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Öğe Adaptation of Parental Self-Efficacy Scale for Child Autonomy Toward Minor Surgery to Turkish(Elsevier Science Inc, 2022) Semerci, Remziye; Unver, Seher; Topcu, Sacide Yildizeli; Turan, Fatma Nesrin; Kostak, Melahat Akgun; Findik, Ummu YildizPurpose: The purpose of the study was to conduct validity and reliability testing of the Turkish version of the Parent Self-Efficacy Scale for Child Autonomy toward Minor Surgery (PSESCAMS). Design: The research is a methodological study. Methods: Data were collected using an Introductory Form and the PSESCAMS. Factor analysis, Cronbach's alpha, and item-total score analysis were used for the data analysis. Findings: The scale consisted of 18 items and four subscales. The Cronbach's alpha coefficient for the overall scale was 0.95, and the Cronbach's alpha values for the subscales were 0.64-0.92. The total factor loading was > 0.45 for both exploratory and confirmatory factor analyses. GFI, AGFI, and CFI were > 0.90, RMSEA was 0.06. Conclusion: PSESCAMS was found to be a valid and reliable measurement tool for Turkish culture. (c) 2021 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.Öğe Assessment of nursing students' stress levels and coping strategies in operating room practice(Elsevier Sci Ltd, 2015) Findik, Ummu Yildiz; Ozbas, Ayfer; Cavdar, Ikbal; Topcu, Sacide Yildizeli; Onler, EbruThe aim of this study was to evaluate the stress levels and stress coping strategies of nursing students in their first operating room experience. This descriptive study was done with 126 nursing students who were having an experience in an operating room for the first time. Data were collected by using Personal Information Form, Clinical Stress Questionnaire, and Styles of Coping Inventory. The nursing students mostly had low clinical stress levels (M = 27.56, SD = 10.76) and adopted a self-confident approach in coping with stress (M = 14.3, SD = 3.58). The nursing students generally employed a helpless/self-accusatory approach among passive patterns as their clinical stress levels increased, used a self-confident and optimistic approach among active patterns as their average age increased, and those who had never been to an operating room previously used a submissive approach among passive patterns. The results showed that low levels of stress caused the nursing students to use active patterns in coping with stress, whereas increasing levels of stress resulted in employing passive patterns in stress coping. The nursing students should be ensured to maintain low levels of stress and use active patterns in stress coping. (C) 2014 Elsevier Ltd. All rights reserved.Öğe Determination of Surgical Patients' Smoking Status at the Hospital(Istanbul Univ, Fac Nursing, 2010) Findik, Ummu Yildiz; Topcu, Sacide Yildizeli; Ustundag, Hulya; Coskun, OzgePurpose: Smoking is up against the surgical patients with postoperative complication risks. Therefore, they should quit smoking before 2-8 weeks to surgery and avoid that after surgery. The study was performed to determine surgical patients' smoking status in hospital. Method: As a descriptive study was carried out with 50 patients who were smoking and were hospitalized in Trakya University Research and Application Center Directorate General Surgical service at dates 01.09.2007-31.05.2008. In collecting the data, by the aid of a form developed by researchers was used. Data assessed using frequency, the mean and chi-square test. Results: The mean time of smoking was 17.06 +/- 14.65 years, the mean time of quitting the smoking before surgery was 11.78 +/- 8: 47 days 48% of patients perceived the risk of their surgery lower, 72% patients were informed about smoking and 8.3% of them were informed by the nurses in the preoperative phase. % 64 of patients did not quit smoking while they were in hospital, 92% of patients did not know the damage of smoking for surgical patients. The relation of informed about smoking and finding the surgical operation low risky with the situation of not to be quitted smoking was assessed statistically significant (p=0,048, p=0,036, p< 0,05). Conclusion: It was identified that surgical patients' hospital smoking rate is high, risk degree of perceived by patients and information about smoking are important. It was suggested that nurses should take more active and effective role to inform the patients about importance of quiting cigarettes.