Zeynep Karaman Özlü

Effect of Music on Postoperative Pain and Physiologic Parameters of Patients after Open Heart Surgery

The aim of this study was to investigate the effect of listening to personal choice of music on self-report of pain intensity and the physiologic parameters in patients who have undergone open heart surgery. The study design was quasiexperimental. Patients were selected through convenience sampling in the Cardiovascular Surgery Intensive Care Unit at a university hospital. The study was conducted with a total of 87 patients who underwent open heart surgery: 44 in the music group, 43 in the control group, ages between 18 and 78 years. Through pretest-posttest design, postoperative first-day data were collected. First, physiologic parameters (blood pressure, heart rate, oxygen saturation, and respiratory rate) were recorded and a unidimensional verbal pain intensity scale applied to all participants. Later, the control group had a rest in their beds while the music group listened to their choice of music for 30 minutes. Physiologic data were then collected and the pain intensity scale applied once more. In the music group, there was a statistically significant increase in oxygen saturation (p = .001) and a lower pain score (p = .001) than in the control group. There was no difference between the groups in the other physiologic parameters. Results of this research provide evidence to support the use of music. Music might be a simple, safe, and effective method of reducing potentially harmful physiologic responses arising from pain in patients after open heart surgery.

Inevitable problems of older people: presurgery information effect on anxiety levels in patients undergoing cataract surgery

AIMS AND OBJECTIVES This study was to determine the effect of preoperative patient training on the concern level of patients who would be undergoing cataract surgery. BACKGROUND Cataract is one of the main causes of blindness in the world. Cataract surgery is located among the quite frequently performed surgeries today. DESIGN This study was an experimental study. METHODS The subject pool for this research consisted of patients admitted to the Eskisehir Osmangazi University Medical Faculty Hospital Ophthalmology Department for cataract surgery. The sampling consisted of volunteers who were able to communicate and were deemed suitable patients within the limitations of this study (a total of 100 patients; control group = 50, experimental group = 50). Patient identification forms and the State Trait Anxiety Inventory I-II scale were used as data collection tools. RESULTS The mean State Trait Anxiety Inventory pretest score for the experimental group was significantly higher than the mean final test score (53·30 ± 7·02 and 27·54 ± 3·25, respectively, p < 0·05). The mean State Trait Anxiety Inventory pretest score of the control group was 53·82 ± 7·42 and the mean final test score was 49·22 ± 13·17; there was no significant difference between these average scores (p > 0·05). However, the mean final test scores of the experimental and control groups were significantly different (p < 0·05). CONCLUSIONS In the experimental group in this study, informative, educational and planned nursing care had a significant impact on anxiety levels in patients who had cataract surgery. RELEVANCE TO CLINICAL PRACTICE Although it is not implemented in most hospitals, and implementation in some hospitals is unplanned, systematically planned preoperative education should take place as part of standard nursing practices.

Examination of the Relationship Between Elective Surgical Patients' Methods for Coping With Stress and Sleeping Status the Night Before an Operation

Purpose: This study was conducted to examine the relationship between elective surgical patients’ methods for coping with stress and sleeping status the night before an operation. Design: This research was a descriptive and correlational study. Methods: The study was conducted between November 2016 and February 2017 with 132 patients who were waiting to undergo elective surgery in the surgery clinics of a university hospital. The data were collected using a personal information form, the Richards‐Campbell Sleep Questionnaire (RCSQ), and the Ways of Coping Inventory (WOC). Findings: This study indicated that the mean RCSQ score of the male patients and patients who were hospitalized at a cardiology clinic and experienced no situation that interrupted sleep the night before the operation was higher, and the difference was statistically significant (P < .05). Patients obtained a mean score of 46.31 ± 32.21 on the RCSQ. A positive significant relationship was found between the mean scores of the self‐confident approach, optimistic approach, and receiving social support, which are subscales of the WOC, and the total mean score on the RCSQ (P < .01). A negative significant relationship was found between the mean scores of the helpless approach and the submissive approach subscales of the WOC, and the total mean score on the RCSQ (P < .01). Conclusions: The results of this study showed that the approaches that the patients waiting for elective surgery used to cope with stress affected their nocturnal sleep status.

