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Öğe The Effect of Comedy Films on Postoperative Pain and Anxiety in Surgical Oncology Patients(Karger, 2019) Saritas, Serdar; Genc, Hasan; Okutan, Serafettin; Inci, Ramazan; Ozdemir, Ahmet; Kizilkaya, GulnazObjectives: To determine the effect of watching Turkish comedy films on postoperative pain and anxiety in oncology surgical patients. Design: This study was conducted using a pre- and post-test randomized controlled trial model. Materials and Methods: The study was conducted in a general surgery clinic of a hospital in eastern Turkey between January 2016 and January 2017. The sample of the study consisted of 88 patients (44 test, 44 control) selected by using the randomized sampling method. In the experimental group, funny videos from Turkish old comedy movies were watched for 10 min before surgery. Anxiety, measured by the State-Trait Anxiety Inventory, and vital signs were measured before and after the experimental protocol. In the analysis of the data, descriptive statistics, chi(2) and t test were used. Results: The state-trait anxiety pre- and post-test mean score of the experimental group was found to be 39.59 +/- 3.66 and 37.54 +/- 3.52 before and after watching the video, respectively, indicating a statistically significant difference between these two values (p <= 0.05). No statistically significant difference was found between the pre- and post-test state-trait anxiety scores of the patients in the control group. The decrease from the pre- to post-test mean pain score was determined as 0.65 +/- 1.05 in the experimental group and 0.11 +/- 0.96 in the control group. A statistically significant difference was found between the groups' post-test mean pain scores (p <= 0.05). Conclusion: The study results suggest that watching Turkish comedy movie videos has a positive effect on postoperative pain and anxiety in surgical oncology patients.Öğe The effect of guided imagery on postoperative pain and comfort of geriatric orthopaedic patients: a randomized controlled trial(Wiley, 2023) Ozdemir, Ahmet; Gunes, Huseyin; Saritas, SerdarBackgroundThe purpose of this study is to investigate the effects of guided imagery on postoperative pain and comfort in geriatric orthopedics patients. MethodsThis study was carried out with a randomized-controlled true experimental design. The population of the study included geriatric patients receiving treatment at the orthopedics and traumatology inpatient clinic of a university hospital. Based on random selection, the sample consisted of total of 102 patients, including 40 patients in the experimental group and 40 in the control group. The data were collected using a Personal Information Form, the Visual Analog Scale, and the General Comfort Questionnaire. ResultsAfter the guided imagery intervention, the pain levels of the experimental group significantly decreased compared to their baseline pain levels (t = 4.002, P = 0.00). Their perceived comfort was also significantly improved (t = -5.428, P = 0.00). Although the perceived comfort of the control group decreased, this decrease was not statistically significant (t = 0.698, P = 0.489). ConclusionIt is recommended that guided imagery, which is an inexpensive and accessible method, be integrated into the nursing care process to reduce the pain and increase the comfort of geriatric orthopedics patients.Öğe Effect of industrialization on allergic diseases in school children(2018) Ozdemir, Ahmet; Can, Demet; Gunay, Ilker; Karkiner, Canan Sule; Nacaroglu, Tekin; Ustyol, Ala; Kamali, Hacer; Gunay, Turkan; Ayanoglu, Muge; Gunay, Turkan; Dogan, DoneAim: The lifestyle and environmental changes associated with industrialization and urbanization are crucial factors in determining the prevalence of allergic diseases. Material and Methods: The aim of this study was to determine the prevalence of asthma and other allergic disorders in an industrial town.Study Design: Prospective, Cross-sectional study. This cross-sectional population-based study was conducted in Kemalpasa, İzmir, Turkey, which is an industrial town. Using the International Study of Asthma and Allergies in Childhood (ISAAC), the questionnaire was carried out on 1511 school-children aged between 13-14 years living in the district center. Results: The ISAAC Phase One questionnaire was answered by 1373 (90.87%) students. Six hundred ninety two (50.5%) of the children