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Öğe Abdominal cerrahi uygulanan hastalarda biyoenerjinin ameliyat sonrası ağrı üzerine etkisi(İnönü Üniversitesi, 2018) Aslan, BaharAmaç: Araştırma, abdominal cerrahi uygulanan hastalarda biyoenerjinin ameliyat sonrası ağrı üzerine etkisini belirlemek amacıyla yapılmıştır. Materyal ve Metot: Araştırma, yinelenen ölçümlerde kontrol gruplu yarı deneme modeline göre Aralık 2015- Aralık 2017 tarihleri arasında yürütülmüştür. Araştırmanın evrenini; İnönü Üniversitesi Turgut Özal Tıp Merkezi Genel Cerrahi Yoğun Bakım Ünitesi ve Karaciğer Nakli Enstitüsü Yoğun Bakım Üniteleri'nde ameliyat olan 18 yaş ve üzeri hastalar oluşturmuştur. Yapılan güç analizi sonucunda örnekleme 210 hastanın (105 deney, 105 kontrol) alınması gerektiği belirlenmiştir. Hastalar olasılıksız rastlantısal örnekleme yöntemi ile seçilmiştir. Veri toplamada Hasta Tanıtım Formu ve Görsel Kıyaslama Ölçeği kullanılmıştır. Deney grubundaki hastalara Hasta Tanıtım Formu uygulanıp GKÖ ile ağrı düzeyleri belirlendikten sonra 10-15 dakika biyoenerji uygulanmıştır. Biyoenerji sonrası 5., 30., 60., 90. ve 120. dakikada tekrar GKÖ ile ağrı düzeyleri değerlendirilmiştir. Verilerin analizinde Sayı, Yüzde, Ortalama, Standart Sapma, Ki-Kare, Bağımsız Gruplarda t Testi ve Varyans Analizi kullanılmıştır. Bulgular: Deney grubu hastalarının biyoenerji öncesi 5.87±1.36 olan ağrı düzeyinin biyoenerji sonrası 5., 30., 60. dakikalarda düştüğü, 90. ve 120. dakikalarda tekrar yükseldiği ancak 120. dakikada biyoenerji öncesine göre daha düşük bir ağrı düzeyine sahip oldukları (5.02±2.38) tespit edilmiştir (p=0.000). Kontrol grubundaki hastaların ağrı şiddetinin ise biyoenerji sonrası 5. dakikada düşmüş olmasına rağmen 30. dakikadan itibaren artarak devam ettiği belirlenmiştir (p= 0.185). Sonuç: Biyoenerjinin abdominal cerrahi uygulanmış hastalarda ameliyat sonrası ağrı kontrolünde etkili olduğu saptanmıştır.Öğe Differences in parents of pediatric liver transplantation and chronic liver disease patients(Baishideng Publishing Group Inc, 2020) Akbulut, Sami; Gunes, Gulsen; Saritas, Hasan; Aslan, Bahar; Karipkiz, Yunus; Demyati, Khaled; Gungor, SukruBACKGROUND With advancements in the treatment of chronic liver disease (CLD), including liver transplantation (LT), quality of life and satisfaction after LT have become an important issue for pediatric patients and their parents. More evidence-based information is needed to describe and assess the impact of pediatric CLD on parents and the satisfaction of parents with treatment to better understand their needs. AIM To assess the satisfaction of parents of pediatric LT patients and that of parents of pediatric CLD patients METHODS During this survey, data were collected from parents of pediatric patients who underwent LT between January 2010 and April 2017 (LT group; n = 91) and parents of pediatric patients with chronic liver disease (CLD group; n = 94). Group comparisons were made based on the pediatric health-related quality of life (PedsQL) health care parent satisfaction scale, impact on family scale (IFS) and demographic characteristics. The PedsQL was administered to parents during a phone interview and the results were used to assess the health care-related satisfaction of parents. The IFS was used to assess the impact of the child's CLD status on the family. Demographic variables such as education level (elementary vs middle vs high vs university), monthly income (low vs middle vs high), and place of residence (village vs town vs city) were compared between CLD and LT parent groups. Finally, PedsQL and IFS results were also analyzed according to demographic variables. RESULTS A total of 185 parents aged 19 to 65 years were included. There were statistically significant differences between the LT and CLD groups in terms of career (P < 0.001), monthly income (P = 0.016), and education level (P = 0.041). According to the PedsQL results, family inclusion, communication, technical skills, emotional needs, and overall satisfaction were significantly different between the groups; the LT group had consistently higher scores (P < 0.001). Additionally, scores for the IFS parameters of financial impact, familial-social impact, personal strain, and total impact were consistently higher for the LT group (P < 0.001). There were statistically significant relationships between education level, monthly income, and place of residence according to the IFS results but not the PedsQL results. There were inverse relationships between the difficulties that parents experience because of their child's health and education levels, monthly income, and place of residence. However, no relationship was found between education level, monthly income, or place of residence and satisfaction with health care services provided in the hospital according to the PedsQL results. CONCLUSION Parents of children who underwent LT were very satisfied with the health care services provided to their children. However, they had more difficulties than parents of children with CLD.Öğe The effect of bioenergy on postoperative pain in patients experienced abdominal surgery: A nonpharmacological approach(Elsevier Sci Ltd, 2019) Aslan, Bahar; Ozkan, Meral[Abstract Not Available]Öğe Effect of frozen saline and menthol gum on thirst level after abdominal surgery: A mixed-methods study(Wiley, 2025) Aslan, Bahar; Ozkan, MeralBackgroundThirst is rarely studied in practice. Even though this condition is experienced intensively in surgical patients, it is still not listed in the nursing diagnoses classification and there is no standard for quenching thirst.AimThe study was conducted to determine effect of frozen saline and menthol gum on thirst level after abdominal surgery.Study DesignThis mixed-methods study was conducted between March 2020 and July 2021. A power analysis determined the inclusion of 159 patients. Quantitative data were collected using the Patient Information Form, FOUR Score, Safe Protocol for Early Postoperative Thirst Management, and Numerical Rating Scale. The qualitative stage involved a descriptive study design, with four open-ended questions informed by the literature. After gathering quantitative data, patients were interviewed by phone, and the qualitative data were analysed using thematic analysis.ResultsPatients' thirst level in the frozen saline and menthol gum group was lower than the control group at all time (Cohen's d = .217, 95% confidence interval 5.43 to 6.35; p = 0.000). In the qualitative stage, three main themes emerged: thirst experience, post-application opinions and feelings. After the interventions, patients reported that they felt well intensely.ConclusionsFrozen saline and menthol gum were found to be effective in quenching thirst after abdominal surgery. The patients in the experimental groups expressed their opinions about feeling well after the applications, and the majority of the patients stated that they wanted the application to be repeated.Relevance to Clinical PracticeDespite several attempts to quench thirst, thirst still remains a significant problem in intensive care units. It is felt more commonly and intensely, especially in surgical intensive care patients. However, it is a symptom that is not taken into consideration enough. For this reason, intensive care nurses need to increase their focus on issues of thirst.