Öğe Do the Fluids Consumed by Surgical Patients in the Postoperative Period Affect Their Gastrointestinal Motility? A Correlational Study(Elsevier Science Inc, 2022) Sayilan, Aylin Aydin; Topcu, Sacide YildizeliPurpose: The aim of this study was to determine the relationship between gastrointestinal (GI) motility and oral fluid intake levels in the postoperative period. Design: This descriptive and correlational study was performed in an education and research hospital between June and September 2019. Methods: The sample in this study consisted of individuals aged 18 to 80 years who had undergone laparoscopic abdominal surgery. No sampling was performed, and all patients volunteering to take part were included. Findings: Patients were started on oral nutrition in a median of 6 hours (min: 6 max: 8) after surgery and received 500.00 mL (min: 100 max: 500) oral fluid on the first day after surgery, 600.00 mL (min: 200 max: 1200) on the second, and 725.00 mL (min: 652.47 max: 759.52) on the third. Median time to passage of flatus was 22.50 hours (min: 6 max: 36), and median time to stool production was 39.00 hours (min: 16 max: 70). A positive correlation was found between the amount of oral fluid consumption on the first day and time to passage of flatus, while a negative correlation was observed between the amount of fluid consumption on the second day and time to both flatus and stool production. Conclusions: Time to flatus production increased in line with the amount of fluid consumed via the oral route on the first day postoperatively, while times to production of flatus and stool decreased as the amount of fluid consumed orally on the second day increased. (c) 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.Öğe Do Turkish patients with lumbar disc herniation know body mechanics?(Ios Press, 2017) Topcu, Sacide YildizeliBACKGROUND AND OBJECTIVE: Most common and important cause of the low back pain is lumbar disc herniation. Patients with lumbar disc herniation face with difficulties during daily activities due to the reduction of physical functions. In order to maintain daily activities without pain and discomfort, the patients should be informed about proper positions and body mechanics. The aim of the study was to determine the knowledge and the applications of the patients with lumbar disc herniation about body mechanics. METHODS: This descriptive study was conducted with 75 patients with lumbar disc herniation in Edirne, Turkey. The population consisted of 75 patients who accepted to participate in the study. In the collection of data the questionnaire, which was developed according to literature by the researcher, was used. Descriptive statistics, student t-test, variance and correlation analysis were used for assessment of the data. The significance level was accepted at 0.05. RESULTS: It was found that 53.3% of the patients experienced awful/very severe pain. and there were some points that the patients have enough information about; mobilisation, standing, carrying the goods, leaning back while sitting, leaning somewhere while standing, getting support from the chair when standing up, avoiding sudden position changes, changing feet frequently while standing. It was detected that a statistical relation between educational level and knowledge about body mechanics exists. CONCLUSION: This study shows that individuals with lumbar disc herniation have not enough information about body mechanics and they experienced long-term severe pain. Nurses and other health care workers have important role in explaining the importance of body mechanics to the patients and should encourage them to use that in daily life.Öğe The effect of an interactive robot on children's post-operative anxiety, mobilization, and parents' satisfaction; randomized controlled study(Elsevier Science Inc, 2023) Topcu, Sacide Yildizeli; Semerci, Remziye; Kostak, Melahat Akguen; Guray, Ozlem; Sert, Senem; Yavuz, GozdePurpose: To evaluate the effect of an interactive robot on Turkish children's post-operative anxiety, mobilization, and parents' satisfaction related to post-operative care.Method: A randomized controlled study was conducted with 84 children who will undergo day surgery aged 5-10 years and their parents at a university hospital between June 2020-April 2022. The interactive robot was provided to accompany the children during the postoperative mobilization. Children in the control group received standard care during mobilization. Data were collected using the Personal Information Form, Children's State Anxiety (CSA), Parental Satisfaction Scale-Visual Analog Scale, and Mobilization Chart.Results: It was determined that the CSA score of the children in the control group were higher than the intervention group before their first mobilization after surgery (p = 0.005). During the first (p = 0.042) and second (p = 0.012) mobilization, it was determined that the mobilization duration of children in the intervention group was longer than the children in the control group. It was found that the parents of the children in the intervention group had a high level of satisfaction. Conclusion: It has been determined that interactive robots positively affect postoperative mobilization in children undergoing day surgery, reduce the anxiety level of children before mobilization, and increase the duration of mobilization. In addition, the use of interactive robots increased parents' satisfaction with post-operative mobilization care.Practice implications: Using interactive robots to reduce the stress and anxiety of children during the perioperative process can be a promising approach to improve their recovery by providing early mobilization.