Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed
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Publication Open Access Validity and Reliability Study of the Turkish Form of Post-Discharge Surgical Recovery Scale(2021) Çınar, Fadime; Eti Aslan, Fatma; Korkmaz Turkurka, Evin; Azizoğlu, Hatice; İstanbul Sabahattin Zaim Üniversitesi; Bahçeşehir Üniversitesi; Bahçeşehir Üniversitesi; Van Yüzüncü Yıl ÜniversitesiAIM: This study was carried out to adapt the “Post-Discharge Surgical Recovery Scale “ developed by Kleinbeck into Turkish and analyze the scale’s validity and reliability.METHODS:The study sample consisted of 343 patients who underwent surgery in a state hospital operating in the province of Diyarbakır, in the province of Istanbul. The sample consisted of 271 people due to voluntary participation and reasons for not being able to reach. This research, which is of methodological type, was carried out between April and July 2019. The Individual Information Form and the Post-Discharge Surgical Recovery Scale, which the researchers developed by scanning the literature, were used to collect the data. In the validity and reliability study of the scale, Linguistic equivalence, content validity for expert assessment, the correlation between items for internal consistency/reliability, and calculating Cronbach alpha values and confirmatory and exploratory factor analyzes were performed for construct validity. IBM SPSS Statistics 25 and IBM SPSS Amos 21 programs were used for statistical evaluation of the data. RESULTS:It was determined that the content validity index of the scale was 0.96, the correlation values between the items were r=0.47-0.97, the explained variance was 75.238%, and it was gathered under a single factor. The general reliability of the scale is very high as alpha=0.975. In the confirmatory factor analysis for the scale, the fit indices of the scale were CFI = 0.76, NNFI = 0.93, It was determined that RMR =0.11 and RMSEA = 0.13, AGFI=0.69, GFI=0.77. CONCLUSION: The research results suggest that the Turkish version of the “Post-Discharge Surgical Scale” is a valid and reliable measurement tool and can be used in scientific research and health care institutions to measure recovery post dischange.Publication Open Access The effect of comorbidity on mortality in elderly patients undergoing emergency abdominal surgery: a systematic review and metaanalysis(2021) Çınar, Fadime; Eti Aslan, Fatma; Parlak, Göknur; İstanbul Sabahattin Zaim Üniversitesi; Bahçeşehir Üniversitesi; Bahçeşehir ÜniversitesiBackground/aim: With the increase in the elderly population, the elderly proportion needing emergency surgery is also increasing. Despite medical advances in surgery and anesthesia, negative postoperative outcomes and high mortality rates are still present in elderly patients undergoing emergency surgery. Comorbidities are described as the main determining factors in poor outcomes. In this metaanalysis, it was aimed to investigate the effect of comorbidity on mortality in elderly patients undergoing emergency abdominal surgery. Materials and methods: The studies published between 2010-2019 were scanned from databases of Google Scholar, Cinahl, Pub Med, Medline and Web of Science. Quality criteria proposed by Polit and Beck were used in the evaluation of the included studies. Interrater agreement was calculated by using the Kappa statistic, effect size by using the odds ratio, and heterogeneity among studies by using the Cochran’s Q statistics. Kendall’s Tau-b coefficient and funnel plot were used to determine publication bias. Results: A total of 9 studies were included in the research. There was a total of 1330 cases in the studies. The total mortality rate was 21% (n = 279), the total rate of having a comorbid factor was 83.6% (n = 1112), and the rate of having a comorbid factor in mortality was 89.2% (n = 249). According to the fixed effects model, the total effect size of comorbid factors on causing mortality was not