Original Article / Özgün Araştırma Amaç: Anestezistler sezaryen için önceki yıllara göre daha yük-sek oranda rejyonal anestezi uygulamaktadır. Yaptığımız çalışma-da obstetrisyenlerin bu değişime yaklaşımlarını değerlendirmeyi amaçladık.Yöntemler: İnternet aracılığıyla obstetrisyenlerin elektronik posta adreslerine anket formları gönderildi. Anket formlarını 195 obstetrisyen cevapladı. Bu ankette obstetrisyenlerin cinsiyet, yaş, ça-lıştıkları bölge, çalıştıkları kurum, uzman olarak çalıştıkları süre, sezaryen ameliyatlarında kendileri ve hastaları için tercih ettikleri anestezi yöntemi, rejyonal anestezi tercih etme veya etmeme nedenleri soruldu. Rejyonal anestezi tercih etme ve etmeme nedenleri ile ilgili düşüncelerini öğrenmek amacıyla 5 puanlı Likert skalası uygulandı. Bulgular:Obstetrisyenlerin kendisi veya birinci derece yakını için yapılacak sezaryenlerde; %82,1'i (n=160) rejyonal anestezi yönte-mini tercih etmekte iken %17,9'u (n=35) genel anesteziyi tercih etmektedir. Araştırmaya katılan obstetrisyenler; sezaryen uygulayacakları hastaları için %80,0'i (n=156) rejyonal anestezi yönte-mini tercih etmekte iken %20,0'si (n=39) genel anesteziyi tercih etmektedir. Obstetrisyenlerin hem kendisine ve birinci derece yakınları için tercih ettiği hem de hastalarına uygulayacağı anestezi yöntemi tercihleri ile demografik bilgiler arasındaki ilişkinin incelenmesi amacıyla uygulanan Ki-Kare testi sonucunda anlamlı bir ilişki bulunmamaktadır (p>0,05).Sonuç: Türkiye'de obstetrisyenlerin büyük bir kısmı sezaryenlerde rejyonal anesteziyi güvenli bulmakta ve hem kendilerine hem de hastalarına yüksek oranda tercih etmektedirler. Anahtar Kelimeler: Sezaryen anestezisi, rejyonal anestezi, anestezi tercihiObjective: Anaesthesiologists are applying regional anaesthesia for caesarean section at an increasing rate compared to previous years. In our study, we tried to evaluate the perspective of obstetricians towards this trend. Methods:Questionnaires were sent to e-mail addresses of obstetricians via the internet; 195 obstetricians replied. Sex, age, work place, employer, working durations as consultant, preference of anaesthesia for caesarean section and their bias towards regional anaesthesia were asked with these questionnaires. A 5-point Likert scale was used to evaluate their bias towards regional anaesthesia.Results: While 82.1% of obstetricians (n: 160) preferred regional anaesthesia, 17.9% of obstetricians (n: 35) favoured general anaesthesia for caesarean section for both themselves and their primary relatives. However, 80% of the participants opted for regional anaesthesia for their patients; only 20% of the participants still preferred general anaesthesia for caesarean section. Chi-square tests that were used to evaluate the relationship between demographic data and anaesthesia choices of obstetricians for both themselves, their primary relatives and their patients did not reveal any statistically significant differences (p<0.05). Conclusion:A large portion of Turkish obstetricians consider regional anaesthesia a safe p...
The success rate of endotracheal intubation decreases in paramedic students who used VL during endotracheal intubation education and had to use Macintosh laryngoscopes later. Therefore we believe that solely videolaryngoscopes is not enough in endotracheal intubation training programs.
Aim:The coronavirus disease 2019 (COVID-19) pandemic may predispose front-line intensive care staff to experience mental health problems. The aim of this study was to compare the COVID-19 fear experienced by COVID-19 intensive care unit staff and general intensive care unit staff, and the effects of this fear on mental health. Material and Methods: In this cross-sectional study, a total of 156 participants, 90 (57.7%) participants from the COVID-19 intensive care unit and 66 (42.3%) from the general intensive care unit, were included. A printed questionnaire consisting of the Fear of COVID-19 Scale (FCV-19S), Depression Anxiety Stress Scale (DASS-21), and demographic data were used. Results: Female gender, being a nurse, and working in COVID-19 intensive care unit, were associated with higher depression, anxiety, and stress scores. A significant relationship was found between fear of COVID-19 and depression (ρ=0.399, p=0.044), anxiety (ρ=0.456, p=0.019), and stress (ρ=0.418, p=0.033). Furthermore, as compared to general intensive care unit staff, COVID-19 intensive care unit staff who may have high-risk contact were approximately twice times more likely to experience anxiety and fear of COVID-19 and 3.5 times more likely to suffer from depression and stress. Conclusion:The COVID-19 pandemic has adversely affected the mental health of intensive care staff. Attention should be paid to the mental health of females and nurses working in the COVID-19 intensive care unit. The mental health of intensive care workers should be supported to protect the health workforce.
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