Evaluation of Preoperative Sleep Quality and Factors Affecting Pain Intensity of Patients Hospitalized in Surgical Services.

PURPOSE: The aim of this study was to determine the preoperative sleep quality and pain intensity of patients hospitalized in the surgical services of a university hospital, and to evaluate the relationship between sleep quality and pain intensity and the factors affecting it. DESIGN: The study was a descriptive cross-sectional study. METHODS: The study was conducted on 139 patients over the age of 18 who were hospitalized in the surgical services of Eskisehir Osmangazi University Health Practice and Research Hospital between March 1, 2019 and July 31, 2019, and agreed to participate in the study. The "Visual Analog Scale for Pain (VASP)" was used to evaluate the pain intensity of the patients, and the "Visual Analog Sleep Scale (VASS)" to determine the quality of sleep. FINDINGS: The sleep quality of women, those who had sleep problems before hospitalization and those who had sleep problems in the preoperative period was worse (P <.001). Patients who had a companion and had sleep problems in the preoperative period had higher pain levels (P <.001 for each). As the pain levels of the patients increased, their sleep quality deteriorated (P <.001). Multiple linear regression analysis revealed that for each unit increase in the variable of having sleep problems in the preoperative period increases the VASS score by 180.422 points and the VASP score by 1.788. Being a woman increased the VASS score by 91.469 points, and the presence of a companion increased the VASP score by 1.644 points. CONCLUSIONS: The preopertive sleep quality and pain intensity of surgery patients were interrelated. Having sleep problems in the preoperative period affected both the sleep quality and pain intensity of the patients. While female gender affected the sleep quality of the patients hospitalized in surgical services, the presence of a companion was found to affect the severity of pain.

Breastfeeding Practices During the SARS-CoV-2 Pandemic Were Influenced by Women's Life Event.

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, which affects the whole world, negatively affects breastfeeding mothers and newborns. This study aimed to evaluate the breastfeeding practices influenced by women's life events and the breastfeeding women compliance with the rules established against the risk of SARS-CoV-2. This prospective cross-sectional online survey design study was carried out on 339 breastfeeding mothers between April 21 and May 10, 2020, in Turkey. Data were collected by an information form and the Impact of Events Scale-Revised (IES-R); 39.2% of breastfeeding mothers were traumatically affected by events experienced as a result of the pandemic. Study results reveal that breastfeeding mothers concerned about the risk of SARS-COV-2 transmission to their infants through human milk or breastfeeding. Noncompliance with SARS-CoV-2 measures among breastfeeding women was high. Policymakers and healthcare providers should not ignore this situation. It may be beneficial to conduct consciousness-raising and awareness studies to increase the compliance ratios of breastfeeding women with the recommended measures to prevent SARS-CoV-2 transmission.

Evaluation of the relationships between nurses' forgiveness, compassion, and professional commitment.

PURPOSE: The aim of this study was to examine the relationship between nurses' forgiveness, compassion, and professional commitment. METHODS: This cross-sectional study was carried out on 243 nurses between March and June 2019. FINDINGS: The effect of nurses' compassion levels on forgiveness levels (predictive power) was -0.49 and the effect on their professional commitment was 0.82. CONCLUSIONS: Results of the study reflect that forgiveness and compassion are effective on nurses' professional commitment. PRACTICE IMPLICATIONS: The study results emphasize the need to consider the links between forgiveness, compassion, and professional commitment for hospital administrators, nurse leaders, and policymakers.

Reflections of the before processes in early and forced marriages: A meta-synthesis study.

PURPOSE: To develop analytical themes through a descriptive synthesis of qualitative studies to create a broader and more conscious understanding of the before processes in early and forced marriages. METHODS: Twenty-five qualitative studies were analyzed and synthesized according to meta-synthesis methods. FINDINGS: The analytical themes of the main theme "The process leading to early and forced marriages" were divided into four groups as cognitive, affective, behavioral, and cultural reflections. PRACTICE IMPLICATIONS: The study results emphasize the need to consider the links between cognitive, affective, behavioral, and cultural reflections of the process that led to marriages for preventing early and forced marriages.

Reflections of the after processes in early and forced marriages: A meta-synthesis study.

PURPOSE: To develop analytical themes through a descriptive synthesis of qualitative studies to create a broader and more conscious understanding of after processes in early and forced marriages. METHODS: This study is a meta-synthesis study. FINDINGS: The analytical themes of the main theme "The process after early and forced marriages" were divided into four groups: cognitive, affective, behavioral, and cultural reflections. PRACTICE IMPLICATIONS: Effective social norm interventions should be adapted to people's cognitive, affective, behavioral, and cultural understanding to change attitudes and practices toward early marriages.

