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Pediatri Ünitelerinde Aile Merkezli Bakım ile Ebeveynlere Sağlanan Destek Düzeyi Arasındaki İlişki 家庭中心部长与家庭支助水平之间的关系
Pub Date : 2021-06-15 DOI: 10.17944/mkutfd.872386
Hilal Yılmaz, Aysel Doğan
sağlanan destek düzeyi arttıkça ebeveynlerin aile merkezli Bu sonuçlar doğrultusunda hemşireler aile merkezli bakımda ebeveynlerin rolünü kabul ve ebeveynlere gereksinimleri doğrultusunda destek vermelidir. Kelimeler: Aile Merkezli Bakım, Destek, Ebeveyn, Hemşire Abstract Relationship Between Family-Centered Care in Pediatric Units and The Level of Support Provided to Parents Objective: This descriptive study was carried out in order to determine the relationship between family-centered care given to children in pediatric units and the level of support provided to parents. Methods: “Family-Centered Care Scale” and “Parental Support Scale” were used as data collection tools in the study. The sample of the study consisted of 155 voluntary parents of all children who applied to the pediatric units of a private foundation university hospital in Istanbul and had hospitalized for three days or more, volunteering to participate. Results: 80% of the parents participating in the study were women. Within the scope of the study, the average point of “Matching Percentage” in the “Family Centered Care Scale” was found to be 70.1 ± 38.9 and the total score average of the “Nurse Parent Support Scale” was 84.8 ± 15.2. Statistically significant difference was found between the educational level of parents in sample group, parents’ employment status, length of stay in the hospital, and the unit where child was hospitalized (p<0,05). Conclusion: It was determined that the nurses related to family-centered care practices were satisfied with the care they gave to parents and children, and as the level of support provided to parents increased, parental participation in family-centered care increased. In line with these results, nurses should accept the role of parents in family-centered care and support parents in line with their needs.
sağlanan destek d zeyi arttıkça ebeveynlerin aile merkezli busonupllar doğrultusunda hem ireler aile merkezli bakımda ebeveynlerin rolünü喀布尔ve ebeveynlere gereksinimleri doğrultusunda destek vermelidir。Kelimeler: ailile Merkezli Bakım, Destek, Ebeveyn, hem摘要儿科病房家庭中心护理与父母支持水平的关系目的:本研究旨在确定儿科病房儿童家庭中心护理与父母支持水平之间的关系。方法:采用《以家庭为中心的关爱量表》和《父母支持量表》作为数据收集工具。该研究的样本包括155名自愿父母,他们是伊斯坦布尔一家私立基金会大学医院儿科病房的所有儿童的自愿父母,并已住院三天或更长时间,自愿参加研究。结果:参与研究的父母中有80%是女性。在研究范围内,“以家庭为中心的护理量表”的“匹配百分比”的平均值为70.1±38.9,“护士父母支持量表”的总得分平均值为84.8±15.2。样本组家长受教育程度、父母就业状况、住院时间、儿童住院单位差异有统计学意义(p< 0.05)。结论:参与以家庭为中心的护理实践的护士对其对父母和孩子的护理感到满意,并且随着对父母支持水平的提高,父母对以家庭为中心的护理的参与程度也会提高。根据这些结果,护士应接受父母在以家庭为中心的护理中的作用,并根据父母的需要为他们提供支持。
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引用次数: 1
Evaluation of Attitudes and Behavioral Changes in Relatives of Patients with Breast Cancer 乳腺癌患者亲属态度和行为改变的评价
Pub Date : 2021-06-15 DOI: 10.17944/mkutfd.893872
P. Güner, Hilal Aksoy, Hande Bölükbaşı, I. Dede
Evaluation of Attitudes and Behavioral Changes in Relatives of Patients with Breast Cancer Objective: The aim of this study was to determine the information and support needs of breast cancer patients’ relatives and to what extent they were met. Methods: This cross-sectional descriptive study was conducted with 177 participants whose relatives were followed up with breast-cancer diagnosis in the Oncology Department between May and September 2019. The questionnaire and sociodemographic characteristics and “Information and Support Needs Scale” were applied to the participants. Results: The mean age of the participants was 39.70±14.10. 66 (37.30%) were primary school graduates, 106 (59.90%) were housewives and 124 (70.10%) were married. The most common breast cancer screening methods for women were 68.40% (121) self-examination and 54.20% (96) mammography. The number of participants who had breast cancer screening was 78 (44.30%). The mean score of information requirements was 3.50±0.09 and the mean score of support requirements was 3.30±0.18. with Statistical analysis were performed with SPSS 21.0 program. Conclusion: It is necessary to determine the knowledge status, attitudes and needs of women who have breast cancer in their neighborhood by the health professionals about the causes, screening methods, treatment methods and prevention of breast cancer. In this way, it will increase the spread of breast cancer screening, the number of patients diagnosed early and the success of treatment.
