Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 53
Filter
1.
Pain Manag Nurs ; 2024 Jul 04.
Article in English | MEDLINE | ID: mdl-38969613

ABSTRACT

BACKGROUND: Urodynamic testing is an invasive procedure that causes pain and anxiety. Patient education is an evidence-based nursing intervention that relieves pain and anxiety and increases patient satisfaction. AIMS: This study was carried out to compare the effects of different education methods utilized before a urodynamic testing procedure on patients' pain, anxiety, readiness for the procedure, and satisfaction. METHODS: The study is a randomized controlled clinical trial. Participants (n = 80) were randomly assigned to four groups. While patients in the control group were provided with routine clinical information, patients in the intervention group were given education with brochures, videos, and brochure-supported videos. The research data were collected by using a Data Collection Form with items about participants' descriptive characteristics, the Visual Analog Scale, and the State Anxiety Inventory. RESULTS: It was determined that pain expectation before urodynamics and the severity of pain during urodynamics were lower in intervention groups than in the control group. Pain expectation before urodynamics was lower in the brochure-supported video education group than in the brochure education group. Anxiety levels were lower and satisfaction levels were higher in the video education and brochure-supported video education groups than in the control and brochure education groups. CONCLUSIONS: Of the methods utilized, it was determined that the most effective one was brochure-supported video education as it affected all parameters positively.

2.
J Perianesth Nurs ; 2024 Jun 20.
Article in English | MEDLINE | ID: mdl-38904600

ABSTRACT

PURPOSE: This study aimed to reveal the effects of a glycemic control protocol directed by nurses during the perioperative period on glycemic outcomes in diabetic patients undergoing major abdominal surgery. DESIGN: This was a prospective cohort study METHODS: The study was conducted at the Department of General Surgery of a research and training hospital in Turkey. The study included 47 patients with type 2 diabetes mellitus who underwent elective major abdominal surgery between September 2017 and December 2018. The number of patients in the intervention and the control groups was 22 and 25, respectively. Routine clinical glycemic control was implemented in the control group, whereas a glycemic management protocol developed by a multidisciplinary team was implemented in the intervention group. We collected data on the control group first, followed by the introduction of the glycemic management protocol to clinical staff and glycemia data collection using the new protocol. Blood glucose (BG) levels in patients and the factors that may affect BG were measured in the preoperative, intraoperative, and postoperative periods. Data on glycemic control was also collected. Furthermore, we measured the satisfaction of the nurses implementing the glycemic management protocol. FINDINGS: The rate of hyperglycemia in intensive care unit was 21% in the intervention group and 59% in the control group (P < .05). Time spent in the target BG range during insulin infusion was 76% in the intervention group and 35% in the control group (P < .05). The time required to achieve target BG range during insulin infusion was 6 hours for the intervention group and 15 hours for the control group, indicating that less time was required to achieve the target BG range in the intervention group (P < .05). Moreover, the insulin consumption rate in the intensive care unit was lower in the intervention group (P < .05). The satisfaction levels of the nurses that used the glycemic management protocol was 92.61 ± 7.93%. CONCLUSIONS: Results of this study showed that the implementation of a glycemic management protocol by nurses for patients undergoing major abdominal surgery decreases the rate of hyperglycemia, insulin consumption rate, and the time required to achieve the targeted BG range during the perioperative period. Therefore, it is recommended to use a glycemia management protocol to control glycemia in patients during the surgical process.