Development of the Scientific Research Competency Scale for nurses.

Background: The planning, implementation, finalisation and reporting of high-quality research depends on the knowledge, skills and competencies of the many individuals who make carrying out the research possible. Aims: This study aims to develop a valid and reliable scale in order to identify the scientific research competencies of nursing professionals at undergraduate and graduate level. Methods: This methodological study was carried out on 937 nursing personnel, 422 (45%) of whom were academic members and 515 (55%) were undergraduate students. The Anxiety Scale Towards Research and the Attitude Scale Towards Scientific Research were used for the criterion validity. Results: The Scientific Research Competency Scale comprises 57 items in four sub-dimensions named as 'technical skills', 'attitude and behaviours', 'estimation capacity' and 'foreign language skill'. The Cronbach alpha, Guttmann split-half and Spearman Brown reliability coefficients for the scientific research competency scale were, respectively, 0.98, 0.96 and 0.96. The sensitivity and specificity value, by which the research competency of individuals could be determined with minimum error, was indicated to be at 190 breakpoints of the scientific research competency scale. Conclusions: As a result, the scientific research competency scale developed is a valid and reliable tool that can be used to determine the scientific research competencies of nursing professionals.

The effect of acne on quality of life, social appearance anxiety, and use of conventional, complementary, and alternative treatments.

OBJECTIVE: This study aimed to determine the prevalence of acne among university students and also assess the effects of acne on quality of life, social appearance anxiety, and use of conventional, complementary, and alternative treatment methods. DESIGN AND SAMPLE: This cross-sectional study was conducted on 1007 students (98.24 %) of a university located in the Central Anatolian Region of Turkey. MEASUREMENTS: The study used "the CAM Questionnaire" to determine students' CAM use, "the Acne Quality-of-Life Scale" to investigate students' quality of life and "the Social Appearance Anxiety Scale" to measure their social anxiety, along with a questionnaire that asked about some acne-related characteristics and conventional, complementary, and alternative treatment methods. RESULTS: The prevalence rate of acne among the study sample was 65.4 %. The participants' perceived acne severity and acne's impacts on their lives were inversely proportional to their quality of life (respectively; r = 0.400; 0.327, for each p < 0.001) and directly proportional to their social appearance anxiety (respectively; r = 0.276; 0.302, for each p < 0.001). Acne distress accounted for 19 % of the change in acne quality-of-life scores (ß = 0.186; p < 0.001), which in turn caused 61 % of the change in social appearance anxiety scores (ß = 0.615; p < 0.001). CONCLUSIONS: The students whose quality-of-life had deteriorated due to acne had higher social appearance anxiety. Social appearance anxiety had a minor effect on complementary and alternative medicine use, which was affected mainly by acne distress.

Effects of Transcultural Nursing Education on the Professional Values, Empathic Skills, Cultural Sensitivity and Intelligence of Students.

Purpose: To examine the effect of Transcultural Nursing education on nursing students' Professional Values, Empathic Skills, Cultural Sensitivity and Intelligence.Design: A posttest quasi-experimental study with a control group.Methods: The participants were second year nursing students (n = 125). The experiment group was composed of students who had enrolled in the Transcultural Nursing course (n = 65). The control group consisted of students who did not enroll in this course (n = 60).Findings: The posttest scores of the experiment group in the scales were significantly higher than those in the control group (p < .01).Conclusion: Transcultural nursing course is an effective method to increase the professional values, empathic skills, cultural sensitivity and intelligence of students.

Effect of exercise on premenstrual symptoms: A systematic review.

INTRODUCTION AND PURPOSE: The aim of this systematic review is to examine the effect of exercise on premenstrual symptoms. METHODS: In this systematic review, international databases (EBSCO Host, ScienceDirect PubMed, Google Scholar) were searched from the start of databases to 30 April 2018. Keywords used included "premenstrual syndrome" and "exercise". For the keywords, "Medical Subject Headings" were used. Articles were screened by the two authors independently, and in case of disagreements, items were discussed until consensus was reached. All studies evaluating the effect of exercise on premenstrual symptoms were extracted from included studies without limiting the type of exercise. RESULTS: A total of 361 studies on the subject were examined, and 17 publications in accordance with the inclusion criteria were included in the study and evaluated. It can be said that exercise is effective in improving physical symptoms such as pain, constipation, breast sensitivity, and psychological symptoms such as anxiety and anger. However, although there is no clarity regarding other symptoms, exercise has a symptom-reducing effect. CONCLUSION: Exercise is an effective intervention for alleviating premenstrual symptoms in women with premenstrual syndrome.