(c) 2022 Elsevier Inc. All rights reserved.Öğe Effect of Gum Chewing on Pain and Anxiety in Turkish Children During Intravenous Cannulation: A Randomized Controlled Study(Elsevier Science Inc, 2020) Topcu, Sacide Yildizeli; Kostak, Melahat Akgun; Semerci, Remziye; Guray, OzlemPurpose: Although gum chewing is a simple intervention that can be used for the management of pain and anxiety in the nursing care of children, few studies have assessed this intervention. This study aimed to investigate the effect of gum chewing on pain and anxiety during intravenous (IV) cannulation in children. Design and methods: This randomized controlled study assessed 73 children aged 6 to 12 years in the general paediatric unit in a university hospital in the Trachy Region, Turkey from April to September 2017. In the experimental group, children chewed gum during the procedure. The standard care was applied to the control group. Data were collected via the Children's Anxiety Pain Scale and the Data Collection Form. Results: According to the children's self-report and the nurse's report, the pain level of the experimental group was significantly lower than the control group. Although no significant difference was noted between experimental and control groups' anxiety levels, nurses stated higher anxiety levels than children. Conclusions: The IV cannulation procedure causes pain and anxiety in children. Nurses reported the perception of a higher level of anxiety during the procedure than the children actually experienced. Gum chewing might reduce pain during IV cannulation. Nurses should consider using gum chewing as a simple nursing implementation to increase the effects of other pharmacological and non-pharmacological techniques for management of children's procedural pain. Practice implications: Nurses who work with the children could use gum chewing as a simple, inexpensive, and pleasurable intervention for the management of pain. (C) 2019 Elsevier Inc. All rights reserved.Öğe Effect of gum chewing on reducing postoperative ileus and recovery after colorectal surgery: A randomised controlled trial(Elsevier Sci Ltd, 2016) Topcu, Sacide Yildizeli; Oztekin, Seher DenizAim: This study aimed to determine the effect of gum chewing on the reduction of postoperative ileus and recovery after surgery. Methods: This study was conducted a randomized controlled trial in 60 patients who underwent colorectal surgery between November 2011 and December 2012. Patients in the experimental group chewed gum three times a day. The time of flatus and defecation, the time to start feeding, pain levels and time of discharge were monitored. Results: Post-surgery results for gum-chewing were first flatus and defecation times and the time to start feeding was shorter; pain levels were lower on the 3rd - 5th days; patients were discharged in a shorter time post-surgery. Conclusions: Chewing gum is a simple intervention for reducing postoperative ileus after colorectal surgery. Further studies that examine the effectiveness of gum chewing on other surgical interventions in which the development risk of postoperative ileus should be performed. (C) 2016 Elsevier Ltd. All rights reserved.Öğe The Effect of Preoperative Education Regarding Intraoperative Care on a Patient's Level of Fear of Surgery: A Randomized Controlled Study(Wiley, 2024) Ozkan, Mervegul; Topcu, Sacide YildizeliThis randomized controlled study aimed to investigate the effect that preoperative education provided by the perioperative nurse about the OR environment and intraoperative care has on surgical fear in patients who come to the OR for surgical intervention. The study involved 92 patients undergoing elective abdominal surgery who were randomly assigned to the intervention or routine care group. Preoperatively, patients in the intervention group received education via a form that described the OR environment, the surgical process, and intraoperative care. The patients' surgical fear levels were assessed in the patients' rooms, in the clinic before education, and on arrival to the OR after education. The results showed that preoperative education about the OR environment and intraoperative processes significantly reduced patients' surgical fears.