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Yazar "Ucuzal, Meral" seçeneğine göre listele

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    Emergency nurses' knowledge, attitude and clinical decision making skills about pain
    (Elsevier Sci Ltd, 2015) Ucuzal, Meral; Dogan, Runida
    Introduction: Pain is the most common reason that patients come to the emergency department. Emergency nurses have an indispensable role in the management of this pain. Aim: The aim of this study was to examine emergency nurses' knowledge, attitude and clinical decision-making skills about pain. Methods: This descriptive study was conducted in a state and a university hospital between September and October 2012 in Malatya, Turkey. Of 98 nurses working in the emergency departments of these two hospitals, 57 returned the questionnaires. The response rate was 58%. Data were collected using the Demographic Information Questionnaire, Knowledge and Attitude Questionnaire about Pain and Clinical Decision Making Survey. Frequency, percentage, mean and standard deviation were used to evaluate data. Results: 75.4% of participant nurses knew that patients' own statement about their pain was the most reliable indicator during pain assessment. Almost half of the nurses believed that patients should be encouraged to endure the pain as much as possible before resorting to a pain relief method. The results also indicate that most of nurses think that a sleeping patient does not have any pain and pain relief should be postponed as it can influence the diagnosis negatively. It is determined that the pain scale was not used frequently. Only 35.1% of nurses reported keeping records of pain. Conclusion: Despite all the recommendations of substantial past research the results of this study indicate that emergency nurses continue to demonstrate inadequate knowledge, clinical decision-making skills and negative attitudes about pain. (C) 2014 Elsevier Ltd. All rights reserved.
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    Foot Massage: Effectiveness on Postoperative Pain in Breast Surgery Patients
    (Elsevier Science Inc, 2014) Ucuzal, Meral; Kanan, Nevin
    The aim of this study was to determine the effect of foot massage on pain after breast surgery, and provide guidance for nurses in nonpharmacologic interventions for pain relief. This was a quasiexperimental study with a total of 70 patients who had undergone breast surgery (35 in the experimental group and 35 in the control group). Patients in the control group received only analgesic treatment, whereas those in the experimental group received foot massage in addition to analgesic treatment. Patients received the first dose of analgesics during surgery. As soon as patients came from the operating room, they were evaluated for pain severity. Patients whose pain severity scored >= according to the Short-Form McGill Pain Questionnaire were accepted into the study. In the experimental group, pain and vital signs (arterial blood pressure, pulse, and respiration) were evaluated before foot massage at the time patients complained about pain (time 0) and then 5, 30, 60, 90, and 120 minutes after foot massage. In the control group, pain and vital signs were also evaluated when the patients complained about pain (time 0) and again at 5, 30, 60, 90, and 120 minutes, in sync with the times when foot massage was completed in the experimental group. A patient information form was used to collect descriptive characteristics data of the patients, and the Short-Form McGill Pain Questionnaire was used to determine pain severity. Data were analyzed for frequencies, mean, standard deviation, chi-square, Student t, Pillai trace, and Bonferroni test. The results of the statistical analyses showed that patients in the experimental group experienced significantly less pain (p <= .001). Especially notable, patients in the experimental group showed a decrease in all vital signs 5 minutes after foot massage, but patients in the control group showed increases in vital signs except for heart rate at 5 minutes. The data obtained showed that foot massage in breast surgery patients was effective in postoperative pain management. (C) 2014 by the American Society for Pain Management Nursing
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    Genel cerrahi hastalarında ameliyat sonrası konstipasyon
    (İnönü Üniversitesi Sağlık Bilimleri Dergisi, 2015) Ucuzal, Meral; Aldanmaz, Nalan
    Amaç: Bu araştırma, genel cerrahi hastalarında ameliyat sonrası konstipasyon riskinin belirlenmesi amacıyla tanımlayıcı olarak yapıldı. Yöntem: Araştırma, Elazığ Kovancılar Devlet Hastanesi Genel Cerrahi Servisi’nde, Mart 2013-Eylül 2014 tarihleri arasında yapıldı. Araştırmanın evrenini sözü edilen serviste ameliyat olan tüm yetişkin hastalar oluşturdu. Örneklemi ise bu hastalar arasından olasılıksız rastlantısal örnekleme yöntemi ile seçilen, iletişim kurulabilen ve araştırmaya katılmaya gönüllü 90 hasta oluşturdu. Veriler Hasta Tanıtım Formu ve Konstipasyon Risk Değerlendirme Ölçeği kullanılarak yüz yüze görüşme yöntemi ile toplandı. Verilerin analizinde; sayı, yüzde, ortalama standart sapma, Kruskal-Wallis varyans analizi ve bağımsız gruplarda t testi kullanıldı. Bulgular: Araştırmaya katılan hastaların %56.7’sinin konstipasyon gelişimi açısından orta risk grubunda olduğu saptandı. Konstipasyon Risk Değerlendirme Ölçeği puan ortalaması 12.98±4.84 (orta risk) olarak belirlendi. Konstipasyon riskinin 45-54 yaş arasında olan, kadın, çalışmayan, şişman olan, apendektomi ameliyatı olan ve haftada sadece bir kez defekasyon yapan hastalarda istatistiksel olarak önemli düzeyde daha yüksek olduğu saptandı. Sonuç: Araştırmaya katılan genel cerrahi hastalarının yarısından fazlasının ameliyat sonrası konstipasyon gelişimi açısından orta derecede risk altında oldukları belirlendi.
