Metaphorical perceptions of surgical nurses regarding care for earthquake victims.

BACKGROUND: The physical, psychological, and social effects of the earthquake affect a person's functionality directly. It challenges individuals because it is often traumatizing, intense fear is experienced, and it is unpredictable, uncontrollable, and destructive. Nurses are one of the professional groups that have important duties in social disasters, and they are constantly exposed to the details of the traumatic situation, sometimes physically and sometimes by listening. To understand the severity of the trauma caused by this exposure, it is important to understand the emotions and thoughts that nurses feel while caring for earthquake victims. AIMS: This study was planned to reveal the perceptions of nurses, who were themselves earthquake victims, regarding caring for earthquake victims through metaphors. METHODS: This study was conducted as a phenomenological study with a qualitative research approach, in a province affected by the earthquake, with 85 surgical clinic nurses who were also earthquake victims and cared for earthquake victims. RESULTS: The metaphors produced were examined together with their reasons and grouped under 3 categories (positive, negative, both positive and negative). CONCLUSIONS: As a result, when the metaphors used by earthquake victims are evaluated, the effects of nurses being earthquake victims themselves can be seen in the metaphors. It is revealed through metaphors that nurses' earthquake-related traumas are triggered while caring for earthquake victims.

The frequency of pressure injury in level 3 intensive care units and determination of risk factors: A cross-sectional study.

AIM: This study was carried out to determine the prevalence of pressure injury and risk factors in patients hospitalized in a university hospital's level 3 intensive care unit. DESIGN: It is a descriptive, prospective, observational type study. METHOD: The sample of the study consisted of 176 patients aged 18 and over who were admitted to the intensive care units of a University Hospital for at least 24 h. Patient Information Form and Braden Risk Assessment Scale, Glasgow Coma Scale were used to collect data. IBM SPSS Statistics 20 program was used to analyze the data. RESULTS: Presence of chronic disease in the development of pressure injury (22.7%), high-risk patients according to the Glasgow Coma Scale (21%), high-risk patients according to the Braden Risk Assessment Scale (84.2%), low hemoglobin (31%), low albumin levels (32.4%) and duration of stay in the intensive care unit until the day of evaluation were found to be independent risk factors (p < 0.05). The prevalence of pressure injury was determined to be 32.4%, and the rate of pressure injury due to medical devices was 7.4%. CONCLUSION: Pressure injuries are still common in adult intensive care patients. In terms of patient safety, it is important to give more space to care standards and awareness-raising research and training to prevent pressure injuries.

Determination of Pain-Related Knowledge and Behaviors of Adult Intensive Care Nurses.

AIM: To determine the knowledge and attitudes of adult intensive care nurses regarding pain. METHOD: This descriptive and cross-sectional study was conducted with 196 nurses working in the intensive care units of a tertiary university hospital between June 2022 and September 2022. Data were collected by face-to-face interview method, and the "Personal Information Form" and "Nurses' Knowledge and Attitude Scale Regarding Pain" were used as data collection tools. RESULTS: About 71.8% of the nurses were between the ages of 18 and 30, 58.5% were women, 54.9% had a bachelor's degree, and 55.1% had been working in intensive care for 0-5 years. The nurses' total knowledge and attitude score levels were 11.8% inadequate, 64.1% moderate, and 24.1% good. A statistically significant relationship was found between age, gender, receiving training on pain in the institution, satisfaction level with the unit in which one works, frequency of pain assessment and indicators taken into consideration when evaluating pain severity, and the total scale score average (p < 0.05). CONCLUSIONS: The average pain knowledge and attitude scores of intensive care nurses are at a good level. Results can be further improved with planned training on pain.

Evaluation of earthquake-related wounds; example of a university.

BACKGROUND: It is a holistic assessment of the forms of the first few piles of wound care. The right approach in this process directly affects the healing stages and treatment rates of the wound. OBJECTIVE: To examine earthquake injuries retrospectively and to contribute to the literature. METHODS: The data of patients who were treated in a university hospital between February 10 and February 21 after the earthquake were evaluated retrospectively using the wound evaluation formula. RESULTS: A total of 116 patients' wounds were evaluated. The mean age of the participants was 31 ± 19.5 (min = 1, max = 72), the mean wound follow-up day was 6.5 ± 3 (min = 1, max = 15), and the most common type of injury was crushing (45.7%).), the injury site was found to be the lower extremity region (73,3) the most. There were signs of infection in the wound area in 62.9% of the patients. The most signs of pocketing, exudate, and infection in the wound were found in amputation (p < 0.05). The wound type with the highest moisture content of the wound and healthy skin around the wound was found to be fasciotomy (p < 0.05). The highest mean percentage of black necrosis was found in crushing (p < 0.05). CONCLUSION: The study gives us information about the type and location of the injury and the condition of the wound bed. Earthquakes are among the disasters that cause the most loss of life and injury in developing countries such as our country. This study is one of the rare studies evaluating the wound and its features in the literature of our country, and more studies are needed in this area.

