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1.
Sci Rep ; 14(1): 9997, 2024 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-38693271

RESUMEN

This study aims to investigate the effects of intraoral cold water spray on thirst, frequency of oral care and postoperative period pain at surgical incision site in patients having abdominal surgery. The study was carried out as a randomized controlled trial, registered under Clinical Trial Number: NCT05940818. The study involved 110 participants, divided equally into two groups (n = 55): the experimental group and the control group. Data were collected using patient information form, NRS, Intensive Care Oral Care Frequency Assessment Scale (ICOCFAS) and Visual Analog Scale (VAS). The severity of thirst at 1st, 8th, 16th h of post-operative period (p < 0.01) and the frequency of oral care application at 16th h were statistically significantly decreased in the experimental group when compared to the control group (p < 0.01).There wasn't statistically significant difference between the patients in the experimental and control groups in terms of pain at surgical incision site (p > 0.05). The patient's thirst and need for frequent oral care in the postoperative period were reduced by the application of a cold water spray. In patients undergoing abdominal surgery, the use of cold water spray application may be recommended to reduce thirst and the need for frequency of oral care application.


Asunto(s)
Unidades de Cuidados Intensivos , Dolor Postoperatorio , Sed , Humanos , Femenino , Masculino , Persona de Mediana Edad , Dolor Postoperatorio/tratamiento farmacológico , Adulto , Anciano , Higiene Bucal/métodos , Frío , Dimensión del Dolor , Cuidados Críticos/métodos
2.
Artículo en Inglés | MEDLINE | ID: mdl-38366675

RESUMEN

AIM: Peripheral venous catheter is a clinical procedure often performed by nurses in hospitals. Phlebitis can be prevented with more nursing care by applying peripheral venous catheter by trained nurses and using preventive methods. The aim of this study was to investigate the effect of proximal massage and palm fisting on the prevention of phlebitis in patients with a peripheral venous catheter (PVC). METHODS AND RESULTS: This randomized controlled study was conducted with patients who were hospitalized in the orthopedics and traumatology service of a state hospital and had PVC. While the study group (n = 36) received proximal massage and palm fisting on the side with a peripheral venous catheter, the control group (n = 36) received standard care for PVC. The data were collected by using the "Patient Demographics and Clinical Information Form", "Risk Scale for Peripheral Venous Catheter-related phlebitis", "Visual Infusion Phlebitis Assessment Scale". There were no statistically significant differences between the groups regarding phlebitis development based on age, sex, chronic disease status, peripheral venous catheter insertion site, devices in the PVC, or fluids administered from the PVC. However, there was a significantly higher risk of PVC-induced phlebitis in patients who received proximal massage and palm fisting at 48 and 96 hours, when the severity of phlebitis was evaluated on daily basis. CONCLUSION: The study showed promising results, suggesting that proximal massage and palm fisting may be a simple and inexpensive technique to prevent the occurrence of phlebitis in PVC patients. REGISTRATION: NCT05714137.

3.
Int Emerg Nurs ; 61: 101154, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35176658

RESUMEN

AIM: The aim of the study was to determine the patient handover efficacy level of emergency room nurses and the influencing factors. METHOD: This descriptive, cross-sectional study was completed with (n = 120) emergency room nurses of two different state hospitals from April 26 to May 26, 2021. The "Nurses descriptive information form" and "Handover Evaluation Scale" were used as data collection forms. RESULTS: The mean age of the nurses was 29.53(6.327 years, 70.8% of them were female, and 76.7% of them had a bachelor's degree. The mean number of handovers was 3.25 (SD = 3.17) for one nurse in a shift, and the mean handover duration for a patient was 10.16 (SD = 9.23) minutes. More than half of the nurses (61.7%) carried out oral handover at the bedside. The mean score of the handover evaluation scale was 53.31 (SD = 9.55). The mean score of the nurses who performed the handover with all the nurses on the shift (spelling and relieving) together was 56.47 (SD = 9.21) and higher than that of the nurses who performed the handover in small groups 49.84 (SD = 9.70), (p = 0.012). CONCLUSION: The results of this study may contribute to promoting patient safety and improving patient handover processes in emergency rooms. It is recommended that standardized and comprehensive written handover forms be used, that all emergency room nurses should attend the handover process, and that further observational and interventional studies should be conducted.