statistically significant with a value of 1.296 (C.I, 0.84-1.97, P > 0.05). Conclusion: Our study revealed that comorbidity had no significant effect on causing mortality in geriatric patients undergoing emergency abdominal surgery. There are controversial results in the literature, and in order to reach more precise results, studies involving wider groups of patients and further studies examining the specific effect of certain comorbid conditions are needed.Key words: Emergency, abdominal surgery, elderly, mortality, comorbidPublication Open Access Geriatrik Hastaların Anti-hipertansif Tedaviye Uyumu: Sistematik Derleme ve Metaanaliz(2021) Çınar, Fadime; Eti Aslan, Fatma; Özdemir Aslan, Emine; İSTANBUL SABAHATTİN ZAİM ÜNİVERSİTESİ; BAHÇEŞEHİR ÜNİVERSİTESİ; BAHÇEŞEHİR ÜNİVERSİTESİAmaç: Bu çalışma, geriatrik hastalarda anti-hipertansif tedaviye uyumu değerlendiren araştırmaların sistematik derlemesi ve metaanalizi amacıyla planlandı. Gereç ve Yöntemler: Google Scholar, Web of Science, PubMed, CINAHL, MEDLINE ve Scopus veri tabanlarında “Geriatria, Geriatric patients, Elderly, Elderly patients, Hypertension, Anti-hypertensive agents, Drug compliance” ile tarama yapıldı. Toplam 13 araştırma, meta-analiz kapsamına alındı. Dâhil edilen araştırmalar, Polit ve Beck tarafından önerilen kalite değerlendirme ölçütleri ile değerlendirildi. Araştırmacılar arası uyum, kappa uyum analizi ile ölçüldü. Etki büyüklükleri için olasılık oranı [odds ratio (OR)], heterojenlik için Cochran Q testi, yayın yanlılığı için huni saçılım grafiği ve Kendall tau katsayısı kullanıldı. Bulgular: Geriatrik hastalarda, anti-hipertansif tedaviye uyumu etkileyen yaş, cinsiyet, eğitim durumu, gelir düzeyi, yaşanılan yer ve komorbid hastalığa sahip olma durumları incelendi. Geriatrik hastalarda, yaş ve komorbid hastalığa sahip olma durumunun, anti-hipertansif tedaviye uyumu azaltırken (OR <1), yaşanılan yerin şehir olması, eğitim ve gelir düzeyinin yüksek olmasının anti-hipertansif tedaviye uyumu artırdığı (OR >1) meta-analiz sonucu doğrulandı. Sonuç: Geriatrik hastalarda, anti-hipertansif tedaviye uyumu etkileyen faktörlerin, literatür ile benzer olduğu tespit edildi. Literatürün aksine cinsiyetin, anti-hipertansif tedaviye uyumu herhangi bir şekilde etkilemediği tespit edildi. Bu farkın, çalışmaların örneklemlerinde homojenliğin olmamasından kaynaklanacağı düşünüldü.Publication Open Access Determination of the Effect of the Fowler and Prone Position on Oxygen Saturation in Patients Diagnosed with COVID-19(2023) Eti Aslan, Fatma; Parlak, Göknur; İşler Işıldak, Yeşim; Bahçeşehir Üniversitesi; Bahçeşehir Üniversitesi; Bahçeşehir ÜniversitesiObjective: This study was conducted to investigate the effect of the Fowler position and prone position on oxygen saturation in patients receiving treatment in clinics with the diagnosis of COVID-19 disease. Method: A total of 40 patients, admitted to the pandemic ward who met the inclusion criteria, were included in the quasi-experimental type study without any sampling. The patients were first given the Fowler position and then the prone position. There was a time interval of 15 minutes wait between the two positions. For each position, peripheral oxygen saturation, heart rate, respiratory and blood pressure values were obtained at initial position placement, after the 30th minute and every hour for the first four hours. Results: The mean age of the participants was 57.57±12.64 years. Respiratory distress, cough, fever, weakness, sweating and headache were the main symptoms. A total of 22.5% of them had a diagnosis of hypertension and Diabetes Mellitus. The requirement for the positioning was found to be 95% in the first five days after admittance. After treatment, 85% of them were discharged home. The mean oxygen saturation values of the patients for every hour in the Prone position were 93.15±1.718 (p=0.035), 93.60±1.809 (p=0.019), 93.93±1.774 (p=0.006) and 94.15±1.718 (p=0.002), respectively in the first four hours. These findings were