Background: Percutaneous coronary interventions cause anxiety in patients, although these procedures are lifesaving. Aim: The aim of this study was to determine the effect of nature sounds and earplug interventions on the anxiety of patients after percutaneous coronary interventions. Methods: A randomized controlled trial design was used in this study. A total of 114 patients who were scheduled to undergo percutaneous coronary intervention were allocated to three groups in a randomized manner: two intervention groups (nature sound group, earplug group) and one control group. The Visual Analog Scale, State Anxiety Inventory and physiological parameters were used to measure anxiety. Data were collected from the patients at three time points: immediately before, immediately after and 30 minutes after the interventions. Results: The respiratory rates and the Visual Analog Scale and State Anxiety Inventory scores of patients in the nature sound and earplug groups immediately after and 30 minutes after the interventions were significantly lower than those of the control group ( p < 0.05). No differences were found when comparing respiratory rates, Visual Analog Scale scores and State Anxiety Inventory scores between patients in the nature sound group and patients in the earplug group ( p > 0.05). No changes were observed in the pulse and systolic/diastolic blood pressure values of patients in the control and intervention groups ( p > 0.05). Conclusions: It was determined that nature sounds and earplug interventions are effective in reducing the anxiety of patients following percutaneous coronary intervention.
The turnover intention due to low job satisfaction and burnout and the elimination of the negative effects it causes are of great importance during the pandemic COVID-19 particularly in some countries such as Turkey that public health is concerned, there has been an ongoing effort to improve its background and lack the number of nurses per capita. The aim of this study was to examine the relationship between job satisfaction, burnout, and turnover intention in nurses working in hospitals during the COVID-19 pandemic.Material and methods: The descriptive research design was applied and conducted in a training and research hospital affiliated to the Ministry of Health in Ankara, Turkey. The subjects consisted of 251 nurses. The data were collected using the Minnesota Satisfaction Questionnaire, the Maslach Burnout Inventory and the Turnover Intention Scale. The Mann-Whitney U test, the Kruskal-Wallis Variance test, and the Structural Equation Modeling were used to analyze the data.Results: Emotional exhaustion subscale had the greatest effect on turnover intention. An increase in job satisfaction score causes an average decrease on the turnover intention score. The low job satisfaction of the nurses who take care of COVID-19 diagnosed patients has been determined to have negative impact on their turnover intention and burnout.Conclusion: Job satisfaction, burnout, and turnover intention in nurses were examined and all of these factors were found to be moderate. However, in this study, the job satisfaction of the nurses in caring of patients with COVID-19 infection was lower than that of the nurses who did not.
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