total knee arthroplasty: a randomized controlled trial.

INTRODUCTION: Elastic band exercise not only improves muscle strength and elasticity, increases efficiency, balance, and quality of life but also decreases the injury risk. This study was conducted to determine the effect of elastic band exercise on pain, kinesiophobia, functional, and psychological status after total knee arthroplasty. METHODS: This study was conducted out between October 2019 and April 2020 as a randomized controlled experimental study with a total of 60 patients. Data collection tools in this study included a descriptive information form, visual analog scale, Tampa Kinesiophobia, WOMAC Osteoarthritis Index, and Beck Depression Inventory. RESULTS: Before intervention, the total score of VAS, WOMAC, Tampa Kinesiophobia, and Beck Depression showed no statistically significant difference between intervention group and control group. However, 4 weeks after intervention observed a statistically significant difference between the intervention and control groups in terms of VAS (U = 10,000; p < 0.001), WOMAC (U = 0.00; p < 0.001), Tampa Kinesiophobia (U = 221.5; p = 0.001), and Beck Depression means score (U = 112.5; p < 0.001). In addition, 4 weeks after the intervention, joint range and walking test assessments were statistically significant between the intervention and control groups (p < 0.001). CONCLUSION: The results of the research showed that elastic band exercise had a positive effect on psychological and functional capacity. TRIAL REGISTRATION: This study is registered in the Clinical Trial Registry (registration number NCT04981106) Key points • Patients with total knee arthroplasty require rehabilitation exercise to avoid physical function weakness. • Elastic band exercise significantly reduces patients' fear of movement and depression. • Elastic band exercise activities facilitate significant physical motion function. • Elastic band exercise inspires the will of patients to engage in home rehabilitation exercise patients after total knee arthroplasty.

Effect of simple calculation and reading aloud on cognitive function and depression in postoperative older adults.

BACKGROUND: This study was conducted to determine the effect of simple calculation and reading aloud on postoperative cognitive function and depression level in older adults. METHOD: The study was a randomised controlled experimental study. A personal information form, Mini-Mental State Examination (MMSE) and Geriatric Depression Scale (GDS) were used for data collection. RESULTS: In the evaluation of MMSE and GDS scores of the intervention and control groups 4 weeks after the operation, the differences between the two groups were found to be statistically significant. CONCLUSION: The results found that simple calculation and reading aloud after surgery had a positive effect on cognitive function and depression level in older people.

The effects of therapeutic touch on spiritual care and sleep quality in patients receiving palliative care.

PURPOSE: This study was conducted to investigate the effect of therapeutic touch (TT) on spiritual care and sleep quality in patients receiving palliative care. DESIGN AND METHODS: The research was conducted on 73 inpatients receiving palliative care in a training and research hospital. Data were collected with Socio-Demographic Status Questionnaire, Spirituality and Spiritual Care Rating Scale (SSCRS), Pittsburgh Sleep Quality Index (PSQI). FINDINGS: As a result of this study, a statistically significant difference was found between the intervention and control group SSCRS (Z = -7.356 p = 0.000) and PSQI (Z = -7.292 p = 0.000) in post-test data after 4 weeks of TT application. PRACTICE IMPLICATIONS: The results revealed that TT application has a positive impact on spiritual care and sleep quality of the patients.

The effect of back massage on physiological parameters, dyspnoea, and anxiety in patients with chronic obstructive pulmonary disease in the intensive care unit: A randomised clinical trial.