statistically significant compared to the Fowler position. Respiratory values in the prone position were 17.30±1.159 (p=0.005), 17.20±1.344 (p=0.010), 17.20±1.181 (p=0.005), and 17.05±1.280 (p=0.001), respectively in the first four hours, which were statistically lower than in the Fowler position. There was no significant difference in the mean heart rate and blood pressure in both positions (p>0.05). Conclusion: The prone position was found to have a positive effect on oxygen saturation levels when Fowler and Prone positions were applied in patients receiving treatment with the diagnosis of COVID-19 in hospital wards. Therefore, it is recommended that patients admitted with the diagnosis of COVID-19 be placed in the prone position at regular intervals.Publication Open Access Intensive Care Experiences of Patients After Surgery(2023) Eti Aslan, Fatma; Yalın, Hayat; Yüksel, Güler; Bahçeşehir Üniversitesi; Bahçeşehir Üniversitesi; İstanbul ÜniversitesiBackground: Patients hospitalized in the intensive care unit are faced with many factors that can negatively affect the intensive care experience, such as pain, noise, insomnia, and lack of privacy. Aim: The study was planned to determine the experiences of patients whose care and treat ment were continued in the intensive care unit after surgery during their stay in these units. Methods: The study, which was planned quantitatively and descriptively, was conducted between January 2019 and October 2019 with 220 patients in the inpatient clinics of a pri vate hospital. The data were collected by face-to-face interview method within the first 24 hours after the patients were transferred from the intensive care unit in the service rooms where they were hospitalized, using the “patient information form” and “Intensive Care Experience Scale.” Number, percentage, mean, standard deviation, t-test, and 1-way analysis of variance were used for data analysis. Results: According to the results of this study, 61.4% of the participants in the study were male, and their average age was 58.795 ± 15.503 years. The total mean score of the patients from the Intensive Care Experience Scale was 73.809 ± 5.050. It was found that the satis faction scores of the patients were significantly different according to the age variable (P < .05). The scores of satisfaction with the care taken were found to be higher in those aged 61 and over than those aged 40 and below (P < .05). Conclusion: As a result of the study, the intensive care experience of patients who had previously been in intensive care and stayed in a single room was positive, however it has been found that problems such as pain, noise, and inability to sleep cause patients to feel discomfort.Publication Open Access Türkiye’de erişkin bireylerde ağrı prevalansı(2023) Çınar, Fadime; Eti Aslan, Fatma; Nişantaşı Üniversitesi; Bahçeşehir ÜniversitesiAmaç: Ağrı, hem dünyada hem de ülkemizde oldukça yaygın ve giderek artan bir sağlık problemidir. Bu çalışmanın amacı, Türkiye’deki erişkinlerde ağrı görülme sıklığı ve özelliklerini belirlemektir. Gereç ve Yöntem: Kesitsel tipteki bu araştırma, Türkiye’nin yedi demografik bölgesine dağılan 28 ilde 1.391 katılımcıyla 1 Şubat 2021–31 Mart 2021 tarihleri arasında yapıldı. Veriler araştırmacılar tarafından hazırlanan tanıtıcı ve ağrı değerlendirme bilgi formu ile çevrim içi Google formlar üzerinden toplandı. Veri analizi için SPSS 25,0 (Statistical Package for Social Sciences [Chicago, Illinois, USA]) istatistik programı kullanıldı. İstatistiksel testlerin anlamlılık düzeyi için p<0,05 değeri kabul edildi. Bulgular: Elde edilen verilerin analizi sonucunda araştırmaya dahil edilen katılımcıların yaş ortalaması 40,83±7,78 yıl, eğitim durumunun en fazla %70,4 (n=979) ile lisans, cinsiyetin en fazla %80,9 (n=1.125) ile kadın olduğu bulundu. Katılımcıların %58,1’nin Marmara Bölgesi’nde ve %41,8’inin İstanbul ilinde yaşadığı, %41,2’sinin özel sektör çalışanı olduğu belirlendi. Türkiye’deki erişkinlerin ağrı prevalansının %80,84 