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Öğe Basınç yarası ve malnütrisyon(DergiPark, 2020) Kula Şahin, SennurBakım kalitesinin izlenmesinde önemli bir gösterge olan basınç yarası gelişimi evrensel bir sağlık sorunu olma özelliğini korumaktadır. Basınç yarası oluşumunda önemli bir etken olan malnütrisyon yara iyileşmesini geciktirir. Bunun yanı sıra, yara yerinin yırtılma tarzındaki güçlere karşı direncini azalttığı çalışmalarla ortaya konulmuştur. Bireyin yaşam kalitesini etkileyen ve önemli maddi kayıplara neden olan basınç yarasını önlemek amacı ile hastaların ilk yatışta beslenme izlemi başlatılmalı, malnütrisyon risk varlığı yönünden saptama yapılmalı, ve malnütrisyon saptanan hastalarda özel programlar ile beslenme yönetimi sağlanmalıdır.Öğe The effect of coffee consumption after colorectal surgery on bowel movements and duration of hospital stay(KARGER, 2022) Bildirici, Çiğdem; Rencüzoğulları, Ahmet; Kula Şahin, SennurBackground: Postoperative ileus after colorectal surgery is a common problem that significantly prolongs hospital stay and increases perioperative costs. The ability of postoperative coffee consumption to produce bowel movement is unclear and needs to be studied. Objective: The objective of this study was to evaluate the effect of coffee consumption on bowel movements and duration of hospital stay after laparoscopic colorectal surgery. Methods: This non-randomized prospective study examined a population of patients who underwent laparoscopic colorectal surgery between November 2018 and June 2019. The study sample consisted of 51 patients, including the experimental group (25 patients who consumed coffee) and the control group (26 patients). The first bowel sounds, the first flatulence and defecation times and duration of hospital stay were examined in this study. There was a statistically significant (p<0.021) difference between the experimental group and the control group, when the first flatulence (13.8 times/h) and defecation (14.8 times/h) times were examined. However, the results were not significantly different between the groups despite the earlier start of the first bowel sounds (2.5 times/h) and the shorter duration of hospital stay (mean 1.1/day) in the experimental group (p>0.05). Conclusion: Postoperative coffee consumption is believed to be an effective, enjoyable, easy and economical method for increasing bowel movements after surgery and is likely to be added to rapid recovery protocols in the future. Further studies with larger samples will confirm this.Öğe The effect of spiritual well-being of perioperative nurses on compassion(W.B. Saunders, 2022) Kula Şahin, Sennur; Bülbüloğlu, SemraPurpose: This study aimed to determine the effects of spiritual well-being of perioperative nurses on their compassion. Design: This was a prospective and cross-sectional study. Methods: The sample for this study included 168 perioperative nurses working in the surgical clinics of a research hospital. Data was collected between August and October 2020 using “Nurses' Descriptive Characteristics, Compassion and Three-factor Spiritual Well-Being Scales”. Descriptive statistics, correlation and simple regression analysis were used to analyze the data. Findings: Our sample included 51% between the ages of 22 and 30, 85.7% women, 73.8% undergraduates, 33.3% general surgery clinicians, and 41.7% with a work experience of 5 to 9 years. Perioperative nurses were found to have moderate compassion and close to a good level spiritual well-being. Although all the descriptive features of the nurses contributed to their spiritual well-being, it was determined that the education level, the clinics they worked in and their working years in the profession were important factors in determining their compassion. Positive correlation was found between the Compassion and Spiritual Well-Being Scales (r = 1.000; P < .05). Conclusions: We found that the spiritual well-being of perioperative nurses had an effect on compassion. Every patient deserves compassionate care. If spirituality increases compassion, it is acceptable for nurses to increase their awareness and knowledge of spiritual values. © 2021 American Society of PeriAnesthesia NursesÖğe Evaluation of complication development in general surgery patients admitted to the post anesthesia care unit(DergiPark, 2022) Kula Şahin, Sennur; Selimen, Hayriye Denizhool of Medicine, Busan, Republic of Korea; 4 Department of Nuclear Medicine, Pusan National University School of Medicine, Busan, Republic of Korea; 5 Department of Pathology, Pusan National University School of Medicine, Busan, Republic of Korea ARTICLE HISTORY Received: August 30, 2021 Accepted: January 1, 2022 KEYWORDS: Amnestic mild cognitive impairment, amyloid beta deposition, medial temporal atrophy, positron emission tomography, transthyretin Psychiatry and Clinical Psychopharmacology 2022;32(1):4-8 Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. ABSTRACT Objective: This study was conducted to analyze the development of complications and risk factors in general surgery patients admitted to the Post-Anesthesia Care Unit (PACU). Methods: This prospective and cross-sectional study was performed with 230 patients admitted to the PACU of a university hospital in Istanbul. The data were collected pre – and post-operatively in the PACU using the “Patient Monitoring Form”, which was created by the