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Öğe Breathing better: A tech-monitored study of positive expiratory pressure and reading aloud for chronic obstructive pulmonary disease(Wiley, 2023) Ozden, Gurkan; Kilic, Serap ParlarBackgroundBreathing exercises, such as diaphragmatic breathing and positive expiratory pressure (PEP), relieve breathlessness in people with chronic obstructive pulmonary disease (COPD).AimThis study aimed to investigate the effects of breathing exercises with PEP and reading aloud on vital signs, fatigue level, severity of dyspnoea and respiratory function parameters in patients with COPD.DesignThe study followed a randomized controlled trial of COPD patients from a single hospital in eastern Turkey.MethodsThe study included 103 patients who were randomly assigned to receive pre-reading exercises, breathing exercises with a PEP device or no intervention for 8 weeks.ResultsThe use of a PEP device improved oxygen saturation, forced expiratory volume in 1 s (FEV1) and FEV1/forced vital capacity (FVC) values and reduced fatigue and dyspnoea severity. Reading aloud lowered the mean arterial pressure and reduced fatigue and dyspnoea severity.ConclusionThe study concludes that PEP devices and reading aloud can improve respiratory function in patients with COPD. Additionally, reading aloud is an accessible, easy-to-implement and economically feasible method for treating COPD symptoms. What is already known about this topic?Chronic obstructive pulmonary disease (COPD) causes cough, shortness of breath, fatigue and impaired exercise capacity. The most common symptoms are dyspnoea and fatigue.The treatment and prognosis of COPD require skilled nursing care. Breathing exercises guided by nurses relieved the symptoms.Information technologies are increasingly used for COPD monitoring and therapy. Remote patient monitoring, especially the use of wearables, can improve patient outcomes and reduce healthcare expenditures.What this paper adds?Reading aloud and positive expiratory pressure (PEP) breathing exercises can improve vital signs and lung function in patients with COPD, with the latter being more effective.Wearable technologies for remote patient monitoring can help manage COPD and improve patient outcomes.The implications of this paper:Wearable technologies for remote patient monitoring can support COPD management and improve patient outcomes.Pulmonary exercise devices improve oxygen saturation, forced expiratory volume in 1 s (FEV1) and FEV1/forced vital capacity (FVC) in COPD patients while reducing fatigue and dyspnoea. These devices help patients with COPD breathe easily.Reading aloud reduces fatigue, dyspnoea and mean arterial pressure. COPD patients can benefit from reading newspapers, magazines and novels aloud.Öğe Compassion in action: Exploring the relationship between nurse conscientious intelligence and palliative care(Wiley, 2024) Ozden, Gurkan; Kilic, Serap ParlarBackgorundConscience is a concept that is the foundation of nursing, guiding nurses to ethical practices, and helping them to provide the best professional care possible. Conscience enables nurses to be understanding and careful in patient care.AimThe study had three aims: (1) to determine the level of conscientious intelligence and palliative care practice of intensive care nurses; (2) to determine the effect of sociodemographic and occupational variables on conscientious intelligence and palliative care practices; and (3) to examine the relationship between conscientious intelligence and palliative care practice.MethodsThis study was designed as a descriptive-correlative study. The sample consisted of 157 nurses from a university hospital. The data were collected using questionnaire form, Conscientious Intelligence Scale and the Palliative Care Self-Reported Practices Scale between February and March 2021.ResultsBy the general multivariate linear model, while age, educational level, professional experience, total term of employment in the clinic, and training in palliative care were important predictors of palliative care practices, age and gender were significant predictors of conscientious intelligence. It was concluded that the level of palliative care practice of intensive care nurses with a high level of conscientiousness was also higher.ConclusionThe conscientious intelligence levels of intensive care nurses positively affected palliative care practices. It can be said that it is important for nurses to combine their conscience with their professional knowledge and skills while providing care services.Relevance to Clinical PracticeIn the realm of nursing, it is imperative for professionals to not only possess knowledge and competence, but also to act with conscience when caring for patients. This study demonstrated that nurses with heightened conscientious awareness are more adept at providing palliative care. Consequently, it is vital to support practices and training that foster conscientiousness among nurses, who must exercise patience and diligence in their careers.