The Effect on Anxiety and Satisfaction of Video-Assisted Education Given Before an ERCP Procedure.

Providing education in medical procedures may ensure patients' compliance, reduce anxiety, and increase satisfaction. This randomized controlled research study was conducted to determine the effect of video-assisted education on anxiety and satisfaction given before an endoscopic retrograde cholangiopancreatography procedure. A total of 70 patients participated between September 2017 and December 2018. Data were collected with the State-Trait Anxiety Inventory and the Visual Analogue Scale. Routine education was given to the control group, while routine education and video-assisted education were given to the intervention group. There was no difference between the state anxiety scores of the groups before the procedure ( p > .05). The state anxiety level of the intervention group was lower than that of the control group after the procedure ( p < .05). There was no significant difference between the trait anxiety scores of groups before and after the procedure ( p > .05). The postprocedure trait anxiety mean score of the intervention group decreased statistically significantly compared with the preprocedure mean score ( p < .05). The mean satisfaction score after the procedure was higher in the intervention group than in the control group ( p < .05). It was determined that video-assisted education decreased state and trait anxiety and increased satisfaction after the procedure.

Determination of body image and sexual adjustment in women with breast cancer after surgery.

The aim of the study is to determine body image, sexual adjustment and the factors affecting them in women with breast cancer after surgery. This descriptive and cross-sectional study was conducted with breast cancer patients admitted to a foundation hospital. Data were collected with the Sexual Adjustment and Body Image Scale, evaluated with t-test, MWU, Kruskall Wallis and correlation analysis. Sexual Adjustment Body Image scale subdimension scores of the patients were 10.81±2.32 for Prior Body Image, 9.69±2.69 for Postbody Image,7.04±1.73 for Prior Sexual Adjustment,7.4±2.34 for Sexual Importance of Breasts and -4.28±2.63 for Impact on Sexual Functioning. A weak positive correlation was found between the patients' body image scores and their sexual adjustment scores. It was found that having a child significantly affected the Prior and Postbody Image scores. There was a significant difference between Prior Sexual Adjustment scores according to income level. Employment had an effect on the Impact on Sexual Functioning subdimension score and presence of a chronic disease affected the Postbody Image and Prior Sexual Adjustment subdimension scores. Having a chronic disease, having children, being employed, and having poor income affect sexual adjustment and body image in women with breast cancer after surgery.

Patient comfort in percutaneous coronary interventions.

OBJECTIVES: To identify patients' general comfort levels in percutaneous coronary intervention. METHODS: This descriptive research included 2 hundred cardiac patients, whom were in the Medipol Mega University Hospital, Istanbul, during the period between May 2018 and May 2019. The data were obtained by General Comfort Questionnaire and evaluated using mean, standard deviation, percentage and t-test. RESULTS: In this study reports that patients had the mean total comfort score as 3.03±0.3. They acquired the maximum score from the psychospiritual comfort subdimension and the minimum score from the physical comfort subdimension. Patients who experienced transradial percutaneous coronaryintervention had statistically higher general, physical, psycospiritual and environmental comfort levels than those who had transfemoral intervention (p<0.05). According to both access methods, relief and ease levels were significantly different. CONCLUSION: Patients who experienced percutaneous coronary intervention have above medium general comfort levels. Their physical comfort scored lowest within the comfort dimensions investigated in this study. The comfort level of the patients to whom the transradial method was applied was found to be higher in comparison with the transfemoral method.

Spirituality and Hope Levels of Lung Cancer Patients Who Had Surgery in Turkey.

This study explores the relationship between spirituality and hope levels in lung cancer patients. Cancer patients often use their spirituality as a way of coping. Among a sample of 124 Turkish lung cancer patients, spirituality levels were assessed using the Spiritual Orientation Scale (SOS) and hope levels were measured using the Herth Hope Scale (HHS). Spirituality and hope levels in Turkish lung cancer patients were found to be above average. While no significant effect of demographic and disease-related variables was detected on spirituality and hope levels, spirituality and hope were found to be positively correlated in Turkish lung cancer patients.

Effectiveness of negative-pressure wound therapy compared to wet-dry dressing in pressure injuries.