Öğe Effect of Relaxation Exercises on Controlling Postoperative Pain(Elsevier Science Inc, 2012) Topcu, Sacide Yildizeli; Findik, Ummu YildizThis study examines the effect of relaxation exercises on controlling postoperative pain in patients who have undergone upper abdominal surgery. This is a cross-sectional and crossover study conducted on 60 patients who underwent upper abdominal surgery between October 2006 and June 2007, in the General Surgery Department, Health and Research Practice Center, Trakya University, Edirne, Turkey. We assessed the patients' pain levels before and after the relaxation exercises. Patients' personal information forms were used to collect data, and pain levels were determined using the verbal pain scale. We used the Wilcoxon T test, nonparametric Spearman correlation analysis, and nominal by interval eta analysis to assess the data, percentage, and frequency analyses. Pain levels were found to be reduced after the relaxation exercises compared with the levels before the relaxation exercises (z = 5.497; p < .001). Relaxation exercises, a nonpharmacologic method, are effective in reducing postoperative pain and should therefore be included in a regimen to control postoperative pain in patients who have undergone upper abdominal surgery. (C) 2012 by the American Society for Pain Management NursingÖğe Effect of the pandemic on stress perception of nursing students during clinical internships: A cross-sectional study(Elsevier Science Inc, 2024) Topcu, Sacide Yildizeli; Ozkan, Zeynep Kizilcik; Organ, Esra Makal; Unver, Seher; Soydas, Duygu; Findik, Ummu YildizBackground and Aim: In nursing education, which has been significantly affected by the pandemic, continuing clinical internships, depending on the awareness that students have developed against coronavirus, has been an important source of stress. This study aims to determine the perceived stress of nursing students who resumed internships in surgical clinics after the pandemic and the role of their coronavirus awareness in it. Methods and Materials: This descriptive and cross-sectional study was carried out with the participation of 161 nursing students who received education in the nursing department of a university between May and June 2021 and performed the clinical practice of the Surgical Diseases Course. The Student Information Form, Coronavirus Awareness Scale (CAS), and Perceived Stress Scale for Nursing Students (PSSNS) were used to collect the data. Results: It was found that the mean score of the PSSNS was 77.8 +/- 23.6. and of the CAS was 64.7 +/- 9.8. It was found that the PSNS total and subscales' scores have negative correlations with the Awareness of Following Current Developments subscale of the CAS. Conclusion: It was determined that the stress level of the nursing students who resumed internships in surgical clinics after the pandemic was above average. Stress levels of the students were related to their awareness of following current developments regarding coronavirus. Although the pandemic has ended, the stress that nursing students may perceive when resuming face-to-face education in similar situations that may arise in the coming years and some factors that may be related should be determined. (c) 2023 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights reserved.Öğe Effects of the contact isolation application on anxiety and depression levels of the patients(Wiley, 2012) Findik, Ummu Yildiz; Ozbas, Ayfer; Cavdar, Ikbal; Erkan, Tulay; Topcu, Sacide YildizeliThis study was aimed to assess the effects of contact isolation application on anxiety and depression levels of the patients, the effects of certain sociodemographics and patient characteristics on anxiety and depression levels, and the thoughts of the isolated patients about contact isolation. This non-randomized quasi-experimental study was carried out with 60 isolated and 57 non-isolated patients with hospital infection. The data were acquired from Hospital Anxiety and Depression Scale (HADS-A (anxiety) and HADS-D (depression)) and patient information form. There was no statistically significant difference between the anxiety and depression levels of the isolated and non-isolated patients. In the isolated patients, the depression points were higher in patients who were, women, received primary education and had lower income levels. Of the patients, 86.4% of them told that they were happy to be in the isolation room. Contact isolation application did not affect anxiety and depression levels of the patients. However, personal attributes increased the development of depression. In contact isolated patients, personal attributes should be taken into consideration in nursing care planning to prevent development of depression.