Investigation of Postoperative Risks of Nausea and Vomiting in Patients With Breast Cancer.

PURPOSE: To examine the risks of postoperative nausea and vomiting (PONV) in breast cancer patients. DESIGN: Descriptive, cross-sectional study. METHODS: The study was conducted in the surgical oncology department of a tertiary hospital between June 2020 and December 2020. A total of 83 female patients who were scheduled for surgical treatment for breast cancer were included in the study. The patients were evaluated using the Patient Evaluation Form created by the researcher by scanning the literature, the VAS Pain Rating Scale, and the Apfel Risk Scoring System. FINDINGS: A significant relationship was found between age and PONV at the 2nd, 4th, 8th, 24th and 48th hours after surgery (respectively: P = .00, P = .00, P = .00, P = .00, P = .00). There was a significant correlation between the duration of surgery and PONV at 0 hour, PONV at first oral intake and PONV at 4 hours (respectively; P ˂ .01, P ˂ .01). The highest rate of PONV of all time (50.6%) at the 0th hour when the VAS scores of the patients was the highest. The PONV rate at the 48th hour was the lowest of all time periods (1.2%) (respectively; P ˂ .01, P ˂ .01). CONCLUSIONS: While women with breast cancer who have undergone mastectomy have the highest risk of postoperative and nausea vomiting in terms of age and pain severity, the duration of the operation and the first oral intake time also pose a risk. Nurses play a key role in the quality of care, patient safety, and patient satisfaction. It is recommended that institutions create evidence-based strategies and take necessary precautions in the preoperative evaluation of patients in terms of postoperative nausea and vomiting.

The effect of reiki on anxiety, fear, pain, and oxygen saturation in abdominal surgery patients: A randomized controlled trial.

OBJECTIVE: This study was conducted to evaluate the effect of Reiki on anxiety, fear, pain levels, and oxygen saturation in open abdominal surgery patients. MATERIALS AND METHODS: A three-arm, parallel, randomized, and controlled trial design was used in this study. 93 participants were enrolled and randomly divided into three groups (n = 31): reiki, sham reiki, and control groups. All patients in the experimental group, before and after Reiki or Sham Reiki treatments, and all patients in the control groups without any intervention were evaluated with the State Anxiety Inventory STAI-I, with the Surgical Fear Questionnaire for fear of surgery and pain. VAS Scale. Descriptive statistics, t-test, ANOVA, Mann-Whitney U, Kruskal-Wallis H, and Wilcoxon were used in the analysis of the research data. RESULTS: Surgical fear, anxiety, and pain levels decreased, and oxygen saturation levels increased in the Reiki group. The differences between the groups were statistically significant (p<0.005). DISCUSSION: Since Reiki is inexpensive, safe, effective, and easy to apply, it should be administered by nurses to patients who are scheduled for open abdominal surgery.

Measurement of the knowledge level about breast self-exam among the female employees of a university hospital, Turkey.

OBJECTIVE: Periodic mammography, clinical breast examination and breast self-exam (BSE) facilitate getting a therapeutic response and improve disease prognosis, by leading to early diagnosis of the breast cancer. METHODS: The study included a total of 618 women working in Çukurova University, Faculty of Medicine, as technician, secretary, staff, midwife and doctor. They answered a 22-items questionnaire consisting of questions about general knowledge, 8 of these were about BSE. RESULTS: While it was statistically significant that the education was not correlated with the age of onset of BSE and timing of BSE, the education was significantly efficient in terms of knowing the aim of the BSE, its frequency, post-menopausal BSE time, nipple discharge properties in the case of breast cancer, diagnostic methods and the risks. While it was statistically significant that the profession was not related to age of onset of BSE and knowing the right day of the month on which BSE should be performed, the education was likely to be efficient in knowing the frequency, post-menopausal BSE time, aim of the BSE, nipple discharge properties in the case of breast cancer, diagnostic methods and the risks. When the percentage of giving right answers to the questions and educational background and professional groups were compared, it was seen that the difference of the number of right answers and professional groups was significant. CONCLUSION: Based on our results, we concluded that the education about BSE is warranted in order to increase the likelihood of female healthcare personnel to diagnose breast cancer at an earlier stage, given their role in raising the awareness of the population.