Thirst Distress in Palliative Care Patients.

Objective: It has been reported that chronically critical patients and patients at high risk of death have moderate to high levels of thirst distress. It was planned as a descriptive and cross-sectional study to determine thirst distress in palliative care patients. Methods: A Patient Information Form, the Thirst Severity Form, and the Thirst Distress Scale were used for data collection. The research was carried out between March 2023 and July 2023 with 157 patients hospitalized in the palliative care services of a state hospital and a training and research hospital in Istanbul, Turkey. Results: Of the patients, 51.6% were female. The mean thirst distress score of the patients was 23.96 ± 5.096. Of the patients, 0.6% had no thirst distress; 7.6% had mild, 48.4% had moderate, 38.9% had high, and 4.5% had severe thirst distress. Thirst scores of patients who were illiterate and did not smoke or drink alcohol were high (P < .05). The thirst distress score of patients fed with percutaneous endoscopic gastrostomy was higher than that of patients fed with total parenteral nutrition. There was a positive weak correlation between age and thirst distress score, a negative very weak correlation between fluid balance and thirst distress score, and a positive moderate correlation between Visual Analog Scale and thirst distress. Conclusion: Thirst distress was found to be at moderate and high levels in palliative care patients. In patients, thirst should be routinely assessed, and necessary interventions should be planned.

Death Anxiety and Religious Coping in Heart Failure Patients.

This study was conducted to determine death anxiety and religious coping in heart failure patients. It was determined that 64% of the patients were male, the mean death anxiety score was 7.78 ± 3.91, 38% had ≤6 points and 62% had ≥7 points. Positive religious coping score was 20.54 ± 6.58 and negative religious coping score was 6.86 ± 3.18. Patients with a diagnosis of heart failure ≥3 years had higher death anxiety levels. There was a weak positive correlation between death anxiety and positive and negative religious coping scores. Death anxiety and the number of days hospitalized were determined to predict positive religious coping in regression analysis. The model explained 7.6% of the total variance in positive religious coping. Heart failure patients were detected to have high death anxiety. Patients were observed to have high positive religious coping scores. As death anxiety increases, patients exhibit positive religious coping behavior.

Occupational safety in nurses working in a tertiary care hospital in Turkey.

OBJECTIVE: To determine the occupational safety of nurses working in a tertiary care hospital. METHODS: The cross-sectional and descriptive study was conducted at a tertiary care hospital at Kocaeli University, Turkey, from January to March 2016, and comprised nurses working at the hospital. A questionnaire and the occupational safety scale were used to collect data. The Occupational Safety Scale has seven subscales. Frequencies, percentages, mean values and standard deviations were calculated during data analysis. RESULTS: Of the 200 nurses, 180(90%) were female and 88(44%) had 6-11 years of professional experience. The overall mean score of the scale was 2.593±0.770. Nurses working in daytime had better score on the healthcare screening and registry systems subscale compared to nurses working in shifts (p=0.020). There were no differences between the other subscales and work patterns (p>0.05). CONCLUSIONS: The nurses were found to have poor occupational safety.

Association between Parkinson's Disease and Helicobacter Pylori.

Helicobacter pylori (HP) is a common infection of the gastrointestinal system that is usually related to peptic ulcers. However, recent studies have revealed relationships between HP and many other diseases. Although the exact mechanism is unknown, HP can prevent the absorption of certain drugs. A high prevalence of HP has been found in patients with Parkinson's disease, and this bacterium causes motor fluctuations by affecting the absorption of levodopa, which is the main drug used to treat Parkinson's disease. Eradicating HP from patients with Parkinson's disease by applying antibiotic treatment will increase the absorption of levodopa and decrease their motor fluctuations.

Effect of myocardial infarction on female sexual function in women.

PURPOSE: The aim of this study was to assess sexual function in female patients with myocardial infarction (MI). METHODS: As research instruments, an interview form of 20 questions that questioned personal characteristics was developed by researchers, Female Sexual Function Index (FSFI) that evaluated sexual dysfunction was used. The Beck Depression Inventory was used to evaluate depression. RESULTS: In the course of this study, 45 female patients (62.73 ± 8.55 years) with MI and 50 control women were interviewed. The total FSFI score was 16.41 ± 8.04 in the MI group versus 23.13 ± 3.95 (P < 0.001) in the control group. The prevalence of sexual dysfunction is significantly higher and the mean FSFI score was significantly lower in MI group women in comparison with the control group. Subscale scores of desire, arousal, lubrication and orgasm domains were lower than the other subscale scores in the MI group. Besides, 75.6% of the women in the MI group and 48.2% of women in the control group had a female sexual dysfunction. The frequency of intercourse was significantly lower in women with MI (1.55 ± 0.50 times last month) compared to the control group (2.14 ± 1.04 times last month). No significant differences were detected between the mean total BDI scores. But the correlation between FSFI and BDI total scores indicates that the increasing BDI scores in MI and control groups affected the total FSFI scores negatively. CONCLUSION: Sexual problems are frequent in women with MI. Sexuality should be evaluated after MI and patients' education and counseling may contribute to a better sexual function.