OBJECTIVE: This study aimed to examine the effect of back massage on physiological parameters, dyspnoea and anxiety in patients with chronic obstructive pulmonary disease receiving noninvasive mechanical ventilation in the intensive care unit. DESIGN AND METHODS: This study was a randomised controlled trial. Patients in the intervention group received back massage (15 minutes) between 16.00 and 20.00 every day for four days in the intensive care unit. The control group received no intervention. The data was collected using a personal information form, Baseline Dyspnoea Index, State-Trait Anxiety Inventory and Physiological Parameters Chart. RESULTS: We found no statistically significant change between systolic-diastolic blood pressures, heart rates and respiratory rate, oxygen saturation and dyspnoea level of the intervention and control groups (p > .05), while there was a significant reduction in the anxiety scores of patients in the intervention group (p < .05). CONCLUSION: This study found that back massage applied in patients with chronic obstructive pulmonary disease receiving noninvasive mechanical ventilation was effective in decreasing anxiety. Back massage is a low-cost intervention with benefits for patients, and it may be a useful intervention in the anxiety management of intensive care patients.

The effect of mindfulness-based therapy on psychiatric symptoms, psychological well-being, and pain beliefs in patients with lumbar disk herniation.

PURPOSE: This study was conducted to determine the impact of mindfulness-based therapy on psychiatric symptoms, psychological well-being, and pain beliefs in patients with lumbar disk hernia. DESIGN AND METHODS: The study was a nonrandomized pretest-posttest controlled quasi-experimental research and carried out in a total of 64 patients. A personal information form, the Depression Anxiety Stress Scale, the Psychological Well-Being Scale, and the Pain Beliefs Scale were used for data collection. FINDINGS: We observed a statistically significant difference between the intervention and control groups in terms of the posttest mean scores of the psychiatric symptoms, psychological well-being, and pain beliefs. PRACTICE IMPLICATIONS: The results revealed that mindfulness-based therapy has a positive impact on pain beliefs and psychological well-being.

Validity and reliability of the Turkish version of the COPD exercise self-regulatory efficacy scale.

INTRODUCTION: The concept of self-efficacy in chronic obstructive pulmonary disease (COPD) and the development of self-efficacy in individuals are extremely significant. Increasing the self-efficacy level in individuals with COPD will contribute to the effective management of symptoms. Moreover, exercise is essential in COPD management and nursing care. OBJECTIVES: This study aimed to evaluate the results of the validity and reliability study of the Turkish version of the COPD Exercise Self-Regulatory Efficacy Scale (Ex-SRES) developed by Davis et al. METHODS: This is a methodological study conducted with 160 patients diagnosed with COPD. Data were collected using the Personal Information Form and COPD Ex-SRES. Moreover, the Cronbach's α value was calculated, and the test-retest reliability was performed for reliability analysis. RESULTS: The item total correlation scores of the Turkish version were between 0.608 and 0.853 points. The total score correlation coefficients of all the items in the scale were over 0.30. In this respect, the item total correlation values of the Turkish version of the Ex-SRES were at an appropriate level of reliability. In addition, the total Cronbach's α coefficient of the scale was calculated as 0.96. CONCLUSION: The Turkish version of the Ex-SRES was found to have high validity and reliability and to be a precise tool that specifically measures exercise self-efficacy in the COPD patient group.

The Effects of Listening to Music on Anxiety, Pain, and Satisfaction during Urodynamic Study: A Randomized Controlled Trial.

INTRODUCTION: To assess the influence of music therapy on perceived anxiety and pain during outpatient urodynamic study (UDS) in a prospective, randomized fashion. METHODS: Between January and December 2018, a total of 70 patients were randomized to either have music therapy (study) or not have (control) in a 1:1 ratio. To the study group, Sufi music was delivered at low tempo. All participants performed the State-Trait Anxiety Inventory evaluation after the procedure and assessed their degree of pain, satisfaction, and willingness to undergo an additional or repeat procedure using the Visual Analog Scale. RESULTS: Patient demographic and baseline characteristics were found to be similar between the 2 groups. Though music did not significantly alleviate pain (4.6 ± 1.2 vs. 4.4 ± 1.7; p = 0.76) and anxiety (47.7 ± 7.75 vs. 46.4 ± 6.5; p = 0.36), it had a positive impact on the patient's willingness to repeat UDS (3.4 ± 1.4 vs. 6.1 ± 1.3; p = 0.005) and provided overall satisfaction (4.6 ± 0.61 vs. 7.2 ± 1.33; p = 0.004). CONCLUSIONS: Music is a practical, harmless, and inexpensive non-pharmacological option that can be adopted during medical and surgical procedures, although according to this present study, listening to music during UDS had no effect on pain and anxiety levels.

