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Depression and Burnout Frequency in Nurses Working in Tertiary Intensive Care Units 三级重症监护病房护士的抑郁和职业倦怠频率
Pub Date : 2019-01-03 DOI: 10.5152/DCBYBD.2018.1840
M. Tokur, B. Ergan, K. Aydın, Taner Çalışkan, Y. Savran, E. Yaka, U. Koca, B. Comert, N. Gokmen
Objective: Emotional and physical burden is heavy in the intensive care unit (ICU) employees, and the risk of burnout has significantly increased. The purpose of this study is to determine the frequency of burnout and depression in nurses serving in tertiary ICUs in a university hospital by questionnaire. Material and Methods: The questionnaire study was conducted on nurses studying actively in Dokuz Eylül University School of Medicine Anesthesia and Internal Medicine ICU between 22-26 August 2016. Burnout was assessed by Maslach Burnout Scale (MBS) and depression with Beck Depression Scale (BDS). Results: According to the BDS score, 29 nurses (58%) noted various degrees of depression from mild mood to severe depression. According to MBS, 6 of the nurses (12%) had a moderate risk of emotional exhaustion (DT) while 43 (86%) had a high risk. In terms of depersonalization (D), it was found that nurses had a moderate risk of 15 (30%) and a high risk of 22 (44%). There was a positive but weak correlation between duration of study and D in ICU (r=0.349, p=0.014). Nurses with no depression were found to have a a statistically significantly lower risk for DT (p=0.006) and personal failure (PF) (p=0.022). Conclusion: In this study, it was seen that the questionnaire evaluation of nurses working in the tertiary ICU showed a great deal of risk of depression and burnout. We believe that taking environmental, managerial and institutional measures and regular monitoring to reduce occupational risks and improve working conditions will reduce both depression and burnout frequency in this profession group.
目的:重症监护室(ICU)员工的身心负担沉重,职业倦怠的风险显著增加。本研究的目的是通过问卷调查的方式了解某大学附属医院三级重症监护室护士的职业倦怠和抑郁频率。材料与方法:2016年8月22日至26日期间,对在Dokuz Eylül大学医学院麻醉和内科ICU积极学习的护士进行了问卷调查。职业倦怠采用马斯拉赫职业倦怠量表(MBS)进行评估,抑郁采用贝克抑郁量表(BDS)进行评估。结果显示根据 BDS 评分,29 名护士(58%)患有不同程度的抑郁症,从轻度抑郁到重度抑郁。根据 MBS,6 名护士(12%)有中度情绪衰竭(DT)风险,而 43 名护士(86%)有高度风险。在人格解体(D)方面,发现有 15 名护士(30%)有中度风险,22 名护士(44%)有高度风险。在重症监护室,学习时间与 D 之间存在正相关,但相关性较弱(r=0.349,p=0.014)。没有抑郁症的护士发生 DT(P=0.006)和个人失败(PF)(P=0.022)的风险在统计学上明显较低。结论在这项研究中,对在三级重症监护室工作的护士进行的问卷评估显示,她们有很大的抑郁和职业倦怠风险。我们认为,采取环境、管理和制度方面的措施以及定期监测以降低职业风险和改善工作条件,将降低该职业群体的抑郁和职业倦怠频率。
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引用次数: 4
Association Between Anxiety and Depression and Needs of Patient Families in Cardiovascular Surgery Intensive Care Unit 心血管外科重症监护病房患者焦虑、抑郁与家属需求的关系
Pub Date : 2018-12-17 DOI: 10.5152/DCBYBD.2018.1906
Halil İbrahimÖlçüm, Kelime Ozşen, A. Diken, E. Yazla, M. Karadere, Kalp ve Damar Cerrahi Anabilim Dali Corum Turkiye Hitit Universitesi, Ruh Sagligi ve Hastalikları Anabilim Dali Corum Turkiy Hitit Universitesi
Objective: In this study, we primarily aimed to determine “needs” and “anxiety and depression symptom levels” among families of patients who were followed up in cardiovascular surgery intensive care unit (ICU). Furthermore, we sought to investigate the association of anxiety and depression with these needs. Material and Methods: This descriptive study was conducted with relatives of 99 patients who were hospitalized for minimum 24 and maximum 72 hours in cardiovascular surgery ICU. Hospital Anxiety and Depression Scale and Critical Care Family Need Inventory were applied. Percentages and averages were used in descriptive statistics. Moreover, t-test and One Way ANOVA tests were used for comparisons between the gender and relationship groups. Pearson’s two-way correlation analysis was used to determine the association between scores obtained from above mentioned scales. Results: The “anxiety” and “depression” subscale scores of female relatives were higher than those of male relatives. The “information” need scores of spouses were higher than those of other family members, and depression level scores of spouses were higher than those of non-consanguineous relatives. Moreover, “proximity/assurance” and “anxiety and depression” subscale scores were related. Conclusion: Patients’ relatives show high anxiety and depression symptoms and they strongly need proximity and assurance. Meeting these requirements may reduce symptoms of anxiety and depression.