olduğu ve %79,07’sinin son bir yıldır ağrı yaşadığı saptandı. Yaşanılan ağrı nedeniyle %10,28’inin işe gidemediği, en çok ağrı hissedilen bölgenin %37,88 ile baş ve boyun bölgesi olduğu belirlendi. Ağrının giderilmesi için %32,92’sinin ilaç tedavisi aldığı ve %44,32’sinin nonsteroid antienflamatuvar ilaç kullandığı, %33,97’sinin ilaç tedavisi dışında ağrının hafifletilmesi için masaj yöntemini kullandığı belirlendi. Sonuç: Araştırmanın sonuçlarına göre, Türkiye’de erişkin ağrı prevalansı oldukça yüksektir. Yüksek ağrı prevalansına rağmen ağrıyı gidermek için ilaç tedavisini tercih etme oranı düşük, ilaç dışı tedavi yöntemlerinin tercih oranı yüksektir.Publication Open Access Depremzede Hemşire Bir Felakette Yardımcı Olabilir mi? 2023 Pazarcık Depremi Üzerine Deneyimler(2023) Eti Aslan, Fatma; Azizoğlu, Hatice; Korkmaz, Evin; Hacıdursunoğlu Erbaş, Dilay; İlbey Koç, Betül; Bahçeşehir Üniversitesi; Van Yüzüncü Yıl Üniversitesi; Bahçeşehir Üniversitesi; T.C. Sağlık Bakanlığı; T.C. Sağlık BakanlığıGiriş: Türkiye’de 6 Şubat 2023 tarihinde iki yıkıcı deprem meydana geldi. Yaşanan bu büyük depremlerden etkilenen depremzede hemşirelerin depremzede hastalara bakım verme deneyimlerini derinlemesine incelemek amacı ile bu çalışma yapıldı.. Yöntem: Çalışma nitel desende fenomolojik tipte yapıldı. Veriler Mart -Nisan 2023 tarihinde toplandı. Görüşmeler, online olarak ve 29 ila 40 dakika arasında bir sürede tamamlandı. Elde edilen verilerin ses kayıtları nitel araştırma eğitimi alan araştırmacılar tarafından manuel olarak deşifre edildi, kodların ve temaların oluşturulmasında, MAXQDA programı kullanıldı. Bu çalışmanın raporlanmasında, Kalitatif Araştırma Raporlama Konsolide Kriterleri (COREQ) rehber olarak kullanıldı. Bulgular: Çalışmaya dokuz depremzede hemşire dahil edildi. Hemşirelerin, ortalama yaşı 29.6, %55’inin kadın, %44’ünün 1-5 yıl arasında çalışma deneyimine sahip, %55’inin acil servis, yoğun bakım ve ameliyathanede çalıştığı belirlendi. Hemşireler ile yapılan derinlemesine görüşme sunucunda, 1- güvende miyiz?, 2- deprem anının ifade ettikleri, 3- bakımdaki farklılıklar, 4- depremzede hemşire olarak çalışmak başlıklı dört ana tema ve on üç alt tema oluştu. Sonuç: Depremzede hemşirelerin depremzede hastalara bakım verme konusundaki özverili çabaları literatürle paralellik göstermektedir. Hemşirelerin büyük bir felakete hazır olmalarının bu duruma müdahale konusunda yetkinlik ve yeterlilik kazandıracağı düşünülmektedir.Publication Open Access The Analysis of Causes of Hospital Readmissions in The Patients who underwent Gastrectomy Because of Gastric Cancer in Van Province(2023) Kızıltan, Remzi; Eti Aslan, Fatma; Güven, Suzan; Van Yüzüncü Yıl Üniversitesi; Bahçeşehir Üniversitesi; Van Yüzüncü Yıl ÜniversitesiIt was aimed to analyze the causes of hospital readmissions within the first 30 days after gastrectomy in the patients diagnosed with gastric cancer. Data of 300 patients who underwent total gastrectomy or subtotal gastrectomy for gastric cancer between 01.01.2018 and 31.05.2022 were retrospectively analyzed using the hospital automation system. Patients aged 18 -85 years with or without neoadjuvant treatment were included in the study. SPSS software package was used to make comparisons between patient data. One hundred ten patients (36.7%) were female, 190 patients were (63.3%) male and the mean age of the patients was 61. Within the first 30 days after gastrectomy and discharge, 65 patients re admitted to the hospital. The rate of hospital readmissions after gastrectomy was found to be 21.6%. The analysis of readmission causes revealed that headache, chest pain and abdominal pain were the most common rationales for readmissions. In the present s tudy, the causes of readmissions were classified under three titles as pain, gastrointestinal symptoms and surgical site complications. No statistically significant relationship was found between the causes of readmissions and patient age, patient gender, type of the performed surgery and the fact