Florence Nightingale hemsirelik dergisi最新文献

Aim: This study was conducted to determine the prevalence of constipation and related factors based on the Rome II constipation criteria for diagnosis in the elderly.

Method: This cross-sectional study was carried out at a nursing home in Ankara. The present study was conducted with the participation of 160 elderly individuals who were living in the nursing home and who met the criteria for participation in the research. Data were collected by means of face-to-face interviews with the Introductory Characteristics Data Form and the Rome II constipation diagnostic criteria form. Descriptive statistics and chi-square test were used for data analysis.

Results: The average age of the elderly individuals is 78±8.1 (min: 65, max: 95). 51.9% of elderly individuals have a constipation problem according to Rome II constipation diagnosis criteria. When the criteria for the diagnosis of Roma II constipation were examined, it was found that 44.4% of the elderly individuals experienced difficulty/intense straining while defecating, 29.4% had a hard stool, 53.8% had a feeling of inadequate stooling/full emptying, 30.2% had bowel movements twice a week or less. The results of this study concluded that there are more constipation problems in elderly individuals who do not have regular physical activity, consume less than 2 liters of water per day and have lived in a nursing home for more than 11 years (p<0.05).

Conclusion: According to the findings of our study slightly more than half of the elderly people living in nursing homes have problems with constipation. It is important to determine constipation and risk factors at an early stage and support regular exercise in elderly individuals.

Aim: This research was designed to determine the relationship between empathy and burnout levels of nursing students.

Method: The population of this descriptive and cross-sectional research consisted of 1294 students studying at a Nursing Faculty in the 2016-2017 academic year and the sampling consisted of 290 nursing students who were selected by the stratified random sampling method. Data were collected using the "Structured Question Form", the "Empathic Skill Scale B-Form" and the "Maslach Burnout Inventory-Student Form". Written permission and ethical approval were obtained from the faculty where the research would be conducted. Data analysis was performed using the descriptive and significance analysis in the SPSS 21.00 program.

Results: 84.1% of the students were female, and the average age was 20.28±1.47. It was determined that the mean score of the Empathic Skill Scale B-Form was 143.86±23.93, and that the mean scores of the sub-dimensions of the Maslach Burnout Inventory-Student Form were 15.11±4,69 in burnout, 9.34±3.62 in depersonalization, and 12.78±2.67 in competency. There is a statistically significant relationship between the Empathic Skill Scale score of nursing students and the Depersonalization sub-dimension score of the Maslach Burnout Inventory (p<0.05).

Conclusion: It was determined that the burnout and empathy skills of nursing students were at a moderate level and that some socio-demographic characteristics affected their empathy and burnout levels.

Aim: This descriptive and comparative research was conducted to determine the level of psychological resilience of adolescents diagnosed with leukemia.

Method: The sample research group comprised of eighty adolescents in the 15-18 age group who have leukemia in pediatric hematology outpatient clinics. The sample comparison group comprised of eighty healthy adolescents in the 15-18 age group who were students from years 9, 10, 11, and 12^th in a high school. Data was collected using a socio-demographic questionnaire and the California Healthy Kids Survey Resilience and Youth Development Module High School Questionnaire form. The Mann-Whitney U Test, Kruskal Wallis variance analysis, homogeneity test (Levene), and Ki kare Test were used to evaluate the data.

Results: It was seen that there were no significant differences between the psychological resilience of adolescents with leukemia and healthy adolescents (p>0.05) Females were observed to have higher levels of psychological resilience than males in the research group. A lower level of psychological resilience was identified in adolescents from the research group who did not receive psychological support during the illness compared with those who received psychological support (p<0.05). The sub-factor point average of caring relationships and high expectations at school were higher in the research group, whereas the sub-factor point average of goals and aspirations were higher in the healthy adolescents (p<0.05).

Conclusion: As a result, it was suggested that preventive mental health services should be planned and implemented to develop resilience levels and protective relationships provided by the school, friends, family and society should be supported.

Aim: Math skills in the health field are often used to calculate drug dosage and liquid quantity, body mass and cost analysis. The aim of this research is to determine the senior nursing students' mathematical perception skills and pediatric medication calculation performance.

Method: The population of this descriptive cross-sectional research is composed of 103 nursing students in attending a state university in Izmir, Turkey. Of the 103 nursing students, 97 who answered all the questions comprised the study sample. All the participants took one-month training in the pediatric clinics during the last year of their education. The data were collected using the "Personal Information Form and Mathematics Perception, Information and Pediatric Drug Calculator Skills Survey" developed by the researchers by reviewing the literature.

Results: The mean age of the study participants was 22.24±0.89. Of them, 76.3% were female, 23.7% completed their Pediatric Internship Training in the pediatric inpatient units or the Pediatric Intensive Care Unit (PICU), 68% thought that their basic mathematics knowledge was adequate, and %30 stated that their dosage calculation, solution preparation and drug preparation skills were insufficient. In addition, the rate of the correct answers they gave to the questions on percentages, fractions and conversions was low.

Conclusion: In the drug application process; not only practical skills, but also the theoretical knowledge should be considered. A nurse's responsibility does not end once he/she administers medication. Being careful throughout the entire process is one of the nurse's legal and ethical responsibilities. In this study, the students' drug calculation skills were inadequate.

Aim: The purpose of this study was to determine feelings, pain-related knowledge, and pain management-related practices of neonatal intensive care nurses during the retinopathy of prematurity examination.