This study aims to compare the effects of Negative-Pressure Wound Therapy (NPWT) and wet-to-dry dressing on Stages 3 and 4 pressure injuries (PI), This study is a randomized controlled trial. A total of 30 patients with Stages 3 and 4 pressure injuries were included in the study. The patients were divided into two groups: NPWT group and the wet-to-dry dressing group. All patients received 3 rounds of treatment. Data were collected with a Patient Identification Form, Pressure Ulcer Scale for Healing (PUSH) Tool and the findings of the Three-Dimensional Wound Measurement (3DWM) device. We found that granulation tissue formation was more significant in the experimental group (p < .05), and that there was more significant wound shrinkage (p < .05) with a more significant decrease in the PUSH Tool scores (p < .05). The wounds were assessed with the tool and the 3DWM system. Device measurements were found to be correlated with PUSH Tool findings (p < .05). There was a significant correlation between device-measured granulation findings and PUSH Tool score results of the experimental group's third measurements (p < .05). We conclude that NPWT is an effective treatment method for pressure injuries, and 3DWM device is a useable wound assessment tool.

Effect of Early Postoperative Feeding on the Recovery of Children Post Appendectomy.

The aim of this study was to determine the effect of early postoperative feeding on recovery after appendectomy in children. It was undertaken as a multicenter study. Patients were randomly assigned to 2 groups, each containing 46 children. Postoperatively, liquid and solid food intake and evacuation of first flatus and stool were recorded for the intervention and routine care groups. Postoperative thirst, hunger, nausea, and pain levels were evaluated at regular intervals using the Visual Analogue Scale. Data were obtained as number, mean, and percentage, and statistically analyzed using the chi-square test and the 2-sample t test. A statistically significant difference was found for both the first evacuation of flatus and stool and the length of hospital stay. Patients in the intervention group had evacuated flatus and stool earlier and had a shorter hospital stay than the control group. In addition, a significant difference was found in hunger (48th hour), thirst (36th and 48th hours), and pain (48th hour) levels between the intervention and control groups. Early postoperative feeding in children who have had an appendectomy affects the occurrence of the first evacuation of flatus and stool, the length of hospital stay, and the level of hunger, thirst, and pain.

The patient safety culture perception of Turkish nurses who work in operating room and intensive care unit.

OBJECTIVE: To determine the patient safety culture perception of operating room and intensive care nurses and the factors affecting this perception. METHODS: This descriptive study was conducted on 232 nurses working in a Turkish city hospitals. The data obtained from the nurses were collected using personal information form and Patient Safety Culture Scale (PSCS) from June to July 2015. RESULTS: The total score average of the nurses on the PSCS was 2.58±0.39. The nurses obtained the highest score on the employee behavior subscale, and the lowest score on the the adverse event reporting system subscale. No significant difference was found between the total score averages of the PSCS of the operating room and intensive care nurses (p>0.05). CONCLUSION: The patient safety culture score average of the operating room and intensive care nurses was at medium level. In addition, being able to choose the unit in which they worked, working day or night shifts, and being educated on patient safety were found to affect the patients safety cultures of the nurses (P<0.05).

University Students' Awareness of Breast and Cervical Cancers: A Comparison of Two Countries and Two Different Cultures.

OBJECTIVE: This study aims to evaluate Turkish and Polish female university students' awareness of breast and cervical cancers. The study was conducted in Turkey and Poland with 350 female students. MATERIALS AND METHODS: This descriptive and cross-sectional study's data were collected using Self-Administered Form questioning students' sociodemographic characteristics and awareness of breast and cervical cancer. Data were analysed using SPSS version 16.0 for Windows with number, percentage, and chi square test. RESULTS: According to the findings, a significant difference was found between Turkish and Polish students on knowing and applying Breast Self-Exam (BSE) (p<0.05). No difference was found between the two student groups on considering mammography as required. 81.1% of Turkish and 68.1% of Polish students considered Clinical Breast Examination (CBE) as required; the difference was significant. A significantly higher number of Turkish students knew high-fat diet, overweight, first childbirth at advanced ages, and not having given birth as risk factors, while a higher number of Polish students knew using oral contraceptive as risk factor for breast cancer. A significantly higher number of Turkish students knew cancer history in family, Human Papilloma Virus, smoking, immunodeficiency, overweight, three or more full-term pregnancies, the first pregnancy at advanced ages, and poverty as risk factors for cervical cancer. A greater number of Polish students only knew using oral contraceptive as a risk factor; the difference was not statistically significant. CONCLUSION: Results of this study showed that breast and cervix cancer awareness is similar among university students in both countries.