Öğe Pain Management Knowledge and Attitudes for Surgical Nursing Students(Elsevier Science Inc, 2023) Gok, Fadime; Topcu, Sacide YildizeliBackground: Pain is considered as one of the most common factors that cause people to seek medical care. An important responsibility of health professionals is to manage pain, and nurses play a crucial role in it. Therefore, nursing students must have pain management knowledge and skills to fulfill this role.Aim: The objective of the study was to examine pain management knowledge and attitudes of nursing students who had taken a surgical nursing course. Methods: This descriptive, cross-sectional study was conducted with volunteer second-year undergraduate nursing students (n = 260) from two universities in Turkey. The Knowledge and Attitudes Survey Regarding Pain and a student demographic information form were used for data collection. Data were analyzed with descriptive statistics, t test and variance analysis.Results: The mean score on the Knowledge and Attitudes Survey Regarding Pain was 6.78 & PLUSMN; 2.23. Of all the students, 48.8% reported that they only preferred pharmacologic treatments for pain management. The mean score on the Knowledge and Attitudes Survey Regarding Pain significantly differed in terms of the type of high school ( p = .044) and the unit for clinical education ( p = .025). Conclusions: The students had a moderate mean score on the Knowledge and Attitudes Survey Regarding Pain. The students who graduated from high school and those who received their clinical education in cardiovascular and thoracic surgery units had significantly higher mean scores on pain management knowledge and attitudes.& COPY; 2023 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.Öğe The patient safety culture perception of Turkish nurses who work in operating room and intensive care unit(Professional Medical Publications, 2017) Rizalar, Selda; Topcu, Sacide YildizeliObjective: To determine the patient safety culture perception of operating room and intensive care nurses and the factors affecting this perception. Methods: This descriptive study was conducted on 232 nurses working in a Turkish city hospitals. The data obtained from the nurses were collected using personal information form and Patient Safety Culture Scale (PSCS) from June to July 2015. Results: The total score average of the nurses on the PSCS was 2.58 +/- 0.39. The nurses obtained the highest score on the employee behavior subscale, and the lowest score on the the adverse event reporting system subscale. No significant difference was found between the total score averages of the PSCS of the operating room and intensive care nurses (p>0.05). Conclusion: The patient safety culture score average of the operating room and intensive care nurses was at medium level. In addition, being able to choose the unit in which they worked, working day or night shifts, and being educated on patient safety were found to affect the patients safety cultures of the nurses (P<0.05).Öğe Relations among Pain, Pain Beliefs, and Psychological Well-Being in Patients with Chronic Pain(Elsevier Science Bv, 2018) Topcu, Sacide YildizeliBackground: Chronic pain influencing the quality of life and well-being of the patients are also affected by pain beliefs. Psychological well-being could make a person have positive pain beliefs and these could facilitate patients' coping skills. In the care of the patients with chronic pain, nursing interventions can improve patients' well-being. Aims: This study aimed to determine the relationship between pain, pain beliefs and psychological well-being in patients with chronic pain. Design: A cross-sectional and relational study. Subjects: This study was conducted with 86 patients with chronic joint pain. Methods: A convenience sample method was used in the research. Data were gathered using a Personel Information Form, The Pain Beliefs Questionnaire and Psychological Well-being Scale. Frequency, percentage, mean, standard deviation and correlation analysis were used for data assessment. Results: It was found that there was a statistically significant correlation between pain severity and organic pain beliefs, statistically significant negative correlation between frequency and severity of pain and psychological well-being, and statistically significant relationship between organic pain beliefs and the psychological wellbeing. Conclusions: Organic pain beliefs and pain intensity affect the psychological well-being of the patients with chronic pain. To increase the psychological well-being level of patients with chronic pain, patients' informations, attitudes and beliefs about pain and pain control should be changed positively. Also, nursing care