Sağlık Bilimleri Fakültesi
https://hdl.handle.net/20.500.12900/14
2024-03-29T05:12:10ZThe Vital Role of Diabetes Nurse Educators in Smoking Cessation: A Case Study from Türkiye
https://hdl.handle.net/20.500.12900/322
The Vital Role of Diabetes Nurse Educators in Smoking Cessation: A Case Study from Türkiye
Özcan, Şeyda; Çarkoğlu, Aslı; Nichter, Mimi; Nichter, Mark; Aydın, Nuran
This paper discusses the development and implementation of a smoking cessation training program for
diabetes nurse educators. People with diabetes who smoke have a significantly higher risk of morbidity
and mortality. Smoking greatly increases diabetes complications. Surveys were conducted to ascertain how
frequently nurses counseled patients to quit and their interest in cessation training. Observations of nursepatient interactions and interviews with diabetes nurses facilitated the development of a culturally sensitive cessation training program. Survey results revealed that diabetes nurse educators recognized the need
for training in smoking cessation, as many patients with diabetes do not consider smoking to be harmful for their health. A two-day workshop was developed for nurses on the specific harms of smoking for
diabetes patients, including hands-on training in cessation counseling and motivational interviewing. Two
months after training, nurses reported that the skills they acquired gave them confidence to counsel patients
but identified four challenges to conducting cessation in their clinical settings. Diabetes nurse educators
can play a pivotal role in delivering cessation. Training and overcoming challenges to implementation are
urgently needed in the time of coronavirus disease 2019 given the dual risks of diabetes and smoking for
severe complications.
2023-01-01T00:00:00ZLong-term efficacy of different doses of steroid in hospitalized COVID-19 patients: A prospective cohort study
https://hdl.handle.net/20.500.12900/316
Long-term efficacy of different doses of steroid in hospitalized COVID-19 patients: A prospective cohort study
Karakurt, Gökhan; Ucgun, Hikmet; Aynaci, Engin; Duger, Mustafa; Demir, Şükrü Egemen
INTRODUCTION The aim of our study was to investigate the long-term effects of different doses of steroid therapy given in the acute period in hospitalized coronavirus disease 2019 (COVID-19) patients. METHODS A total of 78 patients who were followed up in the hospital due to COVID-19 pneumonia and were discharged from the hospital more than 3 months ago, were included in our study. The patients were divided into 3 groups according to the steroid doses they received. RESULTS The value of peak expiratory flow (PEF) was significantly lower in pulse-dose steroid group compared to high-dose steroid group (p=0.040). There was a significant difference in the values of carbon monoxide diffusion capacity (DLCO) and diffusion coefficient of alveolar volume (DLCO/VA) among all groups (p=0.027, p=0.048). The values of DLCO and DLCO/VA were significantly lower in the pulse-dose steroid group compared to the high-dose steroid group (p=0.022, p=0.049). The computed tomography (CT) score was significantly higher in the pulse-dose steroid group compared to both the nonsteroid group and high-dose steroid group (p=0.027, p=0.043). CONCLUSIONS Pulse-dose steroid therapy given in the acute period of COVID-19 pneumonia may negatively affect pulmonary function and recovery in the long-term. In addition, high-dose steroids were found to have a positive effect on pulmonary function compared to pulse-steroid therapy and nonsteroid therapy.
2023-01-01T00:00:00ZThe Effect of Visits by Operating Room Nurses Before Cardiac Surgery on Anxiety and Pain Management
https://hdl.handle.net/20.500.12900/310
The Effect of Visits by Operating Room Nurses Before Cardiac Surgery on Anxiety and Pain Management
Arpag, Nurgül; Öztekin, Seher Deniz
Purpose: Further studies are needed in line with the Enhanced Recovery for Cardiac Surgery (ERCS) protocols with a view to reducing anxiety and opioid use in cardiac surgery patients. The present study investigates the effects of preoperative visits by operating room nurses to patients scheduled for cardiac surgery on post -operative anxiety, pain severity and frequency, and the type and dose of analgesic medication.Design: This is a quasi-experimental study with a pretest-posttest control group design involving non-randomized groups.Methods: The study was conducted in the Department of Cardiovascular Surgery of a Foundation University Hospital in Turkey between August 20, 2020 and April 15, 2021. Included in the study were patients selected based on a nonprobability sampling approach who met the study inclusion criteria (aged 18-75 years, no psy-chiatric diagnosis or drug use, first cardiovascular surgery experience, scheduled for elective surgery, up to five coronary anastomoses, literate and able to speak and understand Turkish, undergoing cardiovascular surgery with Cardiopulmonary Bypass (CPB)) determined by the researcher. The treatment group was visited preoperatively by operating room nurses, and followed-up for the first 72 hours after surgery.Findings: The intervention was effective in reducing postoperative state anxiety levels (P < .05). In the control group, each one-point increase in the preoperative state-anxiety level caused a 9% increase in the length of stay in the intensive care unit (P < .05). Pain severity increased as the preoperative state-anxiety and trait-anxiety levels, and the postoperative state-anxiety levels, increased (P < .05). While there was no significant difference in pain severity, the intervention proved to be effective in reducing pain frequency (P < .05). It was further noted that the intervention reduced the use of opioid and nonopioid analgesics for the first 12 hours (P < .05). The probability of using opioid analgesics increased 1.56 times (P < .05) with each one-point increase in pain severity reported by the patients.Conclusions: The participation of operating room nurses in preoperative patient care can contribute to the management of anxiety and pain and the reduction of opioids. It is recommended that such an approach be implemented as an independent nursing intervention given the potential contribution to ERCS protocols.(c) 2023 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
2023-01-01T00:00:00ZFertility and pregnancy outcomes of women before and after bariatric surgery: The case of Turkey
https://hdl.handle.net/20.500.12900/300
Fertility and pregnancy outcomes of women before and after bariatric surgery: The case of Turkey
Güven, Betül; İbrahimoglu, Özlem; Seyit, Hakan
Background: Bariatric surgery is effective in reducing complications that may develop during pregnancy and childbirth in obese women. The aim of this study was to determine the fertility and pregnancy outcomes of women before and after bariatric surgery.Methods: This descriptive study was conducted in 121 women aged 18-45 years who underwent bariatric surgery in Istanbul between 2014 and 2018. Data were collected by calling the patients whose phone numbers were reached from the hospital records.Results: Before bariatric surgery, 62.8% of obese women became pregnant, the average weight gained during pregnancy was 17.07 +/- 11.39 kg, and 72.6% of newborns' birth weight was >= 3000 g. After bariatric surgery, 82.9% of the women became pregnant, the average weight gained during pregnancy was 10.05 +/- 4.03, and 44% of newborns' birth weight was >= 3000 g. Compared with preoperative period, in the postoperative period, the decrease in using a contraceptive method, receiving treatment to get pregnant, getting pregnant, the number of miscarriages, curettage, the mean gestational week, birth weight of the newborns, and weight gain during pregnancy was statistically significant.Conclusion: Although pregnancy is not a problem in obese women before bariatric surgery, it has a positive effect on pregnancy and obstetric problems. Close follow-up after bariatric surgery, especially for adequate weight gain, maintains its importance.
2023-01-01T00:00:00Z