Aim:This study aimed to determine the effects of an early mobilization protocol performed in patients who underwent cardiac surgery on post-operative outcomes.Background: Post-operative complications are common in patients undergoing cardiac surgery. Early mobilization is recommended for patients who undergo cardiac surgery to prevent complications and achieve successful outcomes in postoperative care. Design:The study design was quasi-experimental with a control group. Methods: Participants were patients who underwent cardiac surgery between January and October 2015. The study included 102 patients (51 patients each in the experimental and control groups). The introductory characteristics form, the Richards-Campbell Sleep Questionnaire (RCSQ), duration of hospital stay (postoperatively), and development of a post-operative late complications form were used to collect data. Results: The study results revealed that patients in the experimental group had better improvement in RCSQ scores, shorter duration of hospitalization, and fewer late complications after surgery than patients in the control group. Conclusion: Early mobilization is feasible in adult cardiac surgery patients and has significant benefits. More research is recommended into the effectiveness of early mobilization in different patient groups. KEYWORDS cardiac surgery, early mobilization, length of stay, nursing, post-operative complications, sleep SUMMARY STATEMENTWhat is already known about this topic?• Cardiac surgery stands out from other forms of treatment due to the advances in techniques and materials that have resulted in safer procedures and lower perioperative risks. Despite these advances, post-operative complications are frequent and are a determinant of length of hospital stay and functional recovery.• Early mobilization is one of the evidence-based, effective nursing interventions that improve patient care outcomes and prevent immobilization-related complications.• However, standard guidelines, evidence-based practices, and early mobilization protocols are underused by nurses during postoperative care. What this paper adds?• This study assesses the effect of an early mobilization protocol on patient care outcomes in patients who underwent cardiac surgery
Aims and Objectives: This study aimed to determine the relationship of nurses' psychological well-being with their coronaphobia and work-life balance during the COVID-19 pandemic.Background: COVID-19 is a global life-threatening disease. The COVID-19 pandemic negatively affects nurses' mental health. No studies have been conducted to determine the factors that affect nurses' psychological well-being during the COVID-19 pandemic in Turkey. If nurses' psychological well-being is impaired during the COVID-19 pandemic, the quality of nursing care and the nurses' performance may be negatively affected.Design: This is a descriptive, correlational and cross-sectional study. The Strengthening the Reporting of Observational studies in Epidemiology (STROBE) reporting guideline checklist for cross-sectional studies was used for reporting in this study. Methods:The study population consisted of the nurses working in a Health Application and Research Center in Turkey. Data were collected using Google forms between June-August 2020. The study sample consisted of 295 nurses who voluntarily agreed to participate in the study and used social media tools. The data were collected using a Sociodemographic Characteristics Form, the COVID-19 Phobia Scale (C19P-S), the Work-Life Balance (WLB) Scale and the Psychological Well-Being (PWB) Scale. The factors that affect psychological well-being were determined using the stepwise multiple linear regression analysis. Results:The nurses' work-life balance and psychological well-being were negatively affected during the COVID-19 pandemic. Their COVID-19 phobia was mild-tomoderate level. The nurses' psychological well-being was significantly affected by the variable of neglecting life the most, followed by coronaphobia and work-life balance, which explain 75% of the variance. Conclusions:This study shows that coronaphobia experienced by nurses and worklife balance was related to their psychological well-being during the COVID-19 pandemic. Managers should take measures (regulating the working hours) to decrease nurses' COVID-19 phobia (education, counselling or psychotherapy) and work-life imbalance.
Laparoscopic sleeve gastrectomy is one of the most common bariatric surgical methods used in obesity treatment. As in every surgical operation, patients may face problems after the laparoscopic sleeve gastrectomy surgery. No study has been found in our country to investigate the effect of animation education applied to laparoscopic sleeve gastrectomy patients on patient care results. This study investigated the effect of animation education developed for respiratory rehabilitation among sleeve gastrectomy patients on patient care results. This is a randomized controlled study. A total of 66 patients who were going to have sleeve gastrectomy were randomly divided into two groups each including 33 participants. The intervention group was provided with animation education. The control group received routine face-to-face education. Postoperative risk of respiratory complications, presence of dyspnea, nausea, and vomiting, frequency of postoperative respiratory exercises, and satisfaction with postoperative respiratory education were examined. Patients’ pain and sleep quality were examined 1 day before the surgery and on the postoperative first and fifth days. The mean postoperative fifth-day pain score of the experimental group was lower than that of the control group. The mean sleep score of the experimental group was higher than that of the control group. The early postoperative problems were less in the experimental group and all patients were satisfied with the animated respiratory education. The animation education developed for respiratory rehabilitation among sleeve gastrectomy patients promoted patient care results. Bariatric surgery nurses can use animation as an innovative education method to increase participation of patients who undergo sleeve gastrectomy surgery in health education and to improve patient care results.
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