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Mastectomy is one of the most painful surgical procedures. Postoperative pain guidelines recommend transcutaneous electrical nerve stimulation (TENS) as a reliable non-pharmacological analgesic method. The aim of this study was to investigate the effects of TENS on postoperative pain and outcomes in patients undergoing modified radical mastectomy (MRM).A single-center, single-blind, prospective, randomized-controlled study.This single-center, single-blind, randomized-controlled study included a total of 80 patients who underwent MRM at general surgery clinic of a tertiary center were included. The pain management of the patient outcomes were evaluated using the Turkish Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-TR).The pain levels of the intervention group were lower than the control group. There were significant improvements in the patient outcomes such as mobilization, position, sleep, anxiety, and fear in the intervention group.Our study results suggest that TENS reduces MRM pain. Thus, TENS can be recommended as a useful analgesic method in MRM.

Fiziksel, zihinsel, cevresel, sosyoekonomik, kulturel ve benzeri nedenlerle bilgi kaynaklarindan yararlanmalari sinirlanan kisi ve gruplarin bilgi gereksinim ve davranislari bu sinirliliklar baglaminda dikkate alinmalidir. Bu calismanin amaci, anilan gruptaki mahkumlarin bilgi gereksinimleri, bilgi davranislari ve bu baglamda etken olan faktorler ile karsilasilan sorunlara iliskin kuramsal bir cerceve olusturmaktir. Calismada betimleme yontemi kullanilmis, yerli literaturun sinirliligi nedeni ile daha cok yabanci literatur taranarak genel cercevede bilgi davranislarina iliskin olgu, kavram ve yaklasimlar, ozel olarak da mahkumlarin bilgi gereksinimi ve davranislari ile onlari bicimlendiren etmenler arastirilmis ve irdelenmistir. Calismanin sonunda, mahkumlarin bilgi gereksinimi ile davranislarinin ozgur vatandaslarinkilerle benzerlik gosterse de cezaevi (ve/veya tutukevi) ortam ve kosullarinin etkisiyle bicimlenen ozel, sinirli ve sorunlu karakteristikleri oldugu sonucuna varilmistir.

Emergency room conditions and the characteristics of the patients followed up pose a risk for pressure injury.This study was conducted as a pilot study to assess the effectiveness of a training program in increasing the awareness of healthcare professionals working in an emergency department about how to manage pressure injuries.The study was a prospective, pre-test post-test intervention study without a control group. The study included 595 patients who were hospitalized in the emergency room for more than two hours and voluntarily agreed to participate, as well as 11 physicians and 17 nurses working in the emergency department between 15 April and 19 June 2019 2019. It was carried out in three stages. In the first stage, the 30-day pressure injury incidence rate in the emergency department was evaluated using the "Emergency Department Patients Information and Pressure Injury Assessment Form" and "The Braden Scale for Predicting Pressure Injury Risk". In the second stage, the healthcare professionals were given training about pressure injuries. The knowledge levels of healthcare professionals before and after the training were evaluated using "The Descriptive Characteristics Form for Emergency Department Personnel (doctors and nurses)" and "The Questionnaire for Identifying and Preventing Pressure Injury". In the third stage, the 30-day pressure injury incidence rate in the was re-evaluated after the training using the same two scales as before. The SPSS 25 package program was used to evaluate the data in terms of frequency, percentage, mean and standard deviation, and the Mann-Whitney U Test for independent groups, the t-test, the correlated sample t-test, the Wilcoxon Signed Rank test, Pearson Chi-square test, Yates Chi-square test and Fisher's Exact Chi-square test were also used.The mean knowledge test score of the healthcare professionals working in the emergency department was determined as X¯±SD = 53.71 ± 14.70 before the training and X¯±SD = 58.57 ± 11.83 after the training. The average score on the prevention dimension of the Questionnaire for Identifying and Preventing Pressure Injury was found to be statistically significantly higher than before the training (p 0.05). The pressure injury incidence in the emergency department was 12.5% before the training and 8.8% afterwards.It was observed that the knowledge of healthcare professionals about pressure injury was insufficient and that training given on this topic both increased their knowledge and decreased the incidence of pressure injury. However, the difference was not statistically significant. Training about pressure injuries is important for preventing pressure injury, identifying the injury early, treating the injury appropriately and increasing the awareness of healthcare professionals.