3.
J Perianesth Nurs ; 39(3): 455-460, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38180392

ABSTRACT

PURPOSE: This study was performed to determine the effects of different cold application times to the periorbital area after rhinoplasty on edema, ecchymosis, and pain. DESIGN: A randomized clinical study. METHODS: Patients were divided into two groups, and cold application was applied to one group for 4 hours and to the other for 48 hours. The cold application was applied with ice packs for 20 minutes every hour to the periorbital region in both groups. Data were collected with the Patient Information Form, Scoring Diagram for Edema, the Scoring Diagram for Ecchymosis, and the Visual Analogue Scale for Pain. FINDINGS: Periorbital edema, eyelid ecchymosis, and pain were not significantly different between the two groups. The mean edema score of the 48-hour group was 0.87 ± 0.93, while the mean edema score of the 4-hour group was 0.70 ± 0.87 (P = .48) on the 2nd day. The mean ecchymosis score was found as 2.03 ± 1.12 in the 48-hour group and 2.10 ± 1.09 in the 4-hour group (P = .817). The mean pain score was 12.50 ± 17.40 in the 48-hour group and 13.00 ± 16.00 in the 4-hour group (P = .98). CONCLUSIONS: The effects of 48-hour and 4-hour cold applications are similar. Cold application for 4 hours may be recommended to patients who undergo rhinoplasty, as it is more practical and easier to apply than the 48-hour practice.


Subject(s)
Ecchymosis , Edema , Rhinoplasty , Humans , Ecchymosis/etiology , Rhinoplasty/methods , Rhinoplasty/adverse effects , Edema/prevention & control , Edema/etiology , Female , Male , Adult , Pain, Postoperative , Pain Measurement/methods , Time Factors , Cold Temperature , Young Adult , Middle Aged
4.
Int J Occup Saf Ergon ; 29(1): 224-229, 2023 Mar.
Article in English | MEDLINE | ID: mdl-35109783

ABSTRACT

Objectives. This study aimed to compare the problems, satisfaction and preferences of operating room nurses about the use of personal protective equipment (PPE) for eye protection during operations in the COVID-19 pandemic. Methods. This prospective quasi-experimental study was conducted in April 2021 in the operating room of a hospital in Turkey. The sample of this study consisted of 35 nurses who met the inclusion criteria. The evaluation of three types of eye protection equipment (goggles, goggle-type face shield and face shield) was repeated in the same group on consecutive days. Results. The comparison of the problems related to the use of PPE indicated that the highest rate of fogging (91.4%) was observed in goggles (p < 0.001), and skin injuries (28.6%) were experienced in goggles and face shields (p = 0.002). It was observed that operating room nurses were most satisfied (7.2 ± 1.4) with goggle-type face shields and ranked them in first place (80%) (p < 0.001). Conclusion. According to the results of this research, it was found that the PPE for eye protection that was the least problematic, provided the most satisfaction and was ranked in first place during the pandemic was the goggle-type face shield.


Subject(s)
COVID-19 , Nurses , Humans , COVID-19/prevention & control , Pandemics/prevention & control , SARS-CoV-2 , Operating Rooms , Prospective Studies , Personal Protective Equipment , Personal Satisfaction
5.
Plast Aesthet Nurs (Phila) ; 42(2): 69-79, 2022.
Article in English | MEDLINE | ID: mdl-36450086

ABSTRACT

Patients with burns should be provided with holistic nursing care that considers all systems of the body. The Neuman Systems Model (NSM) is especially suited to holistic care as it proposes an open system approach and addresses five major interacting variables. This study aimed to investigate the applicability of the NSM when caring for a patient with electrical burns. In this case study, we planned and applied nursing care for a 20-year-old man with electrical burns based on the NSM. The study was conducted between November 25, 2018, and January 10, 2019. We used the six-item Neuman Diagnostic Tool (NDT) developed by Neuman in our interviews with the patient. We found that the electrical burns had caused multiple physiological, psychological, and sociocultural problems for our patient, most of which were physical problems, including the burn injury and subsequent limb amputation. The NDT guided our data collection and aided in our ability to determine stressors and formulate appropriate nursing diagnoses. The NSM strengthened the patient's flexible line of defense for coping individually and facilitated the identification of deficiencies in the normal and resistance lines of defense. The NSM provides a theoretical framework for nurses caring for patients with burns where entire systems are affected.