目的:在本研究中,我们主要旨在确定心血管外科重症监护病房(ICU)随访患者家属的“需求”和“焦虑抑郁症状水平”。此外,我们试图调查焦虑和抑郁与这些需求的关系。材料和方法:本描述性研究对99例在心血管外科ICU住院最少24小时和最多72小时的患者的亲属进行了研究。采用医院焦虑抑郁量表和重症监护家庭需求量表。描述性统计采用百分比和平均值。此外,性别和关系组之间的比较采用t检验和单因素方差分析检验。采用Pearson双向相关分析确定上述量表得分之间的相关性。结果:女性亲属的“焦虑”和“抑郁”分量表得分高于男性亲属。配偶“信息”需求得分高于其他家庭成员,配偶抑郁水平得分高于非直系亲属。此外,“接近/保证”与“焦虑和抑郁”分量表得分相关。结论:患者亲属表现出高度的焦虑和抑郁症状,迫切需要亲近和保证。满足这些要求可以减轻焦虑和抑郁的症状。
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引用次数: 1
Evaluation of the Role of the Relationship Between Red Blood Cell Distribution Width (RDW) and Monocyte on Estimation of Mortality in Surgical Intensive Care Unit 评价红细胞分布宽度(RDW)和单核细胞在外科重症监护病房死亡率评估中的作用
Pub Date : 2018-12-17 DOI: 10.5152/DCBYBD.2018.1784
Yücel Gültekin, S. Isikhan, A. Gojayev, O. Portakal, Y. Kilic, H. K. Yorgancı
Objective: The aim of the present study was to assess the usability of the relationship between the red blood cell distribution width (RDW) and the monocyte count, complete blood count (CBC) parameters routinely checked in the intensive care units (ICUs), for mortality prediction in the surgical ICU. Material and methods: Five hundred thirty-seven patients who were followed up at the surgical ICU between October 1, 2014 and October 1, 2015 were retrospectively assessed. To ensure that the study involves patients who really needed intensive care, patients who were followed up at the ICU for postoperative monitoring were excluded from the study. Patients with a hemoglobin value <10 g/dL were also excluded from the study so that the RDW would not be affected by anemia. Results: A total of 183 patients were evaluated after the exclusion criteria. The maximum RDW value and the Acute Physiology and Chronic Health Evaluation II score of the patients who died were higher than those of the living patients. On the other hand, a significant decrease in the monocyte values of the dead patients was detected, and there was a statistical difference between dead and living patients (p<0.01). Conclusion: Checking CBC is a routine in the ICUs. Of the CBC parameters, the RDW and monocyte values have been assessed in the present study as being convenient, easily accessible, and practical method for predicting mortality for surgical intensive care patients.