Bu çalışma, intörnlük uygulamasının hemşirelik son sınıf öğrencilerinin kişisel ve mesleki benlik bağdaşım düzeyleri ile profesyonellik tutumları üzerine etkisini belirlemek amacıyla yapılmıştır. Kesitsel ve tanımlayıcı nitelikteki çalışmanın örneklemini, lisans programında intörnlük uygulaması yapan 47 son sınıf hemşirelik öğrencisi oluşturmuştur. Veriler, Öğrenci Bilgi Formu, Kendini Sıfatlarla Anlatma ve Mesleği Sıfatlarla Anlatma’dan oluşan Sıfatlar Listesi ve Öğrenci Hemşirelere Yönelik Profesyonellik Tutum Ölçeği ile toplanmıştır. Veri toplama formları intörnlük uygulaması öncesi ve sonrası ön-test ve son-test olarak uygulanmıştır. Üniversiteden ve Etik Komisyon’dan gerekli izinler ile öğrencilerden aydınlatılmış onam alınmıştır. Öğrencilerin intörnlük uygulaması sonrası hemşirelik mesleğini kişilik özelliklerine uygun bulma durumlarının ve otonomi puan ortalamasının arttığı, bu farkın istatistiksel olarak anlamlı olduğu; kişisel ve mesleki benlik bağdaşımının “orta derecede uyumlu” olduğu ve kişisel ve mesleki benlik bağdaşımlarıyla profesyonellik tutumları arasındaki ilişkinin pozitif yönde arttığı bulunmuştur. Bu çalışma sonucunda, hemşirelik öğrencilerinin kişisel ve mesleki benlik bağdaşımları ile profesyonelliklerinin geliştirilebilmesine imkân sağlayacak şekilde intörnlük uygulamalarının düzenlenmesi önerilmektedir.

It is already known that library anxiety is a common issue which causes many negative effects on students’ success and can even lead to library use avoidance. The main aim of this study is to examine if the undergraduate students of Information and Records Management in Kastamonu University have experienced library anxiety and to determine the level of experienced anxiety. It is also examined whether library anxiety they feel, was related to trait anxiety of those undergraduate students. The department of Information and Records Management in the Faculty of Science and Letters, in Kastamonu University was established in 2006 and began to admit students in 2014, and the current student population of the department (2015) has risen to 78. First, it was measured if there is a relationship between two variables; trait and state anxiety of 57 undergraduate students by Zung Self Rating Scale for depression. Then library anxiety was measured using the Bostick’s Library Anxiety Scale. The survey’s findings showed that about 77 percent of the students experienced library anxiety. Besides it was also found that the students’ library anxiety is independent from their trait anxiety which its level is 40,8., Kütüphane kaygısı öğrencilerinbaşarısı üzerinde olumsuz etkiler oluşturan, hatta kütüphane kullanımındankaçınılmasına yol açan yaygın bir durumdur. Bu çalışmanın temel amacı,Kastamonu Üniversitesi Fen Edebiyat Fakültesi Bilgi ve Belge Yönetimi Bölümülisans öğrencilerinin kütüphane kaygısı olup olmadığını saptamak, varsa bukaygının düzeyini değerlendirmektir. Ayrıca öğrencilerin kütüphane kaygısının“sürekli kaygı” (trait anxiety) ile ilgisi olup olmadığı da araştırılmaktadır.Kastamonu Üniversitesi Fen Edebiyat Fakültesi Bilgi ve Belge Yönetimi Bölümü2006 yılında kurulmuş ve 2014 yılında da öğrenci kabul etmeye başlamıştır. Şuanda (2015) mevcut toplam öğrenci sayısı (45 birinci sınıf ve 33 ikinci sınıföğrencisi ile) 78’e ulaşmıştır. Çalışmada önce örneklem olarak alınan 57 lisansöğrencisine Zung Kendi Kendini Değerlendirme Ölçeği (Zung Self Rating Scale)uygulanmış ve öğrencilerin durumluluk (state anxiety) ile sürekli kaygıları(trait anxiety) arasında bir ilişki olup olmadığı araştırılmıştır. Daha sonraBostick’in Kütüphane Kaygısı Ölçeği (Bostick's Library Anxiety Scale) aracılığıile bu öğrencilerin kütüphane kaygısı ölçülmüştür. Araştırma/anket sonuçlarısöz konusu öğrencilerin aşağı yukarı % 77’sinin kütüphane kaygısı duyduğunuortaya koymuştur. Ayrıca, öğrencilerin kütüphane kaygısının ortalama 40,8düzeyinde olduğu saptanan sürekli kaygıları ile bağlantısı olmadığı dagörülmüştür.

