Aim Dyspnea, a common symptom of novel coronavirus, can negatively affect sleep quality. The aim of this study was to evaluate the relationship between dyspnea severity and sleep quality in patients with COVID‐19. Study Design A cross‐sectional design was used. Methods Using the researcher's mobile phone, data were collected via an online questionnaire from patients (n = 100) who agreed to participate in the study. The data‐collection form comprised three parts: a patient descriptive information form, the Dyspnea–12 Questionnaire, and the Richards–Campbell Sleep Questionnaire (RCSQ). Results The mean age of patients was 46.39 ± 12.61 years and 66.0% were men. Patients who were treated in the intensive care unit had bachelor's degree or more and patients with comorbid diseases had low mean scores from the RCSQ and high mean scores from the Dyspnea–12 Questionnaire ( P < .001, P < .001; P = .047, P < .001; P < .001, P < .001, respectively). Patients who were not receiving oxygen therapy had higher RCSQ mean scores and lower Dyspnea–12 Questionnaire scores ( P < .001, P < .001; P < .001, P < .001, respectively). There was a strong negative relationship between the total scores obtained from the RCSQ and the Dyspnea–12 Questionnaire ( r = −.701, P < .001). Conclusions Sleep quality is affected by dyspnea severity in patients with COVID‐19. Sleep quality and dyspnea severity are also influenced by quite different factors, and these should be addressed and eliminated by nurses as part of a holistic approach. The results of this study will help nurses, especially those providing treatment and care for patients with COVID‐19, to identify the factors affecting dyspnea and sleep quality and to plan, implement and evaluate nursing interventions that will reduce their workload.
Background: The aim of this study is to investigate the relationship between nurses' perception of individualized care and xenophobia. Methods: The data of this descriptive and cross-sectional study were collected at intensive care unit between December 2019 and March 2020, using the nurse descriptive information form, the nurse version of the individualized care scale, and the xenophobia scale. The sample of the study consisted of 411 nurses working at the specified hospital and agreeing to participate in the study. Results: The mean age of the nurses was 28.33±5.16 years, and 76.6% of them were in the 18-30 age group. 78.1% of them were at undergraduate education level and their average professional experience was 5.34±4.37 years. 73.0% of the nurses stated that they did not receive training on transcultural care and 77.6% stated that they encounter patients from different cultures every day, and that they had the most difficulty in communication (95.4%) while caring for these patients. The mean score of the scale Individiualized Care Scale A version (ICS-A) was 3.58±0.67, and the mean score of the Individiualized Care Scale B version (ICS-B) was 3.77±0.67. The total mean score of the nurses' xenophobia scale was 47.14±10.04. There was a weak positive correlation between ICS and xenophobia scale mean scores (p<0.05). It was found that the education level of the nurses, receiving transcultural care education, wanting to live in another country, preferring to care for foreign patients, and the time they spent in the care of these patients were factors that significantly affected the xenophobia and ICS score averages. Conclusion: Nurses' perceptions of supporting the individuality of patients and individualizing care were found to be at a good level, but the risk of xenophobia was high. The high risk of xenophobia in nurses was considered as a hindering factor in the individualization of care. The high number of immigrants in the region where the study was conducted reveals the urgent need to meet the training needs of nurses on transcultural care.
Aim: Dyspnea, a common symptom of novel coronavirus, can negatively affect sleep quality. The aim of this study was to evaluate the relationship between dyspnea severity and sleep quality in patients with COVID-19. Study Design: A cross-sectional design was used. Methods: Using the researcher’s mobile phone, data were collected via an online questionnaire from patients (n=100) who agreed to participate in the study. The data-collection form comprised three parts: a patient descriptive information form, the Dyspnea–12 Questionnaire, and the Richards–Campbell Sleep Questionnaire. Results: The mean age of patients was 46.39±12.61 years and 66.0% were male. Patients who were treated in the intensive care unit, had bachelor’s degree or more and patients with comorbid diseases had low mean scores from the RCSQ and high mean scores from the Dyspnea–12 Questionnaire (p<0.001, p<0.001; p=0.047, p<0.001;p<0.001, p<0.00,1,respectively).Patients who not receiving oxygen therapy had higher RCSQ mean scores and lower Dyspnea–12 Questionnaire scores (p<0.001, p<0.001; p<0.001, p<0.001, respectively). There was a strong negative relationship between the total scores obtained from the Richards–Campbell Sleep Questionnaire and the Dyspnea–12 Questionnaire(r= -701, p<.001). Conclusions: Sleep quality is affected by dyspnea severity in patients with COVID-19. Sleep quality and dyspnea severity are also influenced by quite different factors, and these should be addressed and eliminated by nurses as part of a holistic approach. The results of this study will help nurses, especially those providing treatment and care for patients with COVID-19, to identify the factors affecting dyspnea and sleep quality and to plan, implement, and evaluate nursing interventions that will reduce their workload.
This study aimed to examine the COVID-19 patients' hospital anxiety, depression levels and independence in activities of daily living. This descriptive cross-sectional study was conducted with n=100 COVID-19 patients. The data was collected using a patient descriptive information form, the "Katz Index of Independence in Activities of Daily Living", and the "Hospital Anxiety and Depression Scale". Descriptive statistics, Student t-test, Mann Whitney U test, One-way ANOVA test, and Kruskal Wallis test were used to compare groups. The significance level is pre-specified as 0.05. The mean age of the patients was 41.77 ± 12.10 years (Min: 20, Max: 70). More than half of the patients were male (68%), and 86% were treated and cared for in the service isolation rooms. Hospital Anxiety Depression Scale mean scores were 6.66 ± 6.05 (Min: 0, Max: 21) and the Katz Index of Independence in Activities of Daily Living mean scores were 5.57 ± 1.27 (Min: 0, Max: 6). It was determined that as the patients' level of independence in their daily living activities increased, their hospital anxiety and depression levels decreased. A negative moderate correlation (r = -0.530, r = -0.552) was found between the mean scores of these variables. Since these patients usually receive care in isolation in their rooms, activities of daily living should be monitored and supported in terms of the hospital anxiety and depression levels.
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