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Öğe A randomized controlled trial of reflexology effect after abdominal surgery on patient satisfaction, pain and vital signs(Elsevier Science Inc, 2023) Kapikiran, Guerkan; Bulbuloglu, Semra; Gunes, Huseyin; Saritas, Serdar; Demir, BilsevObjective: In our study, we investigated the effect of reflexology on patient satisfaction, pain and vital signs after abdominal surgery.Method: This study was conducted as a randomized controlled trial with the participation of 156 abdominal surgery patients hospitalized in the general surgery unit of a training and research hospital. Personal Information Form, Visual Analogue Scale and Newcastle Nursing Care Satisfaction Scale were used in data collection. We performed the data analysis with One-way analysis of variance, Chi-squared test, paired samples t-test, and independent samples t-test.Results: When the pain, vital signs and satisfaction levels of the experimental and control groups were compared, the pain intensity of the experimental group was found to be lower and the level of satisfaction was higher after reflexology (p<0.01). After reflexology, the blood pressure was closer to 120/80 in the experimental group, the respiratory rate was between 16-22 (number/minute), the difference between the experimental and control groups were statistically significant (p<0.01). There was no statistically significant difference between the pulce oximetry values between the experimental and control groups.Conclusion: Surgical pain and non-optimal vital signs that are not well managed after surgery causes various complications and decrease patient satisfaction. The results of our study emphasize the power of reflexology in effective surgical pain management and normalizing vital signs and increasing patient satisfaction. We suggest that reflexology be performed to patients following abdominal surgery.Öğe Effect of Acceptance and Commitment Therapy on Motivation and Adherence to Immunosuppressive Medication in Liver Transplant Recipients: A Randomized Controlled Trial(Wiley, 2025) Saritas, Serdar; Okutan, Serafettin; Saritas, Hasan; Bulbuloglu, SemraBackground: After liver transplantation, recipients continue to receive immunosuppressive drug regimens at varying doses for years to ensure graft function and survival. Although liver transplant recipients are aware of the importance of immunosuppressive drug regimens, treatment compliance may decrease over time due to low motivation, putting recipients at risk of organ rejection. Acceptance and commitment therapy (ACT) appears to be an ideal solution for increasing motivation and, indirectly, treatment compliance. Objective: The aim of this study was to investigate the effect of ACT on adherence to immunosuppressive medication and motivation in liver transplant recipients. Methods: This study was conducted at an organ transplant hospital with the participation of recipients who had completed at least 6 months post-liver transplant. The sample included n = 140 liver transplant recipients (n = 70 experimental, n = 70 control). The study was randomized and controlled. The control group received no intervention, while the experimental group underwent an eight-session ACT program administered by a psychologist. Data collection utilized a personal characteristics form, the Adherence to Immunosuppressive Drug Regimen Scale (AIDRS), the Mindfulness Scale (MS), and the Adult Motivation Scale (AMS). Data analysis was performed using descriptive statistical methods and tests of significance for differences between variables. Findings: According to the homogeneity tests of this study, there was no statistically significant difference between the control and experimental groups in terms of individual characteristics (age, time since transplantation, immunosuppressive drugs, comorbidities, etc.). In the experimental group, the level of adherence to the immunosuppressive drug regimen after ACT was very close to the maximum AIDRS score. In the control group, the level of compliance with the immunosuppressive drug regimen was close to the mean value of the AIDRS. The differences mentioned in both groups were statistically significant (p < 0.05). In addition, the scores obtained from the MS and YMS were higher than those in the pretest. When the experimental and control groups were compared, the experimental group's final test YMS score was almost twice that of the control group, and this difference was statistically significant (p < 0.05). Conclusion: The importance of full compliance with the immunosuppressive drug regimen in improving graft function after liver transplantation is well known. The results of this study showed that liver transplant recipients who underwent ACT demonstrated higher adherence to the immunosuppressive drug regimen due to increased motivation and conscious awareness. We recommend the use of ACT to increase adherence to the immunosuppressive medication due to its effectiveness.