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Öğe Effect of educational intervention on nurses knowledge about palliative care: Quasi-experimental study(Elsevier, 2021) Menekli, Tuğba; Doğan, Runida; Erçe, Çiğdem; Toygar, İsmailThe aim of the study was to determine the level of knowledge of registered nurses about palliative care and to determine the effect of educational intervention on this level of knowledge in Turkey. The study was a quasi-experimental study and consists of 136 nurses. The study was conducted between April and June 2019 in a university hospital in Malatya, Turkey. Nurse are educated on the definition, history, and philosophy of palliative care, the responsibilities of palliative care nurses, symptom management, and end of life care. The education was applied in five sessions. Each session took approximately 40 min and sessions were conducted once a week. Data were collected before and after the education via nurse identification form developed by the research team and the Palliative Care Knowledge Test. It was determined that the nurses received 8.9 ± 1.1 out of 20 points before and 17.5 ± 1.9 points after the education. There was a statistically significant difference between the mean scores of nurses before and after training (p < 0.001). It was found that educational intervention has a large effect (Cohen's d = 5.540) on nurses' knowledge about palliative care. It was determined that educational intervention was an effective way to improve nurses' knowledge about palliative care.Öğe The Effect of Virtual Reality Distraction Intervention on Pain, Anxiety, and Vital Signs of Oncology Patients Undergoing Port Catheter Implantation: A Randomized Controlled Study(Elsevier, 2022) Menekli, Tuğba; Yaprak, Bülent; Doğan, RunidaBackground: Although the port catheters have many beneficial effects on the patient's quality of life, it was reported in the literature that patients experience pain in the incision area after the implantation or anxiety before, during or, after the implantation.Distraction is a simple and effective method in the management of pain and anxiety.Öğe Pain behaviors and hemodynamic parameters of intubated and sedatized intensive care patients during aspiration(2021) Menekli, Tugba; Doğan, Runida; YAPRAK, BÜLENTThe study was conducted in a descriptive type to evaluate the pain behavior and hemodynamic parameters during aspiration of intubated and mildly sedatized patients in the intensive care unit. The study sample consisted of 100 intubated and sedatized patients who were hospitalized in the Anesthesia Intensive Care Unit of Harran University Faculty of Medicine Hospital between February 2018 and June 2018. \"Patient Information Form\", \"Hemodynamic Parameter Form\", \"Behavioral Pain Scale (BPS)\", \"Ramsay Sedation Scale\" and \"Glasgow Coma Scale (GCS)\" were used to collect the data. There is a significant difference between the BPS total and subscale scores, mean \"systolic and diastolic blood pressure\", \"heart rate\", \"respiratory rate\" and \"SpO2\" before, during and after aspiration (p=0.0001), it was determined that the difference was due to the average score after aspiration (p=0.0001). While the SpO2 averages of intubated and sedatized intensive care patients decrease during aspiration, the averages of the BPS scores and other hemodynamic parameters increase.Öğe Palyatif Bakım Hastalarında Ağrı Düzeyi ile Genel Konfor Arasındaki İlişkinin İncelenmesi(2021-10-28) Menekli, Tuğba; Doğan, Runida; Şentürk, SibelAmaç: Bu araştırmanın amacı, palyatif bakım hastalarında ağrı düzeyi ile genel konfor arasındaki ilişkinin incelenmesidir. Yöntem: Çalışma, Mart 2019-Şubat 2020 tarihleri arasında kamuya ait bir hastanenin palyatif bakım kliniklerinde yatarak tedavi gören 18 yaş ve üzerinde olan, bilinci yerinde olan, sözel iletişime açık, Palyatif Performans Skoru %40 ve üzerinde bulunan ve çalışmaya katılmayı kabul eden 358 hasta ile tamamlanmıştır. Veriler, Kişisel Bilgi Formu, Palyatif Performans Skalası (PPS), Kısa McGill Melzack Ağrı Soru Formu (K-MASF) ve Genel Konfor Ölçeği (GKÖ) ile toplanmıştır. Verilerin değerlendirilmesinde Independent Sample t testi, One-Way ANOWA, Pearson Korelasyon ve Linear Regresyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 38.76±8.90 yıl, %53,4’ünün erkek, %29,6’sının kanser hastası, %39,7’sinin hastanede yatış süresinin 4-6 gün olduğu ve %70,7’sinin ağrı nedeniyle günlük yaşamlarının etkilendiği saptanmıştır. Hastaların %21,2’sinin ağrı