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Öğe The effect of bed exercises following major abdominal surgery on early ambulation, mobilization, pain and anxiety: A randomized-controlled trial(Wiley, 2024) Yaban, Zuleyha Simsek; Bulbuloglu, Semra; Kapikiran, Gurkan; Gunes, Huseyin; Sahin, Sennur Kula; Saritas, SerdarThis randomized-controlled trial aimed to investigate the effect of bed exercises on postoperative anxiety, pain, early ambulation and mobilization. This study was conducted with a randomized-controlled trial design and in the general surgical clinic of a research and training hospital. A total of 120 patients (60 in the experimental group and 60 in the control group) scheduled for major abdominal surgery took part in the study. The data were collected using a patient information form, the Anxiety Specific to Surgery Questionnaire and the Visual Analog Scale through face-to-face interviews. The patients in the experimental group performed 15-min bed exercises on the day of their operation, as well as on the postoperative first and second days, and the control group underwent only the routinely performed procedures in the clinic. The data were analysed using descriptive statistics, analysis of variance and t-tests. The sample of our study included major abdominal surgery patients. Ambulation was achieved at a mean time of 4 h earlier in the experimental group. On the postoperative first and second days, the patients in the experimental group had mean mobilization durations that were approximately 2 h longer compared with the patients in the control group. Moreover, the postoperative pain and anxiety levels of the patients in the experimental group were significantly lower than those of the patients in the control group (p < 0.05). We recommend that bed exercises be performed to lower anxiety and pain severity, achieve early ambulation and increase the duration of mobilization among patients following major abdominal surgery.Öğe The Effect of Emergency Nurses' Psychological Resilience on Their Thanatophobic Behaviors: A Cross-Sectional Study(Sage Publications Inc, 2022) Kartal, Mert; Kapikiran, Gurkan; Karakas, NesePurpose This study analyzed the effect of emergency nurses' psychological resilience on their thanatophobic behaviors. Methods The research was conducted with 156 emergency nurses. In the data collection process, the Socio-Demographic Information Form, the Brief Resilience Scale, and the Thanatophobia Scale were used. Results It was found that emergency nurses had medium-level psychological resilience and high-level thanatophobia. Besides, it was discerned that there was a moderate negative relationship between psychological resilience and thanatophobia (r:-.643, p: 0.000). Lastly, as per the simple linear regression analysis, it was identified that the predictor variable of psychological resilience accounted for 40.9% of the variance in the predicted variable of thanatophobia (R-2:.409, p: 0.000). Practice Implications Emergency nurses, who are faced with many negative situations, need to have a high level of psychological resilience in order to get out of the mental state brought by negative conditions as soon as possible, and it is recommended to carry out applications to increase psychological resilience.Öğe The effect of foot reflexology on pain, comfort and beta endorphin levels in patients with liver transplantation: A randomized control trial(Elsevier Science Inc, 2021) Kapikiran, Gurkan; Ozkan, MeralIntroduction: Research suggests that reflexology stimulates the release of endorphins and is effective for the control of pain. The aim of study was to determine the effect of foot reflexology on the levels of pain, comfort and beta endorphins in patients who had undergone liver transplantation. Methods: This randomized controlled study was conducted between October 2019-April 2020 on adult patients who received a liver transplantation at a Liver Transplant Institute in Turkey. The sample consisted of 120 patients randomized to receive either reflexology or routine care. Data collected included; Patient Information, a Numerical Pain Scale, Perianesthesia Comfort Scale and Beta Endorphin Level Registration Form. Prior to receiving foot reflexology, pain, comfort and beta endorphin levels of patients were determined. Reflexology was applied by the researcher for 30 minutes. Pain, comfort and beta endorphin levels were determined immediately after foot reflexology. The patients in the control group were tested at the same time intervals without any application other than the routine clinical protocol. Results: After applying foot reflexology, the intervention group showed a statistically significant decrease in pain level compared to the control group (Cohen's d = 1.95, 95% confidence interval (CI): - -2.7261 to - 1.8738; p < 0.001). Both beta endorphin and comfort levels for both intervention and control groups increased statistically post test compared to the initial test (p < 0.05). However, although the increase in beta endorphin and comfort levels was observed to be higher in the intervention group this was not significantly different to the controls. Conclusion: Pain levels of the patients who received foot reflexology decreased more than for those patients who did not receive reflexology, and their beta endorphin and comfort levels increased more. Reflexology could be used as a non pharmacological treatment option offered in post-operative nursing care.