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Öğe Effects of Discharge Training and Counseling Service on Self-Efficacy, Care Behaviors and the Problems Experienced in Patients Who Have Undergone Coronary Artery By-Pass Grafting Surgery: An Experimental Study(2022) Karaöz, Süreyya; Işık, Sevcan AvcıT Objective: The aim of this experimental study was to examine the effects of discharge training and counseling services on self-efficacy, care be- haviors, and problems experienced by patients who have undergone coronary artery bypass grafting. Material and Methods: The study was conducted with 100 patients (50 control, 50 experimental group), hospitalized in the adult car- diovascular surgery in a university hospital. Apart from the routine nursing care given to the control group, the patients in the experimental group were given dis- charge training and telephone counseling services. The patients in both groups were monitored twice after discharge: first and fourth weeks. In the study, Bar- nason Efficacy Expectation Scale (BEES) cardiac surgery version, forms of self- care behaviors, experienced problems, and telephone counseling were used. Results: At the end of the first and fourth weeks after discharge, it was found that the experimental group had more self-care behaviors (salt usage in meals p=0.001, exercising/walking p=0.001, performing activities that required physi- cal movement p=0.002, and walking at least 2 to 3 days a week for 25 minutes p=0.001), the control group had more problems, and fewer patients being able to solve the problems experienced (p<0.05). At the end of the first and fourth weeks of BEES, total and subscale mean scores were found to be higher in the experi- mental group than in the control group (p<0.05). Conclusion: The study find- ings indicate that discharge training and counseling services positively affect patients’ care behaviors, decrease the problems experienced after discharge, and increase self-efficacy.Öğe Effects of Discharge Training and Counseling Service on Self-Efficacy, Care Behaviors and the Problems Experienced in Patients Who Have Undergone Coronary Artery By-Pass Grafting Surgery: An Experimental Study(Türkiye Klinikleri Yayınev, 2022) Karaöz, SüreyyaThe aim of this experimental study was to examine the effects of discharge training and counseling services on self-efficacy, care behaviors, and problems experienced by patients who have undergone coronary artery bypass grafting. Material and Methods: The study was conducted with 100 patients (50 control, 50 experimental group), hospitalized in the adult cardiovascular surgery in a university hospital. Apart from the routine nursing care given to the control group, the patients in the experimental group were given discharge training and telephone counseling services. The patients in both groups were monitored twice after discharge: first and fourth weeks. In the study, Barnason Efficacy Expectation Scale (BEES) cardiac surgery version, forms of selfcare behaviors, experienced problems, and telephone counseling were used. Results: At the end of the first and fourth weeks after discharge, it was found that the experimental group had more self-care behaviors (salt usage in meals p=0.001, exercising/walking p=0.001, performing activities that required physical movement p=0.002, and walking at least 2 to 3 days a week for 25 minutes p=0.001), the control group had more problems, and fewer patients being able to solve the problems experienced (p<0.05). At the end of the first and fourth weeks of BEES, total and subscale mean scores were found to be higher in the experimental group than in the control group (p<0.05). Conclusion: The study findings indicate that discharge training and counseling services positively affect patients’ care behaviors, decrease the problems experienced after discharge, and increase self-efficacyÖğe NEECHAM Konfüzyon Ölçeğinin Türkçeye