乳腺癌患者亲属的态度和行为变化评估目的:本研究的目的是确定乳腺癌患者亲属的信息和支持需求以及他们得到满足的程度。方法:对177名参与者进行了横断面描述性研究,这些参与者的亲属于2019年5月至9月在肿瘤科接受了乳腺癌诊断随访。采用问卷、社会人口学特征和“信息与支持需求量表”对参与者进行调查。结果:患者平均年龄39.70±14.10岁。其中小学毕业66人(37.30%),家庭主妇106人(59.90%),已婚124人(70.10%)。女性最常见的乳腺癌筛查方法为自检68.40%(121例),乳房x光检查54.20%(96例)。参加乳腺癌筛查的人数为78人(44.30%)。信息需求平均得分为3.50±0.09分,支持需求平均得分为3.30±0.18分。采用SPSS 21.0软件进行统计学分析。结论:有必要了解社区卫生专业人员对乳腺癌的病因、筛查方法、治疗方法和预防的知识状况、态度和需求。通过这种方式,它将增加乳腺癌筛查的传播,早期诊断的患者数量和治疗的成功率。
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引用次数: 0
The Diagnostic Evaluation of Patients with Hereditary Ataxia in Children: Thirteen Patients and Comprehensive Approach 13例儿童遗传性共济失调的诊断评价及综合分析
Pub Date : 2021-06-15 DOI: 10.17944/mkutfd.919601
C. Havalı, Zeynep Beyza Kuşku, Y. Akbaş
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引用次数: 0
Investigation on Acute Phase Reactants and Oxidant - Antioxidant Parameters in Patients Diagnosed as Having Generalized Tonic Clonic Type Epilepsy on Antiepileptic Monotherapy and Polytherapy 抗癫痫单一疗法和综合疗法对全身强直性克隆型癫痫患者急性时相反应及氧化-抗氧化参数的研究
Pub Date : 2021-05-17 DOI: 10.17944/MKUTFD.910039
S. Sarikaya, S. Yaşin, M. Çalık, T. Yoldas, N. Aksoy, M. Yilmaz
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引用次数: 1
Ankilozan Spondilitte Fizik Tedavinin Etkinliği: Randomize Kontrollü Bir Çalışma 踝关节强直性脊柱炎物理医学活动的随机对照研究
Pub Date : 2021-04-08 DOI: 10.17944/MKUTFD.843202
Ayşe Ünal Enginar, Hatice Uğurlu
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引用次数: 0
COVID-19 Salgınında Sağlık Çalışanlarının Stres Algı Düzeyinin Kas İskelet Sistemi Ağrılarına Etkisi 新冠肺炎疾病控制对卫生工作者应激代数系统贩运率的影响
Pub Date : 2021-04-06 DOI: 10.17944/MKUTFD.904051
İsmail Palali, Sibel Atan, M. Arslan
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引用次数: 3
Demir Eksikliği Anemisi Nedeniyle Endoskopi ve Kolonoskopi Yapılan Hastalarda Malignite Sıklığının Değerlendirilmesi 用于铁运动研究的内镜和柱镜恶性肿瘤的计算
Pub Date : 2021-04-05 DOI: 10.17944/MKUTFD.855742
Mustafa Zanyar Akkuzu, Orhan Sezgin, Serkan Yaraş, O. Özdoğan, H. Balci, Ferzan Aydin, Enver Üçbilek, Engin Altıntaş, Fehmi Ateş
Evaluation of Frequency of Malignancy in Patients Undergoing Colonoscopy Due to Iron Deficiency Anemia Objective: Like most anemias, iron deficiency anemia is not a disease in itself and its etiology needs to be investigated and revealed in each patient. The frequency of etiological causes varies according to age groups in iron deficiency anemia. While the most important cause of iron deficiency anemia is menstrual bleeding in premenopausal women; It causes chronic blood loss from the gastrointestinal system in postmenopausal women and adult men. In this study, it was aimed to evaluate the malignancy prevalence of patients who underwent gastroscopy and colonoscopy due to iron deficiency. Method: The study included patients who underwent