Pain Interference with Daily Living Activities and Dependency Level of Patients Undergoing CABG Surgery.

BACKGROUND: Postoperative pain is one of the most intensive problems experienced by patients undergoing coronary artery bypass graft surgery. The severity of pain after surgery hinders general activity, sleep, deep breathing, and sleep quality. AIMS: This descriptive study was done to determine the interference of postoperative pain with daily activities and dependency levels on coronary artery bypass graft surgery patients. DESIGN: Descriptive study. SETTINGS: Cardiovascular Surgery Ward of a university hospital. PARTICIPANTS: Sixty five patients who undergone CABG surgery. METHODS: The sample of the study was composed of 65 patients in the Cardiovascular Surgery Ward of a university hospital between April 15, 2016-April 15, 2017, who had undergone coronary artery bypass graft surgery and agreed to participate in the study. A Data Collection Form, the short form of Brief Pain Inventory (PI-SF), and the Katz Activities of Daily Living Index (ADL) were used to collect data. Data were collected through face-to-face interviews on postoperative day 1, and through phone interviews on postoperative days 7 and 15. RESULTS: Patients' satisfaction with pain management was high during the postoperative period. However, most of the patients were found to have postoperative stinging pain in the sternum. The worst, least, and average pain in the last 24 hours current pain was significant in all postoperative days (p = .000). Paired comparisons of 1st-7th days were significant for the worst pain in the last 24 hours (p = .000). Average and current pain was significant in paired comparisons of all postoperative days (p = .000). Postoperative pain interfered with ADL and patients were semi-dependent on the 1st postoperative day and their independence level increased after discharge. CONCLUSIONS: Although patients are satisfied with pain management after surgery, they continue to experience post-operative pain which interferes with activities of daily living.

Investigation of the attitudes of university students to discrimination of the elderly.

OBJECTIVE: This study was conducted to determine the attitudes of university students studying in different fields toward discrimination of the elderly. METHODS: This descriptive study was conducted with students who were still studying in the 2015-2016 period. A sample size of 416 students was determined by the stratified sampling method, and students were selected by simple random sampling. Data were collected using an identifying information form and an Age Discrimination Attitude Scale (ADAS) by face-to-face interview. Statistical analysis was performed using the program SPSS 20.0. RESULTS: The mean total ADAS score of students was 67.7±6.0. The total ADAS scores and the scores of male students on limiting the life of the elderly was significantly higher than those of female students (p<0.05). CONCLUSION: It was determined that university students studying in different fields have a positive attitude toward the elderly. Action must be taken to remove discrimination of the elderly, and policies must be developed to increase social sensitivity.

Complementary alternative medicine use in children with type 1 diabetes mellitus in Erzurum, Turkey.

AIM AND OBJECTIVE: The aims of this study were: (i) to determine the types of complementary and alternative medicine use among children with type I diabetes mellitus as reported by parents and (ii) to describe sociodemographic and medical factors associated with the use of such treatments in families residing in Eastern Turkey. BACKGROUND: Type 1 diabetes mellitus is a tremendously challenging and complex disease for children and families to manage. Therefore, the use of complementary and alternative medicines among children with type 1 diabetes is becoming increasingly popular. DESIGN: Survey. METHOD: Parents of 100 paediatric patients (who were diagnosed with type 1 diabetes at least 6 months prior to the study) who visited the participating paediatric endocrinology multidisciplinary centres and clinics for diabetes management were included in the study. Data were collected by using a semi-structured questionnaire. Results. Fifty-two per cent of the parents reported the use of one or more complementary alternative medicine therapies. Most such users (59.6%) were using oral herbal preparations; including morus alba (leaves) aloe vera and stinging nettle. CONCLUSION: Since we found that 78.6% of those using herbals were satisfied with their results and 69.2% were planning to continue use, it is important for healthcare providers to have relevant knowledge about complementary alternative medicine use and learn about its efficacy and effects (positive and adverse) of these treatments. Relevance to clinical practice. Botanical substitute for insulin seems unlikely, but complementary alternative treatments may provide valuable clues for the development of new oral hypoglycaemic agents and simple dietary agents. It is important for healthcare providers to have up-to-date knowledge about the use and effects of complementary alternative medicines in the outpatient clinical care setting.