bölgesinin baş/ekstremite, %24,3’ünün ağrı niteliğinin zonklama, %36,6’sının genel ağrı şiddetinin berbat, %45,3’ünün ağrısının zamanla ilişkisinin Ritmik-Periyodik-Aralıklı olduğu saptanmıştır. Araştırma sonucunda, hastaların ağrı şiddetinin 8,01±0,52, genel konfor ölçeği toplam puan ortalamasının ise 1,87± 0,11 olduğu belirlenmiştir. K-MASF ve GKÖ arasında yüksek düzeyde negatif yönlü bir ilişki bulunduğu saptanmıştır (p<0,05). Sonuç: Bu araştırmada, palyatif bakım hastalarında ağrı düzeyinin artmasının genel konfor düzeyini azalttığı saptanmıştırÖğe The Relationship Between Humor Style And Death Anxiety Of Palliative Care Patıents(2021) Doğan, RunidaThis descriptive and relational study was conducted to examine the relationship between palliative care patients' humor styles and death anxiety. The study sample consisted of 282 palliative care patients treated in the palliative care clinics of a training and research hospital between January 2021 and August 2021. Personal Information Form, Humor Styles Questionnaire, Thorson-Powell Death Anxiety Scale, and Palliative Performance Scale were used as data collection instruments. Data analysis was performed using mean, standard deviation, and percentile, Kolmogorov-Smirnov Goodness-of-Fit Test, Significance test of the difference between two means, ANOVA, Post-hoc test, Pearson's Correlation test, and regression analysis. It was found that the mean age of the patients was 49.58±9.56 and 52.1% were hospitalized in the palliative care clinic for 5-10 days. It was determined that the most frequently used humor style by the patients was “Affiliative Humor” (31.7%), and the least used humor style was “Aggressive Humor” (19.5%). The Humor Styles Questionnaire subscale scores of the patients were determined as 31.05±7.11, self-enhancing humor 28.34 ± 6.94, aggressive humor 26.85±7.37, self-defeating humor 23.50± 6.21. The death anxiety scale mean scores of the patients were found to be 81.62±9.12. In addition, a low negative correlation was found between affiliative humor (r=-0.298; p<0.05) and self-enhancing humor (r=-0.318; p<0.05) and death anxiety. A moderate positive correlation was found between aggressive humor (r=0.450; p<0.05) and self-defeating humor (r=0.427; p<0.05) and death anxiety. The result of the study revealed that humor is an important variable associated with death anxiety and the way humor is used by patients differs in death anxiety.Öğe THE RELATIONSHIP BETWEEN HUMOR STYLE AND DEATH ANXIETY OF PALLIATIVE CARE PATIENTS(Rojan GÜMÜŞ, 2021) Menekli, Tuğba; Doğan, Runida[Abstract Not Available]Öğe The Relationships between the Pain Beliefs and Coping Strategies of Palliative Care Patients(2021) Menekli, Tugba; Doğan, Runida; ERCE, ÇİĞDEM; atik, deryaBACKGROUND/AIMS This descriptive study aims to determine the relationships between the pain beliefs and coping strategies of palliative care patients. MATERIAL and METHODS This study was conducted in the Malatya Training and Research Hospital Palliative Care Clinic from March 10, 2019 to June 10, 2019. The sample consisted of 138 inpatients. The data were collected using a personal information form, the Pain Beliefs Questionnaire, the Pain Coping Questionnaire, and the Palliative Performance Scale. Statistical Package for the Social Sciences (SPSS) version 18.0 (IBM SPSS Corp.; Armonk, NY, USA) software was used to analyze the data. The required ethical approvals were obtained. RESULTS The patients’ mean age was 59.01 6 9.38. Of them, 65.1% were female, and 89.7% were married. Of the patients, 56.3% had completed primary school, and 75.3% were unemployed. Of the patients, 70.5% believed that pain is controlled by God. Their mean organic beliefs score was 3.04 6 0.38, and their mean psychological beliefs score was 4.83 6 1.00. Their mean scores for self-management, helplessness, conscious cognitive attempts, and medical remedies were 19.07 6 5.18, 10.72 6 3.00, 13.85 6 4.05, and 11.54 6 3.08, respectively. Their organic beliefs scores had a negative relationship with self-management scores (P < .001, r ¼ –392) and conscious cognitive attempts scores (P < .001, r ¼ –.350), and they had a positive weak relationship with helplessness scores (P < .001, r ¼ .380). CONCLUSION The pain beliefs of patients in palliative care affect their ability to cope with pain. The planning and implementation of nursing pain management interventions should consider the relationships between the pain beliefs and pain coping strategies of patients.