目的:本研究的目的是评估重症监护病房(ICU)常规检查的红细胞分布宽度(RDW)与单核细胞计数、全血细胞计数(CBC)参数之间关系的可用性,以预测外科ICU的死亡率。材料与方法:回顾性分析2014年10月1日至2015年10月1日在外科ICU随访的537例患者。为确保研究涉及真正需要重症监护的患者,在ICU进行术后监测随访的患者被排除在研究之外。血红蛋白值<10 g/dL的患者也被排除在研究之外,以免贫血影响RDW。结果:按照排除标准对183例患者进行了评估。死亡患者的最大RDW值和急性生理与慢性健康评估II评分均高于存活患者。另一方面,死亡患者单核细胞值明显降低,死亡患者与活着患者之间有统计学差异(p<0.01)。结论:检查全血细胞计数是icu的常规检查。在CBC参数中,RDW和单核细胞值在本研究中被认为是预测外科重症监护患者死亡率的方便、容易获取和实用的方法。
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引用次数: 0
Knowledge Levels of Critical Care Nurses on Evidence-Based Practices for the Prevention of Ventilator-Associated Pneumonia 危重病护理护士在呼吸机相关性肺炎预防循证实践中的知识水平
Pub Date : 2018-12-17 DOI: 10.5152/dcbybd.2018.1880
Nurten Özen, B. Armutcu
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引用次数: 0
Retrospective Evaluation of Non-neutropenic Candidemia Cases in Intensive Care Units 重症监护病房非中性粒细胞减少念珠菌病例的回顾性评价
Pub Date : 2018-12-17 DOI: 10.5152/dcbybd.2018.1799
S. Sarı, H. Dal, I. Mungan, B. Tezcan, D. Kazancı, S. Turan
Objective: Candida species, also found in the normal microbial flora, cause infection by passing natural barriers with chronic diseases and invasive procedures. Although the high risk of candidemia in neutropenic patients is known, it is also common in intensive care units (ICU), and the mortality rate is quite high. In this study, we aimed to retrospectively investigate epidemiological data, risk factors, mortality, distribution of Candida species, and accompanying bacterial infections for candidemia in non-neutropenic patients in ICU. Material and Methods: In this study, patients who were non-neutropenic and developed candidemia in the ICU of Turkey Advanced Specialty Training and Research Hospital between May 2016 and May 2017 were retrospectively evaluated. Patients who stayed (±7 days) in the same ICU, with an APACHE-II score of ±1, during the same period were included as the control group. Results: Candidemia was detected in 29 adults within 1 year. In total, 11 of the candidemia cases were females (37.9%) and 18 were males (62.1%); mean patient age was 62.0 years. The most common causative agent was Candida albicans (58.6%). In both groups, the three most common accompanying bacterial infections were Acinetobacter baumannii, Escherichia coli, and Klebsiella pneumoniae. Moreover, 30-day mortality was 51.7%. The mean central venous catheter day, the mean mechanical ventilator day, and the length of hospital stay were longer in the candidemia group (p<0.05). The use of meropenem and teicoplanin was statistically significantly more common in the candidemia group (p<0.05). Conclusion: In this study, we found that the most common Candida species in non-neutropenic patients was C. Albicans, and the most common risk factor for candidemia was the use of meropenem and teicoplanin. TheCite this article as: Sarı S, Cankar Dal H, Mungan İ, Tezcan B, Kazancı D, Turan S. Yoğun bakım ünitelerinde gelişen, non-nötropenik kandidemi olgularının retrospektif olarak değerlendirilmesi. Yoğun Bakım Derg 2018; 74-7. Özgün Araştırma / Original Investigation Retrospective Evaluation of Non-neutropenic Candidemia Cases in Intensive Care Units 74 Yoğun Bakım Derg 2018; 9 (3): 74-7 DOI: 10.5152/dcbybd.2018.1799 Sema Sarı , Hayriye Cankar Dal , İbrahim Mungan , Büşra Tezcan , Dilek Kazancı , Sema Turan Yazar Katkıları: Fikir S.S., H.C.D., S.T.; Tasarım S.S., H.C.D., İ.M., S.T.; Denetleme S.S., H.C.D., İ.M., S.T.; Kaynaklar S.S., H.C.D., İ.M., B.T., D.K.; Malzemeler S.S., H.C.D., S.T.; Veri Toplanması ve/veya İşlemesi S.S., H.C.D., İ.M.; Analiz ve/veya Yorum S.S., İ.M.; Literatür Taraması S.S., H.C.D.; Yazıyı Yazan S.S., H.C.D., S.T.; Eleştirel İnceleme S.S., H.C.D., D.K., S.T.
