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    The effect of bed exercises following major abdominal surgery on early ambulation, mobilization, pain and anxiety: A randomized-controlled trial
    (Wiley, 2024) Yaban, Zuleyha Simsek; Bulbuloglu, Semra; Kapikiran, Gurkan; Gunes, Huseyin; Sahin, Sennur Kula; Saritas, Serdar
    This randomized-controlled trial aimed to investigate the effect of bed exercises on postoperative anxiety, pain, early ambulation and mobilization. This study was conducted with a randomized-controlled trial design and in the general surgical clinic of a research and training hospital. A total of 120 patients (60 in the experimental group and 60 in the control group) scheduled for major abdominal surgery took part in the study. The data were collected using a patient information form, the Anxiety Specific to Surgery Questionnaire and the Visual Analog Scale through face-to-face interviews. The patients in the experimental group performed 15-min bed exercises on the day of their operation, as well as on the postoperative first and second days, and the control group underwent only the routinely performed procedures in the clinic. The data were analysed using descriptive statistics, analysis of variance and t-tests. The sample of our study included major abdominal surgery patients. Ambulation was achieved at a mean time of 4 h earlier in the experimental group. On the postoperative first and second days, the patients in the experimental group had mean mobilization durations that were approximately 2 h longer compared with the patients in the control group. Moreover, the postoperative pain and anxiety levels of the patients in the experimental group were significantly lower than those of the patients in the control group (p < 0.05). We recommend that bed exercises be performed to lower anxiety and pain severity, achieve early ambulation and increase the duration of mobilization among patients following major abdominal surgery.
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    Investigation of Adherence to Immunosuppressive Therapy, Perceived Spousal Support and Sexual Dysfunction in Female Liver Recipients
    (Springer, 2023) Bulbuloglu, Semra; Sahin, Sennur Kula
    IntroductionLiver recipients to adhere to immunosuppressive therapy and cope with their health problems after liver transplantation are very important. Sexual dysfunction is common in transplant patients; however, previous studies mostly focused on male organ recipients. This study aimed to examine the adherence to immunosuppressive therapy, perceived spousal support, and sexual dysfunction in female liver recipients.MethodsThis is a descriptive study and included a total of 184 female liver recipients. Data collection was done at three different transplant centers. Data were collected using a personal information form, the Immunosuppressant Therapy Adherence Scale, the Arizona Sexual Experience Scale, and the Spouse Support Scale and analyzed using descriptive statistical methods, regression analysis, and Pearson correlation analysis.ResultsThe mean age of female liver recipients was 41.03 +/- 6.77 years, 69.6% of them were married, and 60.3% had moderate income. Due to immunosuppressive drugs, 51.1% of them had gastrointestinal issues, 38.6% had diabetes mellitus and endocrine issues. In addition, 50% and 30.4% of them had full and moderate adherence to immunosuppressive therapy, respectively. In this study, it was determined that as the social support perception of female liver recipients increased, sexual life improved (p < 0.05).ConclusionsAs adherence to immunosuppressive therapy in female liver recipients increased, their sexual dysfunctions increased. There was a correlation between sexual dysfunction and spousal support in female liver recipients.Policy ImplicationsThis study emphasized the effect of immunosuppressive drugs on sexual dysfunctions in female liver recipients, therefore recommends that female liver recipients with sexual dysfunction be referred to psychotherapeutic practices.