Öğe Effects of inhalation of peppermint oil after lumbar discectomy surgery on pain and anxiety levels of patients: A randomized controlled study(Elsevier Science Inc, 2024) Mese, Mesut; Saritas, SerdarAim: This study was conducted to analyze the effects of the inhalation of peppermint oil after lumbar discectomy surgery on the pain and anxiety levels of patients. Materials and method: This study was performed as a randomized controlled trial from September 2022 to June 2023 with 68 patients (34 patients in the experimental group and 34 patients in the control group). A Patient Information Form, the Numerical Pain Rating Scale, and the State Anxiety Inventory were used in the data collection process. The researcher administered the Patient Information Form to the patients before they underwent surgery. The State Anxiety Inventory and the Numerical Pain Rating Scale were administered to the patients after the second hour in the postoperative period. Next, for 10 minutes, only the patients in the experimental group inhaled five drops of peppermint oil dripped on a sterile gauze pad whereas no intervention was administered to the patients in the control group. Then, the State Anxiety Inventory and the Numerical Pain Rating Scale were administered again to the patients in both groups successively after the third and fourth hours in the postoperative period. Results: After the second hour in the postoperative period, the difference between the mean pain or state anxiety levels of the two groups were not statistically significant (p > 0.05). On the other hand, after the third and fourth hours in the postoperative period, the differences between the two groups were statistically significant (p < 0.05). Conclusion: It was concluded that the inhalation of peppermint oil after lumbar discectomy surgery reduced pain and anxiety levels.Öğe Effects of Positive Psychotherapy-Based Education on Pain, Psychological Resilience, and Mental Well-Being After Lumbar Canal Stenosis Surgery: A Randomized Controlled Trial(Wiley, 2025) Pasahan, Ramazan; Kavak Budak, Funda; Saritas, Serdar; Kavak, Mustafa; Erkan, Fatma Melike; Akar, SabirAim This study was conducted to investigate the effects of positive psychotherapy-based education on pain, psychological resilience, and mental well-being after lumbar canal stenosis surgery.Materials and Methods A randomized controlled experimental study was conducted with 66 participants (33 control, 33 experimental) at the Brain and Neurosurgery Department of Medical Center X between March 2025 and July 2025. The control group received no intervention, while the experimental group received 8 weeks of psychoeducation based on positive psychotherapy. Pretests were administered to the control and experimental groups in March 2025. The training of the experimental group was administered between April 2025 and May 2025. Data collection tools included the Descriptive Characteristics Form, Pain Scale, Brief Resilience Scale, and Mental Well-Being Scale. It was determined that the data showed normal distribution, and parametric tests were used in the analyses. Chi-square and Fisher's exact tests were used to compare the descriptive characteristics of the patients in the experimental and control groups. A t-test was applied to the dependent and independent groups to determine the effect of the training.Findings In the study, no statistically significant difference was found in the comparison of the pretest pain, psychological resilience, and mental well-being scales of the control and experimental groups (p = 0.259, p = 0.177, p = 0.428). In the study, a statistically significant difference was found in the comparison of the posttest pain, psychological resilience, and mental well-being scales of the control and experimental groups (p = 0.001). In the study, a statistically significant difference was found in the pretest-posttest pain, psychological resilience and mental well-being scale total score averages of the experimental group (p = 0.001).Conclusion and Recommendations Positive psychotherapy-based education was effective in reducing pain and increasing psychological resilience, and mental well-being in patients after lumbar spinal stenosis surgery. Based on these findings, positive psychotherapy-based education can be recommended as an adjunct to pharmacological treatment for not only physical but also psychological recovery.