were girls and 681 (49.5%) were boys. The frequency of ever wheezing was 34%,that of current wheezing was 31.1% and that of physician-diagnosed asthma was 4.1%. The frequency of ever rhinitis was 36.6%, current rhinitis was 31.3%, current allergic rhino-conjunctivitis was 22.1% and physician-diagnosed allergic rhinitis was 11.1%. The frequency of ever eczema was 11.3% and that of physician-diagnosed eczema was 3.6%. Conclusion: The prevalence of asthma was found to be significantly higher, although there was no significant difference in allergic rhinitis and eczema compared with non-industrial neighboring states. The incidence of asthma was higher than other provinces which may be explained by the risk factors associated with this industrialized area. The fact that only children of the same age group and residence were evaluated contributed to the epidemiological value of our study.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 Effect of yoga nidra on the self-esteem and body image of burn patients(Elsevier Sci Ltd, 2019) Ozdemir, Ahmet; Saritas, SerdarBackground: This study was conducted to determine effect of yoga nidra on the self-esteem and body image of burn patients. Materials and methods: This study was performed in a quasi-experimental model with pretest and post-test control groups. The domain of the study was formed with the patients at adult burn unit of a university. One hundred ten patients participated in the study. The data were collected using the Self-Description Form, the Rosenberg Self-Esteem Scale, and the Body Image Scale. Results: After yoga practice, there was a statistically significant increase and improvement in the self-esteem and body image of the experimental group (p < 0.05). A statistically significant decline in the score average of pretest and post-test of body image of the patients in the control group was observed (p < 0.05). Conclusion: It has been observed that yoga practice increases self-esteem and improves the body image of burn patients significantly.Öğe The evaluation of our newborns cases operated due to necrotizing enterocolitis(2017) Korkmaz, Levent; Bastug, Osman; Daar, Ghaniya; Korkut, Sabriye; Halis, Hulya; Ozdemir, Ahmet; Ceylan, Mahir; Gunes, Tamer; Ozturk, Mehmet Adnan; Kurtoglu, SelimAim: This study aimed to investigate the characteristics of newborns operated due to necrotizing enterecolitis (NEC) in newborn intensive care unit and to evaluate the mortality of these patients. Material and Methods: The research was designed retrospectively. The study included 39 patients operated due to NEC in our newborn intensive care unit between January 2010 and December 2015 and their characteristic factors and prognosis were evaluated. Results: The average gestational age and weight at birth of the newborns were 31.5±3.7 weeks, 1861±817 g respectively. There were significant differences between the newborns who died and survived in respect to birth weight, age at the time of operation, presence of antenatal steroid application, hypoxic ischemic encephalopathy, intestinal presence of perforation, blood culture positivity (p<0.05 for all comparisons). Conclusion: NEC is the most common life-threatening gastrointestinal emergency experienced by premature infants cared for in the newborn intensive care unit. It is thought that the most important ethiologic factors are prematurity, hypoxia and enteral nutrition. At the same time, it is a devastating gastrointestinal disease that is associated with severe sepsis, intestinal perforation, and significant morbidity and mortality. Its mortality and morbidity rates have been reduced due to developments in newborn intensive care. However, mortality rate is still high among newborns operated due to NEC. For these reasons our thought is that promptly arranged operation time can help to reduce the frequency of mortalityÖğe 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 Maternal hypoparathyroidism related transient normocalcemic hyperparathyroidism in newborns: case report(2017) Kurtoglu, Selim; Ozdemir, Ahmet; Korkmaz, LeventMaternal hypoparathyroidism causes enlargement in fetal parathyroid glands and hyperparathyroidism. This kind of neonatal hyperparathyroidism may lead tohypercalcemia. Normocalcemia may be observed in some cases. This temporary presentation of hyperparathyroidism generally recovers in a few days after birth as the infant takes enough amount