Öğe Effect of Music on Fatigue, Comfort, and Vital Signs in Patients After Liver Transplant Surgery A Randomized Controlled Trial(Lippincott Williams & Wilkins, 2021) Demir, Bilsev; Kapikiran, Gurkan; Ozkan, MeralThis randomized controlled clinical trial was conducted to determine the effect of music therapy on fatigue, comfort and vital signs of the liver transplant patients. The study sample comprised 120 adult patients (60 in the experimental and 60 in the control group) who met the inclusion criteria and agreed to participate in the study. In the experimental group, the researcher performed music therapy. After applying music therapy once to patients for 30 minutes, their fatigue, comfort, and vital signs were evaluated. No treatment was performed in the control group. According to music therapy follow-ups after liver transplantation, mean scores of fatigue levels were lower, comfort levels were higher, and vital signs were normal, with a statistical significance in the experimental group compared with the control group in all measurements before and after music therapy (P < .001). The study should be repeated using different parameters.Öğe The effect of nomophobic behavior of nurses working at surgical clinics on time management and psychological well-being(Taylor & Francis Inc, 2020) Bulbuloglu, Semra; Ozdemir, Ahmet; Kapikiran, Gurkan; Saritas, SerdarObjective: This study examined the effects of nomophobic behaviors of surgical nurses on time management and psychological well-being.Background: Addicted use of smartphones in the working environment is a social disease defined as nomophobia.Methods: This is a descriptive and cross-sectional study. This study was conducted between December 2018 and March 2019 at a university hospital located in Turkey. 314 nurses who met the inclusion criteria formed the sample of the study.Results: A statistically significant relationship was found between the sub-dimensions of the Nomophobia Scale and psychological well-being (p < .05). The stepwise regression analysis, which was conducted to examine the effects of independent variables on the sub-dimensions of the scales, showed statistically significant correlations.Conclusions: Nomophobia prevents patients from communicating effectively with health professionals, leads to misunderstandings and reduces the amount of work per unit time and the quality of work.Öğe The Effect of Video Training before Organ Transplant Surgery on Patient Satisfaction and Anxiety: Head Mounted Display Effect(Elsevier Science Inc, 2022) Kapikiran, Gurkan; Bulbuloglu, Semra; Saritas, SerdarBackground: This study aimed to examine the effect of video training with a head mounted display (HMD) for patients before transplant surgery on patient satisfaction and anxiety. Methods: This was a randomized controlled study using a pretest and posttest design. The sample consisted of 120 patients divided into the experimental group (n = 60) and the control group (n = 60). The data were collected with the Anxiety Specific to Surgery Questionnaire and the Newcastle Satisfaction with Nursing Care Scale. The patients in the experimental group were educated using virtual reality glasses, and those in the control group were given routine verbal clinical information. Results: After the intervention, the patients in the experimental group had lower anxiety and higher care satisfaction levels than those in the control group. With an increase in their satisfaction with nursing care, the difference between the pretest and posttest mean scores of the experimental group was statistically significant ( p < .05). Conclusion: It was determined that the education given to the patients before the surgery through HMD reduced their anxiety levels and increased their level of satisfaction with care. It is recommended that preoperative information be given with HMD. Cite this article: Kapikiran, G., Bulbuloglu, S. & Saritas, S. (2022, Month). The Effect of Video Training before Organ Transplant Surgery on Patient Satisfaction and Anxiety: Head Mounted Display Effect. Clinical Simulation in Nursing , 62, 99-106. https://doi.org/10.1016/j.ecns.2021.09.001 . (c) 2021 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.