Öğe Epilepsy-related knowledge and attitudes of nursing students(Asean Neurological Assoc, 2026) Saritas, Serdar; Tarlaci, Sultan; Aktura, Seher Cevik; Saritas, Seyhan CitlikObjective: This study aimed to determine the epilepsy-related knowledge and attitudes of nursing students. Method: The descriptive and cross-sectional study was conducted on 986 nursing students from the nursing faculty of a state university in eastern T & uuml;rkiye. Data were collected using a sociodemographic information form, the Epilepsy Knowledge Scale, and the Epilepsy Attitudes Scale. internal consistency coefficient were used for data analysis. Results: The average age of participants was 21.18 +/- 1.79 years, with 67.2% being female, 27.5% 4th-year students, and 89.5% did not have a family member with epilepsy. The mean scores for the Epilepsy Knowledge Scale and the Epilepsy Attitudes Scale were 9.65 +/- 4.04 and 57.16 +/- 7.85, respectively. Gender, academic year, source of information, personal experience witnessing an epileptic seizure, providing care to an epilepsy patient, and the location of witnessing a seizure were significant predictors of epilepsy-related knowledge. Gender and knowledge about epilepsy were significant predictors of attitudes towards epilepsy. Conclusion: The study revealed that nursing students had moderate levels of knowledge about epilepsy and positive attitudes towards the condition.Öğe Investigation of life satisfaction and spiritual well-being of living liver donors in Turkey(Springer, 2025) Gunes, Huseyin; Bulbuloglu, Semra; Saritas, SerdarSpiritual well-being may be among the most common feelings felt by living liver donors. The feeling that pushes an individual to good behavior may be spiritual well-being, and the feeling that emerges as a result of achieving goodness may be life satisfaction. In our study, we aimed to analyze the spiritual well-being and life satisfaction of living liver donors and to examine the relationship, if any, between spiritual well-being and life satisfaction. Our descriptive and cross-sectional study was conducted with 306 living liver donors (n = 306). In the data collection process, we used a personal information form, the Spiritual Well-Being Scale, and the Satisfaction with Life Scale. In data analysis, we utilized descriptive statistical methods, one-way analysis of variance. Of all living liver donors participating in this study, 37.3% were aged 41-50 years, 73.5% were female, and 53.9% donated their liver to their spouse or child. The predictor variable of spiritual well-being was found to account for approximately 29% of the total variance in the predicted variable of life satisfaction. There was a positive and strong correlation between spiritual well-being and life satisfaction of living liver donors (p < 0.05). Spiritual well-being and life satisfaction of living liver donors are positively affected by each other. In order to provide more psychosocial support to these heroes who disregard their own health and try to save others' lives, it is best practice to support their spiritual well-being, increase their life satisfaction and develop awareness about these two values. No Level Assigned. This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/0026.Öğe Investigation of nutritional status, taste-smell functions, and hedonic pleasure of recipients after liver transplantation(Frontiers Media Sa, 2026) Cinar, Fadime; Bulbuloglu, Semra; Saritas, SerdarBackground: Taste and smell disorders have the potential to be associated with malnutrition and a loss of hedonic pleasure in liver transplantation recipients. Information regarding the deterioration of nutritional status in individuals with chronic liver disease is widely known, but changes following liver transplantation need to be investigated. Objective: This study aimed to investigate the nutritional status, taste and smell functions, and hedonic pleasure of liver transplant recipients. Method: The data for this descriptive and cross-sectional study were collected by researchers at an organ transplant hospital. The sample group consisted of n = 326 liver transplant recipients who met the selection criteria. The data collection tools used in this study were a personal information form, the Controlling Nutritional Status Tool (CONUT), the Complete Mouth Test (CMT), the Connecticut Olfactory Recognition Test (CCCRC), the Food Cravings Questionnaire (FCQ), and the Charlson Comorbidity Index. Information about the data collection tools is provided below. Descriptive tests and parametric tests were used in data analysis. Results: In this study, 62.9% of liver transplant recipients were moderately malnourished, 62.9% had severe hyposmia, and 74.2% had hypogeusia. There was an inverse correlation between the duration post-transplant and the severity of malnutrition, taste and smell disorders, and a direct correlation with perceived hedonic pleasure (p < 0.05). Accordingly, there was a statistically significant negative and weak correlation between FCQ and CONUT mean scores (r = -0.154, p = 0.005). There was a statistically significant negative and weak correlation between CMT mean scores and CONUT (r = -0.142, p = 0.011). There was a statistically significant negative and moderate correlation between the CCCRC score average and age (r = -0.432, p = 0.000) and a statistically significant negative and weak correlation between the CCCRC score average and CONUT (r = -0.158, p = 0.004). Conclusion: This study revealed that more than half of liver transplant recipients were moderately malnourished, with a similar proportion having severe hyposmia, and three-quarters had hypogeusia. The severity of malnutrition, along with taste and smell disorders, decreased with increasing post-transplant duration. Smell deficits increased with age. Strategies should be developed to improve malnutrition, taste, and smell disorders in liver transplant recipients, particularly the elderly and those in the early post-transplant period.