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Öğe Acil servislerde görülen ortopedik travmalar ve hemşirelik bakımı(2020) Türkmen, Açelya; Yılmaz Dündar, Gönül; Akyolcu, NerimanOrtopedik travmalar, basit yaralanmalardan, uzun dönem ağır ve fiziksel sakatlıklara kadar değişik sorunlara neden olabilmekte; bağlı olarak fiziksel, ruhsal ve sosyal sorunların yanı sıra ciddi ekonomik yük oluşturabilmektedir. Bireylerde meydana gelen yetersizliklerin birincil nedenleri arasında yer alan ortopedik travmalar, tüm yaralanmaların yaklaşık %66’sını oluşturmaktadır (1). En sık görülen ortopedik travmalar, yumuşak doku-eklem yaralanmaları ve kırıklardır. Travma bakımının hastane öncesi ve acil servis değerlendirmesinin yapıldığı resüsitasyon aşaması, hasta için ciddi fizyolojik stres oluşturan bir dönemdir. Bu süre içerisinde birincil terapötik hedefler, hava yolu açıklığını korumak, yeterli oksijenasyon ve ventilasyonu sağlamak, dolaşımı desteklemek ve nörolojik işlevleri değerlendirmektir (2,3). Bu derlemede, acil servislerde görülen ortopedik travmalar ve buna yönelik hemşirelik bakımı ele alındıÖğe Böbrek nakli yapılan hastaların psikososyal deneyimleri: nitel bir araştırma(DergiPark, 2020) Gündüz, Emine Selda; Akyolcu, NerimanÖz Transplantasyonun fiziksel, duygusal ve ekonomik yönleri hasta ve ailesi için önemli bir yaşam deneyimidir. Transplantasyonun başarısında iyi bir organizasyon, ameliyat hazırlığı ve ameliyat sonrası bakımının yanı sıra biyopsikososyal bakım ve rehabilitasyon da son derece önemlidir. Bu çalışma, böbrek nakli yapılan hastaların nakil sonrası deneyimlerini tanımlamaktadır. Araştırmada, nitel araştırma türlerinden tanımlayıcı fenomenolojik desen kullanımıştır. Araştırmanın örneklemini, Akdeniz Üniversitesi Hastanesi Organ Nakli Enstitüsü'nde organ nakli yapılan 18 yaş üstü 15 katılımcı oluşturmuştur. Veriler içerik analizi kullanılarak incelendiğinde, yaşam zorlukları, ruh halinin değişmesi, benlik algısının değişmesi, organ naklinin anlamı, kişiler arası ilişkiler, üretkenliğin artması, baş etme, organ algısı, donörle ilgili duygular olmak üzere dokuz tema elde edildi. Bu çalışmada, böbrek nakli sonrası biyopsikososyal yaşam, organ algısı, donör algısı ve baş etme yöntemleri hakkında detaylı veriler elde edilmiştir. Bu sonuçlar nakil sürecinde hemşirelik bakımına önemli katkılar sağlayabilir.Öğe Cerrahi kliniklerde çalışan hemşirelerin iş güvenliği(Istanbul Univ, Fac Nursing, 2018) Uğraş, Gülay Altun; Akyolcu, Neriman; Kanat, Canan; Yüksel, Serpil; Ayoğlu, Tuluha; Sayın, Yazile; Kanan, NevinAim: This study was conducted to determine the status of occupational safety of nurses working in surgical clinics. Method: This descriptive study was conducted on 324 nurses working in the surgical clinics of three university hospitals in three different cities during August-October 2017. Data related to descriptive features were collected using the data collection form prepared by the researchers and The Occupational Safety Scale (OSS) for health care personnel working in hospital. Number, percentage, mean and standard deviation, independent t-test, and Bonferroni-corrected one-way analysis of variance (ANOVA) were used for data analysis. Results: The mean age of the nurses was 33.06 +/- 7.17 years, 68.5% of them were undergraduates, and more than half of them were working in continuous night shifts. The total OSS score of the nurses was 121.45 +/- 39.20. The subscale scores of "control of materials and equipment," "protective measures and rules," and "physical environment suitability" of the operating room nurses were significantly lower. The score of the "health screening and registration system" of nurses who worked constantly at night and the scores of "material, equipment, and equipment supervision" of nurses who provided care to one to five patients were significantly lower. Conclusion: This study showed that surgical nurses, especially operating room nurses, believed that the environment in which they were working was not safe and evaluated the subscales of occupational safety, such as "occupational diseases and complaints," "managerial support and approaches," and "control of materials and equipment," as inadequate.