Purpose The purpose of this study is to perform Turkish adaptation and validation of NOC (1102) Wound Healing: Primary Intent and examine wound healing in patients with hip prosthesis diagnosed with impaired tissue integrity. Method The study was carried out in methodological and descriptive design, and the sample of the study consisted of 55 patients. Introductory Characteristics Form and Wound Healing: Primary Intention NOC Form were used for data collection. Ethical consent was obtained before initiating the study. Findings In the study, content validity index value of the NOC scale was calculated was 95.71%. Looking at NOC scale indicators for postoperative day 1, 2, and 7 and the distribution of the total mean scores, it was determined that there was a statistically significant difference between the mean scores over time (p = 0.000). It was found that patients with chronic disease had lower NOC scale scores and wound healing was slower on the postoperative first day compared to the patients with no chronic diseases (p < 0.05). Conclusions As a result of the study, it was concluded that the Turkish version of the Wound Healing: Primary Intention NOC (1102) scale was a valid tool for evaluating the location of the wound in patients with hip prosthesis, the presence of chronic diseases affected wound healing, and mean scores obtained by the patients in NOC scale increased over time with a good progress in terms of wound healing. Implications of Nursing Practice With the use of Wound Healing: Primary Intention NOC (1102) scale, a common language will be formed in the evaluation of the wound site of patients undergoing hip prosthesis.
Significant advances in technology have also affected surgical processes, allowing new techniques to be used in surgeries. In addition to traditional methods, robots began to be used in surgeries. Surgical interventions performed with the use of robots are called "Robotic Surgery," and it is an up-to-date technology that opens new horizons for humanity and is constantly developing. Robotic surgery has many advantages for patients, surgeons, and nurses due to its advantages such as less blood loss, lower transfusion rate, and shorter recovery time. Nurses are expected to adapt to and increase their professional nursing roles by following technological developments. Another important issue in robotic surgery is patient safety and the patient's position is a particular concern. Complications that may develop after robotic surgery may result from inappropriate patient positioning and incomplete patient safety. It has been determined that there is a decrease in morbidity and mortality in the perioperative period with the application of "time-out," which is included in the safe surgery checklist published by the World Health Organization in 2008. Complications that may develop in robotic surgery operations can be prevented by re-applying the “time-out” 3-4 hours after the start of the operation. In this article, it was aimed to adapt the second safe surgery checklist in robotic surgery to the conditions in our country.
Binlerce yıllık tarihi bulunan tamamlayıcı uygulamaların, günümüzde ameliyat sonrası ağrısı olan bireylerde uygulanması artmıştır. Cerrahi hemşireliğinde bakımda ağrıya yönelik yeni yaklaşım ve girişimler tartışılmaktadır. Bunların arasında en günceli ise tamamlayıcı terapilerdir. Bu konuda derleme, nicel, nitel ve randomize kontrollü çalışmalara ihtiyaç duyulmaktadır. Dünya Sağlık Örgütü, tamamlayıcı terapileri içeren geleneksel tıbbı; sağlığın iyilik halinin sürdürülmesi ile birlikte fiziksel hastalıkların ve akıl hastalıklarının önlenmesi, tanısı, tedavisinde kullanılan farklı kültürlere özgü teori, inanç ve deneyime dayalı, izahı yapılabilen ya da yapılamayan bilgi, beceri ve uygulamaların bütünü olarak tanımlamaktadır. Tamamlayıcı uygulamaların yararlılığı ve gerekliliği konusunda sağlık profesyonellerinin farklı görüşleri bulunmaktadır. Bir grup, bu uygulamaların tıbbi tedavi ve bakımda yeri olduğunu savunurken, başka bir grup ise tamamlayıcı uygulamalar ve sonuçlarına ilişkin sorumluluk konularını tartışmaktadır. Günümüzde tamamlayıcı terapilerin kullanım nedenleri; hastaların modern tıp uygulamalarının yanında bu tedavi yöntemlerini umut olarak görmesi, tedavilerinin kontrolü kendi elinde tutma istekleri, toplumların kültürleriyle uyumlu ve kolay ulaşılabilir olması, daha az girişimsel işlem barındırması ve uygulayıcılarının hastaya daha fazla zaman ayırmasıdır. Bu derleme ile ameliyat sonrası ağrının önlenmesi, tedavisi ve bakımına yönelik tamamlayıcı uygulamalar incelenecektir.
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