This descriptive, cross-sectional study investigated problems experienced by patients after undergoing a thyroidectomy. The study included 60 first-time, post-thyroidectomy patients diagnosed with benign thyroid disease from a university hospital’s general surgery clinic in Ankara, Turkey. The data were collected in two stages: interviews with patients on the first day following surgery and postoperative follow-up telephone interviews in each of the first 4 weeks following surgery. The follow-ups revealed that patients principally experienced varying degrees of pain and difficulties in connection with work and recreation, communication, body image, and movement, for up to 4 weeks after surgery. These results showed that patients were particularly prone to problems on the first day and during the first week of the postoperative period; therefore, patients should be provided with follow-up telephone interviews to facilitate easier recovery and to help them overcome any problems experienced during the postoperative period.

This study is a translation of the "Evidence-based librarianship Down Under: improving a nation's resource-sharing" section in the book headed "Evidence-based Librarianship: Case Studies and Active Learning Exercises." Roxanne Missingham, the author of the section in question, is a librarian with a work experience in the Australian Parliament and the National Library, who also has the responsibilities of the vice-presidency of the Australian Library and Information Association at the same time. In general, the book emphasizes the knowledge and evidence gained in the development of library services as a result of a combination of usercollected data, librarians' experiences, scientific, professional research and observations, and active learning practices that encourage critical thinking through case-based case studies. The purpose of the specifically translated section is to present an assessment of the development of countrywide resource sharing through a national benchmarking study in Australia on the subject and an evaluation of the impact from an evidence-based librarianship approach using a survey and data from libraries in 2006. It is hoped that it will both shed light on the application field of similar works and provide a contribution to the Turkish literature.

PubMedID: 28096004 Pain assessment has a key role in relief of the postoperative pain. In this study, we aimed to examine the effect of the Standard Pain Assessment Protocol (SPAP), which we developed based on acute pain guidelines, on pain level, and analgesic consumption. The study population consisted of a total of 101 patients who had arthroscopic shoulder surgery. The routine pain assessment was administered to the control group, while the SPAP was administered to the study group. The routine pain therapy of the clinic was administered to the subjects from both groups based on the pain assessment. Throughout the study, pain was assessed nearly two times more in the study group (p < 0.001) and the mean pain levels were lower at 8th–11th hours in the study group (p < 0.001). Pain assessment was not performed after 12th hour despite the severe pain in the control group, and, therefore, analgesia was administered at irregular intervals or was not administered at all. However, the hours of analgesic administration were found to be more regular according to the pain levels of the patients in the study group. In conclusion, the SPAP reduced the pain level by providing regular analgesia when used in combination with regular pain assessment. Perspective This article highlights the appropriate assessment for patients with surgical pain. In majority of literature on the subject, the authors emphasize the importance of Standard Pain Assessment Protocol to provide adequate pain relief. © 2016 Elsevier Inc.