Subject(s)
Burns, Electric , Male , Humans , Young Adult , Adult , Adaptation, Psychological , Amputation, Surgical , Data Collection , Patient Care
6.
Teach Learn Nurs ; 17(3): 296-301, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35469248

ABSTRACT

Aim: This study aimed to examine the effect of fear of COVID-19 on the perceived stress levels in senior nursing students performing their clinical practice. Methods: A cross-sectional study was conducted with senior nursing students in a nursing facility in March 2021. The data were collected using an APP Application sent to the smartphones of students (n = 148) receiving clinical education. Results: With a mean score of 17.2 ± 7.0 on the Fear of COVID-19 Scale, it was determined that the senior nursing students' COVID-19 fears were at a moderate level. Students' mean score from the Perceived Stress Scale was 71.0 ± 25.7, which indicated a moderate level. A positive, weak, and significant correlation was found between the total scores of fear of COVID-19 and perceived stress level (r = 0.291, p < 0.001). Conclusions: In this study, the perceived stress of students in their clinical practice was at a moderate level, as it was before the pandemic. It appears that a moderate level of fear of COVID-19 during the pandemic does not affect perceived stress levels in the clinical education setting. Accordingly, we recommend that clinical education should be maintained by taking necessary measures and implementing good management during the pandemic.

7.
J Clin Nurs ; 31(9-10): 1298-1308, 2022 May.
Article in English | MEDLINE | ID: mdl-34346134

ABSTRACT

AIM: To evaluate the effect of mobilization protocol on mobilization start time, maintenance of mobilization and patient care outcomes in patients who underwent major abdominal open surgery. BACKGROUND: Early mobilization in the first 24 hours postoperatively is recommended. Early mobilization is one of the evidence-based, effective nursing interventions that improve patient care outcomes. DESIGN: A quasi-experimental non-randomised design was used in the study. METHODS: In the study, the groups were followed sequentially and the data of the control group (n = 21) were collected before the intervention group (n = 21). The patients in the control group were mobilised postoperatively by the nurses according to the decision of the nurse and physician in the intensive care unit (ICU) on the day of the operation. There was no standard protocol for mobilization in the ICU. Mobilization training was given to the patients in the intervention group by the researcher nurse the evening before the operation, and a mobilization protocol was applied on the 0th postoperative day. Data on patient care outcomes were collected until the day when the patient was discharged from the hospital. The TREND checklist was followed. RESULTS: According to the postoperative comparison of the patients in the intervention group to those in the control group, patients in the intervention group started mobilization earlier after admission in intensive care unit (6.22 ± 1.95 hours versus 12.21 ± 3.76 hours), had higher postoperative 0th -day total mobilization time (128 minutes versus 34 minutes), had a shorter passage of flatus time and length of intensive care unit and hospital stay and had higher sleep quality and satisfaction scores. CONCLUSIONS: The structured mobilization protocol is effective in the management of early mobilization and improvement of patient care outcomes. RELEVANCE TO CLINICAL PRACTICE: mobilization protocols ensure that the mobilization process is maintained effectively.


Subject(s)
Early Ambulation , Intensive Care Units , Hospitalization , Humans , Length of Stay
8.
Burns ; 48(4): 816-823, 2022 06.
Article in English | MEDLINE | ID: mdl-34521565

ABSTRACT

INTRODUCTION: Since burns affect body image, they cause appearance anxiety. Interventions designed to reduce appearance anxiety that can cause psychological problems such as depression are important. This study aimed to determine the social appearance anxiety of individuals following burns and the factors affecting it and to examine the relationship between social appearance anxiety and perceived social support. METHODS: This descriptive study was conducted between November 2018 and November 2019 with 106 adult patients with burns. Data were collected using a Personal Information Form, the Social Appearance Anxiety Scale, and the Multidimensional Scale of Perceived Social Support. Shapiro-Wilk test, Independent Two Samples T-Test, One Way Analysis of Variance, Duncan's test, Pearson's correlation analysis, multiple linear regression analysis, the Q-Q plot, and the Durbin-Watson statistics were used in data analysis. RESULTS: The social appearance anxiety scores were moderate (39.38 ± 17.71). Being single; having a high level of education; burns on the face, head, or neck; burn-related amputation; and passing the one-week after injury period were found to significantly increase social appearance anxiety (p < 0.05). Although the perceived social support scores of the individuals with burns were high (68.34 ± 18.08), they were found to have no correlation with social appearance anxiety (p > 0.05). CONCLUSIONS: The results of this study show that social support does not affect social appearance anxiety. In this respect, we recommend that interventions such as reconstruction and professional psychological support initiatives be prioritized for individuals with burn trauma who are evaluated to have high social appearance anxiety by the appearance anxiety scales.