Effect of Listening to Music on Postoperative Cognitive Function in Older Adults After Hip or Knee Surgery: A Randomized Controlled Trial.

PURPOSE: This study aimed to assess the effect of listening to music on postoperative cognitive function in older adults after hip or knee surgery. DESIGN: This work was a randomized controlled study that involved an intervention group and control group. METHODS: Study data were recollected by using a patient information form, Mini-Mental State Examination (MMSE), and NEECHAM Confusion Scale. Music was played three times a day to the participants in the intervention group for 3 days postoperatively. FINDINGS: The mean MMSE and NEECHAM scores of the intervention and control groups were compared. No statistically significant difference was found in the mean MMSE (P > .05) between the two groups. A statistically significant difference in the mean NEECHAM Confusion Scale score was observed between the groups (P < .001). CONCLUSIONS: This study demonstrated that listening to music was important in preventing postoperative cognitive dysfunction in patients who underwent hip or knee arthroplasty.

The effects of listening to music on the postoperative nausea and vomiting.

AIM: To determine the effect of music on the severity of postoperative nausea and vomiting after the laparoscopic cholecystectomy. METHODS: This study was a randomized, controlled clinical study. The subjects were randomly divided into two groups (intervention group and control group). The numerical scale of nausea was used in rating the nausea complaints of the patients and the vomiting incidence assessment form in determining the incidence of vomiting. RESULTS: There were statistically significant difference between the groups in terms of the severity of nausea complaint (W = 110.826 p < 0.001). When compared to the control group, the vomiting incidence of the patients was statistically significantly lower in intervention group. CONCLUSIONS: This study demonstrated that listening to music decreased the severity nausea and the incidence of vomiting in the postoperative period.

Validity and reliability of the Amsterdam Preoperative Anxiety and Information Scale in the Turkish population

Background/aim: This study aimed to adapt the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to measure the preoperative anxiety of adult Turkish patients undergoing surgery. Materials and methods: The sample of this methodological study included 210 patients. Data were collected by using personal information forms, the APAIS, and the State Anxiety Scale (STAI). Cronbach's α-coefficient was calculated, and test­retest reliability was tested. Results: Cronbach's α-coefficients of the APAIS anxiety and information requirement subscales were 0.897 and 0.786, respectively. The mean test and retest scores of the APAIS were not different. The test and retest scores of the patients were significantly, positively, and strongly related. The APAIS and STAI-I were correlated. Factorial analysis revealed that two factors accounted for 81.435% of the total variance with an eigenvalue of >1. These results showed that the Turkish version of the APAIS is a valid and reliable scale. Conclusion: The Turkish translation of the APAIS is valid and can be reliably used to determine the preoperative anxiety experienced by patients who are undergoing elective surgery.

Effect of progressive muscle relaxation on the caregiver burden and level of depression among caregivers of older patients with a stroke: A randomized controlled trial.

