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Yayın Effect of standard versus patient-targeted in-patient education on patients' anxiety about self-care after discharge from cardiovascular surgery clinics(CLINICS CARDIVE PUBL PTY LTD, 2014) Yildiz, Tulin; Gurkan, Selami; Gur, Ozcan; Unsal, Cuneyt; Goktas, Sonay Baltaci; Ozen, YucelWe compared standard and patient-targeted in-patient education in terms of their effect on patients' anxiety. One hundred and ninety-eight patients who were hospitalised for coronary artery bypass surgery were given standard education (group 1) or individualised education (group 2) on the management of their healthcare after discharge. Patients in group 2 were assessed on the patient learning needs scale and were given education according to their individual needs. The level of anxiety was measured by the state-trait anxiety inventory. Anxiety scores were significantly lower in group 2 than group 1 after education (p < 0.001). While state anxiety did not change after education in group 1 (p = 0272), it decreased significantly in group 2 (p < 0.001). For cardiovascular surgery patients, patient-targeted in-patient education was more effective than standard education in decreasing anxiety levels, therefore the content of the education should be individualised according to the patient's particular needs.Yayın The effect of total hysterectomy on sexual function and depression(PROFESSIONAL MEDICAL PUBLICATIONS, 2015) Goktas, Sonay Baltaci; Gun, Ismet; Yildiz, Tulin; Sakar, Mehmet Nafi; Caglayan, SabihaBackground & Objectives: To investigate whether the operations of Type 1 hysterectomy and bilateral salpingo-oophorectomy performed for benign reasons have any effect on sexual life and levels of depression. Method: This is a multi-center, comparative, prospective study. Healthy, sexual active patients aged between 40 and 60 were included into the study. Data was collected with the technique of face-to-face meeting held three months before and after the operation by using the demographic data form developed by the researchers i.e. the Female Sexual Function Index (FSFI) and the Beck Depression Scale (BDS). Results: In the post-operative third month, there was an improvement in dysuria in terms of symptomatology (34% and 17%, P<0.001), while in FSFI (41.47 +/- 25.46 to 34.20 +/- 26.67, P<0.001) and BDS (12.87 +/- 11.19 to 14.27 +/- 10.95, P=0.015) there was a deterioration. For FSFI, 50-60 age range, extended family structure; and for BDS, educational status, not working and extended family structure were statistically important confounding factors for increased risk in the post-operative period. Conclusion: While hysterectomy and bilateral salpingo-oophorectomy performed for benign reasons brought about short-term improvement in urinary problems after the operation for sexually active and healthy women, they resulted in sexual dysfunction and increase in depression. The age, educational status, working condition and family structure is also important.Yayın Evaluation of Factors Affecting the Type of Gallstone(SPRINGER INDIA, 2016) Goktas, Sonay Baltaci; Manukyan, Manuk Norayık; Selimen, DenizThe aim of this study is to determine the factors affecting the formation of the gallstone types of cholesterol and pigment stones. This descriptive and retrospective study comprised 164 patients who underwent cholecystectomy. Research data were obtained using a data collection form with 34 questions developed by the researchers based on the relevant literature. Statistical analysis of the data was made on SPSS 15.0 software using the percentage assessment method and chi-square test. Advanced statistical analysis of the data was performed using multivariate logistic regression. Cholesterol stone was found to form in individuals with anemia, those going through the menopause, and those consuming liquid oil and not undertaking exercise. The risk of pigment stone formation was found to be higher in the obese and those with liver disease and who do not consume milk. From the results of the study, it was determined that the dietary habits, chronic diseases, and lifestyle behaviors of individuals could be effective factors in the formation of cholesterol and/or pigment stone.Yayın Hand hygiene compliance rate of health professionals(AVES PRESS LTD, 2015) Kosucu, Sibel Nargiz; Goktas, Sonay Baltaci; Yildiz, TulinObjective: In this study, it was aimed to define the compliance rate of health professionals to the rule of 5 indications which require hand hygiene. Method: Health professionals were observed for two hours a day within working hours during three months by an observer. The observation was made according to 5 indications rule for hand hygiene and compliance rates were calculated. Results: A total of 3690 hand hygiene indications were observed. Compliance rate of health professionals was found as 58%. Hand hygiene compliance rates were found to be 69% for nurses, 45% for doctors and 36% for allied health professionals. Hand hygiene compliance was observed to be the highest as 80% before aseptic operations and the lowest as 48% after touching patients' goods. Conclusions: Providing hand hygiene for health professionals is the first step of infection control programme which is constituted to prevent hospital infections. In accordance with obtained findings, increasing compliance is planned with repetitive educations which especially include the statement of hand hygiene indications and methods for health professionals tailored through evaluations via observation method and feedback of gained findings.