Subject(s)
Burns , Adult , Amputation, Surgical , Anxiety/psychology , Burns/complications , Burns/psychology , Humans , Social Support
9.
Am J Infect Control ; 49(11): 1376-1383, 2021 11.
Article in English | MEDLINE | ID: mdl-34029650

ABSTRACT

BACKGROUND: There is no standard protocol for surgical scrubbing. This study aims to compare the effectiveness of surgical hand scrub duration and method by analyzing their effects on bacterial count. METHODS: The study was conducted on 180 surgical nurses and surgeons. While the duration of surgical hand scrub in Groups I and II was one minute, participants in Group I used a nail brush, whereas Group II did not. Similarly, the duration of surgical hand scrub in Groups III and IV was two minutes, but Group III used a nail brush, whereas Group IV did not. Bacterial count on the hands of all participants was measured before and after the surgical hand scrub and after the surgery by using the glove juice method. RESULTS: Bacterial count on the hands of the participants in Group III after surgical hand scrub was significantly higher than Group IV (P < .001). We did not find any statistically significant difference between Group II and Group IV in terms of bacterial count on the hands immediately after surgical hand scrub and after the surgery (P = .401, P =.658, respectively). CONCLUSIONS: This study found that brushing during surgical hand scrub increased the number of bacteria on the hand. Besides, one-minute surgical hand scrub was equally effective as two-minute scrub to reduce the number of bacteria on the hand.


Subject(s)
Anti-Infective Agents, Local , Hand Disinfection , Bacteria , Bacterial Load , Chlorhexidine , Colony Count, Microbial , Hand , Humans , Nails
10.
Perspect Psychiatr Care ; 57(4): 1922-1928, 2021 Oct.
Article in English | MEDLINE | ID: mdl-33694164

ABSTRACT

PURPOSE: This study aimed to investigate the relationship between nursing students' smartphone addiction and interaction anxiety. DESIGN AND METHODS: This descriptive relation-seeker type study was conducted with 333 students. The Smartphone Addiction Scale-Short Version and the Interaction Anxiousness Scale were used. FINDINGS: Of the students who participated in the study, 12% were at risk for smartphone addiction. A statistically significant correlation was determined between the scores for the two scales used. PRACTICE IMPLICATIONS: As students' smartphone addiction risks increased, their interaction anxiety also appeared to increase, pointing to a need for guidance to restrict smartphone use in this population.


Subject(s)
Behavior, Addictive , Students, Nursing , Anxiety/epidemiology , Behavior, Addictive/epidemiology , Humans , Internet Addiction Disorder , Smartphone
11.
Pain Manag Nurs ; 22(2): 214-219, 2021 04.
Article in English | MEDLINE | ID: mdl-33008780