Validation of the Turkish Version of the Surgical Fear Questionnaire

Purpose: Preoperative surgical fear is an emotional reaction that can be observed in many patients who are waiting to undergo a surgical procedure. The Surgical Fear Questionnaire (SFQ) was originally developed to determine the level of fear in patients who are to undergo surgery; this study aims to translate the questionnaire into the Turkish language and to test the validity and reliability of this Turkish version. Design: Methodological research model. Methods: The population of this methodological study included the patients who presented to surgical clinics at a university hospital in Turkey between January and August 2016 and were scheduled to undergo elective surgery; the sample involved 405 patients who met the inclusion criteria. Findings: Results of the analyses showed that the SFQ can be used with two subscales—the S subscale, which shows the short‐term consequences, and the L subscale, which shows the long‐term consequences of surgery. The mean score of the patients was 18.03 ± 11.44 on the former, 19.52 ± 11.87 on the latter, and 37.55 ± 21.11 for the entire questionnaire. The Cronbachs &agr; coefficient was 0.96 for the SFQ‐S subscale, 0.90 for the SFQ‐L subscale, and 0.93 for the entire questionnaire. Conclusions: In this study, the translated SFQ was found to have a similar structure to the original questionnaire and a high level of validity and reliability and therefore can be used in Turkey.

Comparison of Nurses in Two Different Cultures: Who Experiences More Burnout

Purpose Although burnout occurs in almost all occupational groups, it is mostly observed in professions requiring face‐to‐face relationships with people, especially among health care workers who deal constantly with problems and expectations of people. Design The objective of this study was to determine the burnout levels of nurses working in surgical clinics in two countries. Methods This descriptive study was conducted between June and September 2013. The studys population consisted of 179 nurses working in the surgical clinics of Ataturk University Research Hospital and Iran Urmiyili Shahidmotahari University Hospital. A questionnaire involving descriptive characteristics of nurses and the Maslach Burnout Inventory were used to collect the data. Findings Nurses working in Turkey had higher mean scores of “emotional exhaustion” and “depersonalization,” and a higher mean composite score. Nurses working in Iran had higher mean scores of the subscale “personal accomplishment.” Although there was a statistically significant difference between both countries in terms of emotional exhaustion and personal accomplishment (P < .05), there was no statistically significant difference between them in terms of mean score of depersonalization and total mean composite score of the inventory (P > .05). Conclusions Nurses working in Turkey experienced more emotional exhaustion and less personal accomplishment compared with nurses working in Iran. In line with this result, improvements in their work environment and conditions are recommended to provide organizational support by fostering job satisfaction, preventing exhaustion by arranging shifts based on workload, and offering psychological counseling services to employees.

The effect of enhancing environmental factors on the quality of patients’ sleep in a cardiac surgical intensive care unit

Abstract The aim of this study was to investigate the effect of enhancing environmental factors on the duration and quality of sleep among patients in a cardiovascular surgery intensive care unit (CSICU). This quasi-experimental study was conducted upon 100 patients. The experimental group received nursing interventions to control the environmental factors that negatively affect nocturnal sleep. Data also were collected using a form to assess the environmental factors and the Richards–Campbell Sleep Questionnaire in the morning of the second day after the operation. The difference between the groups was statistically significant in favor of the experimental group for eight of the environmental factors. Compared with that in the control group, the duration of sleep was longer (experimental, 6.30 h; control, 3.98 h) and the quality of sleep was higher (experimental, 66.57 units; control, 44.43 units) in the experimental group. We conclude that nursing interventions should be used to control the environmental factors that negatively affect nocturnal sleep in CSICUs.

Comparison of the Emotional Intelligence Levels of Students Receiving Education in Different Fields

Aim. This descriptive study was conducted to determine and compare the emotional intelligence levels of senior students receiving education in different fields of Ataturk University. Methods. The population of the study consisted of senior students receiving education in different fields of Ataturk University. The sample group of study consisted of 305 senior students receiving education in different fields (health, social, and natural) and they were selected by using the simple random sampling method. Three faculties from three different fields were selected. Data of the study were obtained by using the personal information form, which was prepared by researchers in the light of the literature and involved sociodemographic characteristics and the “Emotional Intelligence Evaluation Scale.” Results. It was determined that while natural science students had the lowest total mean score of emotional intelligence scale, students of social sciences had the highest total mean score according to departments. Examining the difference between the mean scores of three different educational fields, it was determined that this difference was statistically significant. Conclusion. Consequently, the emotional intelligence level was determined to be lower in natural science students and moderate in students of health and social sciences.