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  • Küçük Resim
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    Noninvasive ventilation with nursing perspective: impacts on patient tolerance, short-term adverse effects, and nursing workload
    (Wolters Kluwer Medknow Publications, 2021) Yaman, Özge; Aygün, Mehmet; Erten, Hacer
    Background: The success of noninvasive ventilation (NIV) treatment is closely related to high levels of clinical support. Aims: In this study, we sought to analyze patient mask compliance and minor side effects and to evaluate additional nursing workload needed for the NIV care. Materials and Methods: The study was designed as a prospective and observational. The data were collected from an intensive care unit. Clinical and physiological data, patient tolerance and adverse effects, subjects' complaints about their experience, and additional nursing workload associated with NIV treatment were assessed. Results: Statistically significant improvements were obtained in arterial blood gas analysis, respiratory rate, and heart rate during treatment. In the first 2 h, 65% of subjects had poor mask compliance, patients' comfort scores were poor, and incompliance was associated with discomfort. The ratio of skin problems was 15% in the first 24 h and reached 60% at 48 h. The pain rate due to mask ties was 80% and then increased to 90% at 48 h. There was a significant relationship between the problems detected by the nurses and problems described by the subjects. Additional nursing workload was found as 110 min for 0-6 h. Conclusions: We observed that the mask compliance and comfort levels of the subjects were poor. Skin breakdowns increased depending on the duration of treatment. Treatment would require continuous nursing support in seven areas. NIV treatment generated a significant amount of workload for nurses. Additional nursing workforce planning is required for NIV units for successful NIV treatment.
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    Pregnancy-related lumbopelvic pain and disability: an invisible and neglected problem
    (Atatürk University, 2023) Erten, Hacer; Aygün, Mahmure; Yılmaz Esencan, Tuğba; Doğan Merih, Yeliz
    Objective: This study was carried out to examine the frequency of lumbopelvic pain in pregnant women, the level of disability associated with it, and the factors that may affect the level of disability. Methods: The descriptive, cross-sectional and analytical study was carried out with 381 pregnant women who received service from the routine pregnancy follow-up outpatient clinic of a state hospital. A form including demographic, obstetric, and other descriptive characteristics of the cases, a visual pain zone diagram to determine the pain area, and the Roland-Morris Disability Questionnaire (RMDQ) to determine the disability level were used as data collection tools. Descriptive statistical methods and non-parametric tests were used in the analysis of the data. Results: It was determined that 86.35% (n = 329) of the participants had lumbopelvic pain and were mildly disabled according to the RMDQ total score (12.0 +/- 7.3). In the analysis performed according to subgroups, the mean RMDQ scores of pregnant women with pelvic girdle pain were found to be statistically significantly higher than those with low back pain (P <.05). Other variables associated with high disability scores were education level, parity, occupation, gestational week (trimester), presence of lumbopelvic pain in the previous pregnancy, work stress, and negative sexual life history (P <.05). Conclusion: Lumbopelvic pain is a condition that is common in pregnancy, can cause different levels of disability depending on some factors, and should not be ignored by antenatal care providers.
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    Riskli birimlerde çalışan hemşirelerin merhamet yorgunluğu düzeyleri ve etkileyen faktörler
    (Ordu Üniversitesi, 2024) Dinç Koca, Funda; Erten, Hacer
    Bu çalışma, riskli birimlerinde çalışan hemşirelerin merhamet yorgunluğu düzeylerini, demografik özelliklere ve çalışma şartlarına göre farklılıklarını belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı ve kesitsel olarak dizayn edilen çalışma, bir vakıf üniversitesi hastanesinin onkoloji, acil, yoğun bakım, ameliyathane ve karma servislerinde çalışan toplam 118 hemşire ile yürütülmüştür. Veri toplama aracı olarak, demografik ve çalışma ortamı ile ilgili bilgileri içeren anket ve merhamet yorgunluğu düzeyini belirlemek üzere çalışanlar için profesyonel yaşam kalitesi ölçeği (ProQOL-R-IV) kullanılmıştır. Verilerin değerlendirilmesinde tanımlayıcı analizler, Student t testi, Anova varyans analizi, Ki- kare ve Fisher exact test, Pearson korelasyon analizi ve post-hoc çoklu karşılaştırma testi kullanılmıştır. Tüm testler için <0.05 p değeri istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Örneklemin merhamet yorgunluğu puan ortalamasının orta düzeyde (16.0±8.3) olduğu saptanmıştır. Bağımsız değişkenlerden; yaş, mesleği tercih nedeni, çalışılan birim, meslekte ve birimde çalışma süresi, aylık hafta sonu nöbet sayısının ve kişilerarası ilişkilerde kendini tanımlama şeklinin merhamet yorgunluğu düzeylerinde anlamlı farklılık oluşturduğu saptanmıştır (p<0.05). Sonuç: Çalışma sonuçları hemşirelerin merhamet yorgunluğu düzeylerinde, demografik ve çalışma ortamına ait bazı değişkenler açısından anlamlı farklılık olduğunu göstermiştir.