ABSTRACT
OBJECTIVE: To examine the effects of the use of trauma scoring systems on prognosis in patients with multiple traumas.. METHODS: This cross-sectional study was conducted from June 2012 to September 2014 at the Mugla Sitki Kocman University Training and Research Hospital, Mugla, Turkey, and comprised mentally healthy patients aged 18 or more treated at the emergency department for trauma to at least two body parts or who had more than one long bone fractureData was collected using the patient information form and the patient follow-up form. SPSS 18 was used to analyse the data. RESULTS: Of the 70 patients, 55(78.6%) were male and 15(21.4%) were female. The overall mean age was 40.97±1.94 years. A statistically significant difference was determined between the first and fourth days (p<0.05) for all scoring systems for patients who died and those who survived. CONCLUSIONS: Trauma scoring systems used for multiple trauma patients were able to determine the physiological status and mortality of the patient..
Subject(s)
Multiple Trauma/diagnosis , Adult , Aged , Cross-Sectional Studies , Female , Follow-Up Studies , Hospital Mortality/trends , Humans , Incidence , Length of Stay/statistics & numerical data , Male , Middle Aged , Multiple Trauma/epidemiology , Prognosis , Retrospective Studies , Survival Rate/trends , Trauma Severity Indices , Turkey/epidemiology , Young AdultABSTRACT
The present study aimed to determine the effect of long-term care and follow-up on complications in patients with external fixators. This study was conducted as a study research. The study sample included a total of 60 patients treated with external fixators for fractures, of whom 30 were in the control and 30 were in the study group. No intervention was made on the control group patients. The patients in the study group received external fixator pin site wound care, pin site massage and neurovascular follow-up. The study group patients were also given discharge training about external fixator pin site care two days before their discharge and were also provided with training manuals to guide their home care. Both groups were visited weekly at their homes to record their complications. Nine complications developed in eight patients (26.7%) in the study group, and 19 complications developed in 19 patients (63.3%) in the control group. Pin site infections were 11.6% of the total sample. The percentage for pin loosening, stiff joint, nerve and vessel injury and pain and swelling was 5%, 25%, 1.7% and 3.3%, respectively.
Subject(s)
External Fixators/adverse effects , Long-Term Care , Adolescent , Adult , Aged , Case-Control Studies , Female , Follow-Up Studies , Humans , Male , Middle AgedABSTRACT
OBJECTIVE: The aim of this study was to compare the effects of two different solutions used for pin site care in patients with external fixators on the incidence of pin site infection. METHODS: The study included 133 pins of 18 patients. The patient identification form, pin site care application form and the pin tract infection assessment form developed by Checketts et al. were used as data collection tools. On the condition that it would be evenly applied on the number of pins available in a patient, a 10% povidone-iodine solution was used in the care of 68 pin sites and 2 mg/ml chlorhexidine was applied at 65 pin sites. Infections developing in the pin sites were graded and recorded. Pin site care was applied routinely on a daily basis until the patient was discharged. RESULTS: Infection was observed in 19 (27.9%) of the 68 pins of patients in the povidone-iodine group. Infection developed in only 6 (9.2%) of 65 pins in the chlorhexidine group. CONCLUSION: Use of 2 mg/ml chlorhexidine in pin site care appears to decrease the prevalence of pin tract infection.
Subject(s)
Anti-Infective Agents, Local/administration & dosage , Bone Nails , Chlorhexidine/administration & dosage , Povidone-Iodine/administration & dosage , Surgical Wound Infection/drug therapy , Adolescent , Adult , Aged , Female , Humans , Length of Stay , Male , Middle Aged , Young AdultABSTRACT
The aim of the study is to describe the cognition of breast cancer with respect to knowledge, beliefs, attitudes and behavior in a group of gestational age Turkish women. A questionnaire survey was therefore performed on 201 randomly selected women registered to the health database in Aydin. In age, marital status, and occupation were found to significantly impact on breast self-examination (BSE) performance, which should still be considered as an important tool for early diagnosis, although it does not substitute clinical examination and education. As delayed diagnosis is the leading problem in the management of disease, well-structured education should be supported to increase awareness of breast cancer. Given to the remarkable role of nurses in the community on women's health, a more focused approach on education of young female populations by nurses in Turkey should be considered.