No abstract

GirişHemşireler ve ebeler, hasta bireyin ve ailesinin sürekli olarak iletişim içerisinde oldukları, her türlü problemlerinde ilk başvurdukları ve bu görevleri nedeniyle sağlık ekibi içerisinde önemli rollere sahip sağlık çalışanlarıdır. Hemşirelik ve ebelik gibi meslek grupları, çalışma ortamından kaynaklanan pek çok olumsuz faktörün etkisiyle yoğun iş yüküne sahip stresli meslekler olarak kabul edilmektedir. Olumsuz fiziki ortam, etik olmayan çalışma şekli ve çalışma ortamında yaşadıkları sorunlar, hemşireleri ve ebeleri fiziksel, ruhsal ve sosyal açıdan olumsuz yönde etkilemekte ve yaşanan bu sorunlar hizmet kalitesini etkileyerek verimin azalmasına neden olmaktadır (1,2). Son yıllarda ülkemizde ve yurt dışında sağlık kurumlarında ebe ve hemşire sayısının yetersizliği, aşırı iş yükü, vardiyalı çalışma sistemi, terfi, yükselme ve ücret olanaklarının yetersizliği, rol ve Sonuç: Ebe ve hemşirelerin büyük bir çoğunluğunun işinden memnun olmadığı sonucuna varılmıştır. Bu verilere dayanarak iş ortamında çalışanların iş yükünün fazla olmasının stres kaynağı oluşturacağı, yaşam kalitesini ve iş verimini olumsuz etkileyeceği, bu nedenle çalışma saatlerinin azaltılması ve her birimde yeterli sayıda ebe ve hemşire çalıştırılması gerektiği kanaatine varıldı.Anahtar Kelimeler: Ebe, hemşire, iş memnuniyeti ABSTRACT Objective: This study was conducted to determine job satisfaction levels of nurses and midwives working in hospitals and family health centers in Van. Material and Method:This survey was conducted on a total of 596 nurses and midwives working in hospitals and family health centers in Van. A questionnaire of 27 questions was guestionered to participants with face-toface interview method in order to identify their sociodemographic properties and job satisfaction levels. The data was analyzed by SPSS (ver: 15) statistics software with ratio test and chi square test. Results:In the study, 278 of the 596 nurses and midwives (46.6%) were found to be satisfied with their jobs, while 161 (27%) were found to be partially satisfied and 157 (26.3%) to be unsatisfied. Conclusion:A significant amount of nurses and midwives were found to be unsatisfied with their jobs. Based on the findings, it was concluded that excessive workloads were acting as sources of stress, causing a drop in life standards and having a negative effect on productivity; and as such, a reduction on working hours and an increase in number of nurses and midwives on every medical unit was necessary.

In this study, changes in heart-type fatty acid binding protein (H-FABP) and certain biochemical parameters during chronic artery diseases were investigated. Coronary artery disease (CAD) is one of the leading causes of death and morbidity in our country,which is also true for the world in general as well. CAD generally develops on the foundations of atherosclerosis. In this study, blood samples collected from patients who applied to Van Yüzüncü Yıl University Dursun Odabaş Medical Center Emergency Department and Cardiology Polyclinics with acute ischemic chest pain between January 2019 and June 2019 were evaluated. Patients were not given any drugs or other kinds of substances before sample collection. Of the patients who applied to the cardiology clinic, 24 patients with acute ischemic chest pain were diagnosed with chronic arteritis, 12 patients with cardiological problems were diagnosed with diabetes mellitus (DM), 12 patients with hypertension (HT) problems and heart complaints, and 12 healthy individuals (who were not diagnosed with diabetes, hypertension or CAD) were included as research materials. Certain markers like Troponin, CK, CK-MB, AST, ALT, LDL-Cholesterol, HDL-Cholesterol, LDH, Glucose, and Creatinine in the blood samples were biochemically determined using an autoanalyzer (Abbott ci16200),while H-FABP values were determined using ELISA method. LDL-cholesterol levels were highest in the CAD group, HDL-Cholesterol and LDH levels were high in the CAD+HT group, while CK, CK-MB, cTnI, AST, Glucose, creatinine, and H-FABP levels were found to be high in the DM+CADgroup. Meanwhile, cTnI values were increased in people with HT or DM in addition to CAD, but there was no statistical significance. LDL-cholesterol changes also did not vary significantly between the groups. Intergroup changes in other parameters examined showed the importance of CK and Glucose levels at p≤ 0.001, AST p≤ 0.002, LDH p≤ 0.003, CK-MB p≤ 0.004, HDL-Cholesterol p≤ 0.049, Creatinine p≤ 0.011, and H-FABP p≤ 0.050. In recent years, H-FABP has taken its place in the field of cardiology with increasing importance in the diagnosis of CAD and MI. The findings obtained in this study show that the H-FABP level was increased in all patients examined (except the test group), and we recommend its use as a critical and useful parameter in the field of cardiology.

Aim: This study was performed to investigate the effect of exercise on serum resistin and leptin values in rats fed with a high-fat diet. Material and Method: 24 Wistar albino male rats were used in the study. They were randomly divided into 4 groups, with 6 rats in each group. The groups were determined as the control group (C), exercise group (E), high-fat diet (HFD) group, and high-fat diet + exercise (HFDE) Group. Results: When the findings obtained in this study were evaluated statistically, it was determined that the resistin values were similar in the C, E and HFDE groups, and higher in the HFD group compared to the other groups. It was observed that resistin value increased with high-fat diet and decreased with exercise. When evaluated in terms of leptin levels, the C and E groups showed similarity, while the HFD and HFDE groups showed similarity with each other. Although exercise decreased the leptin level, which was highly increased with a high-fat diet, it was not statistically significant. Conclusion: It has been determined that feeding with a high-fat diet causes an increase in serum resistin and leptin levels, and exercise provides a significant decrease in resistin values, but is not effective in leptin levels.