The Relationship between Urinary Incontinence Quality of Life and Sleep Quality in Women Over the Age of 60 Years.

AIM: The study aimed to investigate the relationship between urinary incontinence quality of life and sleep quality in women over the age of 60 years. METHOD: This cross-sectional study was conducted between May 15 and July 5, 2013. Data were collected from a total of 332 women including 68 women from 3 nursing homes in a provincial center of Eskisehir and 269 women living alone or with family in their own homes in a street of that city. Women's urinary incontinence quality of life was assessed using the incontinence quality of life scale and sleep quality was assessed using the Pittsburgh sleep quality index. RESULTS: Mean age of the participating women was 71.00±7.42 years. Only 10.8% of the women had incontinence diagnosis; prevalence of anamnesis-based incontinence was 87.7%. Those who lived in their own homes, who had a urinary incontinence diagnosis, who experienced urinary incontinence according to their anamnesis, who were smokers, and who had a poor sleep quality had lower Incontinence Quality of Life Scale scores. Additionally, their quality of life was negatively affected (p<0.05). Poor sleep quality and diagnosis of urinary incontinence were important predictors of the Incontinence Quality of Life Scale of women over 60 years of age and explained 18% of the total variance. The Incontinence Quality of Life Scale scores of the women decreased by 5.67 points in the presence of poor sleep quality and 6.48 points in the presence of urinary incontinence diagnosis. CONCLUSION: Urinary incontinence is a common problem seen in older women, is considered as a usual problem due to aging, and is ignored or not taken care of. It also has a negative impact on the quality of life and sleep.

Analysis of the relationship among health awareness and health literacy, patient satisfaction levels with primary care in patients admitting to primary care health centers.

OBJECTIVE: The aim of the study was to examine the relationships between health literacy, primary care satisfaction levels and health awareness of the patients who were admitted to primary care centers (Family Health Centers). METHODS: This is a cross-sectional study conducted on individuals who were admitted to Family Health Centers (n = 1.055) in Eskisehir province. The study data were collected by using Turkish Health Literacy Scale, the European Patients Evaluate General/Family Practice Scale and Health Awareness Scale. RESULTS: As health literacy of participants increases, health awareness and satisfaction with primary care also increases (for each, p < .001). Health awareness increases health literacy by 0.55 points, health literacy increases satisfaction in primary care by 0.26 points. CONCLUSION: In the province of Eskisehir, the health literacy level of 7 out of 10 patients, who admitted to the primary care institution, is inadequate or problematic. As health awareness of participants increases, their level of health literacy also increases. As health literacy of participants increases, their satisfaction with family physicians also increases. PRACTICE IMPLICATIONS: As an integral part of preventive health services, studies should be performed to increase and improve the level of health literacy of patients who are admitted to primary care services.

Computer Game Addiction and Loneliness in Children.

BACKGROUND: We aimed to determine the level of computer game addiction and loneliness among 9-10-yr-old children. METHODS: The study was conducted with 4th-grade students at a primary school, located at the city center, during 2017-2018 academic years. There was no sampling in the research, all 4th-grade students of the school were reached. "Personal Information Form", "Computer Game Addiction Scale" and "UCLA Loneliness Scale" were used for collecting data. Mann Whitney U test, Kruskal Wallis test, and Correlation Analysis were used to evaluate the data of the research. RESULTS: 50.7% (n=104) of the students were female, most frequent number of sister/brother was one 39.0% (n=80), both their mother 31.7% (n=65) and their father 34.1% (n=69) were mostly high school graduated. The average scores that students got from the scales were; 48.66±.27.02 (min.: 21.00, max.: 105) for "Computer Game Addiction Scale" and 40.55±8.50 (min: 22.00, max.: 64) for "UCLA Loneliness Scale". A weak, positive and significant relationship was found between students' loneliness scale scores and computer game addiction scale scores (r=0.357; P<0.000). CONCLUSION: A significant relationship was found between students' computer game addiction and loneliness. It is suggested to perform children's loneliness and computer game addiction assessments, evaluate effectiveness and establish a rehabilitating treatment system among school-hospital-family for abnormal cases.

The Effect of Workplace Bullying Perception on Psychological Symptoms: A Structural Equation Approach.

