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Öğe An innovative method to prevent infection when measuring the arterial blood gas SpO2 saturation(German Medical Science-Gms, 2024) Şahan, Seda; Guler, Sevil; Gectan, Eliz; Aygün, HakanBackground: Patients are hospitalized for extended periods, particularly in intensive care units (ICUs). As a result, the saturation probe (pulse oximeter) remains attached for an extended period and microorganisms can grow in the wet environment. If the pulse oximeters are not reprocessed, cross -infection may occur. The literature contains several studies in which gloves were used for the measurement while various SpO2 (peripheral arterial oxygen saturation) measurements were compared with each other. However, such comparisons have yet to be made with the results of arterial blood gas SpO2 measurements by pulse oximeter, considered as the gold standard. The present study aimed to compare arterial blood gas values with the fingertip saturation measurement performed by having adult patients wear gloves of different colors, one after the other, on their fingers and determining the effect of the differently colored gloves (transparent, white, black, light blue) on saturation values. Methods: The study was conducted on 54 patients in an ICU. Intra-arterial blood gas SpO2 results were measured. Oxygen saturation was measured while the patient 1. did not wear gloves and 2. sequentially wore a series of gloves of different colors. Paired t -test, correlation analysis, and Bland Altman charts were used to evaluate the results. Results: The mean SpO2% value of the participants' intra-arterial blood gas measurements was 97.76 +/- 2.04. The mean SpO2% value obtained from the measurements of the fingers with a transparent glove was 0.43 points lower than the mean SpO2% value of the intra-arterial blood gas measurements (t=0.986, p=0.61). The mean SpO2% value obtained from the measurements of the fingers with a white glove was 0.93 points lower than the mean SpO2% value of the intra-arterial blood gas measurements (t=1.157, p=0.093). Conclusion: Of the measurements performed with a glove, the mean SpO2% value obtained from the measurements of the fingers with a transparent glove was more consistent with the mean SpO2% value of the intra-arterial blood gas measurements than measurement of the fingers without a glove.Öğe The effect of foot reflexology on fatigue in hemodialysis patients: a meta-analysis study(Univ Sao Paulo, Escola De Enfermagem De Ribeirao Preto, 2023) Sahan, Seda; Guler, SevilObjective: this meta-analysis study analyzed the effect of foot reflexology on fatigue in hemodialysis patients by combining the results of independent studies on this subject. Method: meta-analysis study. A literature search was conducted in seven databases. The methodological quality of the included studies was assessed using tools proposed by the Joanna Briggs Institute. Comprehensive Meta-Analysis v3 was used for meta-analysis. Results: eight studies were included in the meta-analysis. The result of the meta-analysis standardized mean difference = 1.580 (95% Confidence Interval = 1.075 - 2.085 p = 0.000). The result of the subgroup analysis performed based on the number of foot reflexology sessions standardized mean difference = 1,478 (95% Confidence Interval = 1,210 - 1,747, p = 0.000). Conclusion: it was concluded that foot reflexology can be used to reduce fatigue in hemodialysis patients. No information was provided in the investigated studies about the possible side effects and negative effects of foot reflexology.Öğe El efecto de la reflexología podal sobre la fatiga en pacientes en hemodiálisis: un estudio de metaanálisis(Univ Sao Paulo, Escola De Enfermagem De Ribeirao Preto, 2023) Sahan, Seda; Guler, SevilObjetivo: analizar el efecto de la reflexolog & iacute;a podal sobre la fatiga en pacientes en hemodi & aacute;lisis, combinando los resultados de estudios independientes sobre este tema. M & eacute;todo: estudio de metaan & aacute;lisis. Se realiz & oacute; una b & uacute;squeda bibliogr & aacute;fica en siete bases de datos. La calidad metodol & oacute;gica de los estudios incluidos se evalu & oacute; mediante las herramientas propuestas por el Joanna Briggs