gastroscopy and colonoscopy for iron deficiency anemia etiology screening between December 2018 and July 2019. Colonoscopy was performed after appropriate preparation to be evaluated in the terminal ileum. The patients’ age, gender, anamnesis information and procedure results files were examined retrospectively. Results: During this period, colonoscopy was performed in 142 patients due to iron deficiency anemia. Gastroscopy was also performed on 130 of them. 52.81% of the patients were men and 47.18% were women. The mean age of men was 61.4 ± 11.8, and the mean age of women was 55.2 ± 13.6. Of these, 15.5% of patients had polyps in the colon and 80.5% of them were adenomatous polyp. Carcinoma in the colon was detected in 7% of the patients. In a total of 57.7% of these patients, a pathology that could explain anemia such as gastric adenocarcinoma, ulcer, gastritis, esophagitis, esophageal varices, polyps and esophagitis was detected. A total of 64.8% patients had an endoscopic finding that could explain anemia. Conclusion: Endoscopic examination of the gastrointestinal tract should be started after iron deficiency anemia is confirmed by laboratory studies and after excluding anemia due to dietary iron deficiency, increased iron requirement and extra-gastrointestinal blood loss. In this study, we detected polyps in the colon in 15.5% of the cases, and adenocarcinoma in 7.04% of the patients. In the stomach, 0.7% of the patients were found to have adenocarcinoma. This shows the importance of both gastroscopy and colonoscopy in the etiology of iron deficiency anemia.
评估因缺铁性贫血而接受结肠镜检查的患者的恶性肿瘤频率目的:与大多数贫血一样,缺铁性贫血本身并不是一种疾病,需要对每位患者进行病因调查和揭示。缺铁性贫血病因的频率因年龄组而异。而引起缺铁性贫血的最重要原因是绝经前妇女的月经出血;它会导致绝经后女性和成年男性胃肠道系统的慢性失血。本研究旨在评估因缺铁而接受胃镜和结肠镜检查的患者的恶性肿瘤患病率。方法:该研究纳入了2018年12月至2019年7月期间接受胃镜和结肠镜检查进行缺铁性贫血病因筛查的患者。结肠镜检查是在适当的准备后进行的,以评估末端回肠。对患者的年龄、性别、记忆信息和手术结果档案进行回顾性检查。结果:在此期间,142例因缺铁性贫血患者进行了结肠镜检查。其中130人还接受了胃镜检查。52.81%为男性,47.18%为女性。男性平均年龄为61.4±11.8岁,女性平均年龄为55.2±13.6岁。其中,15.5%的患者患有结肠息肉,80.5%为腺瘤性息肉。结肠癌检出率为7%。在这些患者中,共有57.7%的患者检测到可以解释贫血的病理,如胃腺癌、溃疡、胃炎、食管炎、食管静脉曲张、息肉和食管炎。共有64.8%的患者在内镜下发现可以解释贫血。结论:应在实验室研究证实缺铁性贫血后,并在排除饮食缺铁、铁需求增加和胃肠外出血引起的贫血后,开始胃肠道内镜检查。在这项研究中,我们在15.5%的病例中检测到结肠息肉,在7.04%的患者中检测到腺癌。在胃部,0.7%的患者被发现患有腺癌。这表明胃镜和结肠镜检查在缺铁性贫血病因中的重要性。
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引用次数: 0
Tek Endoskopist Deneyimi; ERCP Sonuçları, Komplikasyonlar ve İlgili Faktörler 一项内窥镜实验;ERCP结果、压缩和感兴趣的因素
Pub Date : 2021-04-05 DOI: 10.17944/MKUTFD.810551
Ümit Karaoğullarindan
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引用次数: 0
Septoplasti Yapılan Pediatrik Hastaların Klinik Özelliklerinin Retrospektif Değerlendirilmesi 败血症患者医院临床特点的回顾性评价
Pub Date : 2021-04-04 DOI: 10.17944/MKUTFD.822293
Alper Dilci, Raşit Cevizci
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引用次数: 0
