Search

Aim: The aim of this study was to determine the effects of solution‐focussed education and counselling on problematic internet usage, sleep quality and school achievement. Methods: This randomized controlled trial was conducted between January ‐ December 2016 with 44 adolescents who participated in a solution‐focussed intervention to address their problematic internet usage and poor sleep quality. After the intervention, the teens were followed up for 6 months to measure problematic Internet usage, sleep quality and school achievement using the Internet Addiction Test, Pittsburg Sleep Quality Index, Parent–Child Internet Addiction Scale and the students' end‐of‐term school grades. Data were analysed in Statistical Package for the Social Sciences programme using Chi‐square test, Independent t test, Man–Whitney U test, Friedman test and Spearman correlation analysis. Results: The median Internet Addiction Test and Pittsburg Sleep Quality Index scores of the adolescents in the intervention group were significantly lower than those of the controls (P < 0.05), and there was a positive and moderate association between problematic Internet usage and sleep quality in both groups after the follow‐up (r = 0.537, P = 0.010; r = 0.576 P = 0.005). Conclusion: The education and counselling intervention decreased problematic Internet usage and increased sleep quality. There was also an improvement in school achievement, but the difference was not significant. Summary statement: What is already known about this topic? Problematic internet usage is a common public health problem among adolescents, and it affects their physical, social and academic lives.There are some studies in the literature on the prevalence and treatment of problematic internet usage, but there are few on preventing its occurrence.Strengths‐based approaches in adolescent interventions encourage active learning. What this paper adds? A solution‐focussed approach was used for the first time in adolescents to prevent and manage problematic internet usage and accompanying problems.A programme of solution‐focussed health education and counselling was found to be an effective intervention for preventing problematic internet usage and some accompanying problems in adolescents. The implications of this paper: For the prevention and management of problematic internet usage school nurses should screen young adolescents for Internet addiction symptoms and accompanying problems.Nurses must have the benefit of multiple approaches to systematize health care in fulfilling their school health responsibilities.Health education programmes administered by school nurses to address Internet addiction in students can be based on solution‐focussed approaches. [ABSTRACT FROM AUTHOR]

Copyright of International Journal of Nursing Practice (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: This study aimed to determine the effect of application of superficial local heat and a home exercise program on pain and function levels to patients with bilateral knee osteoarthritis. Methods: This study was conducted in Turkey between January 2014 and February 2015. The sample group of the study consisted of 62 patients with osteoarthritis; 15 assigned to heat application, 15 to exercise, 15 to exercise after heat application, and 17 for the control group. While the patients in the control group received routine treatment only, the patients in the intervention group were treated with heat application, exercise, or exercise after heat application, suggested for 5 days a week for 4 weeks in addition to routine treatment. Results: In this study, all of the intervention groups had decreases in Visual Analogue Scale Pain and Western Ontario and McMaster Universities Osteoarthritis Index pain, stiffness, and function scores when compared with the control group. It was found that this decrease in Visual Analogue Scale Pain and Western Ontario and McMaster Universities Osteoarthritis Index scores was mostly in the exercise group, but this condition was not statistically significant. Conclusions: As a result, it is recommended that nurses train patients with osteoarthritis on heat application and home exercises and encourage them to apply these practices. SUMMARY STATEMENT: What is already known about this topic? Knee osteoarthritis is a chronic musculoskeletal system disease characterized by pain and physical disabilities that affects joints, typically progresses bilaterally, and impairs quality of life.The most frequent symptoms of knee osteoarthritis are pain, stiffness, limited range of joint motion, motion restriction, joint deformity, and loss of function.The combination of heat application and exercise for knee osteoarthritis has been stated to reduce pain, ensure comfort, and enhance stiffness and physical function. What this paper adds? This study showed that application of heat and a home exercise program reduced pain and enhanced the functional level for patients with osteoarthritis.While Western Ontario and McMaster Universities Osteoarthritis Index stiffness, pain, and disability subgroup scores decreased in all intervention groups (heat application, exercise after heat application, and exercise) post intervention, no change was found in the control group.Pain was significantly lower in all intervention groups post intervention. The implications of this paper: It is important for nurses to use nonpharmacological methods with high evidence levels in patient care.Nurses can train patients with osteoarthritis on application of heat and home exercise, which are easy‐to‐apply, cost‐effective, and efficient methods, and encourage them to do these practices. [ABSTRACT FROM AUTHOR]