Öğe The Effect of Augmented Reality Applications on Intravenous Catheter Placement Skill in Nursing Students: A Randomized Controlled Study(Elsevier Science Inc, 2024) Avci, Miyase; Kilic, Serap ParlarBackground: Augmented reality (AR) is an emerging technology that is beginning to find use in health science education due to the advantages it brings to the teaching-learning process. This present study assessed the use of AR for the development of IV catheter placement skills in nursing students and the effects of the process on their learning satisfaction and self-confidence levels. Methods: This randomized controlled study was completed with 91 nursing students in October, 2021, from whom data were collected using the Student Satisfaction and Self-Confidence in Learning Scale (SCLS) and the Intravenous Catheter Placement Procedure Steps Form (IVC-PPSF). Results: Although higher scores were recorded in the experimental group, there was no significant difference in the IV catheter placement success scores or satisfaction of the students (p > 0.05). The difference was statistically significant for Self-Confidence (p < 0.05). Conclusion: The use of an AR application for the teaching of IV catheter placement was found to increase the self-confidence levels of the students. Expanding the use of AR applications into the teaching of other nursing practices will contribute positively to student success levels.Öğe Effect of baby oil on pruritus, sleep quality, and quality of life in hemodialysis patients: Pretest-post- test model with control groups(Wiley, 2014) Karadag, Ezgi; Kilic, Serap Parlar; Karatay, Gulnaz; Metin, OzgurAim: To assess the effect of baby oil on pruritus, sleep quality, and quality of life in hemodialysis (HD) patients. Methods: This pretest-post-test model with control groups study was conducted in HD units in two different provinces in eastern Turkey. The study group consisted of a total of 70 patients receiving HD treatment who met the inclusion criteria, 35 being in the intervention group and 35 in the control group. After the patients in both groups were informed about the study, they were administered a questionnaire, the Severity Scale, Visual Analog Scale, the Pittsburgh Sleep Quality Index, and the SF-36 Quality of Life Scale. Following the administration of baby oil to the patients in the intervention group three times a week for a period of 1 month, the same scales were repeated to explore their pruritic status, sleep quality, and quality of life. The same scales were repeated also for the patients in the control group 1 month later but without administering any baby oil. Results: When the Itch Severity Scale, Visual Analog Scale, Pittsburgh Sleep Quality Index, and SF-36 Quality of Life Physical and Mental Component scores of the patients in the control and intervention groups before and after the intervention were compared, the differences in the change were found to be statistically significant in favor of the intervention group (P < 0.05). Conclusion: It was found in this study that administration of baby oil had positive effects on itching, quality of life, and sleep quality in HD patients who had itching complaints.Öğe The effect of breathing exercise on nausea, vomiting and functional status in breast cancer patients undergoing chemotherapy(Elsevier Sci Ltd, 2020) Aybar, Didem Ondas; Kilic, Serap Parlar; Cinkir, Havva YesilObjective: The aim of this study is to determine the effect of breathing exercise on nausea, vomiting, and functional status in breast cancer patients undergoing chemotherapy. Methods: This randomized controlled trial was conducted with a total of 60 breast cancer patients in the ambulatory chemotherapy unit of a university hospital. The data were collected using Patient Information Form, Functional Living Index-Cancer (FLI-C), Visual Analog Scale, and Patient Diary. The patients were followed up for the first seven days. While the control group received routine nursing care until the posttest, the intervention group received breathing exercise for six days. On the seventh day, FLI-C was repeated for all the patients. Results: It was determined that the patients in the intervention group had less number of nausea, vomiting, and retching episodes after the breathing exercise (p < 0.05) and experienced lower severity of nausea (p < 0.05) compared to patients in the control group. Conclusion: Consequently, it was determined that the breathing exercise reduced chemotherapy-induced nausea, vomiting and retching in breast cancer patients and affected positively functional status of patients.