WOS: 000380933500140 PubMed ID: 27444760 Purpose: This study was conducted for the purpose of determining the effect of cold vapor applied for sore throat in the early postoperative stage. Design: A quasi-experimental design was used. Methods: The study sample consisted of 60 patients who underwent lumbar disc herniation surgery in the Neurosurgery Clinic of Gazi University Health Research and Practice Center in Ankara, Turkey. The study involved two intervention groups and one control group. The study data were collected through questionnaire and observation forms. Findings: 65% (n = 39) of patients experienced sore throat. There were no statistical differences between the groups in terms of sore throat and hoarseness (P > 05); however, a significant difference was determined in the group to whom oxygen together with cold vapor was applied for dry throat (4th and 8th hours) and swallowing difficulties(8th and 12th hours) (P < .05). Conclusions: Cold vapor did not have an effect on sore throat on its own; however, it decreased hoarseness and swallowing difficulties when applied together with oxygen.

Bu araştırma, kalça ve diz artroplastisi ameliyatı uygulanan yaşlı hastaların fonksiyonel bağımsızlık düzeylerinin belirlenmesi amacıyla kesitsel ve tanımlayıcı olarak yapılmıştır. Araştırmanın örneklemine Mayıs 2018 – Mart 2019 tarihleri arasında Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği’ne kalça ve diz artroplastisi ameliyatı olmak üzere yatan ve örneklem kriterlerine uyan 65 yaş ve üzeri 43 hasta dahil edilmiştir. Araştırma, Hasta Tanıtım Formu ile Otonomi Değerlendirme Ölçeği kullanılarak, iki aşamada gerçekleştirilmiştir. Araştırmanın verileri, artroplasti ameliyatı öncesi hastalarla yüz yüze, ameliyat sonrası 2. ve 6. haftalarda telefonla görüşülerek toplanmıştır. Verilerin değerlendirilmesinde frekans dağılımı (sayı, yüzde), sayısal değişkenler için tanımlayıcı istatistikler (ortalama, standart sapma, medyan, minimum, maksimum), Kruskal Wallis testi, Mann Whitney U testi, Friedman testi, Wilcoxon testi ve Spearmann Korelasyon katsayısı kullanılmıştır. Araştırmaya katılan hastaların %76,7’sine total diz artroplastisi ve %23,3’üne total kalça artroplastisi ameliyatı yapılmıştır. Hastaların ameliyat öncesi dönem, ameliyat sonrası 2. ve 6.haftalardaki izlemlerinde Otonomi Değerlendirme Ölçeği iletişim ve zihinsel alt boyut puanları arasında anlamlı bir farklılık bulunmazken (p>0,05), günlük yaşam aktiviteleri alt boyut ve Otonomi Değerlendirme Ölçeği puan ortalamaları bakımından zamanlar arasında istatistiksel olarak anlamlı bir farklılığın olduğu tespit edilmiştir (pAnahtar Sözcükler : Artroplasti, Yaşlı Hasta, Fonksiyonel Bağımsızlık, Otonomi Değerlendirme Ölçeği, Ortopedi ve Travmatoloji Hemşireliği This is a cross-sectional and descriptive study that was carried out to determine the functional autonomy levels of elderly patients who underwent to hip and knee arthroplasty surgery. The sample of the study included 43 patients aged of 65 or older, hospitalized at the Orthopedics and Traumatology Clinic at Sakarya University Research and Training Hospital for hip and knee arthroplasty surgery between the dates of May 2018 and March 2019. The research has been conducted in two stages by using patient identification form and The Functional Autonomy Measurement System (SMAF). The data of the research has been collected by face to face interaction with the patients before the surgery and by making phone calls after the 2nd and 6th week after the surgery. The analysis of the data utilized frequency distributions (number, percentage), descriptive statistics for the numerical variables (mean, standard deviation, median, minimum, maximum), Kruskal Wallis test, Mann Whitney U test, Friedman test, Wilcoxon test and Spearman’s Correlation test. Total knee arthroplasty was applied on 76.7% of the participants, while total hip arthroplasty was applied on 23.3%. While there is no significant difference between the communication and mental subscale scores of the SMAF in the preoperative and 2nd and 6th weeks of postoperative follow-ups of the patients (p>0.05), it is found that there was a statistically significant difference between the times of subscale and mean scores of SMAF in their activities of daily living (pKey Words : Arthroplasty, Elderly Patient, Functional Independence, The Functional Autonomy Measurement System, Orthopaedic and Trauma Nursing

