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Öğe Dâhiliye Hemşirelerinin Kanıta Dayalı Hemşireliğe Yönelik Tutumları(2021) Menekli, Tuğba; Korkmaz, MedetÖz: Giriş: Kanıta dayalı sağlık hizmeti yaklaşımı, klinik karar verme sürecinde oldukça önemlidir. Bakım sürecinde hemşire tarafından alınan her karar, mevcut en iyi kanıtlara, klinik deneyimlere ve hasta tercihlerine dayanmalıdır. Amaç: Bu araştırmanın amacı dâhiliye kliniklerinde çalışan hemşirelerin kanıta dayalı hemşireliğe yönelik tutumlarının belirlenmesidir. Yöntem: Tanımlayıcı tipteki bu çalışma, Mayıs 2018- Aralık 2018 tarihleri arasında Şanlıurfa bölgesindeki hastanelerin dâhiliye kliniklerinde çalışan 964 hemşire ile gerçekleştirildi. Araştırmanın verileri “Hemşire Bilgi Formu” ve “Kanıta Dayalı Hemşireliğe Yönelik Tutum Ölçeği” (KDHYTÖ) ile toplandı. Verilerin analizi SPSS 23.0 programında yapıldı. Bulgular: Hemşirelerin %65.7’sinin hemşirelik uygulamalarında kanıta dayalı uygulamaları kullanmadıkları ve %63.1’inin hemşirelik uygulamaları ile ilgili kanıtlara ulaşabileceği kaynakları bilmedikleri saptandı. Hemşirelerin “Kanıta Dayalı Hemşireliğe Yönelik Tutum Ölçeği” toplam puan ortalaması 43.53 ± 3.08; kanıta dayalı hemşireliğe yönelik inanç ve beklentiler alt boyut puan ortalaması 23.18 ± 2.07, kanıta dayalı uygulama niyeti alt boyut puan ortalaması 11.44 ± 3.16 ve kanıta dayalı hemşirelikle ilgili duygular alt boyut puan ortalaması ise 8.91 ± 2.7 olarak belirlendi. Yaşı 25 ve altı olan, eğitim durumu lisans ve üzeri düzeyde olan, 1-6 altı yıldır ve sorumlu hemşire olarak çalışan, bilimsel araştırma yapan ve toplantılara katılan hemşirelerin toplam tutum puanlarının istatistiksel olarak anlamlı derecede daha yüksek olduğu belirlendi (p = 0.000). Sonuç: Dâhiliye kliniklerinde çalışan hemşirelerin kanıta dayalı hemşireliğe yönelik tutumları orta düzeydedir ve geliştirilmeye gereksinimi vardır.Öğe Determination of Awareness of University Students about Cancer Risk Factors(Galenos Publ House, 2022) Poyraz, Neslihan; Korkmaz, MedetBACKGROUND/AIMS: Cancer, a significant health and societal problem, takes first place among causes of death and frequency of cases. The aim of this study was to determine the knowledge and awareness levels regarding the risk factors of cancer for university students studying in various departments of medical sciences. MATERIALS and METHODS: This study was designed as descriptive cross-sectional feature. This study was conducted at a thematic health university. The knowledge and thoughts of students about cancer risk factors were determined through questionnaires created by the researchers. In this study, students were given questionnaires investigating their socio-demographic parameters and testing their knowledge and attitudes about the risk factors of cancer. In evaluating their state of knowledge, each student was asked to state their opinion on whether a factor is a cancer risk as being a probable factor, not a probable factor or I don't know. The findings were analyzed taking into account their percentage distributions. RESULTS: The average age of the participant students was 20.4 +/- 2.18 years and their ages ranged from 17 and 30 years. 74.8% of the sample students were female and 25.8% of them were male. In the families of one-fourth of the sample students (24.2%), the existence of cancer cases was present. CONCLUSION: When the students of Medical Sciences graduate from university and begin their professions, they are thought to be guides in the maintenance and development of health care. It is important to increase the awareness of health professionals regarding cancer and its risk factors in the early stages of their student life. Universities are advised to include cancer and the risk factors of cancer in their curriculum.