Öğe Effect of inhaler drug education on fatigue, dyspnea severity, and respiratory function tests in patients with COPD(Elsevier Ireland Ltd, 2020) Aytac, Sema Ozoglu; Kilic, Serap Parlar; Ovayolu, NimetObjective: This study was conducted to examine the effect of inhaler drug education on fatigue, dyspnea severity, and respiratory function tests in patients with chronic obstructive pulmonary disease (COPD). Methods: This randomized controlled study was conducted with a total of 85 patients treated at the chest diseases clinic and outpatient clinic of a state hospital. The data were collected using questionnaires, respiratory function tests, and the COPD and Asthma Fatigue Scale (CAFS) and Visual Analogue Scale (VAS-for dyspnea severity). Results: It was determined that after 4 weeks of inhaler drug education, the CAFS mean score decreased to 35.32 +/- 14.36, the dyspnea severity mean score decreased to 4.76 +/- 2.50, and the respiratory function tests mean scores increased to forced expiratory volume in 1 s (FEV1) = 58.83 +/- 25.48, forced vital capacity (FVC) = 59.04 +/- 19.19, and FEV1/FVC = 88.39 +/- 21.59 in the intervention group (p < 0.05). No change was observed in the patients in the control group except for FEV1 and FVC mean scores (p> 0.05). Conclusion: These results demonstrate that inhaler drug education can improve fatigue, dyspnea severity, and respiratory function tests of patients with COPD. Practice implications: The training by nurses of every patient hospitalized in the clinic regarding inhaler drug therapy, and the regular checking of patients' way of using the inhaled drugs, will contribute to COPD management. (C) 2019 Published by Elsevier B.V.Öğe The Effect of Progressive Muscle Relaxation on Abdominal Pain and Distension in Colonoscopy Patients(Elsevier Science Inc, 2023) Tanriverdi, Seher; Kilic, Serap ParlarPurpose: This study was conducted to examine the effect of progressive muscle relaxation on abdominal pain and distension in colonoscopy patients. Design: A randomized controlled experimental design. Methods: The experimental group was informed about progressive muscle relaxation (PMR) and an audio recording was provided. After the colonoscopy, abdominal pain (Visual Analogue Scale (VAS) pain) and dis-tension (VAS distension) scores were assessed, then PMR was applied for 30 minutes and pain scores were determined again. VAS pain and VAS distension scores of the control group were determined after colonos-copy and 30 minutes later. VAS abdominal pain and VAS distension scores were evaluated at the 2nd, 4th, 8th, 12th, 16th, and 24th hour after the procedure on all patients. The day after the colonoscopy, post-test data were collected. Findings: The pretest VAS pain and VAS distension mean scores were similar in the intervention and control groups (P > .05). The mean VAS pain and VAS distension scores decreased significantly in the intervention group post procedure (P < .05). Conclusions: PMR was determined to be effective in reducing abdominal pain and distension after colonos-copy. (c) 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.Öğe The effects of education based on the Roy adaptation model on medication adherence and psychosocial adjustment in hypertensive patients(Elsevier Science Inc, 2024) Demirel, Cihat; Kilic, Serap ParlarBackground and Aim: Patient education utilizing nursing theory can enhance patient adherence to treatment and potentially decrease mortality rates. The objective of this investigation was to assess the impact of Roy's adaptation Model -focused education on medication adherence and psychosocial compliance in hypertensive patients. Methods: This study was conducted in N = 60 hypertensive patients ( n = 30 control group and n = 30 experimental group) based on a randomized controlled trial design. In the pre-test phase of the study, data was collected using the Patient Information Form, the medication adherence rating scale (MARS), and the psychosocial adjustment to illness scale -self -report (PAIS-SR). After the pre-test phase, the experimental group received hypertension education and the Hypertension Education Booklet for a duration of four weeks. No education was provided to the control group patients; only routine follow-ups were conducted. In the post-test phase (after four weeks), both groups were reassessed using MARS and PAIS-SR. After completing the study, the control group patients who volunteered to participate in the education were provided with hypertension education and the Hypertension Education Booklet for a duration of four weeks ( n = 4). Results: The post-test measurements of patients in the experimental group (after 4 weeks of education) revealed an increase in the mean MARS scores (6.50 +/- 0.86) and a significant decrease in the total and subscale mean scores of PAIS-SR (24.12 +/- 7.08) ( p < 0.05). No changes were observed in the control group patients. Conclusion: The results of the study revealed that the education based on the Roy's Adaptation Model increased hypertensive individuals' medication adherence and physiological, psychological, and social adjustment to the disease. Relevance to clinical practice: The education based on the Roy's Adaptation Model seems to be effective in increasing patients' adherence to treatment and adjustment to the disease. This model can be used in various diseases and societies, since it increases adjustment to the disease and the effectiveness of treatment. (c) 2024 Society for Vascular Nursing, Inc. Published by Elsevier Inc. All rights reserved.