Aim: Nausea and vomiting, which are unpleasant clinical problems in the postoperative period, have negative outcomes related to patient satisfaction, morbidity, hospital stay, and medical costs. Nausea and/or vomiting may cause tracheal aspiration when unconscious after anesthesia, rupture of wound site, wound infection, recurrent and severe dehydration, and electrolyte impairments with pediatric surgery patients. It is very important to detect and prevent these clinical problems at an early period. Therefore, it is necessary to objectively assess nausea, which is a subjective perception. The aim of the current study was to discover the validity and reliability of the Baxter Animated Retching Faces (BARF) Nausea Scale among pediatric surgery patients. Method: The sample of the study, which was in methodological model, consisted of 82 children aged 7-18 years who were treated at inpatient pediatric surgery clinics. The BARF Nausea Scale is a pictorial nausea scale that rates nausea from neutral (no nausea) to emesis (maximum nausea) with six items and six face expressions that describe each of these items. The scale was developed in the English language and includes assessments based on perceptions; Turkish translation and back-translation procedures were not performed. For the content validity, expert reviews were obtained. While the findings obtained from the study were being evaluated, descriptive statistical methods, the Kolmogorov–Smirnov distribution test, the Mann–Whitney U test, the Kruskal–Wallis test, and Pearson correlation analyses were employed. Cochran's Q test was used to determine the suitability of scale options in theoretically measuring nausea–vomiting. Findings: Sixty-one percent of the children aged 7-18 years were male. It was identified that 50% of the children were operated because of gastrointestinal problems, 81.1% of them did not get premedication, 91.5% of them did not use antiemetic medicines, and 41.5% of them started to eat 5-6 hours later after the surgery. It was noted that opinions of all the experts were consistent in terms of content validity and that BARF and the visual analog scale, which was found to be suitable for the Turkish people, could statistically be accepted as equal (Cochran's Q = 9, p = .437). Result: In the parallel test in which the visual analog scale and BARF were compared, it was understood that BARF was reliable in assessing nausea and vomiting. In light of these results, it may be suggested that the BARF Nausea Scale was a valid and reliable tool in theoretically measuring nausea–vomiting. It is recommended that the BARF Nausea Scale be used for children over 7 years old to measure nausea after operations.
Amaç: Bu araştırma kardiyovasküler hastalığı (KVH) olan bireylerin tamamlayıcı alternatif tedavi (TAT) yöntemlerini kullanma durumlarının belirlenmesi amacıyla planlanmıştır. Gereç ve Yöntem: Araştırma tanımlayıcı ve kesitsel olarak, Aralık 2017- Şubat 2018 tarihleri arasında, bir üniversite hastanesinin kardiyoloji kliniğinde yatmakta olan 110 hastayla yapılmıştır. Veriler literatür taranarak elde edilen ‘Kişisel Bilgi Formu’ ve ‘Bireylerin TAT yöntemleri kullanım durumu’ ile ilgili soruları içeren form aracılığıyla toplanmıştır. Bulgular: Araştırmada hastaların %80’i TAT kullanmakta, en fazla bitkisel tedavi, sonrasında dua ve egzersiz yer almaktadır. Yapılan regresyon modellemesinde TAT kullanımında yaş, eğitim düzeyi, aile yapısı ve ilaç hakkında bilgi sahibi olma durumunun bağımsız etkileyici faktörler olduğu belirlenmiştir. Hastaların % 44,5’i TAT kullanımında etkili ilk faktörün arkadaş ve akraba olduğunu bildirmişlerdir. TAT kullanım nedenlerinden ilk üç sırada; KVH tedavisi için %19, sağlığa faydalı olduğunu düşündükleri için %17, iyileşmek/hastalıktan kurtulmak için %14 olarak yer almıştır. Hastalar %52 oranında TAT yönteminin olumlu olarak etkilendiklerini bildirmişlerdir. Sonuç: Hemşireler hastaların TAT yöntemlerinden hangisini kullandığı belirlemeli ve bilgilendirerek doğru yönlendirmelidir.
Bu çalışmada; Çukurova Üniversitesi Tıp Fakültesi'nde çalışan hemşirelerin tükenmişlik düzeyleri ile algılanan sosyal destek sistemleri ve tükenmişliği etkileyen faktörlerin incelenmesi amaçlanmıştır. Materyal ve Metod: Bu çalışmada Sosyodemografik veri toplama formu, Maslach Tükenmişlik Ölçeği, Çok Boyutlu Algılanan Sosyal Destek Ölçeği 403 hemşireye uygulanmıştır. Bulgular: Elde edilen sonuçlara göre hemşirelerin sosyal destek sistemlerinin yeterli olduğu ancak orta düzeyde duygusal tükenme (DT) ve duyarsızlaşma (D) yaşadıkları belirlenmiştir. Kişisel başarı yönünden ise; yüksek düzeyde tükenmişlik yaşadıkları sonucuna ulaşılmıştır. Hemşirelerin çalışma şekline ait veri değerlendirildiğinde gece çalışan hemşirelerin DT ve D puan ortalamaları diğer gruplardan daha yüksek bulunmuştur ve istatistiksel açıdan anlamlıdır (p=0,001). Sonuç: Sonuç olarak; hemşirelerin algıladığı sosyal desteğin, tükenmişliği etkilediği bulunmuştur.Özellikle arkadaş desteğinin tükenmişliği etkileyen en önemli sosyal destek alt grubu olduğu belirlenmiştir.
Objective:Periodic mammography, clinical breast examination and breast self-exam (BSE) facilitate getting a therapeutic response and improve disease prognosis, by leading to early diagnosis of the breast cancer.Methods:The study included a total of 618 women working in Çukurova University, Faculty of Medicine, as technician, secretary, staff, midwife and doctor. They answered a 22-items questionnaire consisting of questions about general knowledge, 8 of these were about BSE.Results:While it was statistically significant that the education was not correlated with the age of onset of BSE and timing of BSE, the education was significantly efficient in terms of knowing the aim of the BSE, its frequency, post-menopausal BSE time, nipple discharge properties in the case of breast cancer, diagnostic methods and the risks. While it was statistically significant that the profession was not related to age of onset of BSE and knowing the right day of the month on which BSE should be performed, the education was likely to be efficient in knowing the frequency, post-menopausal BSE time, aim of the BSE, nipple discharge properties in the case of breast cancer, diagnostic methods and the risks. When the percentage of giving right answers to the questions and educational background and professional groups were compared, it was seen that the difference of the number of right answers and professional groups was significant.Conclusion:Based on our results, we concluded that the education about BSE is warranted in order to increase the likelihood of female healthcare personnel to diagnose breast cancer at an earlier stage, given their role in raising the awareness of the population.
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