Institute. Para el metaan & aacute;lisis se utiliz & oacute; el programa Comprehensive Meta-Analysis v3. Resultados: en el metaan & aacute;lisis se incluyeron ocho estudios. El resultado de la diferencia de medias estandarizada del metaan & aacute;lisis = 1,580 (Intervalo de Confianza de 95% = 1,075 -2,085 p = 0,000). El resultado del an & aacute;lisis de subgrupos realizado sobre la base de la diferencia de medias estandarizada en el n & uacute;mero de sesiones de reflexolog & iacute;a podal = 1,478 (Intervalo de Confianza de 95% = 1,210 -1,747, p = 0,000). Conclusi & oacute;n: se concluy & oacute; que la reflexolog & iacute;a podal puede utilizarse para reducir la fatiga en pacientes en hemodi & aacute;lisis. En los estudios investigados no se proporcion & oacute; informaci & oacute;n sobre los posibles efectos secundarios y negativos de la reflexolog & iacute;a podal.Öğe Evaluating the knowledge levels and attitudes regarding pressure injuries among nurses in Turkey(Lippincott Williams & Wilkins, 2024) Şahan, Seda; Guler, SevilOBJECTIVETo determine nurses' knowledge levels and attitudes regarding pressure injury (PI) in Turkey and to reveal the relationship between these two variables.METHODSThis study was conducted with 604 nurses to obtain 98% power based on the G*Power analysis. The authors used the Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0 and Attitude toward Pressure Ulcer Prevention (APuP) instrument for data collection. Regression, correlation analysis, independent-sample t test, and analysis of variance were used in data analysis.RESULTSNurses' mean total PUKAT 2.0 score was 9.40 +/- 2.47 (46.72% correct). Nurses' mean total score on the APuP instrument was 32.39 +/- 2.752. The total knowledge score and total attitude score were positively correlated (rho = 0.761; P = .007). According to the results of linear regression analysis, the demographic variables of sex, education, seniority, and unit significantly predicted PUKAT 2.0 scores and APuP scores.CONCLUSIONSNurses' knowledge of PI prevention was insufficient, and their attitudes were average. A significant and positive relationship was identified between nurses' knowledge and attitudes regarding PI.Öğe Implementation of stethoscope disinfection: an observational study on nursing staff practice and knowledge(German Medical Science-Gms, 2024) Şahan, Seda; Guler, Sevil; Korkmaz, EmineBackground: Healthcare -associated infections cause high mortality and morbidity, and lack of stethoscope disinfection is one of the reasons for healthcare -associated infections. Nurses who frequently use stethoscopes in the clinic do not disinfect stethoscopes at high rates. This study aimed to identify the frequency of stethoscope disinfection by nurses and their knowledge about the same. Methods: This was a mixed -methods observational study. The quantitative part of the study included 202 nurses, the qualitative part included 12. Two researchers who made observations during stethoscope use recorded the procedures the nurses performed on the Observation Form. Semi -structured in-depth interviews were conducted based on phenomenological methods. Results: 23.7% of the nurses disinfected their stethoscopes before contact with patients, 11.8% after contact with patients and 6.4% before and after contact with patients. The nurses used a stethoscope on an average of 7.42 patients without disinfecting it. In the qualitative interview, some nurses stated that they did not have information about the disinfectants to be used for stethoscopes and their effectiveness. Some of the participants in the present study stated that they did not receive training on stethoscope disinfection and that they did not know that there were guidelines about it. Conclusion: Since there were deficiencies in the implementation of stethoscope disinfection as well as knowledge, the transfer of knowledge in this context must receive more attention in education and training.