Öğe Investigation of Post-Transplant Mental Well-Being in Liver Transplant Recipients with Hepatic Encephalopathy(Mdpi, 2024) Saritas, Serdar; Tarlaci, Sultan; Bulbuloglu, Semra; Gunes, HuseyinObjective: In this study, we aimed to examine the healing trend of hepatic encephalopathy after transplantation surgery in patients with liver failure. Method: We conducted this descriptive and cross-sectional study with the participation of liver transplant recipients. A personal information form, the West Haven Criteria (WHC), the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS), and the Richmond Agitation Sedation Scale (RASS) were used for data collection. The data were analyzed using Chi-squared tests, ANOVA, and paired-samples t-tests. Results: As time progressed after liver transplantation, hepatic encephalopathy stages regressed (p < 0.01). We found that liver transplant recipients with end-stage hepatic encephalopathy were mostly within the first 6 months after transplantation, while patients with first-stage hepatic encephalopathy had received liver transplants more than 2 years ago (p < 0.01). Conclusions: The results of our study revealed that hepatic encephalopathy stages regressed after transplantation, but there was no complete recovery. This highlights the need to develop new treatment strategies other than liver transplantation for the treatment of hepatic encephalopathy.Öğe Pain Beliefs, Coping Approaches, and Related Factors in Nursing Students(Springernature, 2024) Karakus, Seckin; Saritas, SerdarObjectives Pain, a common human experience, is also experienced by nursing students, and pain beliefs, thoughts, and behaviors toward pain play an important role in coping with pain. There is insufficient data about the relationship between pain beliefs and pain coping strategies. Thus, this study aims to reveal the relationship between pain beliefs and pain coping approaches of nursing students and affecting factors. Methods A descriptive, cross-sectional, and correlational design was used, and the data were collected with respondent characteristics form, the Numerical Rating Scale (NRS) and the Pain Beliefs Questionnaire (PBQ), by researchers from 380 nursing students in the nursing department. Results Nursing students who used non -pharmacological interventions to cope with pain had higher levels of psychological belief (PBQ-P) scores (4.97-0.86) than organic belief (PBQ-O) scores (3.90-0.71) and the difference was statistically significant (p<0.001). According to the multivariate linear regression analysis results, nursing students' gender, utilizing non -pharmacological interventions, and NRS scores affected PBQ-P scores by 87.1% (R 2 =0.871) and PBQ-O scores by 81.0% (R 2 =0.810). Conclusions As can be seen from the results of this study, the higher psychological beliefs of nursing students who use non -pharmacological interventions to cope with pain are an example of this situation. In light of the information in this study, it should be taken into consideration that both psychological and organic beliefs have a strong relationship with pain intensity and pain coping approaches. Nursing students, the nurses of tomorrow, should be aware of the impact of psychological and organic beliefs on individuals' pain experiences and coping approaches and should take this into account when planning nursing care.Öğe Relation between monocyte to high-density lipoprotein cholesterol ratio and prognosis in recipients after liver transplantation(Elsevier, 2025) Okutan, Serafettin; Saritas, Hasan; Saritas, Serdar; Bulbuloglu, Semra; Gunes, HuseyinBackground The end-stage liver diseases require liver transplantation as the life-saving solution. It is known that monocytes/macrophages and high-density lipoprotein cholesterol (HDLC) have important contributions to the development of hepatic inflammation and oxidative stress before liver transplantation. However, the effect of monocyte/HDL-C ratio (MHR) on clinical progression and outcome in the post-transplant period are not fully understood. Our hypothesis is that the MHR value may be associated with poor vs. good outcomes after liver transplantation. Methods In our retrospective study, we included 464 liver transplant recipients. Patients' data were extracted from electronic and other paper records in our teaching/research hospital. The MHR values and other blood parameters (creatinine, total protein, albumin, etc.) were expressed as a mean and standard deviation, which were analyzed by the Pearson correlation test. The relationship between graft dysfunction and MHR was determined by ROC curve analysis. Results The mean age of liver transplant recipients was 45.8 +/- 13.7 