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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 The Evaluation of Nursing Care Satisfaction and Patient Learning Needs in day Case Surgery(SPRINGER INDIA, 2015) Goktas, Sonay B.; Yildiz, Tulin; Nargiz, Sibel KosucuPatients in surgical service units have higher expectations for treatment and care. The aims of this study were to determine nursing care satisfaction and information requirements at the time of discharge of patients from a day surgery unit and to assess the effects of demographics. The study was conducted on 291 patients undergoing day case surgery. Patient perception scale for nursing care (PPSN) and the patient learning needs scale (PLNS) were used and total and sub-dimension points averages were calculated and then compared with demographic data using the Kruskal-Wallis test. The results were evaluated at the p< 0.05 significance level with 95 % confidence intervals. Of the patients, 58.8 % (n= 171) were females and the average age was 49.5 +/- 15.3 years. PPSN and PLNS total point averages were 68.16 +/- 10.17 and 178.53 +/- 27.59, respectively. A significant difference was determined in PPSN total point average with regard to previous hospitalisations; the PPSN total point average was higher for patients with prior hospitalisations (p< 0.001). Significant differences were determined between PLNS total point average and age group, marital status, receiving discharge training, and education level (p= 0.008, 0.006, < 0.001, and 0.015, respectively). Differences were found in the PLNS sub-dimension point averages between groups, especially with regard to age group and educational level. We showed that patient satisfaction and patient information requirements could change according to demographic features of the patients at a day case surgery unit. In this respect, healthcare providers should offer healthcare services by evaluating the personal characteristics of patients because this is important for their satisfaction.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.Yayın The Impact of Facial Aesthetic and Reconstructive Surgeries on Patients' Quality of Life(SPRINGER INDIA, 2015) Yildiz, Tulin; Selimen, DenizThe aim of the present prospective and descriptive study was to assess the impact of facial aesthetic and reconstructive surgeries on quality of life. Ninety-one patients, of whom 43 had aesthetic surgery and 48 had reconstructive surgery, were analysed. The data were collected using the patient information form, body cathexis scale, and short form (SF)-36 quality of life scale. There were significant differences between before and after the surgery in both groups in terms of body cathexis scale and quality of life (p< 0.05 for both). It was observed that problems regarding the body image perception were encountered more, and the quality of life was poorer in both aesthetic and reconstructive surgery patients before the surgery. However, the problems were decreased, and the quality of life was enhanced after the surgery. Among the parameters of SF-36 quality of life scale, particularly the mean scores of social functioning, physical role functioning, emotional role functioning, mental health, and vitality/fatigue were found low before the surgery, whereas the mean scores were significantly improved after the surgery. The results revealed that facial aesthetic and reconstructive surgical interventions favourably affected the body image perception and self-esteem and that positive reflections in emotional, social, and mental aspects were effective in enhancing self-confidence and quality of life of the individual.Yayın A Study Comparing the Pre- and Post-Training Knowledge of Emergency Department Nurses in Turkey for the Diagnosis of Physically Abused Women(SPRINGER/PLENUM PUBLISHERS, 2014) Yildiz, Tulin; Selimen, Deniz; Dogan, DuyguThis study assesses the knowledge levels of emergency service nurses regarding their ability to recognize the signs of physical abuse in women, before and after an educational program. The research was conducted in Istanbul city center, using a comparative definitive method. The universe of the research consisted of emergency service nurses of three different publics. Data were collected via face to face interviews based on a questionnaire comprised of 21 questions with forty nine nurses. The results of the research revealed that 58.6 % (n = 27) of ER nurses were between 18-25 years of age and 100 % (n = 46) of them didn't have any previous education on recognizing violence, and the scores before, just after and 3 months after the education program were statistically meaningful (x = 30, p < 0.0001). This study indicates that forensic medicine should be built up in nursing schools and via in-service training, the workers should be supported to improve themselves.