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    Post-Discharge learning needs of General Surgery patients
    (Professional Medical Publications, 2011) Uzun, Ozge; Ucuzal, Meral; Inan, Gonca
    Objective: To determine whether the post discharge information needs of general surgical patients were fulfilled according to the Patient Learning Needs Scale (PLNS). Methodology: This cross-sectional and descriptive study was conducted on patients in General Surgery Department of a university medical center in Malatya, Turkey. The sample included 90 patients. Data were accumulated using by Patient Information Form and PLNS, between January-February, 2010. Results: The PLNS mean total score of patients was 196.99 +/- 36.14 with an importance level of 3.94 were found to be very important for patients learning needs. Before discharge, 50% of patients did not have sufficient information about their discharge. Physicians supplied 43.3% of discharge information whereas nurses supplied 15.6% of such information. Female patients' mean total score was statistically significantly higher than that of male patients (p < 0.05). Conclusions: Results of this study showed that participants had significantly high needs for discharge education concerning home care after discharge. Results suggest a need for implementation of enhanced patient education needs in meeting.
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    Psychometric Evaluation of the Adapted Prayer Scale in Muslim Cancer Patients
    (Lippincott Williams & Wilkins, 2014) Erci, Behice; Katabulut, Neziha; Ucuzal, Meral
    The diagnosis of cancer can initiate considerable distress for patients. The threat to physical health and life can challenge a person's previously held beliefs concerning life and well-being. Religious beliefs and practices have been demonstrated to have positive effects on illness prevention, recovery from surgery, mental illness, and coping with physical illness. The aim of this study was to determine psychometric characteristics of the adapted prayer scale in Turkish patients with cancer. The sample of this study consisted of patients with any cancer in the outpatient and inpatient medical oncology clinics of this hospital. Factor analysis revealed 4 factors (meditative prayer, prayer activities, prayer experiences, and attitude toward prayer) with an eigenvalue of higher than 1.0. The 4 factors together explained 53.5% of the variance. Internal consistency of the scale had an overall coefficient Cronbach's alpha of.82. The subscales of the instrument had adequate reliabilities with Cronbach's alpha's ranging from .67 to.88. The scale has potential applications for use both in research and as a screening tool in clinical settings. This scale should be further evaluated with a larger sample, in different regions in Turkey, and with diverse populations of the world.
  • Küçük Resim Yok
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    Ureteral Stents: Impact on Quality of Life
    (Lippincott Williams & Wilkins, 2017) Ucuzal, Meral; Serce, Perihan
    Ureteral stents have an indispensable place in urology, and indications for their use are increasing. However, stents can affect their users' quality of life negatively because of complications and adverse effects. This descriptive research aimed to determine the effect of ureteral stenting on quality of life. The study sample consisted of 75 patients. Data were collected using a questionnaire form, the SF-36 Quality of Life Scale, and the International Prostate Symptom Score. Patients were interviewed twice (before stenting and 1 month after stenting). The data were analyzed with descriptive statistics methods. This research determined that patients with ureteral stents had increased lower urinary tract symptoms and significantly reduced quality of life.

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