years. Nineteen percent of patients had liver failure due to Alcoholic Fatty Liver Disease (AFLD) and 34.5 % had liver failure due to hepatitis B virus. At the end of 3 months after liver transplantation, 84.5 % of liver transplant recipients were alive, 5.8 % experienced graft rejection and 5.17 % had an infection. There was a statistically significant improvement in total protein, albumin, liver function tests, and serum creatinine values of the survivors (all p < 0.05). The MHR levels were significantly higher in patients who died after transplantation in comparison to those who survived before and after liver transplantation and these differences were statistically significant (p < 0.01). Conclusion The increased MHR values of recipients after liver transplantation correlated with their risk of survival. Furthermore, the MHR value increased with increased MELD score and the number of days of hospitalization and was not affected by gender and age. MHR was higher in patients with chronic diseases. Patients with high MHR before and after transplantation should be monitored more closely in the perioperative period.Öğe The effect of bed exercises following major abdominal surgery on early ambulation, mobilization, pain and anxiety: A randomized-controlled trial(Wiley, 2024) Yaban, Zuleyha Simsek; Bulbuloglu, Semra; Kapikiran, Gurkan; Gunes, Huseyin; Sahin, Sennur Kula; Saritas, SerdarThis randomized-controlled trial aimed to investigate the effect of bed exercises on postoperative anxiety, pain, early ambulation and mobilization. This study was conducted with a randomized-controlled trial design and in the general surgical clinic of a research and training hospital. A total of 120 patients (60 in the experimental group and 60 in the control group) scheduled for major abdominal surgery took part in the study. The data were collected using a patient information form, the Anxiety Specific to Surgery Questionnaire and the Visual Analog Scale through face-to-face interviews. The patients in the experimental group performed 15-min bed exercises on the day of their operation, as well as on the postoperative first and second days, and the control group underwent only the routinely performed procedures in the clinic. The data were analysed using descriptive statistics, analysis of variance and t-tests. The sample of our study included major abdominal surgery patients. Ambulation was achieved at a mean time of 4 h earlier in the experimental group. On the postoperative first and second days, the patients in the experimental group had mean mobilization durations that were approximately 2 h longer compared with the patients in the control group. Moreover, the postoperative pain and anxiety levels of the patients in the experimental group were significantly lower than those of the patients in the control group (p < 0.05). We recommend that bed exercises be performed to lower anxiety and pain severity, achieve early ambulation and increase the duration of mobilization among patients following major abdominal surgery.Öğe The effect of guided imagery applied on geriatric orthopaedic patients on preoperative anxiety and comfort(Wiley, 2023) Gunes, Huseyin; Saritas, Serdar; Ozdemir, Ahmet; Bulbul, Ali SavasBackground: This study was designed to examine the effect of guided imagery applied to geriatric orthopaedic patients on preoperative anxiety and comfort.Methods: This study was conducted as a randomized controlled trial. The population of the study consisted of geriatric patients treated in the orthopaedics and traumatology clinic of a university hospital. The sample consisted of 80 patients, including the experimental group (n = 40) and the control group (n = 40). Personal Descriptive Form, The State-Trait Anxiety Inventory (STAI) and General Comfort Scale were used as data collection tools.Results: After the guided imagery application, it was determined that the anxiety of the experimental group decreased statistically significantly, and their comfort improved (P < 0.05).Conclusion: After the imagery, it was determined that the patients in the experimental group had a decrease in their anxiety level and an improvement in their comfort. Since it is a low-cost and easily accessible method, applying imagery in the preoperative period is recommended.