Öğe The effects of the nomophobic behaviors of emergency room nurses on their clinical decision-making perceptions: A cross-sectional study(Pergamon-Elsevier Science Ltd, 2023) Kapikiran, Gurkan; Karakas, Nese; Kartal, MertThis study analyzed the effects of the nomophobic behaviors of emergency room nurses on their clinical decision -making perceptions. This descriptive and cross-sectional study was performed with the participation of 186 nurses working in emergency rooms of certain hospitals located in eastern Turkey. In the data collection process, a sociodemographic data form, the Nomophobia Questionnaire, and the Clinical Decision-Making in Nursing Scale were used. It was discerned that the participants had medium-level nomophobia (66.64 +/- 25.36) and clinical decision-making perceptions (149.00 +/- 26.33). A strong negative relationship was identified between nomophobia and clinical decision-making perceptions (r:-.730, p < 0.01). Moreover, it was found that the predictor variable, nomophobia explained 53% of the variance in the predicted variable, clinical decision-making perceptions (R2: 0.530, p: 0.000). In the study, it was found that emergency room nurses had medium-level nomophobia and clinical decision-making perceptions. Besides, we observed that the clinical decision-making perception levels of the participants decreased as their nomophobia levels increased. As the risk of making medical errors is likely to increase along with an increase in nomophobia levels, it is recommended that edu-cation programs be organized to get emergency room nurses' nomophobic behaviors under control.Öğe Knowledge and Attitudes on Organ Donation From the Perspective of Liver Transplant Patients(Elsevier Science Inc, 2021) Kapikiran, Gurkan; Bulbuloglu, Semra; Ozdemir, Ahmet; Saritas, SerdarPurpose. This study was performed to investigate the knowledge and attitudes about organ donation from the perspective of liver transplant patients. Design and Methods. The study was conducted at the organ transplantation clinics. The data were collected by the researchers from 129 participants using in-person interviews. Findings. In this study, 83% of patients received the organ from live donors, 36% received liver transplants in the previous 1 year, more than 70% agreed to donate their organs, and 80% thought awareness should be raised in society about organ donation. Conclusion. It was found that the participants in the sample needed information on the issue, although the sample consisted of individuals who had experienced organ donation. It is important that nurses and nurse managers understand the level of knowledge and the attitudes of organ donation patients who have undergone liver transplantation. Worldwide, organ donation is not at the desired level. This study aims to enhance in nurses and nurse managers the foresight regarding and awareness about behaviors of transplantation patients.Öğe Perceived and sources of occupational stress in surgical intensive care nurses(Sage Publications Inc, 2021) Bulbuloglu, Semra; Kapikiran, Gurkan; Saritas, SerdarAim: The study aimed to determine sources of stress and stress levels of nurses working in surgical intensive care units in addition to understanding the stress level in nurses, drawing attention and raising awareness. Material and methods: The study was conducted using a descriptive design with the participation of nurses (n=132) working in surgical intensive care units of a university hospital. The data were collected through the source of stress identification form and perceived stress scale. The data obtained in the study were transferred to a computer environment, and for statistical analyses, the package for social sciences for Windows 25 software was used. In the analyses of the data, descriptive statistics, independentt-test, one-way analysis of variance and regression analysis, and the Bonferroni test were employed. Results: It was also determined that 28.8% of the surgical nurses were working in an organ transplant intensive care unit and 25% worked in an anaesthesia intensive care unit, that 49.3% had professional experience of between 6 and 11 years and that 92.4% worked on both day and night shifts. In the study, the rate of nurses who perceived a high level of stress was found to be 45.5%, and it was identified that 78.8% needed training in stress management. Conclusion: Imperative funding and human resources should be provided in order to give nurses problem-solving abilities and a stress management course. The financial support of the managers and spiritual support of health professionals and organising regular meetings with nurses can help nurses to experience less stress.
