The Effect of Pelvic Floor Muscle Exercises on Bowel Evacuation and Quality of Life in Following Intestinal Ostomy Closure: Randomized Controlled Trial.

PURPOSE: This purpose of this study was to evaluate the effect of pelvic floor muscle exercises (PFMEs) on bowel evacuation problems and health-related quality of life (HRQOL) following ostomy closure. DESIGN: Randomized controlled trial. SUBJECTS AND SETTING: Forty individuals following ostomy closure consented to participate in the study; 6 participants (15%) did not complete the trial (2 died and 2 required a second ostomy) yielding a study sample of 34. Participants were randomly allocated to an Exercise Group (EG, n = 17) and Control Group (CG, n = 17). The mean age of the EG was 55.7 (SD 12.6) years, whereas the mean age of the CG was 62.0 (SD 12.1) years. The study setting was the surgery clinic of 4 hospitals in Ankara, Turkey. Data were collected between December 2018 and May 2020. METHODS: The study intervention, PFME training by a clinician, was administered to participants in the EG; CG participants received no information regarding PFME. Data were collected during face-to-face interviews on the day before discharge and by phone at the first, second, third, and sixth months after surgery. A questionnaire was used for data collection that queried a demographic and pertinent clinical questions, along with the Assessment Form for Bowel Evacuation Habits and Psychosocial Problems, Wexner Scale, and the Short Form (SF-36) Health-related Quality of Life Scale. Descriptive statistics and Mann-Whitney U test, t-test, Pearson-χ2 test, Fisher's Exact test, Friedman test, and Cochran-Q test statistical analysis according to normal distribution were used in data evaluation. RESULTS: The number of defecations in the EG was statistically significantly lower than the CG at the second, third, and sixth months (P = .002, P = .002, P = .001, respectively). In addition, the number of individuals experiencing night defecation was statistically significantly less in the EG compared to the CG at the second-, third-, and sixth-month follow-ups (P = .001, P = .001, P = .028, respectively). HRQOL scores were also significantly higher in the EG. CONCLUSION: Pelvic floor exercises applied after ostomy closure are effective in reducing bowel evacuation and increasing quality of life. Given these findings, PFMEs are recommended for patients after ostomy closure.

The Effects of Pranayama or Deep Breathing Exercises on Fatigue and Sleep Quality in Women Receiving Radiation Therapy for Breast Cancer.

OBJECTIVES: To evaluate the effects of pranayama and deep breathing exercises on fatigue and sleep quality in women undergoing radiation therapy for breast cancer. SAMPLE & SETTING: This randomized controlled study was conducted on the outpatient radiation oncology unit of a hospital with 20 patients each in pranayama, deep breathing, and standard care groups (N = 60). METHODS & VARIABLES: The Piper Fatigue Scale and the Pittsburgh Sleep Quality Index were used to evaluate the participants' fatigue and sleep quality. RESULTS: The control group showed a significant increase in fatigue levels at the end of radiation therapy compared to the beginning. Sleep quality was improved only in the pranayama group. IMPLICATIONS FOR NURSING: Pranayama can be learned easily, can be performed anywhere, and does not require any equipment, making it a convenient exercise for patients. Oncology nurses can take the lead in suggesting pranayama for symptom management.

Critical-Care Nurses' Pain Experiences and the Prognostic Factors.

OBJECTIVE: The objective of this study was to determine the emergence of pain in critical-care nurses and the prognostic risk factors. DESIGN: This study is a cross-sectional descriptive research. SETTING AND SUBJECTS: This study was conducted with the participation of 111 critical-care nurses in Zonguldak province, Turkey. INTERVENTIONS: The data were collected using a survey form and the Cornell Musculoskeletal Discomfort Questionnaire between August and November 2015. The data were evaluated using frequency, average, Pearson correlation analysis, χ, logistic regression, and odds ratio tests. RESULTS: The critical-care nurses were found to experience pain mostly in their lower backs (88.3%), upper backs (77.5%), right (76.6%) and left (78.4%) feet, necks (73.9%), and most infrequently in the right (28.8%) and left (28.8%) lower arms. Changing bed linens while the patient remained in bed and lifting, pulling, or pushing heavy materials caused those nurses who felt despondent and tired to feel significant pain in the shoulder, neck, upper arm, wrist, and knee (P < .05). CONCLUSIONS: These results were significant for placing emphasis on maintaining body mechanics while caring for patients, providing appropriate environmental conditions, and ensuring ergonomics to preserve the health of critical-care nurses who work in hospitals.

HERBAL PRODUCT USE BY THE CANCER PATIENTS IN BOTH THE PRE AND POST SURGERY PERIODS AND DURING CHEMOTHERAPY.

BACKGROUND: The aim of this study was to evaluate of the use of herbal products in patients in both pre- and post- surgery periods and during chemotherapy, and to determine the factors behind it. MATERIALS AND METHODS: This study was conducted as a descriptive study with 281 patients in 4 centers. The data of the study were collected by using a survey form prepared by the researcher, depending on literature and interview with the participants face-to-face. RESULTS: While the average age of the patients involved in the study is 49.1±12.8, 51.6% of them were females, 34.6% graduate of elementary school, and 34.5% were housewives. While the prevelance of the use of herbal product prior to surgical treatment is 38.9%, it was observed that this rate increased to 54.1% during chemotherapy. It was observed that the most frequently used product was garlic prior to surgical treatment (19.2%), that it was urtica dioica (13.8%) during chemotherapy. Before the surgical treatment, 94.3% of the patients, and during chemotherapy treatment, 81.7% of the patients, stated that the use of herbal product had not been questioned by the physician or nurse. CONCLUSION: Analysis of the results indicates that health professionals need to obtain information regarding the use of herbal products by cancer patients during both pre- and post- surgery periods, as well as during chemotherapy. Patients should be provided with information and guidance about the advantages and disadvantages of using herbal products.

Hygienic hand washing among nursing students in Turkey.

The purpose of this study was to determine the application status of hand-washing information given within the context of infection control measures in practice areas among nursing students. This descriptive study was conducted with 430 students. A questionnaire was filled out by the students. In the statistical analysis, frequency, percentage, and chi(2) values were measured for all the questions in the hand-washing questionnaire. We determined that students wash their hands before and after each clinical procedure at a rate of 80.2%. Most of the students (71.9%) reported that they wash their hands for 1 minute or longer. The students' answers showed that the nursing education program, including hand-washing applications within the context of infection control measures, is updated but that the students neither practice what they have learned nor give adequate attention to the subject.