Öğe The effect of guided imagery on postoperative pain and comfort of geriatric orthopaedic patients: a randomized controlled trial(Wiley, 2023) Ozdemir, Ahmet; Gunes, Huseyin; Saritas, SerdarBackgroundThe purpose of this study is to investigate the effects of guided imagery on postoperative pain and comfort in geriatric orthopedics patients. MethodsThis study was carried out with a randomized-controlled true experimental design. The population of the study included geriatric patients receiving treatment at the orthopedics and traumatology inpatient clinic of a university hospital. Based on random selection, the sample consisted of total of 102 patients, including 40 patients in the experimental group and 40 in the control group. The data were collected using a Personal Information Form, the Visual Analog Scale, and the General Comfort Questionnaire. ResultsAfter the guided imagery intervention, the pain levels of the experimental group significantly decreased compared to their baseline pain levels (t = 4.002, P = 0.00). Their perceived comfort was also significantly improved (t = -5.428, P = 0.00). Although the perceived comfort of the control group decreased, this decrease was not statistically significant (t = 0.698, P = 0.489). ConclusionIt is recommended that guided imagery, which is an inexpensive and accessible method, be integrated into the nursing care process to reduce the pain and increase the comfort of geriatric orthopedics patients.Öğe The effect of kinesiophobia on gastrointestinal disorders in patients with lower extremity orthopedic surgery(Frontiers Media Sa, 2025) Gunes, Huseyin; Bulbuloglu, Semra; Saritas, Serdar; Ozdemir, AhmetBackground Postoperative kinesiophobia and gastrointestinal (GI) disorders are common and undesirable conditions following orthopedic surgery. Additionally, managing both conditions is crucial for preventing complications and accelerating recovery. The purpose of this study is to investigate the effects of kinesiophobia on GI disorders after lower extremity orthopedic surgery. Method This study was conducted with a descriptive and cross-sectional design. The sample consisted of a total of n = 299 patients who underwent orthopedic surgery in their lower extremities at the orthopedics and traumatology clinic of a research and training hospital located in Turkey. A personal information form, the Tampa Scale of Kinesiophobia (TSK), and the Gastrointestinal Symptom Rating Scale (GSRS) were used to collect data, and the obtained data were analyzed using descriptive statistics, one-way analysis of variance (ANOVA), paired-samples t-test, and post hoc tests when necessary. Results While 24.4% of the patients were aged 65-74 years, 51.5% were male. The mean total TSK score of the patients was above average (49.36 +/- 8.74), while their mean total GSRS score was below average (31.22 +/- 11.7). In our study, as kinesiophobia increased, the frequency of bowel movements decreased, and kinesiophobia explained 19.9% of the variance in GI disorders (p < 0.05). Conclusions Kinesiophobia is a significant predictor of GI disorders in patients who underwent lower extremity surgery. Returning to normal GI function after surgery is crucial for preventing complications in patients with lower extremity surgery. Uncontrolled kinesiophobia after surgery exacerbates GI disorders. Therefore, early diagnosis and management of both kinesiophobia and GI disorders are necessary for rapid recovery in patients with lower extremity surgery.Öğe The Effect of Virtual Reality Practice and Music on Patients' Pain, Comfort, and Vital Signs After Laparoscopic Abdominal Surgery(Lippincott Williams & Wilkins, 2024) Okutan, Serafettin; Saritas, SerdarAim: This research was conducted to identify the effect of virtual reality and music on patients' pain, comfort, and vital signs after laparoscopic abdominal surgery. Methods: This study was designed as a prospective randomized controlled single-blind clinical trial. The research population consisted of adult patients who underwent laparoscopic abdominal surgery in surgery clinics. The research sample comprised 225 patients who had laparoscopic abdominal surgery. Experimental groups watched virtual reality videos and listened to music, whereas no intervention was administered to the control group. The research data were evaluated with descriptive statistics, the chi 2 test, the Friedman test, the one-way analysis of variance, the Kruskal-Wallis test, and Tukey's and Dunn's post hoc tests. Findings: In the post-test phase after the 2 interventions, the virtual reality and music groups had lower pain and comfort levels than the control group, and this intergroup difference was statistically significant (P<0.05). Results for vital signs in successively repeated post-test measurements after interventions were in general different, and these differences were statistically significant. Patients in the virtual reality group generally had higher pulse rate, diastolic blood pressure, respiratory rate, and body temperature values in successively repeated post-test measurements than patients in other groups (P<0.05). Patients in the control group generally had higher systolic blood pressure and saturation values in successively repeated post-test measurements than patients in other groups (P<0.05). Conclusion: It was discerned that music and the virtual reality practice reduced patients' pain and comfort levels and had positive effects on their vital signs after laparoscopic abdominal surgery.