ABSTRACT

BACKGROUND: Cystoscopy is noted to be more painful in men. Research has been done to support the use of video in men to reduce pain; it would follow that video would be useful in reducing pain in women as well. AIMS: The aim of this study was to evaluate the effect of watching a relaxing video during cystoscopy on the pain and anxiety levels of female patients. DESIGN: The study was a single-center, parallel, randomized, controlled, nonblinded trial. SETTING: This study was carried out in the cystoscopy unit of a training and research hospital in Turkey. PARTICIPANTS: Sixty female patients aged 18 years and older undergoing rigid cystoscopy for the first time and under local anesthesia. METHODS: The participants were randomized into two equal groups: video and control. Data were collected with Visual Analog Scale, State-Trait Anxiety Scale, and hemodynamic parameters. RESULTS: A statistically significant difference was found between the two groups in terms of pain levels during and after cystoscopy (p < .001). Pain levels were significantly lower in the video group during and after the procedure. A statistically significant difference was also found between the groups in terms of anxiety levels before and after cystoscopy (p < .05). Anxiety levels were significantly lower in the video group after the procedure. Satisfaction levels were higher in the video group (p < .001). CONCLUSION: According to this study, watching a relaxing video during cystoscopy had a positive effect on pain, anxiety, satisfaction levels, and hemodynamic parameters of the patients.


Subject(s)
Cystoscopy , Pain , Anxiety/prevention & control , Female , Humans , Male , Pain/prevention & control , Pain Measurement , Turkey
12.
Int J Nurs Pract ; 26(2): e12795, 2020 Apr.
Article in English | MEDLINE | ID: mdl-32022393

ABSTRACT

AIM: The aim of this study is to adapt the Clinical Learning Environment, Supervision and Nurse Teacher Evaluation Scale to the Turkish language and culture. METHODS: This psychometric test was conducted in a nursing school in Ankara, Turkey, from April to June 2014. Convenience sampling was used. The sample of this study was 190 third- and fourth-year nursing students. The items of the scale were evaluated by Pearson correlation coefficient for correlation-based item analysis. Cronbach's alpha, test and retest analysis were used to measure reliability. Exploratory factor analysis and correlation analysis were performed to determine validity. Principal component analysis was used to analyze factor. RESULTS: The subscales' Cronbach's alpha values were varied between .760 and .933. A positive relationship was found between tests and retests points of the subscales (P < .05). Five factors were identified in the exploratory factor analysis. There was a meaningful correlation between subscale points of the Clinical Learning Environment, Supervision and Nurse Teacher Evaluation Scale and the Clinical Learning Environment Scale (P < .05). CONCLUSION: The Turkish version of the Clinical Learning Environment, Supervision and Nurse Teacher Evaluation Scale was validated and a reliable measurement tool. It can be used to evaluate clinical nursing education in Turkey.


Subject(s)
Education, Nursing/organization & administration , Adult , Factor Analysis, Statistical , Faculty, Nursing , Female , Humans , Language , Male , Psychometrics , Reproducibility of Results , Students, Nursing , Surveys and Questionnaires , Turkey
13.
Intensive Crit Care Nurs ; 58: 102799, 2020 Jun.
Article in English | MEDLINE | ID: mdl-31987684

ABSTRACT

BACKGROUND: Patients on mechanical ventilation are likely to suffer stress, which may lead to problems of patient-ventilator synchrony, anxiety, haemodynamic instability and decrease in comfort levels. OBJECTIVES: The aim of this study is to evaluate the effects of preoperative education regarding haemodynamic parameters, patient comfort and anxiety, and patient-ventilator synchrony provided to patients before they undergo cardiac surgery. METHODS: The study is a randomised, controlled clinical study, it was conducted at the cardiovascular surgery clinic of a teaching hospital in Turkey. The study was conducted on 200 patients who underwent cardiac surgery and received mechanical ventilation. Using the block randomisation method, the patients were grouped into intervention and control groups, with 100 patients in each group. The patients in the intervention group received preoperative education on mechanical ventilation and the usage of the communication panel that patients under mechanical ventilation use to communicate with health personnel, the control group received no education. Data was collected while the patients were on mechanical ventilation support in the intensive care unit on their second postoperative day. RESULTS: The difference between the patient-ventilator synchrony levels of the patients to the mechanical ventilation treatment in the intervention and control groups was found statistically significant (p < 0.05). The differences between the haemodynamic measurements of the patients in both groups, which were measured after the patients woke up and before extubation, were also statistically significant (p < 0.05). Median scores obtained by the patients in the intervention group on the Perianaesthesia Comfort Questionnaire and the Tension-Anxiety subscale of the Profile of Mood Scale were 5.7 and 2.0, respectively. The median scores obtained by the patients in the control group on the same scales were 4.1 and 24.0, respectively. CONCLUSIONS: Compared to the participants in the control group, the participants in the intervention group who received education had higher patient-ventilator synchrony, comfort and haemodynamic stability levels, as well as lower anxiety levels when they were under mechanical ventilation, showing that results were better in the intervention group than the control group.