Asunto(s)
Servicios Médicos de Urgencia , Enfermeras y Enfermeros , Pase de Guardia , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Seguridad del Paciente
4.
Nurse Educ Today ; 107: 105104, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34438306

RESUMEN

BACKGROUND: Students who will become health professionals should be educated according to universal standards of providing foreign patients with culturally satisfying health care, free from discrimination. AIM: This study aims to identify the relationship of intercultural effectiveness and awareness with xenophobia in undergraduate nursing students and vocational schools of health services students. METHOD: This descriptive study was conducted with undergraduate nursing students (N= 257) and vocational schools of health services students (N = 341) in a region with a high refugee population in Turkey. Data were collected through the "Intercultural Awareness Scale," the "Intercultural Effectiveness Scale," and the "Xenophobia Scale." RESULTS: Of all the participants, 70.1% were females, and the mean age was 20.70 ± 2.64 years; 57% of the students were from the vocational school students, and 43% from the undergraduate nursing program. Female students had significantly higher scores in intercultural effectiveness, behavioral flexibility, xenophobia (p = 0.036, p = 0.041, p = 0.001, respectively), interaction relaxation and interactant respect (p < 0.001, p < 0.001), while male students had significantly higher intercultural awareness (p < 0.001). The median intercultural effectiveness score of the students living in the rural area was low (p = 0.044), and the median xenophobia score of the students who lived abroad was significantly lower (p = 0.032). There was a negative correlation between the Intercultural Effectiveness Scale total and Intercultural Awareness and Xenophobia Scale total mean scores (r = -0.085, r = 0.182), and there was a weak, positive correlation between the Intercultural Awareness Scale total mean scores and the Xenophobia Scale mean scores (r = 0.113). CONCLUSION: Intercultural sensitivity is considered to be improved by including course content in the curriculum to improve students' intercultural effectiveness and awareness levels and decrease their xenophobic prejudices.


Asunto(s)
Bachillerato en Enfermería , Estudiantes de Enfermería , Adolescente , Adulto , Competencia Cultural , Curriculum , Femenino , Servicios de Salud , Humanos , Masculino , Instituciones Académicas , Xenofobia , Adulto Joven
5.
Int J Clin Pract ; 75(10): e14631, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34260144

RESUMEN

AIM: Dyspnea, a common symptom of novel coronavirus, can negatively affect sleep quality. The aim of this study was to evaluate the relationship between dyspnea severity and sleep quality in patients with COVID-19. STUDY DESIGN: A cross-sectional design was used. METHODS: Using the researcher's mobile phone, data were collected via an online questionnaire from patients (n = 100) who agreed to participate in the study. The data-collection form comprised three parts: a patient descriptive information form, the Dyspnea-12 Questionnaire, and the Richards-Campbell Sleep Questionnaire (RCSQ). RESULTS: The mean age of patients was 46.39 ± 12.61 years and 66.0% were men. Patients who were treated in the intensive care unit had bachelor's degree or more and patients with comorbid diseases had low mean scores from the RCSQ and high mean scores from the Dyspnea-12 Questionnaire (P < .001, P < .001; P = .047, P < .001; P < .001, P < .001, respectively). Patients who were not receiving oxygen therapy had higher RCSQ mean scores and lower Dyspnea-12 Questionnaire scores (P < .001, P < .001; P < .001, P < .001, respectively). There was a strong negative relationship between the total scores obtained from the RCSQ and the Dyspnea-12 Questionnaire (r = -.701, P < .001). CONCLUSIONS: Sleep quality is affected by dyspnea severity in patients with COVID-19. Sleep quality and dyspnea severity are also influenced by quite different factors, and these should be addressed and eliminated by nurses as part of a holistic approach. The results of this study will help nurses, especially those providing treatment and care for patients with COVID-19, to identify the factors affecting dyspnea and sleep quality and to plan, implement and evaluate nursing interventions that will reduce their workload.


Asunto(s)
COVID-19 , SARS-CoV-2 , Adulto , Estudios Transversales , Disnea/etiología , Humanos , Masculino , Persona de Mediana Edad , Sueño , Encuestas y Cuestionarios
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