Bu çalışmada, müzik terapinin koroner arter cerrahisi yapılan hastalarda yoğun bakım ve cerrahi servisi yatışı sırasında anksiyete düzeyi, ağrı algısı ve analjezik miktarı üzerindeki muhtemel etkileri araştırıldı. Ça lış ma pla nı: Bu randomize kontrollü çalışmaya Mart 2011-Ekim 2011 tarihleri arasında Afyonkarahisar'da özel bir hastanenin Kalp Damar Cerrahisi bölümünde açık kalp ameliyatı ile birlikte koroner arter cerrahisi yapılan toplam 68 hasta (52 erkek, 16 kadın; ort. yaş 61.6±10.7 yıl; dağılım 28-75 yıl) alındı. Hastalar iki gruba ayrıldı: müzik grubunda 34 hasta (25 erkek, 9 kadın; ort. yaş 62.3±11.3 yıl; dağılım 28-75 yıl) ve kontrol grubunda 34 hasta (27 erkek, 7 kadın; ort. yaş 60.8±10.3 yıl; dağılım 28-75 yıl). Ameliyat öncesi ve ameliyat sonrası veriler Hasta Kimlik Formu ve Hasta Takip Formu ile toplandı. Hastaların ağrı ve anksiyete düzeylerini değerlendirmek için sırasıyla Görsel Analog Ölçeği-Ağrı ve Durumluluk-Süreklilik Kaygı Envanteri kullanıldı. Bul gu lar: Müzik grubunun anksiyete düzeyi, kontrol grubuna kıyasla daha düşüktü. Ancak, istatistiksel olarak anlamlı bir fark yoktu (sırasıyla p= 0.12 ve p= 0.09). Ağrı algı düzeyleri, kontrollere kıyasla, müzik grubunda istatistiksel olarak anlamlı düzeyde daha düşüktü (sırasıyla p= 0.001, p= 0.002 ve p= 0.001). Kullanılan analjezik miktarı, müzik grubunda istatistiksel olarak anlamlı düzeyde düşüktü (sırasıyla p= 0.001, p= 0.001 ve p= 0.005). So nuç: Çalışma sonuçlarımız, müzik terapinin koroner arter cerrahisi yapılan hastalarda yoğun bakım ve cerrahi servisi yatışı sırasında ağrı algısını ve analjezik miktarını azalttığını göstermektedir. Bu nedenle, koroner arter cerrahisi sonrasında müzik terapiyi önermekteyiz. Anah tarsöz cük ler: Anksiyete; koroner arter cerrahi; müzik terapi; ağrı.
The aim of this study is to examine experiences of patients undergoing bariatric surgery according to Roy’s adaptation model (RAM). This is a qualitative study with a phenomenological design. The sample included patients undergoing bariatric surgery ( N: 32). Of all the patients 84.37% were female and 59.38% were married. According to results of the content analysis, adaptive patient behavior was described by the themes “My life has changed”, Everything is beautiful” “I can cope” and “Luckily, I have them” and their nonadaptive behavior was described by the themes “What if I cannot succeed”, “Bad news” and “So many people, so many views”. Patients having bariatric surgery experience various difficulties in adapting to their life and bodies, but the surgery leads to improvements in their body image, social life, personal relationships, and maintenance of roles. However, some patients can be afraid of postoperative complications and experience anxiety about regaining weight.
This study highlighted the importance of comparing the quality and effectiveness of nursing care in different operating departments. It is recommended that it be used to determine the quality of perioperative nursing care in Turkey.
IntroductionDetermining and managing the unfulfilled supportive care needs of the patients is among the base components of healthcare (1). Supportive care may be considered as the determination of the care needs of the patients with and patient-centered approach and fulfilling those needs effectively (2). Before and during diagnosis, throughout the treatment, in the terminal period, it is the supportive care that helps the patient and the family to cope with the illness (3).Breast cancer is the most common cancer type among Turkish women. Every one out of four women diagnosed with cancer has breast cancer. The number of the women diagnosed with breast cancer in one year is 17.531 in Turkey (4). It is vital to acknowledge the complete effects of the unfulfilled needs of breast cancer patient on their quality of life to take effective and timely action. Various studies have shown that the unfulfilled care needs of cancer patients occur mostly in the early stages of cancer survival and that this has a negative effect on life quality of patients (5-7).Besides, various other studies put forward that supportive care is associated with longer survival and better life quality (7)(8)(9). In this respect, it is necessary to determine the supportive care needs of breast cancer patients and improve their quality of life. Patients have a multitude of care need dimensions; these dimensions include physical, practical-daily life activities, economic, environmental, cultural, knowledge, communication, emotional, psychosocial, psychosexual, spiritual-existential areas (10). Identifying unfulfilled needs will enable the improvement of the resources of cancer patients and the re-planning of the care (3). Recently, an interest in formal and systematical identification of care Eur J Breast Health 2017; 13: 183-8 DOI: 10.5152/tjbh.2017.3266 183 ABSTRACT Objective: In the study, Adaptation of The Short-Form Supportive Care Needs Survey Questionnaire (SCNS-SF 34) into Turkish, examination of its validity and reliability was aimed at. Materials and Methods:The study was carried out between May and July, 2016 with 170 patients. The socio-demographic and clinical status was analyzed by means of number averages and standard deviation. After language validity, the content validity index was calculated. The split-scale analyses, which are reliability internal consistency tests, were performed with the Cronbach α coefficient and total item correlation. For structure validity, exploratory factor analysis was used. Results:The average age of the patients is 55.53±11.43 years and average time since diagnosis is 5.69±5.06 years. The content validity index of the scale was calculated as 0.83. The Cronbach α coefficient is 0.93. In terms of the item total score correlation, all correlation coefficients except items 18 and 19 were between 0.36 and 0.81 and p<0.001. Items 18 and 19 were excluded. Following the exploratory factor analysis, items 13, 17 and 32 were excluded as their two detected high weight values were below 0.10. The descriptive ...
Objective:The objective of the study was to determine the effect of preoperative stoma site marking on the health- related quality of life (HRQOL).Methods:A nonrandomized, quasi-experimental design was used for the study performed from June 2013 to August 2014. The study sample (n:60) included patients for whom a stoma was opened after a planned colorectal surgery. The City of Hope Quality of Life-Ostomy Questionnaire (COHQOL-OQ) was used to measure HRQOL.Results:The mean age of the participants in the experimental group was 53.5±12.83, 18(60%) had colostomies, mean BMI was 25.46 ± 4.25 and mean age of that of the control group was 58.00 ± 14.22, 19(63.3%) had colostomies, mean BMI was 25.28 ± 5.00. A comparison of the two groups indicates that the sixth-month total score of the patients in the experimental group on (COHQOL-OQ) is higher than that of the control group (p<0.05).Conclusions:The study results demonstrated that patient who underwent stoma site marking reported higher HRQOL than those who did not.
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