Method: The descriptive qualitative research design was used. In the study, the individual in-depth interviews were conducted with nurses by using the interview form with semi-structured open-ended questions. The data were evaluated by using the MAXQDA12.

Results: Two main themes were formed as "neonatal pain" and "retinopathy of prematurity examination" in line with the thematic analysis. In the study, it was determined that the nurses were able to limitedly identify the pain-induced physiological and behavioral symptoms in newborns, could not evaluate the symptoms and levels of pain by using pain scales with proven validity and reliability. The results indicated that the nurses provided the care based on their observations rather than evidence-based knowledge in the pain management.

Conclusion: Nurses should be informed through evidence-based training programs and supported to transfer the acquired knowledge into practice. And the results emphasizes that the subject of pain and pain management should be inserted in nursing education cirruculum.

Aim: Agitation is common among elderly people staying at nursing homes. It is a significant problem particularly for patients with dementia. This study aims to determine the agitation behaviors of elderly people receiving long-term institutional care in a city and influencing factors.

Method: The population of this descriptive and analytical study consisted of elderly individuals in three institutional care centers. 178 elderly individuals aged 60 and above were taken into the sample group. Approval was taken from them and their relatives. The study data were collected between September-November 2018 using the socio-demographic question form, the Cohen-Mansfield Agitation Inventory (CMAI), the Mini-Cog Brief Cognitive Assessment Form, the Barthel Index for Activities of Daily Living (ADL) and the Lawton&Brody Instrumental Activities of Daily Living Scale (IADL).

Results: The mean age of the participants was 75.58±8.77 and 56.7% were males. The duration of stay at the institution was 23.48±24.46 months. Although 50.6% of the participants had psychiatric diagnoses. The mean score for the CMAI for the patients with dementia was 46.26±15.10, which was significantly higher than those without dementia (Z=-2.132, p=0.033).

Conclusions: The results show agitation is high among patients with dementia and cognitive impairment affects agitation significantly.

Aim: This study was carried out to determine cultural sensitivity levels and affecting factors among the students who were studying at health-related departments.

Method: The study had a cross-sectional design. The universe of the study consisted of 1127 students who were studying at 1^st and 4^th years in nursing department of institute of health sciences, school of physical therapy and rehabilitation and medical faculty of a state university. 523 students who agreed to participate in the study and who were attending school on the day of data collection constituted the sample of the study. The data of the study were collected using a socio-demographic data form and Intercultural Sensitivity Scale. Descriptive statistics were used in data analysis. In addition, t test was used in paired groups, and one-way variance analysis (ANOVA) was used in more than two groups.

Results: The mean score of the students from Intercultural Sensitivity Scale was found to be 3.88±0.64. It was determined that cultural sensitivity was higher among the students who had interaction with people from different cultures, whose opinions about their jobs changed positively during their education, who wanted to attend student exchange programs and who spoke a foreign language (p<0.05).

Conclusion: In this study, the cultural sensitivity level of the students was found to be at a good level. In addition, gender, interaction with people from different cultures, participation in student exchange programs and knowledge of a foreign language were found to have a bearing on cultural sensitivity. Based on these results, the promotion of collaborations which would create opportunities allowing students to interact with individuals from different cultures might be offered. This would support them in the improvement of their language qualifications and would enable participation of more students in student exchange programs abroad.

Dietary sources of fructose are not only honey, fruit, sucrose, but also high fructose corn syrup in various foods and beverages. Total amount of daily fructose intake is rising by especially increasing use of high fructose corn syrup in the food industry. Fructose can lead to obesity by contributing to high-energy intake and lipogenesis in the body. Depending on the source of fructose, dose and duration, it was involved in de-novo lipid synthesis. Fructose may increase the risk of insulin resistance, non-alcoholic fatty liver and kidney diseases by affecting blood glucose and insulin levels. On the other hand, fructose may initiate inflammatory processes in the organism. In addition to these, fat or salt consisting typical western type diet with high fructose consumption, can increase the potential effect of fructose on chronic diseases. As a result, although it is not fully supported by clinical studies, it is thought that high amounts of fructose intake may increase the risk of chronic disease shown by experimental studies. Also it should be noted that beside high fructose, typical western-style high-fat and high-salt diet may increase the risk of chronic diseases such as obesity, cardiovascular diseases and worsen metabolic syndrome parameters. Furthermore, synthetic fructose, is able to cause some adverse metabolic effects when taken in large amounts; consumption of high amounts of fructose by fruit or honey these negative effects can be either not seen or less observed based on the amount.

Aim: The aim of this study was to systematically evaluate the research associated with wound healing process in episiotomy care.

Method: The search for this study was conducted through the international databases of Cochrane, Science Direct, Medline, Medine Complete, CIHANL, Scopus, AcademicSearch Complete, Complementary Index and ULAKBIM medical database among the National Databases between May 1 and July 17, 2017. "Episiotomy care" and "episiotomy wound healing" were used as key words during the search. A total of 23 publications compliant with the inclusion criteria were included in the study and were evaluated in terms of comparisons, restrictions, and results.

Results: Studies about episiotomy care were evaluated under four headings such as the use of antiseptic solutions, use of dry/wet and hot and cold applications, laser and light therapy, and the use of aromatic oils and phytotherapy in episiotomy care. Among the 23 studies included in this study, 17 were designed as experimental and 6 as half-experimental and a total of 2.408 puerperal women participated in this study.

Conclusion: The results of this literature review revealed a limited number of research findings on the care of episiotomy wounds and a necessity of performance of new studies on this subject was established.