Gastrointestinal Stent Uygulamaları: Tek merkez deneyimi 胃肠支架的应用:一个中心实验
Pub Date : 2021-03-11 DOI: 10.17944/MKUTFD.804229
Mustafa Zanyar Akkuzu, Orhan Sezgin, Fehmi Ateş, O. Özdoğan, Serkan Yaraş, Ferzan Aydin, H. Balci, Enver Üçbilek, Engin Altıntaş
Stent Applications: Single Objective: Gastrointestinal (GI) stents are used for palliative purposes in malignant or benign strictures in the gastrointestinal tract and pressure or fistulas associated with neighboring organ malignancies such as lung cancer, or stenosis or leakage after operations. In this study, we aimed to share our clinical experience with GI stents by evaluating the reasons and course of GI stents. Materials and Methods: Patients who had a GI stent in our clinic between 2014 and 2019 were included in the study. Retrospectively, the reason for stent insertion, the type of stent, the presence or absence of complications, the management of the complications and the life span of the patients were analyzed. Especially in advanced stage cancers, the effectiveness of stents in palliative treatment and their contribution to life span were evaluated. Results: During this period, a total of 36 patients had GI stents implanted. 24 (67%) of our patients were male and 12 (33%) were female. The mean age of men was 67 ± 13.8, and the mean age of women was 45.6 ± 11.5. Those who are stented for malign reasons; A stent was implanted for 44.5% esophageal cancer, 19.5% stomach cancer, 16.6% lung cancer and 5.5% rectal cancer. Of those who were stented for benign reasons, 11.1% had a fistula, and 2.8% had a stent due to stage d esophagitis. SEMS was attached to all of them. 27% of our patients were still alive. 73% of our patients died and when we looked at the average life span, we found it as 109.6 ± 101 days. Conclusion: As a result, it is seen that the use of stents in palliation of patients with inoperable digestive system stenosis is an effective method for a quality palliation in the short term. By using self-expanding metal stents, malignant and benign dysphagia can be alleviated.
支架应用:单一目的:胃肠道(GI)支架用于缓解胃肠道的恶性或良性狭窄以及与邻近器官恶性肿瘤(如肺癌)相关的压力或瘘,或手术后狭窄或渗漏。在这项研究中,我们旨在通过评估胃肠道支架的原因和过程来分享我们的临床经验。材料与方法:纳入2014年至2019年在我院门诊接受胃肠道支架治疗的患者。回顾性分析患者置入术的原因、支架的类型、并发症的有无、并发症的处理及患者的生存期。特别是在晚期癌症中,支架在姑息治疗中的有效性及其对寿命的贡献被评估。结果:在此期间,共36例患者植入了胃肠道支架。其中男性24例(67%),女性12例(33%)。男性平均年龄67±13.8岁,女性平均年龄45.6±11.5岁。因恶性原因被支架的;食管癌为44.5%,胃癌为19.5%,肺癌为16.6%,直肠癌为5.5%。在因良性原因植入支架的患者中,11.1%的患者有瘘,2.8%的患者因d期食管炎而植入支架。他们身上都附有SEMS。27%的病人仍然活着。73%的患者死亡,当我们观察平均寿命时,我们发现它是109.6±101天。结论:可见支架在不能手术消化系统狭窄患者中的应用是一种短期内质量缓解的有效方法。通过使用自膨胀的金属支架,可以减轻恶性和良性吞咽困难。
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引用次数: 0
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Mustafa Kemal Universitesi Tip Dergisi
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