of calcium and phosphorus. Especially significant intrauterine growth retardation and mortality rates are high in infants born from mothers with poorly controlled or untreated hypoparathyroidism. Contrary to the severe hyperparathyroidism of the newborn, these infants often have low birth weight, suppressed or normal serum calcium levels and normal or a little high serum phosphorus levels. The reasons for this difference between the two groups are unknown. In this article, literature was examined by presenting the case of an infant who had transient normocalcemic hyperparathyroidism and the mother who had thyrodectomy and hypoparathyroid symptoms and inadequate treatment during pregnancy.Öğe Predictive value of serum neutrophil-to-lymphocyte ratio in bronchopulmonary dysplasia: A retrospective observational study(2018) Ozdemir, AhmetAim: Our objective in this study was to evaluate the predictive significance of serum neutrophil-to-lymphocyte ratio (NLR) in bronchopulmonary dysplasia (BPD) occurrence prediction. Material and Methods: Under 32 weeks old preterm infants followed-up in our clinic between January 2015 and December 2017 were included in the study. Oxygen requirement continuing in postnatal 36th week was considered for BPD. Total blood count, C-reactive protein (CRP) and NLR in the first 24 hours of life were registered for both groups with and without BPD. The relation between BPD occurrence and risk factors was evaluated using univariate and multivariate logistic regression analysis. Results: While 27 of 54 preterm infants included in the study were BPD patients, 27of them were preterm without BPD. Average NLR values of BPD and control group were 0.80±0.49 and 0.43±0.21 in order and a statistically significant difference was detected (p=0.001). NLR (OR: 0.042; 95% CI: 0.004-0.413;. p=0.001) was determined as independent risk factor for BPD occurrence in logistic regression analysis. NLR cut-off value was 0.64, sensitivity was 57.7%, specificity was 81.5% and the area below the curve was 0.737 (95% CI: 0.601-0.873) according to the ROC curve. A positively weak (r=0.26) statistically significant relation was detected among NLR and oxygen duration in Pearson correlation analysis (p=0.05). Conclusion: NLR can be a promising device for predicting BPD patients in the first 24 hours. It was demonstrated that BPD could occur in premature infants with NLR>0.64.Öğe Review of patients hospitalized due to indirect hyperbilirubinemia: A retrospective, observational study(2019) Cansever, Murat; Ozdemir, AhmetAim: The aim of our study to identify characteristics of patients admitted to our hospital due to indirect hyperbilirubinemia and to determine risk factors for indirect hyperbilirubinemia. Material and Methods: The study included 130 patients (gestational age≥36 weeks) who admitted to newborn clinic with the diagnosis of indirect hyperbilirubinemia. In all patients, risk factors, peripheral venous serum samples, complete blood count and biochemical parameters before and after phototherapy were assessed. The phototherapy and exchange transfusion decisions were made according to total serum bilirubin (TSB) levels proposed by Turkish Neonatology Association. Result: In patients included, mean gestational age was 38.54±0.95 weeks (range: 36-41) while mean birth weight was 3241.53±414.60 g (range: 2020-4400). Of the patients, 71 (54.6%) were boys. Time of presentation was 3.56±1.2 days while total bilirubin level was 21.31±3.83 mg/dL. No underlying cause was detected in 71 patients while there was dehydration in 30 (23.0%), ABO incompatibility in 41 (31.5%) and Rh incompatibility in 20 patients (15.3%). Mean phototherapy duration was 69.78±20.36 hours (range: 48-120). Seven patients received intravenous immunoglobulin (IVIG) therapy. Of these, there was Rh incompatibility in 4 patients and ABO incompatibility in 3 patients. Overall, 6 patients underwent exchange transfusion. In 3 patients, exchange transfusion was required despite IVIG therapy. The hemoglobin, MCV and total bilirubin levels were 15.89±2.92 g/dL, 105.51±6.59 fL and 21.31±3.83 mg/dL before therapy whereas 14.07±2.90 g/dL, 101.41±8.15 fL and 11.33±2.18 mg/dl after therapy, respectively. Conclusion: Based on our results, the most common cause of hyperbilirubinemia is idiopathic jaundice ((most probably physiological jaundice or breast milk jaundice) in newborns; followed by ABO incompatibility.