Subject(s)
Hemodynamics/physiology , Patient Education as Topic/standards , Preoperative Care/methods , Adult , Aged , Airway Management/methods , Airway Management/statistics & numerical data , Anxiety/etiology , Anxiety/psychology , Cardiac Surgical Procedures/methods , Cardiac Surgical Procedures/psychology , Cardiac Surgical Procedures/statistics & numerical data , Female , Humans , Intensive Care Units/organization & administration , Intensive Care Units/statistics & numerical data , Length of Stay/statistics & numerical data , Male , Middle Aged , Patient Comfort/methods , Patient Comfort/statistics & numerical data , Patient Education as Topic/methods , Patient Education as Topic/statistics & numerical data , Preoperative Care/statistics & numerical data , Prospective Studies , Respiration, Artificial/methods , Respiration, Artificial/statistics & numerical data , Surveys and Questionnaires , Turkey
14.
Nurse Educ Pract ; 42: 102695, 2020 Jan.
Article in English | MEDLINE | ID: mdl-31978843

ABSTRACT

This study aims to compare the effects of PechaKucha and traditional PowerPoint presentations on the learning performance of nursing students. This randomized controlled trial study was conducted in March 2016 at a nursing school in Ankara, Turkey. The participants were randomly distributed to the intervention group, which received a lecture using the PechaKucha presentation method (n = 66), and to the control group, which received a lecture using the traditional PowerPoint presentation (n = 68). The subject, "Knee Prosthesis and Nursing Approaches," was given to both groups in different classrooms at the same time. The efficiency of the presentation methods was evaluated by a test on the content of the lecture. Satisfaction levels of the participants were evaluated by using the Visual Analogue Scale. There was no statistically significant relationship between the average test results of the groups. The satisfaction levels of the participants in the intervention group was higher than the control group (p < 0.01). This study showed that, although there was no difference between groups in terms of information, the PechaKucha technique can be used for topics that nurse educators want to draw particular attention to.


Subject(s)
Education, Nursing/methods , Learning , Students, Nursing/psychology , Teaching/standards , Education, Nursing/standards , Education, Nursing/statistics & numerical data , Humans , Students, Nursing/statistics & numerical data , Teaching/statistics & numerical data , Turkey
15.
J Cancer Educ ; 35(5): 912-922, 2020 10.
Article in English | MEDLINE | ID: mdl-31119709

ABSTRACT

The aim of this study is to evaluate the influence of web-based education on the anxiety and quality of life of patients who were hospitalized and underwent breast surgery (modified radical mastectomy or breast-conserving surgery) with axilla lymph node dissection. The patients were divided into three groups by the block randomization method as follows: web-based education group, brochure group, and control group (total N = 75). To obtain the study data, the Risk Factors for Breast Cancer and Data Collection Form for the Disease, SF 36 Quality of Life Scale, State-Trait Anxiety Inventory, and Website Usability Scale were used. The learning content was patient education associated with the pre-operative and post-operative periods. The differences in the state of anxiety scores 1 day before surgery, the 2nd day after surgery, and 1 month after surgery were statistically lower in the web-based education group than in the other two groups. The mean difference in the trait anxiety scores after 1 month was higher in the control group than in the other two groups. Web-based patient education was identified as a more effective method than the brochure and control groups in terms of patients' physical and emotional well-being, vitality/fatigue, and role limitations emotional and general health perception. Web-based patient education is effective in decreasing the anxiety of patients and improving their quality of life.


