No abstract

ÖZET Ameliyat sonrasi erken dönemde hastanede yatan hastaiann uyku düzenini etkiieyen etmenierAmaç: Bu çalijmada, ameliyat sonrasi hastalann erken dönemdeki uyku kalitelerini incelemek ve uyku kalitesini etkileyen faktörlerin belirlenmesi amaçlanmiçtir. Gereç ve Yöntem: Veriler kiçisel ve demografik bilgileri içeren bir form ve uyku düzenini etkileyen etmenler formu (UDEEF) ile toplandi. UDEEF 24 soru içeren likert tipi bir öicektir. Uyku sorunlari 5 seçenekii bir dizide derecelendirilerek hastalara sorulmujtur: 1=Hiç etkilemiyor, 2=Etkilemiyor, 3=Kararsizim, 4=Etkiliyor, 5=Çok etkiliyor olarak siralanmijtir. Bu öicekten alinabilecek en y(iksek puan 120 ve en düjük puan 24'dür. Sonuçlar yüzde, ortalama ve Standart sapma olarak verildi. Verilerin analizinde Mann-Whitney U ve Kruskal Wallis varyans analizi kullanildi. Bulgulan Çalijmaya toplam 134 hasta alindi. Hastalann yac ortalamalan 49,47+17.85 olarak saptandi. UDEEF puan ortalamasi 57.35+13.24'dü. Ameliyat sonrasi agn seviyesi yüksek olan hastalann anlamli bir jekilde uyku sorunlarinin fazla oldugu belirlendi. Uyku kalitesini olumsuz yönde en fazla etkileyen diger faktörler; odanin havasiz olmasi, vücuda takili tibbi cihaziar, kalabalik bir oda ve gürültünün olmasiydi. Hastalann kiçisel özelliklerine göre UDEEF puan ortalamalan incelendiginde; cinsiyetin, medeni durumun, egitim seviyesinin ve kronik hastalik olup olmamasinin UDEEF puan ortalamalanni etkilemedigi ve istatistiksel olarak anlamli bir fark olmadigi belirlendi (p>0.05). Daha önce hastaneye yatma deneyimi olanlarin UDEEF puan ortalamalan ile daha önce hiç hastaneye yatmamiç olanlann puan ortaiamalari arasinda istatistiksel olarak anlamli fark bulundu (p<0.05) Sonuç: Cerrahi kliniginde yatan hastalann uyku kalitesinin ortalamanin altinda oldugu gerçegi, hastalann uyku kalitesini etkileyen olumsuz etmenlerin net olarak tespit edilmesi ve gerekli düzenlemelerin yapilmasi gerektigini göstermektedir. Bu sonuçlar dogrultusunda, hastanm fiziki konforunun ve agn kontrolünün saglanmasi, gürültünün azaltilmasi için saglik çaliçanlannin bu konuya daha fazla önem vermeleri önerilmektedir. ABSTRACT Factors afíectingthe sleep patterns of hospitalized patients during the early post-operational periodObjective: The study aims to investigate the quality of sleep and the factors contributing to sleep disruption in surgical patients. Material and Methods: The data were collected by a form including personal and demographic information, and "a form of factors affecting sleep pattern (FFASP)". FFASP is a iikert type scale containing 24 questions. In FFASP, questions about sleep problems were administered with 5-point response categories: 1=it does not affect at all, 2=lt does not affect, 3=1 am indecisive, 4=lt does affect, 5=lt affects a lot. The highest score was 120 and the lowest score was 24 in the scale. Results are given as percentage, mean and standard deviation. Data were analyzed using Mann-Whitney U test and Kruskal Wallis variant analysis. Results: Totally 134 patients were included in the study. The mean ag...

The study was planned to determine the most common nursing diagnoses according to NANDA International (NANDA-I) taxonomy and difficulties experienced in using of nursing process in COVID-19 outbreak. The sample of the descriptive cross-sectional study consisted of nurses cared for patients with COVID-19 ( n = 114). Average age of nurses is 26.86 ± 6.68. Commonly determined nursing diagnoses according to NANDA-I taxonomy in patients with COVID-19 were imbalanced nutrition (66.7%), impaired gas exchange (40.4%), insomnia (21.1%), acute confusion (31.6%), hopelessness (96.5%), difficulty playing caregiver (84.2%), anxiety (38.6%) willingness to strengthen religious bond (71.9%), risk for infection (64.9%), nausea (49.1%). Twenty-four-years old and younger, high school graduates, caring for intubated patients, and those who stated that they did not use nursing diagnosis had more difficulty in using nursing process (<0.05). The use of nursing diagnoses and process for patients with COVID-19 is extremely important in ensuring individual and qualified nursing care.

The COVID-19 spread rapidly all over the world and pandemic process has negatively affected nurses. Sleep disorders and depression are among these negative effects. Managers' awareness of problems experienced by nurses and taking precautions will increase employee and patient satisfaction and provide quality patient care. The study was conducted in descriptive, cross-sectional and correlational design to explain nurses' sleep quality and depression levels and relationship between them during the COVID-19 pandemic with 142 nurses who completed Personel Information Form, Pittsburgh Sleep Quality Index (PSQI) and Beck Depression Index (BDI). Sleep quality of nurses (64.8%) was poor, 33.1% had depression, and high school education, having a chronic illness and PSQI score increased the risk of depression level of nurses. Results highlight COVID-19 pandemic affected nurses’ sleep quality and depression levels. All managers should be pioneers in providing psychological support to nurses and preparing and implementing a program for prevention of insomnia and depression.

The aim of this study was to evaluate healthy lifestyle behaviors and the quality of life of obese individuals in 3–12 months after sleeve gastrectomy. The study is a descriptive design and was conducted at the obesity surgery outpatient clinic of a government hospital between May and December 2017. The study sample included 172 patients agreeing to participate. Data were gathered with a questionnaire composed of questions about sociodemographic features, the Health Promoting Lifestyle Profile II (HPLP II), and the WHO Quality of Life BREF-TR (WHOQOL-BREF-TR). The total HPLP II score was above average; participants had the highest and lowest scores for the subscales spiritual growth and physical activity, respectively. The total score for the WHOQOL-BREF-TR was above average. The highest and lowest scores were obtained for the subscales psychological health and social relations, respectively. There was a significant correlation between the scores for HPLP II and its subscales and the scores for WHOQOL-BREF-TR. Promotion of health and a healthy lifestyle need to be an integral part of health services provided for patients after sleeve gastrectomy.