目的:念珠菌也存在于正常的微生物菌群中,通过慢性疾病和侵入性手术的自然屏障引起感染。虽然中性粒细胞减少症患者念珠菌血症的高风险是众所周知的,但在重症监护病房(ICU)也很常见,死亡率相当高。在本研究中,我们旨在回顾性调查ICU非中性粒细胞减少患者念珠菌的流行病学资料、危险因素、死亡率、念珠菌种类分布以及伴随的细菌感染。材料与方法:本研究回顾性分析2016年5月至2017年5月土耳其高级专科培训与研究医院ICU非中性粒细胞减少并发生念珠菌血症的患者。同期在同一ICU住院(±7天)且APACHE-II评分为±1的患者作为对照组。结果:29例成人1年内检出念珠菌。其中女性11例(37.9%),男性18例(62.1%);患者平均年龄为62.0岁。最常见的病原体为白色念珠菌(58.6%)。在两组中,三种最常见的伴随细菌感染是鲍曼不动杆菌、大肠杆菌和肺炎克雷伯菌。30天死亡率为51.7%。念珠菌组患者中心静脉置管平均天数、机械呼吸机平均天数、住院时间更长(p<0.05)。在念珠菌血症组,美罗培南和替柯planin的使用更常见,差异有统计学意义(p<0.05)。结论:在本研究中,我们发现非中性粒细胞减少患者中最常见的念珠菌种类是白色念珠菌,而念珠菌血症最常见的危险因素是使用美罗培南和替柯普兰。本文全文如下:saryi S, Cankar Dal H, Mungan İ, Tezcan B, kazancul D, Turan S. Yoğun bakım nitelerinde geli en, non-nötropenik kandidemi olgularının retrospecktif olarak değerlendirilmesi。Yoğun Bakım 2018年10月;74 - 7。Özgün Araştırma /重症监护室非中性粒细胞减少念珠菌病例的回顾性调查74 Yoğun Bakım Derg 2018;Sema saryi, Hayriye Cankar Dal, İbrahim Mungan, b ra Tezcan, Dilek kazancyi, Sema Turan Yazar Katkıları: Fikir s.s., H.C.D, S.T.;Tasarım s.s., h.c.d., İ.M。表面张力;迪纳特莱姆号,h.c.d., İ.M。表面张力;Kaynaklar s.s., h.c.d., İ.M。, b.t., d.k.;Malzemeler s.s., h.c.d., S.T.;Veri toplanmasyve /veya İşlemesi s.s., h.c.d., İ.M.;分析/veya Yorum s.s., İ.M.;作家塔拉马斯基,H.C.D.;Yazıyı雅赞s.s., h.c.d., S.T.;ele tirel İnceleme s.s., h.c.d., d.k., S.T.
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引用次数: 1
Experience with a Patient with HELLP Syndrome, Acute Renal Failure, Preeclampsia, and Subarachnoid Hemorrhage 一例HELLP综合征、急性肾衰竭、子痫前期和蛛网膜下腔出血患者的治疗经验
Pub Date : 2018-12-17 DOI: 10.5152/dcbybd.2018.1683
K. Gonderen, I. Kaya, Hasan Emre Aydın
Pregnancy-induced hypertensive complications (preeclampsia, eclampsia, and HELLP syndrome) contribute to a significant public health threat worldwide. HELLP syndrome is a life-threatening condition, usually seen in the last trimester in pregnant women. Elevation of liver enzymes, anemia due to hemolysis, and decrease in platelet count are the diagnostic triad. HELLP syndrome is especially associated with intracranial hemorrhage, which may increase mortality. This report presents successful treatment of a complicated patient with HELLP syndrome and intracranial hemorrhage.
妊娠引起的高血压并发症(子痫前期、子痫和HELLP综合征)是全球范围内一个重大的公共卫生威胁。HELLP综合征是一种危及生命的疾病,通常发生在怀孕的最后三个月。肝酶升高、溶血引起的贫血和血小板计数减少是诊断的三位一体。HELLP综合征尤其与颅内出血相关,这可能会增加死亡率。这报告提出了成功的治疗复杂的病人HELLP综合征和颅内出血。
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引用次数: 0
Intensive Care Unit Outcomes of the Cases with Cannabinoid Intoxication 大麻素中毒病例的重症监护病房结果
Pub Date : 2018-12-17 DOI: 10.5152/DCBYBD.2018.1596
T. Kuzucuoğlu, S. Uçkun, F. Temizel, G. Arslan, B. Çevik
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引用次数: 0
期刊
Turkish Journal of Medical and Surgical Intensive Care
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