ABSTRACT Aim: It is aimed to determine the opinions of physicians and nurses on the evaluation of pain in the postoperative period of pediatric patients undergoing general anesthesia. Materials and Methods: Qualitative research method was used in the study. The study was carried out with a total of 13 physicians and nurses working voluntarily in the anesthesia and pediatric surgery clinic of Selçuk University Medical Faculty Hospital. Data were collected through individual in-depth interviews through a semi-structured questionnaire in October 2022. Individual interviews were held in a suitable meeting room within the hospital with the participation of two researchers. Note-taking technique was used in the interviews and a voice recorder was used. The qualitative data obtained were analyzed by the researchers with the content analysis method. Results: Qualitative findings were determined as four main themes: thoughts about pain, beliefs about pain management, the role of health professionals in pain management, and the role of family/parent in pain management. Conclusion: As a result of the study, it was determined that pain was followed, pharmacological methods were used, non-pharmacological methods were not in the clinical routine, teamwork was important in pain management, and the family/parent were with the child.
Kanguru bakımı sırasında müzik uygulamasının sadece kanguru bakımı uygulamasına göre prematüre bebeklerin davranış durumu ve fizyolojik parametreleri üzerine etkisini sistematik derleme ve meta-analiz yöntemi ile değerlendirme amaçlanmaktadır. Sistematik inceleme ve meta-analiz protokolümüz, sistematik inceleme ve meta-analiz protokolleri için tercih edilen raporlama öğelerine [Preferred Reporting İtems For Systematic Review And Meta-Analysis Protocols (PRISMA-P)] göre yazıldı. “PROSPERO” veri tabanına kaydedilmiştir (CRD42022303966). Randomize kontrollü çalışmalar ve yarı deneysel çalışmalar, Türkçe ve İngilizce yayınlanan çalışmalar dahil edildi. WoS, Pubmed, Science Direct, CINAHL Complete, Scopus, Cochrane, Wiley Online Library ProQuest, Ulakbim, Medline Türk, YÖKTEZ veri tabanları kullanıldı. Anahtar kelimeler PICOS sıralamasında oluşturuldu “VE” ve “VEYA” ile “AND” ve “OR” operatörleri kullanıldı. Cochrane Yanlılık (Bias) Risk Değerlendirme Aracı kullanıldı. Dahil etme kriterlerini karşılayan çalışmalar yazar, yıl, ülke, çalışmanın tasarımı, örneklem büyüklüğü, katılımcı özellikleri, gruplar, müdahale grubunun özellikleri, ölçümler ve çalışma sonuçlarının yer aldığı kodlama tablosuna aktarıldı. Çalışmaların etki büyüklüğü hesaplamasında “hedge’s g” kullanılacak, heterojenliğinin incelenmesinde Cochran’s Q testi ile I2 değeri değerlendirilecektir. Yayın yanlılığı için huni grafikleri, Orwin’s fail-safe n değeri, Begg ve Mazumdar sıra korelasyonu için Kendall tau değeri ve Egger regresyon sabiti yöntemi ile değerlendirilecektir. Meta-analiz sonuçları doğrultusunda elde edilecek sonuçlar ile tek bir uygulamanın ya da kombine uygulamanın prematüre bebeğin davranış durumu ve fizyolojik parametre üzerine etkisinin olumlu ya da olumsuz olduğu söylenebilecektir.
The aim of the study is to retrospectively determine the pain levels of pediatric patients aged 3-18 years and the nursing interventions applied after pediatric anesthesia.There should not be more space left between a cursor and words in the words. Turkish digits must be separated by a comma, not a decimal point. It is a retrospective, descriptive study. The research was carried out in the pediatric surgery service of a public hospital in Konya. The sample of the study consisted of 2420 pediatric patients in the 3-18 age group who were hospitalized in the pediatric surgery clinic and underwent surgical intervention between January 01, 2019 and December 31, 2020. The Child Information Form and the pain diagnosis system registered in the hospital automation system were used to collect the research data. Analysis of the data was evaluated using number, percentage calculations, and means analysis. Of the 2420 children who participated in the study, 56.5% were in the 3-6 age group, 96.4% were male, 92.9% had outpatient surgery, 97.6% were not administered analgesics, 78% were distracted. It was found that pulling to the side was applied and the mean pain level was 2.17±0.71. As a result of the study, it was determined that the level of pain in children was low in the postoperative period and that nurses commonly applied nursing interventions through non-pharmacological methods in pain management, taking into account the age characteristics of the child.
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