Öğe The effect of chewing gum on dry mouth, interdialytic weight gain, and intradialytic symptoms: a prospective, randomized controlled trial(2021) Özen, Nurten; Sayılan, Aylin Aydın; Mut, Dilek; Sayılan, Samet; Avcıoğlu, Zeynep; Kulakaç, Nursen; Ecder, Tevfik; Akyolcu, NerimanIntroduction: The major salivary glands can be stimulated by chewing gum to increase saliva flow and decrease xerostomia. The aim of this study was to investigate the effect of chewing gum on dry mouth, interdialytic weight gain, and intradialytic symptoms in hemodialysis (HD) patients. Methods: This prospective randomized controlled single-blind study was conducted with patients who had been treated for at least 6 months with sessions 3 days a week for 4 hours at two HD units. Patients were randomly allocated to chewing gum group or the control group. In the chewing gum group, gum was chewed for 10 minutes six times a day, and when the patients felt mouth dryness or were thirsty. In the nonchewing gum group, gum was not chewed. The patients were followed-up for 3 months. A total of three saliva samples were taken before starting treatment at the first, 12th, and 36th HD session. Data were collected with the "Visual Analogue Scale (VAS)," "Hemodialysis Patients Fluid Control Scale," "Dialysis Symptom Index," and "Hospital Anxiety and Depression Scale" at baseline, week 4, week 8, and week 12. Findings: The study was completed with a total of 44 patients consisting of 22 patients in the each group. The second and third month VAS values (xerostomia) of the patients in the chewing gum groups were statistically significantly lower than those in the control group (P = 0.014, P < 0.001, respectively). The third month salivary flow rate in the chewing gum group was higher than the values in the control group patients (P < 0.001). Discussion: It is anticipated that this study will raise nurses' awareness of dry mouth and encourage future studies on interventions to increase the salivary flow rate to prevent or treat dry mouth.Öğe Effects of nurse-led education on quality of life and weight loss in patients undergoing bariatric surgery(Mary Ann Liebert, Inc, 2020) Güven, Betül; Akyolcu, NerimanBackground: Although bariatric surgery is considered the most effective treatment for morbid obesity, patients' adherence to prescribed postoperative recommendations is important. Aims: To determine the effectiveness of nurse-led education with follow-up services on bariatric surgery patients' weight loss and overall quality of life. Materials and Methods: This study is a quasi-experimental research with a control group. The sample consisted of 102 patients undergoing bariatric surgery. Patients in the intervention group received education sessions as well as follow-up services by phone every 15 days after surgery for a period of 3 months. Bariatric surgery patients' overall quality of life, weight loss, and waist circumferences were measured. Results: In the intervention group, the average scores of the Short-Form Health Survey total and subdimensions were higher 3 months after the surgery, and the differences between the two groups were statistically significant (p < 0.05). Although the weight loss of patients 3 months after the surgery between the two groups was not significant, the decrease in the waist circumference of patients was significant between the two groups. Conclusions: Patient education and follow-ups resulted in significant improvements in patients' overall quality of life. However, the 3-month-long education and follow-up program did not have any effect on weight loss.Öğe Evaluation of operating room staff's attitudes related to patient safety: A questionnaire study(Elsevier Inc, 2019) Önler, Ebru; Akyolcu, NerimanPurpose: This research was performed in order to evaluate the safety attitudes of operating room staff according to some personal and professional characteristics and their inter-professional relationships which can affect safety attitudes. Method: Data were collected from 290 operating room staff including nurses, anesthetists, and surgeons at the two university hospitals in Turkey. A Turkish translation of SAQ-OR and employee information form were used to collect data. Results: The following factors significantly contributed to an increase in safety attitudes among operating room staff: having worked 11 years or more, working only in the day time, and working in operating rooms that have 2–5 surgery per day. Also, operating room staff exhibit a higher level of team collaboration and communication with their colleagues and nurses than other operating room staff. Conclusion: Patient safety culture and teamwork between OR staff should be improved. © 2019 Elsevier Inc.