Purpose
This study was conducted as a randomized controlled trial to determine the effects of e-mobile training and consultancy services on self-care agency, body image, and quality of life in patients undergoing bariatric surgery.
Material and Methods
This study was conducted as a randomized controlled interventional study. The sample of the study consisted of 51 patients who met the sample selection criteria and volunteered to participate in the study in the Obesity Center of a City Hospital. The patients in the experimental group received e-mobile training and consultancy services with a mobile application developed specifically for bariatric surgery that started before the operation and lasted for 3 months after the operation. CONSORT checklist was used to report the current study.
Results
A statistically significant difference was found in the mean scores of Self-Care Agency Scale, Body Image Scale, Moorehead-Ardelt Quality of Life II, and BMI of the patients in the experimental and control groups according to the processes (
p
< 0.05). There was no statistically significant difference between the groups in terms of preoperative, 1st, 2nd, and 3rd months of Self-Care Agency, Body Image, and Quality of Life scale mean scores (
p
> 0.05). There was a statistically significant difference between the groups in favor of the experimental group in terms of the 1st, 2nd, and 3rd month BMI averages (
p
< 0.05).
Conclusions
The findings indicate that e-mobile training and consultation services given to patients undergoing bariatric surgery were effective in BMI measurements, but not on self-care agency, body image, and quality of life.
Trial Registration
ClinicalTrials.gov Identifier: NCT05278767.
Graphical abstract
Ölçekten alınan toplam puan ortalamasının 2.81±0.46 olduğu saptanmıştır. Alınan en yüksek puan "çalışan eğitimi" ve "çalışan davranışı" alt boyutlarına, en düşük puan ise "yönetim liderlik" alt boyutuna aittir. Hemşirelerin mesleki memnuniyet ve haftalık mesai saatlerine göre hasta güvenliği kültürleri arasında anlamlı fark tespit edilmiştir. Sonuç: Elde edilen bulgular, katılımcı hemşirelerde hasta güvenliği kültürünün orta düzeyde olduğu şeklinde yorumlanabilir. Hasta güvenliğini sağlamak için sağlık hizmeti sunumunda güvenlik kültürünün geliştirilmesi gerekmektedir. Bu amaçla kurum içi eğitimlerin yapılması önerilebilir. Hemşirelerin hasta güvenliği kültürünü değerlendirmek amacıyla daha geniş örneklemleri kapsayan çalışmalara ihtiyaç duyulmaktadır.
Objective: This descriptive and cross-sectional study aims to assess the surgical handwashing practices of operating room staff. Design: Single-blind study.
Methods:The study was conducted with 66 staff (surgeons and operating room nurses) employed in the surgery department of a university hospital in Turkey. Data were collected using a Staff Information Form prepared in light of the literature to collect the participants' sociodemographic data and the Surgical Hand Washing Procedure Checklist developed according to the guidelines of the Centers for Disease Control and Prevention (CDC), World Health Organization (WHO) and Association of Surgical Technologists (AST). The staff assigned to operating rooms were identified, and then, their surgical handwashing practices were observed by one of the researchers. Findings: Of the participants, 77.3% were dressed suitable to the operating room field, 56.1% appropriately wet both of their hands and forearms, and 72.7% used a sufficient amount of antiseptic solution (3-5 ml) in their palms. More than half of them (51.5%) inappropriately performed the procedure of surgical handwashing (applying an antiseptic solution to hands and arms with circular motions, starting from the fingertips up to 3-5 cm above their elbows for a minute), and 47% incorrectly performed the procedure of rinsing hands and arms while keeping the hands above the elbows under running water and passing arms through the water in one direction during this process.
Conclusion:In the study, it was determined that none of the team members completed the preparation, application and drying steps of the surgical handwashing procedure.Therefore, it is necessary to make arrangements that will facilitate the handwashing procedures of the personnel. Personnel-related problems, such as the duration of washing and drying methods, are possible to be avoided with periodic in-service training and with posters demonstrating the washing stages, which might lead to behavioural changes.
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