Achieving a healthy and developed community goal is only possible with a wellorganized health system Health information systems have a great importance in the creation of a well-organized health care system. Today, the use of computers, internet and communication technologies has become widespread in every field of life. Along with the widespread use of information communication technologies, it provides great convenience in business and private lives of people and in different service areas of institutions. Institutions in health sector have to make use of information technology and health information systems in decision-making process for health services. Health informatics is defined as the provision of knowledge management in the fields of health sciences using advanced information communication technologies. The hospitals where information communication systems are used for patients and employees are described as digital hospitals. Assessment of hospitality digitalizations is made by the internationally accredited accreditation body,Health Information Management Systems Society. The digitalization process of the institutions that provide health services in our country has started within the scope of the health transformation project of the Ministry of Health In order that changes digitalization process brings to healthcare system can be adopted and sustained by particularly health professionals and all stakeholders, a clear understanding of all the components of the process is required. The purpose of this compilation is to investigate the status of digitalization in Turkey's hospital within the framework of health informatics.
The aim of study was to determine the effect of preoperative education on the postoperative activities of daily living and quality of life (QoL) of patients with trochanteric femoral fracture (TFF) treated with internal fixation. Materials and methods: The patients were included those treated for TFF at an orthopaedic clinic in western Turkey between March and July 2014 in this randomised controlled study. The study was conducted in accordance with the Helsinki Declaration and was approved by the Ethics Committee of our university. The 56 patients were randomly divided into two groups. The intervention group was included in a preoperative education programme which is consisting of video-assisted oral presentation and education booklet, 1 day before surgery. At the end of education, one each sample of booklet and video were given to patients. The control group was informed with only routine clinical information by nurses. Data were collected using patient information form, Barthel Index (BI), Harris Hip Score (HHS) and Short-Form Health Survey (SF-36). Descriptive statistics, Student's t-test, the Mann-Whitney U test, and a chi-square test were used to evaluate the data. Results: Age, sex, educational level and length of hospital stay were similar in both groups (p>0.05). Total HHS, BI, and SF-36 scores at 1 and 3 months postoperatively were higher the intervention group than the control group (p<0.05). Conclusion: Video-assisted preoperative education improves QoL and activities of daily living, in patients with TFF treated by nailing. An education programme like this could be useful for all surgical clinics.
This study was conducted to assess the correlation between depression and anxiety and quality of life (OQL) in essential thrombocytosis (ET) and polycythemia vera (PV) patients. Material and methods: The study was conducted in the Hematology Clinic of a training and research hospital in the Aegean region of Turkey between July 2016 and May 2017. A total of 60 patients (30 ET and 30 PV) were included in the study. Eastern Cooperative Oncology Group (ECOG), Karnofsky scale, EORTC QLQ-C30, and Hospital Anxiety and Depression Scale (HADS) were used to collect the data. The data was analyzed using SPSS 20.0 packaged software. The results were assessed at the confidence interval of 95% and significance level of p<0.05. Results: The average age of ET and PV patients were 60.3±11.2/years and 58.7±11.7/years, respectively. ECOG and Karnofsky performance scores were similiar in two groups. There was no significant difference between the groups in terms of EORTC QLQ-C30 overall QOL and HADS-D scores. HADS-A score mean rank was higher in PV patients (p=0.000) (ET:22.1 in, PV:38.9). Score mean rank of EORTC QLQ-C30 fatigue, dyspnea and financial difficulty subscales (41.5, 38.2, 38.1) in ET patients and score mean rank of EORTC QLQ-C30 cognitive functioning, pain and diarrhea subscales (43.8, 38.9, 41.1) in PV patients were higher (p=0.000). There was a significant correlation between HADS-A and HADS-D scores and EORTC QLQ-C30 overall QOL score (p<0.01) in ET patients. Conclusion: Cognitive function, pain and diarrhea subscale scores of anxiety level and quality of life were higher in PV patients. Fatigue, dyspnea and financial difficulties subscale scores of the quality of life were higher in ET patients. As the depression and anxiety levels of both ET and PV patients increase, quality of life decreases.
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