Hacettepe University Faculty of Health Sciences Nursing Journal - 2012; 19(2)

De�erli Okurlar�m�za

Prof.Dr. Fethiye ERD�L — 2012-06-01

Reliability and Validity of Nutritional Changes Processes Scale

Tu�ba MENEKL�, �i�ek FADILO�LU — 2012-06-01

Background: Obesity (overweight) is a pathological condition defined more than that required for optimal body function and energy balance, fat deposition disorders. The eating behavior of obese individuals is not possible to change the genetic makeup but changing the habit of positive can be acquired healthy lifestyle behaviors Aim: The purpose of this study, was developed to evaluate the validity and reliability in Turkey Nutrition Processes of Change Scale the experience developed in order to determine how it affects some people's eating habits by Prochaska et al. (1987). Methods: Sample of study was 480 randomly selected obese patients Ege University Medical Faculty Hospital between inpatients and outpatients in the Division of Endocrinology in August-November 2011. Patient identifying information form and Nutrition Processes of Change Scale used as a data collection tool. It was taken written consent from the owner of Scale, ethics committee, patients and the institution. Nutrition Processes of Change Scale consists of 48 items. Using a 5-grade Likert scale of their participation status of each expression were detected. Percentage distribution of the data, factor analysis, item-total score correlations and Cronbach's alpha coefficient analysis was used. -Correlation-Coefficients were calculated to establish day-to-day repeatability. Results: In Linguistic validity of the scale, was translated by 4 experts qualified English translation and back into Turkish. For the content validity were 13 qualified expert, the analysis revealed that scores of the experts (KW=0.100, p=0.07). Intraclass Nutrition Processes of Change Scale ICC was 0.90. That was found the factor loadings between 0.420- 0.864, divided into 12 groups and the overall Cronbach's alpha coefficient factor of 0.94. Conclusion: Nutritional Change Processes Scale is a scale with high reliability and validity for the Turkish population.

Effect of the Way of Surgery on Preoperative Anxiety

�mm� Y�ld�z FINDIK, Sacide YILDIZEL� TOP�U — 2012-06-01

Objective: This study aimed to determine preoperative surgery related to specific anxiety in the patients undergoing emergency, planned and day surgery. Methods: Study was performed in T.U. Research and Application Center, emergency, General surgery and urology wards, March 2009-June 2010, with 154 patients undergoing emergency, planned and day surgery. Data were collected via Personel Information Form, Surgery Specific Anxiety Scale and were evaluated via frequency, percentage, mean, variance and correlations analysis. Results: It was determined that 33.1% of the patients, who stay at hospital, aimed to have planned surgery, 33.8% of the patients aimed to have emergency surgery and 33.1% of the patients aimed to have day surgery. preoperative anxiety was 23.76�7.12 in the planned surgery, 28.55�7.15 in the emercency surgery and 28.03�8.20 in the day surgery. Patients had higher anxiety in the emergency and day surgery to the planned surgery. It was found that gender, education, marital status, experience of surgery and possibility of the cancer affected the anxiety according to the way of surgery. Conclusion: By taking individual and health related features in to consideration, giving importance to premedication in emergency and day surgery and in the future causes of anxiety related to the way of the surgery and research of suggestions about solutions are recommended.

Pain Characteristics at the Patients Experienced Myocardial Infarction and Factors Influencing Pain

Leyla �ZDEM�R — 2012-06-01

The study, aimed to determine pain characteristics resulting from myocardial infarction and factors influencing pain, had descriptive and cross-sectional method. The research completed with 89 patients in Y�ksek �htisas E�itim ve Ara�t�rma Sa�l�k ��letmesi, cardiology inpatient clinic between January 3-June 30, 2011. The questionnaire developed by the researcher with literature review was used for the data collection; pain evaluated with 10 cm- visual analog scale. More than half of the patient experienced myocardial infarction at home (62.9%), when sitting, resting, watching television or sleeping (59.6%). Additionally, more than half of the patient experienced pain on pre-cordial-left chest area, between 10 minutes and 2 hours (52.8%) and at 8-10 severity (85.4%) and burning (53.9%). More than half of the patient applied to the hospital's emergency department within first one hour after experiencing heart attack (53.9%) and majority did not practice anything till going to the hospital (73%). Pain severity was lower at 1.00 and 6.00 comparing to other time intervals during day. Moreover, male comparing to female and people living in urban comparing to rural were identified to apply to an emergency department earlier following myocardial infarction. A weak, negative correlation was found between monthly income and time for emergency department application.