Subject(s)
Anxiety/psychology , Breast Neoplasms/psychology , Internet/statistics & numerical data , Mammaplasty/methods , Mastectomy/methods , Patient Education as Topic/methods , Quality of Life , Adult , Anxiety/epidemiology , Breast Neoplasms/surgery , Case-Control Studies , Fatigue/epidemiology , Fatigue/psychology , Female , Humans , Middle Aged , Postoperative Period , Turkey/epidemiology
16.
J Prof Nurs ; 35(5): 417-424, 2019.
Article in English | MEDLINE | ID: mdl-31519347

ABSTRACT

According to the literature, main problem in the education of nursing students in patient teaching about application of inhaler medication is ineffective and inadequate class and cannot be applied to the live patients. Also the literature shows that the main obstacle for teaching nursing students to provide inhaler instruction is inadequate in-class practice. In this study, comparison of the effectiveness between standard patients (SPs) usage and theoretical lecture on improving the patient teaching skills of nursing students for inhaler drug use for live patient is aimed. This study was conducted as a randomized controlled and single-blind trial. Total patient teaching skill score for control group was 26.73 ±â€¯5.63 and 39.08 ±â€¯5.49 for SP group which causes a statistically significant difference (p ≤ 0.01). The students' self-confidence mean score was 8.48 ±â€¯0.88 for SPs group and 7.07 ±â€¯1.33 in the control group for a statistically significant difference (p ≤ 0.01). The patient teaching skill scores of the students included in the group receiving simulation teaching with the SPs were found to be higher than the control group. The students included in SPs group were found to feel more confident while teaching a live patient on inhaler drug use.


Subject(s)
Clinical Competence/standards , Patient Education as Topic , Patient Simulation , Students, Nursing , Adult , Education, Nursing, Baccalaureate , Female , Humans , Metered Dose Inhalers , Young Adult
17.
Contemp Nurse ; 55(2-3): 122-138, 2019.
Article in English | MEDLINE | ID: mdl-31169066

ABSTRACT

Aims-Objectives: The purpose of this study is to determine the effects of transcutaneous electrical nerve stimulation (TENS) and transcutaneous acupoint electrical stimulation (TAES) on pain and analgesic drug consumption in patients who had undergone abdominal surgery. Background: Evidence for the effects of and TAES on pain and analgesic consumption on patients undergoing abdominal surgery. Design: This research was conducted as a randomized controlled trial. Methods: This research sample consisted of 48 patients who underwent abdominal surgery with a midline incision. The patients were randomized into three groups, the first intervention group, which used TENS, the second intervention group, which used TAES (ST25, P6, ST36, LI4) and the control group, which did not. Results: Pain scores and analgesic consumption of both intervention groups were significantly lower than the control group. Conclusion: The research's findings reveal that the two electrical stimulation methods have similar effects on pain scores and analgesic consumption in patients.


Subject(s)
Abdomen/surgery , Analgesics/therapeutic use , Electroacupuncture/methods , Pain, Postoperative/etiology , Pain, Postoperative/therapy , Transcutaneous Electric Nerve Stimulation/methods , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged
19.
J Endourol ; 32(11): 1078-1084, 2018 11.
Article in English | MEDLINE | ID: mdl-30280915