Öğe The Effect of Virtual Reality Glasses and Stress Balls on Pain and Vital Findings During Transrectal Prostate Biopsy: A Randomized Controlled Trial(Elsevier Science Inc, 2022) Genc, Hasan; Korkmaz, Medet; Akkurt, AbdullahPurpose: This study aimed to determine effect of virtual reality (VR) glasses and stress balls (SB) on patients' pain and vital signs during transrectal prostate biopsy. Design: This experimental research was conducted using a pre or post-procedure randomized controlled model. Methods: The study population consisted of 96 male patients who were admitted to the TRUS Unit of the Urology Department of a state hospital in southeastern Turkey for prostate biopsy. The patients were divided into three groups by block randomization as 32 for VR, 32 for SB, and 32 for the control group. A Patient Information Form and the Visual Analogue Scale were used to collect data. In data analysis, number, percentage, mean, standard deviation, chi-square, dependent group t-test, and ANOVA tests were used. Results: Comparing mean values of pain and vital signs between the groups, there was no statistically significant difference in terms of pre-test mean scores (P > .05). After Tukey advanced analysis, we found that VR and SB significantly decreased pain, diastolic blood pressure, pulse, and respiratory rate and significantly increased oxygen saturation (P < .05). Conclusions: We found that VR glasses and squeezing SBs during the transrectal prostate biopsy procedure reduced pain and positively affected vital signs. (C) 2021 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.Öğe The effect on back pain, anxiety, and comfort levels of an elevated supine position and back support applied to patients undergoing coronary angiography A randomized controlled experimental study(Saudi Med J, 2024) Soylu, Ayse; Korkmaz, MedetObjectives: To determine the effect of elevated supine position with back support on back pain, anxiety and comfort in patients undergoing coronary angiography. Methods: This randomized -controlled, experimental study was conducted in the Coronary Intensive Care Unit between September 2021 and January 2022, with an intervention group of 51 patients and a control group of 53 patients. Data were collected using a patient information form, a visual analog scale, the anxiety state inventory and the immobilization comfort questionnaire. Following angiography, the intervention group received pillow support to the back and the bedhead was elevated to 30 degrees. Routine nursing care was applied to the control group. In both groups, the severity of back pain was measured at 0, 2, and 4 hours, and anxiety and comfort at 0 and 4 hours. Results: The pain severity at 2 and 4 hours after the procedure was determined to be significantly lower in the intervention group than in the control group ( p <0.001, p <0.001). At 4 hours, the anxiety levels were similar in both groups ( p <0.05), and the comfort level was higher in the intervention group ( p <0.001). The mean pain value was 6.003 points lower and the comfort level was 20.499 points higher in the intervention group than in the control group. Conclusion: The elevated supine position with back support was seen to reduce back pain, increase comfort, and did not change anxiety levels.Öğe Kronik Kalp Yetersizliği Olan Hasta Grubunda İlaç Uyumu Yaşam Kalitesini Etkiliyor Mu?(2020) Boğan, Fatma; Korkmaz, MedetAmaç: Çalışmamız kalp yetersizliği olan hastaların tedaviyeuyumları ile yaşam kalitesi arasındaki ilişkiyi incelemekamacıyla tanımlayıcı olarak yapılmıştır.Materyal-Metot: Çalışmamızın evrenini, GaziantepÜniversitesi Şahinbey Araştırma ve Uygulama Hastanesive SANKO Üniversitesi Hastanelerinde Koroner YoğunBakım ve Kardiyoloji Kliniği'nde Kasım 2017-Temmuz 2018tarihleri arasında Kronik Kalp Yetersizliği nedeniyle tedavigören hastalar, örneklemini ise araştırmamızın kriterlerineuyum sağlayan 100 hasta birey oluşturmuştur.Bulgular: MacNew kalp hastalığına özgü sağlıkla ilişkiliyaşam kalitesi anketi ve ilaç kullanmaya ilişkin sağlık inançölçeği skorları arasında istatistiksel olarak anlamlı düzeydebir ilişki saptanmamıştır. Erkek cinsiyetin yaşam kalitesiskorları