Breast and cervical cancer knowledge and awareness among university students.

BACKGROUND: Breast and cervical cancers are the most common types of cancer in women worldwide. Previous studies in Asia have shown that related knowledge and awareness is low among female university students. The goal of this study was to assess breast and cervical cancer knowledge, practices, and awareness among female university students in Samsun,Turkey. MATERIALS AND METHODS: This research was a cross-sectional survey of female university students using a self-administered. questionnaire to investigate participant awareness and knowledge of breast and cervical cancer. A total of 301 female university students participated. Descriptive statistics and chi square tests were used for data analysis. RESULTS: The mean age of the participants in this study was 22.0 ± 5.91 years. Regarding family history, 89.7 % of the students had no known familial history of breast cancer. Students (65.4%) had knowledge about breast self examination and 52.2 % of them had performed breast self examinationm while 55.1% of them had knowledge about prevention of cervical cancer. CONCLUSIONS: Although the results are preliminary, the study points to an insufficient knowledge of university students in Samsun about breast and cervical cancer.

Effect of perceived social support on psychosocial adjustment of Turkish patients with breast cancer.

AIMS: To identify the psychosocial adjustment of Turkish patients with breast cancer and the effects of perceived social support on their adjustment. MATERIALS AND METHODS: The sample comprised 100 volunteering patients diagnosed with breast cancer in the last six months reporting to the Outpatient Chemotherapy Unit at the Medical Faculty Hospital in northern Turkey. The data for the study were collected through the Descriptive Information Form, the Psychosocial Adjustment to Illness Scale-Self-reflection (PAIS-SR) and the Cancer-Specific Social Support Scale and analyzed via SPSS 16.0 for Windows. Descriptive statistics, Chi square test, ANOVA and correlation were used to evaluate data. RESULTS: There was a negative significant correlation between mean scores in the sub-scales of the social support scale and the ones in the sub-scales of the psychosocial adjustment to illness scale (p<0.05). Similarly, there was a negative significant correlation between confidence support and health care orientation as well as adjustment to social environment. Likewise, emotional support was in a negative significant correlation with health care orientation, adjustment to domestic environment, extended family relationships and adjustment to social environment. CONCLUSIONS: It was concluded that social support for patients with breast cancer had an influence on their psychosocial adjustment to illness. Holistic care should be given to breast cancer patients by oncology nurses especially in the first six months of treatment. It could be concluded that patients should be accompanied by their family/relatives in treatment and care following their diagnosis with breast cancer, that their family should be made more aware of the fact that the patient should be physically and psychologically supported, that patients with breast cancer should be provided with domiciliary care, and that they should be encouraged to participate in social support groups.

Nurses' protective measures during chemotherapy preparation and administration in Turkey*.

Chemotherapeutic agents are known to be carcinogenic, teratogenic and mutagenic to humans. Occupational exposure to chemotherapeutic agents is a potential risk. The aim of this study was to determine the safety measures on personal and environmental protection taken by nurses during chemotherapy preparation and administration. Current study was conducted between 1 April and 30 June 2007 in the chemotherapy administration units of all hospitals in Samsun, North of the Turkey. Seventy-three nurses were included in the study group. Data were obtained via questionnaire form. Findings for nurses' safety behaviour and usage of recommended health safety measures showed that, notwithstanding the rules and regulations pertaining to chemotherapeutics, nurses did not comply with them fully. The study expanded that health providers and clinical environment are under threat for contamination of chemotherapeutics. The results clearly point the importance of need for regular education programme. This study also revealed the necessity for improvement of the working environment.