AIM: This study aimed to investigate the effect of progressive muscle relaxation on the caregiver burden and level of depression among the caregivers of older patients with a stroke. METHODS: This randomized, controlled experimental study was conducted between December, 2015 and July, 2017 with the caregivers of older patients with a stroke who had been admitted to the home care unit of a state hospital. The caregivers were randomly assigned to intervention (n = 23) and control (n = 21) groups, based on the study's inclusion criteria. The caregivers in the intervention group practiced progressive muscle relaxation exercises at home 3 days per week for 8 weeks. The control group had no intervention. RESULTS: The mean age of the older patients with a stroke was 80.15 ± 9.86 years and the mean duration of the disease was 39.07 ± 44.69 months. The mean age of the caregivers was 50.29 ± 12.62 years, 84.1% of whom were female, 38.6% were elementary school graduates, and 86.4% were married. It was found that there was a statistically significant decrease in the mean Zarit Caregiver Burden Scale and Beck Depression Scale scores of the caregivers in the intervention group after practicing progressive muscle relaxation, but this decrease was not statistically significant when the intervention and control groups were compared. CONCLUSION: This study showed that there was a statistically significant decrease in the caregiver burden and level of depression among the caregivers in the intervention group after progressive muscle relaxation exercises, but that there was no statistically significant difference when the intervention and control groups were compared.

The Effect of Aromatherapy on Sleep Quality of Elderly People Residing in a Nursing Home.

BACKGROUND: Sleep is important for health and quality of life in the elderly, and sleep disturbances are reported to be associated with many of the adverse medical conditions. PURPOSE: This research was carried out to evaluate the effect of inhalation of lavender oil on sleep quality of nursing home residents. METHODS: A questionnaire was used to evaluate sociodemographic characteristics and sleeping properties of the 30 volunteers, enrolled. Pittsburgh Sleep Quality Index was applied as a pre- and posttest to measure sleep quality of individuals who inhaled lavender oil drops on the pillows every evening for a week before sleeping. RESULTS: Before and after aromatherapy, the mean Pittsburgh Sleep Quality Index score of the nursing home residents was (Equation is included in full-text article.)= 6.0 ± 5.1 and (Equation is included in full-text article.)= 2.6 ± 3.4, respectively, whereas statistically significant difference was not observed for independent variables. Cronbach α reliability coefficient of the Pittsburgh Sleep Quality Index scale was found to be 0.816. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The results indicated an improvement of sleep quality of nursing home residents after the application of aromatherapy with lavender oil.

Functional strength training: Seated machine vs standing cable training to improve physical function in elderly.

BACKGROUND: The majority of the strength training studies in older adults have incorporated fixed-form exercises using seated resistance training machines. In light of the modest improvements in physical function shown in these studies, functional or task-specific exercises, involving movement patterns that mimic daily activities, have been studied. Free-form exercises, using free-weights or cable, is another form of functional strength training. Currently, no intervention studies exist comparing free-form exercises, using cable machines, and fixed-form exercises, using seated machines in older adults. METHODS: A total of 29 independently-living older adults, 65years or older, were randomized into two groups, seated machine (SM, n=10) and standing cable (SC, n=12). After 12weeks of training twice per week, groups were compared. The primary outcome was the Physical Performance Battery (PPB), a measure of physical function. Secondary outcomes were lower and upper body strength and power, activities of daily living evaluated by multiple tests including: Physical Performance Test (PPT), pan carry and gallon jug transfers, ratings of perceived exertion (RPE), and self-reported function using Patient Reported Outcomes Measurement Information System (PROMIS). Outcome assessors were blinded to participants' intervention assignments. RESULTS: The PPB (SC=0.23 points; SM=0.15 points) showed clinical and significant improvements, but there was no significant difference between the groups (g=0.2, 95% CI (-0.6, 1.0). For secondary outcomes, chair stand (g=0.7, 95% CI (0.2, 1.6), p=0.03) and pan carry (g=0.8, 95% CI (0.07, 1.07), p=0.04) favored SC, while chest press 1RM (g=0.2, 95% CI (0.06, 1.1), p=0.02) favored SM. There were no statistically significant group differences between PPB, gallon jug transfer, leg press 1RM, power, RPE or self-reported function. CONCLUSIONS: Standing cable training was not superior to seated machine training in improving physical performance in older adults. However, both training interventions were effective in improving function. The findings also suggest that exercise specificity should be considered when prescribing resistance exercises to improve physical function in older adults.