kadınlara göre daha yüksek iken, ilaç uyumu ilecinsiyet arasında herhangi bir ilişki bulunamamıştır. Eğitimdurumu ile ilaç uyum ölçeği puanları arasında da ilişkibulunamamışken, eğitim düzeyinin düşük olmasının yaşamkalitesini düşürdüğü görülmüştür. BKİ ile ilaç uyum ölçeğiskorları arasında ilişki bulanamamışken, obezlerin fiziksel altboyutta yaşam kalitelerinin daha düşük olduğu görülmüştür.Sonuç: Bu çalışmanın sonunda ilaç uyumu ile yaşam kalitesiarasında anlamlı bir ilişki bulunamamış, kalp yetersizliğiolan kadın hastaların yaşam kalitesi ve uyum düzeyleriniyükseltmek üzere girişimlerin planlanması ve ileri düzeykalp yetersizliği olan hastaların tedavi uyumlarının başkabireylere bağımlı olması nedeniyle evde bakım ve hemşirelikhizmetlerinin yaygınlaştırılması önerilmiştir.Öğe THE PRIORITIES OF DISCHARGE TRAINING ACCORDING TO LUNG CANCER PATIENTS AND HEALTH CARE WORKERS: A DESCRIPTIVE STUDY(2021) Cetinkaya Uslusoy, Esin; Tezcan, Melda; Korkmaz, MedetPurpose: This study was carried out to determine the discharge training priorities of lung cancer patients, their nurses and doctors after chemotherapy using the card-sorting technique. Methods: The study sample consisted of patients with lung cancer (n = 60) who received care in the Chemotherapy Clinic and nurses (n = 25) and doctors (n = 25) who give care to these patients. The data were collected using the sociodemographic information form and ten cards with discharge training related subjects who were asked to be ranked in order of importance. Frequency, percentage, arithmetic average, chi-square and Fisher's exact tests were used for data analysis. Results: As a result of the analyzes, it was determined that the average age of the patients was 61.91 ± 7.27, the average age of the doctors was 27.56 ± 1.78, and the average age of the nurses was 36 ± 6.52. It has been determined that there are differences between the doctors, nurses and patients in their ranking of the priority given to learning subjects in many aspects. In addition, while there was no significant difference between the patients' positioning the learning subjects according to their gender, it was determined that there was a significant difference according to the stage of cancer. Conclusion: According to these results, doctors and nurses should determine the primary learning needs of patients by using card sorting technique prior to training. In this way, it can be ensured that each patient / relative takes an active role in the management of the disease and that the education is more effective.Öğe The relationship between self-efficacy and life satisfaction in patients with chronic obstructive pulmonary disease(Springer Heidelberg, 2023) Tanriverdi, Omer; Korkmaz, MedetBackground This is a descriptive research investigating the relationship between self-efficacy and life satisfaction in chronic obstructive pulmonary disease (COPD). Methods The population of this research consists of COPD patients in pulmonology clinics of Mardin State Hospital and Kiziltepe State Hospital between March 2018 and August 2018 sampling 127 patients meeting admittance criteria. The required data is collected from patient introduction forms, Satisfaction with Life Scales (SWL), General Self-Efficacy Scales (GSE), and researcher's face-to-face interviews. Results Of the interviewers, 62.2% were males, and the average age of patiens was 66.04 +/- 13.44. A statistically significant, medium-level and positive relationship is verified between life satisfaction and self-efficacy of patients (p < 0.05, r 0.350). We discovered a negatively bounded and poor relationship between GSE and the ages of participating patients, which was statistically significant (p < 0.05, r -0.27). We determined that the GSE of non-smokers was higher than smokers (p < 0.059). Conclusions We suggest determining the reasons for the decrease in GSE and SWL of patients as the first step and then to plan and perform appropriate nursing care accordingly.