Öğe The Effects of Virtual Reality Intervention Before Total Knee Arthroplasty on Pain, Anxiety, and Vital Signs(Elsevier Science Inc, 2024) Gunes, Hueseyin; Saritas, SerdarObjective: In this study, the effects of a virtual reality intervention before total knee arthroplasty on pain, anxiety, and vital signs were investigated.Methods: This randomized controlled study with a pretest-posttest design was conducted with 130 patients included in experimental (n = 65) and control (n = 65) groups. Data were collected using a patient information form, the numeric rating scale (NRS), a vital signs form, and the state anxiety inventory. The patients in the experimental group watched a 20-minute video consisting of sea, forest, waterfall, and animal visuals using virtual reality goggles. Vital signs were recorded before and after the intervention. Vital signs were recorded on the same timeline in the control group, without any intervention. Results: The patients in the experimental group displayed lowered anxiety and pain levels and im-provements in their vital signs, except for temperature. There were statistically significant differences between the experimental and control groups, except for temperature and diastolic blood pressure ( p < .05).Conclusion: The virtual reality intervention reduced pain, anxiety, systolic and diastolic blood pressure, heart rate, and respiratory rate. It is recommended to be implemented before surgery.Cite this article: Gune,s , H., & Sarita,s , S. (2024, Month). The Effects of Virtual Reality Intervention Before Total Knee Arthroplasty on Pain, Anxiety, and Vital Signs. Clinical Simulation in Nursing, 87, 101410. https://doi. org/10.1016/j.ecns.2023.03.003 .(c) 2023 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.Öğe The Relationship Between Postoperative Spiritual Well-Being and Sleep Quality and Comfort in Patients Undergoing Lung Cancer Surgery in Türkiye(Wiley, 2026) Cici, Remziye; Ozdemir, Ahmet; Kizilkaya, Gulnaz; Saritas, SerdarThis study was conducted to determine the relationship between postoperative spiritual well-being and sleep quality and comfort in patients with lung cancer. This descriptive, relationship-seeking study was carried out at the Thoracic Surgery Clinic of a university hospital in T & uuml;rkiye between February 1 and July 31, 2023. The sample consisted of 252 patients who had undergone lung cancer surgery and were selected through simple random sampling. Data were collected using a Personal Information Form, General Sleep Quality Scale, Spiritual Well-Being Scale, and General Comfort Scale. In statistical analysis, number, percentage, mean, standard deviation, t-test in independent groups, one-way ANOVA, Kruskal-Wallis, and Mann-Whitney U tests. The Pearson correlation test was used to determine relationships between scale score averages (p < 0.05). The patients ' mean spiritual well-being score was 119.15 +/- 12.35, their mean sleep quality score was 42.97 +/- 19.73, and their mean general comfort score was 2.58 +/- 0.40. While a low positive relationship was found between spiritual well-being and sleep quality (r = 0.217, p = 0.01), no relationship was found with comfort (r = -0.110, p = 0.88). Patients exhibited high levels of spiritual well-being, reasonable comfort, and moderate sleep quality. Higher spiritual well-being was associated with better sleep quality, while no significant association was observed between spiritual well-being and comfort. These findings underscore the importance of integrating interventions that support spiritual well-being to achieve improved sleep outcomes in patients.Öğe The Relationship between Postoperatively Thirst and Fatigue Level in Bariatric Surgery Patients: A Correlational Descriptive Study(Marmara Univ, Inst Health Sciences, 2026) Kavak, Mustafa; Ozdemir, Ahmet; Saritas, Serdar; Bulbuloglu, SemraObjective: Bariatric surgical treatment options have been used to achieve weight loss. Patients often experience thirst and fatigue postoperatively. Thirst is considered a relatively minor complication during the postoperative phase, and there are a limited number of studies on its effects on patients. The aim of this study is to determine the correlation between thirst and fatigue levels of patients after bariatric surgery. Methods: This study was conducted in the General Surgery Clinic of a University Hospital in East of T & uuml;rkiye between June 2022 and July 2023. The study was completed with 284 patients who met the inclusion criteria. The Descriptive Characteristics Form, Numerical Rating Scale and Brief Fatigue Inventory were used in the study. Results: The patients had high levels of thirst and fatigue. A statistically significant positive correlation (r=0.623) was found between thirst and fatigue levels (p<.001). Regression analysis indicated that thirst explained 37% of the variance in fatigue. It can be asserted that as the thirst level of the patients increased, so did their fatigue levels. Conclusion: The study revealed that bariatric surgery patients suffered from postoperative thirst, which was significantly associated with higher fatigue levels. It is recommended that nurses evaluate the thirst-related fatigue experienced by bariatric surgery patients postoperatively.