whether neoadjuvant therapy was received (p>0.05). We conclude that providing a postoperative high quality healthcare for recovery in the patients who underwent gastrectomy will reduce the postoperative readmissions rates.Publication Open Access Investigation of symptoms and mortality in hypertension patients diagnosed with COVID-19: A retrospective case-control study(2024) Eti Aslan, Fatma; Uyar, Serpil; Yalın, Hayat; Yalçınkaya, Zeynep; Bahçeşehir Üniversitesi; Bahçeşehir Üniversitesi; Bahçeşehir Üniversitesi; T.C. Sağlık BakanlığıIt was aimed to determine whether there is a difference in mortality and symptoms between patients, aged 60 years or above, with hypertension (HT) and Coronavirus disease 2019 (COVID-19) infection and those without any chronic disease. The population of the study, which was conducted as a retrospective case-control study, consisted of 2747 HT patients diagnosed with COVID-19 and aged 60 years or above. While 170 patients with HT diagnosis formed the case group, 170 patients without any chronic disease formed the control group from the sample. In this study, the time from diagnosis to death was found to be shorter in the presence of HT in COVID-19 patients, while males diagnosed with COVID-19 had higher rates of intensive care unit admittance, intubation and mortality than females irrespective of HT. The presence of HT was determined not to affect symptoms in patients diagnosed with COVID-19. The most common symptoms were fatigue, cough, body ache, fever, headache, and sore throat in HT and control groups and the symptoms were similar in both groups. Further studies are recommended to reveal the relationship between HT, considered one of the most important risk factors for COVID-19, and adverse outcomes related to COVID-19.Publication Open Access Development of Adjustable Lower Extremity Abduction Apparatus(2024) Doğan Merih, Yeliz; Eti Aslan, Fatma; Türkkan, Tuğba; Sağlık Bilimleri Üniversitesi; Bahçeşehir Üniversitesi; Bahçeşehir ÜniversitesiBackground: Currently, devices and pillows are used to provide abduction between the lower extremities after total hip replacement. However, the pillows used are not individually adjustable, are too large for short patients, and are not large enough for tall patients. This can prevent hip abduction at the recommended angle of 15°-20°, leading to complications such as prosthesis slippage and delayed healing. Aim: The Adjustable Lower Extremity Abduction Apparatus was developed as an innovative, adjustable device designed to prevent dislocation and assist with walking in patients who have undergone total hip replacement surgery. Methods: A new apparatus was planned to improve the present system, increase patient comfort, develop a product that minimizes the risk of dislocation, and increase the effectiveness of post-operative care. A literature review was conducted, and the researchers created the Adjustable Lower Extremity Abduction Apparatus, a novel invention. The researcher then carried out the drawing and design phase of the device. Patenting procedures were completed (Patent Application No: 2021/021259). The prototype processes and evaluation stages of the designed device were also carried out. Results: The research and development (R&D) process for the Adjustable Lower Extremity Abduction Apparatus was conducted. Following the evaluation of the extracted protopin on both healthy and sick individuals, it was determined that the apparatus is an innovative product that supports dislocation and walking, stabilizes the angle between the legs, mitigates risks to patient safety and financial losses, and enhances healthcare quality and patient satisfaction. This apparatus has not yet been commercially used either abroad or in Türkiye. Conclusion: Upon evaluating the results of the R&D process, it was determined that an innovative product has been created to eliminate situations that may pose a risk to patient safety and financial loss, and to improve the quality of care.