Öğe O efeito da reflexologia podal sobre a fadiga em pacientes em hemodiálise: um estudo de metanálise(Univ Sao Paulo, Escola De Enfermagem De Ribeirao Preto, 2023) Şahan, Seda; Guler, Sevil[Abstract Not Available]Öğe The effect of stress ball utilization on dyspnea severity and anxiety level in patients receiving nebulizer therapy: Randomized controlled study(Wiley, 2025) Ceyhan, Yasemin; Guler, Sevil; Şahan, SedaAim: The study primarily aimed at examining the effect of stress ball utilization on dyspnea and anxiety during nebulizer therapy. The secondary aim was to determine the effect of stress ball utilization on the duration of therapy and vital signs. Methods: The study has a randomized controlled experimental design. The study population consisted of inpatients receiving nebulizer therapy. A total of 80 patients, 40 in the intervention group and 40 in the control group, were included in the sample. The study was conducted between October 2023 and March 2024. Patients in the intervention group were asked to use a stress ball during nebulizer therapy. Data were collected using a Patient Information Form, the Visual Analog Scale, and the State-Trait Anxiety Inventory. Descriptive statistics, Chi-square, paired test, and one sample t-test were used in data analysis. Results: The mean age of the patients was 65 years and over and 78% of them had COPD. Stress ball utilization caused a significant effect on the severity of dyspnea (intervention: t = 2.862, p < 0.001; control: t = 2.755, p < 0.001) and anxiety levels (intervention: t = 4.647, p < 0.001; control: t = 6.597, p < 0.001) in intragroup comparisons. In intergroup comparisons, a significant difference (t(& imath;) = 4.455, p < 0.001) was obtained in anxiety level with a high effect (d = 0.70). In addition, the durations of nebulizer (minutes) administration were significantly (p < 0.001) longer in the intervention group (19.10 +/- 11.95) than in the control group (13.16 +/- 3.02). Stress ball utilization did not affect vital signs and saturation values (p > 0.05). Conclusions: Utilization of a stress ball during nebulizer therapy has a positive effect on reducing anxiety levels and prolonging the duration of nebulizer use.Öğe The effect of video streaming with virtual reality glasses on on pain anxiety and satisfaction applied in peripheral intravenous catheter process(Elsevier Science Inc, 2024) Guler, Sevil; Şahan, Seda; Ozturk, SelcukBackground: Peripheral intravenous catheter (PIC) implementation is among the most frequent and highly invasive nursing initiatives. PIC leads to anxiety with procedural pain, causing individuals to reject these procedures or negatively affecting the process's success. Aim: The study was conducted to determine the effect of virtual reality glasses (VRG) on pain, anxiety, and patient satisfaction during the peripheral intravenous catheter (PIC) process in adults. Design: An experimental study. Settings: An emergency department of a university hospital. Methods: Individuals who were admitted to the emergency unit of the university hospital were recruited between the data collection dates. Data from individuals' Patient Information Form, Visual Pain Scale, Visual Anxiety Scale, and Visual Satisfaction Scale were collected. VR-Box 3D Glasses was used as virtual reality glasses. Results: In our study, when the pain point averages with VAS were compared during the PIC process, the pain score average of the patients in the control group was 5.78 +/- 1.23 visual anxiety scale 5.89 +/- 1.23 and patient satisfaction scale 3.86 +/- 2.48, The visual pain score average of patients in the VRG group is 4.12 +/- 2.16, visual anxiety scale 3.14 +/- 1.76 and visual patient satisfaction scale 7.64 +/- 3.26. In short, it has been detected that the pain, anxiety, and patient satisfaction score averages of patients in the VRG group are statistically significant compared to the pain score averages of patients in the control group (p < .005). Our study unearthed a statistically significant relationship at an average level of negative direction between PIC post-treatment pain, anxiety, and patient satisfaction (r = - 0.476). Conclusion: Utilization of VRG has been detected to reduce pain and anxiety felt during the PIC process in adult patients and increase process satisfaction. VRG, a non-pharmacological, non-invasive, inexpensive, and feasible nursing initiative, may be recommended for use in pain and anxiety control in patients undergoing PIC treatment. (c) 2024 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
