In 2008, we conducted a nonexperimental, cross-sectional, descriptive study in the surgical services department of a hospital in Istanbul, Turkey, with the aim of determining how much information was required by perioperative patients and their family members, the extent to which this information was provided, and the role that nurses play in this process. We included a total of 394 outpatients and inpatients and their family members (ie, 197 patients, 197 family members) and 30 nurses in the study. We collected the research data by using one questionnaire for patients, a second for family members of patients, and a third for nurses. We discovered that the patients and their family members wanted to be given more information about the surgical process than they had received. Patients wanted more information about the intraoperative period, whereas their family members wanted more information about the postoperative period. We also found that nurses were aware that they did not play an effective role in providing information to patients and their family members because of a lack of knowledge about what information they were responsible for providing and insufficient staffing. We concluded that nurses should know what education they are responsible for providing, put more effort into understanding patient and family member information needs, and plan a better means of providing information to meet those needs.

Although endotracheal suctioning is a routine nursing intervention, this procedure can lead to an increase in intracranial pressure (ICP). This study was planned to determine the appropriate suctioning technique (open system suctioning [OS] and closed system suctioning [CS]) to minimize variability of ICP and cerebral perfusion pressure (CPP) in neurologically impaired patients. The study, which was designed as a crossover, single-blind clinical trial, consisted of 32 neurosurgical patients who underwent ICP monitoring, intra-arterial blood pressure monitoring, and endotracheal intubation in the intensive care unit. According to the need for suctioning, each patient in the experimental and control groups underwent suctioning with both closed and open systems. Recordings were composed of the patients' ICP, mean arterial blood pressure, CPP, heart rate (HR), and arterial blood gases during suctioning. It was observed that both suctioning techniques significantly increased ICP, mean arterial blood pressure, CPP, and HR; ICP was found to be significantly higher in OS compared with CS, whereas there were no significant differences in CPP and HR between the two techniques. The patients suctioned using OS had significantly lower mean PaO(2) than those suctioned using CS; however, the comparison of the two techniques revealed no significant differences in PaCO(2). The data obtained indicate that CS, compared with OS, can be used safely on this patient group.

In this study, despite the patients reporting sleep disturbances in the neurosurgical intensive care unit because of nocturnal patient care interventions that prevented them from sleeping, the patients' satisfaction on the given nursing care was not negatively impacted. To reduce sleep disturbances because of nursing care initiatives and promote uninterrupted sleep in the intensive care unit, it can be useful to develop new protocols regulating night care activities.

The findings of this study can provide guidance to nurses and improve analgesic control of pain management.

ÖzPurpose: Stoma is a surgical intervention that negatively affects the quality of life and adaptation to social life. The problems experienced by patients with stoma negatively affect the quality of life especially in the postoperative first weeks. Many kinds of nursing interventions to ensure adaptation to social life and to increase the quality of life. The aim of this study was to determine the effect of phone counselling service on adaptation to stoma and quality of life among patients with intestinal stoma Materials and Methods: The study was conducted on patients with intestinal stoma followed up in stoma therapy outpatient clinic of a university hospital. A total of 60 patients (30 in the control group and 30 in the test group) were assigned to two groups by making randomization via computer through "simple randomization method". "Informed Consent Form, Questionnaire for Individuals with Intestinal Stoma, Ostomy Adjustment Inventory and Adaptation of Quality Life Scale" were filled in. The scales were re-applied in both groups in the stoma therapy outpatient clinic in the postoperative 6th and 10th weeks. Results: Phone counselling was effective in increasing the adjustment to stoma and quality of life among patients with stoma in the first 10 weeks after the operation. Conclusion:The test group had higher levels of life quality and social adaptation and also had more responsibilities for self-care. Amaç: Stoma, yaşam kalitesini ve sosyal yaşama uyumu olumsuz etkileyen cerrahi bir müdahaledir. Stomalı hastaların yaşadığı sorunlar özellikle ameliyat sonrası ilk haftalarda yaşam kalitesini olumsuz etkilemektedir. Sosyal yaşama uyumu sağlamak ve yaşam kalitesini arttırmak için birçok türde hemşirelik müdahalesi. Bu çalışmanın amacı, bağırsak stomalı hastalarda telefonla danışmanlık hizmetinin stomaya uyum ve yaşam kalitesine etkisini belirlemektir. Gereç ve Yöntem: Çalışma bir üniversite hastanesinin stoma tedavisi polikliniğinde takip edilen bağırsak stomalı hastalar üzerinde yapıldı. Bilgisayarla "basit randomizasyon yöntemi" ile randomizasyon yapılarak toplam 60 hasta (kontrol grubunda 30, test grubunda 30) iki gruba ayrıldı. "Bilgilendirilmiş Onam Formu, Bağırsak Stomalı Bireyler Anketi, Ostomi Uyum Envanteri ve Yaşam Kalitesi Uyarlama Ölçeği" dolduruldu. Ölçekler her iki gruba da stoma tedavi polikliniğinde ameliyat sonrası 6. ve 10. haftalarda tekrar uygulandı. Bulgular: Telefon danışmanlığı, operasyon sonrası ilk 10 hafta stomalı hastalarda stomaya uyum ve yaşam kalitesinin artmasında etkili oldu. Sonuç: Test grubu, daha yüksek yaşam kalitesi ve sosyal uyum düzeylerine sahipti ve ayrıca öz bakım için daha fazla sorumluluğu vardı.

No abstract

No abstract

Abstract:Background: Breast cancer is the most common cancer type seen in women, accounts for 18% of all cancer types in women and the risk of a woman to get breast cancer during her life is 11%. These notified rates enable breast cancer to be defined as a preventable and if pre-diagnosed, a treatable cancer type, despite it was regarded as a terrifying type of cancer in the past.Objective: The aim of the study was to determine the lifestyle pattern of women without breast cancer in Istanbul. Method:The study was carried out as a descriptive and cross-sectional study with 1000 women.Results: The majority of the women (29.7%) were in the 35-44 year old age group. Out of these 93.1% gave birth before the age of 30, 29.5% breastfed for 7-12 months, 65.8% started menarche between 13-15 years of age (mean of 13.3 years), 15.5% were in menopause and had entered menopause at a mean age of 46.5 years. Their mean body mass index was 24.3kg/m 2 and 24.5% of them preferred foods containing high fat content. The majority of the women (85.4%) did not participate in sports regularly. One third (30.3%) of the women had underwent Breast Self Examination. There was a positive family history of breast cancer for 12.1% of the women. Conclusion:Sedentary lifestyles, lower Breast Self Examination and routine mammography rates and family histories of breast cancer were the risk factors that needed to be given priority for further action.