Bu araştırma kalça ve diz artroplastisi geçiren hastalarda uyku kalitesinin ve etkileyen faktörlerin belirlenmesi amacı ile tanımlayıcı olarak yapılmıştır. Araştırma Karadeniz Ereğli Devlet Hastanesi’nde 1 Nisan 2018-15 Nisan 2019 tarihleri arasında Ortopedi ve Travmatoloji Kliniğinde kalça veya diz artroplastisi geçiren 150 hasta ile yürütülmüştür. Araştırmanın verileri “Hasta Bilgi Formu”, “Uykuyu Değerlendirme Formu’’ ve “Pittsburgh Uyku Kalitesi İndeksi’’ ile toplanmıştır. Veriler hastaların kliniğe kabulünde, ameliyat sonrası kendileriyle yüz yüze görüşerek ve ameliyatın 2. ve 4. haftalarında telefonla görüşülerek toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler (ortalama, standart sapma, medyan, minimum, maksimum), Mann Whitney U, Kruskal Wallis, Wilcoxon, Mc Nemar testleri ile Spearmann korelasyon katsayısı kullanılmıştır. Araştırmaya katılan hastaların çoğunluğu (%59,3) 65 yaş ve üzeri, evli (%74.0) ve kadındır (%71,3). Hastaların %72,7’sine diz artroplastisi, %27,3’üne kalça artroplastisi ameliyatı yapılmıştır. Araştırmaya katılan hastaların %54,7’sinin evde uyku sorunu olduğu ve %96,3’ünün uyandığında kendini dinlenmiş hissetmediği belirlenmiştir. Hastaların “Pittsburgh Uyku Kalitesi İndeksi’’ puanı ameliyat öncesi dönemde 5,6±3,3 iken, ameliyat sonrası 1.ayda 4,7±2,5 olduğu ve zaman içinde anlamlı azaldığı (pAnahtar KelimelerKalça Artroplastisi, Diz Artroplastisi, Uyku Kalitesi, Hemşirelik, Ortopedi This research was conducted in a descriptive manner for the purpose of identifying the sleep quality and affecting factors in patients undergoing hip and knee arthroplasty. The research was carried out with 150 patients undergoing hip and knee arthroplasty in Orthopedics and Traumatology Clinic between the dates of 1 April 2018 and 15 April 2019 in Karadeniz Ereğli Public Hospital. The research data was collected through “Patient Information Form”, “Sleep Evaluation Form” and “Pittsburgh Sleep Quality Index”. Data was collected by interviewing with the patients during their admission to the clinic and after the surgery via face to face interview and on 2nd and 4th weeks by phone. Descriptive statistics (average, standard deviation, median, minimum, maximum), Mann Whitney U, Kruskal Wallis, Wilcoxon, Mc Nemar tests and the Spearmann correlation coefficient were used for data evaluation. The majority of the patients participated the research are over 65 age (59.3%), married (74.0%) and woman (71,3%). Knee arthroplasty was performed in 72.7% of the patients and hip arthroplasty was performed in 27.3% of the patients. It was identified that 54.7% of the patients participated the study have sleep disorder at home and 96.3% of them do not feel themselves rested after waking up. It was identified that while the “Pittsburgh Sleep Quality Index” score of the patients was 5.6±3.3 in preoperative period, this score was 4.7±2.5 in the 1st month after the surgery and reduced significantly (pScience Code:1032.1Keywords:Hip Arthroplasty, Knee Arthroplasty, Sleep Quality, Nursing, Orthopaedics