Effects of Education Based on Health Belief Model on Nursing Implication in Patients with Diabetes

Nermin OLGUN, Zeynep AKDO�AN ALTUN — 2012-06-01

Objective: This study was designed to evaluate patients with diabetes education provided in accordance with the Health Belief Model (HBM) and the impact of maintenance practises. Method: This study was conducted as a randomized controlled experimental study between September-December 2012. Sample group have been occurred, voluntary, aged 18 and older, non-communication problems, 25 experimental and 25 control patients. Data collection, questions about the socio-demograph�c characteristic, the HBM scale in patients with diabetes, Self-efficacy scale for the management of diabetes mellitus in patients and metabolic control form for follow up were used. Structured individual and group training was conducted for experimental group. SPSS 17.0 software package was used for statistical analysis. Findings: Between the experimental and control groups in terms of socio-demographic characteristics and diabetes-related characteristic no statistically significant differences were found (p>0.05). Metabolic control values in the experimental group were significantly decreased after training (p<0.05). HBM scores and self-efficacy scores of the patients in the experimental group were statistically significant after training (p<0.05). The experimental group of patients, health beliefs, and self-efficacy score was determined to be a high degree of correlation (p<0.01). Conclusion: The individual-specific structured training education using HBM Scale and the Self-efficacy Scale may be beneficial in terms of improved patient compliance and metabolic control results.

Nurses Responsibilities of Safe Use of Anticoagulant Drugs

G�ler Duru A��RET, Leyla �ZDEM�R — 2012-06-01

As the life span has been extended and new therapy options have been developed, an increase in chronic diseases and in the number of the drugs used in the treatment of these diseases has been seen. Anticoagulants have a particular place and significance in the treatment of chronic diseases in terms of frequency and period of usage and potential of side effects. Individuals using anticoagulant drugs which have vital side effects like hemorrhage, hematoma, thrombocytopenia should be particularly evaluated by healthcare personnel. Nurses are responsible for safe medication practices such as right medication, right patient, right method, right time and right dosage as well as monitoring the effects and side effects of the drugs. As from the moment start using the patient's anticoagulant drugs, a nurse should inform the patient and patient's family about the effects, side effects, the value of the drug in the blood monitoring, recording these values, controls, drug-drug and drug-food interactions, exercises and travelling and ensure that the patient uses the anticoagulant drugs safely.

Use of a Standardized and Coded Nursing Terminology to Enhance Nursing Visibility: Clinical Care Classification System

G�lbahar KORKMAZ ASLAN, Oya Nuran EM�RO�LU — 2012-06-01

Standardized, coded nursing terminology is required in order to make use of information technologies efficiently, use computer-assisted maintenance care plans and include nursing in hospital information systems. Clinic Care Classification System which is accepted as nursing taxonomy by American Nursing Association in 1991 was prepard in order to record, code, classify, monitor and evaluate patient care at all care environments into electronic patient record system. Since Clinic Care Classification System was especially prepared for computerassisted systems, it facilitates bedside electronic record and evaluation of nursing practices. Clinic Care Classification System was translated into Turkish and its applicability on elders living at nursing home was evaluated. It is thought that this system which was translated into Turkish and whose applicability was evaluated would facilitate integration nursing records into medical records and make important contributions in enabling nursing visibility.

Home Care of High Risk Pregnant Women

Zekiye KARA�AM, Emine �EN — 2012-06-01

Today there is a number of pregnant women who is receiving medical care for a high risk pregnancy that includes a limitation in their activities. The significant health problem of a high risk pregnancy that threatens the health of the mother and infant has physiologic, social, emotional and economic dimensions. Care of these women in the hospital, compared to caring for them at home, has many more negative effects. In recent years in developed countries an increase in new technology that can be used in the home has decreased health care expenses, made patients more aware and increased their desire to participate in their own care, and has increased the speed with which women in high risk pregnancies are able to leave the hospital and go home. The health of the mother with a high risk pregnancy and the fetus, the health care personnel who will provide their care and the family's psychological, social and economic resources are taken into consideration when the mother is sent home. Care that is provided by midwiferies with specialized training in home care of high risk pregnancies can improve results for the pregnant women, their infants and their families.