Background: In order to increase the quality of patient care and to ensure patient safety, nursing students should be given the best possible clinical skills education. Therefore, nursing educators should be strengthening their skills training through the use of education technologies. Objective: This randomized controlled trial study was conducted to examine the effects of the use of supported educational videos on the nursing student’s skills to administer parenteral medication. Methods: The sample was 80 first year nursing students who enrolled at a University in Turkey. The 40 of students were randomly selected into the control group while the remaining 40 students were assigned to the experimental group. The parenteral treatment training was given to the control group (n= 40) only with the demonstration method while the experimental group (n= 40) was trained using educational videos in addition to the demonstration method. A questionnaire and obstructed skill clinical examination (OSCE) were used for the data collection Results: The obstructed skill clinical examination posttest skill scores of the experimental group trained with supported educational videos were found to be higher than control group was trained with just demonstration method. In addition, most of the students who were experimental group were quite satisfied. Conclusion: A supported of educational videos education and conventional teaching methods will contribute to the training nursing skills education. [ABSTRACT FROM AUTHOR]

Aim The objective of this study was to evaluate the effects of lozenges containing L. reuteri as an adjuvant treatment to initial periodontal therapy for chronic periodontitis patients and to detect the level of L. reuteri colonization in the periodontal pockets of treated patients. Material and Methods A total of 40 patients were selected and randomly divided into two groups. Each patient had at least two teeth with one approximal site each with a probing depth ( PD) of 5-7 mm and gingival index ( GI) of ≥2 in each quadrant. Group I received scaling and root planing ( SRP) plus L. reuteri-containing lozenges, and Group II received SRP plus placebo. The plaque index ( PI), GI, bleeding on probing (BoP), PD and relative attachment level were measured. Microbiological sampling was performed at baseline and on days 21, 90, 180 and 360 and were analysed by culturing. The Bonferroni-corrected paired sample t-test, Bonferroni-corrected Wilcoxon signed rank test and paired sample t-test were used to evaluate intra-group differences. The Bonferroni-corrected Student's t-test and the Mann-Whitney U-tests were used to evaluate inter-group differences. Results After treatment, the measured PI, GI, BoP and PD were significantly ( p < 0.05) lower in Group I compared with Group II at all time points. Similar observations were made for the total viable cell counts and the proportions of obligate anaerobes with the exception of day 360. In Group I, significantly fewer patients required surgery on ≥3 sites. Conclusion L. reuteri-containing lozenges may be a useful adjuvant agent to slow re-colonization and improve clinical outcomes of chronic periodontitis. Further studies are required to clarify the optimal dose of the lozenges. [ABSTRACT FROM AUTHOR]

Objective:This study aimed to compare the effects of topical and systemic lignocaine on the circulatory response to direct laryngoscopy performed under general anaesthesia.Methods:Ninety-nine patients over 20 years of age, with a physical status of I–II (classified according to the American Society of Anesthesiologists), were randomly allocated to 3 groups. One group received 5 ml of 0.9 per cent physiological saline intravenously, one group received 1.5 mg/kg lignocaine intravenously, and another group received seven puffs of 10 per cent lignocaine aerosol applied topically to the airway. Mean arterial pressures, heart rates and peripheral oxygen saturations were recorded, and changes in mean arterial pressure and heart rate ratios were calculated.Results:Changes in the ratios of mean arterial pressure and heart rate were greater in the saline physiological group than the other groups at 1 minute after intubation. Changes in the ratios of mean arterial pressure (at the same time point) were greater in the topical lignocaine group than in the intravenous lignocaine group, but this finding was not statistically significant.Conclusion:Lignocaine limited the haemodynamic responses to laryngoscopy and endotracheal intubation during general anaesthesia in rigid suspension laryngoscopy. [ABSTRACT FROM PUBLISHER]

The article presents a study which examines the efficacy of local corticosteroid injection and low-level laser treatment in 135 patients with subacromial impingement syndrome. The study used a controlled clinical trial to assess the pre- and post- treatment of patients at a Physical Medicine and Rehabilitation outpatient clinic. Results show that low-level laser treatment and local corticosteroid injection are both effective in treating subacromial impingement syndrome.