researcher to track the patient’s descriptive characteristics and development of complication. Percentage, mean, chi-square, Student’s t, and logistic regression tests were used for data analysis. Results: It was found that most of the patients were female aged between 50-65, with a chronic disease included in the ASA II class, who had undergone a laparoscopic cholecystectomy surgical operation, and had a profile of minimal obesity. The most common complications in the PACU were pain (75.7%), hypothermia (58.7%), nausea-vomiting (30.7%), and hypoxemia (20.0%) respectively. Length or duration of operation (OR:1.05; p=0.001) and age (OR: 1.08; p=0.027) were effective risk factors for development of complication; however, no correlation was found between descriptive characteristics of the patients and development of pain (p=0.023). A positive relationship was found between hypothermia and surgical operations with a duration of more than 120.3 minutes (p=0.001). Additionally, age of 57.8 (p=0.002), BMI of 30.8 (kg/m2; p=0.003), and inclusion in the ASA III/IV group (p=0.001) were significant in relation to hypoxemia. Conclusions: It was found that pain, hypothermia, nausea-vomiting, and hypoxemia remained the most common complications in the PACU, and age and duration of operation were effective risk factors in the development of complications. Based on these results, it is recommended to identify high risk factors specific to the patient in advance and to increase nursing practices to prevent/reduce complicationsÖğe Patient satisfaction with nursing practices about postoperative pain management: a systematic review(Kare Publ, 2018) Eti Aslan, Fatma; Kula Şahin, Sennur; Seçginli, Selda; Bülbüloğlu, SemraObjectives: The aim of this study was to investigate patient satisfaction with nursing practices regarding postoperative pain management. Methods: A systematic review of the literature published between 2005 and 2015 was conducted, comprising a search of 7 databases: ScienceDirect, Turkish Medline, PsycINFO, Ovid, Prequest, Google Scholar, and the ULAKBIM Turkish Medical Database. Five articles were identified as eligible for review. The methodological quality of the studies was assessed using the Turkish version of the Joanna Briggs Institute-Meta Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) Critical Appraisal Checklist. The data were extracted using a standard data extraction form developed for this study, and subsequently evaluated. Results: In the articles eligible for this review, the study samples comprised patients with blunt or penetrating trauma sent to the emergency room (n=418) and those who underwent total knee replacement (n=120); heart, lung, or gastrointestinal system surgery (n=559); or open heart surgery (n=52). The maximum pain score was 7.20 +/- 1.95 (min-max: 0-10) and the maximum satisfaction score was 100%. The findings revealed that pharmacological methods were most frequently used for postoperative pain management and non-pharmacological methods were not used sufficiently by nurses. Nevertheless, the patients were satisfied with the postoperative pain relief nursing care. Conclusion: In this systematic review, scientific evidence indicated that patient satisfaction with nursing practices related to postoperative pain management was high; however, non-pharmacological methods were used insufficiently in the last decade.Öğe Yoğun Bakım Ünitesi’nde basınç yarasının önlenmeye yönelik Türkiye’de yapılmış çalışmaların incelenmesi; sistematik derleme(DergiPark, 2018) Çınar, Fadime; Kula Şahin, Sennur; Eti Aslan, FatmaSon yıllarda giderek önem kazanan, yataklı tedavi kurumlarının hizmet kalite göstergesi olarak gösterilmeye başlayan basınç yarası kişinin yaşam kalitesini etkileyen, sağlık bakım hizmetlerinin maliyetini artmasına neden olan önlenebilir bir problem olarak karşımıza çıkmaktadır. Bu nedenle basınç yarasına neden olabilecek risk faktörlerinin belirlenmesi ve önlenmesi önemlidir. Basınç yarasının görülme sıklığı ve önlenmesine ilişkin yurt dışında çok sayıda çalışma bulunmasına rağmen ülkemizde konuyla ilgili araştırmalar sınırlı olduğu görülmektedir. Bu çalışma Türkiye’ de basınç yarası oluşumundaki risk faktörlerinin belirlenmesi ve önlenmesine yönelik 2005-2015 tarihleri arasında yayınlanmış çalışmaların gözden geçirilmesi ve çalışmalardan elde edilen verilerin sistematik biçimde incelenmesi amacıyla yapılmıştır. Bu sistematik inceleme sonucunda çalışmalarda örneklem sayısının 46 - 948 arasındadır ve çalışmaların ikisi prospektif biri retrospektif diğer dördü tanımlayıcı tiptedir. Yoğun bakımünitesinde basınç yarası risk değerlendirilmesinde en fazla braden risk değerlendirme ölçeğinin kullanıldığı, hangi ölçeğin etkinliğinin daha fazla olduğuna ilişkin kanıta dayalı çalışmaların yapılmadığı, bazı çalışmalarda da basınç yarası değerlendirme ölçekleri yerine farklı ölçekler kullanıldığı belirlenmiştir. Ayrıca basınç yarası oluşumunda yaş, hareketsizlik, albümin düzeyi ve hastanede kalış süresinin en önemli faktörler olduğu bulunmuştur. Ülkemizde yoğun bakım ünitesinde basınç yarası görülme oranın %15-65 oranında görüldüğü belirlenmiştir.Çalışmalarda basınç yarasını önlemeye yönelik olarak en fazla yapılan uygulamaların düzenli olarak iki saatte bir yatak içi pozisyon değişikliği yapılması, cilt yüzeyini korumaya yönelik tedbirler alınması ve havalı yatak kullanılması olduğu belirlenmiştir.