Öğe An investigation of surgical nurses' professional values, ethical sensitivity and quality of care: A cross-sectional study from northwest Turkey(SAGE Publications Inc., 2022) Mert, Selda; Kersu, Ozlem; Aydin Sayilan, Aylin; Akyolcu, NerimanNurses’ professional values are closely associated with their ethical sensitivity and the quality of nursing care. The aim of this study was to determine surgical nurses’ perceptions of their professional values, ethical sensitivities and quality of care, the relationship between these variables, and the factors influencing these. The sample of this cross-sectional, descriptive and relational study consisted of 231 nurses working in the surgical units of two university hospitals and a training and research hospital. The study revealed a statistically significant negative relationship between the nurses’ professional values scale median score and the Moral Sensitivity Questionnaire median score, and a positive significant relationship between the Nurses' Professional Values Scale median score and the Care Behaviors Scale median score. Having ethical problems in their professional lives increased the ethical sensitivity of nurses, while having a medical-vocational high school and vocational school of health services degree and participation in training/meetings about professional values and ethics increased the perception of the quality of nursing care. Awareness of professional values is crucial in providing quality nursing care that is in line with ethical principles; therefore, it is recommended that the continuity of surgical nurses’ participation in training/meetings on professional values and ethics be ensured, that they be supported to become members of professional associations, and that supportive working environments be provided to improve the quality of nursing care. © The Author(s) 2022.Öğe Meme kanserinde güncel gelişmeler(2019) Akyolcu, Neriman; Özhanlı, Yasemin; Kandemir, DidemÖZ Meme kanserinin tanı ve tedavisinde bilimsel, teknolojik ve yöntemsel bir hayli gelişme kaydedilmesi ve olumlu katkılarının gözlemlenmesine karşın, meme kanseri sıklığının dünyada ve Türkiye’de arttığı belirtilmekte ve bu artışın önümüzdeki yıllarda devam edeceği öngörülmektedir. Son yıllarda yapılan çalışmalarda, gece çalışma ve düşük D vitamini düzeyinin meme kanseri riskini arttırdığı belirlenmiş; soya yağı, vitamin E-C ve beta-karoten gibi antioksidanların kullanılmasının ise riski azalttığına ilişkin yeterli kanıt bulunamamıştır. Günümüzde, mamografinin erken tanı amacıyla giderek daha yaygın kullanıldığı; morbidite açısından sentinel lenf nodu biyopsisinin, aksiller lenf nodu diseksiyonuna göre daha üstün olduğu; meme koruyucu cerrahinin mastektomiye eşdeğer sağ kalım sağladığı belirlenmiş, hasta yararına olan bu iki yeni yaklaşım daha yaygın kullanılmaya başlanmıştır. Diğer bir gelişme ise moleküler sınıflamada biyobelirteçlerin kullanılması ile bireyselleştirilmiş/hedefe yönelik tedavi yoluyla en yüksek etkinlik ve en az yan etkiye sahip ideal tedavinin uygulanabilir olmasıdır. Gelecek yıllarda, nanoteknolojinin bir parçası olan nanopartiküller kullanılarak ilacın dolaşım süresinin ve etkinliğinin arttırılabileceği bildirilmektedir. Kanser hücrelerinin genetik parmak izini çıkaran “genetik parmak izi/fingerprint” ve tümörün vücuttaki seyrine yön veren ana geni “sürücü/driver mutasyon” genini saptayan yöntemler üzerinde yapılan çalışmalar sonucunda, sürücü mutasyonu bloke edecek ilaçlarla nokta atışı yapılarak, genetik mutasyonun tedavi edilebileceği kaydedilmektedir.Öğe Nöroşirürji Yoğun Bakım Ünitesinde Travmatik Beyin Yaralanması Sonrası Vücut Sıcaklığının Korunması ve Yönetimi(2018) Kandemir, Didem; Ak, Ezgi Seyhan; Akyolcu, NerimanBeyin işlevlerinin, kafaya alınan bir darbe, penetran yaralanma veya bir sarsıntı ile bozulması olarak tanımlanan travmatik beyin yaralanması, günümüzde travmaya bağlı ölümlerin yarıdan fazlasını oluşturan, yüksek morbidite ve mortalite oranları ile yaşamı tehdit eden önemli bir sağlık sorunu olarak değerlendirilmektedir. Travmatik beyin yaralanması sonrası beyin ödemi gelişen hastalarda, hiperterminin oksijen gereksiniminin artması, Glasgow Koma Skalası skorunun azalması, nörolojik fonksiyonların zayıflaması ve yoğun bakım ünitesinde kalış süresinin uzamasını içeren birçok olumsuz sonuç ile ilişkili olduğu vurgulanmaktadır. Beyin hasarı sonrası, yüksek ateşin oluşturabileceği kafa içi basınç artışına bağlı gelişebilecek ikincil hasarları önleyebilmek amacıyla travmatik beyin yaralanması olan hastanın bakımında, hemşirenin temel rol ve sorumluluklarından biri olan ateş kontrolünün