The effect of cold application on pain during the chest tube removal: A meta-analysis.

Background: In this meta-analysis, we aimed to investigate the effect of cold application on chest tube removal-related pain compared to conventional analgesic care. Methods: A systematic review and meta-analysis were conducted (PROSPERO, 2021: CRD42020179867). We searched studies in PubMed, Ovid-LWW, Scopus, Taylor & Francis, Science Direct, EBSCO, Google Scholar, Medline Complete, Cochrane Library and ULAKBIM databases and grey literature for this study. We included the articles published from January 2009 to December 2019. We limited the language to Turkish and English and the design to randomized-controlled trials. All studies were reviewed by two independent researchers. Meta-analysis was performed using the Comprehensive Meta-Analysis version 3.3 software. Heterogeneity was investigated by meta-regression. Results: A total of 2,462 records were identified, of which 16 studies were included in a random model meta-analysis. The cold application was used in combination with a pharmacological agent in six studies and alone in 13 studies. All patients were older than 16 years and they had at least one chest tube. Cold application was found to be effective in relieving pain during chest tube removal (d=-1.265). Conclusion: The use of a non-pharmacological method such as cold application is helpful to reduce pain or reduce painkiller doses during chest tube removal. Its use is recommended, as it is effective, easy to use, and cost-effective without any side effects.

Validity and reliability of the Turkish version of the Obesity-Related Well-Being Questionnaire (ORWELL 97-TR).

PURPOSE: This study aimed to perform the validity and reliability of the Turkish version of the Obesity-Related Well-Being Questionnaire (ORWELL 97-TR) for the Turkish society. DESIGN AND METHODS: This methodological study involved 125 people for obesity treatment. Data collection tools were the Patient Information Form, the ORWELL 97-TR, and the Obesity and Weight-Loss Quality of Life Instrument (OWLQOL). FINDINGS: The content validity index of the scale was 0.94, and Cronbach's alpha value was 0.906. The findings indicate that the three-factor structure of the scale, which was reduced from 18 items to 15, showed a good agreement. PRACTICAL IMPLICATIONS: The ORWELL 97-TR scale can be used to assess the life quality of Turkish patients seeking obesity treatment.

Effect of structured training programme on arm dysfunction, lymphoedema and quality of life after breast cancer surgery.

OBJECTIVE: To evaluate the effect of education given according to daily living activities model on arm dysfunction, lymphoedema and quality of life in patients undergoing breast cancer surgery. METHODS: The randomised controlled study was done at a tertiary hospital and comprised patients undergoing breast cancer surgery who underwent breast cancer surgery from November 2017 to October 2018. After randomisation, the intervention group received education through specifically-designed tools, while the control group received routine care. Data was collected using a patient information form, the subjective perception of post-operative functional impairment of the arm scale, Katz index of daily living activities, the disabilities of the arm, shoulder and hand scale and the short form of the quality of life scale. Three interviews were conducted at post-surgery 1st week, 1st month and 3rd month. Data was analysed using SPSS 23. RESULTS: Of the 58 subjects, 29(50%) each were cases and controls. The overall mean age was 48.9±9 years. In the intervention group, the measurements of the upper arm circumference were significantly better than the control group (p<0.05). Also there were significant differences between the groups in terms of scales and indices used (p<0.05). CONCLUSIONS: The intervention group recovered earlies than the control group.

The Study of Validity and Reliability of the SPOFIA Scale in Patients With Postoperative Breast Cancer.

INTRODUCTION AND AIM: This study investigates the validity and reliability of the Subjective Perception of Post-Operative Functional Impairment of the Arm (SPOFIA) scale in patients with postoperative breast cancer. MATERIALS AND METHODS: Research was designed as a methodological type. Required permissions were taken from the ethics committee, relevant institutions, and researchers who developed the SPOFIA scale. Data were collected as a research in Kocaeli University hospital, between November 2017 and October 2018. For the Turkish SPOFIA scale's validity, data were collected from 142 patients. In the study, Patient Information Form, SPOFIA, and 36-item Short-Form Health Survey (SF-36) Quality-of-Life Questionnaire were used. In the analysis of data, descriptive statistical methods were used, and in the analysis of the validity of the scale, test-retest and Cronbach alpha reliability coefficient was used. RESULTS: As a result of the analysis, we obtained Kendall W = 0.107, P > 0.05; correlation with SF-36 was P < .05, reliability studies test-retest analysis was P > .05, and Cronbach alpha reliability coefficient was 0.739. It was determined that the SPOFIA scale was valid and reliable for Turkish patients and that the subjective findings of the patients could be used as individual follow-up in longitudinal monitoring. CONCLUSIONS: As a result, it was determined that the SPOFIA scale was reliable in the patient follow-up of breast cancer women.

Exposure to violence in breast cancer patients: systematic review.

RESULTS: The nine studies included were reviewed under two titles as descriptive and qualitative. Based on the results of six descriptive studies, it was determined that the majority of these studies focused on violence and abuse in childhood; depression is high among breast cancer patients exposed to violence; healing is unfavorably influenced among breast cancer patients exposed to spouse violence or abuse/violence in childhood; physical, emotional and functional welfare/comforts are restricted and quality of life is low during disease process; there is positive correlation between advanced-stage cancer and history of violence; they hesitate to ask the clinical staff for support. Although breast cancer women underreport the violence they have been exposed to, a study stated that 55% of women are exposed to violence after being diagnosed with breast cancer. Results of the three qualitative study revealed that violence is the field of "taboo" among breast cancer patients and they reconsider the "life", "relationship-origin stress", "social support" and "importance of breast for herself" over the disease process. CONCLUSION: In conclusion, it is underlined that giving care becomes difficult, maintenance of treatment fails, and quality of life is decreased in breast cancer patients exposed to violence.