Öğe Feelings, Difficulties and Attitudes in relation to Fasting: A Qualitative Study on Spiritual Coping Among Turkish Patients with Type 2 Diabetes(Springer, 2023) Akkus, Yeliz; Kilic, Serap ParlarThis study aims to reveal the feelings, difficulties, attitudes, and spiritual coping status of Turkish patients with Type 2 diabetes mellitus toward fasting during Ramadan. The sample of this descriptive qualitative study consists of 14 patients diagnosed with Type 2 diabetes. We determined two main themes and relevant sub-themes. The first was the feelings and difficulties experienced due to diabetes mellitus with the sub-themes of negative emotions and difficulties in fasting. The second theme was identified as religious and spiritual coping with the sub-themes of believing the disease comes from God, having difficulty in adhering to disease-specific practices while fasting, and feeling that fasting facilitates coping and provides relief. In conclusion, it was determined that the patients continued to fast despite the difficulties and that fasting facilitated coping and provided relaxation.Öğe A Qualitative Study of the Experiences of Complementary and Alternative Medicine of Patients With IBS-C(Lippincott Williams & Wilkins, 2020) Kilic, Serap Parlar; Kilic, Nermin; Sevinc, Sibel; Demirel, CihatThe aim of this study was to examine the complementary and alternative medicine (CAM) experiences of patients with constipation irritable bowel syndrome (IBS-C). This qualitative study consisted of a total of 30 patients, who were admitted to a university hospital in Turkey. Data were collected using a descriptive questionnaire and a semistructured interview. Data analysis identified 5 main themes: (1) constipation-related difficulties experienced due to IBS, (2) the feeling that the CAM use is natural and useful, (3) the effect of the environmental stimuli in preferring the use of CAM, (4) the feeling that CAM is not negative and relieves, and (5) suggesting the CAM use. In conclusion, it was determined that all the patients with constipation IBS used various CAM methods. It may be recommended to raise the awareness of the patients by health care professionals about the CAM methods that may be useful.Öğe Relationship between fatigue and social support in hemodialysis patients(Wiley-Blackwell, 2013) Karadag, Ezgi; Kilic, Serap Parlar; Metin, OzgurThe aim of this study was to evaluate the relationship between fatigue and social support in hemodialysis patients in Turkey. This study was conducted on 73 patients receiving hemodialysis treatment in a hemodialysis unit in the province of Malatya between July and November 2011. A questionnaire consisting of 16 questions for sociodemographic and disease data was used together with the Multidimensional Scale of Perceived Social Support (MSPSS) and the Fatigue Severity Scale (FSS). In statistical evaluation, the Mann-Whitney U-test, independent t-test, Kruskal-Wallis test, and Pearson's correlation analysis were used. Correlation analysis between severity of fatigue in hemodialysis patients and social support revealed a significant relationship in the negative direction between fatigue severity and support from family (r=-0.404, P<0.05), support from friends (r=-0.635, P<0.05), support from a special person (r=-0.638, P<0.05) and overall support (r=-0.643, P<0.05). Patients with severe fatigue had low mean scores for support from family, friends, a special person and overall, whereas a high level of social support decreased the level of fatigue. When giving care to patients on hemodialysis, nurses should consider the effect of social support on fatigue and approach their patients from this perspective.Öğe The relationship between nurses' job satisfaction levels and quality of life(Wiley, 2022) Barmanpek, Nermin Kilic; Sahin, Ayse; Demirel, Cihat; Kilic, Serap ParlarPurpose The aim of this study is to determine the relationship between nurses' job satisfaction levels and quality of life. Design and Methods This cross-sectional study was conducted on 225 nurses working in a university hospital in Turkey. Nurse Information Form, Minnesota Satisfaction Questionnaire (MSQ), and The World Health Organization Quality of Life Instrument-WHOQOL-BREF (TR) were used to collect the data. Findings It was determined that while the MSQ mean score of the nurses was low, their WHOQOL-BREF mean score was moderate. A positive statistically significant and linear correlation was determined between job satisfaction and quality of life (p < 0.01). While the nurses' MSQ score increased, their WHOQOL-BREF score also increased. Practice Implications As job satisfaction of nurses increases, both their quality of life and quality of nursing care will be enhanced.