ABSTRACT

BACKGROUND: Cystoscopy is a safe diagnostic procedure commonly used to evaluate lower urinary tract symptoms. This can cause pain, anxiety, and dissatisfaction in patients undergoing cystoscopy. OBJECTIVES: The aim of this study was to compare the effects on pain, anxiety, and satisfaction of distraction methods used during cystoscopy. DESIGN: Single-center, open-label, randomized, parallel-group trial. SETTING: Cystoscopy unit of a training and research hospital in Turkey. PARTICIPANTS: Male patients ≥18 years of age who underwent rigid cystoscopy for the first time. METHODS: A total of 120 male patients were recruited and randomized into four groups as music, stress ball, video, and control group. Data were collected using visual analog scale for pain and satisfaction, State-Trait Anxiety Inventory for anxiety, and hemodynamic parameters. The primary outcome was the difference with respect to pain scores among intervention groups. Other outcome measures were anxiety and satisfaction scores. RESULTS: Pain severity during cystoscopy was found to be significantly lower in the intervention groups than the control group. In the video group, the severity of pain during cystoscopy was also found to be significantly lower than music and stress ball groups (p = 0.006, p < 0.001). After cystoscopy, anxiety levels were significantly lower and satisfaction levels were significantly higher in the intervention groups than in the control group. Anxiety levels were significantly lower in the video group than music and stress ball groups (p < 0.001, p < 0.001). Satisfaction levels were also significantly higher after cystoscopy in the video group than in the music and stress ball groups (p = 0.018, p = 0.018). CONCLUSIONS: According to this study, distraction methods used during rigid cystoscopy were found to have a reducing effect on pain, anxiety, and dissatisfaction. As the results of the study are evaluated, video should be recommended to be the first preferred distraction method during rigid cystoscopy.


Subject(s)
Anxiety/prevention & control , Cystoscopy/adverse effects , Music Therapy , Pain/prevention & control , Patient Satisfaction , Adult , Aged , Aged, 80 and over , Cystoscopy/methods , Humans , Intraoperative Period , Male , Middle Aged , Pain Measurement , Treatment Outcome , Turkey , Young Adult
20.
Int J Nurs Stud ; 87: 40-48, 2018 Nov.
Article in English | MEDLINE | ID: mdl-30053681

ABSTRACT

BACKGROUND: Nausea and vomiting are common postoperative complications that occur within the first 24 h in adults. Clinical practice guidelines and a Cochrane review recommend stimulating the P6 acupoint to prevent or reduce postoperative nausea and vomiting. However, there are currently no standards and optimal timing is not known. OBJECTIVES: The purpose of this study was to evaluate the effect of acupressure application on the P6 acupoint, using acupressure wristbands, in the prevention of postoperative nausea and vomiting and the antiemetic drug requirement in patients who had high postoperative nausea and vomiting risk related to laparoscopic cholecystectomy. DESIGN: This was a longitudinal, randomized controlled clinical study. SETTINGS: The study was conducted in the general surgery department of a training and research hospital (105 beds), from March 2015 to March 2016. PARTICIPANTS: A total of 111 female patients who underwent laparoscopic surgery were divided into three groups of 37, using a block randomization method. METHODS: Training on acupressure wristband use was provided to the intervention group and an acupressure wristband with a plastic cap was placed at the P6 acupoint. A wristband with the same appearance as the acupressure wristband, but without a cap, was used in the placebo group. No intervention was used in the control group. The wristband was placed approximately one hour before the surgery and removed six hours after the surgery in both the intervention and placebo groups. The data were collected at the 2nd, 6th, and 24th postoperative hours. RESULTS: The application of the acupressure wristband to the P6 acupoint in patients who underwent laparoscopic cholecystectomy was found to be more effective in decreasing the severity of nausea at the 2nd postoperative hour and the nausea incidence at 2-6 h, postoperatively, when compared to the placebo group (p < 0.05). However, there was no statistically significant difference between the intervention group and the control group. Therefore, acupressure application to the P6 acupoint was not found to be clinically effective in decreasing postoperative vomiting, antiemetic drug requirement, and in decreasing pain, anxiety, or the need for analgesic drugs (p > 0.05). CONCLUSIONS: We did not find the stimulation of the P6 acupoint with an acupressure wristband to be clinically effective in reducing postoperative nausea and vomiting or antiemetic drug requirement in patients who underwent laparoscopic cholecystectomy.


Subject(s)
Acupressure , Cholecystectomy, Laparoscopic/adverse effects , Postoperative Nausea and Vomiting/prevention & control , Adolescent , Adult , Aged , Female , Humans , Longitudinal Studies , Middle Aged , Placebos , Young Adult
SELECTION OF CITATIONS
SEARCH DETAIL
...