focused on improving well-being should be provided by nurses. Further studies should be carried out on other factors affecting the well-being of patients as well as pain and pain beliefs on larger samples. (C) 2018 by the American Society for Pain Management NursingÖğe The role of nurses' knowledge and attitudes in postoperative pain management(Elsevier, 2023) Ocak, Cisem; Topcu, Sacide YildizeliBackground: In managing postoperative pain, the knowledge and attitudes of nurses about pain are crucial. Effective postoperative pain management ensures satisfaction with the nursing care provided to patients by increasing patients' comfort.Aim: This study aims to determine the relationship between nurses' knowledge and attitudes towards pain and patients' postoperative pain outcomes.Methods: This cross-sectional and correlational study was carried out with 151 patients who had surgical intervention and 43 nurses who provided care to these patients. Data Collection Forms for Patients and Nurses and The Nurses' Knowledge and Attitudes Survey Regarding Pain were used in data collection. The data were analysed using descriptive statistical techniques, independent sample t-test, variance, and Pearson correlation analysis. The results were assessed at a 95% confidence level, and a significance level of p < 0.05 was used.Findings: There was a positive correlation between nurses' knowledge and attitude levels and patients' pain levels. Nurses with higher levels of knowledge and attitudes about pain used nonpharmacological approaches more frequently. However, there was no relationship between nurses' knowledge and attitudes and patients' satisfaction with pain management.Conclusion: While nurses' knowledge and attitude toward pain management have a positive effect on reducing postoperative pain, they do not affect patient satisfaction with pain management. Further exploration of the factors influencing the effectiveness of pain management and patients satisfaction with postoperative pain management are recommended.(c) 2023 Australian College of Nursing Ltd. Published by Elsevier Ltd.Öğe Surgical Nurses' need for affect and their caregiving approaches(Springer Heidelberg, 2021) Topcu, Sacide YildizeliAim Emotions affect the behaviors of people and their cognitively-performed tasks. In surgical clinics that can be seen as emotionally intensive units, nurses may show a tendency to approach and/or avoid affect while they identify and meet patients' care needs. This study aimed to examine the correlation between surgical nurses' caregiving roles and approach towrads and/or avoidance of affect. Subject and methods This relational study was performed with 118 surgical nurses who volunteered to participate in the study, in a university hospital in north-western Turkey. For data collection, Need for affect scale, Attitude scale for nurses in caregiving roles and Data collection form were used. Results It was found that about half of the nurses encountered emotionally intense situations in their clinics;deaths at a younger age and deaths while suffering pain were seen as emotionally intense situations by the nurses. Nurses' attitudes to their caregiving roles were at a good level, and there is a statistically significant relationship between approach towards affect and these attitudes. Conclusion Nurses should examine their own emotions with regard to emotionally intense situations, consider the effects of the emotions on their caregiving activities, and reflect on their skills in terms of recognizing and understanding emotions with regard to the care of their patients. In other clinical settings and special units, the relationship between nurses' approaches towards affect and their caring activities should be examined in further research.Öğe Turkish Validity and Reliability Study of the Surgical Anxiety Questionnaire for Adult Patients(Elsevier Science Inc, 2023) Topcu, Sacide Yildizeli; Soydas, Duygu; Ozkan, Zeynep Kizilcik; Unver, Seher; Organ, Esra Makal; Findik, Ummu YildizPurpose: This research aims to adapt the Surgical Anxiety Questionnaire (SAQ) to Turkish culture and conduct validity and reliability studies.Design: This research is a methodological study.Methods: The sample of the research consisted of 311 patients and research data were collected between April 2019 and May 2021. Findings: The scale content validity index was 0.931. As a result of the factor analysis, the items were distrib-uted in four subdimensions and explained 58.745% of the variance, and the model had good fit values. The Cronbach's a coefficient of the scale was 0.890.Conclusions: The Turkish version of SAQ is a valid and reliable measurement tool and can be used for adult patients.(c) 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