BACKGROUND: The aims of this study were to determine the extent of workplace bullying perceptions among the employees of a Faculty of Medicine, evaluating the variables considered to be associated, and determining the effect of workplace bullying perceptions on their psychological symptoms evaluated by the Brief Symptom Inventory (BSI). METHODS: This cross-sectional study was performed involving 355 (88.75%) employees. RESULTS: Levels of perceived workplace bullying were found to increase with the increasing scores for BSI and BSI sub-dimensions of anxiety, depression, negative self, somatization, and hostility (all p < 0.001). One point increase in the workplace bullying perception score was associated with a 0.47 point increase in psychological symptoms evaluated by BSI. Moreover, the workplace bullying perception scores were most strongly affected by the scores of anxiety, negative self, depression, hostility, and somatization (all p < 0.05). CONCLUSION: The present results revealed that young individuals, divorced individuals, faculty members, and individuals with a chronic disease had the greatest workplace bullying perceptions with our study population. Additionally, the BSI, anxiety, depression, negative self, somatization, and hostility scores of the individuals with high levels of workplace bullying perceptions were also high.

Restless Legs Syndrome and Sleep Quality in Patients on Hemodialysis.

Restless legs syndrome (RLS) is a common health problem in patients on hemodialysis. This descriptive study was carried out with patients from a hemodialysis unit in the province of Eskisehir, Turkey. Of the 317 patients in the unit, 244 (77.0%) comprised the study group. RLS was assessed by diagnostic criteria defined by the International RLS Working Group, sleep quality by the Pittsburgh Sleep Quality Index, and depression by the Beck Depression Inventory. RLS was found in 15.6% of patients and was associated with depression and sleep quality. Sleep quality is impaired with the increasing severity of RLS. RLS is an important health problem in patients on hemodialysis.

Assessment of Sleep Quality and Effects of Relaxation Exercise on Sleep Quality in Patients Hospitalized in Internal Medicine Services in a University Hospital: The Effect of Relaxation Exercises in Patients Hospitalized.

This study aims to assess sleep quality and determine the effects of relaxation exercise on sleep quality in patients hospitalized in internal medicine services. In total, 47 patients comprised the control group and did not engage in the exercise intervention--the progressive muscle relaxation exercise, whereas 235 patients were assigned to the intervention group (N = 282). In this study, Description Questionnaire Form and the Pittsburg Sleep Quality Index (PSQI) were used. Most patients (73.8%) had poor sleep quality. The mean pre- and postexercise PSQI scores of the patients in the interventional group were 8.7 ± 4.0 and 6.1 ± 3.3, respectively. The mean pre- and postexercise PSQI scores of the control patients were 6.6 ± 3.5 and 5.6 ± 2.7, respectively. According to this study, the exercises significantly enhanced the quality of sleep. Patients should be encouraged by nurses to perform relaxation exercises.

The effect of relaxation exercises on quality of sleep among the elderly: holistic nursing practice review copy.

The aim of this study was to determine the effect of relaxation exercises on quality of sleep of the elderly people staying in a nursing home. Control group had 44 elderly persons and the intervention group had 20 elderly persons in a nursing home. Quality of sleep in the intervention group increased statistically (P = .000). The elderly people should be encouraged to perform relaxation exercises.

Menopause status and attitudes in a Turkish midlife female population: an epidemiological study.

BACKGROUND: It is a well accepted status that socio-cultural characteristics may affect the onset of menopause and its characteristics. The aims of this study were to describe the prevalence rates of menopausal symptoms and these symptoms related factors, and to assess the women's attitudes towards some climacteric issues. METHODS: This survey was conducted between Jan., 1st 2008 and March, 31st 2008 to research the menopause status of the female population in a city of western Turkey. The study group consisted of 1551 women selected with a multistage area sampling method: a random sample of individuals aged 40-65 years. The questionnaire included questions pertaining to women's sociodemographic characteristics, women's menopausal status, some statements about the climacteric, use of hormones at menopause or before menopause, and some climacteric myths. The data was analyzed by Chi-square (x2) analysis and percent (%) ratios with a significant value of P < 0.05. RESULTS: The mean age of the women was 49.1 years. Over 90% of the women were of the negative opinion that the climacteric is "the end of youth", "the end of fecundity", and "the end of unclean days". Most women said that cessation of menstrual periods was the most positive thing because they do not have to wait for monthly bleedings, use sanitary equipment, or take birth control methods. There were significant connections between age groups and nearly all the items, with the exception of the items "the end of life" and "the end of fecundity". Among the women, hot flushes were the most common complaint occurring in 96.5% of women: being severe in 32.9%, moderate in 43.1% and mild in 20.4%. This was followed by low backache or muscle pain 95.0% (25.9% severe, 46.0% moderate and mild 23.1%), headache 91.7% (21.9% severe, 34.9% moderate and 34.9% mild) and feeling tired 91.0% (15.3% severe, 38.6% moderate and 37.1% mild). CONCLUSIONS: Most of the women in this study had mixed ideas of opinions concerning the climacteric, and the majority was also suffering from climacteric complaints. This data could assist healthcare providers in the provision of culturally competent health care to midlife Turkish women.