The study was designed as a descriptive one to reveal the beliefs and attitudes of the women undergoing abdominal hysterectomy. It was carried out at the university hospital in Erzurum between July 2005 and March 2006. The data were collected through semistructured in-depth interviews with 31 women undergoing abdominal hysterectomy. The data obtained were evaluated by content analysis. These evaluations revealed five themes concerning the beliefs and attitudes of the women undergoing abdominal hysterectomy: (1) feminine identity, (2) husband/family relationships, (3) sexual life, (4) menopause, and (5) relatives' opinions. These findings about cultural beliefs and attitudes of the women undergoing hysterectomy will enable health care providers to provide culturally sensitive and comprehensive care to women; it is also expected to enable health care providers to instruct women to avoid unnecessary delay of hysterectomy.
The objective of this survey was to determine the sexual and reproductive health needs of conservative and/or economically challenged adolescent girls. A total of 310 subjects (16.5 ± 2.2 years old), attending three private institutes teaching Islamic matter and the holy Quran and two private institutes teaching carpet-weaving in Erzurum, Turkey, were interviewed between November 2004 and February 2005. The questionnaire covered knowledge on reproductive health and sexual matters to attain their feelings prior to their first menarche, their practices during menstruation, and their awareness of gynecological and sexually transmitted diseases as well as their attitudes toward and responsiveness to domestic violence. Their responses showed that these issues were considered taboo and/or embarrassing to share. Also, a considerable percentage of the girls had no or limited knowledge on reproductive health and sexual matters and mismanaged gynecological problems and domestic violence. Moreover, those had knowledge revealed that their sources were non-scientific information from unprofessional individuals. In conclusion, the conservative and/or economically challenged adolescent girls who are not attending regular high schools need professional lectures on reproductive health and sexual matters.
cÖZET Amaç: Bu araştırma el hijyeni uyumu ve hastane enfeksiyonlarının incelenmesi amacıyla yapılmıştır.Yöntem: Araştırmanın evrenini Ordu Eğitim Araştırma Hastanesinin 9 yataklı karma yoğun bakım ünitesinde 1 Ocak -31 Aralık 2013 tarihleri arasında 3 er aylık dönemde enfeksiyon kontrol komitesince hazırlanan enfeksiyon raporlarının verileri ile el hijyeni gözlem raporlarının verileri oluşturmuştur. Bu veriler yoğun bakım ünitesindeki hastane enfeksiyonları, enfeksiyon hastalıkları ve klinik mikrobiyoloji uzmanları ve enfeksiyon kontrol hemşireleri tarafından laboratuvara ve hastaya dayalı aktif sürveyans yöntemi izlemleri ile elde edilmiştir. 433 hasta, 3361 hasta gününde hesaplanan (1 yıllık 3 er aylık dönemde hazırlanan) hastane enfeksiyon hızları ve aynı dönemde toplam 30 kişi üzerinde yapılan haberli el hijyeni uyum oranları raporları retrospektif incelenmiştir. Verilerin değerlendirilmesinde yüzdelik dağılım kullanılmıştır. Bulgular: El hijyeni uyumu gözlemlerinde doktor grubunun uyum oranı %66.4, hemşire-ebe uyum oranı %73.9 ve temizlik personelinin uyum oranı ise, %66.7 olarak bulunmuştur. Araştırmada enfeksiyon hızları ventilatör ilişkili pnömoni enfeksiyon hızı %34, üriner kateter ilişkili-üriner sistem enfeksiyon hızı, %12.9 ve santral venöz kateter ilişkili kan dolaşımı enfeksiyonu hızı %7.9 olarak bulunmuştur. Sonuç: Hastane enfeksiyonlarının yüksek olması nedeniyle el hijyeni uyum oranlarının arttırılması ve etkin el hijyeni uygulamasının yapılması önerilebilir. Anahtar kelimeler: El hijyeni uyumu, hastane enfeksiyonu, hastane enfeksiyon hızı ABSTRACT Aim: This research was conducted to examine hand hygiene compliance and hospital infections.Method: The study's universe consisted of reports of infection reports and hand hygiene monitoring reports prepared for the infection control committee in the 3-month period between January 1 and December 31, 2013 at the 9-bed mixed intensive care unit of the Army Training and Research Hospital. These data were obtained from hospital infections, infectious diseases and clinical microbiology specialists in the intensive care unit, and active surveillance methods based on laboratory and patient by infection control nurses. 433 patients, hospital infection rates calculated on 3361 patient days (prepared in 1-year 3-month period), and reported hand hygiene compliance rates on a total of 30 people in the same period were used. Percentage distribution was used in the evaluation of the data. Results: In the observation hand hygiene compliance was found 66.7% compliance rate group of doctors, nurses and midwivesi compliance rate compliance rate of 73.9% and the cleaning staff, 66.7%. In this study,infection rates have been found 34%infection rate of ventilator-associated pneumonia, urinary catheteris associated urinary tract infection rate,12.9%, and central venous catheter-related blood stream infection ratewas 7.9 %. Conclusion: Due to high hospital infections, it is advisable to increase the hand hygiene compliance rates and to implement effective hand hygiene.
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