sağlanması ve normal vücut sıcaklığının sürdürülmesi önemli bir bakım girişimidir. Standart hipertermi yönetimi, antipiretik ilaç tedavisi ve yüzeysel/eksternal soğutma (soğutma battaniyeleri, buz paketleri vb.) ve endovasküler soğutma yöntemlerini kapsar. Titreme, metabolik gereksinimi ve dinlenme anında enerji harcamasını arttırdığı; yanı sıra beyin dokusunun oksijenizasyonunu azalttığı ve sedasyon gereksinimini arttırdığı için ateş kontrolünde sürekli değerlendirilmeli, koruyucu önlemler alınmalı, gerektiğinde ilaç tedavisi uygulanmalıdır. Bu derlemenin amacı kafa içi basıncı etkileyen ve artışına neden olan hipertermiyi literatür ışığında açıklayarak, nöroşirürji yoğun bakım ünitesinde çalışan hemşirelere güncel öneriler doğrultusunda rehberlik etmektir.Öğe Role of intensive care nurses on guiding patients' families/relatives to organ donation(Professional Medical Publications, 2019) Karaman, Ahmet; Akyolcu, NerimanObjective: The aim was to determine the role of intensive care nurses on guiding the families/relatives of brain-death patients to organ donation. Methods: This research is a descriptive study. While the population of the study consisted of 1710 nurses working in the intensive care units of public, private and university hospitals in the city of Istanbul, the sample consisted of 353 intensive care nurses selected with stratified random sampling method from the probability sampling methods from this population. The data were collected by using "Data Collection Form". Results: It was determined that 74.5% of the intensive care nurses carefully listened the family/relatives of the patient with possible brain death or suffering from brain death and supported them to express their emotion and thoughts clearly; when the family/relatives of the patients hospitalised in the intensive care unit wanted to get information about organ donation, 20.7% of the nurses made the preliminary explanation themselves and then guided the patient to an organ transplant coordinator for detailed information and 3.1% of the nurses generally gave this information themselves. Conclusions: It was determined that the knowledge of the intensive care nurses about brain death and organ donation was partially adequate and the function of guiding the families/relatives of brain-death patients to organ donation was mostly done by the physician.Öğe Satisfaction of patients with triage and nursing practice in emergency departments(İstanbul University Cerrahpaşa, 2020) Özhanlı, Yasemin; Akyolcu, NerimanAim: This research was carried out to evaluate the satisfaction of triage and nursing practice for emergency patients. Method: The sample for this descriptive study comprised 198 patients (115 women and 83 men) that visited the emergency department at an education and research hospital between December 01, 2013, and December 31, 2013, and agreed to participate in the study. The participants had been informed about the purpose, content, and methods of this study. Then, the data collection forms (patient information form, Triage Satisfaction Scale, and Newcastle Satisfaction with Nursing Scale) were administered to the patients. Data analysis involved descriptive statistical methods as well as parametric and nonparametric tests. Results: It was determined that the mean age of the patients in the emergency department was 38.56 +/- 17.43 years, and 51.5% (n=102) patients were in the yellow triage category. It was determined that a majority of patients did not wait for triage and indicated that they were receiving treatment in accordance with the triage category. The total Triage Satisfaction Scale mean score was 7.37 +/- 2.11 and the total Newcastle Satisfaction with Nursing Scale mean score was 73.34 +/- 17.66. It was found that there was a significant difference between the waiting status and satisfaction scores in the triage section of the patients. It was also found that there was a meaningful difference between the dimensions of satisfaction with treatment and care in terms of the triage category. Conclusion: It was determined that the patients who applied to the emergency unit were generally satisfied by the triage practice and nursing care. The nursing care satisfaction levels of the patient and their family regarding the health status and psychological support were found to be low. It may be advisable to periodically implement satisfaction analyses of the nursing practices in such units in order to make necessary arrangements and to eliminate deficiencies.