uyarlanması(Anadolu Psikiyatri Dergisi, 2019) Karaöz, SüreyyaÖZET: Amaç: Deliryum hastanede yatan kişilerde sık karşılaşılan bir tablo olmakla birlikte hemşire ve hekimler tarafın-dan tanınması güçtür. Deliryumu taramak ve tanı koymak için dünyada birçok ölçek bulunmaktadır. NEECHAM Konfüzyon Ölçeği hastanede yatan hastalarda deliryum tanısı koymak ve taramak amacıyla kullanılan ölçeklerden biridir. Bu çalışmada NEECHAM Konfüzyon Ölçeğinin Türkçe uyarlaması, geçerlilik ve güvenilirlik çalışması yapılmıştır. Yöntem: Kocaeli Üniversitesi Araştırma ve Uygulama Hastanesinin Dahiliye ve Cerrahi Klinikleri’nde yatan 60 yaş ve üzerinde, bilinci açık, kafa travması veya serebrovasküler hastalık geçirmemiş, kafa içi cerrahi geçirmemiş veya kafa içi kitle tanısı konmayan, çalışmaya katılmayı kabul eden 102 hasta örneklemi oluşturmuştur. NEECHAM Konfüzyon Ölçeği ve referans test olarak Standardize Mini Mental Test kullanılmıştır. Bulgular: Ölçeğin iç tutarlılık katsayısı (Cronbach alfa) 0.744, gözlemciler arası uyum değerlendirmesi sonucunda Fleiss kappa katsayısı 0.70 olarak bulunmuştur. Standardize Mini Mental Test ile referans test korelasyonu uyumlu bulunmuştur. Sonuç: NEECHAM Konfüzyon Ölçeği, hastanede yatan hastalarda deliryumu taramak ve tanı koymak amacı ile kullanılabilir ve deliryumun erken fark edilmesini ve önlenmesini sağlayabilir kanısındayız. (Anadolu Psikiyatri Derg 2019; 20(Ek sayı.1):48-54)Öğe Postoperatif Üriner Retansiyon: Risk Faktörleri(Bolu Abant İzzet Baysal Üniversitesi, 2021) Yaban, Züleyha Şimşek; Karaöz, SüreyyaÜriner retansiyon hastanın rahatsızlığını arttırmanın yanı sıra, aşırı genişleme ile mesaneye zarar verebilir ve kronik nefropatiye, sepsise, mesane duvarının atonisin ve üriner sistem enfeksiyonu gelişmesine neden olabilir. Bunların yanı sıra hastanede kalma sürecinin uzamasına, hastaneye tekrarlı yatışlara neden olabilir ve yaşam kalitesini olumsuz etkiler. Postoperatif üriner retansiyon gelişiminde birçok faktör rol oynamaktadır. Postoperatif üriner retansiyon gelişmesinde etkili olan risk faktörlerini; hastaya, ameliyat ve anesteziye ait çeşitli faktörler ve perioperatif süreçte kullanılan ilaçlar olarak gruplandırabiliriz. Sağlık ekibinin tüm üyeleri (doktor, anestezist, hemşire ve diğ.) bu risk faktörlerinin bazılarına müdahale edebilirken, yaş, cinsiyet, hastada var olan hastalıklar gibi değiştirilemeyen risk faktörlerine müdahale edemezler. Bu nedenle sağlık ekibinin hastada var olan risk faktörlerinin farkında olması çok önemlidir. Postoperatif üriner retansiyonun önlenmesi ve yönetimi ekip üyelerinin işbirliği ile daha mümkündür. Bu çalışma postoperatif üriner retansiyonda risk faktörlerini değerlendirmek amacıyla hazırlanmıştır.|In addition to increasing the discomfort of the patient, urinary retention may harm bladder with extreme expansion and it may cause to develop chronic nephropathy, sepsis, atony in the bladder walls. All of these might increase the time the patient spent in the hospital, lead to repeated lying in hospital and negatively affect the quality of life. There are various risk factors that play a role in the development of postoperative urinary retention. We can classify the risk factors which are effective in the development of postoperative urinary retention such as; patient, operation and anesthesia related various factors and the medicines utilized in the perioperative period. All disciplines on the health team (doctor, anesthetist, nurse etc.) can intervene in some of these risks whereas, they cannot intervene the other risks such as age, gender, preexisting diseases since these risks cannot be changed. However, it is very important for the health team to be aware of the risk factors in the patient. Prevention and management of postoperative urinary retention is more possible with the cooperation of team members. This study is prepared in order to evaluate the risk factors of postoperative urinary retention.
